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 | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-02-20 08:21:28.511973 | 2026-02-21 01:33:16.596097 | 18872815 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 18872815 | Athletic Physical Therapy Inc | 1953-09-18 | 2026-02-23 | F | AE | PT | ROZZANO | H9643373200 | GINA | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16263884/check_18872815_c9839a2a-bb45-4474-ac61-3722f7ee2057.json | N/A | N/A | N/A | N/A | N/A | H96433732 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1953-09-18 | N/A | 2B722001 | N/A | HN | false | ROZZANO | N/A | GINA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086619794 | N/A | N/A | 16263884 | 2222 | 4801 | 19131225 | N/A | 4214855 | 2026-02-21 01:33:16.596097 | 2026-02-04 07:01:53.240587 |
| 2026-02-20 08:21:28.389915 | 2026-02-21 01:32:24.299459 | 18872801 | N/A | N/A | 60054 | Aetna | 1114042165 | 18872801 | Athletic Physical Therapy Inc | 1990-11-12 | 2026-02-23 | F | AE | PT | Chow | W227140792 | Yook Ying | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16237575/check_18872801_1943de61-a31d-40df-ae3c-e9c88d1c28b3.json | N/A | N/A | N/A | N/A | N/A | W227140792 | Point of Service (POS) | NATIONAL ASSOCIATION OF REALTORS | AETNA | N/A | 1990-11-12 | 0697728 | 069772802100001 | N/A | PS | false | CHOW | N/A | YOOK-YING | 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 | 10086619790 | N/A | N/A | 16237575 | 2222 | 4802 | 19129566 | N/A | 14289458 | 2026-02-21 01:32:24.299459 | 2026-02-11 16:26:04.020916 |
| 2026-02-20 08:21:28.229945 | 2026-02-21 01:35:03.372643 | 18872787 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 18872787 | Athletic Physical Therapy Inc | 1989-11-27 | 2026-02-23 | M | AE | PT | Sladek de la Cal | 15528168 | Maximilian | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16237530/check_18872787_4f8d316c-720b-4c46-a8bb-01b32dd648ed.json | N/A | N/A | N/A | N/A | N/A | 15528168 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1989-11-27 | N/A | N/A | N/A | N/A | false | SLADEK DE LA CAL | N/A | MAXIMILIAN | 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 | 10086619783 | N/A | N/A | 16237530 | 2222 | 4802 | 19135070 | N/A | 14289393 | 2026-02-21 01:35:03.372643 | 2026-02-20 22:49:57.533848 |
| 2026-02-20 08:21:27.958938 | 2026-02-21 01:35:45.618792 | 18872765 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 18872765 | Athletic Physical Therapy Inc | 1950-10-02 | 2026-02-23 | M | PT | N/A | TALAMANTE | 979W2649110 | TONY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16213353/check_18872765_c3277d2c-ee81-4d56-9e59-f094464de32e.json | N/A | N/A | N/A | N/A | N/A | 979W2649110 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1950-10-02 | N/A | N/A | N/A | N/A | false | TALAMANTE | N/A | TONY | 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 | 10086619782 | N/A | N/A | 16213353 | 2222 | 4793 | 19136707 | 4185 | 13411314 | 2026-02-21 01:35:45.618792 | 2026-01-13 20:31:59.541152 |
| 2026-02-20 08:21:27.611309 | 2026-02-21 01:34:43.332285 | 18872734 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 18872734 | Athletic Physical Therapy Inc | 1962-08-13 | 2026-02-23 | F | AD | 30 | SHAPIRO | 40065985101 | ONNETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16086772/check_18872734_cea8187d-db18-4619-ab05-8206e4235398.json | N/A | N/A | N/A | N/A | N/A | 40065985101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1962-08-13 | 2026H5425001 | H5425M | N/A | N/A | false | SHAPIRO | N/A | ONNETTE | 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 | 10086619780 | N/A | N/A | 16086772 | 2222 | 4801 | 19134328 | 6237 | 14151882 | 2026-02-21 01:34:43.332285 | 2026-01-30 16:12:37.739707 |
| 2026-02-20 08:21:27.485770 | 2026-02-21 01:39:20.420062 | 18872720 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18872720 | Athletic Physical Therapy Inc | 1942-08-01 | 2026-02-23 | F | AE | PT | LUAN | 8FM8N59QR51 | YUFEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16084060/check_18872720_1c1cb291-95a1-4f7d-b443-664e8a0554ae.json | N/A | N/A | N/A | N/A | N/A | 8FM8N59QR51 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-08-01 | S5617 | N/A | N/A | MA | false | LUAN | N/A | YUFEN | N/A | N/A | N/A | N/A | N/A | N/A | 48380 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086619779 | N/A | N/A | 16084060 | 2222 | 4801 | 19145531 | N/A | 14149068 | 2026-02-21 01:39:20.420062 | 2026-02-02 02:54:10.040114 |
