API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-17 09:04:52.099956 | 2025-06-18 02:02:48.293056 | 9002519 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9002519 | Athletic Physical Therapy Inc | 1993-12-11 | 2025-06-20 | F | PT | AE | FREEMAN | XDM000900795 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.140730888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068071/check_9002519_0299d730-8310-46e1-a652-5c23971f23d1.json | N/A | N/A | N/A | N/A | N/A | XDM000900795 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1993-12-11 | N/A | N/A | N/A | N/A | false | FREEMAN | N/A | NICOLE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7968152308 | N/A | N/A | 6068071 | 2222 | 4801 | 8728864 | N/A | 4713009 | 2025-06-18 02:02:48.293056 | 2025-05-30 17:56:41.585988 |
| 2025-06-17 09:04:52.002941 | 2025-06-18 02:16:17.216942 | 9002515 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9002515 | Athletic Physical Therapy Inc | 1943-02-13 | 2025-06-20 | F | AE | PT | DAVIS | 3M07R08AX76 | HOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.140730888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068062/check_9002515_fa8cefeb-9897-46ed-a050-d35480599607.json | N/A | N/A | N/A | N/A | N/A | 3M07R08AX76 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-02-13 | S5596 | N/A | N/A | MA | false | DAVIS | N/A | HOLLY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968152307 | N/A | N/A | 6068062 | 2222 | 4802 | 8736751 | N/A | 4713002 | 2025-06-18 02:16:17.216942 | 2025-06-03 01:39:13.971712 |
| 2025-06-17 09:04:51.953273 | 2025-06-18 05:14:03.388189 | 9002513 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9002513 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-06-20 | F | PT | AE | JOEL | 9TY9VF4DK26 | CANDACE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550243/check_9002513_ef1839ab-8817-444e-8e69-9dc8bc5035dd.json | N/A | N/A | N/A | N/A | N/A | 9TY9VF4DK26 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-08-07 | S4802 | N/A | N/A | MA | false | JOEL | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7968234567 | N/A | N/A | 5550243 | 2222 | 4801 | 8742377 | N/A | 4212766 | 2025-06-18 05:14:03.388189 | 2025-05-13 04:29:37.227101 |
| 2025-06-17 09:04:51.867595 | 2025-06-18 02:16:17.900128 | 9002508 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9002508 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-06-20 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.140730888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068049/check_9002508_68195a0b-3b53-4dda-9e8b-2244cf9c3ff6.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | 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 | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968152306 | N/A | N/A | 6068049 | 2222 | 4793 | 8736763 | N/A | 4642852 | 2025-06-18 02:16:17.900128 | 2025-11-21 18:38:17.056437 |
| 2025-06-17 09:04:51.177063 | 2025-06-18 05:14:02.772506 | 9002475 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9002475 | Athletic Physical Therapy Inc | 1942-04-09 | 2025-06-20 | F | PT | AE | JALLAD | 7AY7QW7EK46 | IKRAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_9002475_ff397263-7b25-4b57-a121-531aabe6410b.json | N/A | N/A | N/A | N/A | N/A | 7AY7QW7EK46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-04-09 | S5617 | N/A | N/A | MA | false | JALLAD | N/A | IKRAM | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7968234566 | N/A | N/A | 5549454 | 2222 | 4801 | 8742376 | N/A | 4219116 | 2025-06-18 05:14:02.772506 | 2025-05-16 16:43:35.854220 |
| 2025-06-17 09:04:50.759775 | 2025-06-18 05:07:51.722788 | 9002455 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9002455 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-06-20 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_9002455_92c75ff9-7ab1-4907-9d7e-c75e4968b099.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | IF THE MEMBER QUALIFIES FOR COBRA COVERAGE,THE POLICY MAY BE SUBJECT TO RETROACTIVE CANCELLATION OR REINSTATEMENT, BASED ON THE PLAN DESIGN AND THE MEMBER COBRA ELECTION. FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR USPSTF A AND B RECOMMENDATIONS. | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968234565 | N/A | N/A | 5549317 | 2222 | 4801 | 8741603 | N/A | 4219010 | 2025-06-18 05:07:51.722788 | 2026-01-09 18:32:07.618867 |
