API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-17 07:14:08.660785 | 2026-03-17 07:14:10.539638 | 20981712 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-06-09 | 2026-03-17 | F | AE | PT | 4497 | ARNAL | 6MR0WV3TY01 | DOROTHY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16362784/check_20981712_4d7bd0d7-7b2b-4f87-95aa-1df65e0eef4f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16362784/check_20981712_9587ac5c-1fab-4403-834c-a504e3d258ac.json | N/A | N/A | N/A | N/A | N/A | 6MR0WV3TY01 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-06-09 | S4802 | N/A | N/A | MB | false | ARNAL | N/A | DOROTHY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 154369 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311849029 | N/A | N/A | 16362784 | 2222 | N/A | 20438082 | N/A | 8353503 | 2026-03-17 07:14:10.539638 | 2026-02-05 00:11:37.075583 |
| 2026-03-17 07:14:08.631677 | 2026-03-17 07:14:11.583913 | 20981709 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-11-06 | 2026-03-17 | M | AE | PT | 2630 | PAZ | 00000376554 | MARIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11359237/check_20981709_d0414478-b9c0-4057-9b3f-e4388b1c40cd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11359237/check_20981709_69d791d4-8feb-4570-9201-f944bb294d66.json | N/A | N/A | N/A | N/A | N/A | 00000376554 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1957-11-06 | N/A | N/A | N/A | N/A | false | PAZ | N/A | MARIO | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11359237 | 2222 | N/A | 20438093 | N/A | 9630212 | 2026-03-17 07:14:11.583913 | 2025-10-22 17:21:29.196650 |
| 2026-03-17 07:14:08.593282 | 2026-03-17 07:14:11.351108 | 20981701 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-11-01 | 2026-03-17 | M | PT | N/A | 4191 | PANCER | STS914365541 | JORDAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16366027/check_20981701_8a0f8e09-b451-4ba8-a513-34e817f1285d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16366027/check_20981701_fe79959f-8434-4684-9db4-8306a15173c4.json | N/A | N/A | N/A | N/A | N/A | STS914365541 | Preferred Provider Organization (PPO) | CAREISMATIC BRANDS INC | BLUE SHIELD CALIFORNIA | N/A | 1997-11-01 | 1000PPOX0004 | W0054275 | N/A | PR | false | PANCER | N/A | JORDAN | N/A | N/A | N/A | CAREISMATIC BRANDS INC ASO PPO COMBINED DEDUCTIB | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848996 | N/A | N/A | 16366027 | 2222 | N/A | 20438090 | N/A | 4213469 | 2026-03-17 07:14:11.351108 | 2025-05-13 04:29:37.227786 |
| 2026-03-17 07:14:08.568492 | 2026-03-17 07:14:32.282907 | 20981696 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-03-22 | 2026-03-17 | M | AE | PT | 1030 | Faghri | 93733083G | Faraz | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16580690/check_20981696_346b977c-6321-49c5-9f95-5cf9567a5244.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | N/A | N/A | N/A | N/A | N/A | N/A | 93733083G | N/A | N/A | CENTENE HEALTH PLANS | N/A | 1983-03-22 | N/A | N/A | N/A | N/A | false | FAGHRI | N/A | FARAZ | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16580690 | 2222 | N/A | N/A | N/A | 14598766 | 2026-03-17 07:14:32.282907 | 2026-02-06 17:10:59.003864 |
| 2026-03-17 07:14:08.514506 | 2026-03-17 07:14:12.528064 | 20981690 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-07-20 | 2026-03-17 | F | AE | PT | 5505 | Miler | 000012260574 | Ann | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16209541/check_20981690_b0746ec7-d94c-423d-84e8-28ccce9fe924.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16209541/check_20981690_573af496-1f65-46f9-a23b-d7d368fe3e84.json | N/A | N/A | N/A | N/A | N/A | 000012260574 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1969-07-20 | 4299220 | 340406 | N/A | N/A | false | MILER | N/A | ANN | N/A | 2026-12-31 | 2026-01-01 | BRISTLECONE VALUE PARTNERS, LLC. BRISTLECONE VALUE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848984 | N/A | N/A | 16209541 | 2222 | N/A | 20438102 | N/A | 14262289 | 2026-03-17 07:14:12.528064 | 2026-02-02 16:47:52.326046 |
| 2026-03-17 07:14:08.489974 | 2026-03-17 07:14:13.317607 | 20981686 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-18 | 2026-03-17 | F | AE | PT | 5349 | ROZZANO | H9643373200 | GINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16263884/check_20981686_1016d61e-45d1-4dbf-8b84-615fc5df9c60.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16263884/check_20981686_cb54f339-512e-4d2f-beb3-960ed1bbb8d7.json | N/A | N/A | N/A | N/A | N/A | H96433732 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO REGAL MEDICAL GROUP | 1953-09-18 | N/A | 2B722001 | N/A | HN | false | ROZZANO | N/A | GINA | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848973 | N/A | N/A | 16263884 | 2222 | N/A | 20438113 | N/A | 4214855 | 2026-03-17 07:14:13.317607 | 2026-02-04 07:01:53.240587 |
