API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-17 00:24:10.438017 | 2025-06-17 00:24:13.285639 | 8992116 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-06-02 | 2025-06-18 | M | AE | PT | 4625 | BRIER ROESCHLAUB | U9560354201 | HUNTER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542954/check_8992116_3a043c19-4189-4548-b666-18b7df126672.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542954/check_8992116_762dc771-bb49-438f-8e5d-9faeb5d6c85c.json | N/A | N/A | N/A | N/A | N/A | U9560354201 | N/A | N/A | HEALTH NET OF CALIFORNIA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1986-06-02 | 67138CA0520010-01 | N/A | N/A | N/A | false | BRIER ROESCHLAUB | N/A | HUNTER | N/A | N/A | N/A | GOLD 80 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7962951054 | 2097 | N/A | 5542954 | 2222 | N/A | 8676651 | N/A | 4214805 | 2025-06-17 00:24:13.285639 | 2025-05-13 04:29:37.229129 |
| 2025-06-16 23:23:13.664706 | 2025-06-16 23:23:15.451562 | 8991962 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-12 | M | PT | AE | 23277 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8991962_66b3088c-86c8-434d-b9a9-858ec7f6d09d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_8991962_46d3328a-49d3-436f-b2c6-b7442d641d51.json | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542429 | 2222 | N/A | 8676340 | N/A | 4214340 | 2025-06-16 23:23:15.451562 | 2025-06-16 23:14:10.518236 |
| 2025-06-16 23:23:12.031524 | 2025-06-16 23:23:13.661812 | 8991961 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-12 | M | PT | AE | 23277 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8991961_5eee2d1c-a1fd-4409-8da3-fc63521aabaa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-16 23:23:13.661812 | 2025-06-16 23:14:10.518236 |
| 2025-06-16 23:18:32.594787 | 2025-06-16 23:18:35.409234 | 8991945 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-12 | M | PT | AE | 4185 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8991945_ee586ee4-7a0b-4427-bd43-917ffeccbc44.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_8991945_51607a3f-5338-48c2-a561-d404a3d6a6b7.json | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542429 | 2222 | N/A | 8676310 | N/A | 4214340 | 2025-06-16 23:18:35.409234 | 2025-06-16 23:14:10.518236 |
| 2025-06-16 23:18:29.979311 | 2025-06-16 23:18:32.591285 | 8991944 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-12 | M | PT | AE | 4185 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8991944_e5606280-0817-4809-a95c-14d84ef22a40.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-16 23:18:32.591285 | 2025-06-16 23:14:10.518236 |
| 2025-06-16 23:17:01.390870 | 2025-06-16 23:17:03.191724 | 8991940 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-05-29 | M | PT | AE | 23277 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8991940_0a3bba92-d381-47ff-9a7f-5983ce25cb98.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_8991940_1fbd3e3a-8377-42ca-8071-5559e1ea411f.json | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542429 | 2222 | N/A | 8676300 | N/A | 4214340 | 2025-06-16 23:17:03.191724 | 2025-06-16 23:14:10.518236 |
| 2025-06-16 23:16:59.788248 | 2025-06-16 23:17:01.388007 | 8991939 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-05-29 | M | PT | AE | 23277 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8991939_e5978d7f-0321-47b6-a02c-20809aae2113.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-16 23:17:01.388007 | 2025-06-16 23:14:10.518236 |
| 2025-06-16 23:16:25.141475 | 2025-06-16 23:16:26.857707 | 8991937 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-17 | M | PT | AE | 23277 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8991937_d596fd4f-236c-4773-b930-13900c0a407f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_8991937_17ad4f4e-75fc-4271-b7af-6b7d53f41c30.json | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542429 | 2222 | N/A | 8676296 | N/A | 4214340 | 2025-06-16 23:16:26.857707 | 2025-06-16 23:14:10.518236 |
| 2025-06-16 23:16:23.539749 | 2025-06-16 23:16:25.139344 | 8991936 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-17 | M | PT | AE | 23277 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8991936_7a1b42ef-5c20-4bfc-b9cb-c77c5e576cc4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | N/A | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-16 23:16:25.139344 | 2025-06-16 23:14:10.518236 |