| 2025-06-17 09:04:39.421527 | 2025-06-18 05:14:08.676183 | 9001927 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9001927 | Athletic Physical Therapy Inc | 1945-02-14 | 2025-06-20 | M | AE | PT | SLAUGHTER | 6V77P87YA36 | KAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543377/check_9001927_cfeb8695-610c-40a2-972f-3cd02b518856.json | N/A | N/A | N/A | N/A | N/A | 6V77P87YA36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-02-14 | S5601 | N/A | N/A | MA | false | SLAUGHTER | N/A | KAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968235047 | N/A | N/A | 5543377 | 2222 | 4802 | 8742385 | N/A | 4215177 | 2025-06-18 05:14:08.676183 | 2025-05-13 04:29:37.229493 |
| 2025-06-17 09:04:38.999347 | 2025-06-18 05:07:55.019599 | 9001904 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9001904 | Athletic Physical Therapy Inc | 1985-06-18 | 2025-06-20 | F | PT | N/A | SCHULMAN | XDP423M94945 | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543362/check_9001904_da054d11-096f-4861-bf08-4904a5f0b786.json | N/A | N/A | N/A | N/A | N/A | XDP423M94945 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1985-06-18 | 040 | 280629MK16 | N/A | PR | false | SCHULMAN | N/A | JESSICA | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235046 | N/A | N/A | 5543362 | 2222 | 4793 | 8741610 | N/A | 4215155 | 2025-06-18 05:07:55.019599 | 2025-05-13 04:29:37.229472 |
| 2025-06-17 09:04:38.580457 | 2025-06-18 05:07:52.795727 | 9001880 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9001880 | Athletic Physical Therapy Inc | 1960-09-07 | 2025-06-20 | M | PT | N/A | MEINERT | XEH912496752 | TIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543360/check_9001880_47ab108c-83e9-426c-8cc6-0cbf566e958c.json | N/A | N/A | N/A | N/A | N/A | XEH912496752 | Health Maintenance Organization (HMO) | MILKEN COMMUNITY SCHOOLS | ANTHEM BLUE CROSS | N/A | 1960-09-07 | 1000HMOX0001 | W0070317 | N/A | HM | false | MEINERT | N/A | TIMOTHY | N/A | N/A | N/A | ACCESS HMO R PER ADMIT 10 250 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235045 | N/A | N/A | 5543360 | 2222 | 4793 | 8741605 | 4184 | 4215161 | 2025-06-18 05:07:52.795727 | 2025-05-13 04:29:37.229478 |
| 2025-06-17 09:04:37.964846 | 2025-06-18 05:14:04.519782 | 9001858 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9001858 | Athletic Physical Therapy Inc | 1937-05-27 | 2025-06-20 | F | AE | PT | LANGINGER | 8T45CA9CE85 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543302/check_9001858_e8037c0d-e193-49b0-b8db-1e2ce2195f81.json | N/A | N/A | N/A | N/A | N/A | 8T45CA9CE85 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-27 | S5596 | N/A | N/A | MB | false | LANGINGER | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968235044 | N/A | N/A | 5543302 | 2222 | 4793 | 8742379 | N/A | 4215107 | 2025-06-18 05:14:04.519782 | 2025-05-13 04:29:37.229419 |
| 2025-06-17 09:04:37.220522 | 2025-06-18 05:08:47.126011 | 9001828 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9001828 | Athletic Physical Therapy Inc | 1995-06-30 | 2025-06-20 | M | PT | N/A | BRESSLER | XED913363872 | COLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543277/check_9001828_a71743f5-dd04-4c66-b846-75f8e26bca96.json | N/A | N/A | N/A | N/A | N/A | XED913363872 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1995-06-30 | 2001ZK002169 | X0001004 | N/A | PR | false | BRESSLER | N/A | COLE | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235043 | N/A | N/A | 5543277 | 2222 | 4802 | 8741709 | N/A | 4215092 | 2025-06-18 05:08:47.126011 | 2025-05-13 04:29:37.229407 |
| 2025-06-17 09:04:36.717567 | 2025-06-18 05:01:46.412166 | 9001804 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9001804 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-06-20 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_9001804_10a4cb70-ca2d-4f0a-b1ce-7a884902f721.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968235042 | N/A | N/A | 5543270 | 2222 | 4793 | 8740734 | N/A | 4215086 | 2025-06-18 05:01:46.412166 | 2025-05-13 04:29:37.229401 |