| 2026-03-17 07:14:08.481053 | 2026-03-17 07:14:11.306891 | 20981685 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-06-30 | 2026-03-17 | F | AE | PT | 5538 | MANZO | 97551002H | TRACY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16282386/check_20981685_66524ace-beb1-4127-be3c-97f43d0fbbfe.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16282386/check_20981685_a3c226c6-f726-406b-9b16-26fbd73bfc41.json | N/A | N/A | N/A | N/A | N/A | 97551002H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1978-06-30 | MCLA | MWLLNMEG21 | N/A | N/A | false | MANZO | N/A | TRACY | N/A | 2078-12-31 | 2025-08-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848978 | N/A | N/A | 16282386 | 2222 | N/A | 20438089 | N/A | 14331366 | 2026-03-17 07:14:11.306891 | 2026-02-03 23:08:47.204504 |
| 2026-03-17 07:14:08.274419 | 2026-03-17 07:14:11.006371 | 20981661 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-10-08 | 2026-03-17 | F | AE | PT | 5505 | Kantor | 000002491752 | Judith | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16357604/check_20981661_64dae752-fef9-41b1-a6d0-771d08650795.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16357604/check_20981661_5ef0210f-ef00-4b26-b6f6-0536fcc835a6.json | N/A | N/A | N/A | N/A | N/A | 000002491752 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1947-10-08 | 3032427 | 100406 | N/A | N/A | false | KANTOR | N/A | JUDITH | N/A | 2026-12-31 | 2026-01-01 | STATE ADMINISTERED PUBLIC AGENCIES PA REGION 3 RET | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848925 | N/A | N/A | 16357604 | 2222 | N/A | 20438086 | N/A | 14403242 | 2026-03-17 07:14:11.006371 | 2026-02-04 22:38:19.962874 |
| 2026-03-17 07:14:08.266447 | 2026-03-17 07:14:11.022506 | 20981656 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-22 | 2026-03-17 | F | AE | PT | 5538 | Shea | 608528327 | Cherilyn | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16357633/check_20981656_c60af4e9-0f94-4535-b833-9e68f6ed38f0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16357633/check_20981656_58a5770a-d4bc-4f51-a691-474cf8c6e4ae.json | N/A | N/A | N/A | N/A | N/A | 608528327 | N/A | L.A. CARE COVERED SILVER 94 HMO | LA CARE HEALTH PLAN | N/A | 1966-12-22 | LACC | 92815CA001000806 | N/A | N/A | false | SHEA | N/A | CHERILYN | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848928 | N/A | N/A | 16357633 | 2222 | N/A | 20438087 | N/A | 14403283 | 2026-03-17 07:14:11.022506 | 2026-02-12 21:43:40.758290 |
| 2026-03-17 07:14:08.231413 | 2026-03-17 07:14:13.012341 | 20981650 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-12-06 | 2026-03-17 | M | AE | PT | 3948 | SNYDER | W272617591 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16237712/check_20981650_5ad9d1ca-3f3c-4afd-852e-95d0ea8b802d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16237712/check_20981650_23cbc432-3731-46cb-96c7-2629e747fc4a.json | N/A | N/A | N/A | N/A | N/A | W272617591 | Point of Service (POS) | GALPIN MOTORS, INC. | AETNA | N/A | 1967-12-06 | 0186142 | 018614201400001 | N/A | PS | false | SNYDER | N/A | STEPHANIE | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848919 | N/A | N/A | 16237712 | 2222 | N/A | 20438111 | N/A | 14289672 | 2026-03-17 07:14:13.012341 | 2026-02-03 14:00:40.123386 |
| 2026-03-17 07:14:08.205764 | 2026-03-17 07:14:12.990503 | 20981647 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-04-21 | 2026-03-17 | F | AE | PT | 3948 | FINK | 824993928 | DEBORAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16125647/check_20981647_e269e275-1b4b-4d54-b864-40582962990c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16125647/check_20981647_9073c4d7-4376-450b-91ff-28552b12bd29.json | N/A | N/A | N/A | N/A | N/A | 824993928 | Point of Service (POS) | BANK OF AMERICA CORPORATION | AETNA | N/A | 1955-04-21 | 0326475 | 032647501000106 | N/A | PS | false | FINK | N/A | DEBORAH | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848910 | N/A | N/A | 16125647 | 2222 | N/A | 20438110 | N/A | 14185911 | 2026-03-17 07:14:12.990503 | 2026-01-31 00:16:18.156182 |
| 2026-03-17 07:14:08.126613 | 2026-03-17 07:14:12.841767 | 20981635 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-04-02 | 2026-03-17 | M | PT | N/A | 4191 | LORRAINE | XEH911817270 | ELIJAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16132086/check_20981635_cdcf1fd9-4385-4675-8e61-b24aab62b301.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16132086/check_20981635_74c03646-b137-47ec-86b8-ddbd120746f2.json | N/A | N/A | N/A | N/A | N/A | XEH911817270 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1999-04-02 | 1000VX000001 | W0069783 | N/A | HM | false | LORRAINE | N/A | ELIJAH | N/A | 9999-12-31 | 2025-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848895 | N/A | N/A | 16132086 | 2222 | N/A | 20438107 | N/A | 14191252 | 2026-03-17 07:14:12.841767 | 2026-03-12 15:28:35.280372 |
