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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-16 21:43:44.255399 | 2025-06-16 21:43:45.866159 | 8989622 | 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_8989622_379815cf-eeb3-406c-8282-f54071587b6c.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 21:43:45.866159 | 2026-04-23 20:11:34.441054 |
| 2025-06-16 21:42:56.074932 | 2025-06-16 21:42:58.158156 | 8989619 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-06-16 | M | AE | PT | 4191 | BLANCHFIELD | 780A5554110 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_8989619_e8d1762d-c872-45f8-95f3-217a33b20451.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_8989619_b4fa976d-b113-48fb-bc71-88b44426fa6a.json | N/A | N/A | N/A | N/A | N/A | 780A5554110 | N/A | N/A | BLUE SHIELD CALIFORNIA | 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 | 8673683 | N/A | 4214447 | 2025-06-16 21:42:58.158156 | 2026-04-23 20:11:34.441054 |
| 2025-06-16 21:42:54.466676 | 2025-06-16 21:42:56.071689 | 8989618 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-06-16 | M | AE | PT | 4191 | BLANCHFIELD | 780A5554110 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_8989618_62fb11c4-2287-4419-b5ef-cb370f42d9cc.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 | BLUE SHIELD CALIFORNIA | 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 21:42:56.071689 | 2026-04-23 20:11:34.441054 |
| 2025-06-16 21:39:39.664439 | 2025-06-16 21:39:46.364610 | 8989598 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-03-19 | 2025-06-16 | F | AE | PT | 4191 | BRIGGS | 906130448002 | SLOANE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539306/check_8989598_5c622406-91d0-467c-a00e-5d8b65920648.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539306/check_8989598_ff6bbfc4-4ed5-49a6-9ccc-bd50679816f6.json | N/A | N/A | N/A | N/A | N/A | XEH906130448 | Health Maintenance Organization (HMO) | SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN BERNAR | BLUE SHIELD CALIFORNIA | N/A | 2009-03-19 | 1000VX000001 | W0065302 | N/A | HM | false | BRIGGS | N/A | WILLIAM | N/A | 2035-03-31 | 2025-01-01 | SUPERIOR COURT OF CA COUNTY OF SAN BERNARDINO ACC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7962036416 | 7927 | N/A | 5539306 | 2222 | N/A | 8673651 | N/A | 4211630 | 2025-06-16 21:39:46.364610 | 2025-06-06 14:52:22.575054 |
| 2025-06-16 21:35:38.702913 | 2025-06-16 21:35:41.522490 | 8989587 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-20 | 2025-06-16 | M | PT | AE | 6798 | KIRKLAND | 30729619 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/2222/6188935/check_8989587_7bbfb984-bce8-4558-9930-6c0ac9c0cfd8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6188935/check_8989587_e0e6a804-ff4c-47a6-bc83-7e007b33422e.json | N/A | N/A | N/A | N/A | N/A | 30729619 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1960-10-20 | 406-032-000 | N/A | N/A | N/A | false | KIRKLAND | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7962013823 | 7927 | N/A | 6188935 | 2222 | N/A | 8673620 | N/A | 4712994 | 2025-06-16 21:35:41.522490 | 2025-07-31 22:51:16.261439 |
| 2025-06-16 21:35:36.035242 | 2025-06-16 21:35:38.699622 | 8989586 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-20 | 2025-06-16 | M | PT | AE | 6798 | KIRKLAND | 30729619 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/2222/6188935/check_8989586_b755e2de-8083-4029-b7dd-e05c1e0c892e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | 30729619 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1960-10-20 | N/A | N/A | N/A | N/A | false | KIRKLAND | N/A | JAMES | 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 | 6188935 | 2222 | N/A | N/A | N/A | 4712994 | 2025-06-16 21:35:38.699622 | 2025-07-31 22:51:16.261439 |
| 2025-06-16 21:33:26.778160 | 2025-06-16 21:33:28.546211 | 8989559 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-20 | 2025-06-16 | M | PT | AE | 23443 | KIRKLAND | 30729619 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/2222/6188935/check_8989559_0403063c-3931-4dcf-a777-f1ac13926c01.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6188935/check_8989559_ad20e9a2-2d73-495b-bd4d-082e3b671eda.json | N/A | N/A | N/A | N/A | N/A | 30729619 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-10-20 | N/A | N/A | N/A | N/A | false | KIRKLAND | N/A | JAMES | 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 | 6188935 | 2222 | N/A | 8673584 | N/A | 4712994 | 2025-06-16 21:33:28.546211 | 2025-07-31 22:51:16.261439 |