| 2026-02-20 08:21:27.249380 | 2026-02-21 01:31:33.483092 | 18872700 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 18872700 | Athletic Physical Therapy Inc | 1953-02-12 | 2026-02-23 | M | AE | PT | HASTINGS | ICA082816 | JAMES | S | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16060541/check_18872700_09a2eed5-1368-48da-94bd-c31d89ea3a1b.json | N/A | N/A | N/A | N/A | N/A | ICA082816 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-02-12 | N/A | N/A | N/A | N/A | false | HASTINGS | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086619778 | N/A | N/A | 16060541 | 2222 | 4801 | 19128515 | N/A | 6841390 | 2026-02-21 01:31:33.483092 | 2026-02-24 00:29:14.751930 |
| 2026-02-20 08:21:26.887782 | 2026-02-21 01:34:53.432663 | 18872671 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 18872671 | Athletic Physical Therapy Inc | 1957-01-09 | 2026-02-23 | F | AE | PT | COLEY | 022517801 | GWENDOLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16014911/check_18872671_75149d38-6ee0-4374-bcf7-ddea8170714b.json | N/A | N/A | N/A | N/A | N/A | 022517801 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1957-01-09 | N/A | N/A | N/A | N/A | false | COLEY | N/A | GWENDOLYN | 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 | 10086619776 | N/A | N/A | 16014911 | 2222 | 4802 | 19134705 | 6411 | 4213018 | 2026-02-21 01:34:53.432663 | 2025-05-22 00:04:46.399580 |
| 2026-02-20 08:21:26.622265 | 2026-02-21 01:35:42.295054 | 18872647 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18872647 | Athletic Physical Therapy Inc | 2000-09-19 | 2026-02-23 | M | PT | N/A | Malouf | NP2044528 | Jarett | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16013458/check_18872647_d1374b07-6f72-447f-a4a1-ca7eeb8165f4.json | N/A | N/A | N/A | N/A | N/A | TRJNP2044528 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 2000-09-19 | 040 | 276727M001 | N/A | PR | false | MALOUF | N/A | BRIAN | N/A | 9999-12-31 | 2018-09-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10086619775 | N/A | N/A | 16013458 | 2222 | 4802 | 19136565 | N/A | 14085065 | 2026-02-21 01:35:42.295054 | 2026-01-29 00:27:52.581972 |
| 2026-02-20 08:21:26.378459 | 2026-02-21 01:35:08.624859 | 18872626 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 18872626 | override_provider | 1989-10-15 | 2026-02-23 | M | AE | PT | McGimpsey | 000025861666 | Gavin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15997538/check_18872626_02f9a362-ad4b-46ba-93c8-4d5d94892455.json | N/A | N/A | N/A | N/A | N/A | 000025861666 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1989-10-15 | 4361630 | 1650095001 | N/A | N/A | false | MCGIMPSEY | N/A | GAVIN | N/A | N/A | N/A | FEDERAL EMPLOYEES HEALTH BENEFITS FEDS - OTHER - S | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086619774 | N/A | N/A | 15997538 | 2222 | 4802 | 19135269 | N/A | 14070204 | 2026-02-21 01:35:08.624859 | 2026-01-28 18:14:29.010151 |
| 2026-02-20 08:21:26.098066 | 2026-02-21 01:35:47.066857 | 18872606 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18872606 | Athletic Physical Therapy Inc | 1983-12-08 | 2026-02-23 | F | PT | N/A | ZOANA | PLY185A78990 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15960874/check_18872606_50d9567a-43cf-4d72-a6e4-76a382411081.json | N/A | N/A | N/A | N/A | N/A | PLY185A78990 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1983-12-08 | N/A | N/A | N/A | N/A | false | ZOANA | N/A | LINDA | 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 | 10086619767 | N/A | N/A | 15960874 | 2222 | 4802 | 19136763 | N/A | 14041811 | 2026-02-21 01:35:47.066857 | 2026-03-06 22:13:33.515742 |
| 2026-02-20 08:21:25.744869 | 2026-02-21 01:34:28.582672 | 18872572 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 18872572 | Athletic Physical Therapy Inc | 1954-02-05 | 2026-02-23 | M | AE | PT | HERNANDEZ | 254679401 | FELIPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15849937/check_18872572_d20b3af5-0c3c-48f4-80eb-cc528eed905e.json | N/A | N/A | N/A | N/A | N/A | 254679401 | N/A | N/A | CENTENE CORPORATION | N/A | 1954-02-05 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | FELIPE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086619765 | N/A | N/A | 15849937 | 2222 | 4793 | 19133762 | N/A | 8252801 | 2026-02-21 01:34:28.582672 | 2026-02-23 23:58:40.440949 |
| 2026-02-20 08:21:25.369603 | 2026-02-21 01:39:21.261372 | 18872537 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18872537 | Athletic Physical Therapy Inc | 1947-01-11 | 2026-02-23 | M | AE | PT | Malekafzali | 7GQ2PM9FE04 | Ali | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15834532/check_18872537_478fdcab-0246-4899-9718-5b2caef044b1.json | N/A | N/A | N/A | N/A | N/A | 7GQ2PM9FE04 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-01-11 | S4802 | N/A | N/A | MA | false | MALEKAFZALI | N/A | ALI | N/A | N/A | N/A | N/A | N/A | N/A | 36311 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086619764 | N/A | N/A | 15834532 | 2222 | 4802 | 19145568 | N/A | 13923803 | 2026-02-21 01:39:21.261372 | 2026-01-23 16:56:39.305288 |
