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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-14 07:14:02.676874 | 2026-03-28 02:43:32.095990 | 20609588 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20609588 | Athletic Physical Therapy Inc | 1949-06-24 | 2026-03-16 | F | AE | PT | MOLAYEM | XEM904126389 | JILLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16453425/check_20609588_2f66d819-e6de-460f-a629-47b6e5d82a9a.json | N/A | N/A | N/A | N/A | N/A | XEM904126389 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-24 | 2002SF000029 | X0001002 | N/A | OT | false | MOLAYEM | N/A | JILLA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291044411 | N/A | N/A | 16453425 | 2222 | 4802 | 22456169 | N/A | 14498125 | 2026-03-28 02:43:32.095990 | 2026-03-11 14:35:29.812051 |
| 2026-03-14 07:14:02.533211 | 2026-03-28 02:44:22.837196 | 20609569 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 20609569 | Athletic Physical Therapy Inc | 1997-11-01 | 2026-03-17 | M | PT | N/A | PANCER | STS914365541 | JORDAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16366027/check_20609569_e1648467-5975-46b3-88e7-8680ab86e1c2.json | N/A | N/A | N/A | N/A | N/A | STS914365541 | Preferred Provider Organization (PPO) | CAREISMATIC BRANDS INC | BLUE SHIELD CALIFORNIA | N/A | 1997-11-01 | 1000PPOX0004 | W0054275 | N/A | PR | false | PANCER | N/A | JORDAN | N/A | N/A | N/A | CAREISMATIC BRANDS INC ASO PPO COMBINED DEDUCTIB | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10291044410 | N/A | N/A | 16366027 | 2222 | 4802 | 22457036 | N/A | 4213469 | 2026-03-28 02:44:22.837196 | 2025-05-13 04:29:37.227786 |
| 2026-03-14 07:14:02.331223 | 2026-03-28 02:41:49.950292 | 20609541 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 20609541 | Athletic Physical Therapy Inc | 1966-12-22 | 2026-03-17 | F | AE | PT | Shea | 608528327 | Cherilyn | Dawn | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16357633/check_20609541_a829c623-06a0-4a43-81ff-70543c5dddc7.json | N/A | N/A | N/A | N/A | N/A | 608528327 | N/A | L.A. CARE COVERED SILVER 94 HMO | LA CARE HEALTH PLAN | N/A | 1966-12-22 | LACC | 92815CA001000806 | N/A | N/A | false | SHEA | N/A | CHERILYN | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291044409 | N/A | N/A | 16357633 | 2222 | 4793 | 22453836 | N/A | 14403283 | 2026-03-28 02:41:49.950292 | 2026-02-12 21:43:40.758290 |
| 2026-03-14 07:14:02.169654 | 2026-03-28 02:41:14.980206 | 20609519 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 20609519 | Athletic Physical Therapy Inc | 1947-10-08 | 2026-03-17 | F | AE | PT | Kantor | 000002491752 | Judith | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16357604/check_20609519_ba741b0d-4685-4b80-9d0c-653641953b9a.json | N/A | N/A | N/A | N/A | N/A | 000002491752 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1947-10-08 | 3032427 | 100406 | N/A | N/A | false | KANTOR | N/A | JUDITH | N/A | 2026-12-31 | 2026-01-01 | STATE ADMINISTERED PUBLIC AGENCIES STATE ADMINISTE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291044408 | N/A | N/A | 16357604 | 2222 | 4802 | 22453094 | N/A | 14403242 | 2026-03-28 02:41:14.980206 | 2026-02-04 22:38:19.962874 |
| 2026-03-14 07:14:02.002791 | 2026-03-28 02:41:38.303174 | 20609492 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 20609492 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-03-17 | F | AE | PT | LAVORATO | 00000290307 | MARY | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16314847/check_20609492_aa60ad3b-b3b1-4d1b-a553-e6f2745a2cc6.json | N/A | N/A | N/A | N/A | N/A | 00000290307 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1948-02-13 | N/A | N/A | N/A | N/A | false | LAVORATO | N/A | MARY | 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 | 10291044407 | N/A | N/A | 16314847 | 2222 | 4793 | 22453634 | 2630 | 14364421 | 2026-03-28 02:41:38.303174 | 2026-03-10 17:29:39.446746 |
| 2026-03-14 07:14:01.838874 | 2026-03-28 02:41:14.148304 | 20609469 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 20609469 | Athletic Physical Therapy Inc | 1993-04-05 | 2026-03-16 | M | AE | PT | GREY | 000023251060 | MO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16284323/check_20609469_afbe829b-f9bb-4a15-a831-cd9f258e2706.json | N/A | N/A | N/A | N/A | N/A | 000023251060 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1993-04-05 | 4285549 | 296002 | N/A | N/A | false | GREY | N/A | MO | N/A | 2026-12-31 | 2026-01-01 | RIOT GAMES RIOT GAMES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291044406 | N/A | N/A | 16284323 | 2222 | 4802 | 22453071 | N/A | 14332946 | 2026-03-28 02:41:14.148304 | 2026-02-11 16:44:34.390628 |