| 2026-03-17 07:14:07.978626 | 2026-03-17 07:14:10.718778 | 20981620 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-04 | 2026-03-17 | M | PT | N/A | 4185 | DE LUNA | 025A51982 | NOEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16086240/check_20981620_5e7b8634-c213-4a0b-83d3-a0813af52f9c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16086240/check_20981620_8fe323c9-8424-4666-ac6d-7076bf19b9dc.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1967-09-04 | 040 | 56677WR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2026-03-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848884 | N/A | N/A | 16086240 | 2222 | N/A | 20438084 | N/A | 4343453 | 2026-03-17 07:14:10.718778 | 2025-05-13 04:29:37.230931 |
| 2026-03-17 07:14:07.849398 | 2026-03-17 07:14:12.851345 | 20981607 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-03-16 | 2026-03-17 | F | PT | N/A | 4191 | FEATHERS | XDM945W12328 | MEGAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15832306/check_20981607_66fb9975-f0ba-4961-b296-76cd4007cd53.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15832306/check_20981607_1c70f704-57fd-4a56-80a8-3313589efb30.json | N/A | N/A | N/A | N/A | N/A | XDM945W12328 | Health Maintenance Organization (HMO) | FIRSTSTEPS FOR KIDS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1995-03-16 | 040 | 280927H010 | N/A | HM | false | FEATHERS | N/A | MEGAN | N/A | 9999-12-31 | 2025-12-01 | VALUE SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848878 | N/A | N/A | 15832306 | 2222 | N/A | 20438106 | N/A | 13921724 | 2026-03-17 07:14:12.851345 | 2026-01-23 22:15:28.443333 |
| 2026-03-17 07:14:07.744580 | 2026-03-17 07:14:09.620751 | 20981594 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-12-17 | 2026-03-17 | F | 30 | AD | 6237 | TOBOLSKI | 40031694701 | MARSHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16041163/check_20981594_55464e76-7d73-40f4-a978-696467ba95ed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16041163/check_20981594_870e38f4-a640-471e-ad2a-91c04a6d96ce.json | N/A | N/A | N/A | N/A | N/A | 40031694701 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1953-12-17 | 2026H5425001 | H5425M | N/A | N/A | false | TOBOLSKI | N/A | MARSHA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 10311848846 | N/A | N/A | 16041163 | 2222 | N/A | 20438076 | N/A | 14110956 | 2026-03-17 07:14:09.620751 | 2026-01-29 19:04:39.423629 |
| 2026-03-17 07:14:07.668226 | 2026-03-17 07:14:11.677705 | 20981585 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-03-05 | 2026-03-17 | M | PT | N/A | 4184 | Runsewe | XDP296W23991 | Oluwapeyibom | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16011978/check_20981585_ccbd0121-63fe-45e7-b6c3-eb0c076eb247.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16011978/check_20981585_5abd8ada-1794-4101-bc18-8b5715ac92e2.json | N/A | N/A | N/A | N/A | N/A | XDP296W23991 | Preferred Provider Organization (PPO) | REGENTS OF THE UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1994-03-05 | 040 | 281636M037 | N/A | PR | false | RUNSEWE | N/A | OLUWAPEYIBOM | N/A | 9999-12-31 | 2025-06-13 | UC RESIDENTS AND FELLOWS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848866 | N/A | N/A | 16011978 | 2222 | N/A | 20438097 | N/A | 14083808 | 2026-03-17 07:14:11.677705 | 2026-02-06 23:30:31.957582 |
| 2026-03-17 07:14:07.542431 | 2026-03-17 07:14:10.470435 | 20981569 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-12-08 | 2026-03-17 | F | PT | N/A | 4185 | ZONANA | PLY185A78990 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15960874/check_20981569_610c48f9-5f14-4ac3-8ab6-34e0c721cdb4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15960874/check_20981569_56a18c53-5467-46b0-9a15-ccb9f45c1f51.json | N/A | N/A | N/A | N/A | N/A | PLY185A78990 | Preferred Provider Organization (PPO) | MATTEL INC | ANTHEM BLUE CROSS | N/A | 1983-12-08 | 040 | 174323M3A1 | N/A | PR | false | FRIEDMAN | N/A | RON | N/A | 9999-12-31 | 2026-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848827 | N/A | N/A | 15960874 | 2222 | N/A | 20438080 | N/A | 14041811 | 2026-03-17 07:14:10.470435 | 2026-03-06 22:13:33.515742 |
| 2026-03-17 07:14:07.305478 | 2026-03-17 07:14:09.986040 | 20981542 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-27 | 2026-03-17 | F | AE | PT | 2630 | FINE | 00000272194 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858742/check_20981542_890a45f8-6ac3-439d-ba9a-38ead5836c14.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_20981542_f23981ec-ba47-43c0-98ab-dcd2581ab16a.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-03-27 | N/A | N/A | N/A | N/A | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5858742 | 2222 | N/A | 20438077 | N/A | 4219630 | 2026-03-17 07:14:09.986040 | 2025-05-13 04:29:37.230672 |
