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 15:53:31.369555 | 2025-06-16 15:53:33.144090 | 8982569 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-07-19 | 2025-06-16 | M | PT | AE | 4497 | HARVEY | 8YE6EE0UG57 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993966/check_8982569_bdcf8d5a-31d1-4fd9-9093-1d2ea7fd6b6b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993966/check_8982569_00209bad-d12a-487c-8c72-eb76c7334767.json | N/A | N/A | N/A | N/A | N/A | 8YE6EE0UG57 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-07-19 | S4802 | N/A | N/A | MA | false | HARVEY | N/A | CHRISTOPHE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7958640492 | N/A | N/A | 5993966 | 2222 | N/A | 8666837 | N/A | 4642895 | 2025-06-16 15:53:33.144090 | 2025-06-04 22:10:38.563345 |
| 2025-06-16 15:53:31.110223 | 2025-06-16 15:53:32.832593 | 8982568 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-10-13 | 2025-06-16 | M | AE | PT | 3948 | BOGNER | W293460341 | NOAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993959/check_8982568_4235e965-af67-4fa3-bff2-5766e144dc88.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993959/check_8982568_10fc3ccf-8d99-4dcf-aa44-68e7af9ad61c.json | N/A | N/A | N/A | N/A | N/A | W293460341 | Point of Service (POS) | APPLE INC. | AETNA | N/A | 1997-10-13 | 0109286 | 010928602000001 | N/A | PS | false | BOGNER | N/A | NOAH | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7958640469 | N/A | N/A | 5993959 | 2222 | N/A | 8666836 | N/A | 4642891 | 2025-06-16 15:53:32.832593 | 2025-05-30 16:16:44.304215 |
| 2025-06-16 15:53:30.675058 | 2025-06-16 15:53:32.452679 | 8982567 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-01-20 | 2025-06-16 | F | PT | AE | 3948 | DAVIS | W258779471 | MARTINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993951/check_8982567_33aab607-db7b-4fc4-a9fc-e01d80f8b73f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_8982567_0be391fb-3366-4f34-b10e-14bfa1402598.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7958640427 | N/A | N/A | 5993951 | 2222 | N/A | 8666834 | N/A | 4642884 | 2025-06-16 15:53:32.452679 | 2025-12-02 20:19:19.910444 |
| 2025-06-16 15:53:30.381639 | 2025-06-16 15:53:32.128147 | 8982566 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-01 | 2025-06-16 | F | AE | PT | 5505 | MIROBALLI | 000002447244 | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993939/check_8982566_75d0cb7c-ba03-4de5-a073-64175d978bd2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993939/check_8982566_9583e101-23c2-4bf8-991b-66ae6f7e1024.json | N/A | N/A | N/A | N/A | N/A | 000002447244 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1949-03-01 | 3064746 | 101112 | N/A | N/A | false | MIROBALLI | N/A | KATHLEEN | N/A | N/A | N/A | DEPARTMENT OF WATER & POWER - ACTIVE EMPLOYEES DEP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7958640387 | N/A | N/A | 5993939 | 2222 | N/A | 8666833 | N/A | 4642874 | 2025-06-16 15:53:32.128147 | 2025-05-29 22:38:22.995059 |
| 2025-06-16 15:53:29.758611 | 2025-06-16 15:53:31.444910 | 8982564 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-12-24 | 2025-06-16 | M | PT | N/A | 4185 | KOLKER | S4G373W20309 | JOSH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993943/check_8982564_e75ce97b-c9fb-4bbd-ac90-248d28884d7d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993943/check_8982564_e58fd06c-bb51-4cd6-b9f7-cfbe49baa176.json | N/A | N/A | N/A | N/A | N/A | S4G373W20309 | Preferred Provider Organization (PPO) | HSA | ANTHEM BLUE CROSS | N/A | 1991-12-24 | 423 | 270237M3AA | N/A | PR | false | KOLKER | N/A | JOSH | N/A | 9999-12-31 | 2024-05-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7958640333 | N/A | N/A | 5993943 | 2222 | N/A | 8666831 | N/A | 4642875 | 2025-06-16 15:53:31.444910 | 2025-06-06 02:22:03.703999 |
