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 23:52:39.791498 | 2025-06-23 09:12:26.954173 | 9158482 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 9158482 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-06-24 | U | AE | PT | CAPISTANO | 98696372G | FERDELLE | 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/2222/5542513/check_9158482_cfc75e05-a61c-4c13-a007-7b90f4a0ce92.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | N/A | LA CARE HEALTH PLAN LOS ANGELES CARE HEALTH PLAN | N/A | 1988-11-03 | N/A | N/A | N/A | N/A | false | CAPISTANO | N/A | FERDELLE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030150 | N/A | N/A | 5542513 | 2222 | 4793 | 8858333 | N/A | 4214418 | 2025-06-23 09:12:26.954173 | 2025-07-03 18:12:11.075357 |
| 2025-06-22 23:52:39.523219 | 2025-06-23 10:10:39.870324 | 9158476 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9158476 | Athletic Physical Therapy Inc | 1929-02-22 | 2025-06-25 | M | AE | PT | SCOTT | 2F27FV6KJ47 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.050231399.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9158476_83a989d2-3520-4b52-9961-d6edefaa8919.json | N/A | N/A | N/A | N/A | N/A | 2F27FV6KJ47 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-02-22 | N/A | N/A | N/A | MA | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025087471 | N/A | N/A | 6105989 | 2222 | 4802 | 8881132 | N/A | 4750274 | 2025-06-23 10:10:39.870324 | 2025-06-12 22:26:37.845238 |
| 2025-06-22 23:52:39.476707 | 2025-06-23 09:24:20.012091 | 9158474 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9158474 | Athletic Physical Therapy Inc | 1959-10-03 | 2025-06-24 | F | PT | AE | REED | 2YY5KV0WP59 | SONIA | 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/2222/5542497/check_9158474_1b7b5f67-a8da-47e3-adaf-c0667d16efd8.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MB | false | REED | N/A | SONIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025030149 | N/A | N/A | 5542497 | 2222 | 4801 | 8867498 | N/A | 4214397 | 2025-06-23 09:24:20.012091 | 2025-05-13 04:29:37.228723 |
| 2025-06-22 23:52:38.959949 | 2025-06-23 09:15:54.192011 | 9158466 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158466 | Athletic Physical Therapy Inc | 1989-12-04 | 2025-06-24 | M | PT | N/A | HUYNH | XEA911095759 | CHRISTOPHER | 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/2222/5542472/check_9158466_60798025-9f40-4e95-af2a-7883265fd81b.json | N/A | N/A | N/A | N/A | N/A | XEA911095759 | Preferred Provider Organization (PPO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1989-12-04 | 1000PPOX0001 | W0067449 | N/A | PR | false | HUYNH | N/A | CHRISTOPHER | N/A | N/A | N/A | COUNTY OF VENTURA ACTIVES CUSTOM PPO SAVINGS EMB | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030148 | N/A | N/A | 5542472 | 2222 | 4801 | 8860923 | N/A | 4214383 | 2025-06-23 09:15:54.192011 | 2025-05-13 04:29:37.228709 |
| 2025-06-22 23:52:38.761504 | 2025-06-23 09:06:23.593007 | 9158463 | N/A | N/A | 60054 | Aetna | 1114042165 | 9158463 | Athletic Physical Therapy Inc | 1989-10-20 | 2025-06-24 | M | AE | PT | SAMUELS | W289332071 | ZACHARY | 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/2222/5542467/check_9158463_dce8a1fd-1011-4787-b376-81faa2d924a7.json | N/A | N/A | N/A | N/A | N/A | W289332071 | Point of Service (POS) | CACI INTERNATIONAL INC. | AETNA | N/A | 1989-10-20 | 0169496 | 016949601000001 | N/A | PS | false | SAMUELS | N/A | ZACHARY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030147 | N/A | N/A | 5542467 | 2222 | 4802 | 8853886 | N/A | 4214379 | 2025-06-23 09:06:23.593007 | 2025-05-13 04:29:37.228706 |
| 2025-06-22 23:52:38.626895 | 2025-06-23 09:05:01.776112 | 9158460 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9158460 | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-24 | M | PT | AE | BUI | JQ556M78105 | KHIET | 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/2222/5542429/check_9158460_3c4516ac-403f-4a4e-ba6c-bb5b53b45a31.json | N/A | N/A | N/A | N/A | N/A | JQ556M78105 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025030146 | N/A | N/A | 5542429 | 2222 | 4793 | 8853039 | N/A | 4214340 | 2025-06-23 09:05:01.776112 | 2025-06-16 23:14:10.518236 |
