API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-02-11 22:04:06.211742 | 2026-02-11 22:04:08.080116 | 18441846 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-10-22 | 2026-02-12 | F | AE | PT | WASHKEWICZ | 917402470 | KELLY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16673031/check_18441846_2e0821e2-afae-4d20-92a4-9b2681ffd648.json | UHC | N/A | INSIGHTS | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16673031/check_18441846_150aad93-1177-42c2-b2b5-9737a06dcd19.json | N/A | N/A | N/A | N/A | N/A | 917402470 | Consolidated Omnibus Budget Reconciliation Act (COBRA) | N/A | UNITEDHEALTHCARE | N/A | 1999-10-22 | N/A | 902075 | N/A | CO | false | WASHKEWICZ | N/A | KELLY | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16673031 | 2222 | N/A | 18641949 | N/A | 14688131 | 2026-02-11 22:04:08.080116 | 2026-02-09 16:45:42.228215 |
| 2026-02-11 21:10:06.013965 | 2026-02-11 21:10:07.766669 | 18440766 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-10-03 | 2026-02-11 | F | AE | PT | AUSTIN | ICA080957 | ANDREA | N/A | 23323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16284060/check_18440766_92116c4b-8892-415e-8c64-ca809a447977.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16284060/check_18440766_b1039a67-2355-43ab-ac16-bcf174a4c34c.json | N/A | N/A | N/A | N/A | N/A | ICA080957 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-10-03 | N/A | N/A | N/A | N/A | false | AUSTIN | N/A | ANDREA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16284060 | 2222 | N/A | 18640728 | N/A | 14332703 | 2026-02-11 21:10:07.766669 | 2026-02-04 01:37:30.114754 |
| 2026-02-11 21:10:04.416184 | 2026-02-11 21:10:06.010743 | 18440765 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-10-03 | 2026-02-11 | F | AE | PT | AUSTIN | ICA080957 | ANDREA | N/A | 23323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16284060/check_18440765_ae22ade4-f017-4703-b39f-f291f48791c9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | N/A | N/A | N/A | N/A | N/A | N/A | ICA080957 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-10-03 | N/A | N/A | N/A | N/A | false | AUSTIN | N/A | ANDREA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16284060 | 2222 | N/A | N/A | N/A | 14332703 | 2026-02-11 21:10:06.010743 | 2026-02-04 01:37:30.114754 |
| 2026-02-11 20:55:52.759457 | 2026-02-11 20:55:54.661165 | 18440467 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-01-15 | 2026-02-11 | F | AE | PT | KORDES | R14409853FD1 | DELILA | N/A | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16639657/check_18440467_13dcd612-54e5-4bca-b90c-480068894f91.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16639657/check_18440467_54b7e767-ec8d-4306-8ef8-0c3fa99e0465.json | N/A | N/A | N/A | N/A | N/A | R14409853FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2003-01-15 | N/A | N/A | N/A | N/A | false | KORDES | N/A | DELILA | N/A | N/A | N/A | NCE UCNNHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10013003669 | N/A | N/A | 16639657 | 2222 | N/A | 18640378 | N/A | 14655621 | 2026-02-11 20:55:54.661165 | 2026-02-11 20:44:23.493424 |
| 2026-02-11 20:53:57.974470 | 2026-02-11 20:53:59.949448 | 18440440 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-01-15 | 2026-02-11 | F | AE | PT | KORDES | R14409853FD1 | DELILA | N/A | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16639657/check_18440440_fafa1924-b9cd-4754-8953-b3396ce6d2d8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16639657/check_18440440_240d1182-953b-4e22-b20a-e1dd79a1093a.json | N/A | N/A | N/A | N/A | N/A | R14409853FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2003-01-15 | N/A | N/A | N/A | N/A | false | KORDES | N/A | DELILA | N/A | N/A | N/A | NCE UCNNHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10012990095 | N/A | N/A | 16639657 | 2222 | N/A | 18640346 | N/A | 14655621 | 2026-02-11 20:53:59.949448 | 2026-02-11 20:44:23.493424 |
