API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-02-24 08:10:41.831293 | 2026-02-25 01:37:30.669789 | 19052255 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 19052255 | Athletic Physical Therapy Inc | 1989-01-23 | 2026-02-27 | F | PT | HINKLE | NCF051W08046 | MARLENA | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550925/check_19052255_169f9a3f-03ef-4eb7-b67b-8b5def1670c1.json | N/A | N/A | N/A | N/A | N/A | NCF051W08046 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1989-01-23 | 040 | 57AJCA | N/A | HM | false | HINKLE | N/A | MARLENA | N/A | 9999-12-31 | 2021-03-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10115129596 | N/A | N/A | 5550925 | 2222 | 4793 | 19318081 | N/A | 4219772 | 2026-02-25 01:37:30.669789 | 2025-11-18 00:45:16.378261 |
| 2026-02-24 08:10:41.756033 | 2026-02-25 01:34:28.193877 | 19052245 | N/A | N/A | 60054 | Aetna | 1114042165 | 19052245 | Athletic Physical Therapy Inc | 2012-12-14 | 2026-02-26 | M | AE | Bigelow | W227343071 | EDWARD | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550924/check_19052245_515728d3-bb63-4f60-a737-88fc4474e185.json | N/A | N/A | N/A | N/A | N/A | W227343071 | Point of Service (POS) | ADOBE INC. | AETNA | N/A | 2012-12-14 | 0660819 | 066081901600001 | N/A | PS | false | BIGELOW | N/A | TIMOTHY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10115129595 | N/A | N/A | 5550924 | 2222 | 4793 | 19313387 | N/A | 4219767 | 2026-02-25 01:34:28.193877 | 2026-03-10 05:28:29.748799 |
| 2026-02-24 08:10:41.668007 | 2026-02-25 01:34:35.257910 | 19052236 | N/A | N/A | 60054 | Aetna | 1114042165 | 19052236 | Athletic Physical Therapy Inc | 1961-06-18 | 2026-02-27 | M | AE | HANNON | W233439006 | DANIEL | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550171/check_19052236_8315313f-a5e7-417b-85da-411eea78855f.json | N/A | N/A | N/A | N/A | N/A | W233439006 | Exclusive Provider Organization | SONY CORPORATION OF AMERICA | AETNA | N/A | 1961-06-18 | 0868030 | 086803001300171 | N/A | EP | false | YAZAKI | N/A | EMI | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10115129594 | N/A | N/A | 5550171 | 2222 | 4802 | 19313559 | N/A | 4219493 | 2026-02-25 01:34:35.257910 | 2025-05-13 04:29:37.230533 |
| 2026-02-24 08:10:41.578674 | 2026-02-25 01:41:19.596630 | 19052224 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 19052224 | Athletic Physical Therapy Inc | 1951-12-26 | 2026-02-26 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549981/check_19052224_a41675aa-8b9c-483d-9b88-a761dd45818d.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | N/A | 71696 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10115129182 | N/A | N/A | 5549981 | 2222 | 4802 | 19323399 | N/A | 4219436 | 2026-02-25 01:41:19.596630 | 2025-05-13 04:29:37.230471 |
| 2026-02-24 08:10:41.490337 | 2026-02-25 01:37:28.567129 | 19052214 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 19052214 | Athletic Physical Therapy Inc | 1955-10-09 | 2026-02-27 | M | PT | COE | JQS589W10732 | SCOTT | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549514/check_19052214_6ed1d594-c854-462b-ae93-b6fc91e5632a.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10115129181 | N/A | N/A | 5549514 | 2222 | 4801 | 19318028 | 4185 | 4219161 | 2026-02-25 01:37:28.567129 | 2025-10-16 23:24:12.118501 |
| 2026-02-24 08:10:41.414845 | 2026-02-25 01:41:22.063102 | 19052203 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 19052203 | Athletic Physical Therapy Inc | 1947-11-15 | 2026-02-26 | F | AE | NOGHREIAN | 6XG3KA2TP05 | FLORIA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548970/check_19052203_8eab4c23-1420-4f81-a28e-65532ee2caf0.json | N/A | N/A | N/A | N/A | N/A | 6XG3KA2TP05 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-11-15 | S5617 | N/A | N/A | MA | false | NOGHREIAN | N/A | FLORIA | N/A | N/A | N/A | N/A | N/A | N/A | 132060 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10115129180 | N/A | N/A | 5548970 | 2222 | 4802 | 19323447 | N/A | 4218728 | 2026-02-25 01:41:22.063102 | 2025-05-13 04:29:37.229718 |