| 2025-06-22 23:52:38.428957 | 2025-06-23 09:13:39.966565 | 9158459 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158459 | Athletic Physical Therapy Inc | 1948-07-22 | 2025-06-24 | F | PT | N/A | UTLEY | MBL209M95251 | SHERIDAN | 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/2222/5542387/check_9158459_53e696b0-0d0e-4d41-91a8-2223cd86bb54.json | N/A | N/A | N/A | N/A | N/A | MBL209M95251 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1948-07-22 | 040 | CAEGR002 | N/A | N/A | false | UTLEY | N/A | SHERIDAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030145 | N/A | N/A | 5542387 | 2222 | 4801 | 8859340 | N/A | 4214300 | 2025-06-23 09:13:39.966565 | 2025-06-17 13:03:57.252701 |
| 2025-06-22 23:52:37.980368 | 2025-06-23 09:13:27.526940 | 9158452 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158452 | Athletic Physical Therapy Inc | 2008-04-12 | 2025-06-25 | M | PT | N/A | PULS | XTS068A69201 | LUKE | 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/2222/5542214/check_9158452_a8d90a2b-21c8-4fdc-9eb6-9964fc120e8f.json | N/A | N/A | N/A | N/A | N/A | XTS068A69201 | Preferred Provider Organization (PPO) | SEMTECH CORPORATION CA/OOS | ANTHEM BLUE CROSS | N/A | 2008-04-12 | 040 | 277405M037 | N/A | PR | false | PULS | N/A | TIMOTHY | N/A | 9999-12-31 | 2023-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030144 | N/A | N/A | 5542214 | 2222 | 4793 | 8859157 | N/A | 4214158 | 2025-06-23 09:13:27.526940 | 2025-05-13 04:29:37.228486 |
| 2025-06-22 23:52:37.228630 | 2025-06-23 09:16:10.327131 | 9158446 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158446 | Athletic Physical Therapy Inc | 1996-12-31 | 2025-06-24 | M | PT | N/A | SIMON | 913762408 | DUSTIN | 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/2222/5542213/check_9158446_c542a836-3991-4861-84d3-2945557fdc36.json | N/A | N/A | N/A | N/A | N/A | 913762408 | N/A | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-12-31 | 2001DA000346 | X0001004 | N/A | N/A | false | SIMON | N/A | DUSTIN | N/A | N/A | N/A | FAMILY DENTAL HMO PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030143 | N/A | N/A | 5542213 | 2222 | 4793 | 8861098 | N/A | 4214155 | 2025-06-23 09:16:10.327131 | 2025-05-13 04:29:37.228482 |
| 2025-06-22 23:52:36.714443 | 2025-06-23 09:24:16.006041 | 9158440 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9158440 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-06-24 | F | PT | AE | GRINBERG | 6W60TM0KP36 | HANNA | 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/2222/5542161/check_9158440_633d30ca-a44f-4c65-a858-8b197034b029.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MA | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025030142 | N/A | N/A | 5542161 | 2222 | 4802 | 8867453 | N/A | 4214112 | 2025-06-23 09:24:16.006041 | 2025-05-13 04:29:37.228426 |
| 2025-06-22 23:52:36.331998 | 2025-06-23 09:12:14.813833 | 9158437 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9158437 | Athletic Physical Therapy Inc | 1957-10-24 | 2025-06-24 | F | PT | AE | MCSHEA | 00000364203 | SANDRA | 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/2222/5542046/check_9158437_2ce1606d-4478-4e78-aefe-7ed6a2da320c.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1957-10-24 | H3815028 | N/A | N/A | HM | false | MCSHEA | N/A | SANDRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025030141 | N/A | N/A | 5542046 | 2222 | 4801 | 8858162 | 2630 | 4214001 | 2025-06-23 09:12:14.813833 | 2025-05-13 04:29:37.228323 |
| 2025-06-22 23:52:36.024132 | 2025-06-23 09:12:58.229759 | 9158432 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9158432 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-06-24 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | 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/2222/5541944/check_9158432_4c18eb1d-7178-425f-8a60-8987739f293e.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030140 | N/A | N/A | 5541944 | 2222 | 4801 | 8858742 | 4184 | 4213907 | 2025-06-23 09:12:58.229759 | 2025-05-13 04:29:37.228228 |