| 2025-06-16 15:53:29.224773 | 2025-06-16 15:53:31.045647 | 8982563 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-07-22 | 2025-06-16 | M | PT | N/A | 4191 | BUCKWALD | XED914061341 | BLAKE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993926/check_8982563_bffabfd4-db5f-4402-ad84-9951117d1024.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993926/check_8982563_3cba3091-11c5-428c-a8d8-5b61139c597e.json | N/A | N/A | N/A | N/A | N/A | XED914061341 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | BUCKWALD | N/A | BLAKE | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7958640273 | N/A | N/A | 5993926 | 2222 | N/A | 8666830 | N/A | 4642862 | 2025-06-16 15:53:31.045647 | 2025-05-28 20:59:09.029689 |
| 2025-06-16 15:53:29.186732 | 2025-06-16 15:53:30.891338 | 8982562 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-10 | 2025-06-16 | M | PT | N/A | 4191 | DA SILVA | XEA913717284 | ALEXANDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993933/check_8982562_8b3a2d8b-d1b7-4643-9a61-822881b2680c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993933/check_8982562_e3d96e4c-280d-4f8b-b01a-dcd3de565883.json | N/A | N/A | N/A | N/A | N/A | XAN913717284 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1990-12-10 | 1477PPOX0002 | W0051411 | N/A | PR | false | DA SILVA | N/A | ALEXANDER | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7958640262 | N/A | N/A | 5993933 | 2222 | N/A | 8666828 | N/A | 4642870 | 2025-06-16 15:53:30.891338 | 2025-06-06 02:32:24.489244 |
| 2025-06-16 15:53:29.162959 | 2025-06-16 15:53:30.948536 | 8982561 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-05-19 | 2025-06-16 | F | PT | N/A | 4191 | DANG | XAN913823841 | TRAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993908/check_8982561_770a7f6e-d139-4439-adb1-e9434f31eb80.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993908/check_8982561_79205846-f3b0-427e-8e9c-545fb0b29a6e.json | N/A | N/A | N/A | N/A | N/A | XAN913823841 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1984-05-16 | 1479PPOX0002 | W0051411 | N/A | PR | false | DANG | N/A | TRAM | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7958640263 | N/A | N/A | 5993908 | 2222 | N/A | 8666829 | N/A | 4534561 | 2025-06-16 15:53:30.948536 | 2025-06-02 15:59:21.578406 |
| 2025-06-16 15:53:28.861079 | 2025-06-16 15:53:30.614595 | 8982560 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-09-14 | 2025-06-16 | F | PT | N/A | 4184 | CONTI | CAI143A79624 | MARIANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993920/check_8982560_4efb6e44-570c-449a-a46d-8a8060ab19e3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993920/check_8982560_e32a3edd-2e26-4eaa-8a2d-29e9dbe2a3ab.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7958640227 | N/A | N/A | 5993920 | 2222 | N/A | 8666827 | N/A | 4642859 | 2025-06-16 15:53:30.614595 | 2026-04-10 21:27:25.225083 |
| 2025-06-16 15:50:51.649363 | 2025-06-16 15:50:55.395832 | 8982256 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-07-06 | 2025-06-16 | F | PT | N/A | 4185 | WONG | MBL238A51912 | LOIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874429/check_8982256_ef9a394d-8711-455f-80c5-d308426bb5a3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874429/check_8982256_87f7685b-785b-490e-83a6-fbba57073237.json | N/A | N/A | N/A | N/A | N/A | MBL238A51912 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1954-07-06 | 040 | CA039GRS | N/A | N/A | false | WONG | N/A | LOIS | N/A | 9999-12-31 | 2022-01-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7958619919 | N/A | N/A | 5874429 | 2222 | N/A | 8666518 | N/A | 4534558 | 2025-06-16 15:50:55.395832 | 2025-06-02 02:24:50.975707 |
| 2025-06-16 15:49:11.746501 | 2025-06-16 15:49:13.450508 | 8982154 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-07-28 | 2025-06-16 | M | AE | PT | 23298 | LOGAN | 1989081-01 | SIDNEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535427/check_8982154_04509f24-d88c-47b9-8ddb-846341edabca.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535427/check_8982154_00ece98c-9983-49ae-a47c-139bac9e04f3.json | N/A | N/A | N/A | N/A | N/A | 1989081-01 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1946-07-28 | N/A | N/A | N/A | N/A | false | LOGAN | N/A | SIDNEY | 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 | 5535427 | 2222 | N/A | 8666406 | N/A | 4208354 | 2025-06-16 15:49:13.450508 | 2025-05-13 04:29:37.222775 |
