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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-20 17:19:36.666312 | 2025-06-21 05:23:23.252663 | 9116296 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9116296 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-06-23 | F | PT | SHAPIRO | XEA901579979 | ANDREA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_9116296_b4d265b7-526f-45ed-834e-b5060984f3c9.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 | 9999-12-31 | 2016-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8008291266 | N/A | N/A | 5541315 | 2222 | 4793 | 8837921 | N/A | 4213344 | 2025-06-21 05:23:23.252663 | 2025-05-13 04:29:37.227667 |
| 2025-06-20 17:19:36.540980 | 2025-06-21 05:10:38.808670 | 9116289 | N/A | N/A | 60054 | Aetna | 1114042165 | 9116289 | Athletic Physical Therapy Inc | 1959-03-07 | 2025-06-23 | F | AE | AFSHAR | W225594564 | NAZFAR | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541142/check_9116289_a6a14aa1-b2da-4e34-a455-96ea590fd3f6.json | N/A | N/A | N/A | N/A | N/A | W225594564 | N/A | N/A | AETNA | N/A | 1959-03-07 | 0803677 | 080367701200001 | N/A | N/A | false | AFSHAR | N/A | NAZFAR | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008291265 | N/A | N/A | 5541142 | 2222 | 4802 | 8831661 | N/A | 4213197 | 2025-06-21 05:10:38.808670 | 2025-06-03 05:25:30.972895 |
| 2025-06-20 17:19:36.365577 | 2025-06-21 05:29:09.049690 | 9116278 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9116278 | Athletic Physical Therapy Inc | 1957-08-09 | 2025-06-23 | M | AE | DASILVA | 4KY4HX3NJ05 | BOB | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540840/check_9116278_f0215e10-3a06-4dbd-8823-4cc4421df6c4.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 | 8008291264 | N/A | N/A | 5540840 | 2222 | 4793 | 8840962 | N/A | 4212930 | 2025-06-21 05:29:09.049690 | 2025-05-13 04:29:37.227258 |
| 2025-06-20 17:19:36.119189 | 2025-06-21 05:22:11.958371 | 9116267 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9116267 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-06-23 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_9116267_e440ef38-9d39-4cdc-a7c3-c5906d4ccbd9.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | 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 | 8008291263 | N/A | N/A | 5540074 | 2222 | 4802 | 8837355 | N/A | 4212282 | 2025-06-21 05:22:11.958371 | 2025-05-13 04:29:37.226623 |
| 2025-06-20 17:19:35.729494 | 2025-06-21 05:22:13.820104 | 9116249 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9116249 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-06-23 | F | PT | GINSBERG | JQU469A62630 | LISA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539612/check_9116249_92770524-7c3b-45aa-bf95-2e5ac45e8004.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 | 1963-05-25 | 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 | 8008291262 | N/A | N/A | 5539612 | 2222 | 4793 | 8837370 | N/A | 4211892 | 2025-06-21 05:22:13.820104 | 2025-11-02 22:03:21.557202 |
| 2025-06-20 17:19:35.375308 | 2025-06-21 05:20:31.187541 | 9116229 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 9116229 | N/A | 1958-02-11 | 2025-06-23 | F | AE | LEVESQUE | 097A2439020 | JACQUELINE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539382/check_9116229_67815e85-1f64-4cc8-a0a8-45e157467d2b.json | N/A | N/A | N/A | N/A | N/A | 097A2439020 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1958-02-11 | N/A | N/A | N/A | N/A | false | LEVESQUE | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008291261 | N/A | N/A | 5539382 | 2222 | 4793 | 8836464 | N/A | 4211704 | 2025-06-21 05:20:31.187541 | 2025-06-06 23:08:42.876895 |
| 2025-06-20 17:19:34.955779 | 2025-06-21 05:18:11.591154 | 9116210 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9116210 | Athletic Physical Therapy Inc | 1974-11-02 | 2025-06-23 | F | AD | CHUNG | U8197480201 | KRISTINA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539237/check_9116210_02de00eb-88a7-4b53-90c9-bff9bc31d46f.json | N/A | N/A | N/A | N/A | N/A | U8197480201 | N/A | KONAMI DIGITAL ENTERTAINMENT, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 1974-11-02 | N/A | 3344762 | N/A | N/A | false | CHUNG | N/A | KRISTINA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8008291260 | N/A | N/A | 5539237 | 2222 | 4802 | 8835195 | N/A | 4211568 | 2025-06-21 05:18:11.591154 | 2025-05-13 04:29:37.225900 |