| 2025-06-22 23:52:35.732802 | 2025-06-23 09:24:19.304935 | 9158428 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9158428 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-06-25 | F | AE | PT | MAYER | 5J41QM7YN93 | MARY | 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/2222/5541938/check_9158428_e4681937-f02d-4f88-91cb-6ad2feb209d8.json | N/A | N/A | N/A | N/A | N/A | 5J41QM7YN93 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-05-19 | S5884 | N/A | N/A | MA | false | MAYER | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030139 | N/A | N/A | 5541938 | 2222 | 4801 | 8867491 | N/A | 4213917 | 2025-06-23 09:24:19.304935 | 2025-06-25 01:53:37.609327 |
| 2025-06-22 23:52:35.214987 | 2025-06-23 09:13:39.276822 | 9158419 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158419 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-06-25 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | 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/2222/5541917/check_9158419_d43e1a40-9508-4ef0-b4a4-1db449b87e70.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | 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 | 8025030138 | N/A | N/A | 5541917 | 2222 | 4793 | 8859326 | N/A | 4213891 | 2025-06-23 09:13:39.276822 | 2025-05-13 04:29:37.228207 |
| 2025-06-22 23:52:34.728665 | 2025-06-23 09:24:23.188025 | 9158415 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9158415 | Athletic Physical Therapy Inc | 1952-05-13 | 2025-06-25 | M | PT | AE | WOLFE | 1HG7NP4AM73 | DIA | 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/2222/5541812/check_9158415_27d2c7f6-cdc6-48a8-ae25-c5ad41ab42b2.json | N/A | N/A | N/A | N/A | N/A | 1HG7NP4AM73 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-13 | S4802 | N/A | N/A | MA | false | WOLFE | N/A | DIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025030137 | N/A | N/A | 5541812 | 2222 | 4801 | 8867540 | N/A | 4213795 | 2025-06-23 09:24:23.188025 | 2026-06-05 00:55:52.281598 |
| 2025-06-22 23:52:34.363779 | 2025-06-23 09:15:53.498421 | 9158410 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158410 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-06-24 | F | PT | N/A | HILLIGER | XEA902904791 | JENNIE | 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/2222/5541730/check_9158410_ecdb74bd-34b9-49e9-b8b2-d11eae58793c.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2017-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030136 | N/A | N/A | 5541730 | 2222 | 4793 | 8860916 | N/A | 4213725 | 2025-06-23 09:15:53.498421 | 2025-05-13 04:29:37.228045 |
| 2025-06-22 23:52:33.983851 | 2025-06-23 09:05:04.706442 | 9158402 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | 9158402 | Athletic Physical Therapy Inc | 2007-05-21 | 2025-06-25 | F | AE | PT | ALEMAN | 00026111804 | ALEXA | 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/2222/5541704/check_9158402_d12dc43c-0895-4a9f-8cb9-eb191977917d.json | N/A | N/A | N/A | N/A | N/A | 00026111804 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 2007-05-21 | N/A | N/A | N/A | N/A | false | ALEMAN | N/A | ALEXA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030135 | N/A | N/A | 5541704 | 2222 | 4801 | 8853075 | N/A | 4213696 | 2025-06-23 09:05:04.706442 | 2025-05-13 04:29:37.228015 |
| 2025-06-22 23:52:33.660101 | 2025-06-23 09:16:22.493463 | 9158398 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158398 | Athletic Physical Therapy Inc | 2008-11-19 | 2025-06-24 | M | PT | N/A | ZARIN | XEK905647080 | ELLA | 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/2222/5541582/check_9158398_b67f5a4d-0d83-46d9-b170-bb89e56ccb73.json | N/A | N/A | N/A | N/A | N/A | XEK905647080 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-11-19 | 2001ZH002662 | X0001000 | N/A | PR | false | ZARIN | N/A | DORON | N/A | 2027-11-30 | 2017-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030134 | N/A | N/A | 5541582 | 2222 | 4793 | 8861264 | N/A | 4213586 | 2025-06-23 09:16:22.493463 | 2025-05-28 20:44:53.527917 |
| 2025-06-22 23:52:33.465268 | 2025-06-23 09:11:09.880357 | 9158396 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 9158396 | Athletic Physical Therapy Inc | 1985-08-14 | 2025-06-24 | F | PT | AE | LIN | G44715088 | 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/2222/5541550/check_9158396_51b42717-e581-4c04-84de-3b56144f7554.json | N/A | N/A | N/A | N/A | N/A | G44715088 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1985-08-14 | 767000416933003 | 76416933 | N/A | N/A | false | LIN | N/A | JESSICA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025030133 | N/A | N/A | 5541550 | 2222 | 4802 | 8857314 | N/A | 4213560 | 2025-06-23 09:11:09.880357 | 2025-05-13 04:29:37.227892 |
