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 | subscriber_last_name | subscriber_member_id | subscriber_first_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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-22 23:53:11.543323 | 2025-06-23 09:06:22.152714 | 9159089 | N/A | N/A | 60054 | Aetna | 1114042165 | 9159089 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-06-25 | F | AE | PT | CARDINALI | W286606913 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_9159089_425abb76-9f7a-4c6c-8c41-78b6cc67a097.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748701000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025031311 | N/A | N/A | 5550850 | 2222 | 4802 | 8853874 | N/A | 4215195 | 2025-06-23 09:06:22.152714 | 2025-05-14 09:08:40.751930 |
| 2025-06-22 23:53:10.992209 | 2025-06-23 09:16:05.501948 | 9159082 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9159082 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-06-24 | M | PT | N/A | PANDYA | XEA913306283 | DHARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_9159082_efcf348c-1fb4-43cf-b150-ffb899c93860.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 | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025031310 | N/A | N/A | 5550845 | 2222 | 4801 | 8861035 | N/A | 4219713 | 2025-06-23 09:16:05.501948 | 2025-08-13 22:46:55.732965 |
| 2025-06-22 23:53:10.541310 | 2025-06-23 09:24:22.666684 | 9159076 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9159076 | Athletic Physical Therapy Inc | 1970-03-04 | 2025-06-25 | F | AE | PT | VITATOE | 4YM5KY1DG73 | RHONDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550839/check_9159076_a2a2a7fc-34e2-4b3b-9ca4-73d84c917c61.json | N/A | N/A | N/A | N/A | N/A | 4YM5KY1DG73 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1970-03-04 | S4802 | N/A | N/A | MA | false | VITATOE | N/A | RHONDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025031309 | N/A | N/A | 5550839 | 2222 | 4801 | 8867533 | N/A | 4219707 | 2025-06-23 09:24:22.666684 | 2025-05-13 04:29:37.230750 |
| 2025-06-22 23:53:10.210653 | 2025-06-23 09:15:46.766584 | 9159072 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9159072 | Athletic Physical Therapy Inc | 1979-05-08 | 2025-06-24 | F | PT | N/A | JEBBARI DELSHAD | XED913120799 | NEDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550827/check_9159072_ef630acf-4732-4484-86a7-75e41e14586f.json | N/A | N/A | N/A | N/A | N/A | XED913120799 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-05-08 | 2001ZK002184 | X0001004 | N/A | PR | false | DELSHAD | N/A | ALLEN | N/A | 9999-12-31 | 2024-04-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025031308 | N/A | N/A | 5550827 | 2222 | 4802 | 8860825 | N/A | 4219700 | 2025-06-23 09:15:46.766584 | 2025-05-13 04:29:37.230745 |
| 2025-06-22 23:53:09.864374 | 2025-06-23 09:06:23.220210 | 9159064 | N/A | N/A | 60054 | Aetna | 1114042165 | 9159064 | Athletic Physical Therapy Inc | 1970-02-16 | 2025-06-24 | M | PT | AE | OCHOA | W263373040 | JACK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550823/check_9159064_f954ea6c-45ed-43c7-bb58-5e52d180c2a5.json | N/A | N/A | N/A | N/A | N/A | W263373040 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1970-02-16 | 0160879 | 016087905000013 | N/A | PR | false | OCHOA | N/A | JACK | N/A | N/A | N/A | OPEN CHOICE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025031307 | N/A | N/A | 5550823 | 2222 | 4801 | 8853883 | N/A | 4219698 | 2025-06-23 09:06:23.220210 | 2025-05-13 04:29:37.230743 |
| 2025-06-22 23:53:09.474402 | 2025-06-23 09:04:48.535100 | 9159053 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9159053 | Athletic Physical Therapy Inc | 1964-09-23 | 2025-06-24 | F | PT | AE | FLORES | R04366782FS1 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550814/check_9159053_dbd57d42-0621-4163-aa15-cadbde389f7c.json | N/A | N/A | N/A | N/A | N/A | R04366782FS1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-09-23 | N/A | N/A | N/A | N/A | false | FLORES | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025031306 | N/A | N/A | 5550814 | 2222 | 4801 | 8852871 | N/A | 4219692 | 2025-06-23 09:04:48.535100 | 2025-05-13 04:29:37.230737 |
