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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-16 07:19:46.218341 | 2026-03-26 16:14:27.396844 | 20814724 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 20814724 | Athletic Physical Therapy Inc | 1964-02-23 | 2026-03-17 | F | AE | PT | GHAFARI MOBARHANI | 3247934 | MARYAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17650446/check_20814724_659b81cd-d2ef-4dc2-a02b-88722a7406ec.json | N/A | N/A | N/A | N/A | N/A | 3247934 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1964-02-23 | LACC | 92815CA001000805 | N/A | N/A | false | GHAFARI-MOBARHANI | N/A | MARYAM | N/A | 2026-12-31 | 2026-02-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301889129 | N/A | N/A | 17650446 | 2222 | 4802 | 21474703 | N/A | 9635663 | 2026-03-26 16:14:27.396844 | 2025-10-22 19:43:50.510670 |
| 2026-03-16 07:19:45.595159 | 2026-03-26 16:15:03.625445 | 20814626 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20814626 | Athletic Physical Therapy Inc | 1993-04-14 | 2026-03-18 | M | PT | N/A | SANCHEZ | VDHE010175088 | LUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17645349/check_20814626_820554c5-2984-42d8-af34-787220993d2a.json | N/A | N/A | N/A | N/A | N/A | VDHE010175088 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-04-14 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | LUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301889128 | N/A | N/A | 17645349 | 2222 | 4801 | 21478001 | N/A | 15689321 | 2026-03-26 16:15:03.625445 | 2026-03-10 14:49:11.771842 |
| 2026-03-16 07:19:45.205152 | 2026-03-26 16:19:51.817738 | 20814566 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 20814566 | Athletic Physical Therapy Inc | 1958-07-16 | 2026-03-18 | F | AE | PT | Wolfe | 5F67H30WC46 | Nancee | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600400/check_20814566_85d5ef98-a7fe-48ec-b6ad-53d9b4f5a0a0.json | N/A | N/A | N/A | N/A | N/A | 5F67H30WC46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-16 | S5617 | N/A | N/A | MB | false | WOLFE | N/A | NANCEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 20492 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301889127 | N/A | N/A | 17600400 | 2222 | 4793 | 21504936 | N/A | 15647296 | 2026-03-26 16:19:51.817738 | 2026-03-04 22:22:31.397944 |
| 2026-03-16 07:19:44.745751 | 2026-03-26 16:09:57.287629 | 20814494 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 20814494 | Athletic Physical Therapy Inc | 1949-11-21 | 2026-03-18 | F | AE | PT | VERGARA | ICA088184 | CARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600158/check_20814494_f0588415-0dc3-4d2b-ad01-63ccd00f0623.json | N/A | N/A | N/A | N/A | N/A | ICA088184 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-11-21 | N/A | N/A | N/A | N/A | false | VERGARA | N/A | CARMEN | 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 | 10301889126 | N/A | N/A | 17600158 | 2222 | 4801 | 21451563 | N/A | 15647079 | 2026-03-26 16:09:57.287629 | 2026-03-04 22:16:35.562250 |
| 2026-03-16 07:19:44.249598 | 2026-03-26 16:13:36.233324 | 20814417 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 20814417 | Athletic Physical Therapy Inc | 1981-07-18 | 2026-03-18 | F | AE | PT | Peterson | 000022138564 | Kimberly | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17598240/check_20814417_41eda710-31af-4b7b-a9df-a1e36bd278b5.json | N/A | N/A | N/A | N/A | N/A | 000022138564 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1981-07-18 | 4287078 | 100201 | N/A | N/A | false | PETERSON | N/A | KIMBERLY | 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 | 10301889125 | N/A | N/A | 17598240 | 2222 | 4802 | 21469365 | N/A | 15645175 | 2026-03-26 16:13:36.233324 | 2026-03-04 21:28:46.922129 |
| 2026-03-16 07:19:43.864148 | 2026-03-26 16:13:35.932265 | 20814352 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 20814352 | Athletic Physical Therapy Inc | 1987-08-15 | 2026-03-18 | F | AE | PT | Patel | 000017203177 | Rutvi | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17597372/check_20814352_777e6572-e646-4461-ba9c-57ebeae53cd7.json | N/A | N/A | N/A | N/A | N/A | 000017203177 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1987-08-15 | 4391123 | 101869 | N/A | N/A | false | PATEL | N/A | RUTVI | N/A | 2026-06-30 | 2025-07-01 | CHILDRENS HOSPITAL LOS ANGELES CHILDRENS HOSPITAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301889124 | N/A | N/A | 17597372 | 2222 | 4802 | 21469336 | N/A | 15644152 | 2026-03-26 16:13:35.932265 | 2026-03-04 21:09:35.971399 |