| 2026-03-14 07:14:01.671927 | 2026-03-28 02:41:45.962094 | 20609443 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 20609443 | Athletic Physical Therapy Inc | 1978-06-30 | 2026-03-17 | F | AE | PT | MANZO | 97551002H | TRACY | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16282386/check_20609443_ee73f71e-acee-4cff-8acf-668651a73942.json | N/A | N/A | N/A | N/A | N/A | 97551002H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1978-06-30 | MCLA | MWLLNMEG21 | N/A | N/A | false | MANZO | N/A | TRACY | N/A | 2078-12-31 | 2025-08-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291044405 | N/A | N/A | 16282386 | 2222 | 4802 | 22453760 | N/A | 14331366 | 2026-03-28 02:41:45.962094 | 2026-02-03 23:08:47.204504 |
| 2026-03-14 07:14:01.488755 | 2026-03-28 02:36:03.501681 | 20609414 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 20609414 | Athletic Physical Therapy Inc | 1953-09-18 | 2026-03-17 | F | AE | PT | ROZZANO | H9643373200 | GINA | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16263884/check_20609414_64c58d21-21c7-4cbd-8383-0577b38bc322.json | N/A | N/A | N/A | N/A | N/A | H96433732 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1953-09-18 | N/A | 2B722001 | N/A | HN | false | ROZZANO | N/A | GINA | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291044404 | N/A | N/A | 16263884 | 2222 | 4801 | 22444826 | N/A | 4214855 | 2026-03-28 02:36:03.501681 | 2026-02-04 07:01:53.240587 |
| 2026-03-14 07:14:01.337650 | 2026-03-28 02:33:31.411680 | 20609393 | N/A | N/A | 60054 | Aetna | 1114042165 | 20609393 | Athletic Physical Therapy Inc | 1967-12-06 | 2026-03-17 | M | AE | PT | SNYDER | W272617591 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16237712/check_20609393_cd85f51e-db3a-4233-85c3-bc5ae48b4e77.json | N/A | N/A | N/A | N/A | N/A | W272617591 | Point of Service (POS) | GALPIN MOTORS, INC. | AETNA | N/A | 1967-12-06 | 0186142 | 018614201400001 | N/A | PS | false | SNYDER | N/A | STEPHANIE | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291044403 | N/A | N/A | 16237712 | 2222 | 4793 | 22439653 | N/A | 14289672 | 2026-03-28 02:33:31.411680 | 2026-02-03 14:00:40.123386 |
| 2026-03-14 07:14:01.139468 | 2026-03-28 02:33:25.342340 | 20609369 | N/A | N/A | 60054 | Aetna | 1114042165 | 20609369 | Athletic Physical Therapy Inc | 1990-11-12 | 2026-03-16 | F | AE | PT | Chow | W227140792 | Yook Ying | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16237575/check_20609369_3988ace7-841a-42cc-b3ca-85d3c7025f23.json | N/A | N/A | N/A | N/A | N/A | W227140792 | Point of Service (POS) | NATIONAL ASSOCIATION OF REALTORS | AETNA | N/A | 1990-11-12 | 0697728 | 069772802100001 | N/A | PS | false | CHOW | N/A | YOOK-YING | 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 | 10291044402 | N/A | N/A | 16237575 | 2222 | 4802 | 22439419 | N/A | 14289458 | 2026-03-28 02:33:25.342340 | 2026-02-11 16:26:04.020916 |
| 2026-03-14 07:14:00.983776 | 2026-03-28 02:43:50.232863 | 20609345 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20609345 | Athletic Physical Therapy Inc | 1969-01-05 | 2026-03-16 | F | PT | N/A | ZARRAONANDIA | JQU263A62637 | JENNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16233568/check_20609345_82cf9ba8-766c-4f98-8207-9f381396797f.json | N/A | N/A | N/A | N/A | N/A | JQU263A62637 | Preferred Provider Organization (PPO) | PRE-CON INSTALLERS | ANTHEM BLUE CROSS | N/A | 1969-01-05 | 040 | K77610 | N/A | PR | false | ZARRAONANDIA | N/A | DANIEL | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10291044401 | N/A | N/A | 16233568 | 2222 | 4793 | 22456412 | N/A | 4209386 | 2026-03-28 02:43:50.232863 | 2026-02-06 18:31:25.628854 |
| 2026-03-14 07:14:00.843192 | 2026-03-28 02:41:17.544147 | 20609323 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 20609323 | Athletic Physical Therapy Inc | 1969-07-20 | 2026-03-17 | F | AE | PT | Miler | 000012260574 | Ann | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16209541/check_20609323_382be8cc-b52d-4ef1-80ce-6cacf6508bc8.json | N/A | N/A | N/A | N/A | N/A | 000012260574 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1969-07-20 | 4299220 | 340406 | N/A | N/A | false | MILER | N/A | ANN | N/A | 2026-12-31 | 2026-01-01 | BRISTLECONE VALUE PARTNERS, LLC. BRISTLECONE VALUE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291044400 | N/A | N/A | 16209541 | 2222 | 4802 | 22453158 | N/A | 14262289 | 2026-03-28 02:41:17.544147 | 2026-02-02 16:47:52.326046 |
| 2026-03-14 07:14:00.661270 | 2026-03-28 02:44:22.147638 | 20609300 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 20609300 | Athletic Physical Therapy Inc | 1999-04-02 | 2026-03-17 | M | PT | N/A | LORRAINE | XEH911817270 | ELIJAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16132086/check_20609300_f16f70c6-ef85-495d-937f-c3a5e5d01b4f.json | N/A | N/A | N/A | N/A | N/A | XEH911817270 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1999-04-02 | 1000VX000001 | W0069783 | N/A | HM | false | LORRAINE | N/A | ELIJAH | N/A | 9999-12-31 | 2022-12-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10291044399 | N/A | N/A | 16132086 | 2222 | 4801 | 22457021 | N/A | 14191252 | 2026-03-28 02:44:22.147638 | 2026-03-12 15:28:35.280372 |