| 2025-06-16 21:33:25.007857 | 2025-06-16 21:33:26.775775 | 8989558 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-20 | 2025-06-16 | M | PT | AE | 23443 | KIRKLAND | 30729619 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/2222/6188935/check_8989558_8256ee7c-84a3-4b3c-82e8-f41e0d164fb3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | 30729619 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-10-20 | N/A | N/A | N/A | N/A | false | KIRKLAND | N/A | JAMES | 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 | 6188935 | 2222 | N/A | N/A | N/A | 4712994 | 2025-06-16 21:33:26.775775 | 2025-07-31 22:51:16.261439 |
| 2025-06-16 21:30:48.588071 | 2025-06-16 21:30:56.493765 | 8989550 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-06-02 | F | PT | AE | 6341 | YUNG | 00854676304 | MAYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_8989550_cc419f34-ab05-4a48-aee7-5322f22fa414.json | AVAILITY | N/A | INSIGHTS | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543379/check_8989550_89991248-f6c8-4570-834f-eb9b3c79427d.json | N/A | N/A | N/A | N/A | N/A | 00854676304 | Indemnity | N/A | TRIWEST - TRICARE | N/A | 2011-05-18 | N/A | N/A | N/A | IN | false | YUNG | N/A | MAYA | N/A | N/A | N/A | PLAN 315 PRIME-RETIRED SPONSORS AND FAMILY MEMBERS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5543379 | 2222 | N/A | 8673564 | N/A | 4215179 | 2025-06-16 21:30:56.493765 | 2025-05-13 04:29:37.229495 |
| 2025-06-16 21:10:11.198382 | 2025-06-16 21:10:24.084646 | 8989452 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-14 | 2025-06-18 | M | AE | PT | 4191 | GOTTLIEB | XEM909776828 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398702/check_8989452_c67fa101-dae9-4e7c-94ae-33c151df408b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398702/check_8989452_98ba0666-664b-4703-8291-2ee2ae41e885.json | N/A | N/A | N/A | N/A | N/A | XEM909776828 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-03-14 | 2002SE000029 | X0001002 | N/A | OT | false | GOTTLIEB | N/A | ROY | N/A | 2025-06-30 | 2024-07-01 | MEDICARE SUPPLEMENT DENTAL PPO 1000 AUG14 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7961878794 | 7927 | N/A | 6398702 | 2222 | N/A | 8673365 | N/A | 5046257 | 2025-06-16 21:10:24.084646 | 2025-06-15 19:16:28.356486 |
| 2025-06-16 21:10:00.360059 | 2025-06-16 21:10:03.386713 | 8989450 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-14 | 2025-06-18 | M | AE | PT | 4497 | GOTTLIEB | 5QC5Y42RU84 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398701/check_8989450_b7c4add4-f8c2-4ca9-9394-cd1846da6c31.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398701/check_8989450_aa0aeda1-52ed-484a-98ca-99ef6bc0416b.json | N/A | N/A | N/A | N/A | N/A | 5QC5Y42RU84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-03-14 | S5617 | N/A | N/A | MA | false | GOTTLIEB | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7961877905 | 7927 | N/A | 6398701 | 2222 | N/A | 8673362 | N/A | 5046257 | 2025-06-16 21:10:03.386713 | 2025-06-15 19:16:28.356486 |
| 2025-06-16 20:03:17.382534 | 2025-06-16 20:03:19.187375 | 8989202 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-07-01 | 2025-06-16 | M | PT | N/A | 4185 | PAQUETTE | JQU899A69081 | NICOLAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124048/check_8989202_d122569d-b06b-4cc6-a401-8672e3100286.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124048/check_8989202_f8994914-df06-4d77-b62f-f3132208621c.json | N/A | N/A | N/A | N/A | N/A | JQU899A69081 | Preferred Provider Organization (PPO) | EN ROUTE TRAVEL | ANTHEM BLUE CROSS | N/A | 2009-07-01 | 040 | 371007 | N/A | PR | false | PAQUETTE | N/A | BIANCA | N/A | 9999-12-31 | 2025-06-01 | ANTHEM GOLD PPO 35/500/25% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7961332310 | 9482 | N/A | 6124048 | 2222 | N/A | 8673022 | N/A | 4766758 | 2025-06-16 20:03:19.187375 | 2025-06-03 21:40:10.090592 |
| 2025-06-16 18:37:27.708819 | 2025-06-16 18:37:30.560278 | 8988771 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-10-20 | 2025-06-16 | F | PT | AE | 4191 | VAUGHAN | 910348305 | BRIANNA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6415249/check_8988771_6359c443-58b8-4b52-9aa9-8ca5ad0caa72.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6415249/check_8988771_0c3bdb9d-c976-416c-b5a3-62febca76ce7.json | N/A | N/A | N/A | N/A | N/A | XEH910348305 | Health Maintenance Organization (HMO) | TRINET HR III INC | BLUE SHIELD CALIFORNIA | N/A | 1979-10-20 | 1001HMOX0014 | W0051486 | N/A | HM | false | VAUGHAN | N/A | BRIANNA | N/A | N/A | N/A | TRINET HR III INC CUSTOM HMO 30 500 ADMIT ER 250 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7960282547 | 9483 | N/A | 6415249 | 2222 | N/A | 8672298 | N/A | 5062890 | 2025-06-16 18:37:30.560278 | 2025-06-30 20:31:45.414426 |
