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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-02 08:12:08.896201 | 2026-03-02 08:12:10.876529 | 19274912 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-02-05 | 2026-03-02 | M | AE | PT | 1030 | HERNANDEZ | 2546794-01 | FELIPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15849937/check_19274912_8879e4e8-adea-4358-9785-f046a0d9d1f7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15849937/check_19274912_d487216d-4d06-498e-a463-7fda5e768250.json | N/A | N/A | N/A | N/A | N/A | 2546794-01 | N/A | N/A | CENTENE CORPORATION | N/A | 1954-02-05 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | FELIPE | 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 | N/A | N/A | 15849937 | 2222 | N/A | 19509394 | N/A | 8252801 | 2026-03-02 08:12:10.876529 | 2026-02-23 23:58:40.440949 |
| 2026-03-02 08:12:08.488480 | 2026-03-02 08:12:10.262450 | 19274869 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1957-11-13 | 2026-03-02 | F | AE | PT | 5504 | PICKEI | 21354478 | DOLORES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17173686/check_19274869_8991b445-7922-41b4-8078-4cf465fff359.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17173686/check_19274869_0c4f8b92-5d9d-4668-a2f4-f8c3c6b3659b.json | N/A | N/A | N/A | N/A | N/A | 21354478 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1957-11-13 | N/A | N/A | N/A | N/A | false | PICKEI | N/A | DOLORES | 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 | N/A | N/A | 17173686 | 2222 | N/A | 19509388 | N/A | 15166976 | 2026-03-02 08:12:10.262450 | 2026-02-26 21:31:52.901513 |
| 2026-03-02 08:12:08.294715 | 2026-03-02 08:12:10.439949 | 19274842 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-10-11 | 2026-03-02 | M | AE | PT | 5505 | Downes | 0032002308 | Gile | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15904788/check_19274842_b797392a-4426-4216-8936-9c62612d4e95.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15904788/check_19274842_90e87eaf-e460-4792-ac64-9a8fae4fbbb7.json | N/A | N/A | N/A | N/A | N/A | 0032002308 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1970-10-11 | N/A | N/A | N/A | N/A | false | DOWNES | N/A | GILE | 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 | N/A | N/A | 15904788 | 2222 | N/A | 19509389 | N/A | 13988678 | 2026-03-02 08:12:10.439949 | 2026-01-26 21:20:00.552687 |
| 2026-03-02 08:12:08.250423 | 2026-03-02 08:12:10.061471 | 19274837 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-24 | 2026-03-02 | F | AE | PT | 4497 | MOLAYEN | 1FP8YH1UQ32 | JILLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16453424/check_19274837_33b994fc-0ebf-4b9e-8ffa-2a8d38179d95.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16453424/check_19274837_5a17a257-071f-4de9-9e44-41ec7fa5db27.json | N/A | N/A | N/A | N/A | N/A | 1FP8YH1UQ32 | N/A | N/A | CMS | N/A | 1949-06-24 | N/A | N/A | N/A | N/A | false | MOLAYEN | N/A | JILLA | 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 | N/A | N/A | 16453424 | 2222 | N/A | 19509384 | N/A | 14498125 | 2026-03-02 08:12:10.061471 | 2026-03-11 14:35:29.812051 |
| 2026-03-02 08:12:07.954764 | 2026-03-02 08:12:10.018642 | 19274808 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-30 | 2026-03-02 | F | 30 | AD | 6237 | AMOROSA | 400371322-01 | RITA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874458/check_19274808_0e81bad7-fb0c-4a15-be98-0d287a09f8e7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874458/check_19274808_e9b64309-6118-4fde-af46-75f9fdb65b8c.json | N/A | N/A | N/A | N/A | N/A | 400371322-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1944-11-30 | N/A | N/A | N/A | N/A | false | AMOROSA | N/A | RITA | 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 | N/A | N/A | 5874458 | 2222 | N/A | 19509382 | N/A | 4534582 | 2026-03-02 08:12:10.018642 | 2026-03-02 22:06:30.224734 |
| 2026-03-02 08:12:07.485353 | 2026-03-02 08:12:11.361325 | 19274762 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-04-29 | 2026-03-02 | M | AE | PT | 5505 | Nguyen | 000025947427 | Taylor | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17435550/check_19274762_f2f6f332-3eb9-4258-a864-50a5e768e6aa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17435550/check_19274762_9b67464b-0e6f-4285-8926-171433ec79e3.json | N/A | N/A | N/A | N/A | N/A | 000025947427 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1997-04-29 | 4382799 | 232182 | N/A | N/A | false | NGUYEN | N/A | TAYLOR | N/A | N/A | N/A | COMCAST CORPORATION NBCUNIVERSAL_DHMO_ACTIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168192005 | N/A | N/A | 17435550 | 2222 | N/A | 19509399 | N/A | 15447177 | 2026-03-02 08:12:11.361325 | 2026-02-27 22:36:21.536137 |