| 2025-06-22 23:53:08.855675 | 2025-06-23 09:24:18.697432 | 9159040 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9159040 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-06-24 | F | PT | AE | MARTIN | 5YV3RT3TA75 | DOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550797/check_9159040_3f4b6a60-65ae-4ca0-9fdd-e56b6ca22d9e.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MB | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025031305 | N/A | N/A | 5550797 | 2222 | 4793 | 8867484 | N/A | 4219681 | 2025-06-23 09:24:18.697432 | 2026-01-14 20:54:02.193776 |
| 2025-06-22 23:53:08.396303 | 2025-06-23 09:06:22.844774 | 9159028 | N/A | N/A | 60054 | Aetna | 1114042165 | 9159028 | Athletic Physical Therapy Inc | 1979-11-08 | 2025-06-25 | M | AE | PT | MICHELIN | W287756710 | ANDRE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550784/check_9159028_0e02a697-0f12-4566-82fb-79d85ea7efb7.json | N/A | N/A | N/A | N/A | N/A | W287756710 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1979-11-08 | 0251371 | 025137101400017 | N/A | PS | false | MICHELIN | N/A | ANDRE R | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025031304 | N/A | N/A | 5550784 | 2222 | 4802 | 8853880 | N/A | 4219673 | 2025-06-23 09:06:22.844774 | 2025-05-13 04:29:37.230718 |
| 2025-06-22 23:53:07.957394 | 2025-06-23 09:12:12.343084 | 9159023 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9159023 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-06-24 | M | AE | PT | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_9159023_a3944e92-cf7e-4391-8a48-3812c83c7c6b.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025031303 | N/A | N/A | 5550751 | 2222 | 4801 | 8858121 | 2630 | 4219640 | 2025-06-23 09:12:12.343084 | 2025-05-13 04:29:37.230682 |
| 2025-06-22 23:53:07.682616 | 2025-06-23 09:06:24.141825 | 9159019 | N/A | N/A | 60054 | Aetna | 1114042165 | 9159019 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-06-24 | F | PT | AE | SANTITORO | W267422430 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_9159019_80d09d0e-3712-4821-814e-29818b27c738.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025031302 | N/A | N/A | 5550743 | 2222 | 4801 | 8853889 | N/A | 4219643 | 2025-06-23 09:06:24.141825 | 2025-05-13 04:29:37.230685 |
| 2025-06-22 23:53:07.427503 | 2025-06-23 09:05:02.410306 | 9159016 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9159016 | Athletic Physical Therapy Inc | 1943-06-13 | 2025-06-25 | F | PT | AE | DOULTON | JQW535W08774 | ELAINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550735/check_9159016_a7d9b884-2a83-4176-b66e-beee0ea6b404.json | N/A | N/A | N/A | N/A | N/A | JQW535W08774 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1943-06-13 | N/A | N/A | N/A | N/A | false | DOULTON | N/A | ELAINE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025031301 | N/A | N/A | 5550735 | 2222 | 4801 | 8853048 | N/A | 4219637 | 2025-06-23 09:05:02.410306 | 2025-06-09 15:04:30.013896 |
| 2025-06-22 23:53:07.087690 | 2025-06-23 09:13:02.785084 | 9159009 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9159009 | Athletic Physical Therapy Inc | 1983-08-30 | 2025-06-25 | F | PT | N/A | COOPER | NCF583A24290 | JENNIFER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550450/check_9159009_51efffaf-e682-4976-b366-6a3a5a4412ca.json | N/A | N/A | N/A | N/A | N/A | NCF583A24290 | Health Maintenance Organization (HMO) | CEDARS SINAI HEALTH SYSTEM | ANTHEM BLUE CROSS | N/A | 1983-08-30 | 040 | 57ADZG | N/A | HM | false | COOPER | N/A | JENNIFER | N/A | 9999-12-31 | 2014-08-01 | HMO CEDARS SINAI ONLY | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025031300 | N/A | N/A | 5550450 | 2222 | 4793 | 8858815 | N/A | 4219541 | 2025-06-23 09:13:02.785084 | 2025-05-13 04:29:37.230577 |
