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 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-09 17:24:14.601627 | 2026-03-09 17:24:16.430552 | 19843355 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-02-12 | 2026-03-19 | M | AE | PT | 23323 | HASTINGS | ICA082816 | JAMES | S | https://storage.googleapis.com/normandy-eligibility-checks/2222/16060541/check_19843355_0c52fed0-5f32-4dd2-9a44-cb7ceb16620b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16060541/check_19843355_6a859581-73da-4a3a-8d49-c34366d6de57.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 | N/A | 167942 | N/A | 16060541 | 2222 | N/A | 19939326 | N/A | 6841390 | 2026-03-09 17:24:16.430552 | 2026-02-24 00:29:14.751930 |
| 2026-03-09 17:24:12.908836 | 2026-03-09 17:24:14.597777 | 19843353 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-02-12 | 2026-03-19 | M | AE | PT | 23323 | HASTINGS | ICA082816 | JAMES | S | https://storage.googleapis.com/normandy-eligibility-checks/2222/16060541/check_19843353_09169c7c-11d3-4148-8e70-c1e342167460.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | N/A | 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 | N/A | 167942 | N/A | 16060541 | 2222 | N/A | N/A | N/A | 6841390 | 2026-03-09 17:24:14.597777 | 2026-02-24 00:29:14.751930 |
| 2026-03-09 17:23:40.606978 | 2026-03-09 17:24:56.157087 | 19843348 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2015-08-07 | 2026-03-19 | M | AE | PT | 3948 | Pederson | W245231300-03 | Camden | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16713614/check_19843348_8dd1a530-d196-46bd-ae72-6bde12105410.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16713614/check_19843348_805f9b76-7ddd-4cf1-a1f0-632bd11d39df.json | N/A | N/A | N/A | N/A | N/A | W245231300 | Point of Service (POS) | ALIGN TECHNOLOGY, INC. | AETNA | N/A | 2015-08-07 | 0883552 | 088355201400001 | N/A | PS | false | PEDERSON | N/A | RYAN | 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 | 10243742681 | 167942 | N/A | 16713614 | 2222 | N/A | 19939352 | N/A | 14725710 | 2026-03-09 17:24:56.157087 | 2026-02-10 21:08:46.744563 |
| 2026-03-09 17:22:30.263657 | 2026-03-09 17:23:40.602869 | 19843263 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2015-08-07 | 2026-03-19 | M | AE | PT | 3948 | Pederson | W245231300-03 | Camden | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16713614/check_19843263_6493b191-1fd0-48fc-a89f-b0518a02017a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | W245231300-03 | N/A | N/A | AETNA | N/A | 2015-08-07 | N/A | N/A | N/A | N/A | false | PEDERSON | N/A | CAMDEN | 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 | N/A | 167942 | N/A | 16713614 | 2222 | N/A | N/A | N/A | 14725710 | 2026-03-09 17:23:40.602869 | 2026-02-10 21:08:46.744563 |
| 2026-03-09 17:22:14.541794 | 2026-03-09 17:22:18.491885 | 19843247 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-10-08 | 2026-03-19 | F | AE | PT | 5505 | Kantor | 000002491752 | Judith | E | https://storage.googleapis.com/normandy-eligibility-checks/2222/16357604/check_19843247_09750026-639e-4d82-84cc-e9c019c90f5e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16357604/check_19843247_59aaf611-b91b-471a-8db8-33a9779407cb.json | N/A | N/A | N/A | N/A | N/A | 000002491752 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1947-10-08 | 3032427 | 100406 | N/A | N/A | false | KANTOR | N/A | JUDITH | N/A | 2026-12-31 | 2026-01-01 | SISC-SELF INSURED SCHOOLS OF CALIFORNIA - SCR SISC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10243726313 | 167942 | N/A | 16357604 | 2222 | N/A | 19939218 | N/A | 14403242 | 2026-03-09 17:22:18.491885 | 2026-02-04 22:38:19.962874 |
| 2026-03-09 17:22:03.439150 | 2026-03-09 17:22:05.237944 | 19843223 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-11-18 | 2026-03-19 | M | PT | N/A | 4191 | LOPEZ | 914314600-000 | RAFAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17262479/check_19843223_16589858-4c9e-4fc6-ba64-818da8ca8971.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17262479/check_19843223_52dd3c79-198f-4d6f-bf53-8b6d28506bd1.json | N/A | N/A | N/A | N/A | N/A | XEH914314600 | Health Maintenance Organization (HMO) | BARRY AVENUE PLATING COMPANY INC | BLUE SHIELD CALIFORNIA | N/A | 1971-11-18 | 1000HMOX0001 | W0053916 | N/A | HM | false | LOPEZ | N/A | RAFAEL | N/A | N/A | N/A | ACCESS HMO R ZERO ADMIT 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10243723875 | 167942 | N/A | 17262479 | 2222 | N/A | 19939195 | N/A | 15279850 | 2026-03-09 17:22:05.237944 | 2026-03-03 00:15:33.322173 |