| 2026-02-20 08:21:25.004243 | 2026-02-21 01:35:36.955515 | 18872510 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18872510 | Athletic Physical Therapy Inc | 1960-10-22 | 2026-02-23 | M | PT | N/A | Capaldi | JQU150M92084 | Mark | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15834423/check_18872510_9ebd8902-37d8-4195-96c0-e7658c2c8e6c.json | N/A | N/A | N/A | N/A | N/A | JQU150M92084 | Preferred Provider Organization (PPO) | PACIFIC RIM GRADING INC | MEDICARE B | N/A | 1960-10-22 | 040 | 239174 | N/A | PR | false | CAPALDI | N/A | MARK | 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 | 10086617673 | N/A | N/A | 15834423 | 2222 | 4801 | 19136346 | N/A | 13923678 | 2026-02-21 01:35:36.955515 | 2026-01-30 00:23:10.236346 |
| 2026-02-20 08:21:24.872966 | 2026-02-21 01:35:54.958322 | 18872494 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 18872494 | Athletic Physical Therapy Inc | 1995-03-16 | 2026-02-23 | F | PT | N/A | FEATHERS | XDM945W12328 | MEGAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15832306/check_18872494_1b3cf162-c0e6-4d3f-a2f0-c58a55f50efe.json | N/A | N/A | N/A | N/A | N/A | XDM945W12328 | Health Maintenance Organization (HMO) | FIRSTSTEPS FOR KIDS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1995-03-16 | 040 | 280927H010 | N/A | HM | false | FEATHERS | N/A | MEGAN | N/A | 9999-12-31 | 2025-12-01 | VALUE SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10086617672 | N/A | N/A | 15832306 | 2222 | 4801 | 19137091 | N/A | 13921724 | 2026-02-21 01:35:54.958322 | 2026-01-23 22:15:28.443333 |
| 2026-02-20 08:21:24.715381 | 2026-02-21 01:39:15.530260 | 18872480 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18872480 | Athletic Physical Therapy Inc | 1960-09-29 | 2026-02-23 | F | AE | PT | BALLESTERO | 4FW7MH2ME59 | LYNN | DOWNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15832159/check_18872480_c3f1cffa-a9b9-4273-b03b-4911eb38bf2a.json | N/A | N/A | N/A | N/A | N/A | 4FW7MH2ME59 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-09-29 | S4802 | N/A | N/A | MB | false | BALLESTERO | N/A | LYNN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 27760 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617671 | N/A | N/A | 15832159 | 2222 | 4801 | 19145327 | N/A | 13921550 | 2026-02-21 01:39:15.530260 | 2026-03-19 20:44:09.225539 |
| 2026-02-20 08:21:24.435733 | 2026-02-21 01:39:22.640465 | 18872459 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18872459 | Athletic Physical Therapy Inc | 1955-10-11 | 2026-02-23 | M | AE | PT | PERDUE | 2J72CC1AK84 | BRADLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15831074/check_18872459_32dccd49-4cdf-4589-9b7c-f4c33e999315.json | N/A | N/A | N/A | N/A | N/A | 2J72CC1AK84 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-10-11 | S5617 | N/A | N/A | MB | false | PERDUE | N/A | BRAD | N/A | N/A | N/A | N/A | N/A | N/A | 58582 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617670 | N/A | N/A | 15831074 | 2222 | 4801 | 19145610 | N/A | 13920383 | 2026-02-21 01:39:22.640465 | 2026-01-27 19:17:05.539394 |
| 2026-02-20 08:21:24.089252 | 2026-02-21 01:35:08.886036 | 18872427 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 18872427 | override_provider | 1969-08-02 | 2026-02-23 | F | AE | PT | Tchorbajian | 000011878915 | Tamar | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15811539/check_18872427_8607a493-934e-4439-a24c-7ba2b210596e.json | N/A | N/A | N/A | N/A | N/A | 000011878915 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1969-08-02 | 3003378 | 1650095001 | N/A | N/A | false | TCHORBAJIAN | N/A | TAMAR | N/A | N/A | N/A | GF JANUARY - KPIF DHMO DEDUCTIBLE HMO $1500 W/CHIR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617669 | N/A | N/A | 15811539 | 2222 | 4801 | 19135279 | N/A | 13901033 | 2026-02-21 01:35:08.886036 | 2026-02-23 00:55:06.143481 |
| 2026-02-20 08:21:23.914770 | 2026-02-21 01:35:55.640075 | 18872414 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 18872414 | Athletic Physical Therapy Inc | 1983-02-18 | 2026-02-23 | F | PT | N/A | MENDOZA | JMV327W24025 | MARTHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15810989/check_18872414_30251df4-d590-4eb9-a155-0e092a6af19d.json | N/A | N/A | N/A | N/A | N/A | JMV327W24025 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS LIFE HLTH INS C | N/A | 1983-02-18 | 040 | 56677NR000 | N/A | HM | false | MENDOZA | N/A | GERARDO | N/A | 9999-12-31 | 2025-07-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10086617668 | N/A | N/A | 15810989 | 2222 | 4801 | 19137119 | N/A | 13900510 | 2026-02-21 01:35:55.640075 | 2026-01-27 00:13:26.286289 |