| 2026-02-11 20:53:50.976572 | 2026-02-11 20:53:52.742588 | 18440438 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-01-15 | 2026-02-11 | F | AE | PT | KORDES | R14409853FD1 | DELILA | N/A | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16639657/check_18440438_318d6e08-3e59-41cf-bd0d-711903a2f655.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16639657/check_18440438_a909f65e-a33c-4e92-9102-c4c6481ae709.json | N/A | N/A | N/A | N/A | N/A | R14409853FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2003-01-15 | N/A | N/A | N/A | N/A | false | KORDES | N/A | DELILA | N/A | N/A | N/A | NCE UCNNHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10012989174 | N/A | N/A | 16639657 | 2222 | N/A | 18640345 | N/A | 14655621 | 2026-02-11 20:53:52.742588 | 2026-02-11 20:44:23.493424 |
| 2026-02-11 20:51:48.652754 | 2026-02-11 20:51:55.708335 | 18440396 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-01-15 | 2026-02-11 | F | AE | PT | KORDES | R14409853FD1 | DELILA | N/A | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16639657/check_18440396_9f241547-c877-4192-88f2-667f4c9a11c4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16639657/check_18440396_fc895f73-5e46-419c-be3a-5d4df03e2d52.json | N/A | N/A | N/A | N/A | N/A | R14409853FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2003-01-15 | N/A | N/A | N/A | N/A | false | KORDES | N/A | DELILA | N/A | N/A | N/A | NCE UCNNHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10012975999 | N/A | N/A | 16639657 | 2222 | N/A | 18640300 | N/A | 14655621 | 2026-02-11 20:51:55.708335 | 2026-02-11 20:44:23.493424 |
| 2026-02-11 19:51:52.291908 | 2026-02-11 19:51:54.340157 | 18438900 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-10-03 | 2026-02-11 | F | AE | PT | AUSTIN | 4VA4-JD6-KV95 | ANDREA | N/A | 23323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16284060/check_18438900_7bd35af1-88d4-4c07-8243-5611fd6a093c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16284060/check_18438900_a7a92247-94f3-4537-89ec-b635f2c7b0ed.json | N/A | N/A | N/A | N/A | N/A | 4VA4-JD6-KV95 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-10-03 | N/A | N/A | N/A | N/A | false | AUSTIN | N/A | ANDREA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16284060 | 2222 | N/A | 18638653 | N/A | 14332703 | 2026-02-11 19:51:54.340157 | 2026-02-04 01:37:30.114754 |
| 2026-02-11 19:51:50.634524 | 2026-02-11 19:51:52.289169 | 18438898 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-10-03 | 2026-02-11 | F | AE | PT | AUSTIN | 4VA4-JD6-KV95 | ANDREA | N/A | 23323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16284060/check_18438898_6dbd5680-92ee-41df-bc62-2c2773670f12.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | N/A | N/A | N/A | N/A | N/A | N/A | 4VA4-JD6-KV95 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-10-03 | N/A | N/A | N/A | N/A | false | AUSTIN | N/A | ANDREA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16284060 | 2222 | N/A | N/A | N/A | 14332703 | 2026-02-11 19:51:52.289169 | 2026-02-04 01:37:30.114754 |
| 2026-02-11 19:51:20.068288 | 2026-02-11 19:51:21.838699 | 18438894 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-10-03 | 2026-02-11 | F | AE | PT | AUSTIN | 4VA4-JD6-KV95 | ANDREA | N/A | 23323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16284060/check_18438894_0a03e0b8-2ee9-46ba-80d2-ce438e27895a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16284060/check_18438894_51d3be81-1f74-4f69-a2da-6869a4c65dd6.json | N/A | N/A | N/A | N/A | N/A | 4VA4-JD6-KV95 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-10-03 | N/A | N/A | N/A | N/A | false | AUSTIN | N/A | ANDREA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16284060 | 2222 | N/A | 18638642 | N/A | 14332703 | 2026-02-11 19:51:21.838699 | 2026-02-04 01:37:30.114754 |