| 2025-06-16 15:49:10.144110 | 2025-06-16 15:49:11.744410 | 8982151 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-07-28 | 2025-06-16 | M | AE | PT | 23298 | LOGAN | 1989081-01 | SIDNEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535427/check_8982151_eb815dc9-6055-47a5-b18a-439dd561f927.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | 1989081-01 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1946-07-28 | N/A | N/A | N/A | N/A | false | LOGAN | N/A | SIDNEY | 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 | 5535427 | 2222 | N/A | N/A | N/A | 4208354 | 2025-06-16 15:49:11.744410 | 2025-05-13 04:29:37.222775 |
| 2025-06-16 15:49:04.520532 | 2025-06-16 15:49:06.202977 | 8982147 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-09-17 | 2025-06-16 | F | AE | PT | 23322 | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568076/check_8982147_b1355257-13b1-4074-8ca9-494165ff111a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_8982147_87e4b15b-c045-4122-9172-0b0e8d3e838f.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-09-17 | N/A | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | 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 | 5568076 | 2222 | N/A | 8666400 | N/A | 4209480 | 2025-06-16 15:49:06.202977 | 2026-04-10 02:05:15.976484 |
| 2025-06-16 15:48:59.920219 | 2025-06-16 15:49:04.518481 | 8982145 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-09-17 | 2025-06-16 | F | AE | PT | 23322 | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568076/check_8982145_7a10a3a6-1e7c-4135-b7c2-4ca0c16314f3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-09-17 | N/A | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | 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 | 5568076 | 2222 | N/A | N/A | N/A | 4209480 | 2025-06-16 15:49:04.518481 | 2026-04-10 02:05:15.976484 |
| 2025-06-16 15:48:52.306800 | 2025-06-16 15:48:54.111511 | 8982139 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-05-27 | 2025-06-16 | F | AE | PT | 4497 | LANGINGER | 8T45CA9CE85 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543302/check_8982139_18c3d164-49a7-485a-9947-53519a21c785.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543302/check_8982139_b8e72896-0ed3-4101-abda-870ad31a2285.json | N/A | N/A | N/A | N/A | N/A | 8T45CA9CE85 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-27 | S5596 | N/A | N/A | MA | false | LANGINGER | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7958601480 | N/A | N/A | 5543302 | 2222 | N/A | 8666392 | N/A | 4215107 | 2025-06-16 15:48:54.111511 | 2025-05-13 04:29:37.229419 |
| 2025-06-16 15:48:44.550563 | 2025-06-16 15:48:46.251812 | 8982132 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-02-19 | 2025-06-16 | M | PT | N/A | 4185 | LIEBLEIN | MSJ60221038001 | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543099/check_8982132_2fecaac3-4b95-4706-b827-a60a6fc4681e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543099/check_8982132_d3a92713-a03c-4de8-9e06-53e57b58d69f.json | N/A | N/A | N/A | N/A | N/A | MSJ60221038001 | Other | MICROSOFT | ANTHEM BLUE CROSS | N/A | 1994-02-19 | N/A | 1000010 | N/A | OT | false | LIEBLEIN | N/A | RYAN | N/A | 9999-12-31 | 2017-07-10 | SELF-FUNDED HDHP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7958600524 | N/A | N/A | 5543099 | 2222 | N/A | 8666385 | N/A | 4214934 | 2025-06-16 15:48:46.251812 | 2025-05-13 04:29:37.229256 |
| 2025-06-16 15:48:43.213171 | 2025-06-16 15:48:44.952337 | 8982131 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-11-19 | 2025-06-16 | M | PT | N/A | 4191 | ZARIN | XEK905647080 | ELLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541582/check_8982131_86045f36-9980-483e-8ab6-04a0a7895a08.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541582/check_8982131_4cc3239c-238e-46e2-9d52-bac5b793793c.json | N/A | N/A | N/A | N/A | N/A | XEK905647080 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-11-19 | 2001ZH002662 | X0001000 | N/A | PR | false | ZARIN | N/A | DORON | N/A | 2027-11-30 | 2017-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7958600351 | N/A | N/A | 5541582 | 2222 | N/A | 8666384 | N/A | 4213586 | 2025-06-16 15:48:44.952337 | 2025-05-28 20:44:53.527917 |