| 2026-03-16 07:19:43.574923 | 2026-03-26 16:19:49.076029 | 20814306 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 20814306 | Athletic Physical Therapy Inc | 1955-11-26 | 2026-03-18 | F | AE | PT | SHEINBEIN | 5NQ8U19JG46 | Nancy | THURLO | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17593459/check_20814306_ef90b704-b312-4de0-a6ec-3427b000a5f4.json | N/A | N/A | N/A | N/A | N/A | 5NQ8U19JG46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-26 | S5617 | N/A | N/A | MA | false | SHEINBEIN | N/A | NANCY | 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 | 10301889123 | N/A | N/A | 17593459 | 2222 | 4802 | 21504639 | N/A | 15407829 | 2026-03-26 16:19:49.076029 | 2026-03-03 21:31:17.107791 |
| 2026-03-16 07:19:43.306134 | 2026-03-26 16:13:05.339443 | 20814260 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 20814260 | Athletic Physical Therapy Inc | 1959-06-21 | 2026-03-19 | F | AE | PT | Mamane | 40079211601 | Marlene | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17585914/check_20814260_09f705d6-d004-4863-89af-e1cfe64ed0c5.json | N/A | N/A | N/A | N/A | N/A | 40079211601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1959-06-21 | 2026H5425065LA | H5425M | N/A | N/A | false | MAMANE | N/A | MARLENE | N/A | N/A | N/A | SCAN PRIME (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301889122 | N/A | N/A | 17585914 | 2222 | 4802 | 21466007 | 6237 | 15633309 | 2026-03-26 16:13:05.339443 | 2026-03-04 17:46:21.126462 |
| 2026-03-16 07:19:42.933078 | 2026-03-26 16:14:52.274165 | 20814201 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20814201 | Athletic Physical Therapy Inc | 1954-04-01 | 2026-03-18 | F | PT | N/A | Hoffmon | FJB24530065M | Desiree | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17585043/check_20814201_48b654ce-e1dc-4f0b-9476-09674d33b051.json | N/A | N/A | N/A | N/A | N/A | FJB24530065M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1954-04-01 | 101 | 174549M211 | N/A | PR | false | HOFFMAN | N/A | DESIREE | N/A | 9999-12-31 | 2016-01-01 | BLUECARD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301889121 | N/A | N/A | 17585043 | 2222 | 4802 | 21477037 | N/A | 15632407 | 2026-03-26 16:14:52.274165 | 2026-03-04 17:26:22.963141 |
| 2026-03-16 07:19:42.520223 | 2026-03-26 16:15:03.020246 | 20814136 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20814136 | Athletic Physical Therapy Inc | 2013-08-17 | 2026-03-17 | F | PT | N/A | RUEMMELE | XOX815196499 | MAKENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17557872/check_20814136_2903c4a5-c476-46da-805c-367cc80fe42b.json | N/A | N/A | N/A | N/A | N/A | XOX815196499 | Preferred Provider Organization (PPO) | EVOLVE SECURITY | ANTHEM BLUE CROSS | N/A | 2013-08-17 | N/A | 311614 | N/A | PR | false | RUEMMELE | N/A | RAYMOND | N/A | 9999-12-31 | 2026-03-01 | BLUEOPTIONS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301889120 | N/A | N/A | 17557872 | 2222 | 4793 | 21477952 | N/A | 4534546 | 2026-03-26 16:15:03.020246 | 2025-12-03 00:06:29.870228 |
| 2026-03-16 07:19:42.249343 | 2026-03-26 16:10:44.710332 | 20814096 | N/A | N/A | 60054 | Aetna | 1114042165 | 20814096 | Athletic Physical Therapy Inc | 1976-09-10 | 2026-03-19 | M | AE | PT | Klein | W290749793 | Kevin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17542748/check_20814096_71e796c5-1f52-45c2-8844-fca64e884e95.json | N/A | N/A | N/A | N/A | N/A | W290749793 | Point of Service (POS) | CUMMING MANAGEMENT GROUP, INC. | AETNA | N/A | 1976-09-10 | 0247320 | 024732001000001 | N/A | PS | false | KLEIN | N/A | KEVIN | 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 | 10301889119 | N/A | N/A | 17542748 | 2222 | 4793 | 21455877 | N/A | 15587352 | 2026-03-26 16:10:44.710332 | 2026-03-05 18:29:10.497749 |
| 2026-03-16 07:19:41.813762 | 2026-03-26 16:14:43.505701 | 20814024 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20814024 | Athletic Physical Therapy Inc | 1995-04-03 | 2026-03-18 | M | PT | N/A | Brant | XDM186M90966 | Nicholas | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17537799/check_20814024_6eda703b-5e18-4e88-946d-de579c414aa6.json | N/A | N/A | N/A | N/A | N/A | XDM186M90966 | Preferred Provider Organization (PPO) | CAHP HEALTH BENEFITS TRUST | ANTHEM BLUE CROSS | N/A | 1995-04-03 | 040 | 1855RA | N/A | PR | false | BRANDT | N/A | NICHOLAS | N/A | 9999-12-31 | 2024-04-01 | PPO PB CLASSIC HOSP / PBP INCENTIVE PROF | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301889118 | N/A | N/A | 17537799 | 2222 | 4801 | 21476242 | N/A | 15582598 | 2026-03-26 16:14:43.505701 | 2026-03-03 18:12:24.590490 |