| 2026-03-14 07:14:00.463824 | 2026-03-28 02:33:28.488115 | 20609272 | N/A | N/A | 60054 | Aetna | 1114042165 | 20609272 | Athletic Physical Therapy Inc | 1955-04-21 | 2026-03-17 | F | AE | PT | FINK | 824993928 | DEBORAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16125647/check_20609272_22032c5f-0668-4369-9642-5ab57e7212d5.json | N/A | N/A | N/A | N/A | N/A | 824993928 | Point of Service (POS) | BANK OF AMERICA CORPORATION | AETNA | N/A | 1955-04-21 | 0326475 | 032647501000106 | N/A | PS | false | FINK | N/A | DEBORAH | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291044398 | N/A | N/A | 16125647 | 2222 | 4801 | 22439541 | N/A | 14185911 | 2026-03-28 02:33:28.488115 | 2026-01-31 00:16:18.156182 |
| 2026-03-14 07:14:00.274350 | 2026-03-28 02:40:11.529100 | 20609249 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 20609249 | Athletic Physical Therapy Inc | 1962-08-13 | 2026-03-16 | F | AD | 30 | SHAPIRO | 40065985101 | ONNETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16086772/check_20609249_550d0d45-5efc-4cb0-a20e-9da2193f3ba1.json | N/A | N/A | N/A | N/A | N/A | 40065985101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1962-08-13 | 2026H5425001 | H5425M | N/A | N/A | false | SHAPIRO | N/A | ONNETTE | 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 | 10291044397 | N/A | N/A | 16086772 | 2222 | 4801 | 22451837 | 6237 | 14151882 | 2026-03-28 02:40:11.529100 | 2026-01-30 16:12:37.739707 |
| 2026-03-14 07:14:00.082544 | 2026-03-28 02:43:05.769009 | 20609217 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20609217 | Athletic Physical Therapy Inc | 1967-09-04 | 2026-03-17 | M | PT | N/A | DE LUNA | 025A51982 | NOEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16086240/check_20609217_b5241fbe-ccda-4fc3-87b4-cc3e0a4f7ff2.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1967-09-04 | 040 | 56677WR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2026-03-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10291044396 | N/A | N/A | 16086240 | 2222 | 4801 | 22455578 | N/A | 4343453 | 2026-03-28 02:43:05.769009 | 2025-05-13 04:29:37.230931 |
| 2026-03-14 07:13:59.894712 | 2026-03-28 02:30:13.419243 | 20609190 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 20609190 | Athletic Physical Therapy Inc | 1953-02-12 | 2026-03-16 | M | AE | PT | HASTINGS | ICA082816 | JAMES | S | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16060541/check_20609190_e6e314cd-d73f-438d-8d82-02f694d89bbe.json | N/A | N/A | N/A | N/A | N/A | ICA082816 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-02-12 | N/A | N/A | N/A | N/A | false | HASTINGS | N/A | JAMES | 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 | 10291044395 | N/A | N/A | 16060541 | 2222 | 4801 | 22431388 | N/A | 6841390 | 2026-03-28 02:30:13.419243 | 2026-02-24 00:29:14.751930 |
| 2026-03-14 07:13:59.764598 | 2026-03-28 02:40:14.363613 | 20609169 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 20609169 | Athletic Physical Therapy Inc | 1953-12-17 | 2026-03-17 | F | AD | 30 | TOBOLSKI | 40031694701 | MARSHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16041163/check_20609169_b9b22a1e-aafd-4299-b626-4bec899aa52e.json | N/A | N/A | N/A | N/A | N/A | 40031694701 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1953-12-17 | 2026H5425001 | H5425M | N/A | N/A | false | TOBOLSKI | N/A | MARSHA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10291045021 | N/A | N/A | 16041163 | 2222 | 4801 | 22451881 | N/A | 14110956 | 2026-03-28 02:40:14.363613 | 2026-01-29 19:04:39.423629 |
| 2026-03-14 07:13:59.573229 | 2026-03-28 02:43:41.422956 | 20609142 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20609142 | Athletic Physical Therapy Inc | 1994-03-05 | 2026-03-17 | M | PT | N/A | Runsewe | XDP296W23991 | Oluwapeyibom | I | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16011978/check_20609142_d3fff6df-42c7-4fa5-b84c-0c7307f770f0.json | N/A | N/A | N/A | N/A | N/A | XDP296W23991 | Preferred Provider Organization (PPO) | REGENTS OF THE UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1994-03-05 | 040 | 281636M037 | N/A | PR | false | RUNSEWE | N/A | OLUWAPEYIBOM | N/A | 9999-12-31 | 2025-06-13 | UC RESIDENTS AND FELLOWS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10291045020 | N/A | N/A | 16011978 | 2222 | 4802 | 22456304 | N/A | 14083808 | 2026-03-28 02:43:41.422956 | 2026-02-06 23:30:31.957582 |
