API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-02-19 00:38:07.611153 | 2026-02-19 00:38:09.358573 | 18790322 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-02-02 | 2026-02-26 | F | AE | PT | 4184 | Roozrokh | R60967659 | Peyman | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17094664/check_18790322_b481f1e3-46d7-4faa-b0ed-4b5028ce0426.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17094664/check_18790322_64847370-ef60-4982-9e65-bf3047e546eb.json | N/A | N/A | N/A | N/A | N/A | R60967659 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1979-02-02 | N/A | 104 | N/A | PR | false | ROOZROKH | N/A | PEYMAN | N/A | 9999-12-31 | 2024-01-14 | STANDARD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074799608 | N/A | N/A | 17094664 | 2222 | N/A | 19003735 | N/A | 15086531 | 2026-02-19 00:38:09.358573 | 2026-02-18 21:22:56.146803 |
| 2026-02-19 00:36:33.128274 | 2026-02-19 00:36:37.031497 | 18790279 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-02-02 | 2026-02-26 | F | AE | PT | 4184 | Roozrokh | R60967659 | Peyman | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17094664/check_18790279_e710aa94-82df-4c82-a59f-7a3a585e4712.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17094664/check_18790279_b089cb8d-7aef-4d08-9575-afc7c85a2046.json | N/A | N/A | N/A | N/A | N/A | R60967659 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1979-02-02 | N/A | 104 | N/A | PR | false | ROOZROKH | N/A | PEYMAN | N/A | 9999-12-31 | 2024-01-14 | STANDARD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074796543 | N/A | N/A | 17094664 | 2222 | N/A | 19003698 | N/A | 15086531 | 2026-02-19 00:36:37.031497 | 2026-02-18 21:22:56.146803 |
| 2026-02-19 00:16:05.189369 | 2026-02-19 00:16:08.716410 | 18790125 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18790125_5da8864c-167e-48b9-a0ed-56860a749339.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18790125_9ae64154-c680-40fd-bd92-7ab1019ad456.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074741284 | N/A | N/A | 17099336 | 2222 | N/A | 19003547 | N/A | 6725117 | 2026-02-19 00:16:08.716410 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:56:27.129309 | 2026-02-18 22:56:28.869831 | 18789280 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18789280_4f1603ee-c18d-4939-9ba1-ae8ffa707123.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18789280_4dba8149-fdde-4e09-a94a-7b6f02f9b823.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074508695 | N/A | N/A | 17099336 | 2222 | N/A | 19002608 | N/A | 6725117 | 2026-02-18 22:56:28.869831 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:56:00.000983 | 2026-02-18 22:56:01.969123 | 18789274 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18789274_8881ad9c-087e-46f4-a786-cdeb6681066f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18789274_7882aac0-765a-41ac-a7fe-a63ade25058f.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074506993 | N/A | N/A | 17099336 | 2222 | N/A | 19002600 | N/A | 6725117 | 2026-02-18 22:56:01.969123 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:55:55.269603 | 2026-02-18 22:55:57.184785 | 18789270 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18789270_39b946ff-ad25-4421-94dc-eaee112115d2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18789270_a5330027-7a91-4f6a-95d3-e4f01e9b4cbf.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074506704 | N/A | N/A | 17099336 | 2222 | N/A | 19002596 | N/A | 6725117 | 2026-02-18 22:55:57.184785 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:54:02.485586 | 2026-02-18 22:54:04.466494 | 18789245 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18789245_c64960f2-f74d-4e24-b776-2707d68efdff.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18789245_52451c89-712b-43c3-95de-e174f3d0818f.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074498981 | N/A | N/A | 17099336 | 2222 | N/A | 19002565 | N/A | 6725117 | 2026-02-18 22:54:04.466494 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:52:24.227461 | 2026-02-18 22:52:26.030163 | 18789230 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18789230_12d662cd-d12e-4049-923e-7b94db56cb60.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18789230_9b161a85-070c-4bda-939c-1964b3e35090.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074493590 | N/A | N/A | 17099336 | 2222 | N/A | 19002545 | N/A | 6725117 | 2026-02-18 22:52:26.030163 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:48:00.717874 | 2026-02-18 22:48:02.494235 | 18789161 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18789161_4f74151f-eb55-4eaa-8ced-df7bc7cae177.