| 2026-03-16 07:19:41.429276 | 2026-03-26 16:13:06.842386 | 20813956 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 20813956 | Athletic Physical Therapy Inc | 1958-07-20 | 2026-03-17 | M | AD | 30 | Sedlak | 40084772901 | Chris | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17533302/check_20813956_50fb4a94-3e31-431f-9d65-4ec645920081.json | N/A | N/A | N/A | N/A | N/A | 40084772901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-07-20 | N/A | N/A | N/A | N/A | false | SEDLAK | N/A | CHRIS | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10301889117 | N/A | N/A | 17533302 | 2222 | 4793 | 21466171 | 6237 | 15565486 | 2026-03-26 16:13:06.842386 | 2026-03-17 20:55:49.152309 |
| 2026-03-16 07:19:41.082594 | 2026-03-26 16:10:22.943938 | 20813902 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 20813902 | Athletic Physical Therapy Inc | 1957-02-06 | 2026-03-18 | M | AE | PT | Tatum | 97633918F | Tatum | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_20813902_fcdf45c4-00de-4fa5-b1a5-f1f1afcabe18.json | N/A | N/A | N/A | N/A | N/A | 97633918F | N/A | N/A | MEDICARE PART B CI002 | MEDICAID REDETERMINATION DATE 01/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1957-02-06 | BP0003 | NO | N/A | N/A | false | TATUM | N/A | TATUM | N/A | 2078-12-31 | 2025-04-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301889116 | N/A | N/A | 17509843 | 2222 | 4802 | 21453969 | 4211 | 15524188 | 2026-03-26 16:10:22.943938 | 2026-03-03 00:12:08.668405 |
| 2026-03-16 07:19:40.632861 | 2026-03-26 16:14:29.142451 | 20813835 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 20813835 | Athletic Physical Therapy Inc | 1946-11-04 | 2026-03-19 | F | AE | PT | RODRIGUEZ | M013647 | MARIA | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17501934/check_20813835_3559bf85-b25b-4c43-897b-df842a8204da.json | N/A | N/A | N/A | N/A | N/A | M013647 | N/A | L.A. CARE MEDICARE PLUS | LA CARE HEALTH PLAN | N/A | 1946-11-04 | DSNP | DSNP001 | N/A | N/A | false | RODRIGUEZ | N/A | MARIA | N/A | 2078-12-31 | 2023-02-01 | L.A. CARE MEDICARE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301888499 | N/A | N/A | 17501934 | 2222 | 4802 | 21474895 | 5538 | 15517334 | 2026-03-26 16:14:29.142451 | 2026-03-02 22:33:54.498929 |
| 2026-03-16 07:19:40.350255 | 2026-03-26 16:15:21.289710 | 20813789 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 20813789 | Athletic Physical Therapy Inc | 1976-06-10 | 2026-03-18 | F | PT | N/A | Lin | XDM552A23745 | Marie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17499419/check_20813789_4be45102-2efb-4881-a604-7e94561dd0f6.json | N/A | N/A | N/A | N/A | N/A | XDM552A23745 | Health Maintenance Organization (HMO) | SISC - EL CAMINO REAL CHARTER HIGH SCHOOL | BLUE SHIELD OF CALIFORNIA | N/A | 1976-06-10 | 040 | 57AREA | N/A | HM | false | LIN | N/A | SHIH HUNG | N/A | 9999-12-31 | 2021-01-01 | PREMIER SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301888498 | N/A | N/A | 17499419 | 2222 | 4801 | 21479552 | N/A | 15514684 | 2026-03-26 16:15:21.289710 | 2026-03-10 20:24:47.726240 |
| 2026-03-16 07:19:39.878944 | 2026-03-26 16:11:47.330992 | 20813709 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 20813709 | Athletic Physical Therapy Inc | 1978-07-01 | 2026-03-19 | M | AE | PT | ABDELMESSIH | U9059513401 | MINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17498631/check_20813709_a403d566-3e18-4041-b44d-c632247241d6.json | N/A | N/A | N/A | N/A | N/A | U9059513401 | Health Maintenance Organization (HMO) | NATIONAL CEMENT COMPANY, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1978-07-01 | N/A | 3340850 | N/A | HM | false | ABDELMESSIH | N/A | MINA | N/A | N/A | N/A | HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301888497 | N/A | N/A | 17498631 | 2222 | 4801 | 21460686 | 4437 | 15513934 | 2026-03-26 16:11:47.330992 | 2026-03-11 16:41:57.340816 |
| 2026-03-16 07:19:39.474225 | 2026-03-26 16:15:20.975033 | 20813643 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 20813643 | Athletic Physical Therapy Inc | 2008-02-25 | 2026-03-19 | F | PT | N/A | Jimenez | MPI30060766Q | Arabelle | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17497004/check_20813643_b70336c2-5ca1-49bc-819b-0aec9d8349b0.json | N/A | N/A | N/A | N/A | N/A | MPI30060766Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | BLUE SHIELD OF CALIFORNIA | N/A | 2008-02-25 | 040 | 277163M402 | N/A | PR | false | KIM | N/A | ANNY | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301888496 | N/A | N/A | 17497004 | 2222 | 4802 | 21479521 | N/A | 15511990 | 2026-03-26 16:15:20.975033 | 2026-03-02 20:39:57.609466 |