| 2025-06-17 09:04:36.231957 | 2025-06-18 05:14:02.284152 | 9001779 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9001779 | Athletic Physical Therapy Inc | 1949-12-17 | 2025-06-20 | M | AE | PT | GEVURTZ | 3UF3GW6KC04 | IRWIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543260/check_9001779_15d846c2-1521-41f2-8e4e-ee55077edff0.json | N/A | N/A | N/A | N/A | N/A | 3UF3GW6KC04 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-17 | N/A | N/A | N/A | MA | false | GEVURTZ | N/A | IRWIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968235041 | N/A | N/A | 5543260 | 2222 | 4802 | 8742375 | N/A | 4215069 | 2025-06-18 05:14:02.284152 | 2025-05-13 04:29:37.229385 |
| 2025-06-17 09:04:35.776206 | 2025-06-18 05:08:52.422598 | 9001754 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9001754 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-06-20 | F | PT | N/A | PAUL | XEK914147727 | SARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_9001754_546f527a-1611-486f-bfba-c33716a0e953.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235040 | N/A | N/A | 5543211 | 2222 | 4801 | 8741720 | N/A | 4215028 | 2025-06-18 05:08:52.422598 | 2025-05-13 04:29:37.229346 |
| 2025-06-17 09:04:35.483352 | 2025-06-18 05:07:53.406136 | 9001737 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9001737 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-06-20 | F | PT | N/A | MICHAEL | JXN531M63256 | JUNITHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543190/check_9001737_fed41b08-5686-43aa-883f-1c2efc48bc0d.json | N/A | N/A | N/A | N/A | N/A | JXN531M63256 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1983-04-13 | 040 | 174222M9A1 | N/A | PR | false | MICHAEL | N/A | JUNITHA | N/A | 9999-12-31 | 2021-05-11 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235039 | N/A | N/A | 5543190 | 2222 | 4793 | 8741606 | N/A | 4215014 | 2025-06-18 05:07:53.406136 | 2025-06-01 22:57:55.386960 |
| 2025-06-17 09:04:34.883175 | 2025-06-18 05:05:26.305443 | 9001708 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9001708 | Athletic Physical Therapy Inc | 1999-02-08 | 2025-06-20 | F | AD | N/A | SMALLWOOD | 109798591 | CORINNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543189/check_9001708_27cc7ea3-6f0c-4f26-999c-d4a9677bc76c.json | N/A | N/A | N/A | N/A | N/A | 10979859100 | N/A | STUBHUB HOLDINGS, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1999-02-08 | N/A | 00636303 | N/A | N/A | false | SMALLWOOD | N/A | CORINNE | N/A | N/A | N/A | OPEN ACCESS PLUS IN-NETWORK | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7968235038 | N/A | N/A | 5543189 | 2222 | 4802 | 8741302 | N/A | 4215016 | 2025-06-18 05:05:26.305443 | 2025-05-13 04:29:37.229333 |
| 2025-06-17 09:04:34.547594 | 2025-06-18 05:14:03.918755 | 9001695 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9001695 | Athletic Physical Therapy Inc | 1948-07-16 | 2025-06-19 | M | AE | PT | KANDELA | 6J42U95NP24 | IMAD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543177/check_9001695_b16bc1df-39d3-42f6-86ed-f7365632a2f5.json | N/A | N/A | N/A | N/A | N/A | 6J42U95NP24 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-16 | S4802 | N/A | N/A | MA | false | KANDELA | N/A | IMAD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968235037 | N/A | N/A | 5543177 | 2222 | 4793 | 8742378 | N/A | 4215003 | 2025-06-18 05:14:03.918755 | 2025-05-13 04:29:37.229322 |
| 2025-06-17 09:04:34.307698 | 2025-06-18 05:08:48.064882 | 9001685 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9001685 | Athletic Physical Therapy Inc | 2003-07-09 | 2025-06-20 | M | PT | N/A | FEY | XED912890874 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543173/check_9001685_bc7eaa69-9402-4c94-a625-9845cc044546.json | N/A | N/A | N/A | N/A | N/A | XED912890874 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2003-07-09 | 2001ZK002185 | X0001004 | N/A | PR | false | FEY | N/A | JOSEPH | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235036 | N/A | N/A | 5543173 | 2222 | 4793 | 8741711 | N/A | 4215000 | 2025-06-18 05:08:48.064882 | 2025-05-13 04:29:37.229320 |
| 2025-06-17 09:04:33.918731 | 2025-06-18 05:05:25.107613 | 9001670 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9001670 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-06-20 | F | AE | PT | FERRERAS | U6570615702 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_9001670_68a6d75d-bbc1-48b0-8311-22ee43e93df3.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968235035 | N/A | N/A | 5543171 | 2222 | 4793 | 8741299 | N/A | 4214998 | 2025-06-18 05:05:25.107613 | 2025-05-13 04:29:37.229318 |