| 2025-06-16 23:15:23.267157 | 2025-06-16 23:15:27.040617 | 8991933 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-05-29 | M | PT | AE | 23277 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8991933_e503759e-b8cf-4f60-9852-e0f5200d6a5c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_8991933_da355148-c86c-4440-9503-f847528a67df.json | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542429 | 2222 | N/A | 8676289 | N/A | 4214340 | 2025-06-16 23:15:27.040617 | 2025-06-16 23:14:10.518236 |
| 2025-06-16 23:15:19.597010 | 2025-06-16 23:15:23.263955 | 8991932 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-05-29 | M | PT | AE | 23277 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8991932_e40f0e31-0b33-489b-bbb6-419e7544ed3b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-16 23:15:23.263955 | 2025-06-16 23:14:10.518236 |
| 2025-06-16 23:13:39.924656 | 2025-06-16 23:13:41.808140 | 8991928 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-17 | M | PT | AE | 23277 | BUI | 556M78105-10 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8991928_62d2140c-0805-4f0f-a813-baa1cdaba394.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_8991928_afd6ff2b-41cf-4b33-9d56-f4b4aeb1fb07.json | N/A | N/A | N/A | N/A | N/A | 556M78105-10 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542429 | 2222 | N/A | 8676281 | N/A | 4214340 | 2025-06-16 23:13:41.808140 | 2025-06-16 23:14:10.518236 |
| 2025-06-16 23:13:38.317288 | 2025-06-16 23:13:39.912927 | 8991926 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-17 | M | PT | AE | 23277 | BUI | 556M78105-10 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8991926_1228b4d8-4d0b-430c-a5ec-9d9fca29e59b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | N/A | N/A | N/A | N/A | N/A | N/A | 556M78105-10 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-16 23:13:39.912927 | 2025-06-16 23:14:10.518236 |
| 2025-06-16 23:13:27.758954 | 2025-06-16 23:13:29.522078 | 8991924 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-17 | M | PT | AE | 4185 | BUI | 556M78105-10 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8991924_b3be378c-46db-4335-93c7-61d2e89d2289.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_8991924_f3b6e3fb-39a3-4d97-8163-4332dadbbb69.json | N/A | N/A | N/A | N/A | N/A | 556M78105-10 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542429 | 2222 | N/A | 8676279 | N/A | 4214340 | 2025-06-16 23:13:29.522078 | 2025-06-16 23:14:10.518236 |
| 2025-06-16 23:13:25.150211 | 2025-06-16 23:13:27.757553 | 8991923 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-17 | M | PT | AE | 4185 | BUI | 556M78105-10 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8991923_3c890115-6f71-429d-9c25-452e7b220bf4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | N/A | N/A | N/A | N/A | N/A | N/A | 556M78105-10 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-16 23:13:27.757553 | 2025-06-16 23:14:10.518236 |
| 2025-06-16 23:12:39.533808 | 2025-06-16 23:12:44.361131 | 8991921 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-17 | M | PT | AE | 23277 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8991921_6db00c02-5627-4954-adba-43fbb9136f29.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_8991921_7c28da92-7a7b-46ac-983a-b4a2364c73e7.json | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542429 | 2222 | N/A | 8676273 | N/A | 4214340 | 2025-06-16 23:12:44.361131 | 2025-06-16 23:14:10.518236 |
| 2025-06-16 23:12:37.778481 | 2025-06-16 23:12:39.529569 | 8991920 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-17 | M | PT | AE | 23277 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8991920_b77a77a8-a38b-4c3c-be99-777a469d5549.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | N/A | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-16 23:12:39.529569 | 2025-06-16 23:14:10.518236 |