| 2025-06-20 17:19:34.496847 | 2025-06-21 05:22:14.659404 | 9116188 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9116188 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-06-23 | M | PT | GINSBERG | JQU469A62630 | STEVEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_9116188_6d4c4100-4fd4-430d-baf0-8f0508a95dc9.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 | 8008291258 | N/A | N/A | 5538693 | 2222 | 4793 | 8837377 | N/A | 4211081 | 2025-06-21 05:22:14.659404 | 2025-05-13 04:29:37.225492 |
| 2025-06-20 17:19:34.289228 | 2025-06-21 05:05:15.479975 | 9116180 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9116180 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-06-23 | M | AE | CHADIDA | 40060913601 | DAVID | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_9116180_0ad88eb4-27b4-4156-aeb0-df76d1828592.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1951-08-02 | N/A | N/A | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008291257 | N/A | N/A | 5538674 | 2222 | 4793 | 8829307 | N/A | 4211039 | 2025-06-21 05:05:15.479975 | 2025-05-13 04:29:37.225444 |
| 2025-06-20 17:19:34.111931 | 2025-06-21 05:23:24.327850 | 9116170 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9116170 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-06-23 | M | AD | WARD | XED913389013 | WILLIAM | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538129/check_9116170_afb67d6b-6d89-431a-8dc7-dda6858a015a.json | N/A | N/A | N/A | N/A | N/A | XED913389013 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-09-10 | 2001ZK002169 | X0001004 | N/A | PR | false | WARD | N/A | WILLIAM | N/A | 9999-12-31 | 2024-08-01 | IFP EMB PED VISION | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8008291256 | N/A | N/A | 5538129 | 2222 | 4802 | 8837927 | N/A | 4210590 | 2025-06-21 05:23:24.327850 | 2025-05-13 04:29:37.225004 |
| 2025-06-20 17:19:33.947291 | 2025-06-21 05:22:20.827522 | 9116162 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9116162 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-06-23 | F | PT | YOUHANAIE | UQK557A62707 | TERESA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537881/check_9116162_fd433115-c9c0-432a-b1fb-8e032375febe.json | N/A | N/A | N/A | N/A | N/A | UQK557A62707 | Preferred Provider Organization (PPO) | CDHP HSA W/NON INTG BANKING-SILVER HDHP | ANTHEM BLUE CROSS | N/A | 1964-06-08 | 130 | 270213OHXB | N/A | PR | false | YOUHANAIE | N/A | TERESA | N/A | 9999-12-31 | 2024-08-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8008291255 | N/A | N/A | 5537881 | 2222 | 4793 | 8837438 | N/A | 4210385 | 2025-06-21 05:22:20.827522 | 2026-03-06 18:49:17.116017 |
| 2025-06-20 17:19:33.768154 | 2025-06-21 05:29:08.352131 | 9116154 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9116154 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-06-23 | F | AE | CHADORCHI | 8MR2X19XD04 | JAFFA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537480/check_9116154_56d4fa71-8bc4-4925-a5ad-723da76d8e47.json | N/A | N/A | N/A | N/A | N/A | 8MR2X19XD04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-30 | S5601 | N/A | N/A | MA | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008291254 | N/A | N/A | 5537480 | 2222 | 4802 | 8840959 | N/A | 4210038 | 2025-06-21 05:29:08.352131 | 2025-06-02 14:57:36.820684 |
| 2025-06-20 17:19:33.498612 | 2025-06-21 05:21:55.322966 | 9116143 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9116143 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-06-23 | M | PT | GOMES | 00000285293 | NEMESIO | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_9116143_768bece8-e283-4aee-b3eb-3b1c992af287.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | 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 | 8008291253 | N/A | N/A | 5537439 | 2222 | 4801 | 8837195 | 2630 | 4210001 | 2025-06-21 05:21:55.322966 | 2025-05-13 04:29:37.224421 |
| 2025-06-20 17:19:33.278104 | 2025-06-21 05:22:17.163372 | 9116136 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9116136 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-06-23 | M | PT | NIELSEN | XDP057A76330 | ROY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_9116136_d1039f95-eabf-4c97-96ce-4c29cccb272e.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8008291252 | N/A | N/A | 5537188 | 2222 | 4802 | 8837399 | N/A | 4209789 | 2025-06-21 05:22:17.163372 | 2025-05-13 04:29:37.224215 |