| 2025-06-22 23:52:33.068546 | 2025-06-23 09:16:17.221638 | 9158393 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158393 | Athletic Physical Therapy Inc | 1981-08-26 | 2025-06-25 | M | PT | N/A | TOHLCHINSKY | XEA901508061 | MICHAEL | 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/2222/5541542/check_9158393_c8073e2f-fb44-41c9-a5ec-6a7b2fa0649c.json | N/A | N/A | N/A | N/A | N/A | XEA901508061 | Preferred Provider Organization (PPO) | TOHL ENTERPRISES INC | BLUE SHIELD CALIFORNIA | N/A | 1981-08-26 | 1000VX000102 | W0006154 | N/A | PR | false | TOHLCHINSKY | N/A | MICHAEL | N/A | 2025-11-30 | 2024-12-01 | PLATINUM FULL PPO 0 10 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030132 | N/A | N/A | 5541542 | 2222 | 4793 | 8861136 | N/A | 4213542 | 2025-06-23 09:16:17.221638 | 2025-06-03 22:12:38.498592 |
| 2025-06-22 23:52:32.542367 | 2025-06-23 09:15:57.077389 | 9158387 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158387 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-06-25 | F | PT | N/A | KURTZ | XED906231353 | NINA | 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/2222/5541378/check_9158387_7a639512-44bb-4307-b969-82cae1b23076.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | 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 | 8025030131 | N/A | N/A | 5541378 | 2222 | 4793 | 8860945 | N/A | 4213405 | 2025-06-23 09:15:57.077389 | 2025-05-13 04:29:37.227726 |
| 2025-06-22 23:52:31.877739 | 2025-06-23 09:05:02.702231 | 9158378 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9158378 | Athletic Physical Therapy Inc | 1957-06-02 | 2025-06-24 | M | AE | PT | HUAYNATE | 40052889901 | ERASMO | 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/2222/5541316/check_9158378_e4eba675-da70-45ba-872d-aec01a509c29.json | N/A | N/A | N/A | N/A | N/A | 40052889901 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1957-06-02 | N/A | N/A | N/A | N/A | false | HUAYNATE | N/A | ERASMO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030130 | N/A | N/A | 5541316 | 2222 | 4801 | 8853051 | N/A | 4213347 | 2025-06-23 09:05:02.702231 | 2025-05-13 04:29:37.227669 |
| 2025-06-22 23:52:31.438589 | 2025-06-23 09:16:08.201594 | 9158375 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158375 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-06-25 | F | PT | N/A | SHAPIRO | XEA901579979 | ANDREA | 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/2222/5541315/check_9158375_a5d96da2-72c7-4e9a-bea9-5e1ff64259dc.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 2025-10-31 | 2024-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030129 | N/A | N/A | 5541315 | 2222 | 4793 | 8861078 | N/A | 4213344 | 2025-06-23 09:16:08.201594 | 2025-05-13 04:29:37.227667 |
| 2025-06-22 23:52:30.902170 | 2025-06-23 09:15:52.847691 | 9158365 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158365 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-06-25 | F | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | 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/2222/5541314/check_9158365_c686794c-b9c0-44c7-aa3d-6e35ecca6e82.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030128 | N/A | N/A | 5541314 | 2222 | 4793 | 8860901 | N/A | 4213343 | 2025-06-23 09:15:52.847691 | 2025-06-06 02:21:37.603701 |
| 2025-06-22 23:52:30.330783 | 2025-06-23 09:04:43.377620 | 9158358 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9158358 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-06-25 | M | AE | PT | FARAHMAND | 91957675E | ALEX | 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/2222/5541163/check_9158358_01a8290c-38c0-445d-9d26-8be1e64bac64.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030127 | N/A | N/A | 5541163 | 2222 | 4802 | 8852864 | N/A | 4213207 | 2025-06-23 09:04:43.377620 | 2025-05-13 04:29:37.227536 |