| 2026-02-20 08:21:23.805410 | 2026-02-21 01:35:03.085978 | 18872405 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 18872405 | Athletic Physical Therapy Inc | 1990-06-02 | 2026-02-23 | M | AE | PT | Marroquin | 0015025200 | Adrian | Daniel | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15800298/check_18872405_a1006629-e89c-4dfa-ab47-750bf1758f5b.json | N/A | N/A | N/A | N/A | N/A | 0015025200 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1990-06-02 | N/A | N/A | N/A | N/A | false | MARROQUIN | N/A | ADRIAN | 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 | 10086617667 | N/A | N/A | 15800298 | 2222 | 4802 | 19135059 | N/A | 13889062 | 2026-02-21 01:35:03.085978 | 2026-01-23 08:12:26.923252 |
| 2026-02-20 08:21:23.359767 | 2026-02-21 01:35:19.583929 | 18872368 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 18872368 | Athletic Physical Therapy Inc | 1956-11-03 | 2026-02-23 | F | AE | PT | GONZALES | 00000374506 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15747368/check_18872368_39957b4c-f8db-46b1-8742-5376cf5a45d0.json | N/A | N/A | N/A | N/A | N/A | 00000374506 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-11-03 | H3815028 | N/A | N/A | HM | false | GONZALES | N/A | ANA | 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 | 10086617666 | N/A | N/A | 15747368 | 2222 | 4793 | 19135684 | 2630 | 13844800 | 2026-02-21 01:35:19.583929 | 2026-01-26 17:18:13.645285 |
| 2026-02-20 08:21:23.164294 | 2026-02-21 01:35:42.570680 | 18872348 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 18872348 | Athletic Physical Therapy Inc | 1967-03-07 | 2026-02-23 | F | PT | N/A | MCMAHON | NCS403A56210 | TERESA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15746912/check_18872348_93c3e13d-42ad-4594-be8a-4274801ca699.json | N/A | N/A | N/A | N/A | N/A | NCS403A56210 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-07 | N/A | N/A | N/A | N/A | false | MCMAHON | N/A | TERESA | 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 | 10086617665 | N/A | N/A | 15746912 | 2222 | 4793 | 19136578 | 4185 | 13844345 | 2026-02-21 01:35:42.570680 | 2026-01-28 19:52:35.910565 |
| 2026-02-20 08:21:23.041430 | 2026-02-21 01:32:04.172357 | 18872338 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 18872338 | Athletic Physical Therapy Inc | 1988-03-20 | 2026-02-23 | F | AE | PT | SIEGEL | 20245734 | MELANIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15746316/check_18872338_4fccde37-d092-4b0b-acb3-c5638a00e6fa.json | N/A | N/A | N/A | N/A | N/A | 20245734 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1988-03-20 | 18126CA001000301 | QMXEM01910 | N/A | N/A | false | SIEGEL | N/A | MELANIE | N/A | 2026-12-31 | 2026-01-01 | SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617664 | N/A | N/A | 15746316 | 2222 | 4802 | 19129063 | 4211 | 13843731 | 2026-02-21 01:32:04.172357 | 2026-03-30 23:59:22.956591 |
| 2026-02-20 08:21:22.686022 | 2026-02-21 01:35:07.960064 | 18872304 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 18872304 | Athletic Physical Therapy Inc | 1958-01-02 | 2026-02-23 | F | AE | PT | RYAN | 000022661269 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15738632/check_18872304_76e81716-c93e-438d-8929-9d42b75c6042.json | N/A | N/A | N/A | N/A | N/A | 000022661269 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1958-01-02 | 4314174 | 104236 | N/A | N/A | false | RYAN | N/A | LINDA | N/A | N/A | N/A | SEMPRA SOCALGAS RETIREES UNION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617663 | N/A | N/A | 15738632 | 2222 | 4802 | 19135237 | N/A | 13838088 | 2026-02-21 01:35:07.960064 | 2026-01-21 17:11:50.384756 |
| 2026-02-20 08:21:22.453165 | 2026-02-21 01:31:56.425244 | 18872281 | N/A | N/A | 22384 | Administrative Concepts, Inc | 1114042165 | 18872281 | Athletic Physical Therapy Inc | 1959-08-14 | 2026-02-23 | M | AE | PT | YOUHANAIE | 9RG5DX0YJ71 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15693033/check_18872281_0b4a9384-b4bc-4b4d-9da7-f5dccb157257.json | N/A | N/A | N/A | N/A | N/A | 9RG5DX0YJ71 | N/A | N/A | ACI | N/A | 1959-08-14 | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | 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 | 10086617662 | N/A | N/A | 15693033 | 2222 | 4793 | 19128902 | N/A | 4211122 | 2026-02-21 01:31:56.425244 | 2025-05-13 04:29:37.225524 |