| 2026-02-24 08:10:41.326503 | 2026-02-25 01:36:37.898141 | 19052191 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 19052191 | Athletic Physical Therapy Inc | 1956-05-26 | 2026-02-27 | F | AD | TORRES | 40067303001 | OLGA | N/A | 30 | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543371/check_19052191_ea7d421f-1538-4b9b-837e-4bb05b365529.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-05-26 | 2026H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10115129179 | N/A | N/A | 5543371 | 2222 | 4793 | 19316676 | 6237 | 4215172 | 2026-02-25 01:36:37.898141 | 2025-05-13 04:29:37.229489 |
| 2026-02-24 08:10:41.217830 | 2026-02-25 01:33:59.873433 | 19052178 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 19052178 | Athletic Physical Therapy Inc | 1961-07-08 | 2026-02-27 | F | AE | BERRY | 606308574 | KAREN | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543264/check_19052178_5e577790-25df-4b91-bb44-dde97bf2e321.json | N/A | N/A | N/A | N/A | N/A | 606308574 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-07-08 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | BERRY | N/A | KAREN | N/A | 2026-12-31 | 2026-01-01 | SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10115129178 | N/A | N/A | 5543264 | 2222 | 4802 | 19312741 | 4211 | 4215080 | 2026-02-25 01:33:59.873433 | 2025-05-13 04:29:37.229395 |
| 2026-02-24 08:10:41.120275 | 2026-02-25 01:37:31.206352 | 19052167 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 19052167 | Athletic Physical Therapy Inc | 1974-08-13 | 2026-02-27 | F | PT | HUGGINS | JXN261A50994 | DEEDEE | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_19052167_05116f23-7733-4b42-8b71-86866625880d.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 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10115129177 | N/A | N/A | 5543043 | 2222 | 4801 | 19318096 | N/A | 4214884 | 2026-02-25 01:37:31.206352 | 2025-11-12 00:46:10.301659 |
| 2026-02-24 08:10:41.039625 | 2026-02-25 01:36:37.137158 | 19052156 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 19052156 | Athletic Physical Therapy Inc | 1957-01-21 | 2026-02-27 | M | AE | SHADDAY | 40064865601 | STEVEN | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_19052156_75d4cb1e-675a-45d4-b86d-e1fc0ff877e5.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-01-21 | 2026H5425001 | H5425M | N/A | N/A | false | SHADDAY | N/A | STEVEN | 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 | 10115129176 | N/A | N/A | 5543011 | 2222 | 4801 | 19316654 | 6237 | 4214861 | 2026-02-25 01:36:37.137158 | 2026-02-04 19:10:58.526441 |
| 2026-02-24 08:10:40.937078 | 2026-02-25 01:37:09.546227 | 19052139 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 19052139 | Athletic Physical Therapy Inc | 2007-12-08 | 2026-02-26 | F | AE | LARSEN | R06053944FD1 | LANA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_19052139_316ba272-8de0-4edc-aa4e-90ef2da91dd5.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 | NDB COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10115129175 | N/A | N/A | 5542850 | 2222 | 4793 | 19317523 | 4625 | 4214714 | 2026-02-25 01:37:09.546227 | 2025-05-13 04:29:37.229031 |
| 2026-02-24 08:10:40.863650 | 2026-02-25 01:34:33.483484 | 19052130 | N/A | N/A | 60054 | Aetna | 1114042165 | 19052130 | Athletic Physical Therapy Inc | 2009-08-28 | 2026-02-26 | F | AE | GARCIA | FJB2294792M | STARR | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542769/check_19052130_bdd864b1-ab33-498a-a335-37560083b4a7.json | N/A | N/A | N/A | N/A | N/A | FJB2294792M | N/A | N/A | AETNA | N/A | 2009-08-28 | 0811385 | 081138503000106 | N/A | N/A | false | RAY | N/A | ALLISON | N/A | N/A | N/A | AETNA VISION PREFERRED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10115129174 | N/A | N/A | 5542769 | 2222 | 4801 | 19313514 | N/A | 4214641 | 2026-02-25 01:34:33.483484 | 2025-12-09 08:50:02.875071 |
| 2026-02-24 08:10:40.780434 | 2026-02-25 01:37:08.799897 | 19052120 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 19052120 | Athletic Physical Therapy Inc | 1968-04-07 | 2026-02-25 | F | AE | CHERE | 98953535F | DIANA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_19052120_cfa64648-8219-4c15-a034-1894048bd820.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | 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 | 10115129173 | N/A | N/A | 5542660 | 2222 | 4802 | 19317500 | 4625 | 4214542 | 2026-02-25 01:37:08.799897 | 2025-05-13 04:29:37.228868 |