| 2026-03-02 08:12:07.240984 | 2026-03-02 08:12:08.985641 | 19274739 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-05-31 | 2026-03-02 | M | AE | PT | 4497 | ANDERSON | 5M59GF6KP35 | ERIC | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17335575/check_19274739_c5a7ce11-7355-4bb9-833f-29d40b955cf1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17335575/check_19274739_33e6490f-0bb0-446b-b6fb-2e482462bbc2.json | N/A | N/A | N/A | N/A | N/A | 5M59GF6KP35 | Medicare Part B | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-31 | H5521 | N/A | N/A | MB | false | ANDERSON | N/A | ERIC | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191944 | N/A | N/A | 17335575 | 2222 | N/A | 19509374 | N/A | 14369748 | 2026-03-02 08:12:08.985641 | 2026-03-09 18:36:27.636026 |
| 2026-03-02 08:12:07.189630 | 2026-03-02 08:12:08.947710 | 19274733 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-14 | 2026-03-02 | M | AE | PT | 4497 | YOUHANAIE | 9RG5DX0YJ71 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17247515/check_19274733_49ac1f85-9081-4d38-9c94-59a5dab2f7cd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17247515/check_19274733_8e05c141-5dba-4d14-b54b-a5a67c6c0464.json | N/A | N/A | N/A | N/A | N/A | 9RG5DX0YJ71 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MA | false | YOUHANAIE | N/A | MARK | N/A | N/A | N/A | N/A | N/A | N/A | 10180 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191935 | N/A | N/A | 17247515 | 2222 | N/A | 19509372 | N/A | 4211122 | 2026-03-02 08:12:08.947710 | 2025-05-13 04:29:37.225524 |
| 2026-03-02 08:12:07.139054 | 2026-03-02 08:12:09.858655 | 19274729 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-08-04 | 2026-03-02 | M | AE | PT | 4625 | GRAY | R15051156MM1 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17309570/check_19274729_b077421a-1eb1-4b53-8eee-4fe6d9fda7df.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309570/check_19274729_13354714-c1bb-4652-b687-849e6a2958de.json | N/A | N/A | N/A | N/A | N/A | R15051156MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-08-04 | N/A | N/A | N/A | N/A | false | GRAY | N/A | DAVID | N/A | N/A | N/A | NCE UCNNHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191919 | N/A | N/A | 17309570 | 2222 | N/A | 19509380 | N/A | 15324565 | 2026-03-02 08:12:09.858655 | 2026-02-27 21:58:34.959613 |
| 2026-03-02 08:12:07.039713 | 2026-03-02 08:12:09.875176 | 19274718 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-11-18 | 2026-03-02 | M | PT | N/A | 4191 | Ratsch | UCD914872609 | Christian | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17232261/check_19274718_ccf55a76-727f-4f7b-aa98-0da4b5c9762d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17232261/check_19274718_5997dcfc-cf22-4ee4-a818-f789c98d8042.json | N/A | N/A | N/A | N/A | N/A | UCD914872609 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1966-11-18 | 1400PPOX0001 | W3000984 | N/A | PR | false | RATSCH | N/A | CHRISTIAN | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA ASO UC CARE PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10168191898 | N/A | N/A | 17232261 | 2222 | N/A | 19509378 | N/A | 15250062 | 2026-03-02 08:12:09.875176 | 2026-02-23 15:20:23.082808 |
| 2026-03-02 08:12:06.869192 | 2026-03-02 08:12:08.484706 | 19274702 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1957-11-13 | 2026-03-02 | F | AE | PT | 5504 | PICKEI | 21354478 | DOLORES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17173686/check_19274702_57100662-345c-48fc-a221-453771c6d251.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | N/A | N/A | N/A | N/A | N/A | N/A | 21354478 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1957-11-13 | N/A | N/A | N/A | N/A | false | PICKEI | N/A | DOLORES | 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 | N/A | N/A | 17173686 | 2222 | N/A | N/A | N/A | 15166976 | 2026-03-02 08:12:08.484706 | 2026-02-26 21:31:52.901513 |
| 2026-03-02 08:12:06.743652 | 2026-03-02 08:12:09.507518 | 19274690 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-08-21 | 2026-03-02 | F | PT | N/A | 4184 | ESPINOZA | MPI30384960Q | amaya | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16930512/check_19274690_4a0f35ef-fa58-475c-a212-fc3242326ae2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16930512/check_19274690_1ae22050-484f-427c-8b99-c700239f4ba0.json | N/A | N/A | N/A | N/A | N/A | MPI30384960Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2012-08-21 | 040 | 277163M401 | N/A | PR | false | GONZALEZ | N/A | MIGUEL | N/A | 9999-12-31 | 2022-08-15 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10168191825 | N/A | N/A | 16930512 | 2222 | N/A | 19509376 | N/A | 14930156 | 2026-03-02 08:12:09.507518 | 2026-02-27 17:25:20.970187 |