| 2026-03-16 07:19:39.117260 | 2026-03-26 16:13:41.557330 | 20813583 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 20813583 | override_provider | 1965-07-20 | 2026-03-17 | M | AE | PT | Williamson | 000023808951 | James | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17494392/check_20813583_1d96e5d6-4829-49e0-ab88-bbed2753dc78.json | N/A | N/A | N/A | N/A | N/A | 000023808951 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1965-07-20 | 4362482 | 1650095001 | N/A | N/A | false | WILLIAMSON | N/A | JAMES | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301888495 | N/A | N/A | 17494392 | 2222 | 4802 | 21469929 | N/A | 15115643 | 2026-03-26 16:13:41.557330 | 2026-02-19 17:55:17.333175 |
| 2026-03-16 07:19:38.606729 | 2026-03-26 16:15:05.364880 | 20813503 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 20813503 | Athletic Physical Therapy Inc | 1977-12-01 | 2026-03-17 | F | PT | N/A | TANGER | NCF189A56429 | Ashley | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17494208/check_20813503_426457ac-b991-4c6a-98a7-8fe0e882744a.json | N/A | N/A | N/A | N/A | N/A | NCF189A56429 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1977-12-01 | 040 | 57AJCA | N/A | HM | false | TANGER | N/A | ASHLEY | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301888494 | N/A | N/A | 17494208 | 2222 | 4801 | 21478141 | 4185 | 15509440 | 2026-03-26 16:15:05.364880 | 2026-03-02 19:55:05.664511 |
| 2026-03-16 07:19:38.326811 | 2026-03-26 16:14:28.852418 | 20813456 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 20813456 | Athletic Physical Therapy Inc | 1998-03-03 | 2026-03-19 | F | AE | PT | RODEN | 622540880 | BERNADETTE | MARIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17493076/check_20813456_c164f776-f871-4e1d-8068-20e4937be14a.json | N/A | N/A | N/A | N/A | N/A | 622540880 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1998-03-03 | LACC | 92815CA001000805 | N/A | N/A | false | RODEN | N/A | BERNADETTE | 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 | 10301888493 | N/A | N/A | 17493076 | 2222 | 4802 | 21474871 | N/A | 15508238 | 2026-03-26 16:14:28.852418 | 2026-03-02 19:30:52.935313 |
| 2026-03-16 07:19:37.872355 | 2026-03-26 16:14:16.189617 | 20813381 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 20813381 | Athletic Physical Therapy Inc | 1979-06-08 | 2026-03-17 | F | AE | PT | SALIMIAN | UZ110324601 | NASHMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_20813381_c654a434-55a2-4683-9d60-7f77e97b06a4.json | N/A | N/A | N/A | N/A | N/A | UZ110324601 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1979-06-08 | 67138CA0520015-05 | N/A | N/A | N/A | false | SALIMIAN | N/A | NASHMIL | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301888492 | N/A | N/A | 17492780 | 2222 | 4802 | 21473583 | 4625 | 15085116 | 2026-03-26 16:14:16.189617 | 2026-02-18 20:26:50.354139 |
| 2026-03-16 07:19:37.353621 | 2026-03-26 16:15:03.925071 | 20813299 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20813299 | Athletic Physical Therapy Inc | 1968-12-15 | 2026-03-18 | F | PT | N/A | Silkman | JXN347A59050 | Valerie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17490472/check_20813299_79dd89d2-1f5b-45ff-aa00-e70ce8daf1db.json | N/A | N/A | N/A | N/A | N/A | JXN347A59050 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W CARELON LESS THAN 100K | ANTHEM BLUE CROSS | N/A | 1968-12-15 | 040 | 174222M1A1 | N/A | PR | false | SILKMAN | N/A | VALERIE | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301888491 | N/A | N/A | 17490472 | 2222 | 4801 | 21478028 | N/A | 15505614 | 2026-03-26 16:15:03.925071 | 2026-03-02 18:44:52.817150 |
| 2026-03-16 07:19:37.072523 | 2026-03-26 16:13:35.604774 | 20813251 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 20813251 | Athletic Physical Therapy Inc | 1997-04-29 | 2026-03-18 | M | AE | PT | Nguyen | 000025947427 | Taylor | D | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17435550/check_20813251_cb062c6c-86ef-4c46-8bbe-080f29645253.json | N/A | N/A | N/A | N/A | N/A | 000025947427 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1997-04-29 | 4382799 | 232182 | N/A | N/A | false | NGUYEN | N/A | TAYLOR | N/A | 2026-12-31 | 2026-01-01 | COMCAST CORPORATION NBCUNIVERSAL_DHMO_ACTIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301888490 | N/A | N/A | 17435550 | 2222 | 4802 | 21469295 | N/A | 15447177 | 2026-03-26 16:13:35.604774 | 2026-02-27 22:36:21.536137 |
