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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-02-09 08:14:36.176473 | 2026-02-10 01:54:44.318564 | 18284675 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18284675 | Athletic Physical Therapy Inc | 1937-05-08 | 2026-02-12 | F | AE | PT | GRINBERG | 6W60TM0KP36 | HANNA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542161/check_18284675_a74c01f7-d6bf-48fd-a02e-a7d9e48dc494.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MA | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | N/A | N/A | N/A | 11998 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9985776532 | N/A | N/A | 5542161 | 2222 | 4802 | 18579880 | N/A | 4214112 | 2026-02-10 01:54:44.318564 | 2025-05-13 04:29:37.228426 |
| 2026-02-09 08:14:35.767446 | 2026-02-10 01:47:30.579721 | 18284630 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18284630 | Athletic Physical Therapy Inc | 1942-12-17 | 2026-02-11 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_18284630_62970184-92b9-460b-863b-1f8e1b9f139f.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9985776530 | N/A | N/A | 5542014 | 2222 | 4793 | 18576108 | N/A | 4213977 | 2026-02-10 01:47:30.579721 | 2025-05-13 04:29:37.228294 |
| 2026-02-09 08:14:35.628605 | 2026-02-10 01:43:47.854520 | 18284614 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 18284614 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-02-11 | M | AE | PT | SHRIVER | 90771207E | DANIEL | Adam | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_18284614_d2da620d-33d6-44ae-bcf3-e7d195d0f006.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MEDICARE PART AB CI003 | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | BP0001 | NO | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | 2078-12-31 | 2026-02-01 | DUAL ELIGIBLE DISABLED - MSP - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9985776528 | N/A | N/A | 5541984 | 2222 | 4802 | 18573103 | N/A | 4213934 | 2026-02-10 01:43:47.854520 | 2026-01-27 23:36:44.802366 |
| 2026-02-09 08:14:35.382486 | 2026-02-10 01:47:16.417851 | 18284588 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18284588 | Athletic Physical Therapy Inc | 1959-05-13 | 2026-02-12 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_18284588_b7c61031-542a-4558-9f9f-e25801479cc3.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9985776527 | N/A | N/A | 5541944 | 2222 | 4801 | 18575926 | N/A | 4213907 | 2026-02-10 01:47:16.417851 | 2025-05-13 04:29:37.228228 |
| 2026-02-09 08:14:35.032390 | 2026-02-10 01:54:51.130012 | 18284548 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18284548 | Athletic Physical Therapy Inc | 1961-06-02 | 2026-02-12 | M | AE | PT | MOGES | 9MF8NH0KD45 | MEKONNEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541892/check_18284548_1a476c52-a6b1-411e-9b1d-76434298b79a.json | N/A | N/A | N/A | N/A | N/A | 9MF8NH0KD45 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1961-06-02 | S5617 | N/A | N/A | MA | false | MOGES | N/A | MEKONNEN | N/A | N/A | N/A | N/A | N/A | N/A | 17882 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9985776526 | N/A | N/A | 5541892 | 2222 | 4801 | 18579906 | N/A | 4213870 | 2026-02-10 01:54:51.130012 | 2026-02-04 16:47:08.016880 |
| 2026-02-09 08:14:34.733347 | 2026-02-10 01:46:59.118693 | 18284516 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 18284516 | Athletic Physical Therapy Inc | 1985-02-07 | 2026-02-12 | F | AE | PT | SHEPHERD | 93180838F | EMILY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_18284516_8d50d47d-e424-4695-aa31-72522fad8a94.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9985776525 | N/A | N/A | 5541519 | 2222 | 4802 | 18575724 | 4625 | 4213530 | 2026-02-10 01:46:59.118693 | 2025-05-13 04:29:37.227860 |