| 2026-03-02 08:12:06.711111 | 2026-03-02 08:12:08.728486 | 19274688 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-09-13 | 2026-03-02 | M | AE | PT | 4497 | Reano | 7QJ0CW1DK34 | Gerardo | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16755561/check_19274688_b218964a-25d3-480e-ada4-f5349853869f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16755561/check_19274688_88b64067-04a8-49f6-859d-cc1d4ea0f448.json | N/A | N/A | N/A | N/A | N/A | 7QJ0CW1DK34 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-09-13 | S4802 | N/A | N/A | MB | false | REANO | N/A | GERARDO | N/A | N/A | N/A | N/A | N/A | N/A | 49378 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191827 | N/A | N/A | 16755561 | 2222 | N/A | 19509371 | N/A | 14767620 | 2026-03-02 08:12:08.728486 | 2026-02-11 16:31:55.084410 |
| 2026-03-02 08:12:06.548694 | 2026-03-02 08:12:08.242455 | 19274669 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-24 | 2026-03-02 | F | AE | PT | 4497 | MOLAYEN | 1FP8YH1UQ32 | JILLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16453424/check_19274669_5f281439-9bc7-4d67-b786-fcff8c374149.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | N/A | N/A | N/A | N/A | N/A | N/A | 1FP8YH1UQ32 | N/A | N/A | CMS | N/A | 1949-06-24 | N/A | N/A | N/A | N/A | false | MOLAYEN | N/A | JILLA | 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 | N/A | N/A | 16453424 | 2222 | N/A | N/A | N/A | 14498125 | 2026-03-02 08:12:08.242455 | 2026-03-11 14:35:29.812051 |
| 2026-03-02 08:12:06.514540 | 2026-03-02 08:12:10.449362 | 19274666 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-23 | 2026-03-02 | M | AE | PT | 5505 | SEINFELD | 000011161002 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16314534/check_19274666_017f0f83-3330-4325-9a58-51fd8de7b9bb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16314534/check_19274666_9d954b35-a663-478e-a59d-6a27e9f334ab.json | N/A | N/A | N/A | N/A | N/A | 000011161002 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1949-10-23 | 4384939 | 500850 | N/A | N/A | false | SEINFELD | N/A | JACK | N/A | N/A | N/A | MEDICARE ONEEXCHANGE SOUTH MEDICARE ONEEXCHANGE SO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191788 | N/A | N/A | 16314534 | 2222 | N/A | 19509391 | N/A | 14364107 | 2026-03-02 08:12:10.449362 | 2026-02-04 17:56:53.128350 |
| 2026-03-02 08:12:06.407814 | 2026-03-02 08:12:08.364160 | 19274655 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-12-31 | 2026-03-02 | F | AE | PT | 4497 | BERRY | 7YM1UE5WC09 | ERIKA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16040602/check_19274655_8b89f20a-56df-467d-b2bb-795ae1d3e702.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16040602/check_19274655_1a833a11-883a-4535-a129-9f60ea44de33.json | N/A | N/A | N/A | N/A | N/A | 7YM1UE5WC09 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1981-12-31 | S5617 | N/A | N/A | MA | false | BERRY | N/A | ERIKA | N/A | N/A | N/A | N/A | N/A | N/A | 60416 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191774 | N/A | N/A | 16040602 | 2222 | N/A | 19509367 | N/A | 4209869 | 2026-03-02 08:12:08.364160 | 2025-05-13 04:29:37.224290 |
| 2026-03-02 08:12:06.359114 | 2026-03-02 08:12:08.091021 | 19274649 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-08-01 | 2026-03-02 | F | AE | PT | 4497 | LUAN | 8FM8N59QR51 | YUFEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16084060/check_19274649_fefef002-6a7a-4b90-96b0-75e895463ea6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16084060/check_19274649_4e71e454-a3d1-467f-92f6-4b0563d4db4b.json | N/A | N/A | N/A | N/A | N/A | 8FM8N59QR51 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-08-01 | S5617 | N/A | N/A | MA | false | LUAN | N/A | YUFEN | N/A | N/A | N/A | N/A | N/A | N/A | 68784 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191771 | N/A | N/A | 16084060 | 2222 | N/A | 19509364 | N/A | 14149068 | 2026-03-02 08:12:08.091021 | 2026-02-02 02:54:10.040114 |
| 2026-03-02 08:12:06.340647 | 2026-03-02 08:12:08.773078 | 19274647 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-01-11 | 2026-03-02 | M | AE | PT | 4497 | Malekafzali | 7GQ2PM9FE04 | Ali | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15834532/check_19274647_ab7dd314-db00-43de-940a-107ade6efe81.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15834532/check_19274647_9a2c1d8f-2010-4158-bc7e-c16e5f29bc8c.json | N/A | N/A | N/A | N/A | N/A | 7GQ2PM9FE04 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-01-11 | S4802 | N/A | N/A | MB | false | MALEKAFZALI | N/A | ALI | N/A | N/A | N/A | N/A | N/A | N/A | 67178 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191791 | N/A | N/A | 15834532 | 2222 | N/A | 19509369 | N/A | 13923803 | 2026-03-02 08:12:08.773078 | 2026-01-23 16:56:39.305288 |