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18789161_fdcc961c-3439-4327-a2f3-44191bfadd41.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074478675 | N/A | N/A | 17099336 | 2222 | N/A | 19002461 | N/A | 6725117 | 2026-02-18 22:48:02.494235 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:46:41.502182 | 2026-02-18 22:46:43.316864 | 18789148 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18789148_285daef0-c337-4d1f-b555-128e90c8e2d0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18789148_708d1b31-0f90-4ee0-a5fe-c3887b55379b.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074474435 | N/A | N/A | 17099336 | 2222 | N/A | 19002445 | N/A | 6725117 | 2026-02-18 22:46:43.316864 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:46:27.730302 | 2026-02-18 22:46:29.502092 | 18789145 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18789145_9dbd5b94-48ea-47dc-a1e1-963cdd3823a2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18789145_13c7f6f3-6dfc-446b-b4f3-07cef56d62e7.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074473598 | N/A | N/A | 17099336 | 2222 | N/A | 19002441 | N/A | 6725117 | 2026-02-18 22:46:29.502092 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:46:22.397895 | 2026-02-18 22:46:24.158939 | 18789143 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18789143_68669c14-9884-496e-a75c-9c48172b9f3b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18789143_95e1576e-32ba-46db-8ca7-2512b35c8e70.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074473304 | N/A | N/A | 17099336 | 2222 | N/A | 19002438 | N/A | 6725117 | 2026-02-18 22:46:24.158939 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:43:31.400259 | 2026-02-18 22:43:33.241257 | 18789122 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18789122_f8643a9f-f9a3-4f9c-b2ef-d306dcb51675.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18789122_f32eb22a-f480-4d88-aad6-6921723a46fa.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074462332 | N/A | N/A | 17099336 | 2222 | N/A | 19002399 | N/A | 6725117 | 2026-02-18 22:43:33.241257 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:41:56.607891 | 2026-02-18 22:41:58.438878 | 18789099 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18789099_369052ae-bb86-47aa-b934-167e1d9a168f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18789099_527bb707-4293-4f44-b88d-70684ce65703.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074456123 | N/A | N/A | 17099336 | 2222 | N/A | 19002373 | N/A | 6725117 | 2026-02-18 22:41:58.438878 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:40:05.071418 | 2026-02-18 22:40:06.878339 | 18789056 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18789056_26319504-47a9-4082-a8ab-7437adc80212.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18789056_edf3aa77-86c3-4297-9959-a54808e534d0.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074447508 | N/A | N/A | 17099336 | 2222 | N/A | 19002322 | N/A | 6725117 | 2026-02-18 22:40:06.878339 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:39:58.395265 | 2026-02-18 22:40:00.133731 | 18789051 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18789051_864d6a00-5a29-40a8-aeb5-0025461b1649.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18789051_ca339c6c-550f-474b-a30c-91b8422987bf.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074447127 | N/A | N/A | 17099336 | 2222 | N/A | 19002316 | N/A | 6725117 | 2026-02-18 22:40:00.133731 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:38:37.251701 | 2026-02-18 22:38:38.998416 | 18789014 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18789014_ad6d0ad8-c024-4c68-9343-7d7fd718558f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18789014_52548e8d-ff2e-46f5-a80e-255ef5fdec52.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074442361 | N/A | N/A | 17099336 | 2222 | N/A | 19002281 | N/A | 6725117 | 2026-02-18 22:38:38.998416 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:38:03.460777 | 2026-02-18 22:38:05.265289 | 18788999 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18788999_c88d865e-91c6-4aee-86cb-743fe0f3f9df.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18788999_bca0cc6d-9f5f-457e-ac8f-657167c06c2c.