| 2025-06-16 18:11:30.024047 | 2025-06-16 18:11:32.872553 | 8988626 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-20 | 2025-05-29 | F | PT | AE | 4191 | MORALES | xem904136832 | ANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6074748/check_8988626_695d3e34-8ee6-4fc0-938c-97ae77f3dc29.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074748/check_8988626_8b4a0b38-5fda-4217-9386-63c6855cea6c.json | N/A | N/A | N/A | N/A | N/A | XEM904136832 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-20 | 2002SD000004 | X0001002 | N/A | OT | false | MORALES | N/A | ANA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7959875174 | 7927 | N/A | 6074748 | 2222 | N/A | 8672081 | N/A | 4718913 | 2025-06-16 18:11:32.872553 | 2025-05-29 22:23:40.462913 |
| 2025-06-16 18:10:51.881374 | 2025-06-16 18:10:53.701095 | 8988620 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-20 | 2025-05-29 | F | PT | AE | 4497 | MORALES | 7XX8HG0UK25 | ANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6076917/check_8988620_b417b68d-8c35-4711-bbff-ecfcf0181545.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6076917/check_8988620_373e10d2-159b-4f34-a373-d8c3fd09cadb.json | N/A | N/A | N/A | N/A | N/A | 7XX8HG0UK25 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-20 | N/A | N/A | N/A | MB | false | MORALES | N/A | ANA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7959864981 | 7927 | N/A | 6076917 | 2222 | N/A | 8672070 | N/A | 4718913 | 2025-06-16 18:10:53.701095 | 2025-05-29 22:23:40.462913 |
| 2025-06-16 18:07:42.391543 | 2025-06-16 18:07:44.217585 | 8988602 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-20 | 2025-05-29 | F | PT | AE | 4191 | MORALES | x0001002 | ANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6076917/check_8988602_d6dece00-b241-47f7-a368-bc3c64782690.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6076917/check_8988602_e39173af-64a4-42b6-b2c9-b4354b72887c.json | N/A | N/A | N/A | N/A | N/A | X0001002 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1949-06-20 | N/A | N/A | N/A | N/A | false | MORALES | N/A | ANA | 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 | 6076917 | 2222 | N/A | 8672044 | N/A | 4718913 | 2025-06-16 18:07:44.217585 | 2025-05-29 22:23:40.462913 |
| 2025-06-16 18:07:40.713787 | 2025-06-16 18:07:42.388656 | 8988601 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-20 | 2025-05-29 | F | PT | AE | 4191 | MORALES | x0001002 | ANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6076917/check_8988601_48f4e1ba-88c3-43df-9dde-048f27c6eaa7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | X0001002 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1949-06-20 | N/A | N/A | N/A | N/A | false | MORALES | N/A | ANA | 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 | 6076917 | 2222 | N/A | N/A | N/A | 4718913 | 2025-06-16 18:07:42.388656 | 2025-05-29 22:23:40.462913 |
| 2025-06-16 18:04:10.580975 | 2025-06-16 18:04:12.601590 | 8988581 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-20 | 2025-05-29 | F | PT | AE | 4191 | MORALES | 7XX8HG0UK25 | ANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6076917/check_8988581_c51296d8-d414-41c3-8b62-6ecc0d2e9555.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6076917/check_8988581_ad9172db-797c-4c24-8818-f926deb3558a.json | N/A | N/A | N/A | N/A | N/A | XEM904136832 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-20 | 2002SD000004 | X0001002 | N/A | OT | false | MORALES | N/A | ANA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7959801255 | 7927 | N/A | 6076917 | 2222 | N/A | 8672008 | N/A | 4718913 | 2025-06-16 18:04:12.601590 | 2025-05-29 22:23:40.462913 |
| 2025-06-16 18:03:47.242107 | 2025-06-16 18:03:49.243688 | 8988579 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-20 | 2025-05-29 | F | PT | AE | 4497 | MORALES | 7XX8HG0UK25 | ANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6074748/check_8988579_45582c5b-8af8-4758-a7da-d54cda797c86.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074748/check_8988579_26695869-3202-42d7-a13b-a530b3eb4527.json | N/A | N/A | N/A | N/A | N/A | 7XX8HG0UK25 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-20 | N/A | N/A | N/A | MB | false | MORALES | N/A | ANA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7959797204 | 7927 | N/A | 6074748 | 2222 | N/A | 8672006 | N/A | 4718913 | 2025-06-16 18:03:49.243688 | 2025-05-29 22:23:40.462913 |