| 2026-03-09 17:21:52.222951 | 2026-03-09 17:21:55.230696 | 19843215 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-04 | 2026-03-19 | M | PT | N/A | 4185 | DE LUNA | 025A51982 | NOEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16086240/check_19843215_95f23f26-d51c-44ad-87cc-3a3b0bb7a13f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16086240/check_19843215_bdc5b7fd-7646-4a54-86e8-f091ae63c03e.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 | 10243721742 | 167942 | N/A | 16086240 | 2222 | N/A | 19939188 | N/A | 4343453 | 2026-03-09 17:21:55.230696 | 2025-05-13 04:29:37.230931 |
| 2026-03-09 17:21:38.213356 | 2026-03-09 17:21:40.272198 | 19843209 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-25 | 2026-03-19 | F | AE | PT | 4497 | MOHAMMAD | 4X68DW7CW22 | FATAMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16084472/check_19843209_db8abdc5-d2f9-4bb2-93e2-43d9ec9a824b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16084472/check_19843209_81b8e16f-0b84-4a9d-b3d8-ad323132fbd6.json | N/A | N/A | N/A | N/A | N/A | 4X68DW7CW22 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-25 | S4802 | N/A | N/A | MA | false | MOHAMMAD | N/A | FATAMA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 78986 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10243719438 | 167942 | N/A | 16084472 | 2222 | N/A | 19939179 | N/A | 14149549 | 2026-03-09 17:21:40.272198 | 2026-01-30 15:26:24.999158 |
| 2026-03-09 17:21:27.000814 | 2026-03-09 17:21:30.946570 | 19843204 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-28 | 2026-03-19 | F | AE | PT | 4184 | GARCIA | FJB21294792M | STARR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17094426/check_19843204_7bb92cd2-4249-4e7f-8cb6-64388488f358.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17094426/check_19843204_3dafe7e6-5f5e-4054-ba6b-ce5bcad283ac.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | Preferred Provider Organization (PPO) | BANK OF AMERICA CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-08-28 | 101 | 174549M111 | N/A | PR | false | RAY | N/A | ALLISON | N/A | 9999-12-31 | 2016-01-01 | BLUECARD PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10243717258 | 167942 | N/A | 17094426 | 2222 | N/A | 19939177 | N/A | 4214641 | 2026-03-09 17:21:30.946570 | 2025-12-09 08:50:02.875071 |
| 2026-03-09 17:21:10.666686 | 2026-03-09 17:21:14.540604 | 19843199 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-08-17 | 2026-03-19 | F | AE | PT | 4184 | RUEMMELE | XOX815196499 | MAKENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17557872/check_19843199_36aae332-1ab3-4e11-a49b-538a50feb2c4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17557872/check_19843199_03a84687-5c83-48df-b282-70bca433f0ab.json | N/A | N/A | N/A | N/A | N/A | XOX815196499 | Preferred Provider Organization (PPO) | EVOLVE SECURITY | ANTHEM BLUE CROSS | N/A | 2013-08-17 | N/A | 311614 | N/A | PR | false | RUEMMELE | N/A | RAYMOND | N/A | 9999-12-31 | 2026-03-01 | BLUEOPTIONS MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10243714471 | 167942 | N/A | 17557872 | 2222 | N/A | 19939172 | N/A | 4534546 | 2026-03-09 17:21:14.540604 | 2025-12-03 00:06:29.870228 |
| 2026-03-09 17:19:58.487799 | 2026-03-09 17:20:03.626340 | 19843150 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-12-04 | 2026-03-19 | F | PT | N/A | 4191 | Mason | NTF411A78634 | Abigail | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17381759/check_19843150_16557883-0852-44e9-9447-ed4d4a537763.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381759/check_19843150_b93125b5-c8d9-4b7d-88ba-e2e383020762.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | BLUE SHIELD OF CALIFORNIA | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10243701320 | 167942 | N/A | 17381759 | 2222 | N/A | 19939122 | N/A | 15393771 | 2026-03-09 17:20:03.626340 | 2026-02-26 19:44:45.385491 |
| 2026-03-09 17:19:50.576872 | 2026-03-09 17:19:52.361248 | 19843116 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-07-22 | 2026-03-19 | F | PT | N/A | 4185 | Amstutz | 396W12867-40 | Lauren | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16765713/check_19843116_065683b1-72cd-41ad-ba84-ecb952e6aab7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16765713/check_19843116_efce8888-7a97-440c-b09a-fee3fe14d8db.json | N/A | N/A | N/A | N/A | N/A | 396W12867-40 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-07-22 | N/A | N/A | N/A | N/A | false | AMSTUTZ | N/A | LAUREN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16765713 | 2222 | N/A | 19939080 | N/A | 14776656 | 2026-03-09 17:19:52.361248 | 2026-02-10 18:58:53.303852 |