| 2026-03-02 08:12:06.318860 | 2026-03-02 08:12:08.247385 | 19274646 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-10-11 | 2026-03-02 | M | AE | PT | 5505 | Downes | 0032002308 | Gile | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15904788/check_19274646_65db2a9e-645a-4f75-a1e4-bf5e10b83d51.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | N/A | N/A | N/A | N/A | N/A | N/A | 0032002308 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1970-10-11 | N/A | N/A | N/A | N/A | false | DOWNES | N/A | GILE | 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 | N/A | N/A | 15904788 | 2222 | N/A | N/A | N/A | 13988678 | 2026-03-02 08:12:08.247385 | 2026-01-26 21:20:00.552687 |
| 2026-03-02 08:12:06.093350 | 2026-03-02 08:12:08.881933 | 19274626 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-02-05 | 2026-03-02 | M | AE | PT | 1030 | HERNANDEZ | 2546794-01 | FELIPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15849937/check_19274626_64d78ad8-7416-48ec-8564-df1f228d8fcc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | N/A | N/A | N/A | N/A | N/A | N/A | 2546794-01 | N/A | N/A | CENTENE CORPORATION | N/A | 1954-02-05 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | FELIPE | 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 | N/A | N/A | 15849937 | 2222 | N/A | N/A | N/A | 8252801 | 2026-03-02 08:12:08.881933 | 2026-02-23 23:58:40.440949 |
| 2026-03-02 08:12:06.061502 | 2026-03-02 08:12:08.279817 | 19274622 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-09-07 | 2026-03-02 | F | AE | PT | 4497 | HOVHANNISYAN | 6P83GP4FJ94 | NUNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15810858/check_19274622_89266529-9b6e-4902-9c05-44f8f4a4e05e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15810858/check_19274622_019ab74c-7daf-45d8-beb9-0af79940a959.json | N/A | N/A | N/A | N/A | N/A | 6P83GP4FJ94 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1969-09-07 | S4802 | N/A | N/A | MA | false | HOVHANNISYAN | N/A | NUNE | N/A | N/A | N/A | N/A | N/A | N/A | 81616 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191739 | N/A | N/A | 15810858 | 2222 | N/A | 19509365 | N/A | 13900399 | 2026-03-02 08:12:08.279817 | 2026-01-23 01:48:30.294768 |
| 2026-03-02 08:12:05.874458 | 2026-03-02 08:12:07.585103 | 19274604 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-06-14 | 2026-03-02 | M | AE | PT | 4497 | JOEL | 2VX7CC0FF31 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15831490/check_19274604_57a0f2b9-c67a-492e-9ffd-102d63b19578.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15831490/check_19274604_58813e80-7331-4324-aafa-c9735f6306de.json | N/A | N/A | N/A | N/A | N/A | 2VX7CC0FF31 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-06-14 | S4802 | N/A | N/A | MA | false | JOEL | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | N/A | 74163 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191700 | N/A | N/A | 15831490 | 2222 | N/A | 19509359 | N/A | 4209739 | 2026-03-02 08:12:07.585103 | 2026-01-28 16:29:24.525600 |
| 2026-03-02 08:12:05.737464 | 2026-03-02 08:12:07.564784 | 19274591 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-10-04 | 2026-03-02 | F | AE | PT | 4497 | Taidi | 4DT6WM9WP83 | Farinaz | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15364574/check_19274591_6344253d-407b-46ec-935d-8c3b14056786.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15364574/check_19274591_c2bd13cb-1a4e-4a1b-b7ea-6b129bb68379.json | N/A | N/A | N/A | N/A | N/A | 4DT6WM9WP83 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-04 | S4802 | N/A | N/A | MB | false | TAIDI | N/A | FARINAZ | N/A | N/A | N/A | N/A | N/A | N/A | 70011 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191682 | N/A | N/A | 15364574 | 2222 | N/A | 19509358 | N/A | 13461080 | 2026-03-02 08:12:07.564784 | 2026-01-21 02:53:42.067479 |
| 2026-03-02 08:12:05.729422 | 2026-03-02 08:12:07.764112 | 19274589 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-09-26 | 2026-03-02 | F | AE | PT | 4497 | Sekhar | 1G35N33PH70 | Vasu | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14339190/check_19274589_2d98cf4f-57b6-43ce-80e5-07b466a8faa7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14339190/check_19274589_82825d83-a7a0-4ab1-810a-14950bb195c6.json | N/A | N/A | N/A | N/A | N/A | 1G35N33PH70 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-09-26 | S5617 | N/A | N/A | MA | false | SEKHAR | N/A | VASU | N/A | N/A | N/A | N/A | N/A | N/A | 133002 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191685 | N/A | N/A | 14339190 | 2222 | N/A | 19509361 | N/A | 12476351 | 2026-03-02 08:12:07.764112 | 2026-01-18 18:06:46.384672 |
| 2026-03-02 08:12:05.550516 | 2026-03-02 08:12:07.427549 | 19274572 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-11-20 | 2026-03-02 | F | AE | PT | 4497 | Rund | 5UN0TP0YV05 | Stephanie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15024391/check_19274572_de81a20f-ae1b-4575-9e91-3c6618dab2ce.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15024391/check_19274572_6b58b39a-07d5-4eeb-8362-514e538fe89c.json | N/A | N/A | N/A | N/A | N/A | 5UN0TP0YV05 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-11-20 | S5884 | N/A | N/A | MA | false | RUND | N/A | STEPHANIE | N/A | N/A | N/A | N/A | N/A | N/A | 71260 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191655 | N/A | N/A | 15024391 | 2222 | N/A | 19509355 | N/A | 5046194 | 2026-03-02 08:12:07.427549 | 2026-01-06 19:15:31.520951 |