| 2025-06-20 17:19:33.008636 | 2025-06-21 05:29:09.611989 | 9116126 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9116126 | Athletic Physical Therapy Inc | 1946-05-12 | 2025-06-23 | M | AE | EGGLETON | 9HG9HV5AM53 | PAUL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536868/check_9116126_bcaad2fc-9b6e-42af-9953-8889aa3d3e34.json | N/A | N/A | N/A | N/A | N/A | 9HG9HV5AM53 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-05-12 | S5617 | N/A | N/A | MA | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008291251 | N/A | N/A | 5536868 | 2222 | 4801 | 8840966 | N/A | 4209543 | 2025-06-21 05:29:09.611989 | 2025-06-18 17:33:51.700160 |
| 2025-06-20 17:19:32.790729 | 2025-06-21 05:22:21.189373 | 9116118 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9116118 | Athletic Physical Therapy Inc | 1977-02-28 | 2025-06-23 | F | PT | YOUNG | LDU021A75601 | AMY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536372/check_9116118_c204dc0f-c036-4714-bd67-d7c8415f1ec7.json | N/A | N/A | N/A | N/A | N/A | LDU021A75601 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 1977-02-28 | 040 | 1838NC | N/A | EP | false | YOUNG | N/A | AMY | N/A | 9999-12-31 | 2025-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8008291250 | N/A | N/A | 5536372 | 2222 | 4801 | 8837443 | N/A | 4209123 | 2025-06-21 05:22:21.189373 | 2025-05-13 04:29:37.223548 |
| 2025-06-20 17:19:32.592837 | 2025-06-21 05:21:54.832600 | 9116109 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 9116109 | Athletic Physical Therapy Inc | 1952-10-14 | 2025-06-23 | M | AE | CHISARI | 00000386684 | THOMAS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_9116109_70401aac-77bc-463a-81ae-b417655f62d9.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | 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 | 8008291249 | N/A | N/A | 5536007 | 2222 | 4793 | 8837192 | N/A | 4208829 | 2025-06-21 05:21:54.832600 | 2025-06-03 01:05:45.663969 |
| 2025-06-20 17:19:32.328164 | 2025-06-21 05:05:09.975067 | 9116098 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9116098 | Athletic Physical Therapy Inc | 1961-06-27 | 2025-06-23 | F | PT | BRACKEN | NCF378A67692 | CELINA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535853/check_9116098_d7d10c7b-e2c2-4292-86f8-5cd41606af9d.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 | 8008291248 | N/A | N/A | 5535853 | 2222 | 4793 | 8829296 | N/A | 4208702 | 2025-06-21 05:05:09.975067 | 2025-05-13 04:29:37.223129 |
| 2025-06-20 17:19:31.822320 | 2025-06-21 05:29:10.854173 | 9116081 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9116081 | Athletic Physical Therapy Inc | 1952-10-01 | 2025-06-23 | M | PT | IMPELLIZZERI | 3UJ4DN6CC87 | ROBERT | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535551/check_9116081_ee300b7c-3f84-4b48-bf12-21a6fa456f96.json | N/A | N/A | N/A | N/A | N/A | 3UJ4DN6CC87 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-01 | N/A | N/A | N/A | MB | false | IMPELLIZZERI | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8008291247 | N/A | N/A | 5535551 | 2222 | 4801 | 8840976 | N/A | 4208460 | 2025-06-21 05:29:10.854173 | 2026-01-01 00:19:01.120151 |
| 2025-06-20 17:19:31.540914 | 2025-06-21 05:04:56.732388 | 9116069 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9116069 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-06-23 | F | AE | RYAN | 31026142401 | CAROL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222623208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_9116069_091b560b-09e5-4452-b44e-700f6d969ef3.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1941-04-16 | N/A | N/A | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008291246 | N/A | N/A | 5535455 | 2222 | 4793 | 8829195 | N/A | 4208375 | 2025-06-21 05:04:56.732388 | 2025-08-08 21:08:12.459471 |
| 2025-06-20 17:19:29.551280 | 2025-06-21 05:24:37.519063 | 9115978 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9115978 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-06-23 | M | PT | KESHAVARZIAN | JQE128W05540 | AMIR | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222217122.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993911/check_9115978_6a9b796d-faef-4cd0-8105-dea8590dfd54.json | N/A | N/A | N/A | N/A | N/A | JQE128W05540 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1953-05-16 | 040 | CASUPWP0 | N/A | N/A | false | KESHAVARZIAN | N/A | AMIR | N/A | 9999-12-31 | 2020-07-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8008255176 | N/A | N/A | 5993911 | 2222 | 4801 | 8838530 | N/A | 4534577 | 2025-06-21 05:24:37.519063 | 2025-06-18 18:41:30.608585 |