| 2026-03-09 17:19:48.813145 | 2026-03-09 17:19:50.571683 | 19843106 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-07-22 | 2026-03-19 | F | PT | N/A | 4185 | Amstutz | 396W12867-40 | Lauren | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16765713/check_19843106_6412d8b7-3ebc-44f4-bd1f-d595ba81d20f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | 396W12867-40 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-07-22 | N/A | N/A | N/A | N/A | false | AMSTUTZ | N/A | LAUREN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16765713 | 2222 | N/A | N/A | N/A | 14776656 | 2026-03-09 17:19:50.571683 | 2026-02-10 18:58:53.303852 |
| 2026-03-09 17:19:34.561386 | 2026-03-09 17:19:40.529207 | 19843103 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-10-26 | 2026-03-19 | F | PT | N/A | 4191 | MORTENSEN | YZD737W24774 | KIRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15312803/check_19843103_90b0a3d6-9b15-437a-92e5-52e2ed844f25.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15312803/check_19843103_e02d6111-e77d-42a0-807e-0feeb31e5af9.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 | 10243698181 | 167942 | N/A | 15312803 | 2222 | N/A | 19939073 | N/A | 13411691 | 2026-03-09 17:19:40.529207 | 2026-01-13 00:02:35.174807 |
| 2026-03-09 17:19:21.795755 | 2026-03-09 17:19:25.766996 | 19843094 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-06-06 | 2026-03-19 | M | AE | PT | N/A | Lawson | 996457450 | Chris | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15806572/check_19843094_fad4878d-5af2-4799-b839-03e03b3330cb.json | UHC | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15806572/check_19843094_14ae3d46-32ec-4e2e-9316-e1ddb529c3c9.json | N/A | N/A | N/A | N/A | N/A | 996457450 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1976-06-06 | N/A | 908344 | N/A | C1 | false | LAWSON | N/A | CHRISTOPHER | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 15806572 | 2222 | N/A | 19939064 | N/A | 13895731 | 2026-03-09 17:19:25.766996 | 2026-01-22 21:25:50.929844 |
| 2026-03-09 17:19:07.676996 | 2026-03-09 17:19:10.632101 | 19843081 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-05-24 | 2026-03-19 | F | PT | N/A | 4185 | CLARK | JQU645W04003 | CLAUDIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536134/check_19843081_2f4f34e5-add3-4fb1-b52b-d199c6b4a1bf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536134/check_19843081_c6e45ebe-2d67-4d04-bff7-75600610b396.json | N/A | N/A | N/A | N/A | N/A | JQU645W04003 | Preferred Provider Organization (PPO) | ATHLETIC PHYSICAL THERAPY INC | ANTHEM BLUE CROSS | N/A | 1974-05-24 | 040 | G76231 | N/A | PR | false | CLARK | N/A | STEPHEN | N/A | 9999-12-31 | 2026-01-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10243694193 | 167942 | N/A | 5536134 | 2222 | N/A | 19939053 | N/A | 4208937 | 2026-03-09 17:19:10.632101 | 2026-02-26 17:45:27.761245 |
| 2026-03-09 17:19:00.419806 | 2026-03-09 17:19:02.177952 | 19843075 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-07 | 2026-03-19 | M | AE | PT | 4497 | WALLACH | 1PD0KF7JH37 | CHARLES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17378232/check_19843075_5368ed0f-e634-4b9e-b4e6-1fa4678721d5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17378232/check_19843075_d0b312a5-b396-4956-b4c0-a1093b9a735d.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MB | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 38178 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10243693104 | 167942 | N/A | 17378232 | 2222 | N/A | 19939041 | N/A | 6660003 | 2026-03-09 17:19:02.177952 | 2026-06-01 17:03:48.982724 |
| 2026-03-09 17:18:50.374583 | 2026-03-09 17:18:52.197647 | 19843071 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-09-09 | 2026-03-19 | F | AE | PT | 5538 | Edwards | 98326476F | Alethea | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16285370/check_19843071_75cacd2c-d825-4f9b-94ca-6a2aba42c712.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16285370/check_19843071_e8fac63a-7a36-48c7-88cb-feb1c089e516.json | N/A | N/A | N/A | N/A | N/A | 98326476F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1968-09-09 | MCLA | MWLLNMEG21 | N/A | N/A | false | EDWARDS | N/A | ALETHEA | N/A | 2078-12-31 | 2025-06-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10243691781 | 167942 | N/A | 16285370 | 2222 | N/A | 19939036 | N/A | 14334011 | 2026-03-09 17:18:52.197647 | 2026-02-04 00:05:43.902310 |