| 2026-03-02 08:12:05.519685 | 2026-03-02 08:12:07.696929 | 19274568 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-07-03 | 2026-03-02 | M | AE | PT | 4497 | BANBROOK | 2JU7EP9NY73 | HAL MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/13538651/check_19274568_9ec2c255-1e3b-4113-9785-540c4e995cd4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13538651/check_19274568_481d51de-f9a1-4825-8e71-a9c540df4522.json | N/A | N/A | N/A | N/A | N/A | 2JU7EP9NY73 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-07-03 | S4802 | N/A | N/A | MA | false | BANBROOK | N/A | HAL | N/A | N/A | N/A | N/A | N/A | N/A | 139100 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191673 | N/A | N/A | 13538651 | 2222 | N/A | 19509360 | N/A | 11688569 | 2026-03-02 08:12:07.696929 | 2026-02-25 18:57:49.387834 |
| 2026-03-02 08:12:05.376096 | 2026-03-02 08:12:07.155815 | 19274556 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-10-09 | 2026-03-02 | M | AE | PT | 4497 | SZABO | 2D94CA5UN80 | GEORGE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14109997/check_19274556_9d3580ec-a1dc-4f31-ad96-5df5c6e9460b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14109997/check_19274556_3e47c5e7-9230-4980-bbbd-7cccdbab154b.json | N/A | N/A | N/A | N/A | N/A | 2D94CA5UN80 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-10-09 | S5601 | N/A | N/A | MB | false | SZABO | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | N/A | 100940 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191636 | N/A | N/A | 14109997 | 2222 | N/A | 19509351 | N/A | 12248869 | 2026-03-02 08:12:07.155815 | 2025-12-10 22:52:03.780467 |
| 2026-03-02 08:12:05.296463 | 2026-03-02 08:12:07.061389 | 19274547 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-25 | 2026-03-02 | M | AE | PT | 4497 | Maher | 6FT2G33TN93 | Timothy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/13655342/check_19274547_c7cc59a6-ed6a-46dd-ad86-9e4a0059345d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13655342/check_19274547_5614f366-194e-45ce-b10b-91027e7d5d8b.json | N/A | N/A | N/A | N/A | N/A | 6FT2G33TN93 | Medicare Part A | N/A | ZURICH AMERICAN INSURANCE COMPAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-25 | S5617 | DOL 07222014 | N/A | MA | false | MAHER | N/A | TIMOTHY | N/A | N/A | N/A | N/A | N/A | N/A | 161470 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191625 | N/A | N/A | 13655342 | 2222 | N/A | 19509350 | N/A | 11803316 | 2026-03-02 08:12:07.061389 | 2025-12-16 19:29:59.872631 |
| 2026-03-02 08:12:05.215357 | 2026-03-02 08:12:07.200107 | 19274541 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-07 | 2026-03-02 | F | AE | PT | 4497 | GOEL | 5RR4M63DR65 | VEENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/8969533/check_19274541_5e4a285a-20eb-4ed0-a362-1b599e5b963d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_19274541_5dfe46d2-0361-44ac-86a0-6fe08d2d651a.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S4802 | N/A | N/A | MB | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | N/A | 82806 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191626 | N/A | N/A | 8969533 | 2222 | N/A | 19509353 | N/A | 7485064 | 2026-03-02 08:12:07.200107 | 2025-12-29 22:41:16.623495 |
| 2026-03-02 08:12:05.171505 | 2026-03-02 08:12:14.983544 | 19274537 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-05-16 | 2026-03-02 | M | AE | PT | 3948 | HOPE | 101144710900 | LYNN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9477069/check_19274537_c7957720-e77d-45ea-9836-a9244a9d03c4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9477069/check_19274537_6410fad8-a932-47e3-8f3a-471e83c1e33e.json | N/A | N/A | N/A | N/A | N/A | 101144710900 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-05-16 | 000003-CA000116 | 000003-CA | N/A | HM | false | HOPE | N/A | LYNN | N/A | N/A | N/A | AETNA MEDICARE SIGNATURE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191613 | N/A | N/A | 9477069 | 2222 | N/A | 19509440 | N/A | 7927787 | 2026-03-02 08:12:14.983544 | 2025-09-17 17:11:58.574244 |
| 2026-03-02 08:12:05.029908 | 2026-03-02 08:12:06.778348 | 19274521 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-04-13 | 2026-03-02 | F | AE | PT | 4497 | NATALI | 2XU8UK4DF50 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/8979192/check_19274521_69343a7c-dbcc-4a08-981a-1b36401306bb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979192/check_19274521_123493a4-e56f-4e0a-8957-94a5602ee593.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part A | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MA | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | N/A | 114969 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191578 | N/A | N/A | 8979192 | 2222 | N/A | 19509347 | N/A | 7498543 | 2026-03-02 08:12:06.778348 | 2025-10-14 17:13:32.178778 |