| 2026-02-20 08:21:22.284254 | 2026-02-21 01:34:43.970628 | 18872267 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 18872267 | Athletic Physical Therapy Inc | 1952-11-18 | 2026-02-23 | M | AD | 30 | WIGGINS | 40072875001 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15534853/check_18872267_9766c187-5b43-4019-95bf-1ed5a50e05d7.json | N/A | N/A | N/A | N/A | N/A | 40072875001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-11-18 | 2026H5425001 | H5425M | N/A | N/A | false | WIGGINS | N/A | DAVID | 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 | 10086617660 | N/A | N/A | 15534853 | 2222 | 4801 | 19134350 | 6237 | 4219334 | 2026-02-21 01:34:43.970628 | 2025-05-13 04:29:37.230357 |
| 2026-02-20 08:21:21.995206 | 2026-02-21 01:32:25.050085 | 18872245 | N/A | N/A | 60054 | Aetna | 1114042165 | 18872245 | Athletic Physical Therapy Inc | 1986-12-17 | 2026-02-23 | F | AE | PT | LANDA | W185630950 | JESSICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15497647/check_18872245_b549f96d-b477-4915-941d-31203b734941.json | N/A | N/A | N/A | N/A | N/A | W185630950 | Exclusive Provider Organization | NORDSTROM, INC. | AETNA | N/A | 1986-12-17 | 0141957 | 014195703300001 | N/A | EP | false | LANDA | N/A | JESSICA | N/A | 2026-02-28 | 2026-01-01 | OPEN ACCESS AETNA SELECT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617658 | N/A | N/A | 15497647 | 2222 | 4802 | 19129587 | N/A | 13582304 | 2026-02-21 01:32:25.050085 | 2026-03-27 22:26:31.935861 |
| 2026-02-20 08:21:21.521425 | 2026-02-21 01:35:22.090968 | 18872208 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 18872208 | Athletic Physical Therapy Inc | 2000-05-20 | 2026-02-23 | M | AE | PT | LIPP | JQC97583205F | ANDREW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15487541/check_18872208_f4bb9085-901e-460b-b806-03e932c994fd.json | N/A | N/A | N/A | N/A | N/A | 97583205F | N/A | BCSC WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 2000-05-20 | BCSC | BWLLNMEG21 | N/A | N/A | false | LIPP | N/A | ANDREW | N/A | 2078-12-31 | 2025-08-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617657 | N/A | N/A | 15487541 | 2222 | 4802 | 19135779 | 5538 | 13573473 | 2026-02-21 01:35:22.090968 | 2026-01-26 19:07:00.510896 |
| 2026-02-20 08:21:21.247478 | 2026-02-21 01:35:37.559620 | 18872183 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18872183 | Athletic Physical Therapy Inc | 1943-02-10 | 2026-02-23 | M | PT | N/A | DHIMAN | MMA846W25770 | SUKHDEV | S | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15481816/check_18872183_e8d0eaaf-44e2-4bff-ac82-588120643d27.json | N/A | N/A | N/A | N/A | N/A | MMA846W25770 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1943-02-10 | 040 | CAMCRWP0 | N/A | MP | false | DHIMAN | N/A | SUKHDEV | N/A | 9999-12-31 | 2026-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10086617655 | N/A | N/A | 15481816 | 2222 | 4801 | 19136371 | N/A | 8236812 | 2026-02-21 01:35:37.559620 | 2026-01-23 23:12:04.578617 |
| 2026-02-20 08:21:20.945631 | 2026-02-21 01:35:04.854337 | 18872154 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 18872154 | Athletic Physical Therapy Inc | 1978-10-10 | 2026-02-23 | M | AE | PT | DRAKE | 000021909753 | COLIN | B | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15416889/check_18872154_4ac6f198-b72a-4139-8b1b-3fe8e8c50a1a.json | N/A | N/A | N/A | N/A | N/A | 000021909753 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1978-10-10 | 4319828 | 102255 | N/A | N/A | false | DRAKE | N/A | COLIN | N/A | N/A | N/A | FOX ENTERTAINMENT GROUP, LLC FOX - ACTIVES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617654 | N/A | N/A | 15416889 | 2222 | 4802 | 19135115 | N/A | 13507066 | 2026-02-21 01:35:04.854337 | 2026-01-15 00:19:55.179902 |
| 2026-02-20 08:21:20.381265 | 2026-02-21 01:39:24.135874 | 18872105 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18872105 | Athletic Physical Therapy Inc | 1952-10-04 | 2026-02-23 | F | AE | PT | Taidi | 4DT6WM9WP83 | Farinaz | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15364574/check_18872105_1d19a5fd-9167-49e2-b1d7-850d0ee5c671.json | N/A | N/A | N/A | N/A | N/A | 4DT6WM9WP83 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-04 | S4802 | N/A | N/A | MA | false | TAIDI | N/A | FARINAZ | N/A | N/A | N/A | N/A | N/A | N/A | 38817 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617653 | N/A | N/A | 15364574 | 2222 | 4802 | 19145677 | N/A | 13461080 | 2026-02-21 01:39:24.135874 | 2026-01-21 02:53:42.067479 |