| 2025-06-17 09:04:33.501755 | 2025-06-18 05:07:47.900282 | 9001651 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9001651 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-06-19 | F | PT | N/A | BERARDI | JQU360A51420 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543161/check_9001651_2511e292-3ef7-4a0d-af46-daa116c9d317.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 2025-08-01 | 2024-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235034 | N/A | N/A | 5543161 | 2222 | 4793 | 8741596 | N/A | 4214989 | 2025-06-18 05:07:47.900282 | 2025-05-13 04:29:37.229310 |
| 2025-06-17 09:04:32.873949 | 2025-06-18 05:08:52.063662 | 9001623 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9001623 | Athletic Physical Therapy Inc | 1991-10-03 | 2025-06-20 | M | PT | N/A | PANTOSKEY | XED914113497 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543146/check_9001623_0d84ea57-9f04-4eaa-a7f2-d1fe60838405.json | N/A | N/A | N/A | N/A | N/A | XED914113497 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-03 | 2001ZK002184 | X0001004 | N/A | PR | false | PANTOSKEY | N/A | SCOTT | N/A | N/A | N/A | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235033 | N/A | N/A | 5543146 | 2222 | 4802 | 8741719 | N/A | 4214969 | 2025-06-18 05:08:52.063662 | 2025-06-06 17:35:27.697291 |
| 2025-06-17 09:04:32.354523 | 2025-06-18 05:08:55.194032 | 9001595 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9001595 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-06-18 | F | PT | N/A | STOLZ | XED912573254 | ARDENN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543121/check_9001595_1416903b-4317-4dbd-8e4a-c4d295b3e7bb.json | N/A | N/A | N/A | N/A | N/A | XED912573254 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-07-04 | 2001ZK002186 | X0001004 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2023-10-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235032 | N/A | N/A | 5543121 | 2222 | 4802 | 8741725 | N/A | 4214948 | 2025-06-18 05:08:55.194032 | 2025-06-26 01:28:07.741882 |
| 2025-06-17 09:04:27.418512 | 2025-06-18 05:07:49.328688 | 9001356 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9001356 | Athletic Physical Therapy Inc | 1963-02-12 | 2025-06-20 | M | PT | N/A | FRENCH | XDP573A61655 | JONATHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543105/check_9001356_911de0f2-ce1d-418f-89cc-af474f0d474b.json | N/A | N/A | N/A | N/A | N/A | XDP573A61655 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-02-12 | N/A | N/A | N/A | N/A | false | FRENCH | N/A | JONATHAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235031 | N/A | N/A | 5543105 | 2222 | 4793 | 8741599 | N/A | 4214943 | 2025-06-18 05:07:49.328688 | 2025-05-29 02:21:31.646077 |
| 2025-06-17 09:04:27.171882 | 2025-06-18 05:07:50.912902 | 9001347 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9001347 | Athletic Physical Therapy Inc | 1994-02-19 | 2025-06-19 | M | PT | N/A | LIEBLEIN | MSJ60221038001 | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543099/check_9001347_02717347-467d-4a54-9b2a-c06b853c71e2.json | N/A | N/A | N/A | N/A | N/A | MSJ60221038001 | Other | MICROSOFT | ANTHEM BLUE CROSS | N/A | 1994-02-19 | N/A | 1000010 | N/A | OT | false | LIEBLEIN | N/A | RYAN | N/A | 9999-12-31 | 2017-07-10 | SELF-FUNDED HDHP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235030 | N/A | N/A | 5543099 | 2222 | 4802 | 8741602 | N/A | 4214934 | 2025-06-18 05:07:50.912902 | 2025-05-13 04:29:37.229256 |
| 2025-06-17 09:04:26.978674 | 2025-06-18 05:08:51.495165 | 9001343 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9001343 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-06-20 | F | PT | N/A | NAFTZGER | XEK900854258 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543048/check_9001343_22fe1965-38a2-4fff-bebe-d71ccdcd4646.json | N/A | N/A | N/A | N/A | N/A | XEK900854258 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1960-07-20 | 2001ZK002171 | X0001000 | N/A | PR | false | NAFTZGER | N/A | SANDRA | N/A | 2025-06-30 | 2014-03-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235029 | N/A | N/A | 5543048 | 2222 | 4802 | 8741718 | N/A | 4214889 | 2025-06-18 05:08:51.495165 | 2025-05-13 04:29:37.229212 |