| 2026-03-16 07:19:36.660850 | 2026-03-26 16:13:00.705473 | 20813184 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 20813184 | Athletic Physical Therapy Inc | 1962-11-06 | 2026-03-19 | F | AE | PT | Mosaddegh | 95255632H | Zahra | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17424788/check_20813184_6197f52f-0231-4776-8d9e-4d1f140a8546.json | N/A | N/A | N/A | N/A | N/A | 95255632H | N/A | N/A | HEALTH NET, LLC | N/A | 1962-11-06 | N/A | N/A | N/A | N/A | false | MOSADDEGH | N/A | ZAHRA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301888489 | N/A | N/A | 17424788 | 2222 | 4802 | 21465546 | N/A | 15435665 | 2026-03-26 16:13:00.705473 | 2026-02-27 18:02:10.906286 |
| 2026-03-16 07:19:36.211853 | 2026-03-26 16:13:06.086869 | 20813112 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 20813112 | Athletic Physical Therapy Inc | 1958-03-29 | 2026-03-18 | F | AD | 30 | MONTALVO | 40057101101 | PAMELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17396005/check_20813112_923d989b-6edf-4f91-820d-090bb5efcb46.json | N/A | N/A | N/A | N/A | N/A | 40057101101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-03-29 | 2026H5425001 | H5425M | N/A | N/A | false | MONTALVO | N/A | PAMELA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10301888488 | N/A | N/A | 17396005 | 2222 | 4801 | 21466084 | N/A | 15407473 | 2026-03-26 16:13:06.086869 | 2026-03-02 03:41:34.276739 |
| 2026-03-16 07:19:35.870490 | 2026-03-26 16:15:21.571879 | 20813056 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 20813056 | Athletic Physical Therapy Inc | 2011-12-04 | 2026-03-17 | F | PT | N/A | Mason | NTF411A78634 | Abigail | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381759/check_20813056_23b6a580-e65d-414f-b4f7-4c3a741a5487.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | BLUE SHIELD OF CALIFORNIA | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301888487 | N/A | N/A | 17381759 | 2222 | 4793 | 21479576 | N/A | 15393771 | 2026-03-26 16:15:21.571879 | 2026-02-26 19:44:45.385491 |
| 2026-03-16 07:19:35.396428 | 2026-03-26 16:19:50.602826 | 20812977 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 20812977 | Athletic Physical Therapy Inc | 1971-12-07 | 2026-03-17 | M | AE | PT | WALLACH | 1PD0KF7JH37 | CHARLES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17378232/check_20812977_814b05b5-c218-4fbb-b300-223b5559fb0e.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MB | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 48380 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301888486 | N/A | N/A | 17378232 | 2222 | 4801 | 21504825 | N/A | 6660003 | 2026-03-26 16:19:50.602826 | 2026-06-01 17:03:48.982724 |
| 2026-03-16 07:19:34.986966 | 2026-03-26 16:13:38.314692 | 20812920 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 20812920 | Athletic Physical Therapy Inc | 1989-12-20 | 2026-03-19 | F | AE | PT | Valenza | 000026028938 | Magali | Giselle | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17355763/check_20812920_5a2b6018-cba7-4a53-9825-39674a7b660d.json | N/A | N/A | N/A | N/A | N/A | 000026028938 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1989-12-20 | 4378729 | 1650095001 | N/A | N/A | false | VALENZA | N/A | MAGALI | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301888485 | N/A | N/A | 17355763 | 2222 | 4802 | 21469588 | N/A | 15367776 | 2026-03-26 16:13:38.314692 | 2026-03-02 18:02:01.247721 |
| 2026-03-16 07:19:34.443099 | 2026-03-26 16:14:25.437040 | 20812833 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 20812833 | Athletic Physical Therapy Inc | 1947-02-05 | 2026-03-18 | F | AE | PT | RIOS BERNADAC | 00000242216 | IRMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17353129/check_20812833_72e411fe-1110-4a54-8173-074bd39eaf85.json | N/A | N/A | N/A | N/A | N/A | 00000242216 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1947-02-05 | N/A | N/A | N/A | N/A | false | RIOS BERNADAC | N/A | IRMA | 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 | 10301888484 | N/A | N/A | 17353129 | 2222 | 4793 | 21474506 | 2630 | 14412413 | 2026-03-26 16:14:25.437040 | 2026-02-06 01:34:12.879816 |
| 2026-03-16 07:19:34.043362 | 2026-03-26 16:14:49.237404 | 20812777 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20812777 | Athletic Physical Therapy Inc | 1944-07-08 | 2026-03-18 | M | PT | N/A | Garcia | NCF047A65982 | Rene | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17350415/check_20812777_8915f533-1c88-4453-a6f9-883057120d21.json | N/A | N/A | N/A | N/A | N/A | NCF047A65982 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1944-07-08 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | BARBARA | N/A | 9999-12-31 | 2016-08-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301888483 | N/A | N/A | 17350415 | 2222 | 4793 | 21476789 | N/A | 15361849 | 2026-03-26 16:14:49.237404 | 2026-02-25 21:46:04.154980 |