| 2026-03-09 17:18:44.493430 | 2026-03-09 17:18:46.468986 | 19843070 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-10 | 2026-03-19 | F | AE | PT | 4497 | Kaur | 2AP8VUOHM59 | SARANJIT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17736420/check_19843070_f0c32605-59f7-4f1f-b2d5-6dbcc32f7c66.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17736420/check_19843070_e4da7fd2-68ee-4e80-ac4c-78af8bee25df.json | N/A | N/A | N/A | N/A | N/A | 2AP8VUOHM59 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1966-02-10 | N/A | N/A | N/A | N/A | false | KAUR | N/A | SARANJIT | 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 | N/A | 167942 | N/A | 17736420 | 2222 | N/A | 19939033 | N/A | 15497513 | 2026-03-09 17:18:46.468986 | 2026-03-06 21:33:02.751048 |
| 2026-03-09 17:18:42.611246 | 2026-03-09 17:18:44.489771 | 19843068 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-10 | 2026-03-19 | F | AE | PT | 4497 | Kaur | 2AP8VUOHM59 | SARANJIT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17736420/check_19843068_1ae70705-efad-4b57-8d2d-94b5c2b6da89.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | 2AP8VUOHM59 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1966-02-10 | N/A | N/A | N/A | N/A | false | KAUR | N/A | SARANJIT | 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 | N/A | 167942 | N/A | 17736420 | 2222 | N/A | N/A | N/A | 15497513 | 2026-03-09 17:18:44.489771 | 2026-03-06 21:33:02.751048 |
| 2026-03-09 17:18:31.467622 | 2026-03-09 17:18:34.279248 | 19843045 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-06-08 | 2026-03-19 | F | AE | PT | 4625 | SALIMIAN | UZ110324601 | NASHMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17492780/check_19843045_6575bf07-5c0f-4099-b535-81e7cf27e54a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_19843045_972cb7a0-3f6a-4b48-b455-bbb55e50ab36.json | N/A | N/A | N/A | N/A | N/A | UZ110324601 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1979-06-08 | 67138CA0520015-05 | N/A | N/A | N/A | false | SALIMIAN | N/A | NASHMIL | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10243689199 | 167942 | N/A | 17492780 | 2222 | N/A | 19939011 | N/A | 15085116 | 2026-03-09 17:18:34.279248 | 2026-02-18 20:26:50.354139 |
| 2026-03-09 17:18:23.873619 | 2026-03-09 17:18:26.845945 | 19843043 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-06-07 | 2026-03-19 | M | PT | N/A | 4185 | Greathouse | MPI30458946Q | Kheperan | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540871/check_19843043_fd23358e-cc0f-4b46-8dc5-17e25164d717.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540871/check_19843043_5f0f10f3-0abe-4235-918e-87ebd2116376.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10243688201 | 167942 | N/A | 5540871 | 2222 | N/A | 19939008 | N/A | 4212959 | 2026-03-09 17:18:26.845945 | 2025-10-17 20:08:21.136268 |
| 2026-03-09 17:18:12.311905 | 2026-03-09 17:18:16.353476 | 19843041 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1936-04-17 | 2026-03-19 | F | AE | PT | 5504 | Frank | 000010875705 | Lya | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15509616/check_19843041_3d0770fd-3e2b-46e2-ad0f-ebd3ea989457.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15509616/check_19843041_7bdfd728-082a-4270-a8c0-e57235eeeb6b.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 B SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10243686678 | 167942 | N/A | 15509616 | 2222 | N/A | 19939005 | N/A | 13596403 | 2026-03-09 17:18:16.353476 | 2026-01-16 22:31:54.907256 |
| 2026-03-09 17:18:02.316844 | 2026-03-09 17:18:06.173209 | 19843032 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-11-15 | 2026-03-19 | F | AE | PT | 4211 | DIBAEI | 95643445F | ATEFEH | M | https://storage.googleapis.com/normandy-eligibility-checks/2222/16929305/check_19843032_59d2ff96-9479-474c-87a5-6329d00739b2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16929305/check_19843032_0d07026e-b02b-4e75-8325-322dc6b2d3be.json | N/A | N/A | N/A | N/A | N/A | 95643445F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 04/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-11-15 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DIBAEI | N/A | ATEFEH | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10243685325 | 167942 | N/A | 16929305 | 2222 | N/A | 19938995 | N/A | 14928874 | 2026-03-09 17:18:06.173209 | 2026-02-13 23:07:04.697142 |