| 2025-06-22 23:52:29.914190 | 2025-06-23 09:05:00.764215 | 9158353 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9158353 | Athletic Physical Therapy Inc | 1949-03-25 | 2025-06-25 | F | PT | AE | BARON | H7986555300 | AIDA | 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/2222/5541086/check_9158353_9c89fa84-5fd7-4265-ba2e-95c55ab0348f.json | N/A | N/A | N/A | N/A | N/A | H7986555300 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1949-03-25 | N/A | N/A | N/A | N/A | false | BARON | N/A | AIDA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025030126 | N/A | N/A | 5541086 | 2222 | 4793 | 8853028 | N/A | 4213141 | 2025-06-23 09:05:00.764215 | 2025-05-13 04:29:37.227470 |
| 2025-06-22 23:52:29.328565 | 2025-06-23 09:24:21.410639 | 9158345 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9158345 | Athletic Physical Therapy Inc | 1953-03-05 | 2025-06-25 | F | AE | PT | SESAR | 3W68VF2EE20 | SHARON | 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/2222/5540946/check_9158345_3134ed9e-2da9-4348-aa5b-f4bc5696bf01.json | N/A | N/A | N/A | N/A | N/A | 3W68VF2EE20 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-05 | S5601 | N/A | N/A | MA | false | SESAR | N/A | SHARON | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030125 | N/A | N/A | 5540946 | 2222 | 4793 | 8867521 | N/A | 4213027 | 2025-06-23 09:24:21.410639 | 2025-06-25 17:17:00.282109 |
| 2025-06-22 23:52:29.057486 | 2025-06-23 09:24:14.820164 | 9158341 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9158341 | Athletic Physical Therapy Inc | 1957-08-09 | 2025-06-25 | M | AE | PT | DASILVA | 4KY4HX3NJ05 | BOB | 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/2222/5540840/check_9158341_73bf491b-5eee-44c3-9356-ba30f4c0ae0d.json | N/A | N/A | N/A | N/A | N/A | 4KY4HX3NJ05 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-08-09 | N/A | N/A | N/A | MB | false | DASILVA | N/A | BOB | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030124 | N/A | N/A | 5540840 | 2222 | 4793 | 8867441 | N/A | 4212930 | 2025-06-23 09:24:14.820164 | 2025-05-13 04:29:37.227258 |
| 2025-06-22 23:52:28.697457 | 2025-06-23 09:06:21.832774 | 9158333 | N/A | N/A | 60054 | Aetna | 1114042165 | 9158333 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-06-25 | M | PT | AE | BOKHTIER | W275493875 | GOLAM | 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/2222/5540723/check_9158333_f8894c0e-d3f2-40d5-8682-aa3b5a1f5085.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025030123 | N/A | N/A | 5540723 | 2222 | 4793 | 8853871 | N/A | 4212833 | 2025-06-23 09:06:21.832774 | 2025-05-28 20:46:35.079848 |
| 2025-06-22 23:52:28.527606 | 2025-06-23 09:12:15.392791 | 9158329 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 9158329 | Athletic Physical Therapy Inc | 1959-09-28 | 2025-06-25 | F | AE | PT | STEVENS | 00000348252 | JANET | 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/2222/5540659/check_9158329_eb8030d5-d42c-4c4b-931f-f0895bbc868c.json | N/A | N/A | N/A | N/A | N/A | 00000348252 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1959-09-28 | H3815028 | N/A | N/A | HM | false | STEVENS | N/A | JANET | 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 | 8025030122 | N/A | N/A | 5540659 | 2222 | 4801 | 8858171 | N/A | 4212773 | 2025-06-23 09:12:15.392791 | 2026-04-04 05:51:01.155131 |
| 2025-06-22 23:52:28.361914 | 2025-06-23 09:05:02.140201 | 9158326 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9158326 | Athletic Physical Therapy Inc | 1963-09-10 | 2025-06-24 | M | AE | PT | DEANS | U5981746801 | PHIL | 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/2222/5540446/check_9158326_d8302bba-0f95-4535-b4cc-26db7db822bc.json | N/A | N/A | N/A | N/A | N/A | U5981746801 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1963-09-10 | N/A | N/A | N/A | N/A | false | DEANS | N/A | PHIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030121 | N/A | N/A | 5540446 | 2222 | 4793 | 8853041 | N/A | 4212605 | 2025-06-23 09:05:02.140201 | 2025-05-13 04:29:37.226953 |
| 2025-06-22 23:52:28.164781 | 2025-06-23 09:04:50.793375 | 9158323 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9158323 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-06-24 | M | AE | PT | HERMAN | 95836743G | BRETT | 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/2222/5540113/check_9158323_9710d3e0-73a2-4747-9a9d-f780f17a6494.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030120 | N/A | N/A | 5540113 | 2222 | 4801 | 8852932 | N/A | 4212315 | 2025-06-23 09:04:50.793375 | 2025-12-29 21:20:15.158611 |