| 2026-02-20 08:21:20.150086 | 2026-02-21 01:35:40.888882 | 18872080 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18872080 | Athletic Physical Therapy Inc | 1950-09-10 | 2026-02-23 | F | PT | N/A | JAVIER | JQS742M81054 | EVELYN | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15313463/check_18872080_d6e22218-22d1-4782-9501-138aa64bba6a.json | N/A | N/A | N/A | N/A | N/A | JQS742M81054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1950-09-10 | 040 | CAMCRWP0 | N/A | MP | false | JAVIER | N/A | EVELYN | 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 | 10086617652 | N/A | N/A | 15313463 | 2222 | 4793 | 19136506 | N/A | 13412392 | 2026-02-21 01:35:40.888882 | 2026-01-15 23:09:36.110867 |
| 2026-02-20 08:21:19.787217 | 2026-02-21 01:35:41.440684 | 18872049 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18872049 | Athletic Physical Therapy Inc | 1949-09-22 | 2026-02-23 | F | PT | N/A | LESTER | MMA334W14393 | EILEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15303663/check_18872049_f48b0608-62c0-40ca-857b-e1c6aeb3b5c3.json | N/A | N/A | N/A | N/A | N/A | MMA334W14393 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-09-22 | 040 | CAMCRWP0 | N/A | MP | false | LESTER | N/A | EILEEN | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10086617651 | N/A | N/A | 15303663 | 2222 | 4801 | 19136532 | N/A | 13404177 | 2026-02-21 01:35:41.440684 | 2026-01-14 23:36:42.048049 |
| 2026-02-20 08:21:15.888682 | 2026-02-21 01:35:43.215257 | 18871708 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18871708 | Athletic Physical Therapy Inc | 1988-10-28 | 2026-02-23 | M | PT | N/A | MORRIS | ILL532A77856 | ERIC | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15236605/check_18871708_41a1bdc4-9553-434b-80da-5c397cc818ff.json | N/A | N/A | N/A | N/A | N/A | ILL532A77856 | Preferred Provider Organization (PPO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1988-10-28 | 040 | 1854GAR000 | N/A | PR | false | MORRIS | N/A | ERIC | N/A | 9999-12-31 | 2024-07-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10086617650 | N/A | N/A | 15236605 | 2222 | 4802 | 19136602 | N/A | 13337595 | 2026-02-21 01:35:43.215257 | 2026-01-13 22:56:53.164172 |
| 2026-02-20 08:21:15.703969 | 2026-02-21 01:33:50.169491 | 18871688 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 18871688 | Athletic Physical Therapy Inc | 1979-09-06 | 2026-02-23 | F | AE | PT | WASSEF | U9059513402 | JAKLEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15215336/check_18871688_bee651f6-4888-467f-ba71-d6291a8ce82d.json | N/A | N/A | N/A | N/A | N/A | U9059513402 | Health Maintenance Organization (HMO) | NATIONAL CEMENT COMPANY, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1979-09-06 | N/A | 3340850 | N/A | HM | false | WASSEF | N/A | JAKLEEN | N/A | N/A | N/A | HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617649 | N/A | N/A | 15215336 | 2222 | 4801 | 19132372 | N/A | 4213924 | 2026-02-21 01:33:50.169491 | 2026-01-09 23:14:39.028891 |
| 2026-02-20 08:21:15.282825 | 2026-02-21 01:32:24.556582 | 18871648 | N/A | N/A | 60054 | Aetna | 1114042165 | 18871648 | Athletic Physical Therapy Inc | 2015-02-07 | 2026-02-23 | M | AE | PT | HENRY | W299100548 | KIRAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15074521/check_18871648_898e20fe-83e2-4fbc-8203-f7ccfe079fe8.json | N/A | N/A | N/A | N/A | N/A | W299100548 | Point of Service (POS) | EXTREME REACH, INC. | AETNA | N/A | 2015-02-07 | 0268799 | 026879901100001 | N/A | PS | false | HENRY | N/A | JUSTIN | 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 | 10086617648 | N/A | N/A | 15074521 | 2222 | 4793 | 19129573 | N/A | 4215004 | 2026-02-21 01:32:24.556582 | 2025-05-16 02:19:23.134024 |
| 2026-02-20 08:21:15.039531 | 2026-02-21 01:35:38.719025 | 18871625 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18871625 | Athletic Physical Therapy Inc | 2000-08-07 | 2026-02-23 | M | PT | N/A | Friedman | PDA8735243AB | Max | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15072800/check_18871625_125373b3-f55f-44ec-b75e-9d7243e7d79a.json | N/A | N/A | N/A | N/A | N/A | PDA8735243AB | Preferred Provider Organization (PPO) | PUBLIC STORAGE INC | ANTHEM BLUE CROSS | N/A | 2000-08-07 | 040 | JNT239M3A1 | N/A | PR | false | FRIEDMAN | N/A | ANDRES | N/A | 9999-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10086617647 | N/A | N/A | 15072800 | 2222 | 4802 | 19136421 | N/A | 12900230 | 2026-02-21 01:35:38.719025 | 2025-12-29 17:30:18.319338 |