| 2025-06-20 17:19:23.171473 | 2025-06-21 09:08:12.536369 | 9115677 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9115677 | Athletic Physical Therapy Inc | 1961-05-24 | 2025-06-23 | M | PT | TIDMORE | XOX826489646 | FRED | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222224033.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079116/check_9115677_e577432e-6442-4614-9231-228c76a1d41b.json | N/A | N/A | N/A | N/A | N/A | XOX826489646 | Preferred Provider Organization (PPO) | SODICK, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1961-05-24 | N/A | 327914 | N/A | PR | false | TIDMORE | N/A | FRED | N/A | 9999-12-31 | 2024-10-01 | BLUEOPTIONS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8008257932 | N/A | N/A | 6079116 | 2222 | 4801 | 8844015 | N/A | 4723148 | 2025-06-21 09:08:12.536369 | 2025-05-30 15:53:57.629593 |
| 2025-06-20 17:19:21.363385 | 2025-06-21 09:10:50.264359 | 9115581 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9115581 | Athletic Physical Therapy Inc | 1951-05-08 | 2025-06-23 | F | AE | BERNSTEIN NOAH | 6HK3VD1GN77 | PAULA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222224033.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_9115581_8a117c49-a5c4-4269-91bf-1570932bcd65.json | N/A | N/A | N/A | N/A | N/A | 6HK3VD1GN77 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-05-08 | S5617 | N/A | N/A | MB | false | BERNSTEIN NOAH | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008257918 | N/A | N/A | 6078301 | 2222 | 4802 | 8844585 | N/A | 4722556 | 2025-06-21 09:10:50.264359 | 2025-06-04 18:06:16.300392 |
| 2025-06-20 17:19:20.959640 | 2025-06-21 09:02:40.421297 | 9115557 | N/A | N/A | 60054 | Aetna | 1114042165 | 9115557 | Athletic Physical Therapy Inc | 1999-04-14 | 2025-06-23 | M | AE | FAGAN | W275345811 | ARIEH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222224033.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078250/check_9115557_f5ece4b4-1c57-4929-ae4e-268b08357911.json | N/A | N/A | N/A | N/A | N/A | W275345811 | Point of Service (POS) | ARUP US, INC. | AETNA | N/A | 1999-04-14 | 0847223 | 084722301300002 | N/A | PS | false | FAGAN | N/A | ARIEH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008257916 | N/A | N/A | 6078250 | 2222 | 4802 | 8843103 | N/A | 4722504 | 2025-06-21 09:02:40.421297 | 2025-06-19 03:19:24.165458 |
| 2025-06-20 17:19:20.451684 | 2025-06-21 09:01:31.895795 | 9115536 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9115536 | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-23 | M | PT | BARNETT | JMV357W05874 | MARK | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222224033.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_9115536_0c6d861d-ac4b-4b54-ae32-51b7ca5d35fc.json | N/A | N/A | N/A | N/A | N/A | JMV357W05874 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1972-03-17 | N/A | N/A | N/A | N/A | false | BARNETT | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8008257913 | N/A | N/A | 6078082 | 2222 | 4793 | 8842881 | N/A | 4722340 | 2025-06-21 09:01:31.895795 | 2025-06-06 20:33:59.683125 |
| 2025-06-20 17:19:17.137516 | 2025-06-21 09:10:50.744291 | 9115385 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9115385 | Athletic Physical Therapy Inc | 1949-06-20 | 2025-06-23 | F | PT | MORALES | 7XX8HG0UK25 | ANA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222224033.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6076917/check_9115385_1ff17c23-9d9e-4b48-8507-1944a1c44c49.json | N/A | N/A | N/A | N/A | N/A | 7XX8HG0UK25 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-20 | N/A | N/A | N/A | MA | false | MORALES | N/A | ANA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8008256856 | N/A | N/A | 6076917 | 2222 | 4793 | 8844586 | N/A | 4718913 | 2025-06-21 09:10:50.744291 | 2025-05-29 22:23:40.462913 |