| 2025-06-22 23:52:28.037599 | 2025-06-23 09:04:52.507239 | 9158320 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9158320 | Athletic Physical Therapy Inc | 1951-02-23 | 2025-06-24 | F | AE | PT | WENSEL | 40065419401 | KAREN | 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/2222/5539718/check_9158320_24b39529-5aad-4d7c-95cb-e2bb9af2c428.json | N/A | N/A | N/A | N/A | N/A | 40065419401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-02-23 | N/A | N/A | N/A | N/A | false | WENSEL | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030119 | N/A | N/A | 5539718 | 2222 | 4793 | 8852948 | N/A | 4211977 | 2025-06-23 09:04:52.507239 | 2025-05-13 04:29:37.226299 |
| 2025-06-22 23:52:27.371184 | 2025-06-23 09:13:22.570370 | 9158312 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158312 | Athletic Physical Therapy Inc | 1975-10-23 | 2025-06-25 | F | PT | N/A | MAGEE | SRYHC0157512 | 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/2222/5539606/check_9158312_006d0f0d-c393-4a34-b3ae-e8a1e5110bb5.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | ANTHEM BLUE CROSS | N/A | 1975-10-23 | 040 | L12152M001 | N/A | PR | false | MAGEE | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030118 | N/A | N/A | 5539606 | 2222 | 4793 | 8859087 | N/A | 4211886 | 2025-06-23 09:13:22.570370 | 2026-02-06 19:09:03.082684 |
| 2025-06-22 23:52:26.921178 | 2025-06-23 09:06:24.745329 | 9158306 | N/A | N/A | 60054 | Aetna | 1114042165 | 9158306 | Athletic Physical Therapy Inc | 1956-12-03 | 2025-06-25 | F | AE | PT | HARTMANN DEBIASE | MMA051WV22347 | MARIANNE | 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/2222/5539573/check_9158306_9182dd1f-9a0a-4fa3-adc6-6bb01c662c0a.json | N/A | N/A | N/A | N/A | N/A | MMA051WV22347 | N/A | N/A | AETNA INC | N/A | 1956-12-03 | N/A | N/A | N/A | N/A | false | HARTMANN DEBIASE | N/A | MARIANNE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030117 | N/A | N/A | 5539573 | 2222 | 4793 | 8853892 | N/A | 4211857 | 2025-06-23 09:06:24.745329 | 2025-07-01 23:52:53.869019 |
| 2025-06-22 23:52:26.694330 | 2025-06-23 09:15:39.441950 | 9158303 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158303 | Athletic Physical Therapy Inc | 1974-08-29 | 2025-06-24 | F | PT | N/A | AGUILAR | IPET50076164 | STEPHANIE | 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/2222/5539378/check_9158303_1853d784-2b6f-46e2-a556-a9bf84930c9f.json | N/A | N/A | N/A | N/A | N/A | IPET50076164 | Preferred Provider Organization (PPO) | SOUTHERN CALIFORNIA PIPE TRADES | BLUE SHIELD CALIFORNIA | N/A | 1974-08-29 | 1000PPOX0001 | W0051523 | N/A | PR | false | AGUILAR | N/A | TODD | N/A | N/A | N/A | SOUTHERN CALIFORNIA PIPE TRADES SHARED ADVANTAGE P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030116 | N/A | N/A | 5539378 | 2222 | 4801 | 8860749 | N/A | 4211703 | 2025-06-23 09:15:39.441950 | 2025-05-13 04:29:37.226025 |
| 2025-06-22 23:52:26.547381 | 2025-06-23 09:05:26.333006 | 9158301 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 9158301 | Athletic Physical Therapy Inc | 1953-08-21 | 2025-06-25 | M | AE | PT | CUMMINGS | 29086032 | OVERSTONE | 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/2222/5539195/check_9158301_908b47c7-7e56-4f64-8eae-45cca4bfcf11.json | N/A | N/A | N/A | N/A | N/A | 29086032 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-08-21 | 406-024-000 | N/A | N/A | N/A | false | CUMMINGS JR | N/A | OVERSTONE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030115 | N/A | N/A | 5539195 | 2222 | 4801 | 8853294 | 6798 | 4211528 | 2025-06-23 09:05:26.333006 | 2025-05-29 22:30:24.728697 |
| 2025-06-22 23:52:26.393201 | 2025-06-23 09:13:08.087491 | 9158298 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158298 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-06-25 | M | PT | N/A | GINSBERG | JQU469A62630 | STEVEN | 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/2222/5538693/check_9158298_50c03e0f-cbb0-42c9-9bea-9c3a72ada719.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030114 | N/A | N/A | 5538693 | 2222 | 4793 | 8858895 | N/A | 4211081 | 2025-06-23 09:13:08.087491 | 2025-05-13 04:29:37.225492 |