| 2026-02-20 08:21:14.911110 | 2026-02-21 01:39:23.554367 | 18871612 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18871612 | Athletic Physical Therapy Inc | 1960-11-20 | 2026-02-23 | F | AE | PT | Rund | 5UN0TP0YV05 | Stephanie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15024391/check_18871612_a9f6fbcd-c1a7-41a9-ad60-3075ef19f9d8.json | N/A | N/A | N/A | N/A | N/A | 5UN0TP0YV05 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-11-20 | S5884 | N/A | N/A | MB | false | RUND | N/A | STEPHANIE | N/A | N/A | N/A | N/A | N/A | N/A | 50900 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617645 | N/A | N/A | 15024391 | 2222 | 4802 | 19145653 | N/A | 5046194 | 2026-02-21 01:39:23.554367 | 2026-01-06 19:15:31.520951 |
| 2026-02-20 08:21:14.458147 | 2026-02-21 01:34:53.135556 | 18871573 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 18871573 | Athletic Physical Therapy Inc | 2019-04-29 | 2026-02-23 | M | AE | PT | BEJGUM | 124204503 | ABHIRAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14856857/check_18871573_8b359e45-e99d-4158-9a99-d5533e36475d.json | N/A | N/A | N/A | N/A | N/A | 124204503 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 2019-03-04 | N/A | 147378 | N/A | C1 | false | BEJGUM | N/A | ABHIRAM | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617644 | N/A | N/A | 14856857 | 2222 | 4793 | 19134692 | 6411 | 11005792 | 2026-02-21 01:34:53.135556 | 2025-12-20 00:52:29.690688 |
| 2026-02-20 08:21:14.173162 | 2026-02-21 01:35:14.753645 | 18871549 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 18871549 | Athletic Physical Therapy Inc | 1997-12-06 | 2026-02-23 | F | AE | PT | GHARAVI | 99570419E | JASMINE | S | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14856447/check_18871549_e6c0b7e0-31e5-4265-9664-bd0c85e55fd2.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 | 10086617643 | N/A | N/A | 14856447 | 2222 | 4802 | 19135487 | 4625 | 12968899 | 2026-02-21 01:35:14.753645 | 2026-01-05 20:58:07.379737 |
| 2026-02-20 08:21:13.990535 | 2026-02-21 01:39:23.008660 | 18871531 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18871531 | Athletic Physical Therapy Inc | 1951-09-10 | 2026-02-23 | M | AE | PT | RAMIREZ | 5TT0EY2KG90 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14776266/check_18871531_1a2b95fc-639b-4b27-baac-6f365f409421.json | N/A | N/A | N/A | N/A | N/A | 5TT0EY2KG90 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-09-10 | S4802 | N/A | N/A | MB | false | RAMIREZ | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | 65303 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617642 | N/A | N/A | 14776266 | 2222 | 4801 | 19145628 | N/A | 12906847 | 2026-02-21 01:39:23.008660 | 2025-12-29 19:48:47.079480 |
| 2026-02-20 08:21:13.590392 | 2026-02-21 01:35:38.120928 | 18871505 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18871505 | Athletic Physical Therapy Inc | 2003-06-09 | 2026-02-23 | F | PT | N/A | FARDAD FINN | JQU683A20101 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14765769/check_18871505_406bee3e-7e78-4ae3-8d80-5df911eba246.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | Preferred Provider Organization (PPO) | GLOBALWIDE MEDIA INC | ANTHEM BLUE CROSS | N/A | 2003-06-09 | 040 | Q18255 | N/A | PR | false | FINN | N/A | PATRICK | N/A | 9999-12-31 | 2025-12-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10086617641 | N/A | N/A | 14765769 | 2222 | 4793 | 19136396 | N/A | 12896808 | 2026-02-21 01:35:38.120928 | 2025-12-29 16:45:47.287583 |
| 2026-02-20 08:21:13.346696 | 2026-02-21 01:35:14.128623 | 18871488 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 18871488 | Athletic Physical Therapy Inc | 1970-12-26 | 2026-02-23 | M | AE | PT | Ramos | R1137852900 | Jimmy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14714435/check_18871488_3299f8f5-45e3-4003-9565-a64cd4f7e912.json | N/A | N/A | N/A | N/A | N/A | R1137852900 | 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. | 1970-12-26 | 67138CA0520015-06 | N/A | N/A | N/A | false | RAMOS | N/A | JIMMY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617640 | N/A | N/A | 14714435 | 2222 | 4802 | 19135472 | N/A | 12842873 | 2026-02-21 01:35:14.128623 | 2025-12-26 20:01:20.701115 |
| 2026-02-20 08:21:13.098422 | 2026-02-21 01:35:06.728061 | 18871464 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 18871464 | Athletic Physical Therapy Inc | 1991-03-13 | 2026-02-23 | F | AE | PT | Mallo | 000024434351 | Charlotte | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14708525/check_18871464_720b21ee-6c05-4cf3-bce5-cc2319be69fc.json | N/A | N/A | N/A | N/A | N/A | 000024434351 | N/A | N/A | SELF-FUNDED/KPIC | ASO - SELF FUNDED | 1991-03-13 | 4359088 | 230851 | N/A | N/A | false | MALLO | N/A | CHARLOTTE | N/A | N/A | N/A | SOUTHERN CALIFORNIA EDISON COMPANY $25 ACTIVE EPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617638 | N/A | N/A | 14708525 | 2222 | 4802 | 19135196 | N/A | 12837539 | 2026-02-21 01:35:06.728061 | 2025-12-28 00:15:49.843523 |