| 2026-02-11 19:51:18.386993 | 2026-02-11 19:51:20.062639 | 18438893 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-10-03 | 2026-02-11 | F | AE | PT | AUSTIN | 4VA4-JD6-KV95 | ANDREA | N/A | 23323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16284060/check_18438893_6a4182a4-9325-4d5e-a147-d9bd15899ca3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | N/A | N/A | N/A | N/A | N/A | N/A | 4VA4-JD6-KV95 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-10-03 | N/A | N/A | N/A | N/A | false | AUSTIN | N/A | ANDREA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16284060 | 2222 | N/A | N/A | N/A | 14332703 | 2026-02-11 19:51:20.062639 | 2026-02-04 01:37:30.114754 |
| 2026-02-11 19:30:10.604470 | 2026-02-11 19:30:12.351647 | 18438566 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-10-03 | 2026-02-11 | F | AE | PT | AUSTIN | 4VA4-JD6-KV95 | ANDREA | N/A | 23323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16284060/check_18438566_5773dc08-6d78-4588-9f19-dfb1a46fac86.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16284060/check_18438566_27de5c50-4fa1-4964-a08d-b4539086ecd6.json | N/A | N/A | N/A | N/A | N/A | 4VA4-JD6-KV95 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-10-03 | N/A | N/A | N/A | N/A | false | AUSTIN | N/A | ANDREA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16284060 | 2222 | N/A | 18638229 | N/A | 14332703 | 2026-02-11 19:30:12.351647 | 2026-02-04 01:37:30.114754 |
| 2026-02-11 19:30:08.957792 | 2026-02-11 19:30:10.600114 | 18438565 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-10-03 | 2026-02-11 | F | AE | PT | AUSTIN | 4VA4-JD6-KV95 | ANDREA | N/A | 23323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16284060/check_18438565_d36f93b0-4f45-47f8-a6c7-d44b557bef0d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | N/A | N/A | N/A | N/A | N/A | N/A | 4VA4-JD6-KV95 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-10-03 | N/A | N/A | N/A | N/A | false | AUSTIN | N/A | ANDREA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16284060 | 2222 | N/A | N/A | N/A | 14332703 | 2026-02-11 19:30:10.600114 | 2026-02-04 01:37:30.114754 |
| 2026-02-11 19:26:53.848062 | 2026-02-11 19:26:55.595444 | 18438531 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1967-11-06 | 2026-02-11 | F | AE | PT | Schmelzer | 0020816612 | Grace | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16449273/check_18438531_6afc064c-c4a9-4bed-a3e1-13b609704420.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16449273/check_18438531_9c9a8213-bdfa-45a1-b64d-1bdd9d5522cd.json | N/A | N/A | N/A | N/A | N/A | 0020816612 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1967-11-06 | N/A | N/A | N/A | N/A | false | SCHMELZER | N/A | GRACE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16449273 | 2222 | N/A | 18638181 | N/A | 14494491 | 2026-02-11 19:26:55.595444 | 2026-02-06 00:03:22.888776 |
| 2026-02-11 19:26:52.064643 | 2026-02-11 19:26:53.842530 | 18438530 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1967-11-06 | 2026-02-11 | F | AE | PT | Schmelzer | 0020816612 | Grace | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16449273/check_18438530_02a1f4f1-7c2b-491c-857a-bb5bdc18197a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | N/A | N/A | N/A | N/A | N/A | N/A | 0020816612 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1967-11-06 | N/A | N/A | N/A | N/A | false | SCHMELZER | N/A | GRACE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16449273 | 2222 | N/A | N/A | N/A | 14494491 | 2026-02-11 19:26:53.842530 | 2026-02-06 00:03:22.888776 |
| 2026-02-11 19:19:30.702825 | 2026-02-11 19:19:36.512675 | 18438430 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-04-17 | 2026-02-11 | M | PT | N/A | Forkner | H5Q754A20533 | Jared | N | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16282122/check_18438430_5181ee64-40d2-4abe-82d3-e6b6a02d5eb1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16282122/check_18438430_4b08e788-5f7d-49ec-b9bd-f90f5a4ea12f.json | N/A | N/A | N/A | N/A | N/A | H5Q754A20533 | Preferred Provider Organization (PPO) | THE CHEESECAKE FACTORY RESTAURANTS INC | ANTHEM BLUE CROSS | N/A | 1982-04-17 | 040 | 174297M1AD | N/A | PR | false | FORKNER | N/A | JARED | N/A | 9999-12-31 | 2025-12-01 | BC PPO EXCLUSIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10012237385 | N/A | N/A | 16282122 | 2222 | N/A | 18638055 | N/A | 14331062 | 2026-02-11 19:19:36.512675 | 2026-02-05 22:35:17.322005 |