| 2025-06-22 23:52:26.018271 | 2025-06-23 09:24:20.447762 | 9158292 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9158292 | Athletic Physical Therapy Inc | 1957-07-21 | 2025-06-24 | M | PT | AE | ROOFEH | 8QJ0UJ1EM45 | NADDER | 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/2222/5538287/check_9158292_2b5288b1-ea59-4035-a03f-c662377f891c.json | N/A | N/A | N/A | N/A | N/A | 8QJ0UJ1EM45 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-07-21 | S5617 | N/A | N/A | MB | false | ROOFEH | N/A | NADDER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8025030113 | N/A | N/A | 5538287 | 2222 | 4802 | 8867506 | N/A | 4210725 | 2025-06-23 09:24:20.447762 | 2025-06-16 16:15:05.679018 |
| 2025-06-22 23:52:25.633867 | 2025-06-23 09:22:35.508680 | 9158288 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 9158288 | Athletic Physical Therapy Inc | 1946-06-01 | 2025-06-25 | F | AE | PT | AMIRI | 5A52N18CA24 | POURAN | 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/2222/5538157/check_9158288_501cd2ef-d6a2-478f-9d2e-6466ff4c5dc0.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1946-06-01 | N/A | N/A | N/A | N/A | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030112 | N/A | N/A | 5538157 | 2222 | 4802 | 8866260 | N/A | 4210607 | 2025-06-23 09:22:35.508680 | 2025-08-01 18:31:38.620742 |
| 2025-06-22 23:52:25.312730 | 2025-06-23 09:16:56.756970 | 9158282 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158282 | Athletic Physical Therapy Inc | 1979-06-20 | 2025-06-24 | M | PT | N/A | RITENOUR | NCF553A20679 | 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/2222/5537911/check_9158282_7fa4cba2-44ae-48bc-9da8-dae1bdd58b85.json | N/A | N/A | N/A | N/A | N/A | NCF553A20679 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1979-06-20 | 040 | 57AJCA | N/A | HM | false | RITENOUR | N/A | TIM | 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 | 8025030111 | N/A | N/A | 5537911 | 2222 | 4793 | 8861752 | N/A | 4210415 | 2025-06-23 09:16:56.756970 | 2025-06-11 20:40:26.862752 |
| 2025-06-22 23:52:24.744756 | 2025-06-23 09:13:00.105048 | 9158272 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158272 | Athletic Physical Therapy Inc | 1985-10-24 | 2025-06-24 | F | PT | N/A | ARTHUR | JQU013A76182 | EMILY | 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/2222/5537835/check_9158272_19184434-a1b4-43d4-b0cc-e709348302dd.json | N/A | N/A | N/A | N/A | N/A | JQU013A76182 | Preferred Provider Organization (PPO) | FOCUSRITE GROUP US INC | ANTHEM BLUE CROSS | N/A | 1985-10-24 | 040 | 478491 | N/A | PR | false | BLISS | N/A | HANNAH | N/A | 9999-12-31 | 2025-06-01 | ANTHEM GOLD PPO 30/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030110 | N/A | N/A | 5537835 | 2222 | 4802 | 8858779 | N/A | 4210344 | 2025-06-23 09:13:00.105048 | 2025-05-13 04:29:37.224750 |
| 2025-06-22 23:52:24.563212 | 2025-06-23 09:13:25.684457 | 9158268 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158268 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-06-24 | M | PT | N/A | MILES | MBL835W05431 | KEITH | 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/2222/5536896/check_9158268_c832e65e-6475-404a-a14c-c72e488e35fc.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 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 | 8025030109 | N/A | N/A | 5536896 | 2222 | 4793 | 8859141 | N/A | 4209567 | 2025-06-23 09:13:25.684457 | 2025-05-13 04:29:37.223990 |
| 2025-06-22 23:52:24.306333 | 2025-06-23 09:24:15.446755 | 9158264 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9158264 | Athletic Physical Therapy Inc | 1947-09-13 | 2025-06-24 | F | AE | PT | ELDRIDGE | 2XD1AM4AP01 | MARGARET | 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/2222/5536109/check_9158264_96136508-db0f-4e23-b47c-d523f98b9f7b.json | N/A | N/A | N/A | N/A | N/A | 2XD1AM4AP01 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-13 | S5921 | N/A | N/A | MA | false | ELDRIDGE | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025030108 | N/A | N/A | 5536109 | 2222 | 4793 | 8867448 | N/A | 4208915 | 2025-06-23 09:24:15.446755 | 2025-07-25 17:30:46.084330 |