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074439604 | N/A | N/A | 17099336 | 2222 | N/A | 19002264 | N/A | 6725117 | 2026-02-18 22:38:05.265289 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:36:37.682793 | 2026-02-18 22:36:39.474435 | 18788981 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18788981_849f59d8-2fce-4b1a-89ef-5571a9458b07.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18788981_b51fb1ac-941b-4559-8b48-6e13b4ee4616.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074432347 | N/A | N/A | 17099336 | 2222 | N/A | 19002238 | N/A | 6725117 | 2026-02-18 22:36:39.474435 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 22:34:03.962931 | 2026-02-18 22:34:06.775192 | 18788925 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-02-23 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_18788925_253d7fac-0bb6-4175-938f-29373125b9d7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_18788925_d040427e-f2d1-483a-9452-1a46c9afd2ac.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10074420303 | N/A | N/A | 17099336 | 2222 | N/A | 19002175 | N/A | 6725117 | 2026-02-18 22:34:06.775192 | 2026-02-18 22:27:04.950292 |
| 2026-02-18 20:17:37.655154 | 2026-02-18 20:17:42.577181 | 18785916 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-09-11 | 2026-02-23 | M | AE | PT | 3939 | PAVLISKO | W290796851 | CORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17090394/check_18785916_cbdfc3b9-f131-41f4-af6b-d4f54454344e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17090394/check_18785916_d6ef7785-13df-4938-9c6d-7fc100e8a908.json | N/A | N/A | N/A | N/A | N/A | W290796851 | Exclusive Provider Organization | OMNICOM BENEFITS INC. | AETNA | N/A | 1972-09-11 | 0268846 | 026884601400001 | N/A | EP | false | PAVLISKO | N/A | ALICE | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10073489932 | N/A | N/A | 17090394 | 2222 | N/A | 18998808 | N/A | 15081889 | 2026-02-18 20:17:42.577181 | 2026-02-23 16:52:42.014019 |
| 2026-02-18 20:16:37.148201 | 2026-02-18 20:16:43.032256 | 18785904 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-09-11 | 2026-02-23 | M | AE | PT | 3939 | PAVLISKO | M2907 96851 | CORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17090394/check_18785904_258035eb-a2b8-4395-b019-e5fc0b337f94.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17090394/check_18785904_963e596a-bb8e-4bb8-aba5-d6147ac3f8d2.json | N/A | N/A | N/A | N/A | N/A | W290796851 | Exclusive Provider Organization | OMNICOM BENEFITS INC. | AETNA | N/A | 1972-09-11 | 0268846 | 026884601400001 | N/A | EP | false | PAVLISKO | N/A | ALICE | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10073480214 | N/A | N/A | 17090394 | 2222 | N/A | 18998797 | N/A | 15081889 | 2026-02-18 20:16:43.032256 | 2026-02-23 16:52:42.014019 |
| 2026-02-18 19:15:45.758201 | 2026-02-18 19:15:48.094824 | 18785094 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-14 | 2026-02-25 | M | PT | N/A | 4185 | BENKOVIC | NCF105A51926 | ESTEBAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17088157/check_18785094_3ba8b639-740c-4e4a-befa-f3ff04d20837.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17088157/check_18785094_911c8e78-226d-4087-8142-f58100dcc200.json | N/A | N/A | N/A | N/A | N/A | NCF105A51926 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1967-09-14 | 040 | 57AJCA | N/A | HM | false | BENKOVIC | N/A | ESTEBAN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10072785845 | N/A | N/A | 17088157 | 2222 | N/A | 18997782 | N/A | 15079739 | 2026-02-18 19:15:48.094824 | 2026-02-18 19:01:28.651126 |
| 2026-02-18 19:14:13.055860 | 2026-02-18 19:14:14.849696 | 18785037 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-14 | 2026-02-25 | M | PT | N/A | 4185 | BENKOVIC | NCF105A51926 | ESTEBAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17088157/check_18785037_ce1ca6cf-495f-49be-ba3a-bc8596ea25bd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17088157/check_18785037_86cb293b-af53-44e8-8cda-5f6cf4e2fc61.json | N/A | N/A | N/A | N/A | N/A | NCF105A51926 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1967-09-14 | 040 | 57AJCA | N/A | HM | false | BENKOVIC | N/A | ESTEBAN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10072774838 | N/A | N/A | 17088157 | 2222 | N/A | 18997730 | N/A | 15079739 | 2026-02-18 19:14:14.849696 | 2026-02-18 19:01:28.651126 |