| 2025-06-20 17:19:15.074115 | 2025-06-21 05:19:59.163809 | 9115314 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9115314 | Athletic Physical Therapy Inc | 1976-11-09 | 2025-06-23 | M | AE | LAWSON | I09755489 | KENNETH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222830125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6213138/check_9115314_6d40df52-e64e-49e7-864a-2e18eb8f5301.json | N/A | N/A | N/A | N/A | N/A | I09755489 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1976-11-09 | N/A | N/A | N/A | N/A | false | LAWSON | N/A | KENNETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008301832 | N/A | N/A | 6213138 | 2222 | 4793 | 8836162 | N/A | 4856781 | 2025-06-21 05:19:59.163809 | 2025-06-12 21:52:37.627086 |
| 2025-06-20 17:19:09.017115 | 2025-06-21 09:01:29.109661 | 9115118 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9115118 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-06-23 | F | PT | KAUFMAN | R05917930FM1 | AMANDA | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222224033.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_9115118_d51b98f0-f0df-4f79-ac39-a9d8efd27364.json | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8008256804 | N/A | N/A | 6074035 | 2222 | 4801 | 8842873 | N/A | 4718592 | 2025-06-21 09:01:29.109661 | 2025-05-29 20:00:22.627186 |
| 2025-06-20 17:18:53.076239 | 2025-06-21 05:30:06.194084 | 9114415 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9114415 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-06-23 | M | AE | GRANT | 2p67ae9mf59 | ROBERT | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222830125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211373/check_9114415_445a70c9-11ea-42d7-986c-455e86e72142.json | N/A | N/A | N/A | N/A | N/A | 2P67AE9MF59 | Medicare Part A | N/A | AETNA HEALTH INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-04-20 | S4802 | 019303801200001 | N/A | MA | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008301104 | N/A | N/A | 6211373 | 2222 | 4793 | 8841373 | N/A | 4214087 | 2025-06-21 05:30:06.194084 | 2025-05-13 04:29:37.228402 |
| 2025-06-20 17:18:52.440028 | 2025-06-21 09:07:02.813936 | 9114388 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 9114388 | Athletic Physical Therapy Inc | 1965-06-20 | 2025-06-23 | F | PT | TRUE | 000019461014 | MYRNA | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222224033.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068073/check_9114388_f04cabbb-0661-4c3c-8b7f-1b4a2f11e61b.json | N/A | N/A | N/A | N/A | N/A | 000019461014 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1965-06-20 | 3055890 | 100200 | N/A | N/A | false | TRUE | N/A | MYRNA | N/A | N/A | N/A | KAISER FOUNDATION HEALTH PLAN THE GUILD FOR PROFES | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8008256307 | N/A | N/A | 6068073 | 2222 | 4801 | 8843744 | N/A | 4713010 | 2025-06-21 09:07:02.813936 | 2025-05-28 23:30:35.802750 |
| 2025-06-20 17:18:51.951412 | 2025-06-21 05:22:36.483225 | 9114363 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9114363 | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-23 | F | PT | SANKOVICH | 00000375069 | DEBORAH A | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222830125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_9114363_9f493077-fa7c-4f33-8588-33ca4e351f96.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8008301097 | N/A | N/A | 6210775 | 2222 | 4793 | 8837595 | 2630 | 4215193 | 2025-06-21 05:22:36.483225 | 2026-01-16 04:38:12.725481 |
| 2025-06-20 17:18:27.969749 | 2025-06-20 17:18:29.794145 | 9113320 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-13 | 2025-06-23 | F | AE | SHETH | XEA914147448 | SHAIVALINI | PT | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145898/check_9113320_8a8c6769-f3c1-43f0-bc08-790a2e88e45c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145898/check_9113320_a8c89dd3-9f23-4f51-b9a2-648dd06b281c.json | N/A | N/A | N/A | N/A | N/A | XAN914147448 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1959-07-13 | 1002VX000001 | W0051411 | N/A | PR | false | SHETH | N/A | OJAS | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008237136 | 7927 | N/A | 6145898 | 2222 | N/A | 8819603 | N/A | 4786709 | 2025-06-20 17:18:29.794145 | 2025-06-20 18:28:02.399027 |
| 2025-06-20 17:18:25.479093 | 2025-06-21 05:08:10.877313 | 9113228 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9113228 | Athletic Physical Therapy Inc | 1963-03-09 | 2025-06-23 | M | PT | GILLETTE | ZZA129013396001 | GRADY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.221908713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539753/check_9113228_15ad7c93-e444-4975-bf38-0b2f8d42581c.json | N/A | N/A | N/A | N/A | N/A | ZZA129013396001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-03-09 | 725 | 10527566 | N/A | N/A | false | GILLETTE | N/A | VICTORIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8008238961 | N/A | N/A | 5539753 | 2222 | 4801 | 8830565 | N/A | 4212009 | 2025-06-21 05:08:10.877313 | 2025-05-13 04:29:37.226332 |