| 2026-02-11 19:18:27.954046 | 2026-02-11 19:18:48.888253 | 18438408 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-04-17 | 2026-02-11 | M | PT | N/A | Forkner | H5Q754A20533 | Jared | N | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16282122/check_18438408_662361af-69fb-4ca3-b2a8-930e17e3a53b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16282122/check_18438408_4146cf4c-e99f-4ca9-89bb-e23663903abc.json | N/A | N/A | N/A | N/A | N/A | H5Q754A20533 | Preferred Provider Organization (PPO) | THE CHEESECAKE FACTORY RESTAURANTS INC | ANTHEM BLUE CROSS | N/A | 1982-04-17 | 040 | 174297M1AD | N/A | PR | false | FORKNER | N/A | JARED | N/A | 9999-12-31 | 2025-12-01 | BC PPO EXCLUSIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10012222998 | N/A | N/A | 16282122 | 2222 | N/A | 18638034 | N/A | 14331062 | 2026-02-11 19:18:48.888253 | 2026-02-05 22:35:17.322005 |
| 2026-02-11 19:17:45.693169 | 2026-02-11 19:17:51.516008 | 18438387 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-04-17 | 2026-02-11 | M | PT | N/A | Forkner | H5Q754A20533 | Jared | N | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16282122/check_18438387_e2211025-ddae-4b3a-8763-b20f331b310a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16282122/check_18438387_16badea4-c2fe-4047-8472-3dbe5ab645af.json | N/A | N/A | N/A | N/A | N/A | H5Q754A20533 | Preferred Provider Organization (PPO) | THE CHEESECAKE FACTORY RESTAURANTS INC | ANTHEM BLUE CROSS | N/A | 1982-04-17 | 040 | 174297M1AD | N/A | PR | false | FORKNER | N/A | JARED | N/A | 9999-12-31 | 2025-12-01 | BC PPO EXCLUSIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10012212478 | N/A | N/A | 16282122 | 2222 | N/A | 18638011 | N/A | 14331062 | 2026-02-11 19:17:51.516008 | 2026-02-05 22:35:17.322005 |
| 2026-02-11 19:17:13.779354 | 2026-02-11 19:17:17.676490 | 18438376 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-04-17 | 2026-02-11 | M | PT | N/A | Forkner | H5Q754A20533 | Jared | N | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16282122/check_18438376_65e48500-85a3-4c7f-9da9-417c4dd6f8c8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16282122/check_18438376_82703de9-1370-454c-ab66-76a1a0be2e96.json | N/A | N/A | N/A | N/A | N/A | H5Q754A20533 | Preferred Provider Organization (PPO) | THE CHEESECAKE FACTORY RESTAURANTS INC | ANTHEM BLUE CROSS | N/A | 1982-04-17 | 040 | 174297M1AD | N/A | PR | false | FORKNER | N/A | JARED | N/A | 9999-12-31 | 2025-12-01 | BC PPO EXCLUSIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10012205002 | N/A | N/A | 16282122 | 2222 | N/A | 18637995 | N/A | 14331062 | 2026-02-11 19:17:17.676490 | 2026-02-05 22:35:17.322005 |
| 2026-02-11 18:02:07.290991 | 2026-02-11 18:02:09.416680 | 18436325 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1980-01-23 | 2026-02-16 | F | AE | PT | Merola | 0023931178 | Katarzyna | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16823991/check_18436325_dbdcf6ed-ea9c-4b3d-8903-024d82c6c877.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16823991/check_18436325_db73de40-1cfa-48b6-99a4-db069b251648.json | N/A | N/A | N/A | N/A | N/A | 0023931178 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1980-01-23 | N/A | N/A | N/A | N/A | false | MEROLA | N/A | KATARZYNA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16823991 | 2222 | N/A | 18635853 | N/A | 14831523 | 2026-02-11 18:02:09.416680 | 2026-02-11 17:34:03.471407 |