| 2026-03-02 08:12:04.907170 | 2026-03-02 08:12:07.214649 | 19274508 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-07 | 2026-03-02 | M | AE | PT | 4497 | GREENFIELD | 4QM6F25PT72 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085694/check_19274508_bf43aa28-495d-4eda-b748-551d17518ca6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085694/check_19274508_53442633-fd6a-45a9-ac4d-a616a989e06d.json | N/A | N/A | N/A | N/A | N/A | 4QM6F25PT72 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-07 | S4802 | N/A | N/A | MB | false | GREENFIELD | N/A | SCOTT | N/A | N/A | N/A | N/A | N/A | N/A | 46647 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191584 | N/A | N/A | 6085694 | 2222 | N/A | 19509349 | N/A | 4729029 | 2026-03-02 08:12:07.214649 | 2025-05-30 23:20:48.860572 |
| 2026-03-02 08:12:04.745538 | 2026-03-02 08:12:07.947942 | 19274493 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-30 | 2026-03-02 | F | 30 | AD | 6237 | AMOROSA | 400371322-01 | RITA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874458/check_19274493_47a9064a-febd-49ec-8a6a-d9d702a57f44.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | N/A | N/A | N/A | N/A | N/A | N/A | 400371322-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1944-11-30 | N/A | N/A | N/A | N/A | false | AMOROSA | N/A | RITA | 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 | N/A | N/A | 5874458 | 2222 | N/A | N/A | N/A | 4534582 | 2026-03-02 08:12:07.947942 | 2026-03-02 22:06:30.224734 |
| 2026-03-02 08:12:04.743897 | 2026-03-02 08:12:07.425163 | 19274492 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-11-19 | 2026-03-02 | M | AE | PT | 4497 | GONZALES JR | 1E61CX0GK13 | LEO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7456457/check_19274492_22299197-a91f-47af-803d-72d93f021ae0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456457/check_19274492_858aa22f-2d99-41c7-88d4-36ea6b08448c.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-11-19 | S4802 | N/A | N/A | MB | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 85639 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191518 | N/A | N/A | 7456457 | 2222 | N/A | 19509357 | N/A | 6405774 | 2026-03-02 08:12:07.425163 | 2026-03-16 21:02:08.525887 |
| 2026-03-02 08:12:04.674721 | 2026-03-02 08:12:08.032465 | 19274487 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-25 | 2026-03-02 | M | AE | PT | 4497 | JACOBS | 4XJ0X61FM35 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068049/check_19274487_75c0d9a0-c56b-4599-ad91-2764a76fabaa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068049/check_19274487_1afa7678-61e7-434a-b2ac-bd8d47ad88f4.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MB | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | N/A | 50740 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191524 | N/A | N/A | 6068049 | 2222 | N/A | 19509362 | N/A | 4642852 | 2026-03-02 08:12:08.032465 | 2025-11-21 18:38:17.056437 |
| 2026-03-02 08:12:04.649851 | 2026-03-02 08:12:07.397955 | 19274484 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-02-20 | 2026-03-02 | F | 96 | N/A | 6798 | SALGUERO | 35955370 | DINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6711965/check_19274484_488c5483-c54d-473f-824f-a298a15aa40a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_19274484_a8060c35-dc27-4f37-b3d2-c67933885601.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10168191505 | N/A | N/A | 6711965 | 2222 | N/A | 19509356 | N/A | 4210430 | 2026-03-02 08:12:07.397955 | 2025-05-13 04:29:37.224841 |
| 2026-03-02 08:12:04.263023 | 2026-03-02 08:12:05.983300 | 19274448 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-11-11 | 2026-03-02 | M | AE | PT | 4497 | GOLDBERG | 9EE6XY2TM41 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542970/check_19274448_36130cda-622b-43de-b80c-a2ee71964016.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_19274448_81c8319e-a2ba-4e29-8afc-ab7f23c441b0.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | N/A | 95100 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191387 | N/A | N/A | 5542970 | 2222 | N/A | 19509342 | N/A | 4214820 | 2026-03-02 08:12:05.983300 | 2025-06-30 02:56:23.324592 |
| 2026-03-02 08:12:04.214175 | 2026-03-02 08:12:06.001877 | 19274443 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-10-29 | 2026-03-02 | F | AE | PT | 4497 | GOLDBERG | 6YD7TP7AC72 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542935/check_19274443_8a7fe6ba-b6ef-454a-9ace-9fd28ed07f3c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542935/check_19274443_e3173462-12b0-408d-ab00-3f509ef71c85.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | N/A | 91460 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191382 | N/A | N/A | 5542935 | 2222 | N/A | 19509343 | N/A | 4214789 | 2026-03-02 08:12:06.001877 | 2025-12-11 23:30:31.319246 |