| 2026-02-18 19:12:41.246890 | 2026-02-18 19:12:43.080016 | 18784995 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-14 | 2026-02-25 | M | PT | N/A | 4185 | BENKOVIC | NCF105A51926 | ESTEBAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17088157/check_18784995_1d93e897-f667-4e09-8269-091978dbf8ab.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17088157/check_18784995_d0a39d84-e132-4d14-811c-b554e69d5726.json | N/A | N/A | N/A | N/A | N/A | NCF105A51926 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1967-09-14 | 040 | 57AJCA | N/A | HM | false | BENKOVIC | N/A | ESTEBAN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10072764414 | N/A | N/A | 17088157 | 2222 | N/A | 18997689 | N/A | 15079739 | 2026-02-18 19:12:43.080016 | 2026-02-18 19:01:28.651126 |
| 2026-02-18 19:12:19.201119 | 2026-02-18 19:12:21.160488 | 18784989 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-14 | 2026-02-25 | M | PT | N/A | 4185 | BENKOVIC | NCF105A51926 | ESTEBAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17088157/check_18784989_adf9101f-d58f-4833-9598-515186dbd686.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17088157/check_18784989_cf696fa9-c814-442b-a14c-f26947bed74c.json | N/A | N/A | N/A | N/A | N/A | NCF105A51926 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1967-09-14 | 040 | 57AJCA | N/A | HM | false | BENKOVIC | N/A | ESTEBAN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10072761974 | N/A | N/A | 17088157 | 2222 | N/A | 18997682 | N/A | 15079739 | 2026-02-18 19:12:21.160488 | 2026-02-18 19:01:28.651126 |
| 2026-02-18 19:11:47.176977 | 2026-02-18 19:11:50.029506 | 18784980 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-14 | 2026-02-25 | M | PT | N/A | 4185 | BENKOVIC | NCF105A51926 | ESTEBAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17088157/check_18784980_7d056628-ea1c-482a-be57-e410279ed34a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17088157/check_18784980_4817807d-a001-44f2-94fa-d61a96eb447f.json | N/A | N/A | N/A | N/A | N/A | NCF105A51926 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1967-09-14 | 040 | 57AJCA | N/A | HM | false | BENKOVIC | N/A | ESTEBAN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10072758133 | N/A | N/A | 17088157 | 2222 | N/A | 18997673 | N/A | 15079739 | 2026-02-18 19:11:50.029506 | 2026-02-18 19:01:28.651126 |
| 2026-02-18 18:15:22.560071 | 2026-02-18 18:15:24.356382 | 18783750 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-12-17 | 2026-02-18 | F | PT | N/A | 4185 | UPDIKE | XAN903412717 | AMIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16879613/check_18783750_751a99a1-68f2-492e-8ca3-2cf34e4a58ba.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16879613/check_18783750_e3c449d9-fc89-4879-ad67-d276dc8d30d8.json | N/A | N/A | N/A | N/A | N/A | XAN903412717 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1978-12-17 | 1478PPOX0003 | W0051411 | N/A | PR | false | UPDIKE | N/A | JOSEPH | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10072300539 | N/A | N/A | 16879613 | 2222 | N/A | 18996323 | N/A | 14884291 | 2026-02-18 18:15:24.356382 | 2026-02-12 23:28:22.567862 |
| 2026-02-18 18:15:09.876790 | 2026-02-18 18:15:14.794277 | 18783742 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-12-17 | 2026-02-18 | F | PT | N/A | 4185 | UPDIKE | XAN903412717 | AMIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16879613/check_18783742_f2078484-466d-4a41-9248-a70ba50e9b36.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16879613/check_18783742_2a974b30-4ca0-4de9-92fc-d9501d9ec2e2.json | N/A | N/A | N/A | N/A | N/A | XAN903412717 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1978-12-17 | 1478PPOX0003 | W0051411 | N/A | PR | false | UPDIKE | N/A | JOSEPH | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10072299117 | N/A | N/A | 16879613 | 2222 | N/A | 18996316 | N/A | 14884291 | 2026-02-18 18:15:14.794277 | 2026-02-12 23:28:22.567862 |
| 2026-02-18 13:15:53.204382 | 2026-02-18 13:15:55.096322 | 18778415 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-01-31 | 2026-02-10 | F | AE | PT | 6237 | KIER | 40054488301 | MELINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15215976/check_18778415_7821fd92-1e74-49aa-a54b-2d256bc0a85c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15215976/check_18778415_4448748e-34bf-4f95-b8fb-228b4cfff114.json | N/A | N/A | N/A | N/A | N/A | 40054488301 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-01-31 | N/A | N/A | N/A | N/A | false | KIER | N/A | MELINDA | 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 | 10068473414 | 7929 | N/A | 15215976 | 2222 | N/A | 18990515 | N/A | 13317487 | 2026-02-18 13:15:55.096322 | 2026-01-09 15:30:49.875836 |