| 2026-03-14 07:13:59.435212 | 2026-03-28 02:41:25.916958 | 20609118 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 20609118 | override_provider | 1989-10-15 | 2026-03-16 | M | AE | PT | McGimpsey | 000025861666 | Gavin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15997538/check_20609118_d22d1f44-eeee-4f82-8b5e-5795e7d094fc.json | N/A | N/A | N/A | N/A | N/A | 000025861666 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1989-10-15 | 4361630 | 1650095001 | N/A | N/A | false | MCGIMPSEY | N/A | GAVIN | N/A | 2026-12-31 | 2026-01-01 | FEDERAL EMPLOYEES HEALTH BENEFITS FEDS - OTHER - H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291045019 | N/A | N/A | 15997538 | 2222 | 4802 | 22453337 | N/A | 14070204 | 2026-03-28 02:41:25.916958 | 2026-01-28 18:14:29.010151 |
| 2026-03-14 07:13:59.293934 | 2026-03-28 02:43:09.018474 | 20609097 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20609097 | Athletic Physical Therapy Inc | 1983-12-08 | 2026-03-17 | F | PT | N/A | ZONANA | PLY185A78990 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15960874/check_20609097_50d583f0-01fe-47c1-97e2-4f2d68126b07.json | N/A | N/A | N/A | N/A | N/A | PLY185A78990 | Preferred Provider Organization (PPO) | MATTEL INC | ANTHEM BLUE CROSS | N/A | 1983-12-08 | 040 | 174323M3A1 | N/A | PR | false | FRIEDMAN | N/A | RON | N/A | 9999-12-31 | 2026-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10291045018 | N/A | N/A | 15960874 | 2222 | 4802 | 22455645 | N/A | 14041811 | 2026-03-28 02:43:09.018474 | 2026-03-06 22:13:33.515742 |
| 2026-03-14 07:13:59.124577 | 2026-03-28 02:41:22.487805 | 20609068 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 20609068 | override_provider | 1970-10-11 | 2026-03-16 | M | AE | PT | Downes | 000032002308 | Gile | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15904788/check_20609068_65f4ea82-e8d1-4448-9f5d-9b5a08104eeb.json | N/A | N/A | N/A | N/A | N/A | 000032002308 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1970-10-11 | 4362456 | 1650095001 | N/A | N/A | false | DOWNES | N/A | GILE | 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 | 10291045017 | N/A | N/A | 15904788 | 2222 | 4802 | 22453264 | N/A | 13988678 | 2026-03-28 02:41:22.487805 | 2026-01-26 21:20:00.552687 |
| 2026-03-14 07:13:58.909491 | 2026-03-28 02:44:27.734593 | 20609037 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 20609037 | Athletic Physical Therapy Inc | 1995-03-16 | 2026-03-17 | F | PT | N/A | FEATHERS | XDM945W12328 | MEGAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15832306/check_20609037_deb5168a-b225-471c-80ef-be7e2609f2f4.json | N/A | N/A | N/A | N/A | N/A | XDM945W12328 | Health Maintenance Organization (HMO) | FIRSTSTEPS FOR KIDS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1995-03-16 | 040 | 280927H010 | N/A | HM | false | FEATHERS | N/A | MEGAN | N/A | 9999-12-31 | 2025-12-01 | VALUE SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10291045016 | N/A | N/A | 15832306 | 2222 | 4801 | 22457151 | N/A | 13921724 | 2026-03-28 02:44:27.734593 | 2026-01-23 22:15:28.443333 |
| 2026-03-14 07:13:58.784276 | 2026-03-28 02:41:35.868628 | 20609017 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 20609017 | Athletic Physical Therapy Inc | 1968-01-02 | 2026-03-17 | M | AE | PT | GOLDSTEIN | 00000498546 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15830923/check_20609017_51cd6823-89c5-47fe-81b0-895f067a392d.json | N/A | N/A | N/A | N/A | N/A | 00000498546 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1968-01-02 | N/A | N/A | N/A | N/A | false | GOLDSTEIN | N/A | KEVIN | 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 | 10291045015 | N/A | N/A | 15830923 | 2222 | 4801 | 22453583 | 2630 | 4212667 | 2026-03-28 02:41:35.868628 | 2026-01-19 00:15:08.972740 |
| 2026-03-14 07:13:58.602073 | 2026-03-28 02:41:11.587968 | 20608991 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 20608991 | Athletic Physical Therapy Inc | 1972-09-28 | 2026-03-17 | M | AE | PT | Cuk | 000020940322 | Vladimir | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15748712/check_20608991_ddee338e-a8c5-49b4-abb5-625e7208bf12.json | N/A | N/A | N/A | N/A | N/A | 000020940322 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1972-09-28 | 4384201 | 100201 | N/A | N/A | false | CUK | N/A | VLADIMIR | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG - PHYSICIANS - FULL TIME | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291045014 | N/A | N/A | 15748712 | 2222 | 4802 | 22453014 | N/A | 13846306 | 2026-03-28 02:41:11.587968 | 2026-01-21 19:53:17.349281 |