| 2026-02-09 08:14:34.421827 | 2026-02-10 01:47:44.891863 | 18284484 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 18284484 | Athletic Physical Therapy Inc | 2012-06-25 | 2026-02-11 | F | PT | N/A | LORD | JQT822A53740 | ALYSSA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541409/check_18284484_80598feb-8e94-4a0f-9e05-f588ba67b53f.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | BLUE SHIELD OF CALIFORNIA | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9985776524 | N/A | N/A | 5541409 | 2222 | 4793 | 18576293 | N/A | 4213435 | 2026-02-10 01:47:44.891863 | 2025-05-13 04:29:37.227756 |
| 2026-02-09 08:14:34.263394 | 2026-02-10 01:46:57.444187 | 18284463 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 18284463 | Athletic Physical Therapy Inc | 1968-03-30 | 2026-02-11 | M | AE | PT | FARAHMAND | 91957675E | ALEX | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_18284463_539226d7-8156-41ac-a2c6-f02f66b249ab.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9985776523 | N/A | N/A | 5541163 | 2222 | 4802 | 18575700 | 4625 | 4213207 | 2026-02-10 01:46:57.444187 | 2025-05-13 04:29:37.227536 |
| 2026-02-09 08:14:33.899317 | 2026-02-10 01:47:22.448465 | 18284425 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18284425 | Athletic Physical Therapy Inc | 1995-06-07 | 2026-02-12 | M | PT | N/A | Greathouse | MPI30458946Q | Kheperan | R | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540871/check_18284425_a92a6d0f-b2e8-4e0a-a67e-88128a986480.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9985776522 | N/A | N/A | 5540871 | 2222 | 4793 | 18576005 | N/A | 4212959 | 2026-02-10 01:47:22.448465 | 2025-10-17 20:08:21.136268 |
| 2026-02-09 08:14:33.500897 | 2026-02-10 01:54:37.260988 | 18284382 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18284382 | Athletic Physical Therapy Inc | 1940-05-13 | 2026-02-12 | F | AE | PT | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540531/check_18284382_07af820d-6b2b-45f6-a6b0-7723ceb71eb9.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MA | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | N/A | 22010 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9985776521 | N/A | N/A | 5540531 | 2222 | 4802 | 18579846 | N/A | 4212676 | 2026-02-10 01:54:37.260988 | 2025-07-03 21:09:02.193065 |
| 2026-02-09 08:14:33.338012 | 2026-02-10 01:54:41.755922 | 18284366 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18284366 | Athletic Physical Therapy Inc | 1941-07-16 | 2026-02-12 | F | AE | PT | FLASCHNER | 3JP3YP9NF13 | SUSAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540347/check_18284366_cf8003b9-cd0a-43d2-a59d-023425452434.json | N/A | N/A | N/A | N/A | N/A | 3JP3YP9NF13 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-07-16 | S5617 | N/A | N/A | MA | false | FLASCHNER | N/A | SUSAN | 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 | 9985776520 | N/A | N/A | 5540347 | 2222 | 4801 | 18579868 | N/A | 4212521 | 2026-02-10 01:54:41.755922 | 2025-05-13 04:29:37.226871 |
| 2026-02-09 08:14:33.169137 | 2026-02-10 01:46:12.205994 | 18284342 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 18284342 | Athletic Physical Therapy Inc | 1948-04-26 | 2026-02-12 | M | AE | PT | LODIN | 40064763401 | MOHAMMED | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540259/check_18284342_82de91f2-32ce-4185-a62f-f91efa3dd1fc.json | N/A | N/A | N/A | N/A | N/A | 40064763401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1948-04-26 | 2026H5425001 | H5425M | N/A | N/A | false | LODIN | N/A | MOHAMMED | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9985776519 | N/A | N/A | 5540259 | 2222 | 4793 | 18575134 | 6237 | 4212442 | 2026-02-10 01:46:12.205994 | 2025-05-13 04:29:37.226772 |
| 2026-02-09 08:14:32.859177 | 2026-02-10 01:46:57.720103 | 18284306 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 18284306 | Athletic Physical Therapy Inc | 1982-06-09 | 2026-02-11 | M | AE | PT | FULKERSON | R12222652MM1 | SCOTT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539956/check_18284306_fefa7bb6-2bfe-4510-878e-f45332a910f9.json | N/A | N/A | N/A | N/A | N/A | R12222652MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1982-06-09 | N/A | N/A | N/A | N/A | false | FULKERSON | N/A | SCOTT | 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 | 9985776518 | N/A | N/A | 5539956 | 2222 | 4801 | 18575704 | N/A | 4212166 | 2026-02-10 01:46:57.720103 | 2025-10-23 15:59:33.239127 |