| 2026-03-17 07:14:07.205895 | 2026-03-17 07:14:10.097971 | 20981529 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-09-28 | 2026-03-17 | M | AE | PT | 5505 | Cuk | 000020940322 | Vladimir | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15748712/check_20981529_13b66624-b5b1-4173-b72e-61e4a240c145.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15748712/check_20981529_41daed1d-60ac-426d-ba5f-606b279ccddf.json | N/A | N/A | N/A | N/A | N/A | 000020940322 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1972-09-28 | 4384201 | 100201 | N/A | N/A | false | CUK | N/A | VLADIMIR | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG - PHYSICIANS - FULL TIME | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848773 | N/A | N/A | 15748712 | 2222 | N/A | 20438078 | N/A | 13846306 | 2026-03-17 07:14:10.097971 | 2026-01-21 19:53:17.349281 |
| 2026-03-17 07:14:07.156288 | 2026-03-17 07:14:08.821293 | 20981522 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-11-19 | 2026-03-17 | M | AE | PT | 4497 | GONZALEZ JR | 1E61CX0GK13 | LEO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7456457/check_20981522_5abf8f01-ff41-4b15-9507-7f550cac44f4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456457/check_20981522_6788ec99-c502-4e30-99d5-2ec627ba0c96.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | N/A | N/A | CMS | N/A | 1948-11-19 | N/A | N/A | N/A | N/A | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7456457 | 2222 | N/A | 20438069 | N/A | 6405774 | 2026-03-17 07:14:08.821293 | 2026-03-16 21:02:08.525887 |
| 2026-03-17 07:14:07.119348 | 2026-03-17 07:14:09.032945 | 20981519 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-02-06 | 2026-03-17 | F | AE | PT | 4497 | RIGGS | 2A62UC8QA95 | JAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15761931/check_20981519_75011813-7fff-4b19-b3d0-e9c1994a0f5c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15761931/check_20981519_f2e20fa5-33a6-48a2-b8fd-184de9da38ba.json | N/A | N/A | N/A | N/A | N/A | 2A62UC8QA95 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-02-06 | S5601 | N/A | N/A | MA | false | RIGGS | N/A | JAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 61204 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848772 | N/A | N/A | 15761931 | 2222 | N/A | 20438071 | N/A | 13855018 | 2026-03-17 07:14:09.032945 | 2026-01-21 23:02:56.677752 |
| 2026-03-17 07:14:06.940658 | 2026-03-17 07:14:08.737176 | 20981501 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-06-19 | 2026-03-17 | M | PT | N/A | 4191 | ZEITHAMMER | UCD914833466 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15745085/check_20981501_5e695d82-a3c6-4dc5-b0ea-2addfdcd0936.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15745085/check_20981501_223f866e-20cd-4d28-9141-4e2b14318bee.json | N/A | N/A | N/A | N/A | N/A | UCD914833466 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1975-06-19 | 1400PPOX0001 | W3000984 | N/A | PR | false | ZEITHAMMER | N/A | ROBERT | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA ASO UC CARE PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848718 | N/A | N/A | 15745085 | 2222 | N/A | 20438065 | N/A | 13842766 | 2026-03-17 07:14:08.737176 | 2026-01-26 16:51:25.727723 |
| 2026-03-17 07:14:06.780742 | 2026-03-17 07:14:09.603964 | 20981484 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-01-02 | 2026-03-17 | F | AE | PT | 5505 | RYAN | 000022661269 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15738632/check_20981484_9b500d55-c6d7-4b02-89c3-89adabeea740.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15738632/check_20981484_fd86ca5f-0b5e-4f1b-afb5-c0cca07b084b.json | N/A | N/A | N/A | N/A | N/A | 000022661269 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1958-01-02 | 4314174 | 104236 | N/A | N/A | false | RYAN | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | SEMPRA SOCALGAS RETIREES UNION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848699 | N/A | N/A | 15738632 | 2222 | N/A | 20438075 | N/A | 13838088 | 2026-03-17 07:14:09.603964 | 2026-01-21 17:11:50.384756 |
| 2026-03-17 07:14:06.729670 | 2026-03-17 07:14:10.737420 | 20981475 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1936-04-17 | 2026-03-17 | F | AE | PT | 5504 | Frank | 000010875705 | Lya | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15509616/check_20981475_a246a69a-00ce-48fc-bf1a-e4a462b9b285.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15509616/check_20981475_92e29e9c-552a-44bf-900c-8ab2f30e8b98.json | N/A | N/A | N/A | N/A | N/A | 000010875705 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1936-04-17 | 1115265 | 230739 | N/A | N/A | false | FRANK | N/A | LYA | N/A | 2026-12-31 | 2026-01-01 | KPSA CONVERSION-SOUTH KPSA B SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848722 | N/A | N/A | 15509616 | 2222 | N/A | 20438083 | N/A | 13596403 | 2026-03-17 07:14:10.737420 | 2026-01-16 22:31:54.907256 |