| 2025-06-22 23:53:06.182673 | 2025-06-23 09:04:53.538409 | 9158989 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9158989 | Athletic Physical Therapy Inc | 1949-06-06 | 2025-06-25 | M | PT | AE | WILSON | 31187497801 | MARVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_9158989_f094fc2b-e84f-4268-8270-8e25e9e57e77.json | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-06-06 | N/A | N/A | N/A | N/A | false | WILSON | N/A | MARVIN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025031298 | N/A | N/A | 5549707 | 2222 | 4801 | 8852961 | N/A | 4219317 | 2025-06-23 09:04:53.538409 | 2025-05-13 04:29:37.230340 |
| 2025-06-22 23:53:05.598973 | 2025-06-23 09:24:16.793754 | 9158975 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9158975 | Athletic Physical Therapy Inc | 1956-02-24 | 2025-06-25 | F | AE | PT | KUDLATOVA | 9Q04X31JA99 | MARIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549471/check_9158975_3babdbff-b4f0-47c1-9d47-b0965bef03cb.json | N/A | N/A | N/A | N/A | N/A | 9Q04X31JA99 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-24 | N/A | N/A | N/A | MA | false | KUDLATOVA | N/A | MARIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025031297 | N/A | N/A | 5549471 | 2222 | 4801 | 8867463 | N/A | 4219128 | 2025-06-23 09:24:16.793754 | 2025-05-13 04:29:37.230146 |
| 2025-06-22 23:53:05.357078 | 2025-06-23 09:13:41.354659 | 9158971 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158971 | Athletic Physical Therapy Inc | 1957-04-19 | 2025-06-25 | F | PT | AE | VALDIVIA | JQW088W14517 | CRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549398/check_9158971_01eaa351-342f-42a3-970a-e9a9a41a4f0b.json | N/A | N/A | N/A | N/A | N/A | JQW088W14517 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-19 | 040 | CAMCRWP0 | N/A | MP | false | VALDIVIA | N/A | CRISTINA | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025031296 | N/A | N/A | 5549398 | 2222 | 4801 | 8859351 | N/A | 4219064 | 2025-06-23 09:13:41.354659 | 2025-06-06 15:26:44.406275 |
| 2025-06-22 23:53:05.104690 | 2025-06-23 09:04:42.118022 | 9158965 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9158965 | Athletic Physical Therapy Inc | 1948-01-29 | 2025-06-24 | F | PT | AE | BOWLDS | 31193263001 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549002/check_9158965_11336074-3c99-4f17-b845-e94f83bc85ea.json | N/A | N/A | N/A | N/A | N/A | 31193263001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-29 | N/A | N/A | N/A | N/A | false | BOWLDS | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025031295 | N/A | N/A | 5549002 | 2222 | 4801 | 8852854 | N/A | 4218753 | 2025-06-23 09:04:42.118022 | 2025-05-13 04:29:37.229745 |
| 2025-06-22 23:52:53.306776 | 2025-06-23 09:04:50.241352 | 9158723 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9158723 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-06-25 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_9158723_88d72251-b472-44f4-914b-6d4db5c70d8f.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030695 | N/A | N/A | 5543425 | 2222 | 4801 | 8852918 | N/A | 4215211 | 2025-06-23 09:04:50.241352 | 2026-04-02 22:30:20.020246 |
| 2025-06-22 23:52:52.984770 | 2025-06-23 09:24:22.012777 | 9158714 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9158714 | Athletic Physical Therapy Inc | 1945-02-14 | 2025-06-25 | M | AE | PT | SLAUGHTER | 6V77P87YA36 | KAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543377/check_9158714_fc6f079c-968a-4f5d-8831-e7a90ae952b2.json | N/A | N/A | N/A | N/A | N/A | 6V77P87YA36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-02-14 | S5601 | N/A | N/A | MA | false | SLAUGHTER | N/A | KAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030694 | N/A | N/A | 5543377 | 2222 | 4802 | 8867524 | N/A | 4215177 | 2025-06-23 09:24:22.012777 | 2025-05-13 04:29:37.229493 |
| 2025-06-22 23:52:52.753606 | 2025-06-23 09:13:35.142612 | 9158711 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158711 | Athletic Physical Therapy Inc | 1985-06-18 | 2025-06-24 | F | PT | N/A | SCHULMAN | XDP423M94945 | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543362/check_9158711_872e1bda-af44-4739-ae39-4f5eb827e0eb.json | N/A | N/A | N/A | N/A | N/A | XDP423M94945 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1985-06-18 | 040 | 280629MK16 | N/A | PR | false | SCHULMAN | N/A | JESSICA | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030693 | N/A | N/A | 5543362 | 2222 | 4793 | 8859214 | N/A | 4215155 | 2025-06-23 09:13:35.142612 | 2025-05-13 04:29:37.229472 |