| 2026-03-09 17:17:45.940291 | 2026-03-09 17:17:48.736950 | 19843025 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-10-10 | 2026-03-19 | M | AE | PT | 4497 | Walter | 1TQ1EQ4FJ98 | Howard | N | https://storage.googleapis.com/normandy-eligibility-checks/2222/6751304/check_19843025_708acb20-d79a-4d9c-ba9d-90b0b43db0ce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_19843025_c8d4470d-26cf-4b23-980d-2decce3efb5e.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MB | false | WALTER | N/A | HOWARD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 71100 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10243682909 | 167942 | N/A | 6751304 | 2222 | N/A | 19938985 | N/A | 5557241 | 2026-03-09 17:17:48.736950 | 2025-07-22 17:08:51.810153 |
| 2026-03-09 17:17:35.853459 | 2026-03-09 17:17:37.872165 | 19843015 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2026-03-19 | M | AE | PT | 6237 | AKHTARI | 400454213-01 | SHAHROKH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_19843015_10afa1a3-6eca-4b7c-9e1c-b0df499269dc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_19843015_08ab73dd-1374-4851-be9a-78a769b3a745.json | N/A | N/A | N/A | N/A | N/A | 400454213-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1950-03-29 | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | 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 | N/A | 167942 | N/A | 5543493 | 2222 | N/A | 19938961 | N/A | 4215273 | 2026-03-09 17:17:37.872165 | 2025-05-13 04:29:37.229594 |
| 2026-03-09 17:17:09.647804 | 2026-03-09 17:17:35.848478 | 19842829 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2026-03-19 | M | AE | PT | 6237 | AKHTARI | 400454213-01 | SHAHROKH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_19842829_343ffbee-4a2d-4a80-831d-25568e957421.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | 400454213-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1950-03-29 | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | 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 | N/A | 167942 | N/A | 5543493 | 2222 | N/A | N/A | N/A | 4215273 | 2026-03-09 17:17:35.848478 | 2025-05-13 04:29:37.229594 |
| 2026-03-09 17:16:37.201590 | 2026-03-09 17:16:40.039866 | 19842629 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-09-28 | 2026-03-19 | M | AE | PT | 5505 | Cuk | 000020940322 | Vladimir | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15748712/check_19842629_defd3059-a9b7-49e2-be90-195b77445708.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15748712/check_19842629_7d4d685b-c429-4eec-88f7-8a72182da87f.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 | 10243672970 | 167942 | N/A | 15748712 | 2222 | N/A | 19938604 | N/A | 13846306 | 2026-03-09 17:16:40.039866 | 2026-01-21 19:53:17.349281 |
| 2026-03-09 17:16:21.733315 | 2026-03-09 17:16:26.812507 | 19842611 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-12-06 | 2026-03-19 | M | AE | PT | 3948 | SNYDER | W272617591 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16237712/check_19842611_f2e0b06b-7b48-44a8-a6e6-4a6123c3e5c7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16237712/check_19842611_2e4cfcde-ae40-46fa-a954-0a126ea7d598.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 | 10243670667 | 167942 | N/A | 16237712 | 2222 | N/A | 19938584 | N/A | 14289672 | 2026-03-09 17:16:26.812507 | 2026-02-03 14:00:40.123386 |
| 2026-03-09 17:16:01.897863 | 2026-03-09 17:16:03.953055 | 19842602 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-20 | 2026-03-19 | M | 30 | AD | 6237 | Sedlak | 40084772901 | Chris | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17533302/check_19842602_80d5ed74-64f8-404c-8632-d4018cabf954.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17533302/check_19842602_bb3bdcb9-9d48-4425-9587-ca03a2290ed9.json | N/A | N/A | N/A | N/A | N/A | 40084772901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-07-20 | N/A | N/A | N/A | N/A | false | SEDLAK | N/A | CHRIS | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17533302 | 2222 | N/A | 19938573 | N/A | 15565486 | 2026-03-09 17:16:03.953055 | 2026-03-17 20:55:49.152309 |
| 2026-03-09 17:15:51.596785 | 2026-03-09 17:16:01.874812 | 19842575 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-20 | 2026-03-19 | M | 30 | AD | 6237 | Sedlak | 40084772901 | Chris | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17533302/check_19842575_85316706-f829-445e-95e0-1dfdb559bd5a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | 40084772901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-07-20 | N/A | N/A | N/A | N/A | false | SEDLAK | N/A | CHRIS | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17533302 | 2222 | N/A | N/A | N/A | 15565486 | 2026-03-09 17:16:01.874812 | 2026-03-17 20:55:49.152309 |