| 2026-03-17 07:14:06.680134 | 2026-03-17 07:14:10.426910 | 20981471 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-09-09 | 2026-03-17 | F | AE | PT | 4211 | Jackson | 100001280396 | Joann | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15596622/check_20981471_3af2e64e-789b-4f80-839f-2c2c915c5322.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15596622/check_20981471_09284c2e-771f-493b-a848-bb9ac04411fe.json | N/A | N/A | N/A | N/A | N/A | 100001280396 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1942-09-09 | QMXBPREG020038 | QMXEM01909 | N/A | N/A | false | JACKSON | N/A | JOANN | N/A | 2078-12-31 | 2026-01-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848681 | N/A | N/A | 15596622 | 2222 | N/A | 20438081 | N/A | 13503048 | 2026-03-17 07:14:10.426910 | 2026-01-28 17:23:17.911334 |
| 2026-03-17 07:14:06.538154 | 2026-03-17 07:14:11.609978 | 20981454 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-10-12 | 2026-03-17 | M | AE | PT | 5349 | MICHALAK | H7067412800 | EDWARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15216990/check_20981454_91bb9d86-8b8f-4bc9-86a7-196c1117b32c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15216990/check_20981454_fc3753fd-f069-437e-8dc4-8cf59a684715.json | N/A | N/A | N/A | N/A | N/A | H70674128 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 666 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1951-10-12 | N/A | 2B863001 | N/A | HN | false | MICHALAK | N/A | EDWARD | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848695 | N/A | N/A | 15216990 | 2222 | N/A | 20438094 | N/A | 13318500 | 2026-03-17 07:14:11.609978 | 2026-01-30 17:52:40.406211 |
| 2026-03-17 07:14:06.529808 | 2026-03-17 07:14:12.611547 | 20981453 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1994-03-01 | 2026-03-17 | M | PT | N/A | 4197 | VANE | GMB812956081 | KYLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14980212/check_20981453_0189b715-37b9-4e8c-9ea6-bcb28c341d86.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14980212/check_20981453_a6d39de2-5f94-4ed8-9e33-97ef157f7fca.json | N/A | N/A | N/A | N/A | N/A | GMB812956081 | Preferred Provider Organization (PPO) | ARTHUR J GALLAGHER ILLINOIS, LLC | BLUE SHIELD OF CALIFORNIA | HEALTH CARE ACCOUNT BALANCE PLEASE DO NOT BILL THE PATIENT. THIS POLICY HAS AN EMPLOYER-FUNDED HEALTH CARE ACCOUNT. THIS TYPE OF HRA WILL BE USED TO PAY FOR QUALIFIED MEDICAL EXPENSES, INCLUDING, BUT NOT LIMITED TO DEDUCTIBLE. | 1994-03-01 | N/A | 169150 | N/A | PR | false | VANE | N/A | KYLE | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848692 | N/A | N/A | 14980212 | 2222 | N/A | 20438103 | N/A | 4213573 | 2026-03-17 07:14:12.611547 | 2026-01-05 00:56:21.017893 |
| 2026-03-17 07:14:06.365638 | 2026-03-17 07:14:12.036237 | 20981435 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-07-14 | 2026-03-17 | M | AE | PT | 3948 | KELKAR | W293958328 | SHASHANK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15126340/check_20981435_d8450ed2-b48a-4317-bcb2-4dde7fb5f66e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15126340/check_20981435_97c6d2b7-784e-4a44-9c15-ac62acde2a6d.json | N/A | N/A | N/A | N/A | N/A | W293958328 | Point of Service (POS) | ASTRAZENECA PHARMACEUTICALS LP | AETNA | N/A | 1970-07-14 | 0192654 | 019265403800001 | N/A | PS | false | KELKAR | N/A | SHASHANK | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848630 | N/A | N/A | 15126340 | 2222 | N/A | 20438101 | N/A | 13234520 | 2026-03-17 07:14:12.036237 | 2026-01-09 18:02:31.951552 |
| 2026-03-17 07:14:06.255712 | 2026-03-17 07:14:30.335314 | 20981421 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-12-06 | 2026-03-17 | F | AE | PT | 4625 | GHARAVI | 99570419E | JASMINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14856447/check_20981421_19fecfb3-033b-4e51-85f0-b04c6f52e227.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | N/A | N/A | N/A | N/A | N/A | N/A | 99570419E | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1997-12-06 | N/A | N/A | N/A | N/A | false | GHARAVI | N/A | JASMINE | N/A | 2026-02-12 | 2024-05-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14856447 | 2222 | N/A | N/A | N/A | 12968899 | 2026-03-17 07:14:30.335314 | 2026-01-05 20:58:07.379737 |
| 2026-03-17 07:14:06.246619 | 2026-03-17 07:14:10.374066 | 20981419 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-06-06 | 2026-03-17 | F | AE | PT | 5505 | Benzaquen | 000007108227 | Yafa | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/13007520/check_20981419_c5eaef6f-c6f5-4ca0-9eff-efb100332fbd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13007520/check_20981419_a3b0bf0c-b7ff-4d8f-8cee-eca3fb2256ce.json | N/A | N/A | N/A | N/A | N/A | 000007108227 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1959-06-06 | 4332645 | 1650095001 | N/A | N/A | false | BENZAQUEN | N/A | YAFA | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848659 | N/A | N/A | 13007520 | 2222 | N/A | 20438079 | N/A | 11166074 | 2026-03-17 07:14:10.374066 | 2025-11-18 22:12:26.920696 |