| 2025-06-22 23:52:52.390515 | 2025-06-23 09:13:23.729147 | 9158705 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9158705 | Athletic Physical Therapy Inc | 1960-09-07 | 2025-06-24 | M | PT | N/A | MEINERT | XEH912496752 | TIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543360/check_9158705_ef84fee4-8862-4697-bd52-d024d3d6d192.json | N/A | N/A | N/A | N/A | N/A | XEH912496752 | Health Maintenance Organization (HMO) | MILKEN COMMUNITY SCHOOLS | ANTHEM BLUE CROSS | N/A | 1960-09-07 | 1000HMOX0001 | W0070317 | N/A | HM | false | MEINERT | N/A | TIMOTHY | N/A | N/A | N/A | ACCESS HMO R PER ADMIT 10 250 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030692 | N/A | N/A | 5543360 | 2222 | 4793 | 8859107 | 4184 | 4215161 | 2025-06-23 09:13:23.729147 | 2025-05-13 04:29:37.229478 |
| 2025-06-22 23:52:51.794625 | 2025-06-23 09:24:17.472635 | 9158699 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9158699 | Athletic Physical Therapy Inc | 1937-05-27 | 2025-06-24 | F | AE | PT | LANGINGER | 8T45CA9CE85 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543302/check_9158699_82d155d6-20fc-4a2f-a260-924a99ccd120.json | N/A | N/A | N/A | N/A | N/A | 8T45CA9CE85 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-27 | S5596 | N/A | N/A | MA | false | LANGINGER | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030691 | N/A | N/A | 5543302 | 2222 | 4793 | 8867470 | N/A | 4215107 | 2025-06-23 09:24:17.472635 | 2025-05-13 04:29:37.229419 |
| 2025-06-22 23:52:51.593417 | 2025-06-23 09:15:41.436832 | 9158695 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158695 | Athletic Physical Therapy Inc | 1995-06-30 | 2025-06-25 | M | PT | N/A | BRESSLER | XED913363872 | COLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543277/check_9158695_af1f95c4-784a-4fdf-899b-adc04bcf6356.json | N/A | N/A | N/A | N/A | N/A | XED913363872 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1995-06-30 | 2001ZK002169 | X0001004 | N/A | PR | false | BRESSLER | N/A | COLE | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030690 | N/A | N/A | 5543277 | 2222 | 4802 | 8860764 | N/A | 4215092 | 2025-06-23 09:15:41.436832 | 2025-05-13 04:29:37.229407 |
| 2025-06-22 23:52:51.465634 | 2025-06-23 09:04:51.267344 | 9158692 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9158692 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-06-25 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_9158692_9041d9ab-575a-415e-ac16-fa0a34378c4a.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030689 | N/A | N/A | 5543270 | 2222 | 4793 | 8852941 | N/A | 4215086 | 2025-06-23 09:04:51.267344 | 2025-05-13 04:29:37.229401 |
| 2025-06-22 23:52:51.329337 | 2025-06-23 09:04:41.018689 | 9158689 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9158689 | Athletic Physical Therapy Inc | 1962-05-10 | 2025-06-25 | F | AE | PT | ADHAMI | 95671183F | SOHAILA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543265/check_9158689_4a0d43f7-665f-4511-9ada-742d5b6f4279.json | N/A | N/A | N/A | N/A | N/A | 95671183F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-05-10 | N/A | N/A | N/A | N/A | false | ADHAMI | N/A | SOHAILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030688 | N/A | N/A | 5543265 | 2222 | 4802 | 8852846 | N/A | 4215082 | 2025-06-23 09:04:41.018689 | 2025-05-13 04:29:37.229397 |
| 2025-06-22 23:52:51.193083 | 2025-06-23 09:16:20.575164 | 9158685 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158685 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-06-24 | M | PT | N/A | VIRGIL | XEK905426435 | NICHOLAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_9158685_2ac672d9-7121-4da2-8406-cc7b1ba9ffff.json | N/A | N/A | N/A | N/A | N/A | XEK905426435 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2002-06-02 | 2001ZK002195 | X0001000 | N/A | PR | false | VIRGIL | N/A | JEFF | N/A | 9999-12-31 | 2021-07-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030687 | N/A | N/A | 5543237 | 2222 | 4802 | 8861241 | N/A | 4215054 | 2025-06-23 09:16:20.575164 | 2025-05-13 04:29:37.229375 |