| 2026-02-24 08:10:40.667959 | 2026-02-25 01:34:01.030894 | 19052103 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 19052103 | Athletic Physical Therapy Inc | 1960-09-15 | 2026-02-26 | F | AE | HAMI | 92932800G | FARIBA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_19052103_86a822aa-be91-4ef4-acc2-f1f7bce85f42.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MEDICARE PART AB CI003 | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1960-09-15 | BP0001 | QMXEM01909 | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | 2078-12-31 | 2025-11-01 | DUAL ELIGIBLE AGED - MSP - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10115129171 | N/A | N/A | 5542611 | 2222 | 4802 | 19312773 | 4211 | 4214490 | 2026-02-25 01:34:01.030894 | 2025-05-13 04:29:37.228806 |
| 2026-02-24 08:10:40.575472 | 2026-02-25 01:37:13.756274 | 19052092 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 19052092 | Athletic Physical Therapy Inc | 1957-10-24 | 2026-02-27 | F | AE | MCSHEA | 00000364203 | SANDRA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542046/check_19052092_6789e29d-bdbe-4b59-9877-012b7dc2a522.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-10-24 | H3815028 | N/A | N/A | HM | false | MCSHEA | N/A | SANDRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10115129170 | N/A | N/A | 5542046 | 2222 | 4801 | 19317639 | 2630 | 4214001 | 2026-02-25 01:37:13.756274 | 2025-05-13 04:29:37.228323 |
| 2026-02-24 08:10:40.502543 | 2026-02-25 01:37:31.474599 | 19052082 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 19052082 | Athletic Physical Therapy Inc | 2009-08-02 | 2026-02-26 | F | PT | KUZMICZ | LFYHC0059374 | AUDREY | Rachel | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541748/check_19052082_76e593ec-ee4c-4f77-a5de-1d13e384b8fe.json | N/A | N/A | N/A | N/A | N/A | LFYHC0059374 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION | ANTHEM BLUE CROSS | N/A | 2009-08-02 | 040 | 282527M001 | N/A | PR | false | KUZMICZ | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2020-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10115129169 | N/A | N/A | 5541748 | 2222 | 4801 | 19318102 | N/A | 4213741 | 2026-02-25 01:37:31.474599 | 2025-10-10 22:38:21.840610 |
| 2026-02-24 08:10:40.426471 | 2026-02-25 01:37:41.320320 | 19052073 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 19052073 | Athletic Physical Therapy Inc | 1961-09-07 | 2026-02-27 | M | PT | TESAR | V6D954A52172 | SCOTT | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541690/check_19052073_d894b7b3-c0bf-452d-a6ed-e2779df480f6.json | N/A | N/A | N/A | N/A | N/A | V6D954A52172 | Preferred Provider Organization (PPO) | GUITAR CENTER | BLUE SHIELD OF CALIFORNIA | N/A | 1961-09-07 | 040 | 174315M1A6 | N/A | PR | false | TESAR | N/A | SCOTT | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10115129168 | N/A | N/A | 5541690 | 2222 | 4801 | 19318364 | N/A | 4213669 | 2026-02-25 01:37:41.320320 | 2026-02-11 01:39:53.284479 |
| 2026-02-24 08:10:40.350828 | 2026-02-25 01:36:36.624444 | 19052063 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 19052063 | Athletic Physical Therapy Inc | 1946-11-23 | 2026-02-26 | F | AD | POLAK | 40047825101 | JOANNA | N/A | 30 | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541023/check_19052063_76d21f76-ddfe-43e5-9d50-443df16f93bc.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1946-11-23 | 2026H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10115129167 | N/A | N/A | 5541023 | 2222 | 4793 | 19316642 | 6237 | 4213093 | 2026-02-25 01:36:36.624444 | 2025-05-13 04:29:37.227419 |
| 2026-02-24 08:10:40.259930 | 2026-02-25 01:41:19.031164 | 19052053 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 19052053 | Athletic Physical Therapy Inc | 1942-09-22 | 2026-02-27 | M | AE | ELLIS | 5ME7TU7UA42 | JEFFREY | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540471/check_19052053_86570e01-3d03-4821-843d-199204113ae8.json | N/A | N/A | N/A | N/A | N/A | 5ME7TU7UA42 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-09-22 | S4802 | N/A | N/A | MA | false | ELLIS | N/A | JEFFREY | 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 | 10115129166 | N/A | N/A | 5540471 | 2222 | 4793 | 19323386 | N/A | 4212625 | 2026-02-25 01:41:19.031164 | 2025-05-13 04:29:37.226968 |