| 2026-03-17 07:14:06.232681 | 2026-03-17 07:14:09.165007 | 20981415 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-08-16 | 2026-03-17 | M | PT | N/A | 4191 | TAMHANE | VBG913306283 | SHAILESH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14216912/check_20981415_0115d840-bb83-4bd3-951e-b408be776093.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14216912/check_20981415_b04680a3-8741-482e-9346-a83ddabe6519.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1970-08-16 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2025-01-01 | HSA RATED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848646 | N/A | N/A | 14216912 | 2222 | N/A | 20438074 | N/A | 12348892 | 2026-03-17 07:14:09.165007 | 2025-12-13 17:39:44.718220 |
| 2026-03-17 07:14:06.210929 | 2026-03-17 07:14:09.088442 | 20981414 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-01-01 | 2026-03-17 | F | PT | N/A | 4184 | Vo | TOA651A68427 | Tram | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14115191/check_20981414_51558879-0b6d-4fe3-8485-131ece2f072e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14115191/check_20981414_74a2fc96-f82b-4e22-bdf3-f9a66ad1dddd.json | N/A | N/A | N/A | N/A | N/A | TOA651A68427 | Preferred Provider Organization (PPO) | PPO 1 PLAN W/IHM AND AIM | ANTHEM BLUE CROSS | N/A | 1973-01-01 | 160 | 214021M1NR | N/A | PR | false | VO | N/A | TRAM | N/A | 9999-12-31 | 2022-01-01 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848616 | N/A | N/A | 14115191 | 2222 | N/A | 20438072 | N/A | 12253534 | 2026-03-17 07:14:09.088442 | 2025-12-11 19:59:32.714775 |
| 2026-03-17 07:14:06.196541 | 2026-03-17 07:14:11.173784 | 20981411 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-06-25 | 2026-03-17 | M | PT | N/A | 4191 | WEISS | BMO846339245 | JASON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14060119/check_20981411_3f187055-e03c-4d3b-8484-c9e76006b77a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14060119/check_20981411_c5e65d0b-da37-4ec3-b133-2f6b24cd5a4d.json | N/A | N/A | N/A | N/A | N/A | BMO846339245 | Preferred Provider Organization (PPO) | ACTIVES | BLUE SHIELD OF CALIFORNIA | N/A | 1970-06-25 | N/A | 190565 | N/A | PR | false | WEISS | N/A | JULIE | N/A | 9999-12-31 | 2026-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848613 | N/A | N/A | 14060119 | 2222 | N/A | 20438088 | N/A | 12204561 | 2026-03-17 07:14:11.173784 | 2025-12-11 19:10:26.555726 |
| 2026-03-17 07:14:06.131312 | 2026-03-17 07:14:09.192797 | 20981402 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-05-05 | 2026-03-17 | F | PT | N/A | 4184 | HOUSTON | TRJNP0019401 | VELINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/12244725/check_20981402_47eb7569-8365-4265-b875-ba0e8d0f471e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12244725/check_20981402_f64d702a-4130-4e80-9906-b15feb5859d0.json | N/A | N/A | N/A | N/A | N/A | TRJNP0019401 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-05-05 | 040 | 276727M001 | N/A | PR | false | HOUSTON | N/A | VELINA | N/A | 9999-12-31 | 2012-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848590 | N/A | N/A | 12244725 | 2222 | N/A | 20438073 | N/A | 9637804 | 2026-03-17 07:14:09.192797 | 2026-04-24 18:56:42.779565 |
| 2026-03-17 07:14:06.011466 | 2026-03-17 07:14:08.817383 | 20981385 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-12 | 2026-03-17 | F | PT | N/A | 4185 | BENSON | 361A55900 | ELIZABETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11917007/check_20981385_5cbb2489-f8aa-4f43-ac62-4131b0174d9d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11917007/check_20981385_31d31633-dc03-4c21-9749-7e38d42a4708.json | N/A | N/A | N/A | N/A | N/A | NCF361A55900 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1965-07-12 | 040 | 276193H001 | N/A | HM | false | MANICHIA | N/A | GINA | N/A | 9999-12-31 | 2025-07-01 | PREMIER SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848569 | N/A | N/A | 11917007 | 2222 | N/A | 20438068 | N/A | 10144918 | 2026-03-17 07:14:08.817383 | 2025-11-17 16:03:18.208475 |
| 2026-03-17 07:14:05.982465 | 2026-03-17 07:14:11.919257 | 20981380 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1997-11-05 | 2026-03-17 | M | PT | N/A | 4197 | VILLANUEVA | ZGP813002220 | YAIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11623284/check_20981380_b977926b-0bef-4649-b3ac-288acd6bb1f4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11623284/check_20981380_d640e043-5694-4ca1-bc46-015c8fded9e8.json | N/A | N/A | N/A | N/A | N/A | ZGP813002220 | Preferred Provider Organization (PPO) | RIMKUS CONSULTING GROUP, INC | BLUE SHIELD OF CALIFORNIA | N/A | 1997-11-05 | N/A | 279469 | N/A | PR | false | VILLANUEVA | N/A | YAIR | N/A | 9999-12-31 | 2025-03-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848565 | N/A | N/A | 11623284 | 2222 | N/A | 20438100 | N/A | 9860485 | 2026-03-17 07:14:11.919257 | 2025-11-10 18:34:52.696278 |