| 2025-06-16 22:51:53.100894 | 2025-06-16 22:51:55.913241 | 8991686 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-05-31 | 2025-06-12 | M | PT | N/A | 4625 | LARSON | 98798015E | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537537/check_8991686_bb0a81bf-2c67-4ad8-9195-7287010f6839.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537537/check_8991686_f98ccea6-baaf-4184-8508-6dfa255309f4.json | N/A | N/A | N/A | N/A | N/A | 98798015E | N/A | N/A | HEALTH NET, LLC | N/A | 1993-05-31 | N/A | N/A | N/A | N/A | false | LARSON | N/A | RYAN | N/A | N/A | N/A | KCW MCALSTD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7962342344 | 7927 | N/A | 5537537 | 2222 | N/A | 8675975 | N/A | 4210069 | 2025-06-16 22:51:55.913241 | 2025-05-13 04:29:37.224490 |
| 2025-06-16 22:51:32.691084 | 2025-06-16 22:51:34.472199 | 8991684 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-05-31 | 2025-06-12 | M | PT | N/A | 2630 | LARSON | 98798015E | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537537/check_8991684_832a648f-4595-4297-acd1-365067c62542.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537537/check_8991684_d155782a-c7fc-445b-8c31-05af5e56d4fa.json | N/A | N/A | N/A | N/A | N/A | 98798015E | N/A | N/A | ALIGNMENT HEALTH | N/A | 1993-05-31 | N/A | N/A | N/A | N/A | false | LARSON | N/A | RYAN | 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 | 7927 | N/A | 5537537 | 2222 | N/A | 8675972 | N/A | 4210069 | 2025-06-16 22:51:34.472199 | 2025-05-13 04:29:37.224490 |
| 2025-06-16 22:51:30.075009 | 2025-06-16 22:51:32.686531 | 8991683 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-05-31 | 2025-06-12 | M | PT | N/A | 2630 | LARSON | 98798015E | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537537/check_8991683_46498d35-f012-426a-b25f-21a80930fd9b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 98798015E | N/A | N/A | ALIGNMENT HEALTH | N/A | 1993-05-31 | N/A | N/A | N/A | N/A | false | LARSON | N/A | RYAN | 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 | 7927 | N/A | 5537537 | 2222 | N/A | N/A | N/A | 4210069 | 2025-06-16 22:51:32.686531 | 2025-05-13 04:29:37.224490 |
| 2025-06-16 22:35:12.498181 | 2025-06-16 22:35:14.376562 | 8991036 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-24 | 2025-06-19 | F | PT | AE | 23299 | ELIZONDO | 00000386521 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550998/check_8991036_2e0d5132-d332-47e8-bf6d-2d7b529b0979.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550998/check_8991036_1d092125-0849-4c1a-b24e-212598142463.json | N/A | N/A | N/A | N/A | N/A | 00000386521 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1956-11-24 | N/A | N/A | N/A | N/A | false | ELIZONDO | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5550998 | 2222 | N/A | 8675282 | N/A | 4219830 | 2025-06-16 22:35:14.376562 | 2025-06-16 22:37:31.389993 |
| 2025-06-16 22:35:10.860902 | 2025-06-16 22:35:12.495577 | 8991035 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-24 | 2025-06-19 | F | PT | AE | 23299 | ELIZONDO | 00000386521 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550998/check_8991035_5f1ef0d5-56e4-46df-b1db-44c7685ac361.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | 00000386521 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1956-11-24 | N/A | N/A | N/A | N/A | false | ELIZONDO | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5550998 | 2222 | N/A | N/A | N/A | 4219830 | 2025-06-16 22:35:12.495577 | 2025-06-16 22:37:31.389993 |
| 2025-06-16 22:34:57.262194 | 2025-06-16 22:34:59.133867 | 8991034 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-24 | 2025-06-19 | F | PT | AE | 2630 | ELIZONDO | 00000386521 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550998/check_8991034_f4a00989-9c90-4c8e-b460-5b41d72be64f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550998/check_8991034_c85b3476-453e-41fa-975f-bf082fc711fd.json | N/A | N/A | N/A | N/A | N/A | 00000386521 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-24 | N/A | N/A | N/A | N/A | false | ELIZONDO | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5550998 | 2222 | N/A | 8675275 | N/A | 4219830 | 2025-06-16 22:34:59.133867 | 2025-06-16 22:37:31.389993 |