| 2026-02-11 18:02:05.414759 | 2026-02-11 18:02:07.277159 | 18436324 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1980-01-23 | 2026-02-16 | F | AE | PT | Merola | 0023931178 | Katarzyna | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16823991/check_18436324_8b7c3e55-54ea-42ef-9682-005add412597.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-16 | N/A | N/A | N/A | N/A | N/A | N/A | 0023931178 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1980-01-23 | N/A | N/A | N/A | N/A | false | MEROLA | N/A | KATARZYNA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16823991 | 2222 | N/A | N/A | N/A | 14831523 | 2026-02-11 18:02:07.277159 | 2026-02-11 17:34:03.471407 |
| 2026-02-11 17:34:03.126353 | 2026-02-11 17:34:12.119742 | 18436006 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-06-01 | 2026-02-17 | M | AE | PT | Metzler | 02412140700 | William | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16823545/check_18436006_6917b9c3-467e-4e69-8b45-74b1eb2fc045.json | UHC | N/A | INSIGHTS | 2026-02-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16823545/check_18436006_87d5f7ac-fd10-4dd9-91e1-af8715f6ebe2.json | N/A | N/A | N/A | N/A | N/A | 02412140700 | Commercial | N/A | Oxford Health Insurance, Inc. | N/A | 1997-06-01 | N/A | 1292491 | N/A | C1 | false | Metzler | N/A | William | N/A | N/A | N/A | Freedom Network | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16823545 | 2222 | N/A | 18635483 | N/A | 14831124 | 2026-02-11 17:34:12.119742 | 2026-02-17 15:33:43.080705 |
| 2026-02-11 17:33:24.865427 | 2026-02-11 17:33:26.580326 | 18435995 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-06-02 | 2026-02-12 | M | AE | PT | Marroquin | 0015025200 | Adrian | Daniel | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/15800298/check_18435995_7ad49d2d-76e5-4fdb-8762-1464dd1b7388.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15800298/check_18435995_45aecef7-b404-4f14-b971-33b4df1d4ac1.json | N/A | N/A | N/A | N/A | N/A | 0015025200 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1990-06-02 | N/A | N/A | N/A | N/A | false | MARROQUIN | N/A | ADRIAN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15800298 | 2222 | N/A | 18635466 | N/A | 13889062 | 2026-02-11 17:33:26.580326 | 2026-01-23 08:12:26.923252 |
| 2026-02-11 17:33:23.153830 | 2026-02-11 17:33:24.862340 | 18435991 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-06-02 | 2026-02-12 | M | AE | PT | Marroquin | 0015025200 | Adrian | Daniel | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/15800298/check_18435991_f886f8d6-ef25-4514-85bf-0dc6598af6a7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-12 | N/A | N/A | N/A | N/A | N/A | N/A | 0015025200 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1990-06-02 | N/A | N/A | N/A | N/A | false | MARROQUIN | N/A | ADRIAN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15800298 | 2222 | N/A | N/A | N/A | 13889062 | 2026-02-11 17:33:24.862340 | 2026-01-23 08:12:26.923252 |
| 2026-02-11 17:33:20.434238 | 2026-02-11 17:33:30.138262 | 18435990 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-06-01 | 2026-02-17 | M | AE | PT | Metzler | 02412140700 | William | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16823545/check_18435990_ea3d7dc0-f7a2-4125-9b24-52c69e9bda2c.json | UHC | N/A | INSIGHTS | 2026-02-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16823545/check_18435990_b165de6d-d809-4897-98a2-ad30a57e4e69.json | N/A | N/A | N/A | N/A | N/A | 02412140700 | Commercial | N/A | Oxford Health Insurance, Inc. | N/A | 1997-06-01 | N/A | 1292491 | N/A | C1 | false | Metzler | N/A | William | N/A | N/A | N/A | Freedom Network | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16823545 | 2222 | N/A | 18635469 | N/A | 14831124 | 2026-02-11 17:33:30.138262 | 2026-02-17 15:33:43.080705 |