| 2026-02-24 08:10:40.187584 | 2026-02-25 01:37:27.797155 | 19052042 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 19052042 | Athletic Physical Therapy Inc | 1955-11-11 | 2026-02-26 | F | PT | CALDERON | JQU450A75837 | DEBBIE | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540282/check_19052042_cf910b37-55cc-4a14-8a6d-84e64eada8f2.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10115129165 | N/A | N/A | 5540282 | 2222 | 4802 | 19318007 | N/A | 4212465 | 2026-02-25 01:37:27.797155 | 2025-05-13 04:29:37.226801 |
| 2026-02-24 08:10:40.124292 | 2026-02-25 01:37:39.919287 | 19052035 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 19052035 | Athletic Physical Therapy Inc | 1983-08-31 | 2026-02-26 | M | PT | FLEMING | SZF839281184 | CHASE | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_19052035_ab1c0e78-5370-434c-aa0d-3316e965bce0.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | BLUE SHIELD OF CALIFORNIA | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10115129164 | N/A | N/A | 5539901 | 2222 | 4793 | 19318327 | N/A | 4212134 | 2026-02-25 01:37:39.919287 | 2025-08-05 02:56:55.384378 |
| 2026-02-24 08:10:40.055419 | 2026-02-25 01:41:24.251965 | 19052024 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 19052024 | Athletic Physical Therapy Inc | 1943-07-22 | 2026-02-26 | M | AE | STEIN | 8MY3V79UN60 | DONALD | H | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538576/check_19052024_e85ab812-237d-420f-a48c-7a281619192e.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-22 | S5921 | N/A | N/A | MA | false | STEIN | N/A | DONALD | N/A | N/A | N/A | N/A | N/A | N/A | 132180 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10115129163 | N/A | N/A | 5538576 | 2222 | 4802 | 19323485 | N/A | 4210984 | 2026-02-25 01:41:24.251965 | 2025-08-15 17:42:50.500189 |
| 2026-02-24 08:10:39.974941 | 2026-02-25 01:41:19.305703 | 19052013 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 19052013 | Athletic Physical Therapy Inc | 1954-01-12 | 2026-02-27 | F | AE | FINCH | 3YV4XM6FP06 | DAWN | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538472/check_19052013_0e19a70d-45fa-4e3e-9c38-5289a48bfa49.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S5601 | N/A | N/A | MB | false | FINCH | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | N/A | 41156 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10115129162 | N/A | N/A | 5538472 | 2222 | 4802 | 19323393 | N/A | 4210886 | 2026-02-25 01:41:19.305703 | 2025-05-13 04:29:37.225284 |
| 2026-02-24 08:10:39.884191 | 2026-02-25 01:37:37.742152 | 19051999 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 19051999 | Athletic Physical Therapy Inc | 1966-10-22 | 2026-02-27 | F | PT | KINSLEY | 913281434000 | MICHELLE | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537996/check_19051999_7362e417-1a5e-442b-ac33-a0844e14d3cd.json | N/A | N/A | N/A | N/A | N/A | XEH913281434 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1966-10-22 | 1000VX000001 | W0069783 | N/A | HM | false | KINSLEY | N/A | MICHELLE | N/A | 9999-12-31 | 2025-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10115129161 | N/A | N/A | 5537996 | 2222 | 4793 | 19318271 | 4191 | 4210486 | 2026-02-25 01:37:37.742152 | 2025-05-13 04:29:37.224904 |
| 2026-02-24 08:10:39.811889 | 2026-02-25 01:37:13.498764 | 19051991 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 19051991 | Athletic Physical Therapy Inc | 1936-05-08 | 2026-02-27 | F | AE | KENT | 00000365314 | BARBARA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537777/check_19051991_2fcb8b51-37fa-4506-871f-d62eaa816fd5.json | N/A | N/A | N/A | N/A | N/A | 00000365314 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1936-05-08 | H3815028 | N/A | N/A | HM | false | KENT | N/A | BARBARA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10115129160 | N/A | N/A | 5537777 | 2222 | 4793 | 19317631 | 2630 | 4210288 | 2026-02-25 01:37:13.498764 | 2025-05-13 04:29:37.224698 |
| 2026-02-24 08:10:39.721519 | 2026-02-25 01:37:28.858566 | 19051981 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 19051981 | Athletic Physical Therapy Inc | 1957-04-03 | 2026-02-26 | M | PT | CRUZ CHEVEZ | JQW952W07822 | RICARDO | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537237/check_19051981_e581c529-edfd-4d39-9f2d-0bafbd19c58d.json | N/A | N/A | N/A | N/A | N/A | JQW952W07822 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-03 | 040 | CAMCRWP0 | N/A | MP | false | CRUZ CHEVEZ | N/A | RICARDO | N/A | 9999-12-31 | 2026-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10115129159 | N/A | N/A | 5537237 | 2222 | 4793 | 19318035 | 4184 | 4209841 | 2026-02-25 01:37:28.858566 | 2025-10-22 16:05:52.993032 |