| 2026-02-18 13:10:52.357343 | 2026-02-18 13:10:55.203779 | 18778378 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-01-31 | 2026-02-17 | F | AE | PT | 6237 | KIER | 40054488301 | MELINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15215976/check_18778378_eee64155-25ea-4f25-8488-33592a389ae4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15215976/check_18778378_19c224ac-337f-4371-ac8a-7aa0f76963c3.json | N/A | N/A | N/A | N/A | N/A | 40054488301 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-01-31 | N/A | N/A | N/A | N/A | false | KIER | N/A | MELINDA | 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 | 10068413736 | 7929 | N/A | 15215976 | 2222 | N/A | 18990467 | N/A | 13317487 | 2026-02-18 13:10:55.203779 | 2026-01-09 15:30:49.875836 |
| 2026-02-18 13:10:32.738472 | 2026-02-18 13:10:34.666588 | 18778374 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-01-31 | 2026-02-17 | F | AE | PT | 6237 | KIER | 400544883-01 | MELINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15215976/check_18778374_78416864-f3c0-4d56-ac21-e453fd092d21.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15215976/check_18778374_bdfb21c2-cca7-4eb0-a3a4-9bd60df9d96c.json | N/A | N/A | N/A | N/A | N/A | 400544883-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-01-31 | N/A | N/A | N/A | N/A | false | KIER | N/A | MELINDA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 15215976 | 2222 | N/A | 18990465 | N/A | 13317487 | 2026-02-18 13:10:34.666588 | 2026-01-09 15:30:49.875836 |
| 2026-02-18 13:10:27.991947 | 2026-02-18 13:10:32.735346 | 18778373 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-01-31 | 2026-02-17 | F | AE | PT | 6237 | KIER | 400544883-01 | MELINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15215976/check_18778373_d5a53aad-7325-4e7f-868d-a2bfb3ee621a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-17 | N/A | N/A | N/A | N/A | N/A | N/A | 400544883-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-01-31 | N/A | N/A | N/A | N/A | false | KIER | N/A | MELINDA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 15215976 | 2222 | N/A | N/A | N/A | 13317487 | 2026-02-18 13:10:32.735346 | 2026-01-09 15:30:49.875836 |
| 2026-02-18 12:54:26.944024 | 2026-02-18 12:54:29.816049 | 18778256 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-06 | 2025-12-08 | M | AE | PT | 6237 | Sack | 400393930-01 | Robert | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14042644/check_18778256_e5af526f-5e29-4540-a853-258fcdbd7c42.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14042644/check_18778256_70245eb9-eb5e-432c-89df-2a25417f71ec.json | N/A | N/A | N/A | N/A | N/A | 400393930-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-03-06 | N/A | N/A | N/A | N/A | false | SACK | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 14042644 | 2222 | N/A | 18990324 | N/A | 10314571 | 2026-02-18 12:54:29.816049 | 2026-01-04 16:54:02.110823 |
| 2026-02-18 12:54:19.164040 | 2026-02-18 12:54:26.940406 | 18778253 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-06 | 2025-12-08 | M | AE | PT | 6237 | Sack | 400393930-01 | Robert | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14042644/check_18778253_f8406b88-18e2-4579-b2e6-4157a4d35f83.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-08 | N/A | N/A | N/A | N/A | N/A | N/A | 400393930-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-03-06 | N/A | N/A | N/A | N/A | false | SACK | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 14042644 | 2222 | N/A | N/A | N/A | 10314571 | 2026-02-18 12:54:26.940406 | 2026-01-04 16:54:02.110823 |
| 2026-02-18 10:00:57.988275 | 2026-02-18 10:01:02.027025 | 18777306 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-04-21 | 2026-02-10 | N/A | PT | AE | 4185 | CHERAGHI | XDP453W22160 | SHAHLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16257029/check_18777306_8f5e805f-73c2-44b4-a7ac-98a05abcd10f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16257029/check_18777306_61d5a1a6-7f94-4a26-a4d9-408e38003d77.json | N/A | N/A | N/A | N/A | N/A | XDP453W22160 | Preferred Provider Organization (PPO) | COUNTY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1963-04-21 | 040 | 1284EH | N/A | PR | false | FATEMI | N/A | SEYED ZIAEDD | N/A | 9999-12-31 | 2025-04-01 | CUSTOM PPO NETWORK COUNTY OF LOS ANGELES | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10066952439 | 1275 | N/A | 16257029 | 2222 | N/A | 18989077 | N/A | 11693294 | 2026-02-18 10:01:02.027025 | 2026-01-15 18:14:50.604237 |