| 2026-03-09 17:15:06.999751 | 2026-03-09 17:15:40.697521 | 19842513 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-02-11 | 2026-03-19 | M | AE | PT | 6341 | SOLARES | 1457494420 | WILBER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/13852801/check_19842513_97767d0f-c14e-440b-82fc-c64721695180.json | AVAILITY | N/A | INSIGHTS | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | 1457494420 | N/A | N/A | N/A | N/A | 1994-02-11 | N/A | N/A | N/A | N/A | false | SOLARES | N/A | WILBER | 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 | N/A | 167942 | N/A | 13852801 | 2222 | N/A | N/A | N/A | 12000360 | 2026-03-09 17:15:40.697521 | 2026-01-27 17:13:10.189797 |
| 2026-03-09 17:14:54.833548 | 2026-03-09 17:14:56.721935 | 19842484 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2026-03-19 | F | AE | PT | 4497 | FABER | 4X26K21EE83 | LINDA | A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_19842484_ce77495a-54e6-4fc6-8fda-c2b07c1302dd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_19842484_6f471d04-6ceb-4cde-ac1b-dea16260944a.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MA | false | FABER | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 42210 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10243659653 | 167942 | N/A | 6522947 | 2222 | N/A | 19938451 | N/A | 5146127 | 2026-03-09 17:14:56.721935 | 2025-06-20 17:58:23.371130 |
| 2026-03-09 17:14:38.014394 | 2026-03-09 17:14:39.991246 | 19842432 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-01-30 | 2026-03-19 | M | AE | PT | 4199 | VELA | 99410865F64205 | DOMINGO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16361639/check_19842432_7f065e8b-4394-4a3b-9738-099e536ae24a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16361639/check_19842432_b07c8a8f-7815-4cd3-b372-4226a7490f1b.json | N/A | N/A | N/A | N/A | N/A | 99410865F64205 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1970-01-30 | N/A | N/A | N/A | N/A | false | VELA | N/A | DOMINGO | 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 | N/A | 167942 | N/A | 16361639 | 2222 | N/A | 19938395 | N/A | 14407081 | 2026-03-09 17:14:39.991246 | 2026-02-09 22:04:31.935785 |
| 2026-03-09 17:14:36.389034 | 2026-03-09 17:14:38.010942 | 19842418 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-01-30 | 2026-03-19 | M | AE | PT | 4199 | VELA | 99410865F64205 | DOMINGO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16361639/check_19842418_3baf8691-868b-4286-906c-2702d41463dd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | 99410865F64205 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1970-01-30 | N/A | N/A | N/A | N/A | false | VELA | N/A | DOMINGO | 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 | N/A | 167942 | N/A | 16361639 | 2222 | N/A | N/A | N/A | 14407081 | 2026-03-09 17:14:38.010942 | 2026-02-09 22:04:31.935785 |
| 2026-03-09 17:14:18.064022 | 2026-03-09 17:14:22.227740 | 19842349 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-10-11 | 2026-03-19 | M | AE | PT | 5349 | FARRUGIA | H6573816900 | JEFF | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17264465/check_19842349_d82bb691-e4f3-4a7b-9aa7-5d8b5a9e2915.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17264465/check_19842349_0c282108-e66e-429c-94a7-9c6d947d9894.json | N/A | N/A | N/A | N/A | N/A | H65738169 | 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 | 1954-10-11 | N/A | 2B722001 | N/A | HN | false | FARRUGIA | N/A | JEFFREY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10243654868 | 167942 | N/A | 17264465 | 2222 | N/A | 19938326 | N/A | 15281758 | 2026-03-09 17:14:22.227740 | 2026-04-16 18:41:33.012590 |
| 2026-03-09 17:14:13.052339 | 2026-03-09 17:14:17.013678 | 19842336 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-03-28 | 2025-08-04 | N/A | PT | AE | 4437 | SAGMAN | U9205101701 | SYDNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9924959/check_19842336_76bfb056-e683-4e3e-8d1f-0be76fa369e9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9924959/check_19842336_e6c5f457-78c9-4531-8a40-84fc166bca47.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10243654207 | N/A | N/A | 9924959 | 2222 | N/A | 19938313 | N/A | 4722569 | 2026-03-09 17:14:17.013678 | 2025-08-26 00:16:35.895658 |