| 2026-03-02 08:12:04.027661 | 2026-03-02 08:12:06.771152 | 19274429 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1972-07-22 | 2026-03-02 | M | AE | PT | 4709 | KOZMA | U9714475101 | JASON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542709/check_19274429_1d0cdfb4-84c1-4e37-a111-aeb7a00eaebb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_19274429_bf480f37-897b-4e9d-8614-c83258ee3479.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | 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. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191368 | N/A | N/A | 5542709 | 2222 | N/A | 19509348 | N/A | 4214582 | 2026-03-02 08:12:06.771152 | 2025-12-02 00:00:04.433236 |
| 2026-03-02 08:12:04.008836 | 2026-03-02 08:12:05.761610 | 19274426 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-14 | 2026-03-02 | F | AE | PT | 4497 | PATTERSON | 2XW3VQ1QD60 | DIANNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540286/check_19274426_a2b0dd57-75be-4dae-8b1d-95d41e6ef180.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540286/check_19274426_9ce7a865-31de-4c68-b3d9-c0db6995a2f2.json | N/A | N/A | N/A | N/A | N/A | 2XW3VQ1QD60 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-10-14 | S4802 | N/A | N/A | MA | false | PATTERSON | N/A | DIANNE | N/A | N/A | N/A | N/A | N/A | N/A | 129996 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191359 | N/A | N/A | 5540286 | 2222 | N/A | 19509337 | N/A | 4212467 | 2026-03-02 08:12:05.761610 | 2026-01-16 16:48:22.087083 |
| 2026-03-02 08:12:04.007257 | 2026-03-02 08:12:05.836935 | 19274425 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-12-10 | 2026-03-02 | F | AE | PT | 4497 | LIBAW | 9T01HM2XE02 | PAMELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539452/check_19274425_61fe811a-2acf-40a2-8023-ff3caab8f336.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539452/check_19274425_36f8ae76-e543-4bb2-a615-a3a0e5307980.json | N/A | N/A | N/A | N/A | N/A | 9T01HM2XE02 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-12-10 | S4802 | N/A | N/A | MB | false | LIBAW | N/A | PAMELA | 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 | 10168191358 | N/A | N/A | 5539452 | 2222 | N/A | 19509339 | N/A | 4211753 | 2026-03-02 08:12:05.836935 | 2025-05-13 04:29:37.226073 |
| 2026-03-02 08:12:04.005984 | 2026-03-02 08:12:05.749221 | 19274424 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-09-19 | 2026-03-02 | M | AE | PT | 4497 | DOUGHERTY | 7EE9WG6YG17 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541619/check_19274424_46043aee-0f6a-4604-8c07-09173db4e2bd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541619/check_19274424_8047e1e4-077f-4b84-8151-42b60dd8ca2e.json | N/A | N/A | N/A | N/A | N/A | 7EE9WG6YG17 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-09-19 | S5601 | N/A | N/A | MA | false | DOUGHERTY | N/A | KENNETH | N/A | N/A | N/A | N/A | N/A | N/A | 35984 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191364 | N/A | N/A | 5541619 | 2222 | N/A | 19509338 | N/A | 4213619 | 2026-03-02 08:12:05.749221 | 2025-05-13 04:29:37.227951 |
| 2026-03-02 08:12:04.005569 | 2026-03-02 08:12:05.840331 | 19274423 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-24 | 2026-03-02 | F | AE | PT | 4497 | DIGIOVANNI | 4N09TQ2YY18 | JILL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538592/check_19274423_d985203c-e244-41ce-8e78-6653e0d0acd6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538592/check_19274423_0b0004a3-0c7b-4a46-a21e-6adc779057dc.json | N/A | N/A | N/A | N/A | N/A | 4N09TQ2YY18 | Medicare Part A | N/A | SENTRY INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-24 | S4802 | DOL 11022017 | N/A | MA | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | N/A | N/A | N/A | 71414 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168191374 | N/A | N/A | 5538592 | 2222 | N/A | 19509341 | N/A | 4210993 | 2026-03-02 08:12:05.840331 | 2025-05-13 04:29:37.225395 |
| 2026-03-02 08:11:35.486279 | 2026-03-03 01:38:35.458817 | 19272300 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 19272300 | Athletic Physical Therapy Inc | 1955-12-29 | 2026-03-04 | M | AE | PT | N/A | SOTO | ICA082134 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260302.122118831.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17437684/check_19272300_2ad290a1-3896-4c35-9921-93d863a3a84b.json | N/A | N/A | N/A | N/A | N/A | ICA082134 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-12-29 | N/A | N/A | N/A | N/A | false | SOTO | N/A | DAVID | 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 | 10168295043 | N/A | N/A | 17437684 | 2222 | 4801 | 19578510 | N/A | 15449431 | 2026-03-03 01:38:35.458817 | 2026-02-28 00:01:41.955628 |