| 2026-03-16 07:19:33.824308 | 2026-03-26 16:14:54.435029 | 20812747 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20812747 | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-19 | M | PT | N/A | Hymel | XYQM66935041 | Dustin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_20812747_4705e2d5-a780-42d6-b731-c3137b9b0b4d.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | Preferred Provider Organization (PPO) | PIXOVR, CORP. | ANTHEM BLUE CROSS | N/A | 1986-05-18 | 710 | 0070340580002003 | N/A | PR | false | HYMEL | N/A | DUSTIN | N/A | 9999-12-31 | 2026-03-01 | SIMPLY BLUE PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301888482 | N/A | N/A | 17346208 | 2222 | 4802 | 21477178 | N/A | 15356693 | 2026-03-26 16:14:54.435029 | 2026-02-25 22:30:35.848496 |
| 2026-03-16 07:19:33.553791 | 2026-03-26 16:14:19.257423 | 20812710 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 20812710 | Athletic Physical Therapy Inc | 1999-08-04 | 2026-03-17 | M | AE | PT | GRAY | R15051156MM1 | DAVID | K | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309570/check_20812710_daa00bfb-311d-43cf-8457-8cb4799803cc.json | N/A | N/A | N/A | N/A | N/A | R15051156MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-08-04 | N/A | N/A | N/A | N/A | false | GRAY | N/A | DAVID | N/A | N/A | N/A | NCE UCNNHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301888481 | N/A | N/A | 17309570 | 2222 | 4802 | 21473900 | 4625 | 15324565 | 2026-03-26 16:14:19.257423 | 2026-02-27 21:58:34.959613 |
| 2026-03-16 07:19:33.051347 | 2026-03-26 16:15:15.979693 | 20812625 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 20812625 | Athletic Physical Therapy Inc | 1992-08-24 | 2026-03-17 | M | PT | N/A | Gaertner | XEA910044631 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309222/check_20812625_97694dd4-64d2-4e2a-a3b8-72a4583f0b85.json | N/A | N/A | N/A | N/A | N/A | VBG910044631 | Preferred Provider Organization (PPO) | BURBETTO PRODUCTIONS LLC | BLUE SHIELD CALIFORNIA | N/A | 1992-08-24 | 1000VX000102 | W0111153 | N/A | PR | false | GAERTNER | N/A | MICHAEL | N/A | 9999-12-31 | 2020-09-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301888480 | N/A | N/A | 17309222 | 2222 | 4802 | 21479064 | N/A | 15324299 | 2026-03-26 16:15:15.979693 | 2026-02-25 00:33:12.075173 |
| 2026-03-16 07:19:32.229214 | 2026-03-26 16:13:06.585802 | 20812496 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 20812496 | Athletic Physical Therapy Inc | 1943-04-17 | 2026-03-17 | F | AE | PT | ROGERS | 31093568401 | MARY | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17306773/check_20812496_e398373b-2672-480e-b0ad-9fca48fed2fe.json | N/A | N/A | N/A | N/A | N/A | 31093568401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-04-17 | 2026H5425001 | H5425M | N/A | N/A | false | ROGERS | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301888479 | N/A | N/A | 17306773 | 2222 | 4801 | 21466139 | 6237 | 15321704 | 2026-03-26 16:13:06.585802 | 2026-02-26 19:15:43.216582 |
| 2026-03-16 07:19:31.674399 | 2026-03-26 16:11:13.995838 | 20812403 | N/A | N/A | 61101 | HUMANA | 1114042165 | 20812403 | Athletic Physical Therapy Inc | 1954-10-11 | 2026-03-17 | M | AE | PT | FARRUGIA | H6573816900 | JEFF | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17264465/check_20812403_ac4dd1f5-9cda-4468-b037-7048f8b5df16.json | N/A | N/A | N/A | N/A | N/A | H65738169 | 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 LAKESIDE MEDICAL GROUP | 1954-10-11 | N/A | 2B722001 | N/A | HN | false | FARRUGIA | N/A | JEFFREY | 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 | 10301888478 | N/A | N/A | 17264465 | 2222 | 4801 | 21458325 | 5349 | 15281758 | 2026-03-26 16:11:13.995838 | 2026-04-16 18:41:33.012590 |
| 2026-03-16 07:19:31.340389 | 2026-03-26 16:15:16.545779 | 20812351 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 20812351 | Athletic Physical Therapy Inc | 1971-11-18 | 2026-03-17 | M | PT | N/A | LOPEZ | 914314600000 | RAFAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17262479/check_20812351_54e20370-d343-431f-86a7-cc91335f6fe3.json | N/A | N/A | N/A | N/A | N/A | XEH914314600 | Health Maintenance Organization (HMO) | BARRY AVENUE PLATING COMPANY INC | BLUE SHIELD CALIFORNIA | N/A | 1971-11-18 | 1000HMOX0001 | W0053916 | N/A | HM | false | LOPEZ | N/A | RAFAEL | N/A | N/A | N/A | ACCESS HMO R ZERO ADMIT 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301888477 | N/A | N/A | 17262479 | 2222 | 4802 | 21479123 | 4191 | 15279850 | 2026-03-26 16:15:16.545779 | 2026-03-03 00:15:33.322173 |