| 2026-02-24 08:10:39.654047 | 2026-02-25 01:37:39.095933 | 19051973 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 19051973 | Athletic Physical Therapy Inc | 1981-07-19 | 2026-02-27 | M | PT | SWAMINATHAN | PAM911049144 | SRIHARI prasath | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537224/check_19051973_e6bf73eb-7a57-4e32-b175-b8968adcde5a.json | N/A | N/A | N/A | N/A | N/A | PAM911049144 | Preferred Provider Organization (PPO) | PALO ALTO NETWORKS INC | BLUE SHIELD CALIFORNIA | N/A | 1981-07-19 | 1000PPOX0001 | W8000013 | N/A | PR | false | SWAMINATHAN | N/A | SRIHARI PRASATH | N/A | N/A | N/A | PALO ALTO NETWORKS INC ASO PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10115129158 | N/A | N/A | 5537224 | 2222 | 4793 | 19318305 | N/A | 4209830 | 2026-02-25 01:37:39.095933 | 2026-01-05 23:05:15.485219 |
| 2026-02-24 08:10:39.585385 | 2026-02-25 01:37:32.307236 | 19051965 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 19051965 | Athletic Physical Therapy Inc | 1954-03-31 | 2026-02-26 | M | PT | MILES | MBL835W05431 | KEITH | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_19051965_e6806814-d32b-4a6c-a3e3-6646366637a1.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10115129157 | N/A | N/A | 5536896 | 2222 | 4793 | 19318124 | N/A | 4209567 | 2026-02-25 01:37:32.307236 | 2025-05-13 04:29:37.223990 |
| 2026-02-24 08:10:39.506814 | 2026-02-25 01:41:22.715550 | 19051955 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 19051955 | Athletic Physical Therapy Inc | 1945-03-19 | 2026-02-27 | F | AE | ROSS | 6QX7T41GM46 | MARTHA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536301/check_19051955_ab27c486-b897-4e88-87a1-0c53a93796a4.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MA | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | N/A | 122000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10115129156 | N/A | N/A | 5536301 | 2222 | 4802 | 19323458 | N/A | 4209073 | 2026-02-25 01:41:22.715550 | 2025-11-19 19:47:03.642493 |
| 2026-02-24 08:10:39.430482 | 2026-02-25 01:41:23.081305 | 19051948 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 19051948 | Athletic Physical Therapy Inc | 1946-08-26 | 2026-02-26 | M | AE | ROTHMAN | 6H65JC7UD67 | MIKE | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536194/check_19051948_e0d06b02-975d-46d7-9e74-b58e33620526.json | N/A | N/A | N/A | N/A | N/A | 6H65JC7UD67 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-08-26 | S4802 | N/A | N/A | MA | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | N/A | 90699 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10115129155 | N/A | N/A | 5536194 | 2222 | 4801 | 19323463 | N/A | 4208978 | 2026-02-25 01:41:23.081305 | 2025-05-13 04:29:37.223404 |
| 2026-02-24 08:10:39.341908 | 2026-02-25 01:36:36.869987 | 19051937 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 19051937 | Athletic Physical Therapy Inc | 1941-04-16 | 2026-02-27 | F | AD | RYAN | 31026142401 | CAROL | N/A | 30 | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_19051937_774f95eb-1fd7-40e2-b69f-3744698fec6f.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1941-04-16 | 2026H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10115129154 | N/A | N/A | 5535455 | 2222 | 4793 | 19316647 | 6237 | 4208375 | 2026-02-25 01:36:36.869987 | 2025-08-08 21:08:12.459471 |
| 2026-02-24 08:10:39.251419 | 2026-02-25 01:37:29.565159 | 19051926 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 19051926 | Athletic Physical Therapy Inc | 1960-04-27 | 2026-02-25 | M | PT | ENRIGHT | DGA10462968J | HAROLD | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260224.103437125.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535419/check_19051926_c07b0428-571d-4485-9438-8726c78c2462.json | N/A | N/A | N/A | N/A | N/A | DGA10462968J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1960-04-27 | 040 | 276945M001 | N/A | PR | false | ENRIGHT | N/A | HAROLD | N/A | 9999-12-31 | 2017-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10115129153 | N/A | N/A | 5535419 | 2222 | 4793 | 19318052 | N/A | 4208347 | 2026-02-25 01:37:29.565159 | 2025-05-13 04:29:37.222769 |