| 2026-03-09 17:14:00.590343 | 2026-03-09 17:14:02.566708 | 19842311 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 23319 | STROVER | AHCA00059048 | JESUSAESTRELLA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19842311_bd84dd0f-1014-49db-a7d2-cbf2d2f5022d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17562065/check_19842311_6d60bd6c-c2e0-4c32-b007-811526975e22.json | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-04-15 | N/A | N/A | N/A | N/A | false | STROVER | N/A | JESUSAESTRELLA | 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 | N/A | 7927 | N/A | 17562065 | 2222 | N/A | 19938281 | N/A | 15609641 | 2026-03-09 17:14:02.566708 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 17:13:58.658790 | 2026-03-09 17:14:00.588481 | 19842304 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 23319 | STROVER | AHCA00059048 | JESUSAESTRELLA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19842304_68c2f42a-8d09-4749-960d-d252c4d9ff52.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | N/A | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-04-15 | N/A | N/A | N/A | N/A | false | STROVER | N/A | JESUSAESTRELLA | 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 | N/A | 7927 | N/A | 17562065 | 2222 | N/A | N/A | N/A | 15609641 | 2026-03-09 17:14:00.588481 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 17:13:45.886662 | 2026-03-09 17:13:47.765190 | 19842281 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-01-02 | 2026-03-19 | M | AE | PT | 2630 | GOLDSTEIN | 00000498546 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15830923/check_19842281_1f156db8-c556-42b6-8053-819fedfd2813.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15830923/check_19842281_7f560866-d74b-41b3-8545-3fc679f796f8.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 | N/A | 167942 | N/A | 15830923 | 2222 | N/A | 19938254 | N/A | 4212667 | 2026-03-09 17:13:47.765190 | 2026-01-19 00:15:08.972740 |
| 2026-03-09 17:13:42.243150 | 2026-03-09 17:13:45.884251 | 19842272 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-01-02 | 2026-03-19 | M | AE | PT | 2630 | GOLDSTEIN | 00000498546 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15830923/check_19842272_9178f8ef-49b8-4e75-9f21-aa796e9c50a3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | N/A | 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 | N/A | 167942 | N/A | 15830923 | 2222 | N/A | N/A | N/A | 4212667 | 2026-03-09 17:13:45.884251 | 2026-01-19 00:15:08.972740 |
| 2026-03-09 17:13:31.670246 | 2026-03-09 17:13:34.712118 | 19842254 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-03-31 | 2026-03-19 | M | PT | N/A | 4185 | MILES | MBL835W05431 | KEITH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536896/check_19842254_2bea1c64-6fc0-4ba7-abb7-a81f5ac01c7b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_19842254_e2c9a892-ae1d-483c-8d11-293600888d5d.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10243649043 | 167942 | N/A | 5536896 | 2222 | N/A | 19938228 | N/A | 4209567 | 2026-03-09 17:13:34.712118 | 2025-05-13 04:29:37.223990 |
| 2026-03-09 17:13:20.089841 | 2026-03-09 17:13:23.156657 | 19842241 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-10-22 | 2026-03-19 | F | PT | N/A | 4191 | KINSLEY | 913281434-000 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537996/check_19842241_dc29da18-ef3d-4cac-b053-fe21952649c4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537996/check_19842241_6b45d56f-c3e7-4bd5-b896-c0fb0401b7a9.json | N/A | N/A | N/A | N/A | N/A | XEH913281434 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1966-10-22 | 1000VX000001 | W0069783 | N/A | HM | false | KINSLEY | N/A | MICHELLE | N/A | 9999-12-31 | 2025-07-01 | 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 | 10243647748 | 167942 | N/A | 5537996 | 2222 | N/A | 19938212 | N/A | 4210486 | 2026-03-09 17:13:23.156657 | 2025-05-13 04:29:37.224904 |
| 2026-03-09 17:12:55.889626 | 2026-03-09 17:12:57.822073 | 19842193 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-05-08 | 2026-03-19 | F | AE | PT | 4497 | GRINBERG | 6W60TM0KP36 | HANNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542161/check_19842193_efa89a5b-7551-49bc-9c44-60c0e3ee96fc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542161/check_19842193_1a1f266d-b8ab-4107-8a19-f4cf9a3b734e.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MB | false | GRINBERG | N/A | HANNA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 50706 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10243644719 | 167942 | N/A | 5542161 | 2222 | N/A | 19938161 | N/A | 4214112 | 2026-03-09 17:12:57.822073 | 2025-05-13 04:29:37.228426 |