| 2026-03-16 07:19:30.785790 | 2026-03-26 16:14:52.670913 | 20812250 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20812250 | Athletic Physical Therapy Inc | 1999-03-13 | 2026-03-18 | F | PT | N/A | HOLLAND | YVA250263382 | KELSEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257631/check_20812250_f114ef30-8ee9-45de-a214-aab1926e4888.json | N/A | N/A | N/A | N/A | N/A | YVA250263382 | Preferred Provider Organization (PPO) | PIPEWORKS INC | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | 10018888 | N/A | PR | false | HOLLAND | N/A | KELSEY | N/A | 9999-12-31 | 2026-01-01 | CLASSIC/PREFERRED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301888476 | N/A | N/A | 17257631 | 2222 | 4802 | 21477059 | N/A | 15275187 | 2026-03-26 16:14:52.670913 | 2026-02-23 23:05:07.406692 |
| 2026-03-16 07:19:30.364903 | 2026-03-26 16:11:15.224459 | 20812183 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 20812183 | Athletic Physical Therapy Inc | 1958-07-12 | 2026-03-18 | M | AE | PT | LY | H65390314 | CHAU | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257404/check_20812183_3bda0460-7b89-4d8d-bbd6-9e43c62803e3.json | N/A | N/A | N/A | N/A | N/A | H65390314 | 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 LAKESIDE MEDICAL GROUP | 1958-07-12 | N/A | 2B722001 | N/A | HN | false | LY | N/A | CHAU | 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 | 10301888475 | N/A | N/A | 17257404 | 2222 | 4801 | 21458420 | N/A | 15274585 | 2026-03-26 16:11:15.224459 | 2026-02-23 22:57:14.756651 |
| 2026-03-16 07:19:29.872314 | 2026-03-26 16:10:43.056426 | 20812108 | N/A | N/A | 60054 | Aetna | 1114042165 | 20812108 | Athletic Physical Therapy Inc | 1999-07-02 | 2026-03-18 | M | AE | PT | Clemen | IDN268756197 | Tate | W | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257296/check_20812108_f671a6c1-0027-4d92-9bb3-5c6dc763ba0d.json | N/A | N/A | N/A | N/A | N/A | W268756197 | Point of Service (POS) | THE BOSTON CONSULTING GROUP, INC. | AETNA | N/A | 1999-07-02 | 0657263 | 065726301000101 | N/A | PS | false | CLEMEN | N/A | TATE | 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 | 10301888474 | N/A | N/A | 17257296 | 2222 | 4802 | 21455739 | N/A | 15274431 | 2026-03-26 16:10:43.056426 | 2026-02-26 01:15:47.249061 |
| 2026-03-16 07:19:29.243334 | 2026-03-26 16:13:07.077681 | 20812010 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 20812010 | Athletic Physical Therapy Inc | 1956-02-04 | 2026-03-17 | M | AE | PT | Seth | 40042142001 | Sushil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17252132/check_20812010_10459fcd-1d97-495e-b872-3ca2af372aef.json | N/A | N/A | N/A | N/A | N/A | 40042142001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-02-04 | 2026H5425006 | H5425M | N/A | N/A | false | SETH | N/A | SUSHIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301888473 | N/A | N/A | 17252132 | 2222 | 4802 | 21466194 | 6237 | 15269089 | 2026-03-26 16:13:07.077681 | 2026-03-03 16:25:21.496329 |
| 2026-03-16 07:19:28.844506 | 2026-03-26 16:14:24.101377 | 20811946 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 20811946 | Athletic Physical Therapy Inc | 1948-02-19 | 2026-03-18 | F | AE | PT | Hale | 00000272654 | Vicki | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17249147/check_20811946_e9d86010-d03f-4913-a87d-a1f08795f534.json | N/A | N/A | N/A | N/A | N/A | 00000272654 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1948-02-19 | N/A | N/A | N/A | N/A | false | HALE | N/A | VICKI | 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 | 10301888472 | N/A | N/A | 17249147 | 2222 | 4793 | 21474395 | 2630 | 15266859 | 2026-03-26 16:14:24.101377 | 2026-02-23 21:46:02.438896 |
| 2026-03-16 07:19:28.521649 | 2026-03-26 16:19:52.710574 | 20811890 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 20811890 | Athletic Physical Therapy Inc | 1959-08-14 | 2026-03-18 | M | AE | PT | YOUHANAIE | 9RG5DX0YJ71 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17247515/check_20811890_46a43089-67d1-45ff-9b29-c937c79b3411.json | N/A | N/A | N/A | N/A | N/A | 9RG5DX0YJ71 | 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 | YOUHANAIE | N/A | MARK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 40720 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301888471 | N/A | N/A | 17247515 | 2222 | 4793 | 21505066 | N/A | 4211122 | 2026-03-26 16:19:52.710574 | 2025-05-13 04:29:37.225524 |
| 2026-03-16 07:19:28.066054 | 2026-03-26 16:10:47.227321 | 20811828 | N/A | N/A | 60054 | Aetna | 1114042165 | 20811828 | Athletic Physical Therapy Inc | 1975-05-17 | 2026-03-18 | M | AE | PT | Staples | W226686268 | Micheal | Todd | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17187938/check_20811828_0d28f7af-8398-410a-9c88-50b5073b4822.json | N/A | N/A | N/A | N/A | N/A | W226686268 | Point of Service (POS) | BAYER CORPORATION | AETNA | N/A | 1975-05-17 | 0800103 | 080010304700109 | N/A | PS | false | STAPLES | N/A | MICHAEL | 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 | 10301888470 | N/A | N/A | 17187938 | 2222 | 4793 | 21456134 | N/A | 15183658 | 2026-03-26 16:10:47.227321 | 2026-02-24 15:08:58.378016 |