| 2025-06-17 09:04:26.762088 | 2025-06-18 05:07:50.310971 | 9001333 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9001333 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-06-20 | F | PT | N/A | HUGGINS | JXN261A50994 | DEE DEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_9001333_284e752c-d2f4-465e-a274-7713ea246c84.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235028 | N/A | N/A | 5543043 | 2222 | 4801 | 8741601 | N/A | 4214884 | 2025-06-18 05:07:50.310971 | 2025-11-12 00:46:10.301659 |
| 2025-06-17 09:04:26.647450 | 2025-06-18 05:08:50.065203 | 9001327 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9001327 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-06-20 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_9001327_e7325208-aab9-4231-b11f-72f5705484ac.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235027 | N/A | N/A | 5542952 | 2222 | 4802 | 8741715 | N/A | 4214804 | 2025-06-18 05:08:50.065203 | 2025-05-13 20:09:53.786482 |
| 2025-06-17 09:04:26.424705 | 2025-06-18 05:01:46.768785 | 9001316 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9001316 | Athletic Physical Therapy Inc | 1954-10-02 | 2025-06-20 | M | AE | PT | TARDIF | 40037365501 | TEDD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542894/check_9001316_a3c6d623-fb6f-4fc5-b9ed-335b3f34d209.json | N/A | N/A | N/A | N/A | N/A | 40037365501 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-10-02 | N/A | N/A | N/A | N/A | false | TARDIF | N/A | TEDD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968235026 | N/A | N/A | 5542894 | 2222 | 4801 | 8740737 | N/A | 4214757 | 2025-06-18 05:01:46.768785 | 2026-03-20 15:26:52.406374 |
| 2025-06-17 09:04:26.022526 | 2025-06-18 05:08:54.556912 | 9001295 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9001295 | Athletic Physical Therapy Inc | 1963-08-16 | 2025-06-18 | M | PT | N/A | SILBER | XED909580436 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542831/check_9001295_0d4b115a-22ed-4309-be1c-6c9b13ab11f8.json | N/A | N/A | N/A | N/A | N/A | XED909580436 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-08-16 | 2001ZK002184 | X0001004 | N/A | PR | false | SILBER | N/A | MICHAEL | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235025 | N/A | N/A | 5542831 | 2222 | 4793 | 8741724 | N/A | 4214698 | 2025-06-18 05:08:54.556912 | 2025-05-13 04:29:37.229015 |
| 2025-06-17 09:04:25.361308 | 2025-06-18 05:08:50.990287 | 9001256 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9001256 | Athletic Physical Therapy Inc | 2000-07-25 | 2025-06-20 | F | PT | N/A | MAGHSOUDLOO | XEA913772161 | SAHAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542822/check_9001256_ca45d7b2-4dbe-46dc-a5f8-db99cd30167a.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2000-07-25 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235024 | N/A | N/A | 5542822 | 2222 | 4793 | 8741717 | N/A | 4214688 | 2025-06-18 05:08:50.990287 | 2025-06-25 17:57:14.838266 |
| 2025-06-17 09:04:24.979279 | 2025-06-18 05:07:54.613539 | 9001237 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9001237 | Athletic Physical Therapy Inc | 2009-08-28 | 2025-06-20 | M | PT | N/A | GARCIA | FJB21294792M | STARR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542769/check_9001237_563ca6e5-ce58-4d38-97c9-8877072e1f4d.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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235023 | N/A | N/A | 5542769 | 2222 | 4801 | 8741609 | N/A | 4214641 | 2025-06-18 05:07:54.613539 | 2025-12-09 08:50:02.875071 |
| 2025-06-17 09:04:24.582872 | 2025-06-18 05:05:25.560409 | 9001213 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9001213 | Athletic Physical Therapy Inc | 1970-01-05 | 2025-06-20 | F | AD | N/A | HOWELLS | U4973334602 | EMMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542686/check_9001213_f0eb70f8-d85c-4c8e-b7b7-bc08872263f0.json | N/A | N/A | N/A | N/A | N/A | U4973334602 | N/A | CRINETICS PHARMACEUTICALS, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 1970-01-05 | N/A | 3345982 | N/A | N/A | false | HOWELLS | N/A | EMMA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7968235022 | N/A | N/A | 5542686 | 2222 | 4793 | 8741300 | N/A | 4214565 | 2025-06-18 05:05:25.560409 | 2025-05-13 04:29:37.228889 |