| 2025-06-16 13:54:26.049924 | 2025-06-16 13:54:29.746310 | 8980041 | 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_8980041_9ee92b49-9dd7-462d-908c-08a26937d7e7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_8980041_a1df9b99-4485-4aa1-8e2b-0645cce7de35.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 | 8664232 | N/A | 4786785 | 2025-06-16 13:54:29.746310 | 2025-06-13 00:55:48.629734 |
| 2025-06-16 13:54:22.466623 | 2025-06-16 13:54:26.046237 | 8980039 | 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_8980039_6a9c8c6e-9dd4-42c9-859d-6ea2509bc8e9.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 13:54:26.046237 | 2025-06-13 00:55:48.629734 |
| 2025-06-16 13:51:50.481856 | 2025-06-16 13:51:54.186099 | 8979947 | 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_8979947_a6d01be0-6709-4f9e-a815-05e8a477c3fe.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074786/check_8979947_c8b609b0-001f-47dd-aab8-62343fa31d45.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 | 8664139 | N/A | 4718946 | 2025-06-16 13:51:54.186099 | 2025-06-04 21:27:14.065817 |
| 2025-06-16 13:51:46.962406 | 2025-06-16 13:51:50.479385 | 8979943 | 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_8979943_64ff75ec-4bbf-487f-84ca-6a4f37a21b97.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 13:51:50.479385 | 2025-06-04 21:27:14.065817 |
| 2025-06-16 13:50:37.742521 | 2025-06-16 13:50:41.507097 | 8979870 | 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_8979870_7e20c81f-6f7a-4660-be0e-b95165b450f3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993962/check_8979870_61c4a858-3776-47b1-b96a-4144a793c7cd.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 | 8664063 | N/A | 4642893 | 2025-06-16 13:50:41.507097 | 2025-05-28 20:58:29.913655 |
| 2025-06-16 13:50:26.210670 | 2025-06-16 13:50:37.740311 | 8979860 | 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_8979860_124c37f5-b313-43f5-9ad8-f76c6b73d858.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 13:50:37.740311 | 2025-05-28 20:58:29.913655 |
| 2025-06-16 11:46:58.569321 | 2025-06-16 11:47:32.277065 | 8975893 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-06-19 | F | PT | AE | 6338 | YUNG | 0005301565 | MAYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_8975893_1695ac03-cc3c-40e0-8a21-b02715135f7f.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | 0005301565 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-06-16 11:47:32.277065 | 2025-05-13 04:29:37.229495 |
| 2025-06-16 11:06:29.840827 | 2025-06-16 11:07:03.906049 | 8974306 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-06-16 | F | PT | AE | 6338 | YUNG | 0005301565 | MAYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_8974306_0091d9a7-8775-451e-82d1-6d6f1c3c8b0b.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | 0005301565 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-06-16 11:07:03.906049 | 2025-05-13 04:29:37.229495 |
| 2025-06-16 10:49:32.100943 | 2025-06-16 10:49:33.860086 | 8974063 | 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_8974063_7c2d06cc-5a9c-43e6-82f9-842e9257211f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993948/check_8974063_998c9722-07da-4181-acea-6d90924caf46.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 94 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955942908 | N/A | N/A | 5993948 | 2222 | N/A | 8659528 | N/A | 4642885 | 2025-06-16 10:49:33.860086 | 2025-06-03 23:30:41.439757 |