| 2025-06-16 22:34:55.499795 | 2025-06-16 22:34:57.259691 | 8991033 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-24 | 2025-06-19 | F | PT | AE | 2630 | ELIZONDO | 00000386521 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550998/check_8991033_0db44888-4634-48bd-b22e-0f9fd6e18cac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | 00000386521 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-24 | N/A | N/A | N/A | N/A | false | ELIZONDO | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5550998 | 2222 | N/A | N/A | N/A | 4219830 | 2025-06-16 22:34:57.259691 | 2025-06-16 22:37:31.389993 |
| 2025-06-16 22:24:52.087098 | 2025-06-16 22:24:54.012666 | 8990637 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-05-25 | 2025-06-20 | F | PT | N/A | 4185 | CLOONAN | 481M9993120 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6193751/check_8990637_40539bc7-18f2-4456-8c50-301bb11bb66a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193751/check_8990637_a0b81e2c-e2f1-494c-8c92-128bb6c1fdab.json | N/A | N/A | N/A | N/A | N/A | 481M9993120 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-05-25 | N/A | N/A | N/A | N/A | false | CLOONAN | N/A | LINDA | 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 | 7927 | N/A | 6193751 | 2222 | N/A | 8674853 | N/A | 4837995 | 2025-06-16 22:24:54.012666 | 2025-06-13 00:15:18.726975 |
| 2025-06-16 22:24:50.418543 | 2025-06-16 22:24:52.084686 | 8990636 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-05-25 | 2025-06-20 | F | PT | N/A | 4185 | CLOONAN | 481M9993120 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6193751/check_8990636_98edec86-cdea-4314-a3a6-1734cfd2b62a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | 481M9993120 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-05-25 | N/A | N/A | N/A | N/A | false | CLOONAN | N/A | LINDA | 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 | 7927 | N/A | 6193751 | 2222 | N/A | N/A | N/A | 4837995 | 2025-06-16 22:24:52.084686 | 2025-06-13 00:15:18.726975 |
| 2025-06-16 22:19:05.746569 | 2025-06-16 22:19:07.595733 | 8990447 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-01-25 | 2025-06-16 | M | PT | AE | 23277 | KASSBAUM | 803A7005010 | DEVIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550356/check_8990447_f4d37cbe-331a-488e-8aa2-a8532db9d397.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550356/check_8990447_570b9fbd-d7a5-43f1-8bf8-020a1d7082a0.json | N/A | N/A | N/A | N/A | N/A | 803A7005010 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1984-01-25 | N/A | N/A | N/A | N/A | false | KASSBAUM | N/A | DEVIN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5550356 | 2222 | N/A | 8674651 | N/A | 4219533 | 2025-06-16 22:19:07.595733 | 2025-05-28 20:18:05.111344 |
| 2025-06-16 22:19:04.025942 | 2025-06-16 22:19:05.742509 | 8990446 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-01-25 | 2025-06-16 | M | PT | AE | 23277 | KASSBAUM | 803A7005010 | DEVIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550356/check_8990446_abd0bea0-dccb-472b-8a33-0ab11e5d450a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | 803A7005010 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1984-01-25 | N/A | N/A | N/A | N/A | false | KASSBAUM | N/A | DEVIN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5550356 | 2222 | N/A | N/A | N/A | 4219533 | 2025-06-16 22:19:05.742509 | 2025-05-28 20:18:05.111344 |
| 2025-06-16 22:13:19.403289 | 2025-06-16 22:13:23.300551 | 8990263 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-12-20 | 2025-06-19 | F | PT | AE | 6411 | WHEELER | 343741201 | LYNN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536326/check_8990263_486d9132-9d02-4570-894b-eaa37ec556e7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536326/check_8990263_ae9bc8de-9a51-4fd9-98fb-830bd5a88bf3.json | N/A | N/A | N/A | N/A | N/A | 343741201 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1951-12-20 | N/A | HCFA21 | N/A | HN | false | WHEELER | N/A | LYNN | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7962190108 | 7927 | N/A | 5536326 | 2222 | N/A | 8674450 | N/A | 4209091 | 2025-06-16 22:13:23.300551 | 2025-05-13 04:29:37.223512 |