| 2026-02-09 08:14:32.567656 | 2026-02-10 01:47:44.210357 | 18284276 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 18284276 | Athletic Physical Therapy Inc | 1983-08-31 | 2026-02-11 | M | PT | N/A | FLEMING | SZF839281184 | CHASE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_18284276_d8564814-5a0f-4486-8af3-e06779ef4cf8.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | BLUE SHIELD OF CALIFORNIA | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9985776517 | N/A | N/A | 5539901 | 2222 | 4793 | 18576283 | N/A | 4212134 | 2026-02-10 01:47:44.210357 | 2025-08-05 02:56:55.384378 |
| 2026-02-09 08:14:32.140403 | 2026-02-10 01:54:47.528640 | 18284229 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18284229 | Athletic Physical Therapy Inc | 1958-12-10 | 2026-02-11 | F | AE | PT | LIBAW | 9T01HM2XE02 | PAMELA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539452/check_18284229_ffb5c42d-0b1e-4dbc-a982-334523276825.json | N/A | N/A | N/A | N/A | N/A | 9T01HM2XE02 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-12-10 | S4802 | N/A | N/A | MA | false | LIBAW | N/A | PAMELA | 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 | 9985776516 | N/A | N/A | 5539452 | 2222 | 4802 | 18579894 | N/A | 4211753 | 2026-02-10 01:54:47.528640 | 2025-05-13 04:29:37.226073 |
| 2026-02-09 08:14:32.006472 | 2026-02-10 01:47:24.145817 | 18284215 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 18284215 | Athletic Physical Therapy Inc | 1952-09-29 | 2026-02-11 | F | PT | N/A | JOHNSON | JQS766M90611 | JANET | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539188/check_18284215_933c64b4-2993-4522-b98b-c17dd841c4f3.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9985776515 | N/A | N/A | 5539188 | 2222 | 4801 | 18576023 | 4185 | 4211521 | 2026-02-10 01:47:24.145817 | 2025-10-19 23:43:25.603984 |
| 2026-02-09 08:14:31.791442 | 2026-02-10 01:47:23.133841 | 18284186 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18284186 | Athletic Physical Therapy Inc | 1980-04-11 | 2026-02-11 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_18284186_5bd4add5-fd0d-4bad-95b1-4062eb5b2315.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9985776514 | N/A | N/A | 5539085 | 2222 | 4793 | 18576015 | N/A | 4211408 | 2026-02-10 01:47:23.133841 | 2025-09-18 00:42:48.586801 |
| 2026-02-09 08:14:31.266949 | 2026-02-10 01:47:47.933047 | 18284133 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 18284133 | Athletic Physical Therapy Inc | 1961-12-01 | 2026-02-12 | M | PT | N/A | TOOCH | JPU633M84536 | PETER | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_18284133_9f9c83ad-2ea0-4fc0-b012-da5718af7bec.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M005 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2026-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9985776513 | N/A | N/A | 5538874 | 2222 | 4801 | 18576329 | N/A | 4211227 | 2026-02-10 01:47:47.933047 | 2025-05-13 04:29:37.225625 |
| 2026-02-09 08:14:30.707485 | 2026-02-10 01:46:11.890627 | 18284071 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 18284071 | Athletic Physical Therapy Inc | 1951-08-02 | 2026-02-12 | M | AE | PT | CHADIDA | 40060913601 | DAVID | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_18284071_c7216df6-89f7-4b59-8c59-55ab81566145.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2026H5425001 | H5425M | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9985776511 | N/A | N/A | 5538674 | 2222 | 4793 | 18575129 | 6237 | 4211039 | 2026-02-10 01:46:11.890627 | 2025-05-13 04:29:37.225444 |
| 2026-02-09 08:14:30.537802 | 2026-02-10 01:44:13.228456 | 18284053 | N/A | N/A | 60054 | Aetna | 1114042165 | 18284053 | Athletic Physical Therapy Inc | 2007-12-18 | 2026-02-11 | M | PT | N/A | PERLMUTTER | JOH460A96253 | DREW | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538573/check_18284053_990d0e55-4eb1-4cd2-ac0d-7b04b6ac550d.json | N/A | N/A | N/A | N/A | N/A | JOH460A96253 | N/A | N/A | AETNA INC | N/A | 2007-12-18 | N/A | N/A | N/A | N/A | false | PERLMUTTER | N/A | DREW | 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 | 9985776510 | N/A | N/A | 5538573 | 2222 | 4801 | 18573526 | N/A | 4210980 | 2026-02-10 01:44:13.228456 | 2025-05-13 04:29:37.225377 |