| 2026-02-18 09:59:20.842901 | 2026-02-18 09:59:26.759565 | 18777209 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2026-02-13 | N/A | PT | AE | 4191 | M Johnson | KWS141015355001 | David | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14282249/check_18777209_ad72bcd6-ed43-4681-bc41-9f41c44604d0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14282249/check_18777209_a854d851-d240-4e94-9ca5-003185111228.json | N/A | N/A | N/A | N/A | N/A | KWS141015355001 | Preferred Provider Organization (PPO) | BOIRON, INC. ACTIVE | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = FULLY INSURED | 1962-09-10 | 376 | 10897275 | N/A | PR | false | JOHNSON | N/A | DAVID | N/A | 9999-12-31 | 2025-07-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10066939343 | 1275 | N/A | 14282249 | 2222 | N/A | 18988981 | N/A | 12247347 | 2026-02-18 09:59:26.759565 | 2025-12-10 23:35:09.824882 |
| 2026-02-18 08:54:56.624451 | 2026-02-18 08:54:58.472140 | 18776533 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-02-09 | N/A | PT | AE | 2630 | DHIMAN | 00000390792 | SUKHDEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18776533_80f60de6-768c-4bd3-bdf1-ecbe25bcd1d9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9838502/check_18776533_4b56f64d-82c2-446d-a4d6-920526bdf2d8.json | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | 18988219 | N/A | 8236812 | 2026-02-18 08:54:58.472140 | 2026-01-23 23:12:04.578617 |
| 2026-02-18 08:54:54.883012 | 2026-02-18 08:54:56.622298 | 18776532 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-02-09 | N/A | PT | AE | 2630 | DHIMAN | 00000390792 | SUKHDEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18776532_0d291d38-742c-4dad-b29e-b26e00bce1f0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-09 | N/A | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | N/A | N/A | 8236812 | 2026-02-18 08:54:56.622298 | 2026-01-23 23:12:04.578617 |
| 2026-02-18 08:54:52.575598 | 2026-02-18 08:54:54.373630 | 18776530 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-02-09 | N/A | PT | AE | 2630 | DHIMAN | 00000390792 | SUKHDEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18776530_d0070a8e-0fec-4b32-a307-06a07db62c80.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9838502/check_18776530_80979fa8-d977-4af5-baea-bdacde917589.json | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | 18988216 | N/A | 8236812 | 2026-02-18 08:54:54.373630 | 2026-01-23 23:12:04.578617 |
| 2026-02-18 08:54:50.518491 | 2026-02-18 08:54:52.572969 | 18776529 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-02-09 | N/A | PT | AE | 2630 | DHIMAN | 00000390792 | SUKHDEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18776529_7f1836b7-791c-4471-b5b4-8dcc854710cc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-09 | N/A | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | N/A | N/A | 8236812 | 2026-02-18 08:54:52.572969 | 2026-01-23 23:12:04.578617 |
| 2026-02-18 08:52:58.637283 | 2026-02-18 08:53:00.457183 | 18776509 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-02-05 | N/A | PT | AE | 2630 | DHIMAN | 00000390792 | SUKHDEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18776509_ecbe089f-7d37-4507-a38e-e88d67ca6075.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9838502/check_18776509_79dc7b75-cb61-48cd-a94d-1e03b8fe4399.json | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | 18988193 | N/A | 8236812 | 2026-02-18 08:53:00.457183 | 2026-01-23 23:12:04.578617 |
| 2026-02-18 08:52:57.023288 | 2026-02-18 08:52:58.634342 | 18776508 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-02-05 | N/A | PT | AE | 2630 | DHIMAN | 00000390792 | SUKHDEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18776508_474def3b-acdb-43eb-a03a-4da0354dfdc9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-05 | N/A | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | N/A | N/A | 8236812 | 2026-02-18 08:52:58.634342 | 2026-01-23 23:12:04.578617 |
| 2026-02-18 08:52:54.681478 | 2026-02-18 08:52:56.589816 | 18776507 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-02-05 | N/A | PT | AE | 2630 | DHIMAN | 00000390792 | SUKHDEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18776507_5b48f7c3-5874-425e-bb80-88788a170c75.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9838502/check_18776507_ec10faa2-b41c-4dca-b953-989757213d36.json | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | 18988191 | N/A | 8236812 | 2026-02-18 08:52:56.589816 | 2026-01-23 23:12:04.578617 |