| 2025-06-22 23:52:51.036121 | 2025-06-23 09:05:38.734453 | 9158683 | N/A | N/A | 39026 | UMR | 1114042165 | 9158683 | Athletic Physical Therapy Inc | 1997-01-26 | 2025-06-25 | M | PT | AE | MESSINGER | 43687468 | BEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543233/check_9158683_ed736ae7-1beb-4e71-b03a-03e825532969.json | N/A | N/A | N/A | N/A | N/A | 43687468 | N/A | CARVANA, LLC | UMR | N/A | 1997-01-26 | 767000416387002 | 76416387 | N/A | N/A | false | MESSINGER | N/A | BEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025030686 | N/A | N/A | 5543233 | 2222 | 4802 | 8853413 | N/A | 4215051 | 2025-06-23 09:05:38.734453 | 2025-05-13 04:29:37.229373 |
| 2025-06-22 23:52:50.781742 | 2025-06-23 09:13:13.598779 | 9158679 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9158679 | Athletic Physical Therapy Inc | 1971-12-13 | 2025-06-25 | M | PT | N/A | LEO | NCF949A57364 | SEAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543220/check_9158679_0a01a613-8c3d-493b-9b3e-6939035271e4.json | N/A | N/A | N/A | N/A | N/A | NCF949A57364 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1971-12-13 | 040 | 57AJCA | N/A | HM | false | LEO | N/A | DAYNA | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030685 | N/A | N/A | 5543220 | 2222 | 4793 | 8858942 | 4184 | 4215036 | 2025-06-23 09:13:13.598779 | 2025-05-13 04:29:37.229353 |
| 2025-06-22 23:52:50.070144 | 2025-06-23 09:16:07.449249 | 9158672 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158672 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-06-25 | F | PT | N/A | PAUL | XEK914147727 | SARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_9158672_2cf6b3f7-b02c-4f4c-b686-74eaf10e4d90.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030684 | N/A | N/A | 5543211 | 2222 | 4801 | 8861068 | N/A | 4215028 | 2025-06-23 09:16:07.449249 | 2025-05-13 04:29:37.229346 |
| 2025-06-22 23:52:49.560298 | 2025-06-23 09:13:11.461246 | 9158661 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158661 | Athletic Physical Therapy Inc | 1980-10-15 | 2025-06-25 | M | PT | N/A | JONOVIC | JQU042A71575 | ANDREJ | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543198/check_9158661_1cf2276e-ab0e-48b8-a977-04bd8e6cdc28.json | N/A | N/A | N/A | N/A | N/A | JQU042A71575 | Preferred Provider Organization (PPO) | HANDSON VENTURES LLC | ANTHEM BLUE CROSS | N/A | 1980-10-15 | 040 | 327252 | N/A | PR | false | JONOVIC | N/A | SARAH | N/A | 9999-12-31 | 2024-12-01 | ANTHEM GOLD PPO 30/500/20% RXD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030682 | N/A | N/A | 5543198 | 2222 | 4802 | 8858926 | N/A | 4215023 | 2025-06-23 09:13:11.461246 | 2025-05-13 04:29:37.229341 |
| 2025-06-22 23:52:49.244396 | 2025-06-23 09:13:24.829500 | 9158658 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158658 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-06-24 | F | PT | N/A | MICHAEL | JXN531M63256 | JUNITHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543190/check_9158658_ebeabd40-048d-4306-8356-e35fa29c7fcf.json | N/A | N/A | N/A | N/A | N/A | JXN531M63256 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1983-04-13 | 040 | 174222M9A1 | N/A | PR | false | MICHAEL | N/A | JUNITHA | N/A | 9999-12-31 | 2021-05-11 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030681 | N/A | N/A | 5543190 | 2222 | 4793 | 8859124 | N/A | 4215014 | 2025-06-23 09:13:24.829500 | 2025-06-01 22:57:55.386960 |
| 2025-06-22 23:52:48.946810 | 2025-06-23 09:13:21.073894 | 9158651 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158651 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-06-25 | F | PT | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_9158651_eb9758e3-7aba-45e4-83f7-20273a524ec1.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030680 | N/A | N/A | 5543178 | 2222 | 4802 | 8859053 | N/A | 4215006 | 2025-06-23 09:13:21.073894 | 2025-05-13 04:29:37.229325 |