| 2025-06-20 17:18:13.895783 | 2025-06-21 05:08:12.337878 | 9112758 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9112758 | Athletic Physical Therapy Inc | 1938-03-08 | 2025-06-23 | M | AE | TEAGUE | DGA10153102J | LEWIS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.221908713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491927/check_9112758_c387703b-61c3-4b47-bd4f-b6a8e591c4a7.json | N/A | N/A | N/A | N/A | N/A | 1T39QJ8JV30 | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | MEDICARE B | N/A | 1938-03-08 | 040 | 276945M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008239322 | N/A | N/A | 6491927 | 2222 | 4802 | 8830602 | N/A | 4215104 | 2025-06-21 05:08:12.337878 | 2025-05-13 04:29:37.229416 |
| 2025-06-20 17:18:02.642482 | 2025-06-21 05:08:04.743874 | 9112354 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9112354 | Athletic Physical Therapy Inc | 1932-10-05 | 2025-06-23 | M | AE | BOLTON | XDO770A69054 | ALAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.221908713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6473159/check_9112354_6e2aad84-beee-4484-9eb7-e1b475bd1c05.json | N/A | N/A | N/A | N/A | N/A | XDO770A69054 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1932-10-05 | 040 | CASUPWP0 | N/A | N/A | false | BOLTON | N/A | ALAN | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. SMARTCHOICE HIGH DEDUCT. PLAN F (NO RX | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008238876 | N/A | N/A | 6473159 | 2222 | 4793 | 8830558 | N/A | 4815871 | 2025-06-21 05:08:04.743874 | 2025-08-01 15:33:39.468574 |
| 2025-06-20 17:18:02.382142 | 2025-06-21 05:22:36.129178 | 9112345 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 9112345 | Athletic Physical Therapy Inc | 1951-02-05 | 2025-06-23 | F | PT | ELANDER | 00000356104 | ELAINE | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222830125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6189728/check_9112345_364a5bc3-9da9-4a8d-b79f-e5cb185a82ef.json | N/A | N/A | N/A | N/A | N/A | 00000356104 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1951-02-05 | H3815028 | N/A | N/A | HM | false | ELANDER | N/A | ELAINE | 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 | 8008301614 | N/A | N/A | 6189728 | 2222 | 4801 | 8837591 | N/A | 4219473 | 2025-06-21 05:22:36.129178 | 2025-05-13 04:29:37.230512 |
| 2025-06-20 17:17:41.764077 | 2025-06-21 05:21:10.988427 | 9111634 | N/A | N/A | 62118 | Aetna Administrator Medicare Supplement (Eligibility & Remits Only) | 1114042165 | 9111634 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-23 | F | AE | BRENNER | TER6252245 | ROCIO FLORES | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222217122.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550897/check_9111634_fff99981-3e95-4013-af38-c5586efc1a86.json | N/A | N/A | N/A | N/A | N/A | TER6252245 | N/A | N/A | AETNA SENIOR SUPPLEMENTAL INSURANCE | N/A | 1954-01-20 | MMS002FRTIER | N/A | N/A | N/A | false | FLORES BRENNER | N/A | ROCIO | N/A | N/A | N/A | MED SUPP PLAN F 2010 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008254697 | N/A | N/A | 5550897 | 2222 | 4793 | 8836746 | N/A | 4219750 | 2025-06-21 05:21:10.988427 | 2025-06-06 02:15:39.377685 |
| 2025-06-20 17:17:41.320605 | 2025-06-21 05:24:36.993147 | 9111618 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9111618 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-06-23 | F | PT | BRADBURY | JQE669W05502 | BONNIE | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222217122.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_9111618_2da35973-117b-4658-a678-18ba2f3d5680.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2022-12-01 | CA PLAN F INNOVATIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8008254696 | N/A | N/A | 5550535 | 2222 | 4801 | 8838524 | N/A | 4219556 | 2025-06-21 05:24:36.993147 | 2025-05-13 04:29:37.230592 |