| 2026-02-18 08:52:52.830450 | 2026-02-18 08:52:54.675040 | 18776506 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-02-05 | N/A | PT | AE | 2630 | DHIMAN | 00000390792 | SUKHDEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18776506_925ce12c-a0f2-416d-bb46-19aa238e5be5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-05 | N/A | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | N/A | N/A | 8236812 | 2026-02-18 08:52:54.675040 | 2026-01-23 23:12:04.578617 |
| 2026-02-18 08:36:09.523230 | 2026-02-18 08:36:12.752592 | 18772413 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-15 | 2026-02-20 | F | AE | PT | 6411 | SKLAR | 997341869 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124041/check_18772413_d18d8885-69d1-439a-a715-c023bd964794.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124041/check_18772413_da7c23af-dcd8-44a6-880f-019e4f28db0b.json | N/A | N/A | N/A | N/A | N/A | 997341869 | Commercial | PFIZER INC | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1975-07-15 | 2366 2022 | 183644 | N/A | C1 | false | SKLAR | N/A | ANDREA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10066628078 | N/A | N/A | 6124041 | 2222 | N/A | 18984957 | N/A | 4766742 | 2026-02-18 08:36:12.752592 | 2025-06-04 15:23:35.717260 |
| 2026-02-18 08:36:03.921190 | 2026-02-18 08:36:05.697616 | 18772362 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-09-23 | 2026-02-20 | F | AE | PT | 6411 | MCALLISTER | 51787856 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15451809/check_18772362_8039ab36-24ab-43c8-8573-c810d3f29ab7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15451809/check_18772362_e39a5d82-4171-4ce3-b291-36d841c5696f.json | N/A | N/A | N/A | N/A | N/A | 51787856 | N/A | N/A | UMR | N/A | 1966-09-23 | N/A | N/A | N/A | N/A | false | MCALLISTER | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15451809 | 2222 | N/A | 18984895 | N/A | 13539068 | 2026-02-18 08:36:05.697616 | 2026-01-27 19:06:57.352195 |
| 2026-02-18 08:36:02.372861 | 2026-02-18 08:36:05.315180 | 18772351 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-06-26 | 2026-02-20 | M | AE | PT | 6411 | SLACK | 41275875 | COREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/13300394/check_18772351_4c4ecd3b-0583-441a-92d3-6333b1a8decb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13300394/check_18772351_7470f719-e7e4-4c5e-a07a-df48f709edb5.json | N/A | N/A | N/A | N/A | N/A | 41275875 | N/A | ZAYO GROUP, LLC | UMR | N/A | 1990-06-26 | 417006416376002 | 76416376 | N/A | N/A | false | SLACK | N/A | COREY | 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 | 10066627795 | N/A | N/A | 13300394 | 2222 | N/A | 18984894 | N/A | 11448114 | 2026-02-18 08:36:05.315180 | 2025-12-01 21:57:42.015222 |
| 2026-02-18 08:36:01.095882 | 2026-02-18 08:36:03.917090 | 18772341 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-09-23 | 2026-02-20 | F | AE | PT | 6411 | MCALLISTER | 51787856 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15451809/check_18772341_6eee5ca6-9320-4872-9674-a411e3194925.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-20 | N/A | N/A | N/A | N/A | N/A | N/A | 51787856 | N/A | N/A | UMR | N/A | 1966-09-23 | N/A | N/A | N/A | N/A | false | MCALLISTER | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15451809 | 2222 | N/A | N/A | N/A | 13539068 | 2026-02-18 08:36:03.917090 | 2026-01-27 19:06:57.352195 |
| 2026-02-18 08:35:59.892239 | 2026-02-18 08:36:04.036235 | 18772325 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-03-17 | 2026-02-20 | F | AE | PT | N/A | LORENZEN | 967970147 | Shannon | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15962978/check_18772325_af7b3b95-136d-42f0-ac38-ed83b5856ecc.json | UHC | N/A | GOOGLE_CLOUD | 2026-02-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15962978/check_18772325_c3e2d656-6918-4e8c-aa06-eaf2499d535c.json | N/A | N/A | N/A | N/A | N/A | 967970147 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1982-03-17 | N/A | 936200 | N/A | C1 | false | LORENZEN | N/A | SHANNON | N/A | N/A | N/A | SELECT PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15962978 | 2222 | N/A | 18984877 | N/A | 14043687 | 2026-02-18 08:36:04.036235 | 2026-02-08 18:29:07.348795 |