| 2025-06-22 23:52:24.056788 | 2025-06-23 09:12:14.125558 | 9158260 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9158260 | Athletic Physical Therapy Inc | 1940-07-24 | 2025-06-24 | M | AE | PT | CROSS | 00000260662 | JOHN | 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/2222/5536048/check_9158260_df4993e7-9b44-49b2-a485-5417b6398494.json | N/A | N/A | N/A | N/A | N/A | 00000260662 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1940-07-24 | H3815028 | N/A | N/A | HM | false | CROSS | N/A | JOHN | 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 | 8025030107 | N/A | N/A | 5536048 | 2222 | 4793 | 8858149 | 2630 | 4208859 | 2025-06-23 09:12:14.125558 | 2025-05-13 04:29:37.223287 |
| 2025-06-22 23:52:23.509404 | 2025-06-23 09:12:58.793693 | 9158250 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9158250 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-06-25 | F | PT | N/A | BELL | MNL880M78427 | JACQUELYN | 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/2222/5536041/check_9158250_a1f6d0f3-9a8c-4632-8b9c-d48af303bba5.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 9999-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030106 | N/A | N/A | 5536041 | 2222 | 4802 | 8858763 | N/A | 4208856 | 2025-06-23 09:12:58.793693 | 2025-05-13 04:29:37.223284 |
| 2025-06-22 23:52:23.085706 | 2025-06-23 09:05:01.338927 | 9158244 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9158244 | Athletic Physical Therapy Inc | 1961-06-27 | 2025-06-25 | F | PT | N/A | BRACKEN | NCF378A67692 | CELINA | 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/2222/5535853/check_9158244_fd693050-94cd-4ab2-9ee2-990f6820ce7d.json | N/A | N/A | N/A | N/A | N/A | NCF378A67692 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1961-06-27 | N/A | N/A | N/A | N/A | false | BRACKEN | N/A | CELINA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025030105 | N/A | N/A | 5535853 | 2222 | 4793 | 8853034 | N/A | 4208702 | 2025-06-23 09:05:01.338927 | 2025-05-13 04:29:37.223129 |
| 2025-06-22 23:52:13.902108 | 2025-06-23 10:04:41.892426 | 9158108 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158108 | Athletic Physical Therapy Inc | 1982-07-02 | 2025-06-25 | M | PT | N/A | DRISCOLL | XED912182768 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.050231399.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104970/check_9158108_f581f34c-ba5f-4d2b-a4e3-d31a5c03e6ab.json | N/A | N/A | N/A | N/A | N/A | XED912182768 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-07-02 | 2001ZK002184 | X0001004 | N/A | PR | false | DRISCOLL | N/A | JAMES | N/A | 9999-12-31 | 2023-04-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025087441 | N/A | N/A | 6104970 | 2222 | 4802 | 8879150 | N/A | 4749447 | 2025-06-23 10:04:41.892426 | 2025-06-06 23:16:09.869339 |
| 2025-06-22 23:52:12.109100 | 2025-06-23 09:49:53.519536 | 9158090 | N/A | N/A | 52192 | Bravo Health | 1114042165 | 9158090 | Athletic Physical Therapy Inc | 1940-03-15 | 2025-06-24 | M | AE | PT | Nishimoto | 8NK7JC7CQ39 | Richard | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.050231399.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104726/check_9158090_609ec22e-7bcd-4b21-ae3e-f15903d328ce.json | N/A | N/A | N/A | N/A | N/A | 8NK7JC7CQ39 | N/A | N/A | BRAVO HEALTH | N/A | 1940-03-15 | N/A | N/A | N/A | N/A | false | NISHIMOTO | N/A | RICHARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8025087438 | N/A | N/A | 6104726 | 2222 | 4802 | 8874849 | N/A | 4749110 | 2025-06-23 09:49:53.519536 | 2025-06-02 15:44:17.236968 |
| 2025-06-22 23:52:11.325192 | 2025-06-23 10:04:40.794766 | 9158079 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9158079 | Athletic Physical Therapy Inc | 1971-11-13 | 2025-06-25 | F | PT | N/A | APPEL | XEK911129380 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.050231399.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104720/check_9158079_acd85d0c-3fa7-4d34-8fa3-528f1f85c427.json | N/A | N/A | N/A | N/A | N/A | XEK911129380 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-11-13 | 2001ZJ002648 | X0001000 | N/A | PR | false | APPEL | N/A | DEBORAH | N/A | 9999-12-31 | 2025-01-01 | SILVER 1750 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8025087437 | N/A | N/A | 6104720 | 2222 | 4793 | 8879145 | N/A | 4749103 | 2025-06-23 10:04:40.794766 | 2025-06-06 17:07:03.972074 |