| 2026-02-09 08:14:30.245747 | 2026-02-10 01:43:38.041305 | 18284019 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 18284019 | Athletic Physical Therapy Inc | 1956-10-22 | 2026-02-11 | F | AE | PT | VARGAS | C4080406701 | AUXILIADORA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538314/check_18284019_cf340572-4b49-4baa-97c9-64709f195a99.json | N/A | N/A | N/A | N/A | N/A | 33970109 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1956-10-22 | N/A | N/A | N/A | N/A | false | VARGAS | N/A | AUXILIADORA | 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 | 9985776508 | N/A | N/A | 5538314 | 2222 | 4802 | 18572956 | 6798 | 4210749 | 2026-02-10 01:43:38.041305 | 2026-01-29 18:21:20.298304 |
| 2026-02-09 08:14:29.690863 | 2026-02-10 01:47:03.700529 | 18283955 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 18283955 | Athletic Physical Therapy Inc | 1949-09-13 | 2026-02-12 | M | AE | PT | GOMES | 00000285293 | NEMESIO | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_18283955_7bf06b6a-71de-4e69-9ff5-1135c6cdf398.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9985776506 | N/A | N/A | 5537439 | 2222 | 4801 | 18575777 | 2630 | 4210001 | 2026-02-10 01:47:03.700529 | 2025-05-13 04:29:37.224421 |
| 2026-02-09 08:14:29.364848 | 2026-02-10 01:47:18.789030 | 18283916 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 18283916 | Athletic Physical Therapy Inc | 1957-04-03 | 2026-02-12 | M | PT | N/A | CRUZ CHEVEZ | JQW952W07822 | RICARDO | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537237/check_18283916_5507adb8-c079-4aef-8f76-4d17b3e8b1fe.json | N/A | N/A | N/A | N/A | N/A | JQW952W07822 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-03 | 040 | CAMCRWP0 | N/A | MP | false | CRUZ CHEVEZ | N/A | RICARDO | N/A | 9999-12-31 | 2026-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9985776504 | N/A | N/A | 5537237 | 2222 | 4793 | 18575957 | 4184 | 4209841 | 2026-02-10 01:47:18.789030 | 2025-10-22 16:05:52.993032 |
| 2026-02-09 08:14:29.103980 | 2026-02-10 01:44:52.646863 | 18283884 | N/A | N/A | 61101 | HUMANA | 1114042165 | 18283884 | Athletic Physical Therapy Inc | 1952-05-02 | 2026-02-11 | F | AE | PT | HASSEY DE HANSON | H6569972200 | HILDA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536963/check_18283884_8a3cbd92-64a9-4031-a8ca-99bb53c7fb60.json | N/A | N/A | N/A | N/A | N/A | H65699722 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1952-05-02 | N/A | 2B722001 | N/A | HN | false | HASSEY DE HA | N/A | HILDA | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9985776502 | N/A | N/A | 5536963 | 2222 | 4801 | 18574080 | 5349 | 4209616 | 2026-02-10 01:44:52.646863 | 2025-12-02 19:38:35.715555 |
| 2026-02-09 08:14:28.668410 | 2026-02-10 01:46:55.202658 | 18283834 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 18283834 | override_provider | 1972-10-15 | 2026-02-12 | F | AE | PT | BAHGAT | R0765902916 | MONA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536335/check_18283834_b6a48581-c058-40ff-9129-a7ac31e590b5.json | N/A | N/A | N/A | N/A | N/A | R0765902916 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-10-15 | 67138CA0520010-01 | N/A | N/A | N/A | false | BAHGAT | N/A | MONA | N/A | N/A | N/A | GOLD 80 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9985776501 | N/A | N/A | 5536335 | 2222 | 4802 | 18575673 | N/A | 4209098 | 2026-02-10 01:46:55.202658 | 2025-05-13 04:29:37.223519 |