| 2026-02-11 17:26:34.687601 | 2026-02-11 17:26:36.420293 | 18435843 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435843_916df2cd-8f19-424c-9c2e-d7fa59b0e556.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16678903/check_18435843_01b345e4-8aa9-461f-8607-f2e83386eaf8.json | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | 18635310 | N/A | 4213067 | 2026-02-11 17:26:36.420293 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:26:33.065217 | 2026-02-11 17:26:34.684157 | 18435841 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435841_70e26081-672a-465f-9277-0c37f4b13f45.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | N/A | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | N/A | N/A | 4213067 | 2026-02-11 17:26:34.684157 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:26:24.179423 | 2026-02-11 17:26:25.925290 | 18435838 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435838_19e86fab-9c9b-49a4-80a0-9b468fac8047.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16678903/check_18435838_4c0af36c-83bb-4824-9e1b-97ca13e9bbda.json | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | 18635306 | N/A | 4213067 | 2026-02-11 17:26:25.925290 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:26:22.551056 | 2026-02-11 17:26:24.175872 | 18435837 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435837_719e08c0-26d1-4cbf-840d-60c910f2e6aa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | N/A | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | N/A | N/A | 4213067 | 2026-02-11 17:26:24.175872 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:23:57.241496 | 2026-02-11 17:23:59.073927 | 18435816 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435816_71868ea9-cc74-4e04-a223-dad9d6581625.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16678903/check_18435816_21af17fd-a715-43f2-9e8a-da00357374f0.json | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | 18635279 | N/A | 4213067 | 2026-02-11 17:23:59.073927 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:23:55.501971 | 2026-02-11 17:23:57.236728 | 18435814 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435814_59ead90a-20ec-42e4-a54e-70c4f6156125.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | N/A | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | N/A | N/A | 4213067 | 2026-02-11 17:23:57.236728 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:23:36.207540 | 2026-02-11 17:23:37.992229 | 18435811 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435811_f7a40ae1-d9b4-4d4c-b04f-48ed2d0c053d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16678903/check_18435811_609db9f5-646f-4e9d-93b2-897591e9a714.json | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | 18635274 | N/A | 4213067 | 2026-02-11 17:23:37.992229 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:23:34.547472 | 2026-02-11 17:23:36.204458 | 18435810 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435810_c4985ac8-6437-43c2-89df-c5b2251d833d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | N/A | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | N/A | N/A | 4213067 | 2026-02-11 17:23:36.204458 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:23:28.065091 | 2026-02-11 17:23:29.801531 | 18435809 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435809_ecc006fa-799b-4e0d-8377-1949cb3e494e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16678903/check_18435809_85ea5598-fce6-4088-ba9b-675c01ccbf9c.json | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | 18635272 | N/A | 4213067 | 2026-02-11 17:23:29.801531 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:23:26.394710 | 2026-02-11 17:23:28.061319 | 18435808 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435808_8e5b5b1e-a63a-4ed1-bd3c-b8636ba918cb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | N/A | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | N/A | N/A | 4213067 | 2026-02-11 17:23:28.061319 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:21:17.574037 | 2026-02-11 17:21:19.389885 | 18435777 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435777_caf22e83-afc6-4d3d-b6ea-39bbf0d74c2c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16678903/check_18435777_b42644dc-b788-4bc8-9250-a63f81a5b1d1.json | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | 18635235 | N/A | 4213067 | 2026-02-11 17:21:19.389885 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:21:15.869576 | 2026-02-11 17:21:17.570175 | 18435776 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435776_5f55f733-6f84-4b67-b9d0-e83399ac6641.