| 2026-03-14 07:13:58.383348 | 2026-03-28 02:41:36.385987 | 20608954 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 20608954 | Athletic Physical Therapy Inc | 1956-11-03 | 2026-03-16 | F | AE | PT | GONZALES | 00000374506 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15747368/check_20608954_39bdb6ab-0eee-49e5-bef6-dcbdb280722c.json | N/A | N/A | N/A | N/A | N/A | 00000374506 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-03 | N/A | N/A | N/A | N/A | false | GONZALES | N/A | ANA | 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 | 10291045013 | N/A | N/A | 15747368 | 2222 | 4793 | 22453598 | 2630 | 13844800 | 2026-03-28 02:41:36.385987 | 2026-01-26 17:18:13.645285 |
| 2026-03-14 07:13:58.250555 | 2026-03-28 02:32:19.841469 | 20608935 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 20608935 | Athletic Physical Therapy Inc | 1988-03-20 | 2026-03-16 | F | AE | PT | SIEGEL | 20245734 | MELANIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15746316/check_20608935_c67c61d7-8f62-4367-a7d2-90457be2d251.json | N/A | N/A | N/A | N/A | N/A | 20245734 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1988-03-20 | 18126CA001000301 | QMXEM01910 | N/A | N/A | false | SIEGEL | N/A | MELANIE | N/A | 2026-12-31 | 2026-01-01 | SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291045011 | N/A | N/A | 15746316 | 2222 | 4802 | 22436742 | 4211 | 13843731 | 2026-03-28 02:32:19.841469 | 2026-03-30 23:59:22.956591 |
| 2026-03-14 07:13:58.133562 | 2026-03-28 02:44:26.537765 | 20608914 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 20608914 | Athletic Physical Therapy Inc | 1975-06-19 | 2026-03-17 | M | PT | N/A | ZEITHAMMER | UCD914833466 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15745085/check_20608914_bb149a5e-52db-4f2d-84ec-754e455f8604.json | N/A | N/A | N/A | N/A | N/A | UCD914833466 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1975-06-19 | 1400PPOX0001 | W3000984 | N/A | PR | false | ZEITHAMMER | N/A | ROBERT | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA ASO UC CARE PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10291045010 | N/A | N/A | 15745085 | 2222 | 4802 | 22457117 | N/A | 13842766 | 2026-03-28 02:44:26.537765 | 2026-01-26 16:51:25.727723 |
| 2026-03-14 07:13:57.940710 | 2026-03-28 02:41:19.600906 | 20608887 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 20608887 | Athletic Physical Therapy Inc | 1958-01-02 | 2026-03-17 | F | AE | PT | RYAN | 000022661269 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15738632/check_20608887_74fe673a-2494-4046-9305-844741092747.json | N/A | N/A | N/A | N/A | N/A | 000022661269 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1958-01-02 | 4314174 | 104236 | N/A | N/A | false | RYAN | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | SEMPRA SOCALGAS RETIREES UNION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291045009 | N/A | N/A | 15738632 | 2222 | 4802 | 22453204 | N/A | 13838088 | 2026-03-28 02:41:19.600906 | 2026-01-21 17:11:50.384756 |
| 2026-03-14 07:13:57.807167 | 2026-03-28 02:40:12.361976 | 20608868 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 20608868 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-03-16 | F | AD | 30 | SHOTWELL | 40070614601 | KATHY | Z | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15737586/check_20608868_a35d3072-80bc-4690-bf0a-9e3975d0443a.json | N/A | N/A | N/A | N/A | N/A | 40070614601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1960-09-17 | 2026H5425001 | H5425M | N/A | N/A | false | SHOTWELL | N/A | KATHY | 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 | 10291045008 | N/A | N/A | 15737586 | 2222 | 4793 | 22451850 | N/A | 13837022 | 2026-03-28 02:40:12.361976 | 2026-01-27 20:49:36.385334 |
| 2026-03-14 07:13:57.665914 | 2026-03-28 02:32:15.858307 | 20608847 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 20608847 | Athletic Physical Therapy Inc | 1942-09-09 | 2026-03-17 | F | AE | PT | Jackson | 100001280396 | Joann | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15596622/check_20608847_044dce71-0da9-4d3d-9254-3b01f009d8a4.json | N/A | N/A | N/A | N/A | N/A | 100001280396 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1942-09-09 | QMXBPREG020038 | QMXEM01909 | N/A | N/A | false | JACKSON | N/A | JOANN | N/A | 2078-12-31 | 2026-01-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291045007 | N/A | N/A | 15596622 | 2222 | 4802 | 22436607 | 4211 | 13503048 | 2026-03-28 02:32:15.858307 | 2026-01-28 17:23:17.911334 |
| 2026-03-14 07:13:57.476795 | 2026-03-28 02:40:16.790458 | 20608819 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 20608819 | Athletic Physical Therapy Inc | 1952-11-18 | 2026-03-16 | M | AD | 30 | WIGGINS | 40072875001 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15534853/check_20608819_d892fb74-9bc7-46ef-aec0-b0090415b214.json | N/A | N/A | N/A | N/A | N/A | 40072875001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-11-18 | 2026H5425001 | H5425M | N/A | N/A | false | WIGGINS | N/A | DAVID | 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 | 10291045006 | N/A | N/A | 15534853 | 2222 | 4801 | 22451916 | 6237 | 4219334 | 2026-03-28 02:40:16.790458 | 2025-05-13 04:29:37.230357 |