| 2026-02-09 08:14:28.267164 | 2026-02-10 01:54:53.971978 | 18283781 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18283781 | Athletic Physical Therapy Inc | 1946-08-26 | 2026-02-12 | M | AE | PT | ROTHMAN | 6H65JC7UD67 | MIKE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536194/check_18283781_41c8b6e8-365d-4e39-a0bc-ba795cc6826f.json | N/A | N/A | N/A | N/A | N/A | 6H65JC7UD67 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-08-26 | S4802 | N/A | N/A | MA | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | N/A | 50323 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9985776499 | N/A | N/A | 5536194 | 2222 | 4801 | 18579920 | N/A | 4208978 | 2026-02-10 01:54:53.971978 | 2025-05-13 04:29:37.223404 |
| 2026-02-09 08:14:27.900003 | 2026-02-10 01:54:51.887383 | 18283733 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18283733 | Athletic Physical Therapy Inc | 1946-12-07 | 2026-02-11 | F | AE | PT | MOONVES | 9VC3KJ4XU95 | NANCY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.121919791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536069/check_18283733_33329883-4e2f-4d9e-b910-099a4a21e1c0.json | N/A | N/A | N/A | N/A | N/A | 9VC3KJ4XU95 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-12-07 | S4802 | N/A | N/A | MA | false | MOONVES | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | N/A | 92564 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9985776498 | N/A | N/A | 5536069 | 2222 | 4802 | 18579910 | N/A | 4208883 | 2026-02-10 01:54:51.887383 | 2025-05-13 04:29:37.223310 |
| 2026-02-09 08:13:30.349888 | 2026-02-10 01:30:59.009739 | 18277272 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 18277272 | Athletic Physical Therapy Inc | 1947-02-05 | 2026-02-11 | F | AE | PT | RIOS BERNADAC | 91188034F88361 | IRMA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260209.100020146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16528353/check_18277272_2c11cbe7-b26a-41b8-9108-28f70c08248d.json | N/A | N/A | N/A | N/A | N/A | 91188034F88361 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1947-02-05 | N/A | N/A | N/A | N/A | false | RIOS BERNADAC | N/A | IRMA | 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 | 9985749140 | N/A | N/A | 16528353 | 2222 | 4793 | 18546787 | N/A | 14412413 | 2026-02-10 01:30:59.009739 | 2026-02-06 01:34:12.879816 |
| 2026-02-09 08:10:27.971765 | 2026-02-09 08:10:40.795587 | 18265644 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-10-02 | 2026-02-09 | M | PT | N/A | TALAMANTE | MMA979W26491 | TONY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16213353/check_18265644_f7f994c0-06bf-4983-b5a8-662c1fb025aa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16213353/check_18265644_724de545-79bf-40b7-87e4-fc77029e28ae.json | N/A | N/A | N/A | N/A | N/A | MMA979W26491 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1950-10-02 | 040 | CAMCRWP0 | N/A | MP | false | TALAMANTE | N/A | TONY | N/A | 9999-12-31 | 2026-02-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9985731792 | N/A | N/A | 16213353 | 2222 | N/A | 18513137 | N/A | 13411314 | 2026-02-09 08:10:40.795587 | 2026-01-13 20:31:59.541152 |
| 2026-02-08 20:58:37.425300 | 2026-02-08 20:58:39.323118 | 18264360 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-07-16 | 2026-02-12 | F | AE | PT | FLASCHNER | 3JP3YP9NF13 | SUSAN | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540347/check_18264360_f3722391-5f8b-481f-a0d8-6329bb8eb0af.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540347/check_18264360_00f730cd-42d4-45ed-aa19-76a160166059.json | N/A | N/A | N/A | N/A | N/A | 3JP3YP9NF13 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-07-16 | S5617 | N/A | N/A | MB | false | FLASCHNER | N/A | SUSAN | 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 | 9983674438 | N/A | N/A | 5540347 | 2222 | N/A | 18511557 | N/A | 4212521 | 2026-02-08 20:58:39.323118 | 2025-05-13 04:29:37.226871 |
| 2026-02-08 19:45:02.666112 | 2026-02-08 19:45:04.461011 | 18264193 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-05-31 | 2026-02-09 | M | AE | PT | ANDERSON | 102229171400 | ERIC | C | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16321061/check_18264193_2056d22b-733d-4225-a005-c738df0a5ad1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16321061/check_18264193_d8055fd7-3e54-4a0b-a3e8-14c169963709.json | N/A | N/A | N/A | N/A | N/A | 102229171400 | N/A | N/A | AETNA INC | N/A | 1952-05-31 | N/A | N/A | N/A | N/A | false | ANDERSON | N/A | ERIC | N/A | 2026-12-31 | 2026-01-01 | 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 | 16321061 | 2222 | N/A | 18511393 | N/A | 14369748 | 2026-02-08 19:45:04.461011 | 2026-03-09 18:36:27.636026 |