| 2025-06-16 18:03:34.233941 | 2025-06-16 18:03:37.063699 | 8988578 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-20 | 2025-05-29 | F | PT | AE | 4497 | MORALES | 7XX8HG0UK25 | ANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6076917/check_8988578_be0fa7cc-2463-4f5b-ac78-b0dfd0cc07dc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6076917/check_8988578_0bb251c0-a786-4a9a-afcc-f899a2973a99.json | N/A | N/A | N/A | N/A | N/A | 7XX8HG0UK25 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-20 | N/A | N/A | N/A | MA | false | MORALES | N/A | ANA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7959795134 | 7927 | N/A | 6076917 | 2222 | N/A | 8672004 | N/A | 4718913 | 2025-06-16 18:03:37.063699 | 2025-05-29 22:23:40.462913 |
| 2025-06-16 17:42:55.674465 | 2025-06-16 17:42:59.519080 | 8988502 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-16 | 2025-06-13 | M | AE | PT | 4191 | KANDELA | XEM904119501 | IMAD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543179/check_8988502_64a35c7c-a692-4d96-9400-5a432276699c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543179/check_8988502_732a013f-5352-4e9b-a360-ad602bc7852c.json | N/A | N/A | N/A | N/A | N/A | XEM904119501 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1948-07-16 | 2002SD000004 | X0001002 | N/A | OT | false | KANDELA | N/A | IMAD | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7959600725 | 7927 | N/A | 5543179 | 2222 | N/A | 8671857 | N/A | 4215003 | 2025-06-16 17:42:59.519080 | 2025-05-13 04:29:37.229322 |
| 2025-06-16 17:35:15.328106 | 2025-06-16 17:35:37.229008 | 8988486 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-08-09 | 2025-06-16 | M | PT | AE | 4497 | DASILVA | 4KY4HX3NJ05 | BOB | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540840/check_8988486_bb57590d-e2c8-46e0-a17b-cc38e7acf9fe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540840/check_8988486_a2583f1c-3179-4701-b618-592a4a12f2ae.json | N/A | N/A | N/A | N/A | N/A | 4KY4HX3NJ05 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-08-09 | N/A | N/A | N/A | MA | false | DASILVA | N/A | BOB | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7959533193 | 7927 | N/A | 5540840 | 2222 | N/A | 8671816 | N/A | 4212930 | 2025-06-16 17:35:37.229008 | 2025-05-13 04:29:37.227258 |
| 2025-06-16 16:49:51.111321 | 2025-06-16 16:49:52.871028 | 8987667 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-10-26 | 2025-06-16 | F | PT | N/A | 4184 | HSU | PVG127A71148 | CHERYL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6414019/check_8987667_621213b1-d4c1-48bb-9273-44e4736527d3.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6414019/check_8987667_bafb2a85-ce8b-484d-a816-ef90c0dd1d7d.json | N/A | N/A | N/A | N/A | N/A | PVG127A71148 | Preferred Provider Organization (PPO) | AVAGO TECHNOLOGIES INC | ANTHEM BLUE CROSS | N/A | 1983-10-26 | 040 | 174205M6C9 | N/A | PR | false | KANG | N/A | EUGENE | N/A | 9999-12-31 | 2024-03-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7959076417 | N/A | N/A | 6414019 | 2222 | N/A | 8670888 | N/A | 5061374 | 2025-06-16 16:49:52.871028 | 2025-06-17 16:22:41.102955 |
| 2025-06-16 16:48:41.941827 | 2025-06-16 16:48:43.822853 | 8987596 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-10-26 | 2025-06-16 | F | PT | N/A | 4184 | HSU | PVG127A71148 | CHERYL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6414019/check_8987596_2c4749d6-7942-4945-9a6d-dbe81e25689d.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6414019/check_8987596_fbcc6bee-4aaa-43ac-97f5-7de18fa75acf.json | N/A | N/A | N/A | N/A | N/A | PVG127A71148 | Preferred Provider Organization (PPO) | AVAGO TECHNOLOGIES INC | ANTHEM BLUE CROSS | N/A | 1983-10-26 | 040 | 174205M6C9 | N/A | PR | false | KANG | N/A | EUGENE | N/A | 9999-12-31 | 2024-03-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7959067750 | N/A | N/A | 6414019 | 2222 | N/A | 8670813 | N/A | 5061374 | 2025-06-16 16:48:43.822853 | 2025-06-17 16:22:41.102955 |
| 2025-06-16 16:46:43.326004 | 2025-06-16 16:46:48.023946 | 8987394 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-11-18 | 2025-06-18 | F | AE | PT | 6411 | JACOBY | 34555828811 | LEAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_8987394_3fceda36-0640-4f69-94be-97672074c674.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_8987394_ce6c595b-4fab-45de-baf6-850ee7719334.json | N/A | N/A | N/A | N/A | N/A | 345558288 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1951-11-18 | N/A | N/A | N/A | N/A | false | JACOBI | N/A | LEAH | 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 | 6145941 | 2222 | N/A | 8670600 | N/A | 4786785 | 2025-06-16 16:46:48.023946 | 2025-06-13 00:55:48.629734 |