| 2026-03-14 07:13:57.275471 | 2026-03-28 02:41:23.266625 | 20608788 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 20608788 | override_provider | 1936-04-17 | 2026-03-17 | F | AE | PT | Frank | 000010875705 | Lya | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15509616/check_20608788_b5b4e092-c127-4fdd-b249-1a4faa43ea8e.json | N/A | N/A | N/A | N/A | N/A | 000010875705 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1936-04-17 | 1115265 | 230739 | N/A | N/A | false | FRANK | N/A | LYA | N/A | 2026-12-31 | 2026-01-01 | KPSA CONVERSION - SOUTH KPSA CONVERSION - SOUTH | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291045005 | N/A | N/A | 15509616 | 2222 | 4802 | 22453284 | N/A | 13596403 | 2026-03-28 02:41:23.266625 | 2026-01-16 22:31:54.907256 |
| 2026-03-14 07:13:57.065732 | 2026-03-28 02:35:58.362985 | 20608753 | N/A | N/A | 61101 | HUMANA | 1114042165 | 20608753 | Athletic Physical Therapy Inc | 1945-11-22 | 2026-03-17 | F | AE | PT | CHRISTOPHERSON | H6117494000 | SHERYL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15482334/check_20608753_c04bad6a-3488-4783-8ec9-91d555376cd4.json | N/A | N/A | N/A | N/A | N/A | H61174940 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1945-11-22 | N/A | 2B506001 | N/A | HN | false | CHRISTOPHERSON | N/A | SHERYL | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291045004 | N/A | N/A | 15482334 | 2222 | 4801 | 22444676 | 5349 | 13568547 | 2026-03-28 02:35:58.362985 | 2026-01-16 15:29:08.269451 |
| 2026-03-14 07:13:56.849568 | 2026-03-28 02:40:17.636811 | 20608726 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 20608726 | Athletic Physical Therapy Inc | 1956-08-30 | 2026-03-16 | M | AE | PT | Wilson | 40066267001 | Jesse | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15459527/check_20608726_3beaa0b0-f76c-4f34-b812-2ea5d4304e06.json | N/A | N/A | N/A | N/A | N/A | 40066267001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-08-30 | 2026H0976001LAAF | H0976DSNP | N/A | N/A | false | WILSON | N/A | JESSE | N/A | N/A | N/A | SCAN CONNECTIONS ABD (HMO SNP), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291045003 | N/A | N/A | 15459527 | 2222 | 4802 | 22451928 | 6237 | 13546654 | 2026-03-28 02:40:17.636811 | 2026-01-15 21:26:11.579374 |
| 2026-03-14 07:13:56.682029 | 2026-03-28 02:41:12.313038 | 20608701 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 20608701 | Athletic Physical Therapy Inc | 1978-10-10 | 2026-03-16 | M | AE | PT | DRAKE | 000021909753 | COLIN | B | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15416889/check_20608701_dbaa7615-0b24-4f8c-959f-cd65fbe99676.json | N/A | N/A | N/A | N/A | N/A | 000021909753 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1978-10-10 | 4319828 | 102255 | N/A | N/A | false | DRAKE | N/A | COLIN | N/A | 2026-12-31 | 2026-01-01 | DISNEY WORLDWIDE SERVICES, INC. ACTIVES CCSD-CORP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291045002 | N/A | N/A | 15416889 | 2222 | 4802 | 22453031 | N/A | 13507066 | 2026-03-28 02:41:12.313038 | 2026-01-15 00:19:55.179902 |
| 2026-03-14 07:13:56.518277 | 2026-03-28 02:44:31.284504 | 20608678 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 20608678 | Athletic Physical Therapy Inc | 2001-10-26 | 2026-03-17 | F | PT | N/A | MORTENSEN | YZD737W24774 | KIRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15312803/check_20608678_661ad029-66f8-4172-92af-61226aad5dab.json | N/A | N/A | N/A | N/A | N/A | YZD737W24774 | Preferred Provider Organization (PPO) | MEDICAL INFORMATICS ENGINEERING LLC | BLUE SHIELD OF CALIFORNIA | N/A | 2001-10-26 | 130 | W11821M001 | N/A | PR | false | MORTENSEN | N/A | KIRA | N/A | 9999-12-31 | 2025-09-09 | ANTHEM BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10291045001 | N/A | N/A | 15312803 | 2222 | 4793 | 22457244 | N/A | 13411691 | 2026-03-28 02:44:31.284504 | 2026-01-13 00:02:35.174807 |
| 2026-03-14 07:13:56.332594 | 2026-03-28 02:36:02.204160 | 20608648 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 20608648 | Athletic Physical Therapy Inc | 1951-10-12 | 2026-03-17 | M | AE | PT | MICHALAK | H7067412800 | EDWARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15216990/check_20608648_6927e09b-c859-4871-907d-bbf00fd7dd7d.json | N/A | N/A | N/A | N/A | N/A | H70674128 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 666 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1951-10-12 | N/A | 2B863001 | N/A | HN | false | MICHALAK | N/A | EDWARD | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291045000 | N/A | N/A | 15216990 | 2222 | 4801 | 22444782 | N/A | 13318500 | 2026-03-28 02:36:02.204160 | 2026-01-30 17:52:40.406211 |