| 2026-03-17 07:14:05.742234 | 2026-03-17 07:14:08.627945 | 20981349 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-11-06 | 2026-03-17 | M | AE | PT | 2630 | PAZ | 00000376554 | MARIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11359237/check_20981349_698eb8e8-ef18-4ac3-b94a-3a2677995bf4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | N/A | N/A | N/A | N/A | N/A | N/A | 00000376554 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1957-11-06 | N/A | N/A | N/A | N/A | false | PAZ | N/A | MARIO | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11359237 | 2222 | N/A | N/A | N/A | 9630212 | 2026-03-17 07:14:08.627945 | 2025-10-22 17:21:29.196650 |
| 2026-03-17 07:14:05.622642 | 2026-03-17 07:14:07.606554 | 20981332 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-01-03 | 2026-03-17 | M | AE | PT | 4497 | KIRK | 8Q34XD0CC92 | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9261302/check_20981332_67426ddb-cc7d-4af2-8ef3-536cf5e620f6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9261302/check_20981332_13a1c433-dad6-4ec1-8eab-fe23b916a870.json | N/A | N/A | N/A | N/A | N/A | 8Q34XD0CC92 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-01-03 | H5522 | N/A | N/A | MA | false | KIRK | N/A | DANIEL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848522 | N/A | N/A | 9261302 | 2222 | N/A | 20438059 | N/A | 6476881 | 2026-03-17 07:14:07.606554 | 2025-07-29 22:42:05.499172 |
| 2026-03-17 07:14:05.620251 | 2026-03-17 07:14:08.876835 | 20981331 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-01-14 | 2026-03-17 | F | PT | N/A | 4185 | OBACZ | JQV897A63197 | KLOIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9102655/check_20981331_87c73e24-eb03-4872-b0ef-a90fddc43e68.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_20981331_87f8ef12-eee8-4e19-ab1c-12d36cb4f127.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 9999-12-31 | 2026-01-01 | CA SG SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848524 | N/A | N/A | 9102655 | 2222 | N/A | 20438064 | N/A | 7621062 | 2026-03-17 07:14:08.876835 | 2025-09-12 19:10:20.936695 |
| 2026-03-17 07:14:05.614003 | 2026-03-17 07:14:07.311607 | 20981330 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1963-04-03 | 2026-03-17 | F | PT | N/A | 4197 | Protsenko | AJC912998623 | Tetiana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9958584/check_20981330_088409b8-e2a8-4512-a231-6036798539ac.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9958584/check_20981330_9e5d5b23-a0a7-4e12-b176-46a000093474.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848514 | N/A | N/A | 9958584 | 2222 | N/A | 20438054 | N/A | 7994720 | 2026-03-17 07:14:07.311607 | 2025-09-24 04:33:28.125297 |
| 2026-03-17 07:14:05.378046 | 2026-03-17 07:14:08.130581 | 20981294 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2026-03-17 | M | PT | N/A | 4184 | POLK | MBL292M95257 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_20981294_2ce43c98-b7f3-4ac4-8f74-1e0c65ddb5b7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_20981294_83cb710d-e07b-4539-a760-a11381dcf464.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848483 | N/A | N/A | 9022039 | 2222 | N/A | 20438060 | N/A | 7544773 | 2026-03-17 07:14:08.130581 | 2025-09-02 18:35:33.812098 |
| 2026-03-17 07:14:05.328275 | 2026-03-17 07:14:07.422026 | 20981286 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-14 | 2026-03-17 | F | AE | PT | 4497 | McKinnon | 4Q81VP4NU12 | Dawn | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7783105/check_20981286_ce919f53-7747-407c-bba5-163f3e5ce633.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783105/check_20981286_25cd750a-1287-49d6-80c1-fafd08c69f57.json | N/A | N/A | N/A | N/A | N/A | 4Q81VP4NU12 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MA | false | MCKINNON | N/A | DAWN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 193260 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848482 | N/A | N/A | 7783105 | 2222 | N/A | 20438050 | N/A | 6628331 | 2026-03-17 07:14:07.422026 | 2025-08-22 15:16:03.942743 |
| 2026-03-17 07:14:05.255879 | 2026-03-17 07:14:07.149721 | 20981278 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-11-19 | 2026-03-17 | M | AE | PT | 4497 | GONZALEZ JR | 1E61CX0GK13 | LEO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7456457/check_20981278_5ab5443b-8a9c-4c25-bcc5-c055d8f825f9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | N/A | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | N/A | N/A | CMS | N/A | 1948-11-19 | N/A | N/A | N/A | N/A | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7456457 | 2222 | N/A | N/A | N/A | 6405774 | 2026-03-17 07:14:07.149721 | 2026-03-16 21:02:08.525887 |