| 2025-06-16 22:08:25.652594 | 2025-06-16 22:08:28.443292 | 8990081 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1932-10-05 | 2025-06-18 | M | AE | PT | 4497 | BOLTON | XDO770869054 | ALAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6174537/check_8990081_b86440fc-a72f-409e-8dd6-36380f2b0c61.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6174537/check_8990081_cf852540-1633-4a40-ac10-be131e095148.json | N/A | N/A | N/A | N/A | N/A | XDO770869054 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1932-10-05 | N/A | N/A | N/A | N/A | false | BOLTON | N/A | ALAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6174537 | 2222 | N/A | 8674249 | N/A | 4815871 | 2025-06-16 22:08:28.443292 | 2025-08-01 15:33:39.468574 |
| 2025-06-16 22:08:23.845995 | 2025-06-16 22:08:25.648633 | 8990080 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1932-10-05 | 2025-06-18 | M | AE | PT | 4497 | BOLTON | XDO770869054 | ALAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6174537/check_8990080_a567bb2c-afc0-4c2f-b426-680e557a6725.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | XDO770869054 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1932-10-05 | N/A | N/A | N/A | N/A | false | BOLTON | N/A | ALAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6174537 | 2222 | N/A | N/A | N/A | 4815871 | 2025-06-16 22:08:25.648633 | 2025-08-01 15:33:39.468574 |
| 2025-06-16 22:02:21.267301 | 2025-06-16 22:02:25.089792 | 8989895 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-12-08 | 2025-06-17 | F | AE | PT | 4625 | LARSEN | R06053944FD1 | LANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542847/check_8989895_412ecc23-89c7-4e15-ad67-50baf789dc5a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542847/check_8989895_f3790d8b-586d-43ab-9c8d-59d5b80d31b6.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 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542847 | 2222 | N/A | 8674037 | N/A | 4214714 | 2025-06-16 22:02:25.089792 | 2025-05-13 04:29:37.229031 |
| 2025-06-16 22:02:18.597545 | 2025-06-16 22:02:21.264797 | 8989893 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-12-08 | 2025-06-17 | F | AE | PT | 4625 | LARSEN | R06053944FD1 | LANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542847/check_8989893_ea7ce33a-8da4-4d64-9e02-0cb3e790e73f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | N/A | 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 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542847 | 2222 | N/A | N/A | N/A | 4214714 | 2025-06-16 22:02:21.264797 | 2025-05-13 04:29:37.229031 |
| 2025-06-16 21:58:47.479026 | 2025-06-16 21:58:50.191240 | 8989699 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-12-08 | 2025-06-17 | F | AE | PT | 4625 | LARSEN | R06053944FD1 | LANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542847/check_8989699_0e5a3bb6-ec3a-460f-8b4f-988c49f2f45d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542847/check_8989699_c25966e0-b1ad-4d47-ba82-d94c05b0dfa0.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 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542847 | 2222 | N/A | 8673832 | N/A | 4214714 | 2025-06-16 21:58:50.191240 | 2025-05-13 04:29:37.229031 |
| 2025-06-16 21:58:28.565223 | 2025-06-16 21:58:47.477562 | 8989694 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-12-08 | 2025-06-17 | F | AE | PT | 4625 | LARSEN | R06053944FD1 | LANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542847/check_8989694_4c66d289-0a9a-4ae3-b0f0-c3acc80e1f33.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | N/A | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542847 | 2222 | N/A | N/A | N/A | 4214714 | 2025-06-16 21:58:47.477562 | 2025-05-13 04:29:37.229031 |
| 2025-06-16 21:57:58.952176 | 2025-06-16 21:58:04.870904 | 8989688 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-12-08 | 2025-06-17 | F | AE | PT | 23322 | LARSEN | R06053944FD1 | LANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542847/check_8989688_abe0b6cd-ea4f-41c5-8b05-bdf204d3c2a2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542847/check_8989688_f7de6692-26e4-4aed-b168-406973ba2f5c.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542847 | 2222 | N/A | 8673817 | N/A | 4214714 | 2025-06-16 21:58:04.870904 | 2025-05-13 04:29:37.229031 |