| 2025-06-17 09:04:24.321316 | 2025-06-18 05:07:56.968098 | 9001197 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9001197 | Athletic Physical Therapy Inc | 2009-08-14 | 2025-06-18 | F | PT | N/A | WEBER | JQU141A54789 | MADELINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542628/check_9001197_3df2c47f-ee6f-43e3-8b7d-1d5201485f70.json | N/A | N/A | N/A | N/A | N/A | JQU141A54789 | Preferred Provider Organization (PPO) | MARK H. WEBER, CPA AN ACCT CORP | ANTHEM BLUE CROSS | N/A | 2009-08-14 | 040 | F18235 | N/A | PR | false | WEBER | N/A | MARK | N/A | 2025-08-01 | 2024-08-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235021 | N/A | N/A | 5542628 | 2222 | 4793 | 8741614 | N/A | 4214508 | 2025-06-18 05:07:56.968098 | 2025-06-04 00:05:22.392827 |
| 2025-06-17 09:04:24.011061 | 2025-06-18 05:14:05.261738 | 9001183 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9001183 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-06-20 | M | PT | AE | NEILSON | 2VG5XR5CT78 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542623/check_9001183_507bc0f7-93e8-45b8-b8e3-27ace8119f45.json | N/A | N/A | N/A | N/A | N/A | 2VG5XR5CT78 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-11-27 | S4802 | N/A | N/A | MA | false | NEILSON | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7968235020 | N/A | N/A | 5542623 | 2222 | 4801 | 8742380 | N/A | 4214511 | 2025-06-18 05:14:05.261738 | 2025-05-13 04:29:37.228826 |
| 2025-06-17 09:04:23.562568 | 2025-06-18 05:07:39.888485 | 9001166 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 9001166 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-06-19 | U | AE | PT | CAPISTANO | 98696372G | FERDELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_9001166_fbafd913-8588-4751-b11d-6fbdddd299ad.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | N/A | LA CARE HEALTH PLAN LOS ANGELES CARE HEALTH PLAN | N/A | 1988-11-03 | N/A | N/A | N/A | N/A | false | CAPISTANO | N/A | FERDELLE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968235019 | N/A | N/A | 5542513 | 2222 | 4793 | 8741580 | N/A | 4214418 | 2025-06-18 05:07:39.888485 | 2025-07-03 18:12:11.075357 |
| 2025-06-17 09:04:23.141350 | 2025-06-18 05:14:06.567228 | 9001148 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9001148 | Athletic Physical Therapy Inc | 1959-10-03 | 2025-06-20 | F | AE | PT | REED | 2YY5KV0WP59 | SONIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542497/check_9001148_4156a734-d8ad-4741-b645-3149a759f65f.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MB | false | REED | N/A | SONIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968235018 | N/A | N/A | 5542497 | 2222 | 4801 | 8742382 | N/A | 4214397 | 2025-06-18 05:14:06.567228 | 2025-05-13 04:29:37.228723 |
| 2025-06-17 09:04:22.632311 | 2025-06-18 05:08:50.516561 | 9001122 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9001122 | Athletic Physical Therapy Inc | 2016-06-10 | 2025-06-20 | M | PT | N/A | KARZI | XEK904667385 | DAMAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542225/check_9001122_e2611570-1d04-4136-b01c-6aee85da00c0.json | N/A | N/A | N/A | N/A | N/A | XEK904667385 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2016-06-10 | 2001ZH002662 | X0001000 | N/A | PR | false | KARZI | N/A | AHSAN | N/A | 2035-06-30 | 2016-06-10 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235017 | N/A | N/A | 5542225 | 2222 | 4801 | 8741716 | N/A | 4214165 | 2025-06-18 05:08:50.516561 | 2025-06-06 02:22:28.229626 |
| 2025-06-17 09:04:22.229236 | 2025-06-18 02:14:37.973270 | 9001101 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9001101 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-06-20 | F | AE | PT | SCHLEIKORN | XDD664W08200 | MARIETTE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.140822007.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550960/check_9001101_9ef719b1-541b-4841-9d7e-794647f65dd4.json | N/A | N/A | N/A | N/A | N/A | XDD664W08200 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | ANTHEM BLUE CROSS | N/A | 1956-01-20 | 040 | 1264MD | N/A | SP | false | SCHLEIKORN | N/A | MARIETTE | N/A | 9999-12-31 | 2024-03-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968165583 | N/A | N/A | 5550960 | 2222 | 4793 | 8735531 | N/A | 4219792 | 2025-06-18 02:14:37.973270 | 2025-05-13 04:29:37.230832 |