| 2025-06-22 23:52:48.569854 | 2025-06-23 09:15:50.994722 | 9158642 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158642 | Athletic Physical Therapy Inc | 2003-07-09 | 2025-06-25 | M | PT | N/A | FEY | XED912890874 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543173/check_9158642_db18116f-7498-4a86-ab59-782168ab412b.json | N/A | N/A | N/A | N/A | N/A | XED912890874 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2003-07-09 | 2001ZK002185 | X0001004 | N/A | PR | false | FEY | N/A | JOSEPH | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030679 | N/A | N/A | 5543173 | 2222 | 4793 | 8860875 | N/A | 4215000 | 2025-06-23 09:15:50.994722 | 2025-05-13 04:29:37.229320 |
| 2025-06-22 23:52:47.980261 | 2025-06-23 09:08:10.126683 | 9158633 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9158633 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-06-24 | F | AE | PT | FERRERAS | U6570615702 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_9158633_7611cb14-d0c7-4fc4-875f-03352276892f.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030678 | N/A | N/A | 5543171 | 2222 | 4793 | 8855036 | N/A | 4214998 | 2025-06-23 09:08:10.126683 | 2025-05-13 04:29:37.229318 |
| 2025-06-22 23:52:47.424817 | 2025-06-23 09:12:59.220319 | 9158619 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158619 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-06-24 | F | PT | N/A | BERARDI | JQU360A51420 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543161/check_9158619_2fb4b309-909f-4196-b7aa-9299cb00856f.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 2025-08-01 | 2024-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030677 | N/A | N/A | 5543161 | 2222 | 4793 | 8858772 | N/A | 4214989 | 2025-06-23 09:12:59.220319 | 2025-05-13 04:29:37.229310 |
| 2025-06-22 23:52:46.894803 | 2025-06-23 09:16:06.779036 | 9158608 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158608 | Athletic Physical Therapy Inc | 1991-10-03 | 2025-06-23 | M | PT | N/A | PANTOSKEY | XED914113497 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543146/check_9158608_9a3fda65-a3f7-4517-a1ce-941080d96850.json | N/A | N/A | N/A | N/A | N/A | XED914113497 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-03 | 2001ZK002184 | X0001004 | N/A | PR | false | PANTOSKEY | N/A | SCOTT | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030676 | N/A | N/A | 5543146 | 2222 | 4802 | 8861052 | N/A | 4214969 | 2025-06-23 09:16:06.779036 | 2025-06-06 17:35:27.697291 |
| 2025-06-22 23:52:46.700870 | 2025-06-23 09:16:11.921208 | 9158605 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158605 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-06-25 | F | PT | N/A | STOLZ | XED912573254 | ARDENN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543121/check_9158605_841969c8-79bd-4b4a-ab4e-dca6c9c1d8f2.json | N/A | N/A | N/A | N/A | N/A | XED912573254 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-07-04 | 2001ZK002186 | X0001004 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2023-10-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030675 | N/A | N/A | 5543121 | 2222 | 4802 | 8861115 | N/A | 4214948 | 2025-06-23 09:16:11.921208 | 2025-06-26 01:28:07.741882 |
| 2025-06-22 23:52:46.354098 | 2025-06-23 09:13:19.117158 | 9158599 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158599 | Athletic Physical Therapy Inc | 1994-02-19 | 2025-06-25 | M | PT | N/A | LIEBLEIN | MSJ60221038001 | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543099/check_9158599_3e10a50f-47d2-4fd1-9afd-2490dede1e89.json | N/A | N/A | N/A | N/A | N/A | MSJ60221038001 | Other | MICROSOFT | ANTHEM BLUE CROSS | N/A | 1994-02-19 | N/A | 1000010 | N/A | OT | false | LIEBLEIN | N/A | RYAN | N/A | 9999-12-31 | 2017-07-10 | SELF-FUNDED HDHP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030674 | N/A | N/A | 5543099 | 2222 | 4802 | 8859028 | N/A | 4214934 | 2025-06-23 09:13:19.117158 | 2025-05-13 04:29:37.229256 |
| 2025-06-22 23:52:46.052069 | 2025-06-23 09:15:49.026551 | 9158592 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158592 | Athletic Physical Therapy Inc | 1986-09-15 | 2025-06-25 | M | PT | N/A | ELLSWORTH | XEK911198887 | ADAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543012/check_9158592_7f850f40-dfa0-4f28-820b-87efab5a65b6.json | N/A | N/A | N/A | N/A | N/A | XEK911198887 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-09-15 | 2001ZD002666 | X0001000 | N/A | PR | false | ELLSWORTH | N/A | ADAM | N/A | 9999-12-31 | 2022-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030673 | N/A | N/A | 5543012 | 2222 | 4802 | 8860847 | N/A | 4214859 | 2025-06-23 09:15:49.026551 | 2025-12-03 23:27:09.735417 |