| 2025-06-16 10:38:17.611216 | 2025-06-16 10:38:22.269888 | 8974034 | 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_8974034_21e51afc-d6f0-434b-bd3c-b87c5345b57d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398732/check_8974034_55e803b3-0405-445a-a9c2-7d064abca4e6.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 | 7955844475 | N/A | N/A | 6398732 | 2222 | N/A | 8659499 | N/A | 5046284 | 2025-06-16 10:38:22.269888 | 2025-06-15 19:17:13.943381 |
| 2025-06-16 10:37:17.967547 | 2025-06-16 10:37:19.713488 | 8973998 | 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_8973998_74a4b70e-ace1-4ccc-854c-5a288e18522a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124048/check_8973998_e2b17f86-f91e-41e7-82aa-583ef71912a6.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 | 7955836435 | N/A | N/A | 6124048 | 2222 | N/A | 8659462 | N/A | 4766758 | 2025-06-16 10:37:19.713488 | 2025-06-03 21:40:10.090592 |
| 2025-06-16 10:37:13.581773 | 2025-06-16 10:37:17.305665 | 8973996 | 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_8973996_8828b29f-8d28-44eb-801f-43965f906c2a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193743/check_8973996_9273226b-0fc1-4d78-b68a-9cbee2ed9832.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 | 7955835775 | N/A | N/A | 6193743 | 2222 | N/A | 8659461 | N/A | 4343457 | 2025-06-16 10:37:17.305665 | 2025-05-13 04:29:37.230935 |
| 2025-06-16 10:34:08.947585 | 2025-06-16 10:34:10.686457 | 8973890 | 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_8973890_ab663d1d-7c1c-498a-a62c-1bcc0ca64ba4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074748/check_8973890_5ae807aa-1a89-4f87-91e9-67e66f502c32.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 | N/A | N/A | N/A | N/A | N/A | N/A | 7955804497 | N/A | N/A | 6074748 | 2222 | N/A | 8659355 | N/A | 4718913 | 2025-06-16 10:34:10.686457 | 2025-05-29 22:23:40.462913 |
| 2025-06-16 10:17:55.242349 | 2025-06-16 10:17:57.973714 | 8973734 | 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_8973734_cc8961b4-2748-4695-8550-ff02c4159ce9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543306/check_8973734_6110734c-7e90-439f-8bae-db182dc35c40.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 | 7955646030 | N/A | N/A | 5543306 | 2222 | N/A | 8659199 | N/A | 4215107 | 2025-06-16 10:17:57.973714 | 2025-05-13 04:29:37.229419 |
| 2025-06-16 10:17:53.040140 | 2025-06-16 10:17:54.790598 | 8973733 | 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_8973733_60f80835-7215-4b27-a074-b5effe80b8cc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538289/check_8973733_b2e00fbd-460b-4d91-9daa-2a6339e899db.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 | 8659197 | N/A | 4210725 | 2025-06-16 10:17:54.790598 | 2025-06-16 16:15:05.679018 |
| 2025-06-16 10:17:51.562656 | 2025-06-16 10:17:53.036634 | 8973732 | 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_8973732_0cf96f3d-fe81-463d-b204-e1f56a7bae36.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 10:17:53.036634 | 2025-06-16 16:15:05.679018 |
| 2025-06-16 09:57:51.812014 | 2025-06-16 09:57:54.631246 | 8972742 | 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_8972742_11056a3a-6f25-4ff1-8373-6cdbb513f8fe.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398725/check_8972742_c2496673-8bd1-443d-90dd-adab20cd5935.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 | 7955448349 | N/A | N/A | 6398725 | 2222 | N/A | 8658202 | N/A | 5046278 | 2025-06-16 09:57:54.631246 | 2025-06-15 19:17:04.043327 |
| 2025-06-16 09:57:51.617433 | 2025-06-16 09:57:56.436825 | 8972741 | 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_8972741_e3752d88-e719-4ead-8abe-e1d1b6a8112a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398732/check_8972741_235a755e-a068-431a-9311-51ecd7a72c45.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 | 7955448326 | N/A | N/A | 6398732 | 2222 | N/A | 8658208 | N/A | 5046284 | 2025-06-16 09:57:56.436825 | 2025-06-15 19:17:13.943381 |