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | N/A | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | N/A | N/A | 4213067 | 2026-02-11 17:21:17.570175 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:21:09.278120 | 2026-02-11 17:21:11.274270 | 18435775 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435775_05c7f444-cf12-4ca8-b9a3-e1a322b86f08.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16678903/check_18435775_f5d0b8fe-6257-4445-8d42-7d77b1717033.json | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | 18635233 | N/A | 4213067 | 2026-02-11 17:21:11.274270 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:21:07.557109 | 2026-02-11 17:21:09.275619 | 18435774 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435774_3c40bb67-7acf-405b-8434-2a3f42905d2b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | N/A | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | N/A | N/A | 4213067 | 2026-02-11 17:21:09.275619 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:21:02.009831 | 2026-02-11 17:21:03.819452 | 18435773 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435773_40533e21-7950-4bdd-9a76-fd7f77d73402.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16678903/check_18435773_04901ae1-22ae-4c6f-93f6-a5bfd9719069.json | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | 18635231 | N/A | 4213067 | 2026-02-11 17:21:03.819452 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:21:00.268256 | 2026-02-11 17:21:02.001685 | 18435772 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435772_564219a8-2f4a-40ae-8983-b7da8134a992.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | N/A | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | N/A | N/A | 4213067 | 2026-02-11 17:21:02.001685 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:20:28.042486 | 2026-02-11 17:20:29.846696 | 18435766 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435766_88b7d7fd-5cfe-41a5-99ec-99d26d207f02.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16678903/check_18435766_3db99971-f689-4189-a8d7-47cf34d329e8.json | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | 18635220 | N/A | 4213067 | 2026-02-11 17:20:29.846696 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:20:26.345241 | 2026-02-11 17:20:28.038245 | 18435764 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435764_c8591e07-3b0d-49f3-9e1f-47aa88e4099e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | N/A | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | N/A | N/A | 4213067 | 2026-02-11 17:20:28.038245 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:20:17.327398 | 2026-02-11 17:20:19.096483 | 18435763 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435763_f56499c1-2e17-49af-bc00-d41148357fdd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16678903/check_18435763_a9e59143-f01f-4c1c-8377-f3d63a5b2661.json | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | 18635217 | N/A | 4213067 | 2026-02-11 17:20:19.096483 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:20:15.671212 | 2026-02-11 17:20:17.324364 | 18435762 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-09-05 | 2026-02-11 | U | PT | N/A | PEREZ | XEH906211928 | KAILANA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16678903/check_18435762_5fb2e7d3-f2cf-4d08-8d0e-066390c6f09b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | N/A | N/A | N/A | N/A | N/A | N/A | XEH906211928 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-09-05 | N/A | N/A | N/A | N/A | false | PEREZ | N/A | KAILANA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16678903 | 2222 | N/A | N/A | N/A | 4213067 | 2026-02-11 17:20:17.324364 | 2026-02-17 17:23:43.418582 |