| 2025-06-22 23:52:45.409609 | 2025-06-23 09:08:09.567375 | 9158585 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9158585 | Athletic Physical Therapy Inc | 1991-03-12 | 2025-06-25 | M | AD | N/A | ARDERN | 109840605 | LEWIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543007/check_9158585_da2a731c-c8e8-4e0e-8f5c-1037a8a3696b.json | N/A | N/A | N/A | N/A | N/A | 10984060500 | N/A | SEMGREP, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1991-03-12 | N/A | 00652007 | N/A | N/A | false | ARDERN | N/A | LEWIS | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8025030672 | N/A | N/A | 5543007 | 2222 | 4802 | 8855033 | N/A | 4214851 | 2025-06-23 09:08:09.567375 | 2025-06-26 00:38:34.754169 |
| 2025-06-22 23:52:44.790505 | 2025-06-23 09:15:55.879283 | 9158574 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158574 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-06-24 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_9158574_f32e0126-572e-414d-b95c-518c139f5091.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030671 | N/A | N/A | 5542952 | 2222 | 4802 | 8860931 | N/A | 4214804 | 2025-06-23 09:15:55.879283 | 2025-05-13 20:09:53.786482 |
| 2025-06-22 23:52:44.353983 | 2025-06-23 09:13:06.538528 | 9158567 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158567 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-06-24 | M | PT | N/A | DESMET | MBL584M98446 | GRANT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542900/check_9158567_ab6e1c8e-8d93-4460-8d9f-0337a7e96d30.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030160 | N/A | N/A | 5542900 | 2222 | 4801 | 8858869 | N/A | 4214759 | 2025-06-23 09:13:06.538528 | 2025-05-13 04:29:37.229079 |
| 2025-06-22 23:52:44.019032 | 2025-06-23 09:16:04.004987 | 9158561 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158561 | Athletic Physical Therapy Inc | 1971-05-30 | 2025-06-24 | M | PT | N/A | MATTHEWS | KTP903824736 | LARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542899/check_9158561_4858c852-e762-4cec-ab0e-7ac198eab8c6.json | N/A | N/A | N/A | N/A | N/A | KTP903824736 | Preferred Provider Organization (PPO) | TUTOR PERINI CORPORATION | BLUE SHIELD CALIFORNIA | N/A | 1971-05-30 | 1004PPOX0004 | W0051664 | N/A | PR | false | MATTHEWS | N/A | REGINA | N/A | N/A | N/A | TUTOR PERINI CORPORATION ASO PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030159 | N/A | N/A | 5542899 | 2222 | 4793 | 8861013 | N/A | 4214758 | 2025-06-23 09:16:04.004987 | 2025-05-13 04:29:37.229078 |
| 2025-06-22 23:52:43.791862 | 2025-06-23 09:06:22.524371 | 9158556 | N/A | N/A | 60054 | Aetna | 1114042165 | 9158556 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-06-24 | M | PT | AE | KORY | 10216158100 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542868/check_9158556_725913b0-0291-4ff7-9672-dc02e211b8ba.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025030158 | N/A | N/A | 5542868 | 2222 | 4793 | 8853877 | N/A | 4214732 | 2025-06-23 09:06:22.524371 | 2025-06-24 20:13:53.579048 |
| 2025-06-22 23:52:43.354547 | 2025-06-23 09:16:09.085345 | 9158548 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158548 | Athletic Physical Therapy Inc | 1963-08-16 | 2025-06-24 | M | PT | N/A | SILBER | XED909580436 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542831/check_9158548_6e78580c-5dd9-421c-b948-4653a011172c.json | N/A | N/A | N/A | N/A | N/A | XED909580436 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-08-16 | 2001ZK002184 | X0001004 | N/A | PR | false | SILBER | N/A | MICHAEL | N/A | 9999-12-31 | 2020-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030157 | N/A | N/A | 5542831 | 2222 | 4793 | 8861085 | N/A | 4214698 | 2025-06-23 09:16:09.085345 | 2025-05-13 04:29:37.229015 |