| 2025-06-17 09:04:22.158237 | 2025-06-18 02:14:37.414233 | 9001097 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9001097 | Athletic Physical Therapy Inc | 1958-07-03 | 2025-06-20 | M | PT | AE | NOVORR | U5X043M87191 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.140822007.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550909/check_9001097_21cf8d74-fe7d-450a-bd48-276d687f77b4.json | N/A | N/A | N/A | N/A | N/A | 8UK6F04XX74 | Indemnity | UNIVERSITY OF CALIFORNIA | MEDICARE D | N/A | 1958-07-03 | 040 | 280509C475 | N/A | IN | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2024-11-01 | UC MEDICARE PPO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7968165582 | N/A | N/A | 5550909 | 2222 | 4801 | 8735525 | N/A | 4219758 | 2025-06-18 02:14:37.414233 | 2025-05-13 04:29:37.230800 |
| 2025-06-17 09:04:22.108480 | 2025-06-18 05:08:48.859317 | 9001095 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9001095 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-06-20 | M | PT | N/A | HASHEMI | XEA914007676 | SEYED | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541956/check_9001095_6ff459ec-c064-49a2-9eff-5f8a2c39c5bb.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235016 | N/A | N/A | 5541956 | 2222 | 4802 | 8741713 | N/A | 4213923 | 2025-06-18 05:08:48.859317 | 2025-05-13 04:29:37.228244 |
| 2025-06-17 09:04:22.088443 | 2025-06-18 02:14:33.354848 | 9001094 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9001094 | Athletic Physical Therapy Inc | 1960-03-13 | 2025-06-20 | M | AE | PT | COLLINS | JQE212W23450 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.140822007.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550686/check_9001094_a1ade257-d092-46e6-81e7-486edaf80f7a.json | N/A | N/A | N/A | N/A | N/A | JQE212W23450 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-03-13 | 040 | CASUPWP0 | N/A | N/A | false | COLLINS | N/A | CHARLES | N/A | 9999-12-31 | 2025-04-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968165581 | N/A | N/A | 5550686 | 2222 | 4801 | 8735472 | N/A | 4219605 | 2025-06-18 02:14:33.354848 | 2025-06-06 16:26:34.530119 |
| 2025-06-17 09:04:22.025312 | 2025-06-18 02:14:32.339477 | 9001091 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9001091 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-06-20 | F | PT | AE | BRADBURY | JQE669W05502 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.140822007.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_9001091_503d0944-32d7-4836-92e9-a82853d16d41.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2022-12-01 | CA PLAN F INNOVATIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7968165580 | N/A | N/A | 5550535 | 2222 | 4801 | 8735453 | N/A | 4219556 | 2025-06-18 02:14:32.339477 | 2025-05-13 04:29:37.230592 |
| 2025-06-17 09:04:21.956458 | 2025-06-18 02:12:27.972698 | 9001089 | N/A | N/A | 71412 | Mutual of Omaha Insurance Company | 1114042165 | 9001089 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-06-20 | F | PT | AE | JOEL | 51533897 | CANDACE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.140822007.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550248/check_9001089_7f5a9acd-3a9a-4b9d-a544-9e289ba89c88.json | N/A | N/A | N/A | N/A | N/A | 515338-97 | N/A | N/A | MUTUAL OF OMAHA | MUTUAL OF OMAHA OFFERS ONLINE ACCESS TO ELIGIBILITY, BENEFITS AND DETAILED CLAIM STATUS INFORMATION AT WWW.MUTUALOFOMAHA.COM/PROVIDERACCESS | 1951-08-07 | N/A | N/A | N/A | N/A | false | JOEL | N/A | CANDACE | N/A | N/A | N/A | MEDICARE SUPPLEMENT - PLAN TYPE F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7968165579 | N/A | N/A | 5550248 | 2222 | 4801 | 8733862 | N/A | 4212766 | 2025-06-18 02:12:27.972698 | 2025-05-13 04:29:37.227101 |
| 2025-06-17 09:04:21.500050 | 2025-06-18 02:14:35.361294 | 9001067 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9001067 | Athletic Physical Therapy Inc | 1937-05-27 | 2025-06-20 | F | AE | PT | LANGINGER | XDO068A68730 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.140822007.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543306/check_9001067_c33bc579-8ea5-46fe-a736-1dc3bb5634c6.json | N/A | N/A | N/A | N/A | N/A | XDO068A68730 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1937-05-27 | 040 | CASUPWP0 | N/A | N/A | false | LANGINGER | N/A | BARBARA | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR CLASSIC F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968165572 | N/A | N/A | 5543306 | 2222 | 4793 | 8735504 | N/A | 4215107 | 2025-06-18 02:14:35.361294 | 2025-05-13 04:29:37.229419 |