| 2025-06-16 09:57:49.773359 | 2025-06-16 09:57:52.622823 | 8972738 | 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_8972738_3aad8482-f62e-4647-b417-49c2b187f1d9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398700/check_8972738_d479209c-8525-4947-850c-64f4451574fc.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 | 7955448113 | N/A | N/A | 6398700 | 2222 | N/A | 8658197 | N/A | 5046256 | 2025-06-16 09:57:52.622823 | 2025-07-01 16:46:23.467309 |
| 2025-06-16 09:57:21.068581 | 2025-06-16 09:57:24.049210 | 8972670 | 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_8972670_9d2fb28f-05df-4f52-abf6-f16e9d517ddd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193743/check_8972670_02d34eb2-1f4f-41ac-9adc-cd4af09eea86.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 | 7955444043 | N/A | N/A | 6193743 | 2222 | N/A | 8658127 | N/A | 4343457 | 2025-06-16 09:57:24.049210 | 2025-05-13 04:29:37.230935 |
| 2025-06-16 09:57:00.225353 | 2025-06-16 09:57:01.958413 | 8972612 | 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_8972612_ee480d2a-0a4a-4b80-b6f8-32edb0840c3e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124048/check_8972612_164d164e-56b7-403d-af22-5580d62c13af.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 | 8658073 | N/A | 4766758 | 2025-06-16 09:57:01.958413 | 2025-06-03 21:40:10.090592 |
| 2025-06-16 09:56:58.676246 | 2025-06-16 09:57:00.222797 | 8972609 | 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_8972609_f407a41d-1330-4177-a1d0-2a165b8e5698.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 09:57:00.222797 | 2025-06-03 21:40:10.090592 |
| 2025-06-16 09:56:26.558413 | 2025-06-16 09:56:28.266104 | 8972526 | 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_8972526_3bfb90d0-cd32-433d-a2e0-a75ed39c6df3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074748/check_8972526_7e70835d-e24d-4bea-88bd-2d2a8f2cc999.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 | 7955436705 | N/A | N/A | 6074748 | 2222 | N/A | 8657983 | N/A | 4718913 | 2025-06-16 09:56:28.266104 | 2025-05-29 22:23:40.462913 |
| 2025-06-16 09:37:19.835373 | 2025-06-16 09:37:22.561950 | 8972189 | 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_8972189_498248b7-ed31-4a7d-ad36-217a43e7aee4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5994830/check_8972189_46ce3736-b6c6-4fbe-b597-35a45e5deb5e.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 | 7955304710 | N/A | N/A | 5994830 | 2222 | N/A | 8657654 | N/A | 4210945 | 2025-06-16 09:37:22.561950 | 2025-06-24 15:38:48.246227 |
| 2025-06-16 09:33:32.691259 | 2025-06-16 09:33:34.439120 | 8972177 | 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_8972177_b5efdccd-e105-403d-b470-272875c53b55.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993970/check_8972177_3778928e-0ab1-4dae-ad10-08ac51f39d68.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 | 7955275452 | N/A | N/A | 5993970 | 2222 | N/A | 8657642 | N/A | 4642901 | 2025-06-16 09:33:34.439120 | 2025-06-06 02:34:37.518805 |
| 2025-06-16 09:33:31.911646 | 2025-06-16 09:33:33.583712 | 8972176 | 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_8972176_671439d5-343a-41bd-a842-8b28054d12f3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993960/check_8972176_cdcfe530-4b73-4a6c-bf52-2ccf5c701c4a.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 | 8657641 | N/A | 4642894 | 2025-06-16 09:33:33.583712 | 2025-06-26 23:37:55.748278 |
| 2025-06-16 09:33:30.416519 | 2025-06-16 09:33:32.084872 | 8972175 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-07-19 | 2025-06-16 | M | PT | AE | 4497 | HARVEY | 8YE6EE0UG57 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993966/check_8972175_419a586d-1e95-4d0d-8609-561ee50cab63.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993966/check_8972175_dc0356d0-c787-462c-8772-222c4c2bfc32.json | N/A | N/A | N/A | N/A | N/A | 8YE6EE0UG57 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-07-19 | S4802 | N/A | N/A | MA | false | HARVEY | N/A | CHRISTOPHE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955275197 | N/A | N/A | 5993966 | 2222 | N/A | 8657640 | N/A | 4642895 | 2025-06-16 09:33:32.084872 | 2025-06-04 22:10:38.563345 |