| 2026-02-24 08:09:44.707481 | 2026-02-24 08:09:46.505936 | 19046974 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2026-02-24 | F | AE | HERNANDEZ | 98922553G79170 | JUANA | N/A | PT | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_19046974_13b9e6e1-1d26-42c2-8f10-64df7580c2d1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14058775/check_19046974_3293fa29-9c5e-47b0-a632-cd485d3c39ed.json | N/A | N/A | N/A | N/A | N/A | 98922553G79170 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | 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 | 14058775 | 2222 | N/A | 19279055 | N/A | 12203619 | 2026-02-24 08:09:46.505936 | 2025-12-24 19:48:19.199045 |
| 2026-02-24 08:09:43.865298 | 2026-02-24 08:09:47.808630 | 19046916 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-13 | 2026-02-24 | F | PT | HOLLAND | YVA250263382 | KELSEY | N/A | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257631/check_19046916_3e1c26cd-5a2a-49f5-98c1-ebdc91d4149d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257631/check_19046916_b0db383d-ed98-4f78-a3f3-6845ffde0765.json | N/A | N/A | N/A | N/A | N/A | YVA250263382 | Preferred Provider Organization (PPO) | PIPEWORKS INC | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | 10018888 | N/A | PR | false | HOLLAND | N/A | KELSEY | N/A | 9999-12-31 | 2026-01-01 | CLASSIC/PREFERRED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10115094840 | N/A | N/A | 17257631 | 2222 | N/A | 19279065 | N/A | 15275187 | 2026-02-24 08:09:47.808630 | 2026-02-23 23:05:07.406692 |
| 2026-02-24 08:09:43.513958 | 2026-02-24 08:09:45.291982 | 19046893 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-02-04 | 2026-02-24 | M | 30 | Seth | 40042142001 | Sushil | N/A | AD | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17252132/check_19046893_b59dad87-ba31-41a1-90ab-e67c747ed1c4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17252132/check_19046893_54d22ff7-136a-4f66-8bf7-cf9d00062073.json | N/A | N/A | N/A | N/A | N/A | 40042142001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-02-04 | 2026H5425006 | H5425M | N/A | N/A | false | SETH | N/A | SUSHIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 10115094825 | N/A | N/A | 17252132 | 2222 | N/A | 19279049 | N/A | 15269089 | 2026-02-24 08:09:45.291982 | 2026-03-03 16:25:21.496329 |
| 2026-02-24 08:09:43.247112 | 2026-02-24 08:09:45.924347 | 19046874 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-01-17 | 2026-02-24 | F | PT | Jarraya | JQU175W26255 | Fatma | N/A | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/15810889/check_19046874_57865d3c-3bb2-4e70-a4dc-7001562be811.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15810889/check_19046874_1fcb0f35-d906-4fac-808f-c94d15dfcdf1.json | N/A | N/A | N/A | N/A | N/A | JQU175W26255 | Preferred Provider Organization (PPO) | C A R AREA 16 | ANTHEM BLUE CROSS | N/A | 1990-01-17 | 040 | A53206 | N/A | PR | false | LAKHOUA | N/A | YACINE | N/A | 9999-12-31 | 2026-01-01 | ANTHEM PLATINUM PPO 15/40/10% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10115094788 | N/A | N/A | 15810889 | 2222 | N/A | 19279052 | N/A | 13900414 | 2026-02-24 08:09:45.924347 | 2026-01-22 23:23:40.570509 |
| 2026-02-24 08:09:43.059045 | 2026-02-24 08:09:45.883066 | 19046862 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-12-06 | 2026-02-24 | F | AE | GHARAVI | 99570419E | JASMINE | N/A | PT | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14856447/check_19046862_5d4c6ef2-a024-49d6-a12e-979170fd14c7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14856447/check_19046862_a5bfe9f0-f6bd-4b10-9d01-e81d13b04621.json | N/A | N/A | N/A | N/A | N/A | 99570419E | N/A | N/A | HEALTH NET, LLC | N/A | 1997-12-06 | N/A | N/A | N/A | N/A | false | GHARAVI | N/A | JASMINE | 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 | 10115094774 | N/A | N/A | 14856447 | 2222 | N/A | 19279051 | N/A | 12968899 | 2026-02-24 08:09:45.883066 | 2026-01-05 20:58:07.379737 |
| 2026-02-24 08:09:42.961574 | 2026-02-24 08:09:44.702469 | 19046855 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2026-02-24 | F | AE | HERNANDEZ | 98922553G79170 | JUANA | N/A | PT | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_19046855_6d09cedb-d923-480c-829b-ce703de0717e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-24 | N/A | N/A | N/A | N/A | N/A | N/A | 98922553G79170 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | 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 | 14058775 | 2222 | N/A | N/A | N/A | 12203619 | 2026-02-24 08:09:44.702469 | 2025-12-24 19:48:19.199045 |