| 2025-06-16 21:57:57.256407 | 2025-06-16 21:57:58.949524 | 8989687 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-12-08 | 2025-06-17 | F | AE | PT | 23322 | LARSEN | R06053944FD1 | LANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542847/check_8989687_bfaa8b94-fbad-4884-a9f7-856b7a5e34e3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | N/A | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542847 | 2222 | N/A | N/A | N/A | 4214714 | 2025-06-16 21:57:58.949524 | 2025-05-13 04:29:37.229031 |
| 2025-06-16 21:56:49.086383 | 2025-06-16 21:57:02.869748 | 8989681 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-12-08 | 2025-06-17 | F | AE | PT | 4625 | LARSEN | R06053944FD1 | LANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542847/check_8989681_fad3fcef-d794-467e-ba62-ca03d2c2f345.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542847/check_8989681_6b1ff263-d551-4ffc-929c-4517b920e3b7.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 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542847 | 2222 | N/A | 8673809 | N/A | 4214714 | 2025-06-16 21:57:02.869748 | 2025-05-13 04:29:37.229031 |
| 2025-06-16 21:56:46.393832 | 2025-06-16 21:56:49.081501 | 8989680 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-12-08 | 2025-06-17 | F | AE | PT | 4625 | LARSEN | R06053944FD1 | LANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542847/check_8989680_68b2d468-8461-4dba-a979-e11ba2eb8a99.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | N/A | 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 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542847 | 2222 | N/A | N/A | N/A | 4214714 | 2025-06-16 21:56:49.081501 | 2025-05-13 04:29:37.229031 |
| 2025-06-16 21:55:10.092963 | 2025-06-16 21:55:14.039696 | 8989675 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-02 | 2025-06-17 | M | AE | PT | 4625 | TREJO | U9319979301 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222331/check_8989675_a7d232b0-50df-487c-86c6-aca22d3f1a4b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222331/check_8989675_4c4a804d-f669-4364-8903-6ecc4f383a5f.json | N/A | N/A | N/A | N/A | N/A | U9319979301 | N/A | N/A | HEALTH NET OF CALIFORNIA | DTP 194 INDICATES CLAIMS PAID THROUGH DATE TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1963-09-02 | 67138CA0520015-04 | N/A | N/A | N/A | false | TREJO | N/A | FRANK | N/A | N/A | N/A | SILVER 73 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7962112618 | 7927 | N/A | 6222331 | 2222 | N/A | 8673794 | N/A | 4866524 | 2025-06-16 21:55:14.039696 | 2025-06-17 17:52:29.549635 |
| 2025-06-16 21:53:50.493730 | 2025-06-16 21:53:52.205808 | 8989670 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-02 | 2025-06-17 | M | AE | PT | 4625 | TREJO | U319979301 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222331/check_8989670_708048b8-6ce6-4e0e-abd2-3814b19a4f34.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222331/check_8989670_082d0d44-cfe1-42a5-9c94-dfe61d72754c.json | N/A | N/A | N/A | N/A | N/A | U319979301 | N/A | N/A | CENTENE CORPORATION | N/A | 1963-09-02 | N/A | N/A | N/A | N/A | false | TREJO | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6222331 | 2222 | N/A | 8673780 | N/A | 4866524 | 2025-06-16 21:53:52.205808 | 2025-06-17 17:52:29.549635 |
| 2025-06-16 21:53:47.802470 | 2025-06-16 21:53:50.491584 | 8989668 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-02 | 2025-06-17 | M | AE | PT | 4625 | TREJO | U319979301 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222331/check_8989668_a172d74a-24a2-48b3-a608-09ab9ef275ee.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | N/A | N/A | N/A | N/A | N/A | N/A | U319979301 | N/A | N/A | CENTENE CORPORATION | N/A | 1963-09-02 | N/A | N/A | N/A | N/A | false | TREJO | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6222331 | 2222 | N/A | N/A | N/A | 4866524 | 2025-06-16 21:53:50.491584 | 2025-06-17 17:52:29.549635 |