| 2025-06-16 16:46:39.760803 | 2025-06-16 16:46:43.323133 | 8987393 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-11-18 | 2025-06-18 | F | AE | PT | 6411 | JACOBY | 34555828811 | LEAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_8987393_15a9e082-998a-4b90-a729-367a286a5888.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | 345558288 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1951-11-18 | N/A | N/A | N/A | N/A | false | JACOBI | N/A | LEAH | 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 | 6145941 | 2222 | N/A | N/A | N/A | 4786785 | 2025-06-16 16:46:43.323133 | 2025-06-13 00:55:48.629734 |
| 2025-06-16 16:45:33.303566 | 2025-06-16 16:45:37.084799 | 8987314 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-05-22 | 2025-06-18 | F | AE | PT | 6411 | Hugh | 35577967011 | Debra | https://storage.googleapis.com/normandy-eligibility-checks/2222/6074786/check_8987314_83fa5a5a-ab79-4bb6-99c9-743a506d41f7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074786/check_8987314_5d6e641b-c58d-4499-a68e-1ae21f2cde18.json | N/A | N/A | N/A | N/A | N/A | 355779670 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1957-05-22 | N/A | N/A | N/A | N/A | false | HUGH | N/A | DEBRA | 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 | 6074786 | 2222 | N/A | 8670523 | N/A | 4718946 | 2025-06-16 16:45:37.084799 | 2025-06-04 21:27:14.065817 |
| 2025-06-16 16:45:29.703178 | 2025-06-16 16:45:33.300257 | 8987306 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-05-22 | 2025-06-18 | F | AE | PT | 6411 | Hugh | 35577967011 | Debra | https://storage.googleapis.com/normandy-eligibility-checks/2222/6074786/check_8987306_3be76d5f-3baa-496f-91b6-a467c72d0473.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | 355779670 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1957-05-22 | N/A | N/A | N/A | N/A | false | HUGH | N/A | DEBRA | 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 | 6074786 | 2222 | N/A | N/A | N/A | 4718946 | 2025-06-16 16:45:33.300257 | 2025-06-04 21:27:14.065817 |
| 2025-06-16 16:44:43.486062 | 2025-06-16 16:44:47.273266 | 8987244 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-02 | 2025-06-17 | M | PT | AE | 6397 | BALLETTA | 331479122-11 | EDWARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_8987244_60e15191-9036-40a8-8224-9adeb0c51633.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993962/check_8987244_eaed5f08-e500-456a-84dc-1e9ed23b21cc.json | N/A | N/A | N/A | N/A | N/A | 331479122 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1959-07-02 | N/A | N/A | N/A | N/A | false | BALLETTA | N/A | EDWARD | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993962 | 2222 | N/A | 8670450 | N/A | 4642893 | 2025-06-16 16:44:47.273266 | 2025-05-28 20:58:29.913655 |
| 2025-06-16 16:44:39.934841 | 2025-06-16 16:44:43.476770 | 8987238 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-02 | 2025-06-17 | M | PT | AE | 6397 | BALLETTA | 331479122-11 | EDWARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_8987238_615e9991-eae8-42bd-98bd-9fce038f4d3e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-17 | N/A | N/A | N/A | N/A | N/A | N/A | 331479122 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1959-07-02 | N/A | N/A | N/A | N/A | false | BALLETTA | N/A | EDWARD | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993962 | 2222 | N/A | N/A | N/A | 4642893 | 2025-06-16 16:44:43.476770 | 2025-05-28 20:58:29.913655 |
| 2025-06-16 16:42:03.240141 | 2025-06-16 16:42:06.141971 | 8986976 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-10-26 | 2025-06-16 | F | PT | N/A | 4184 | HSU | PVG127A71148 | CHERYL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6414019/check_8986976_c41ddfb7-20e8-41ce-8d7a-b832fb949cbf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6414019/check_8986976_e12f0217-ebc2-4c37-88a3-0d64d956b2f3.json | N/A | N/A | N/A | N/A | N/A | PVG127A71148 | Preferred Provider Organization (PPO) | AVAGO TECHNOLOGIES INC | ANTHEM BLUE CROSS | N/A | 1983-10-26 | 040 | 174205M6C9 | N/A | PR | false | KANG | N/A | EUGENE | N/A | 9999-12-31 | 2024-03-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7959016126 | 9482 | N/A | 6414019 | 2222 | N/A | 8670174 | N/A | 5061374 | 2025-06-16 16:42:06.141971 | 2025-06-17 16:22:41.102955 |
| 2025-06-16 16:08:15.044916 | 2025-06-16 16:08:16.820347 | 8984377 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-03-20 | 2025-06-16 | M | AE | PT | 4184 | ZAVAD | JQE410A75283 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398732/check_8984377_4935922f-50a2-4158-91c7-c00633769869.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398732/check_8984377_af8f248a-062a-418b-96c2-42e6ea2c996a.json | N/A | N/A | N/A | N/A | N/A | JQE410A75283 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1946-03-20 | 040 | CASUPWP0 | N/A | N/A | false | ZAVAD | N/A | MARK | N/A | 9999-12-31 | 2019-04-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7958760380 | N/A | N/A | 6398732 | 2222 | N/A | 8668715 | N/A | 5046284 | 2025-06-16 16:08:16.820347 | 2025-06-15 19:17:13.943381 |