| 2025-06-20 17:17:41.122940 | 2025-06-21 05:22:13.945894 | 9111609 | N/A | N/A | 71412 | Mutual of Omaha Insurance Company | 1114042165 | 9111609 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-06-23 | F | AE | JOEL | 51533897 | CANDACE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222217122.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550248/check_9111609_cb669196-e089-4eeb-902b-990958a8563b.json | N/A | N/A | N/A | N/A | N/A | 515338-97 | N/A | N/A | MUTUAL OF OMAHA | MUTUAL OF OMAHA OFFERS ONLINE ACCESS TO ELIGIBILITY, BENEFITS AND DETAILED CLAIM STATUS INFORMATION AT WWW.MUTUALOFOMAHA.COM/PROVIDERACCESS | 1951-08-07 | N/A | N/A | N/A | N/A | false | JOEL | N/A | CANDACE | N/A | N/A | N/A | MEDICARE SUPPLEMENT - PLAN TYPE F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008254695 | N/A | N/A | 5550248 | 2222 | 4801 | 8837374 | N/A | 4212766 | 2025-06-21 05:22:13.945894 | 2025-05-13 04:29:37.227101 |
| 2025-06-20 17:17:39.794350 | 2025-06-21 05:21:43.976216 | 9111559 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9111559 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-06-23 | M | PT | GOLDBERG | U5126496602 | MICAHEL | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222217122.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542973/check_9111559_9982865c-18c6-443b-8da2-f8db1ad1f4e7.json | N/A | N/A | N/A | N/A | N/A | U5126496602 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1940-11-11 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | INDEMNITY | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8008254688 | N/A | N/A | 5542973 | 2222 | 4802 | 8837078 | N/A | 4214820 | 2025-06-21 05:21:43.976216 | 2025-06-30 02:56:23.324592 |
| 2025-06-20 17:17:39.556560 | 2025-06-21 05:21:43.596780 | 9111551 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9111551 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-06-23 | F | PT | GOLDBERG | U51264966 | LINDA | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222217122.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542937/check_9111551_c3a4d163-5049-4647-a317-92149e7d40ec.json | N/A | N/A | N/A | N/A | N/A | U5126496601 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1944-10-29 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | INDEMNITY | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8008254687 | N/A | N/A | 5542937 | 2222 | 4802 | 8837074 | N/A | 4214789 | 2025-06-21 05:21:43.596780 | 2025-12-11 23:30:31.319246 |
| 2025-06-20 17:17:39.399429 | 2025-06-21 05:24:37.773619 | 9111547 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9111547 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-06-23 | M | PT | NEILSON | 468A54912 | GEORGE | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222217122.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542625/check_9111547_2eda7cca-134e-4b62-8b95-70d8982e36a1.json | N/A | N/A | N/A | N/A | N/A | 468A54912 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-11-27 | N/A | N/A | N/A | N/A | false | NEILSON | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8008254686 | N/A | N/A | 5542625 | 2222 | 4801 | 8838533 | N/A | 4214511 | 2025-06-21 05:24:37.773619 | 2025-05-13 04:29:37.228826 |
| 2025-06-20 17:17:39.167797 | 2025-06-21 05:30:05.697834 | 9111542 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9111542 | Athletic Physical Therapy Inc | 1932-10-05 | 2025-06-23 | M | AE | BOLTON | 3EK5DJ1UC60 | ALAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222830125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6174537/check_9111542_ae409ac2-5299-4885-ad88-4f4e5de55bbe.json | N/A | N/A | N/A | N/A | N/A | 3EK5DJ1UC60 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1932-10-05 | S5617 | N/A | N/A | MB | false | BOLTON | N/A | ALAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008301297 | N/A | N/A | 6174537 | 2222 | 4793 | 8841371 | N/A | 4815871 | 2025-06-21 05:30:05.697834 | 2025-08-01 15:33:39.468574 |
| 2025-06-20 17:17:39.132712 | 2025-06-21 05:24:37.266854 | 9111539 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9111539 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-06-23 | F | PT | FRANK | JQE134A79727 | KAREN | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222217122.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542269/check_9111539_c729acec-8cc0-451f-a7ac-0a943e49f10e.json | N/A | N/A | N/A | N/A | N/A | JQE134A79727 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-10-11 | 040 | CASUPWP0 | N/A | N/A | false | FRANK | N/A | KAREN | N/A | 9999-12-31 | 2022-01-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8008254685 | N/A | N/A | 5542269 | 2222 | 4802 | 8838526 | N/A | 4214201 | 2025-06-21 05:24:37.266854 | 2025-05-13 04:29:37.228535 |