| 2026-02-24 08:09:42.716073 | 2026-02-24 08:09:46.532116 | 19046837 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-08-15 | 2026-02-24 | M | AE | BRISICK | 2320654 | STEVEN | N/A | PT | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12172112/check_19046837_1af0e37e-765d-4cc8-a9b6-16e8d34311f0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12172112/check_19046837_b074698b-9a22-4350-a71b-911627f5b2e9.json | N/A | N/A | N/A | N/A | N/A | 2320654 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1965-08-15 | 18126CA001000401 | QMXEM01910 | N/A | N/A | false | BRISICK | N/A | STEVEN | N/A | 2026-12-31 | 2026-01-01 | BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10115094744 | N/A | N/A | 12172112 | 2222 | N/A | 19279056 | N/A | 10384933 | 2026-02-24 08:09:46.532116 | 2025-11-04 18:26:03.763078 |
| 2026-02-24 08:09:42.701356 | 2026-02-24 08:09:45.630462 | 19046836 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1972-07-22 | 2026-02-24 | M | AE | KOZMA | U9714475101 | JASON | N/A | PT | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542709/check_19046836_3fd6090f-5e11-4793-ba78-dcefa4f2851a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_19046836_b7490117-b653-450d-876a-eab9d80c6a88.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 | 10115094746 | N/A | N/A | 5542709 | 2222 | N/A | 19279050 | N/A | 4214582 | 2026-02-24 08:09:45.630462 | 2025-12-02 00:00:04.433236 |
| 2026-02-24 06:07:24.744375 | 2026-02-24 06:07:27.554090 | 19045123 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-13 | 2026-02-24 | F | PT | HOLLAND | YVA 250263382 | KELSEY | N/A | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257631/check_19045123_fb50101c-c17b-480c-881f-8ec094e8efbf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257631/check_19045123_8e9b4c02-08de-4e5a-9cae-bd404e8e2f21.json | N/A | N/A | N/A | N/A | N/A | YVA250263382 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | N/A | N/A | N/A | false | HOLLAND | N/A | KELSEY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17257631 | 2222 | N/A | 19278565 | N/A | 15275187 | 2026-02-24 06:07:27.554090 | 2026-02-23 23:05:07.406692 |
| 2026-02-24 06:07:22.081082 | 2026-02-24 06:07:24.740870 | 19045115 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-13 | 2026-02-24 | F | PT | HOLLAND | YVA 250263382 | KELSEY | N/A | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257631/check_19045115_1d9d39e1-6012-4926-b386-f46546022502.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-24 | N/A | N/A | N/A | N/A | N/A | N/A | YVA250263382 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | N/A | N/A | N/A | false | HOLLAND | N/A | KELSEY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17257631 | 2222 | N/A | N/A | N/A | 15275187 | 2026-02-24 06:07:24.740870 | 2026-02-23 23:05:07.406692 |
| 2026-02-24 06:06:53.614538 | 2026-02-24 06:06:58.449284 | 19045036 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-13 | 2026-02-24 | F | PT | HOLLAND | YVA 250263382 | KELSEY | N/A | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257631/check_19045036_6687ae07-9a91-4542-9dc5-bf319da95546.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257631/check_19045036_f8061afe-8c22-484a-9f95-118fb5cb447a.json | N/A | N/A | N/A | N/A | N/A | YVA250263382 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | N/A | N/A | N/A | false | HOLLAND | N/A | KELSEY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17257631 | 2222 | N/A | 19278480 | N/A | 15275187 | 2026-02-24 06:06:58.449284 | 2026-02-23 23:05:07.406692 |
| 2026-02-24 06:06:50.890671 | 2026-02-24 06:06:53.611379 | 19045022 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-13 | 2026-02-24 | F | PT | HOLLAND | YVA 250263382 | KELSEY | N/A | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257631/check_19045022_72773714-3d3f-485d-ac1e-1016d7c1d4c9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-24 | N/A | N/A | N/A | N/A | N/A | N/A | YVA250263382 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | N/A | N/A | N/A | false | HOLLAND | N/A | KELSEY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17257631 | 2222 | N/A | N/A | N/A | 15275187 | 2026-02-24 06:06:53.611379 | 2026-02-23 23:05:07.406692 |