| 2026-03-14 07:13:56.198268 | 2026-03-28 02:37:58.808319 | 20608631 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 20608631 | Athletic Physical Therapy Inc | 1979-09-06 | 2026-03-16 | F | AE | PT | WASSEF | U9059513402 | JAKLEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15215336/check_20608631_43a343db-817b-4490-9ded-6786530d6960.json | N/A | N/A | N/A | N/A | N/A | U9059513402 | 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 | 1979-09-06 | N/A | 3340850 | N/A | HM | false | WASSEF | N/A | JAKLEEN | 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 | 10291044999 | N/A | N/A | 15215336 | 2222 | 4801 | 22448430 | N/A | 4213924 | 2026-03-28 02:37:58.808319 | 2026-01-09 23:14:39.028891 |
| 2026-03-14 07:13:56.156870 | 2026-03-26 16:03:17.709930 | 20608626 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 20608626 | Athletic Physical Therapy Inc | 1956-09-12 | 2026-03-17 | M | AE | PT | SALANT | XEM910721659 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100433871.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17814116/check_20608626_ae9335f5-1572-4bec-9eba-d0b0782afcd8.json | N/A | N/A | N/A | N/A | N/A | XEM910721659 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1956-09-12 | 2002SE000030 | X0001002 | N/A | OT | false | SALANT | N/A | STEVEN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291087209 | N/A | N/A | 17814116 | 2222 | 4802 | 21414750 | N/A | 15858953 | 2026-03-26 16:03:17.709930 | 2026-03-09 15:55:48.784784 |
| 2026-03-14 07:13:56.029678 | 2026-03-28 02:40:04.418159 | 20608608 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 20608608 | Athletic Physical Therapy Inc | 1960-12-09 | 2026-03-16 | F | AE | PT | ANDREATTE | 40080474001 | DEANNA | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15196264/check_20608608_8b58e6b4-6dd9-468e-9c49-db532920d9d9.json | N/A | N/A | N/A | N/A | N/A | 40080474001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-12-09 | 2026CA200ABDLAC | H0976DSNP | N/A | N/A | false | ANDREATTE | N/A | DEANNA | N/A | N/A | N/A | CALIFORNIA MEDI-CAL PLAN 200 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291044998 | N/A | N/A | 15196264 | 2222 | 4802 | 22451699 | 6237 | 4755145 | 2026-03-28 02:40:04.418159 | 2026-01-14 18:08:34.434380 |
| 2026-03-14 07:13:56.010153 | 2026-03-26 15:59:01.515216 | 20608603 | N/A | N/A | 60054 | Aetna | 1114042165 | 20608603 | Athletic Physical Therapy Inc | 1966-02-10 | 2026-03-17 | F | AE | PT | Kaur | 102258428900 | SARANJIT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100433871.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17736385/check_20608603_cad9d032-8b05-42ae-ba62-004fcd1fb4ed.json | N/A | N/A | N/A | N/A | N/A | 102258428900 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1966-02-10 | 000003-CA000027 | 000003-CA | N/A | QM | false | KAUR | N/A | SARANJIT | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE ENHANCED (PPO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291087208 | N/A | N/A | 17736385 | 2222 | 4801 | 21383855 | N/A | 15497513 | 2026-03-26 15:59:01.515216 | 2026-03-06 21:33:02.751048 |
| 2026-03-14 07:13:55.858003 | 2026-03-28 02:33:29.757605 | 20608579 | N/A | N/A | 60054 | Aetna | 1114042165 | 20608579 | Athletic Physical Therapy Inc | 1970-07-14 | 2026-03-17 | M | AE | PT | KELKAR | W293958328 | SHASHANK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15126340/check_20608579_a98c8832-273d-471c-9215-7dfbedfd18b3.json | N/A | N/A | N/A | N/A | N/A | W293958328 | Point of Service (POS) | ASTRAZENECA PHARMACEUTICALS LP | AETNA | N/A | 1970-07-14 | 0192654 | 019265403800001 | N/A | PS | false | KELKAR | N/A | SHASHANK | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291044997 | N/A | N/A | 15126340 | 2222 | 4801 | 22439602 | N/A | 13234520 | 2026-03-28 02:33:29.757605 | 2026-01-09 18:02:31.951552 |
| 2026-03-14 07:13:55.846801 | 2026-03-26 16:03:18.001554 | 20608578 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 20608578 | Athletic Physical Therapy Inc | 1955-11-26 | 2026-03-16 | F | AE | PT | SHEINBEIN | XEM910199488 | Nancy | THURLO | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100433871.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17593382/check_20608578_12cbdb1e-213d-472f-8969-28d5380f1a59.json | N/A | N/A | N/A | N/A | N/A | XEM910199488 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-26 | 2002SF000028 | X0001002 | N/A | OT | false | SHEINBEIN | N/A | NANCY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291087206 | N/A | N/A | 17593382 | 2222 | 4802 | 21414784 | N/A | 15407829 | 2026-03-26 16:03:18.001554 | 2026-03-03 21:31:17.107791 |