| 2025-06-16 16:07:50.673292 | 2025-06-16 16:07:52.409076 | 8984340 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-07-01 | 2025-06-16 | M | PT | N/A | 4185 | PAQUETTE | JQU899A69081 | NICOLAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124048/check_8984340_a3684c59-4082-4feb-b801-5e8ded5e1ce6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124048/check_8984340_626cd923-015b-45ec-b820-6338a81a338d.json | N/A | N/A | N/A | N/A | N/A | JQU899A69081 | Preferred Provider Organization (PPO) | EN ROUTE TRAVEL | ANTHEM BLUE CROSS | N/A | 2009-07-01 | 040 | 371007 | N/A | PR | false | PAQUETTE | N/A | BIANCA | N/A | 9999-12-31 | 2025-06-01 | ANTHEM GOLD PPO 35/500/25% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7958757219 | N/A | N/A | 6124048 | 2222 | N/A | 8668675 | N/A | 4766758 | 2025-06-16 16:07:52.409076 | 2025-06-03 21:40:10.090592 |
| 2025-06-16 16:07:49.999821 | 2025-06-16 16:07:51.695578 | 8984339 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-05-15 | 2025-06-16 | M | PT | N/A | 4185 | CAMPOS | JQU035W17626 | DEVON | https://storage.googleapis.com/normandy-eligibility-checks/2222/6193743/check_8984339_7783dc38-0245-4a03-a471-0bad8d31f83a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193743/check_8984339_d72ed317-36fd-402f-8c76-147d84c62120.json | N/A | N/A | N/A | N/A | N/A | JQU035W17626 | Preferred Provider Organization (PPO) | A TECH CONSULTING INC | ANTHEM BLUE CROSS | N/A | 1999-05-15 | 040 | H27312 | N/A | PR | false | CAMPOS | N/A | DEVON | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7958757143 | N/A | N/A | 6193743 | 2222 | N/A | 8668673 | N/A | 4343457 | 2025-06-16 16:07:51.695578 | 2025-05-13 04:29:37.230935 |
| 2025-06-16 16:06:20.631246 | 2025-06-16 16:06:22.839866 | 8984230 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-20 | 2025-06-16 | F | PT | N/A | 4497 | MORALES | 7XX8HG0UK25 | ANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6074748/check_8984230_4781494f-1313-4aeb-b7a5-2e3b23511882.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074748/check_8984230_fc78e18f-282c-451c-b903-3690701e1144.json | N/A | N/A | N/A | N/A | N/A | 7XX8HG0UK25 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-20 | N/A | N/A | N/A | MA | false | MORALES | N/A | ANA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7958743842 | N/A | N/A | 6074748 | 2222 | N/A | 8668560 | N/A | 4718913 | 2025-06-16 16:06:22.839866 | 2025-05-29 22:23:40.462913 |
| 2025-06-16 16:04:07.452211 | 2025-06-16 16:04:09.678287 | 8984075 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-21 | 2025-06-16 | U | AE | PT | 4199 | ROOFEH | 96113754F03034 | NADDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538289/check_8984075_9430b8c0-cd6c-461e-96ab-8c7082ddeabb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538289/check_8984075_74a1ae51-bd50-4079-900e-33fbfc3225ed.json | N/A | N/A | N/A | N/A | N/A | 96113754F03034 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1957-07-21 | N/A | N/A | N/A | N/A | false | ROOFEH | N/A | NADDER | 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 | 5538289 | 2222 | N/A | 8668398 | N/A | 4210725 | 2025-06-16 16:04:09.678287 | 2025-06-16 16:15:05.679018 |
| 2025-06-16 16:04:06.280734 | 2025-06-16 16:04:08.303328 | 8984071 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-05-27 | 2025-06-16 | F | AE | PT | 4185 | LANGINGER | XDO068A68730 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543306/check_8984071_97e9f859-f693-493e-85ed-581d89ac6cf2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543306/check_8984071_f516e491-beb6-4cff-85f6-f299b5baa4ba.json | N/A | N/A | N/A | N/A | N/A | XDO068A68730 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1937-05-27 | 040 | CASUPWP0 | N/A | N/A | false | LANGINGER | N/A | BARBARA | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR CLASSIC F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7958726273 | N/A | N/A | 5543306 | 2222 | N/A | 8668393 | N/A | 4215107 | 2025-06-16 16:04:08.303328 | 2025-05-13 04:29:37.229419 |
| 2025-06-16 16:04:05.799247 | 2025-06-16 16:04:07.447938 | 8984069 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-21 | 2025-06-16 | U | AE | PT | 4199 | ROOFEH | 96113754F03034 | NADDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538289/check_8984069_0eaf0ebb-83ad-433c-a453-faa81133a87c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | 96113754F03034 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1957-07-21 | N/A | N/A | N/A | N/A | false | ROOFEH | N/A | NADDER | 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 | 5538289 | 2222 | N/A | N/A | N/A | 4210725 | 2025-06-16 16:04:07.447938 | 2025-06-16 16:15:05.679018 |