| 2026-02-11 17:16:29.134029 | 2026-02-11 17:16:30.927786 | 18435713 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-04-02 | 2026-02-11 | M | AE | PT | Sandiford | 00000513757 | Ronald | K | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16590167/check_18435713_a3f1eecb-bfe6-4bde-99af-b75da3b906b4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16590167/check_18435713_32caea92-fd7e-4502-a8e1-4926605495e4.json | N/A | N/A | N/A | N/A | N/A | 00000513757 | N/A | N/A | HUMANA | N/A | N/A | N/A | N/A | N/A | N/A | false | SANDIFORD | N/A | RONALD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16590167 | 2222 | N/A | 18635159 | N/A | 14607349 | 2026-02-11 17:16:30.927786 | 2026-02-06 18:29:23.154307 |
| 2026-02-11 17:16:26.443551 | 2026-02-11 17:16:29.129768 | 18435712 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-04-02 | 2026-02-11 | M | AE | PT | Sandiford | 00000513757 | Ronald | K | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16590167/check_18435712_55e49db1-74b0-47aa-af4b-d16362b09a86.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000513757 | N/A | N/A | HUMANA | N/A | N/A | N/A | N/A | N/A | N/A | false | SANDIFORD | N/A | RONALD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16590167 | 2222 | N/A | N/A | N/A | 14607349 | 2026-02-11 17:16:29.129768 | 2026-02-06 18:29:23.154307 |
| 2026-02-11 16:57:34.781051 | 2026-02-11 16:57:37.681896 | 18435303 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-12-27 | 2026-02-12 | M | PT | N/A | Shaw | UAL830098815 | Alex | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16710897/check_18435303_87ec3d5d-85f3-4a81-b7e2-7dc2275d5350.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16710897/check_18435303_8699452d-4380-479e-bb23-f094ae678938.json | N/A | N/A | N/A | N/A | N/A | UAL830098815 | Preferred Provider Organization (PPO) | UNITED AIRLINES | ANTHEM BLUE CROSS | N/A | 1973-12-27 | N/A | 168262 | N/A | PR | false | SHAW | N/A | ALEXANDER | N/A | 9999-12-31 | 2016-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10010940260 | N/A | N/A | 16710897 | 2222 | N/A | 18634731 | N/A | 14718525 | 2026-02-11 16:57:37.681896 | 2026-02-11 16:47:20.968985 |
| 2026-02-11 16:55:47.092994 | 2026-02-11 16:55:48.899804 | 18435293 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-12-27 | 2026-02-12 | M | PT | N/A | Shaw | UAL830098815 | Alex | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16710897/check_18435293_ec0095da-e26d-4c8d-9393-26bacd2b894b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16710897/check_18435293_a584b7d4-33a9-43f8-8cd5-96393009b278.json | N/A | N/A | N/A | N/A | N/A | UAL830098815 | Preferred Provider Organization (PPO) | UNITED AIRLINES | ANTHEM BLUE CROSS | N/A | 1973-12-27 | N/A | 168262 | N/A | PR | false | SHAW | N/A | ALEXANDER | N/A | 9999-12-31 | 2016-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10010919706 | N/A | N/A | 16710897 | 2222 | N/A | 18634718 | N/A | 14718525 | 2026-02-11 16:55:48.899804 | 2026-02-11 16:47:20.968985 |
| 2026-02-11 16:55:23.064892 | 2026-02-11 16:55:24.820445 | 18435287 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-12-27 | 2026-02-12 | M | PT | N/A | Shaw | UAL830098815 | Alex | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16710897/check_18435287_b8274822-cbd2-44ad-bf56-b4e565a498cb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16710897/check_18435287_43a42f6c-b2de-4a8a-938f-3232e5addafd.json | N/A | N/A | N/A | N/A | N/A | UAL830098815 | Preferred Provider Organization (PPO) | UNITED AIRLINES | ANTHEM BLUE CROSS | N/A | 1973-12-27 | N/A | 168262 | N/A | PR | false | SHAW | N/A | ALEXANDER | N/A | 9999-12-31 | 2016-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10010915364 | N/A | N/A | 16710897 | 2222 | N/A | 18634711 | N/A | 14718525 | 2026-02-11 16:55:24.820445 | 2026-02-11 16:47:20.968985 |