| 2025-06-22 23:52:43.036255 | 2025-06-23 09:16:02.158255 | 9158541 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158541 | Athletic Physical Therapy Inc | 2000-07-25 | 2025-06-25 | F | PT | N/A | MAGHSOUDLOO | XEA913772161 | SAHAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542822/check_9158541_6ac18837-c1a7-4ccd-bdc5-8771a3751107.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2000-07-25 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030156 | N/A | N/A | 5542822 | 2222 | 4793 | 8860999 | N/A | 4214688 | 2025-06-23 09:16:02.158255 | 2025-06-25 17:57:14.838266 |
| 2025-06-22 23:52:42.251146 | 2025-06-23 09:13:29.230942 | 9158527 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158527 | Athletic Physical Therapy Inc | 2009-08-28 | 2025-06-25 | M | PT | N/A | GARCIA | FJB21294792M | STARR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542769/check_9158527_72e80ba8-72f7-4f20-89c7-7c1151631ab9.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | Preferred Provider Organization (PPO) | BANK OF AMERICA CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-08-28 | 101 | 174549M111 | N/A | PR | false | RAY | N/A | ALLISON | N/A | 9999-12-31 | 2016-01-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030155 | N/A | N/A | 5542769 | 2222 | 4801 | 8859183 | N/A | 4214641 | 2025-06-23 09:13:29.230942 | 2025-12-09 08:50:02.875071 |
| 2025-06-22 23:52:41.590963 | 2025-06-23 09:08:10.973831 | 9158513 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9158513 | Athletic Physical Therapy Inc | 2007-06-17 | 2025-06-25 | M | AD | N/A | HOWELLS | U4973334602 | SEBASTIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542688/check_9158513_4cb99fed-bb4c-47cd-80e8-526743da878e.json | N/A | N/A | N/A | N/A | N/A | U4973334603 | N/A | CRINETICS PHARMACEUTICALS, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 2007-06-17 | N/A | 3345982 | N/A | N/A | false | HOWELLS | N/A | SEBASTIAN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8025030154 | N/A | N/A | 5542688 | 2222 | 4793 | 8855047 | N/A | 4214567 | 2025-06-23 09:08:10.973831 | 2025-06-26 17:54:56.034825 |
| 2025-06-22 23:52:41.321858 | 2025-06-23 09:08:10.533230 | 9158508 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9158508 | Athletic Physical Therapy Inc | 1970-01-05 | 2025-06-23 | F | AD | N/A | HOWELLS | U4973334602 | EMMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542686/check_9158508_1df65a9d-46d4-4d81-987a-2a50946125bf.json | N/A | N/A | N/A | N/A | N/A | U4973334602 | N/A | CRINETICS PHARMACEUTICALS, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 1970-01-05 | N/A | 3345982 | N/A | N/A | false | HOWELLS | N/A | EMMA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8025030153 | N/A | N/A | 5542686 | 2222 | 4793 | 8855042 | N/A | 4214565 | 2025-06-23 09:08:10.533230 | 2025-05-13 04:29:37.228889 |
| 2025-06-22 23:52:40.928735 | 2025-06-23 09:13:07.586513 | 9158501 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158501 | Athletic Physical Therapy Inc | 1963-02-11 | 2025-06-24 | F | PT | N/A | FEUER | JQU495A78860 | SELLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542574/check_9158501_ff5bb3bc-d072-4002-a9b1-309ce4472dcd.json | N/A | N/A | N/A | N/A | N/A | JQU495A78860 | Preferred Provider Organization (PPO) | CALL CENTER MANAGEMENT INC | ANTHEM BLUE CROSS | N/A | 1963-02-11 | 040 | Q91517 | N/A | PR | false | FEUER | N/A | SELLA | N/A | 9999-12-31 | 2024-09-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030152 | N/A | N/A | 5542574 | 2222 | 4793 | 8858886 | N/A | 4214466 | 2025-06-23 09:13:07.586513 | 2025-06-03 18:09:34.500853 |
| 2025-06-22 23:52:40.342944 | 2025-06-23 09:24:14.244935 | 9158493 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9158493 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-06-23 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.045628699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_9158493_85196850-fd9b-416d-b99b-5bab5de36e9d.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MB | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030151 | N/A | N/A | 5542555 | 2222 | 4793 | 8867433 | N/A | 4214447 | 2025-06-23 09:24:14.244935 | 2026-04-23 20:11:34.441054 |