| 2025-06-16 16:01:24.469491 | 2025-06-16 16:01:26.831580 | 8983736 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-08-14 | 2025-06-16 | F | PT | AE | 5505 | ZIMMERMAN | 000021134035 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993948/check_8983736_7d688572-c922-4f15-9538-e95b7395cde8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993948/check_8983736_1c5b182e-ceb6-42ec-b479-4543b9ec9bc8.json | N/A | N/A | N/A | N/A | N/A | 000021134035 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1953-08-14 | 4183353 | 1650095001 | N/A | N/A | false | ZIMMERMAN | N/A | DEBORA | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 73 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7958705801 | N/A | N/A | 5993948 | 2222 | N/A | 8668043 | N/A | 4642885 | 2025-06-16 16:01:26.831580 | 2025-06-03 23:30:41.439757 |
| 2025-06-16 15:56:44.927350 | 2025-06-16 15:56:46.680786 | 8983136 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-03-20 | 2025-06-16 | M | AE | PT | 4497 | ZAVAD | 6EU4QE2TT70 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398732/check_8983136_56222ad5-6001-4b0a-8aae-c77216381dd9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398732/check_8983136_ea887cbc-2598-44be-a088-70b4f4fc84d3.json | N/A | N/A | N/A | N/A | N/A | 6EU4QE2TT70 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-03-20 | S5617 | N/A | N/A | MA | false | ZAVAD | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7958667485 | N/A | N/A | 6398732 | 2222 | N/A | 8667423 | N/A | 5046284 | 2025-06-16 15:56:46.680786 | 2025-06-15 19:17:13.943381 |
| 2025-06-16 15:56:43.838744 | 2025-06-16 15:56:45.566199 | 8983133 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-06-14 | 2025-06-16 | F | AE | PT | 2630 | MIESSNER | 00000302558 | CHERYLL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398725/check_8983133_c81a591b-f2c7-4e16-88ce-b740d1b9da4e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398725/check_8983133_4c69392c-1391-439f-8d1f-2a9b92977d99.json | N/A | N/A | N/A | N/A | N/A | 00000302558 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1950-06-14 | H3815028 | N/A | N/A | HM | false | MIESSNER | N/A | CHERYLL | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7958667387 | N/A | N/A | 6398725 | 2222 | N/A | 8667418 | N/A | 5046278 | 2025-06-16 15:56:45.566199 | 2025-06-15 19:17:04.043327 |
| 2025-06-16 15:56:43.504625 | 2025-06-16 15:56:45.254974 | 8983130 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-03 | 2025-06-16 | F | AE | PT | 4437 | Rothwell | U1464489701 | Shima | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398700/check_8983130_a8237dec-5cc5-41c6-8fbd-276e8e57dbb0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398700/check_8983130_5616f2e9-b01c-46fe-899d-704c41fa2dcd.json | N/A | N/A | N/A | N/A | N/A | U1464489701 | N/A | INTERNATIONAL MEDICAL CORPS | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1957-03-30 | N/A | 4001549 | N/A | N/A | false | ROTHWELL | N/A | SHIMA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7958667341 | N/A | N/A | 6398700 | 2222 | N/A | 8667417 | N/A | 5046256 | 2025-06-16 15:56:45.254974 | 2025-07-01 16:46:23.467309 |
| 2025-06-16 15:56:25.375322 | 2025-06-16 15:56:27.137523 | 8983066 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-05-15 | 2025-06-16 | M | PT | N/A | 4185 | CAMPOS | JQU035W17626 | DEVON | https://storage.googleapis.com/normandy-eligibility-checks/2222/6193743/check_8983066_c7477dc8-6d91-4f8b-8240-973f891a93c7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193743/check_8983066_4a2fc60a-f980-4b10-aace-1c750acac2ae.json | N/A | N/A | N/A | N/A | N/A | JQU035W17626 | Preferred Provider Organization (PPO) | A TECH CONSULTING INC | ANTHEM BLUE CROSS | N/A | 1999-05-15 | 040 | H27312 | N/A | PR | false | CAMPOS | N/A | DEVON | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7958665146 | N/A | N/A | 6193743 | 2222 | N/A | 8667350 | N/A | 4343457 | 2025-06-16 15:56:27.137523 | 2025-05-13 04:29:37.230935 |
| 2025-06-16 15:56:06.489067 | 2025-06-16 15:56:08.346137 | 8983013 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-07-01 | 2025-06-16 | M | PT | N/A | 4185 | PAQUETTE | 490145 | NICOLAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124048/check_8983013_443242f9-fb1f-48ec-ab4e-be56d4fdb9fc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124048/check_8983013_4e2dc0bb-a50a-4d08-bf85-6318d83d60e5.json | N/A | N/A | N/A | N/A | N/A | 490145 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-07-01 | N/A | N/A | N/A | N/A | false | PAQUETTE | N/A | NICOLAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6124048 | 2222 | N/A | 8667295 | N/A | 4766758 | 2025-06-16 15:56:08.346137 | 2025-06-03 21:40:10.090592 |