| 2026-02-24 06:05:14.001618 | 2026-02-24 06:05:16.812011 | 19044897 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-13 | 2026-02-24 | F | PT | HOLLAND | YVA 250263382 | KELSEY | N/A | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257631/check_19044897_172eb912-edcd-45d8-95a9-5ceb830a55b8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257631/check_19044897_375b49e8-2491-481d-a2ab-c681822e0f92.json | N/A | N/A | N/A | N/A | N/A | YVA250263382 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | N/A | N/A | N/A | false | HOLLAND | N/A | KELSEY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17257631 | 2222 | N/A | 19278335 | N/A | 15275187 | 2026-02-24 06:05:16.812011 | 2026-02-23 23:05:07.406692 |
| 2026-02-24 06:05:11.308726 | 2026-02-24 06:05:13.998407 | 19044890 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-13 | 2026-02-24 | F | PT | HOLLAND | YVA 250263382 | KELSEY | N/A | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257631/check_19044890_0db22791-8316-4127-a379-7f0538987426.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-24 | N/A | N/A | N/A | N/A | N/A | N/A | YVA250263382 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | N/A | N/A | N/A | false | HOLLAND | N/A | KELSEY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17257631 | 2222 | N/A | N/A | N/A | 15275187 | 2026-02-24 06:05:13.998407 | 2026-02-23 23:05:07.406692 |
| 2026-02-24 06:03:29.833022 | 2026-02-24 06:03:32.975225 | 19044807 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-13 | 2026-02-24 | F | PT | HOLLAND | YVA 250263382 | KELSEY | N/A | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257631/check_19044807_1284adef-839b-433d-9d46-6c5f0e73e439.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257631/check_19044807_b5dea2d7-3626-43e5-b6cf-e4a14dc3705a.json | N/A | N/A | N/A | N/A | N/A | YVA250263382 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | N/A | N/A | N/A | false | HOLLAND | N/A | KELSEY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17257631 | 2222 | N/A | 19278240 | N/A | 15275187 | 2026-02-24 06:03:32.975225 | 2026-02-23 23:05:07.406692 |
| 2026-02-24 06:03:18.884525 | 2026-02-24 06:03:29.818324 | 19044805 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-13 | 2026-02-24 | F | PT | HOLLAND | YVA 250263382 | KELSEY | N/A | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257631/check_19044805_9aa9063c-f99a-4d36-bf42-cabf9f65e187.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-24 | N/A | N/A | N/A | N/A | N/A | N/A | YVA250263382 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | N/A | N/A | N/A | false | HOLLAND | N/A | KELSEY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17257631 | 2222 | N/A | N/A | N/A | 15275187 | 2026-02-24 06:03:29.818324 | 2026-02-23 23:05:07.406692 |
| 2026-02-24 06:02:37.863660 | 2026-02-24 06:02:40.733981 | 19044782 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-13 | 2026-02-24 | F | PT | HOLLAND | YVA 250263382 | KELSEY | N/A | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257631/check_19044782_6701cc88-44d6-4b7d-91b4-faa26da2d69b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257631/check_19044782_75be7b73-b5ef-48ad-b872-01e2be65e470.json | N/A | N/A | N/A | N/A | N/A | YVA250263382 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | N/A | N/A | N/A | false | HOLLAND | N/A | KELSEY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17257631 | 2222 | N/A | 19278208 | N/A | 15275187 | 2026-02-24 06:02:40.733981 | 2026-02-23 23:05:07.406692 |
| 2026-02-24 06:02:35.175406 | 2026-02-24 06:02:37.860483 | 19044779 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-13 | 2026-02-24 | F | PT | HOLLAND | YVA 250263382 | KELSEY | N/A | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257631/check_19044779_c971254e-1529-4bc2-a8a6-c0ef8208cb87.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-24 | N/A | N/A | N/A | N/A | N/A | N/A | YVA250263382 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | N/A | N/A | N/A | false | HOLLAND | N/A | KELSEY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17257631 | 2222 | N/A | N/A | N/A | 15275187 | 2026-02-24 06:02:37.860483 | 2026-02-23 23:05:07.406692 |