| 2025-06-17 09:04:21.439500 | 2025-06-18 05:07:47.165787 | 9001065 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9001065 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-06-20 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.141534077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_9001065_2b9d8d97-9905-4df1-b4ad-d3096c145384.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7968235015 | N/A | N/A | 5541944 | 2222 | 4801 | 8741594 | 4184 | 4213907 | 2025-06-18 05:07:47.165787 | 2025-05-13 04:29:37.228228 |
| 2025-06-17 09:04:21.439482 | 2025-06-18 02:14:34.255519 | 9001064 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9001064 | Athletic Physical Therapy Inc | 1949-12-17 | 2025-06-20 | M | AE | PT | GEVURTZ | JQE714A62350 | IRWIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.140822007.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543273/check_9001064_55a52d60-0385-49ae-8dd1-4013dccda8e9.json | N/A | N/A | N/A | N/A | N/A | JQE714A62350 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-12-17 | 040 | CASUPWP0 | N/A | N/A | false | GEVURTZ | N/A | IRWIN | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968165571 | N/A | N/A | 5543273 | 2222 | 4802 | 8735489 | N/A | 4215069 | 2025-06-18 02:14:34.255519 | 2025-05-13 04:29:37.229385 |
| 2025-06-17 09:04:21.381672 | 2025-06-18 02:15:22.316979 | 9001061 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9001061 | Athletic Physical Therapy Inc | 1948-07-16 | 2025-06-19 | M | AE | PT | KANDELA | XEM904119501 | IMAD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.140822007.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543179/check_9001061_df9e485d-cc87-439a-9213-0caae96c6286.json | N/A | N/A | N/A | N/A | N/A | XEM904119501 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1948-07-16 | 2002SD000004 | X0001002 | N/A | OT | false | KANDELA | N/A | IMAD | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968165570 | N/A | N/A | 5543179 | 2222 | 4793 | 8736068 | N/A | 4215003 | 2025-06-18 02:15:22.316979 | 2025-05-13 04:29:37.229322 |
| 2025-06-17 09:04:21.314551 | 2025-06-18 02:14:13.339776 | 9001057 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 9001057 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-06-19 | F | AE | PT | LARSEN | R06053944FD1 | LANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.140822007.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_9001057_86733a4b-6487-4851-bb6f-6fa0d9207e0f.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7968165569 | N/A | N/A | 5542850 | 2222 | 4793 | 8735200 | N/A | 4214714 | 2025-06-18 02:14:13.339776 | 2025-05-13 04:29:37.229031 |
| 2025-06-17 09:04:21.252182 | 2025-06-18 02:14:35.948098 | 9001054 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9001054 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-06-20 | M | PT | AE | NEILSON | 468A54912 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.140822007.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542625/check_9001054_8110b216-95a1-4356-be7b-affc200f57ac.json | N/A | N/A | N/A | N/A | N/A | 468A54912 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-11-27 | N/A | N/A | N/A | N/A | false | NEILSON | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7968165568 | N/A | N/A | 5542625 | 2222 | 4801 | 8735511 | N/A | 4214511 | 2025-06-18 02:14:35.948098 | 2025-05-13 04:29:37.228826 |
| 2025-06-17 09:04:21.202452 | 2025-06-18 02:14:38.980981 | 9001052 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9001052 | Athletic Physical Therapy Inc | 1952-05-13 | 2025-06-20 | M | PT | AE | WOLFE | JQE369M78235 | DIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250617.140822007.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541818/check_9001052_719b0a6a-e0d4-453c-b640-4d078f3567f3.json | N/A | N/A | N/A | N/A | N/A | JQE369M78235 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-05-13 | 040 | CASUPWP0 | N/A | N/A | false | WOLFE | N/A | DIA | N/A | 9999-12-31 | 2024-06-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7968165567 | N/A | N/A | 5541818 | 2222 | 4801 | 8735542 | N/A | 4213795 | 2025-06-18 02:14:38.980981 | 2026-06-05 00:55:52.281598 |