| 2025-06-16 09:33:27.397750 | 2025-06-16 09:33:31.908715 | 8972174 | 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_8972174_d7030af1-4967-47bc-b280-f796a485b3d9.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 09:33:31.908715 | 2025-06-26 23:37:55.748278 |
| 2025-06-16 09:33:26.012625 | 2025-06-16 09:33:29.812932 | 8972173 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-10-13 | 2025-06-16 | M | AE | PT | 3948 | BOGNER | W293460341 | NOAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993959/check_8972173_8bd7907b-43bb-4db8-bd2f-897269148afa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993959/check_8972173_b7d77807-ba6b-415c-9d4b-a5ddba245603.json | N/A | N/A | N/A | N/A | N/A | W293460341 | Point of Service (POS) | APPLE INC. | AETNA | N/A | 1997-10-13 | 0109286 | 010928602000001 | N/A | PS | false | BOGNER | N/A | NOAH | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7955274615 | N/A | N/A | 5993959 | 2222 | N/A | 8657638 | N/A | 4642891 | 2025-06-16 09:33:29.812932 | 2025-05-30 16:16:44.304215 |
| 2025-06-16 09:33:25.162395 | 2025-06-16 09:33:26.922979 | 8972172 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-01-20 | 2025-06-16 | F | PT | AE | 3948 | DAVIS | W258779471 | MARTINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993951/check_8972172_0b0310f7-6660-4b43-b29f-243a4c026181.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_8972172_27e7414e-1512-4288-9f37-c30c29f4301d.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955274537 | N/A | N/A | 5993951 | 2222 | N/A | 8657637 | N/A | 4642884 | 2025-06-16 09:33:26.922979 | 2025-12-02 20:19:19.910444 |
| 2025-06-16 09:33:22.370340 | 2025-06-16 09:33:24.078651 | 8972171 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-12-24 | 2025-06-16 | M | PT | N/A | 4185 | KOLKER | S4G373W20309 | JOSH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993943/check_8972171_e25fbc74-17dc-476a-9a6f-c9f666fbf947.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993943/check_8972171_25776c97-3870-445e-9192-a55babed2504.json | N/A | N/A | N/A | N/A | N/A | S4G373W20309 | Preferred Provider Organization (PPO) | HSA | ANTHEM BLUE CROSS | N/A | 1991-12-24 | 423 | 270237M3AA | N/A | PR | false | KOLKER | N/A | JOSH | N/A | 9999-12-31 | 2024-05-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955274090 | N/A | N/A | 5993943 | 2222 | N/A | 8657635 | N/A | 4642875 | 2025-06-16 09:33:24.078651 | 2025-06-06 02:22:03.703999 |
| 2025-06-16 09:33:21.441115 | 2025-06-16 09:33:24.170810 | 8972170 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-01 | 2025-06-16 | F | AE | PT | 5505 | MIROBALLI | 000002447244 | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993939/check_8972170_08e56b52-afce-4f94-ba42-c478f2e7c4d3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993939/check_8972170_52f03223-b380-4a6f-a6ae-ba2a7c702620.json | N/A | N/A | N/A | N/A | N/A | 000002447244 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1949-03-01 | 3064746 | 101112 | N/A | N/A | false | MIROBALLI | N/A | KATHLEEN | N/A | N/A | N/A | DEPARTMENT OF WATER & POWER - ACTIVE EMPLOYEES DEP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7955273992 | N/A | N/A | 5993939 | 2222 | N/A | 8657636 | N/A | 4642874 | 2025-06-16 09:33:24.170810 | 2025-05-29 22:38:22.995059 |
| 2025-06-16 09:33:20.683456 | 2025-06-16 09:33:23.413341 | 8972169 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-10 | 2025-06-16 | M | PT | N/A | 4191 | DA SILVA | XEA913717284 | ALEXANDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993933/check_8972169_9e0993ba-7f41-4960-991e-58a1c4e22d1f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993933/check_8972169_a82fe440-0a90-4c40-b9e8-6cc28919b520.json | N/A | N/A | N/A | N/A | N/A | XAN913717284 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1990-12-10 | 1477PPOX0002 | W0051411 | N/A | PR | false | DA SILVA | N/A | ALEXANDER | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955273918 | N/A | N/A | 5993933 | 2222 | N/A | 8657634 | N/A | 4642870 | 2025-06-16 09:33:23.413341 | 2025-06-06 02:32:24.489244 |