| 2026-03-14 07:13:55.731401 | 2026-03-28 02:43:07.528834 | 20608564 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20608564 | Athletic Physical Therapy Inc | 2000-08-07 | 2026-03-16 | M | PT | N/A | Friedman | PDA8735243AB | Max | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15072800/check_20608564_88ef4bd7-7523-4a23-82a6-62d29db29414.json | N/A | N/A | N/A | N/A | N/A | PDA8735243AB | Preferred Provider Organization (PPO) | PUBLIC STORAGE INC | ANTHEM BLUE CROSS | N/A | 2000-08-07 | 040 | JNT239M3A1 | N/A | PR | false | FRIEDMAN | N/A | ANDRES | N/A | 9999-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10291044996 | N/A | N/A | 15072800 | 2222 | 4802 | 22455612 | N/A | 12900230 | 2026-03-28 02:43:07.528834 | 2025-12-29 17:30:18.319338 |
| 2026-03-14 07:13:55.712363 | 2026-03-26 16:03:15.990891 | 20608560 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 20608560 | Athletic Physical Therapy Inc | 1953-08-24 | 2026-03-17 | M | AE | PT | DHIR | XEM912603274 | PRADEEP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100433871.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17555796/check_20608560_26726a96-9744-4eb1-b28a-15888bfeb9a0.json | N/A | N/A | N/A | N/A | N/A | XEM912603274 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-08-24 | 2004SE000030 | X0001002 | N/A | OT | false | DHIR | N/A | REVA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291087205 | N/A | N/A | 17555796 | 2222 | 4801 | 21414568 | N/A | 15603579 | 2026-03-26 16:03:15.990891 | 2026-04-17 17:11:47.109035 |
| 2026-03-14 07:13:55.561088 | 2026-03-28 02:43:08.486950 | 20608541 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20608541 | Athletic Physical Therapy Inc | 1952-11-07 | 2026-03-16 | M | PT | N/A | FRIEDMAN | JPU173A63431 | PHILLIP | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15026498/check_20608541_52c7ca20-18c2-4b8e-972a-6db0e6c5df18.json | N/A | N/A | N/A | N/A | N/A | JPU173A63431 | Preferred Provider Organization (PPO) | NC DYNAMICS LLC | ANTHEM BLUE CROSS | N/A | 1952-11-07 | 040 | L03068M001 | N/A | PR | false | FRIEDMAN | N/A | PHILLIP | N/A | 9999-12-31 | 2025-06-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10291044995 | N/A | N/A | 15026498 | 2222 | 4802 | 22455627 | N/A | 13139277 | 2026-03-28 02:43:08.486950 | 2026-01-08 19:03:05.462828 |
| 2026-03-14 07:13:55.542641 | 2026-03-26 16:03:02.679548 | 20608538 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20608538 | Athletic Physical Therapy Inc | 1949-06-24 | 2026-03-16 | F | AE | PT | MOLAYEM | XEM904126389 | JILLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100433871.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16453425/check_20608538_5730e014-0d9f-445a-8492-a9e684e0822b.json | N/A | N/A | N/A | N/A | N/A | XEM904126389 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-24 | 2002SF000029 | X0001002 | N/A | OT | false | MOLAYEM | N/A | JILLA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291087204 | N/A | N/A | 16453425 | 2222 | 4802 | 21413170 | N/A | 14498125 | 2026-03-26 16:03:02.679548 | 2026-03-11 14:35:29.812051 |
| 2026-03-14 07:13:55.434520 | 2026-03-26 16:03:00.556003 | 20608524 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20608524 | Athletic Physical Therapy Inc | 1953-08-16 | 2026-03-16 | M | AE | PT | brosh | JQE517M95625 | RAMI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100433871.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16113777/check_20608524_22e7b32e-1b9d-4f44-85c1-b7c658112e1f.json | N/A | N/A | N/A | N/A | N/A | JQE517M95625 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1953-08-16 | 040 | CASUPWP0 | N/A | N/A | false | BROSH | N/A | RAMI | N/A | 9999-12-31 | 2018-09-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10291087203 | N/A | N/A | 16113777 | 2222 | 4793 | 21412949 | N/A | 14174363 | 2026-03-26 16:03:00.556003 | 2026-05-29 18:00:53.778221 |
| 2026-03-14 07:13:55.423660 | 2026-03-28 02:33:03.228095 | 20608522 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 20608522 | override_provider | 1994-03-01 | 2026-03-17 | M | PT | N/A | VANE | GMB812956081 | KYLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260314.100748887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14980212/check_20608522_678b55d5-1dfe-4600-87a3-931573c8565a.json | N/A | N/A | N/A | N/A | N/A | GMB812956081 | Preferred Provider Organization (PPO) | ARTHUR J GALLAGHER ILLINOIS, LLC | BLUE SHIELD OF CALIFORNIA | HEALTH CARE ACCOUNT BALANCE PLEASE DO NOT BILL THE PATIENT. THIS POLICY HAS AN EMPLOYER-FUNDED HEALTH CARE ACCOUNT. THIS TYPE OF HRA WILL BE USED TO PAY FOR QUALIFIED MEDICAL EXPENSES, INCLUDING, BUT NOT LIMITED TO DEDUCTIBLE. | 1994-03-01 | N/A | 169150 | N/A | PR | false | VANE | N/A | KYLE | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10291044994 | N/A | N/A | 14980212 | 2222 | 4793 | 22438492 | N/A | 4213573 | 2026-03-28 02:33:03.228095 | 2026-01-05 00:56:21.017893 |