| 2026-03-09 17:12:10.778051 | 2026-03-09 17:12:12.613796 | 19842068 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-02-09 | 2026-03-19 | F | AE | PT | 4497 | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | Allis | https://storage.googleapis.com/normandy-eligibility-checks/2222/7204595/check_19842068_3725ea30-3cd6-49dd-a678-17c81d907659.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204595/check_19842068_828b0d1c-8cbb-47b5-a7f0-72b0108e75cf.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S4802 | N/A | N/A | MA | false | FERTSCHNEIDER | N/A | NANCY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 118745 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10243638985 | 167942 | N/A | 7204595 | 2222 | N/A | 19938052 | N/A | 6175435 | 2026-03-09 17:12:12.613796 | 2025-08-05 19:05:08.506352 |
| 2026-03-09 17:11:58.898424 | 2026-03-09 17:12:01.848078 | 19842049 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-09-03 | 2026-03-19 | F | AE | PT | 4625 | REZAYANI | 970933372E | SOHAYLA | M | https://storage.googleapis.com/normandy-eligibility-checks/2222/16679973/check_19842049_9f569042-263d-4cff-b115-57439731aa10.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16679973/check_19842049_c9a30e97-2a4d-44d0-af5d-79e595c1a0e0.json | N/A | N/A | N/A | N/A | N/A | 970933372E | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1964-09-03 | N/A | N/A | N/A | N/A | false | REZAYANI | N/A | SOHAYLA | 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 | N/A | 167942 | N/A | 16679973 | 2222 | N/A | 19938030 | N/A | 4213366 | 2026-03-09 17:12:01.848078 | 2025-07-14 15:29:50.728003 |
| 2026-03-09 17:11:52.243397 | 2026-03-09 17:11:55.069950 | 19842032 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-06-17 | 2026-01-29 | N/A | PT | AE | 5538 | FAVELA | 620360888 | MAXIMILIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/8960010/check_19842032_2ebf4854-ae8c-41ab-bf86-aa86ca58d9c0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_19842032_7b508052-0a5b-4264-adc5-3f803250ad53.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | N/A | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10243636794 | N/A | N/A | 8960010 | 2222 | N/A | 19938012 | N/A | 7476978 | 2026-03-09 17:11:55.069950 | 2026-01-07 18:27:22.752552 |
| 2026-03-09 17:11:40.024632 | 2026-03-09 17:11:58.894845 | 19841993 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-09-03 | 2026-03-19 | F | AE | PT | 4625 | REZAYANI | 970933372E | SOHAYLA | M | https://storage.googleapis.com/normandy-eligibility-checks/2222/16679973/check_19841993_bf140d00-959a-4245-9929-06f96062eaeb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | 970933372E | N/A | N/A | HEALTH NET, LLC | N/A | 1964-09-03 | N/A | N/A | N/A | N/A | false | REZAYANI | N/A | SOHAYLA | 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 | N/A | 167942 | N/A | 16679973 | 2222 | N/A | N/A | N/A | 4213366 | 2026-03-09 17:11:58.894845 | 2025-07-14 15:29:50.728003 |
| 2026-03-09 17:11:39.294306 | 2026-03-09 17:11:41.097792 | 19841989 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-06-21 | 2026-03-09 | F | 30 | AD | 6237 | Mamane | 40079211601 | Marlene | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17585914/check_19841989_eecfc24c-35f1-4b5c-bf6d-099d52790211.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17585914/check_19841989_927d08d4-29fd-4907-8b2b-664402033f52.json | N/A | N/A | N/A | N/A | N/A | 40079211601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1959-06-21 | 2026H5425065LA | H5425M | N/A | N/A | false | MAMANE | N/A | MARLENE | N/A | N/A | N/A | SCAN PRIME (HMO), LOS ANGELES | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 10243635395 | 7927 | N/A | 17585914 | 2222 | N/A | 19937971 | N/A | 15633309 | 2026-03-09 17:11:41.097792 | 2026-03-04 17:46:21.126462 |
| 2026-03-09 17:11:19.887556 | 2026-03-09 17:11:25.030433 | 19841931 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-02-04 | 2026-03-19 | M | AE | PT | 6237 | Seth | 40042142001 | Sushil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17252132/check_19841931_591302ac-dc7c-4e75-ad81-6e43b1cef239.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17252132/check_19841931_eedaf660-e42d-4104-9fdb-2131897a1e64.json | N/A | N/A | N/A | N/A | N/A | 40042142001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-02-04 | 2026H5425006 | H5425M | N/A | N/A | false | SETH | N/A | SUSHIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10243633027 | 167942 | N/A | 17252132 | 2222 | N/A | 19937917 | N/A | 15269089 | 2026-03-09 17:11:25.030433 | 2026-03-03 16:25:21.496329 |