| 2026-03-17 07:14:05.179130 | 2026-03-17 07:14:07.312062 | 20981267 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-02-09 | 2026-03-17 | F | AE | PT | 4497 | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7204595/check_20981267_95a87e02-d36b-495e-8a31-edb23bb157aa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204595/check_20981267_39c0586f-b921-4aae-85f8-affd4b343eba.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S4802 | N/A | N/A | MB | false | FERTSCHNEIDER | N/A | NANCY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 140943 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848488 | N/A | N/A | 7204595 | 2222 | N/A | 20438051 | N/A | 6175435 | 2026-03-17 07:14:07.312062 | 2025-08-05 19:05:08.506352 |
| 2026-03-17 07:14:05.144562 | 2026-03-17 07:14:08.906324 | 20981261 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-23 | 2026-03-17 | M | AE | PT | 4211 | Thur | 95641377F | Pyi | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7449843/check_20981261_4bac41c8-8c6b-4c05-a4f5-55b6a9eb191a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_20981261_6f9448d1-6edf-48de-a54c-43ecdfa660bf.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848457 | N/A | N/A | 7449843 | 2222 | N/A | 20438070 | N/A | 6399635 | 2026-03-17 07:14:08.906324 | 2025-07-29 18:42:47.970149 |
| 2026-03-17 07:14:04.871239 | 2026-03-17 07:14:07.136760 | 20981228 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2026-03-17 | F | AE | PT | 4497 | FABER | 4X26K21EE83 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_20981228_aa24774e-d0c8-4f79-88e4-dbd79526fd57.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_20981228_b52aafa1-50ef-4dc6-8714-372d98fe7565.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MA | false | FABER | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 64220 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848453 | N/A | N/A | 6522947 | 2222 | N/A | 20438049 | N/A | 5146127 | 2026-03-17 07:14:07.136760 | 2025-06-20 17:58:23.371130 |
| 2026-03-17 07:14:04.835940 | 2026-03-17 07:14:28.770093 | 20981221 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-11-15 | 2026-03-17 | F | AE | PT | 4625 | BIKOULOVA | 92040499F | ALEXANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874423/check_20981221_84c23a6d-5570-43ec-b26a-49003276851d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | N/A | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | 2026-01-22 | 2024-02-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874423 | 2222 | N/A | N/A | N/A | 4534552 | 2026-03-17 07:14:28.770093 | 2025-05-30 18:01:03.324126 |
| 2026-03-17 07:14:04.659396 | 2026-03-17 07:14:07.299691 | 20981197 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-27 | 2026-03-17 | F | AE | PT | 2630 | FINE | 00000272194 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858742/check_20981197_10d38f34-961b-4f44-a767-888db3c46dbc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | N/A | N/A | N/A | N/A | N/A | N/A | 00000272194 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-03-27 | N/A | N/A | N/A | N/A | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5858742 | 2222 | N/A | N/A | N/A | 4219630 | 2026-03-17 07:14:07.299691 | 2025-05-13 04:29:37.230672 |
| 2026-03-17 07:14:04.488171 | 2026-03-17 07:14:08.618328 | 20981174 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-03-31 | 2026-03-17 | M | PT | N/A | 4185 | MILES | MBL835W05431 | KEITH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536896/check_20981174_7f1b0e71-15ab-4d6d-8a13-9083ffd4910b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_20981174_cf3899b2-1c37-4ad0-8ddc-9b602b620a51.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848406 | N/A | N/A | 5536896 | 2222 | N/A | 20438061 | N/A | 4209567 | 2026-03-17 07:14:08.618328 | 2025-05-13 04:29:37.223990 |
| 2026-03-17 07:14:04.487291 | 2026-03-17 07:14:06.288667 | 20981173 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-06-01 | 2026-03-17 | F | AE | PT | 4497 | BRADBURY | 5W31MW6FP03 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550534/check_20981173_dda8960a-b425-4648-a0cc-eabf6e4c0002.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_20981173_49e6d818-f663-45b4-bbec-86c9713abc56.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | N/A | BONNIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 101456 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848351 | N/A | N/A | 5550534 | 2222 | N/A | 20438037 | N/A | 4219556 | 2026-03-17 07:14:06.288667 | 2025-05-13 04:29:37.230592 |