| 2025-06-20 17:17:38.882969 | 2025-06-21 05:25:05.803234 | 9111533 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9111533 | Athletic Physical Therapy Inc | 1957-08-09 | 2025-06-23 | M | AE | DASILVA | XEM911406068 | BOB | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222217122.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540845/check_9111533_d4979b52-002f-4cd1-853e-4f87b870a02f.json | N/A | N/A | N/A | N/A | N/A | XEM911406068 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1957-08-09 | 2002SE000028 | X0001002 | N/A | OT | false | DASILVA | N/A | BOB | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008254684 | N/A | N/A | 5540845 | 2222 | 4793 | 8838765 | N/A | 4212930 | 2025-06-21 05:25:05.803234 | 2025-05-13 04:29:37.227258 |
| 2025-06-20 17:17:38.235741 | 2025-06-21 05:10:05.470543 | 9111514 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 9111514 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-06-23 | F | AE | CHADORCHI | 33261790711 | JAFFA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222217122.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537483/check_9111514_82539d75-7f70-4ff4-9a4f-ccf81b63957e.json | N/A | N/A | N/A | N/A | N/A | 33261790711 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1951-06-30 | N/A | N/A | N/A | SP | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008254682 | N/A | N/A | 5537483 | 2222 | 4802 | 8831437 | N/A | 4210038 | 2025-06-21 05:10:05.470543 | 2025-06-02 14:57:36.820684 |
| 2025-06-20 17:17:37.927586 | 2025-06-21 05:24:38.058746 | 9111508 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9111508 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-06-23 | M | PT | NIELSEN | XDP057A76330 | ROY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222217122.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_9111508_5fbde61d-0d8f-4089-b902-c994321063bf.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8008254681 | N/A | N/A | 5537188 | 2222 | 4802 | 8838534 | N/A | 4209789 | 2025-06-21 05:24:38.058746 | 2025-05-13 04:29:37.224215 |
| 2025-06-20 17:17:37.525015 | 2025-06-21 05:25:06.092083 | 9111498 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9111498 | Athletic Physical Therapy Inc | 1946-05-12 | 2025-06-23 | M | AE | EGGLETON | XEM090112120 | PAUL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222217122.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536871/check_9111498_497199c8-3241-4107-8e53-ea56242f0c64.json | N/A | N/A | N/A | N/A | N/A | XEM090112120 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1946-05-12 | N/A | N/A | N/A | N/A | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008254680 | N/A | N/A | 5536871 | 2222 | 4801 | 8838768 | N/A | 4209543 | 2025-06-21 05:25:06.092083 | 2025-06-18 17:33:51.700160 |
| 2025-06-20 17:17:22.454271 | 2025-06-21 05:18:26.162468 | 9110967 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9110967 | Athletic Physical Therapy Inc | 1964-06-30 | 2025-06-23 | M | AE | YOKICH | 108161196 | DANIEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222830125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6165588/check_9110967_b45e2dee-a2c2-48e8-a1e1-f01ad092616b.json | N/A | N/A | N/A | N/A | N/A | 10816119600 | N/A | SYMPHONYAI, LLC | CHLIC | COMPLETE CARE MANAGEMENT | 1964-06-30 | N/A | 00637648 | N/A | N/A | false | YOKICH | N/A | DANIEL | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8008301047 | N/A | N/A | 6165588 | 2222 | 4802 | 8835310 | N/A | 4807950 | 2025-06-21 05:18:26.162468 | 2025-06-06 21:18:25.086720 |
| 2025-06-20 17:17:22.161053 | 2025-06-21 05:23:27.775223 | 9110958 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9110958 | Athletic Physical Therapy Inc | 1968-11-26 | 2025-06-23 | F | PT | PELLEGRINI | XEA913808278 | PATRICIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250620.222830125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6165269/check_9110958_fd3d01bd-6a3e-4a56-847e-faf1b293acde.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1968-11-26 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8008301046 | N/A | N/A | 6165269 | 2222 | 4793 | 8837945 | N/A | 4807600 | 2025-06-21 05:23:27.775223 | 2025-06-18 15:19:08.524396 |