| 2025-06-16 21:51:41.553382 | 2025-06-16 21:51:46.350042 | 8989652 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-01 | 2025-06-17 | M | PT | N/A | 4185 | VARON | MPI01422173Q | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550992/check_8989652_ac4ac245-267c-45b8-ad8d-db8e3de4146b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550992/check_8989652_06866f5a-d702-44cb-92a7-f60a7d7847db.json | N/A | N/A | N/A | N/A | N/A | MPI01422173Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1966-02-01 | 040 | 277163M401 | N/A | PR | false | VARON | N/A | BRETT | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7962094770 | 7927 | N/A | 5550992 | 2222 | N/A | 8673754 | N/A | 4219816 | 2025-06-16 21:51:46.350042 | 2025-05-13 04:29:37.230863 |
| 2025-06-16 21:47:06.465976 | 2025-06-16 21:47:08.259735 | 8989639 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-06-16 | M | AE | PT | 4185 | BLANCHFIELD | 780A5554110 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_8989639_c89e9ed9-4548-47a3-b883-1d72dfd90039.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_8989639_c36aa45b-116b-43e2-85ec-58e561ebdbe0.json | N/A | N/A | N/A | N/A | N/A | 780A5554110 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542555 | 2222 | N/A | 8673722 | N/A | 4214447 | 2025-06-16 21:47:08.259735 | 2026-04-23 20:11:34.441054 |
| 2025-06-16 21:47:04.831764 | 2025-06-16 21:47:06.462725 | 8989638 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-06-16 | M | AE | PT | 4185 | BLANCHFIELD | 780A5554110 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_8989638_8c6094aa-baf7-4ef9-8107-0673ab2320ce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | 780A5554110 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542555 | 2222 | N/A | N/A | N/A | 4214447 | 2025-06-16 21:47:06.462725 | 2026-04-23 20:11:34.441054 |
| 2025-06-16 21:44:53.972641 | 2025-06-16 21:44:55.833203 | 8989628 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-06-16 | M | AE | PT | 4185 | BLANCHFIELD | 780A5554110 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_8989628_4ebfb5dd-f239-4857-9df7-b18d20acbee4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_8989628_00628ef7-0fc4-4e68-bc68-a06dce88a1f6.json | N/A | N/A | N/A | N/A | N/A | 780A5554110 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542555 | 2222 | N/A | 8673706 | N/A | 4214447 | 2025-06-16 21:44:55.833203 | 2026-04-23 20:11:34.441054 |
| 2025-06-16 21:44:34.128585 | 2025-06-16 21:44:53.967282 | 8989627 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-06-16 | M | AE | PT | 4185 | BLANCHFIELD | 780A5554110 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_8989627_c6178ba1-143b-4efe-9de5-3ef08e450474.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | 780A5554110 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542555 | 2222 | N/A | N/A | N/A | 4214447 | 2025-06-16 21:44:53.967282 | 2026-04-23 20:11:34.441054 |
| 2025-06-16 21:44:12.552129 | 2025-06-16 21:44:14.474160 | 8989626 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-06-16 | M | AE | PT | 23320 | BLANCHFIELD | 780A5554110 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_8989626_e9b8630b-4f06-49e6-b3a7-2bf3fcc277ce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_8989626_f3eec3d4-60a5-4275-a0c1-e27863e85983.json | N/A | N/A | N/A | N/A | N/A | 780A5554110 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542555 | 2222 | N/A | 8673699 | N/A | 4214447 | 2025-06-16 21:44:14.474160 | 2026-04-23 20:11:34.441054 |
| 2025-06-16 21:44:10.920935 | 2025-06-16 21:44:12.547404 | 8989625 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-06-16 | M | AE | PT | 23320 | BLANCHFIELD | 780A5554110 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_8989625_8599e8de-a721-4de1-80b9-cde5bef23fc3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | 780A5554110 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542555 | 2222 | N/A | N/A | N/A | 4214447 | 2025-06-16 21:44:12.547404 | 2026-04-23 20:11:34.441054 |
| 2025-06-16 21:43:45.869656 | 2025-06-16 21:43:47.778460 | 8989623 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-06-16 | M | AE | PT | 23312 | BLANCHFIELD | 780A5554110 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_8989623_97f2b803-7561-48d7-967f-1fc4a2fff7dd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_8989623_291321f7-7f36-4453-af6a-09fd725b2c6c.json | N/A | N/A | N/A | N/A | N/A | 780A5554110 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542555 | 2222 | N/A | 8673692 | N/A | 4214447 | 2025-06-16 21:43:47.778460 | 2026-04-23 20:11:34.441054 |