| 2026-03-16 07:19:27.667810 | 2026-03-26 16:10:37.054008 | 20811762 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 20811762 | override_provider | 2007-06-23 | 2026-03-18 | M | PT | N/A | Tzorfas | R59222577 | Roshan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17179914/check_20811762_ddacff8b-1031-4aae-ad72-a40eab08c740.json | N/A | N/A | N/A | N/A | N/A | R59222577 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2007-06-23 | N/A | 105 | N/A | PR | false | TZORFAS | N/A | POONAM | N/A | 2033-07-23 | 2013-01-13 | STANDARD | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301888469 | N/A | N/A | 17179914 | 2222 | 4802 | 21455233 | N/A | 15173437 | 2026-03-26 16:10:37.054008 | 2026-02-20 18:30:49.616337 |
| 2026-03-16 07:19:27.228221 | 2026-03-26 16:10:23.482648 | 20811691 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 20811691 | Athletic Physical Therapy Inc | 1989-11-05 | 2026-03-18 | M | AE | PT | WALTHER | 91450497C | EDGAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17145820/check_20811691_6a661424-5e7e-46c7-a3e2-d7227ee622d9.json | N/A | N/A | N/A | N/A | N/A | 91450497C | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1989-11-05 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | WALTHER | N/A | EDGAR | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301888468 | N/A | N/A | 17145820 | 2222 | 4802 | 21454018 | 4211 | 15134963 | 2026-03-26 16:10:23.482648 | 2026-03-05 23:10:38.165816 |
| 2026-03-16 07:19:18.611030 | 2026-03-26 16:13:19.105849 | 20810447 | N/A | N/A | 87726 | UMR | 1114042165 | 20810447 | Athletic Physical Therapy Inc | 1992-02-26 | 2026-03-19 | F | AE | PT | BEASLEY | G45096418 | AMBER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17145684/check_20810447_0f9c1c5b-d64d-4148-acba-0e500b695266.json | N/A | N/A | N/A | N/A | N/A | G45096418 | N/A | G.E.H.A MEDICAL FEHB/PSHB | UMR | N/A | 1992-02-26 | 767000416933002 | 76416933 | N/A | N/A | false | BEASLEY | N/A | AMBER | 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 | 10301888467 | N/A | N/A | 17145684 | 2222 | 4801 | 21467512 | N/A | 15134758 | 2026-03-26 16:13:19.105849 | 2026-02-20 20:44:43.451428 |
| 2026-03-16 07:19:18.170842 | 2026-03-26 16:13:05.575950 | 20810395 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 20810395 | Athletic Physical Therapy Inc | 1956-01-05 | 2026-03-18 | F | AE | PT | MANN SHELLY | 40066654701 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17127499/check_20810395_9e3f324b-4514-40fb-ace1-8a2050571300.json | N/A | N/A | N/A | N/A | N/A | 40066654701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-01-05 | 2026H5425001 | H5425M | N/A | N/A | false | MANN SHELLY | N/A | LISA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301888466 | N/A | N/A | 17127499 | 2222 | 4801 | 21466030 | 6237 | 15117739 | 2026-03-26 16:13:05.575950 | 2026-03-06 19:39:46.448612 |
| 2026-03-16 07:19:17.862287 | 2026-03-26 16:14:57.741606 | 20810350 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20810350 | Athletic Physical Therapy Inc | 1969-05-12 | 2026-03-17 | M | PT | N/A | MAHAARACHCHI | EXHAN7912598 | SENAKA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17122946/check_20810350_e1d788f1-1236-4341-b03d-092520cbf2c1.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | Preferred Provider Organization (PPO) | XEROX CORPORATION | ANTHEM BLUE CROSS | N/A | 1969-05-12 | 060 | 270101M11A | N/A | PR | false | MAHAARACHCHI | N/A | SENAKA | N/A | 9999-12-31 | 2025-01-01 | CDHP CT BC PPO HEALTH SAVINGS ACCOUNT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301888465 | N/A | N/A | 17122946 | 2222 | 4793 | 21477499 | N/A | 15113667 | 2026-03-26 16:14:57.741606 | 2026-02-24 15:18:30.819287 |
| 2026-03-16 07:19:17.475082 | 2026-03-26 16:14:28.025308 | 20810305 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 20810305 | Athletic Physical Therapy Inc | 1957-03-21 | 2026-03-19 | F | AE | PT | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260316.103832776.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_20810305_c195dac4-8cf6-40ce-bdbe-9cd3790cd332.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301888464 | N/A | N/A | 17099336 | 2222 | 4802 | 21474777 | 5538 | 6725117 | 2026-03-26 16:14:28.025308 | 2026-02-18 22:27:04.950292 |