| 2025-06-16 15:56:04.911788 | 2025-06-16 15:56:06.486224 | 8983008 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-07-01 | 2025-06-16 | M | PT | N/A | 4185 | PAQUETTE | 490145 | NICOLAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124048/check_8983008_4e6592c8-1089-4da0-bde0-e1c1b004705d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | 490145 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-07-01 | N/A | N/A | N/A | N/A | false | PAQUETTE | N/A | NICOLAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6124048 | 2222 | N/A | N/A | N/A | 4766758 | 2025-06-16 15:56:06.486224 | 2025-06-03 21:40:10.090592 |
| 2025-06-16 15:55:36.990205 | 2025-06-16 15:55:41.756442 | 8982918 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-20 | 2025-06-16 | F | PT | N/A | 4191 | MORALES | XEM904136832 | ANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6074748/check_8982918_63ed0b58-0742-4768-b0f8-9c6662521beb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074748/check_8982918_9f1dac19-a81b-4e0e-994f-33d764dca848.json | N/A | N/A | N/A | N/A | N/A | XEM904136832 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-20 | 2002SD000004 | X0001002 | N/A | OT | false | MORALES | N/A | ANA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7958659052 | N/A | N/A | 6074748 | 2222 | N/A | 8667207 | N/A | 4718913 | 2025-06-16 15:55:41.756442 | 2025-05-29 22:23:40.462913 |
| 2025-06-16 15:53:35.461372 | 2025-06-16 15:53:37.201255 | 8982582 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-02-21 | 2025-06-16 | M | AD | N/A | 1534 | LEVINE | 110561060 | ROCIO | https://storage.googleapis.com/normandy-eligibility-checks/2222/5994830/check_8982582_c3906c6d-7417-4b81-b7ea-4af72d67e22b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5994830/check_8982582_6613b39b-97c4-43eb-862b-d926756acf01.json | N/A | N/A | N/A | N/A | N/A | 11056106000 | N/A | CYDCOR, LLC | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1967-02-21 | N/A | 00654768 | N/A | N/A | false | LEVINE | N/A | ROCIO | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7958640936 | N/A | N/A | 5994830 | 2222 | N/A | 8666852 | N/A | 4210945 | 2025-06-16 15:53:37.201255 | 2025-06-24 15:38:48.246227 |
| 2025-06-16 15:53:32.999663 | 2025-06-16 15:53:34.801292 | 8982574 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-04-16 | 2025-06-16 | U | PT | AE | 5505 | MUDDANA | 000019632130 | MADHU | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993960/check_8982574_3585617b-5ddd-4d3f-a7fc-cedf7863eca8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993960/check_8982574_6552fdf0-a686-4beb-b21d-5634eb636568.json | N/A | N/A | N/A | N/A | N/A | 000019632130 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1977-04-16 | N/A | N/A | N/A | N/A | false | MUDDANA | N/A | MADHU | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993960 | 2222 | N/A | 8666843 | N/A | 4642894 | 2025-06-16 15:53:34.801292 | 2025-06-26 23:37:55.748278 |
| 2025-06-16 15:53:31.920836 | 2025-06-16 15:53:33.679154 | 8982571 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-09-07 | 2025-06-16 | M | PT | N/A | 4185 | CRUZ | TYW851751152 | GIOVANI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993970/check_8982571_3e9dd711-7d52-451b-b9cb-f0489303229a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993970/check_8982571_4e25ad05-135e-45a0-960b-a0aef865c598.json | N/A | N/A | N/A | N/A | N/A | TYW851751152 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 2009-09-07 | N/A | 031843 | N/A | PR | false | CRUZ GARIBAY | N/A | JAVIER | N/A | 9999-12-31 | 2025-01-01 | BLUE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7958640529 | N/A | N/A | 5993970 | 2222 | N/A | 8666840 | N/A | 4642901 | 2025-06-16 15:53:33.679154 | 2025-06-06 02:34:37.518805 |
| 2025-06-16 15:53:31.452239 | 2025-06-16 15:53:32.996526 | 8982570 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-04-16 | 2025-06-16 | U | PT | AE | 5505 | MUDDANA | 000019632130 | MADHU | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993960/check_8982570_a754b0af-0e31-47fb-a58c-bec25069238a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | 000019632130 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1977-04-16 | N/A | N/A | N/A | N/A | false | MUDDANA | N/A | MADHU | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993960 | 2222 | N/A | N/A | N/A | 4642894 | 2025-06-16 15:53:32.996526 | 2025-06-26 23:37:55.748278 |