| 2026-02-20 08:21:12.767390 | 2026-02-21 01:35:22.372329 | 18871438 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 18871438 | Athletic Physical Therapy Inc | 1996-12-16 | 2026-02-23 | F | AE | PT | Luckow | 904884429E | Alexa | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14604613/check_18871438_a58148a2-167a-4bfb-951d-0c9b7c98ad56.json | N/A | N/A | N/A | N/A | N/A | 90488429E | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1996-12-16 | MCLA | MWLLNMEG21 | N/A | N/A | false | LUCKOW | N/A | ALEXA | N/A | 2078-12-31 | 2025-11-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617637 | N/A | N/A | 14604613 | 2222 | 4802 | 19135792 | N/A | 12735885 | 2026-02-21 01:35:22.372329 | 2025-12-22 22:47:42.103130 |
| 2026-02-20 08:21:12.425569 | 2026-02-21 01:35:41.148644 | 18871411 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 18871411 | Athletic Physical Therapy Inc | 1949-05-01 | 2026-02-23 | M | PT | N/A | LANDAVERDE | 833W1934910 | OSCAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14413682/check_18871411_cb0fb173-6a38-47ad-bca9-8afe98bfbfe9.json | N/A | N/A | N/A | N/A | N/A | 833W1934910 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1949-05-01 | N/A | N/A | N/A | N/A | false | LANDAVERDE | N/A | OSCAR | 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 | 10086617635 | N/A | N/A | 14413682 | 2222 | 4802 | 19136518 | 4185 | 12549123 | 2026-02-21 01:35:41.148644 | 2025-12-18 17:22:21.485744 |
| 2026-02-20 08:21:12.130990 | 2026-02-21 01:39:23.838267 | 18871387 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18871387 | Athletic Physical Therapy Inc | 1942-10-09 | 2026-02-23 | M | AE | PT | SZABO | 2D94CA5UN80 | GEORGE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14109997/check_18871387_467daff3-f75b-4e10-bae6-cf31f7739939.json | N/A | N/A | N/A | N/A | N/A | 2D94CA5UN80 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-10-09 | S5601 | N/A | N/A | MA | false | SZABO | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | N/A | 90846 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617634 | N/A | N/A | 14109997 | 2222 | 4801 | 19145665 | N/A | 12248869 | 2026-02-21 01:39:23.838267 | 2025-12-10 22:52:03.780467 |
| 2026-02-20 08:21:11.821983 | 2026-02-21 01:39:16.844224 | 18871361 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18871361 | Athletic Physical Therapy Inc | 1959-05-15 | 2026-02-23 | F | AE | PT | Cicciari | 4VM4EY9AM67 | Lynda | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14108420/check_18871361_4c8034a4-239c-4d19-ade8-a7de3b26c025.json | N/A | N/A | N/A | N/A | N/A | 4VM4EY9AM67 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-05-15 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LYNDA | N/A | N/A | N/A | N/A | N/A | N/A | 108539 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617633 | N/A | N/A | 14108420 | 2222 | 4801 | 19145384 | N/A | 12247121 | 2026-02-21 01:39:16.844224 | 2025-12-17 23:22:24.041593 |
| 2026-02-20 08:21:11.404919 | 2026-02-21 01:35:20.122973 | 18871327 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 18871327 | Athletic Physical Therapy Inc | 1955-04-09 | 2026-02-23 | F | AE | PT | TEETERS | 00000389272 | APRIL | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14096166/check_18871327_0605ea8f-f14f-4e7f-a105-943225943a00.json | N/A | N/A | N/A | N/A | N/A | 00000389272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-04-09 | H3815050 | N/A | N/A | HM | false | TEETERS | N/A | APRIL | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE CALCARE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10086617632 | N/A | N/A | 14096166 | 2222 | 4793 | 19135705 | 2630 | 12234988 | 2026-02-21 01:35:20.122973 | 2026-01-01 18:08:02.280495 |
| 2026-02-20 08:21:11.082394 | 2026-02-21 01:35:43.513817 | 18871305 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18871305 | Athletic Physical Therapy Inc | 1953-12-02 | 2026-02-23 | F | PT | N/A | NAVARRO | MMA845W21687 | SYLVIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260220.101023390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14028853/check_18871305_41c44696-8d39-4df1-a37c-5e85037019a0.json | N/A | N/A | N/A | N/A | N/A | MMA845W21687 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1953-12-02 | 040 | CAMCRWP0 | N/A | MP | false | NAVARRO | N/A | SYLVIA | N/A | 2026-02-28 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10086617630 | N/A | N/A | 14028853 | 2222 | 4793 | 19136617 | N/A | 5788735 | 2026-02-21 01:35:43.513817 | 2025-07-09 16:24:26.907790 |