| 2026-03-02 08:11:35.316142 | 2026-03-03 01:39:28.726151 | 19272287 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 19272287 | Athletic Physical Therapy Inc | 1978-01-20 | 2026-03-04 | M | AE | PT | N/A | GOTTLIEB | 95971728F | GUY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260302.122118831.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17437673/check_19272287_09af68e1-fbc8-476f-910f-a6175d647e57.json | N/A | N/A | N/A | N/A | N/A | 95971728F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1978-01-20 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | GOTTLIEB | N/A | GUY | 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 | 10168295042 | N/A | N/A | 17437673 | 2222 | 4802 | 19582122 | 4211 | 15449397 | 2026-03-03 01:39:28.726151 | 2026-02-28 00:00:01.256842 |
| 2026-03-02 08:11:35.175214 | 2026-03-03 01:45:08.888380 | 19272278 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 19272278 | Athletic Physical Therapy Inc | 1962-11-06 | 2026-03-05 | F | AE | PT | N/A | Mosaddegh | 95255632H | Zahra | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260302.122118831.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17424788/check_19272278_71d5422c-3c87-4d6c-86b0-c64f763d2bf4.json | N/A | N/A | N/A | N/A | N/A | 95255632H | N/A | N/A | HEALTH NET, LLC | N/A | 1962-11-06 | N/A | N/A | N/A | N/A | false | MOSADDEGH | N/A | ZAHRA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168295040 | N/A | N/A | 17424788 | 2222 | 4802 | 19603701 | N/A | 15435665 | 2026-03-03 01:45:08.888380 | 2026-02-27 18:02:10.906286 |
| 2026-03-02 08:11:35.018481 | 2026-03-03 01:42:16.488457 | 19272265 | N/A | N/A | 61101 | HUMANA | 1114042165 | 19272265 | Athletic Physical Therapy Inc | 1954-02-10 | 2026-03-03 | F | AE | PT | N/A | SHARMA | H7480783800 | MONIKA | Sarin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260302.122118831.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17420220/check_19272265_7181d2cd-3422-4f90-9fed-70d2a354a2ba.json | N/A | N/A | N/A | N/A | N/A | H74807838 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1954-02-10 | N/A | 2B506001 | N/A | HN | false | SHARMA | N/A | MONIKA | 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 | 10168295039 | N/A | N/A | 17420220 | 2222 | 4801 | 19593175 | 5349 | 10330803 | 2026-03-03 01:42:16.488457 | 2025-11-03 22:25:23.404066 |
| 2026-03-02 08:11:34.859949 | 2026-03-03 01:49:14.089717 | 19272254 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 19272254 | Athletic Physical Therapy Inc | 1954-06-29 | 2026-03-03 | F | AE | PT | N/A | Betancourt | 00000359677 | Enedina | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260302.122118831.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17396163/check_19272254_beff4929-2919-4c60-8b11-f8c145ba948c.json | N/A | N/A | N/A | N/A | N/A | 00000359677 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1954-06-29 | N/A | N/A | N/A | N/A | false | BETANCOURT | N/A | ENEDINA | 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 | 10168295038 | N/A | N/A | 17396163 | 2222 | 4801 | 19614445 | 2630 | 15407815 | 2026-03-03 01:49:14.089717 | 2026-02-27 00:57:25.559390 |
| 2026-03-02 08:11:34.649025 | 2026-03-03 01:45:52.378709 | 19272240 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 19272240 | Athletic Physical Therapy Inc | 1960-09-09 | 2026-03-03 | F | AE | PT | N/A | DAZA | 40070785601 | ELISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260302.122118831.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17386704/check_19272240_249ab868-324e-4694-92a4-85a95ca673ed.json | N/A | N/A | N/A | N/A | N/A | 40070785601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-09-09 | 2026H5425001 | H5425M | N/A | N/A | false | DAZA | N/A | ELISA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10168295037 | N/A | N/A | 17386704 | 2222 | 4801 | 19605918 | 6237 | 15398467 | 2026-03-03 01:45:52.378709 | 2026-03-10 15:41:18.641912 |
| 2026-03-02 08:11:34.459464 | 2026-03-03 01:45:09.894597 | 19272228 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 19272228 | Athletic Physical Therapy Inc | 1963-12-26 | 2026-03-03 | F | AE | PT | N/A | REZAJOU | 92695379G | ZAHRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260302.122118831.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17386287/check_19272228_6857c284-dcec-47b6-9ebf-71ce8ff5fd83.json | N/A | N/A | N/A | N/A | N/A | 92695379G | N/A | N/A | HEALTH NET, LLC | N/A | 1963-12-26 | N/A | N/A | N/A | N/A | false | REZAJOU | N/A | ZAHRA | 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 | 10168295036 | N/A | N/A | 17386287 | 2222 | 4802 | 19603737 | N/A | 15114017 | 2026-03-03 01:45:09.894597 | 2026-02-19 17:23:02.961628 |