| 2026-02-08 19:44:59.791864 | 2026-02-08 19:45:02.663154 | 18264192 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-05-31 | 2026-02-09 | M | AE | PT | ANDERSON | 102229171400 | ERIC | C | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16321061/check_18264192_aab5a094-274d-408d-9edc-c9a5e29ef468.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-09 | N/A | N/A | N/A | N/A | N/A | N/A | 102229171400 | N/A | N/A | AETNA INC | N/A | 1952-05-31 | N/A | N/A | N/A | N/A | false | ANDERSON | N/A | ERIC | N/A | 2026-12-31 | 2026-01-01 | 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 | 16321061 | 2222 | N/A | N/A | N/A | 14369748 | 2026-02-08 19:45:02.663154 | 2026-03-09 18:36:27.636026 |
| 2026-02-08 19:17:19.577452 | 2026-02-08 19:17:21.386375 | 18264161 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-03-17 | 2026-02-09 | F | AE | PT | LORENZEN | 967970147 | Shannon | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15962978/check_18264161_903b5573-e02f-45e0-8419-c33db56355aa.json | UHC | N/A | INSIGHTS | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15962978/check_18264161_013eb14a-0bef-479b-9f46-37b4a4790994.json | N/A | N/A | N/A | N/A | N/A | 967970147 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1982-03-17 | N/A | 936200 | N/A | C1 | false | LORENZEN | N/A | SHANNON | N/A | N/A | N/A | SELECT PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15962978 | 2222 | N/A | 18511360 | N/A | 14043687 | 2026-02-08 19:17:21.386375 | 2026-02-08 18:29:07.348795 |
| 2026-02-08 19:16:09.790519 | 2026-02-08 19:16:11.690995 | 18264146 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-03-17 | 2026-02-09 | F | AE | PT | LORENZEN | 967970147 | Shannon | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15962978/check_18264146_4f1fdf7d-e8d5-4a89-97a7-c1772cd54b42.json | UHC | N/A | INSIGHTS | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15962978/check_18264146_1a7c23a2-9f84-4aa6-9cde-007cfd5b2d31.json | N/A | N/A | N/A | N/A | N/A | 967970147 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1982-03-17 | N/A | 936200 | N/A | C1 | false | LORENZEN | N/A | SHANNON | N/A | N/A | N/A | SELECT PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15962978 | 2222 | N/A | 18511346 | N/A | 14043687 | 2026-02-08 19:16:11.690995 | 2026-02-08 18:29:07.348795 |
| 2026-02-08 18:50:26.883998 | 2026-02-08 18:50:30.189822 | 18264059 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-03-17 | 2026-02-09 | F | AE | PT | LORENZEN | 967970147 | Shannon | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15962978/check_18264059_ed5d1434-823e-4ccd-8955-e93e9db84016.json | UHC | N/A | INSIGHTS | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15962978/check_18264059_280eec68-457a-4695-873f-3a9ec2b2ef2b.json | N/A | N/A | N/A | N/A | N/A | 967970147 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1982-03-17 | N/A | 936200 | N/A | C1 | false | LORENZEN | N/A | SHANNON | N/A | N/A | N/A | SELECT PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15962978 | 2222 | N/A | 18511259 | N/A | 14043687 | 2026-02-08 18:50:30.189822 | 2026-02-08 18:29:07.348795 |
| 2026-02-08 18:48:43.340829 | 2026-02-08 18:48:45.315124 | 18264041 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-03-17 | 2026-02-09 | F | AE | PT | LORENZEN | 967970147 | Shannon | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15962978/check_18264041_bc7f73c4-1fec-4f2f-9736-f079436a725d.json | UHC | N/A | INSIGHTS | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15962978/check_18264041_49378481-60e3-4575-96b3-827f6df87654.json | N/A | N/A | N/A | N/A | N/A | 967970147 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1982-03-17 | N/A | 936200 | N/A | C1 | false | LORENZEN | N/A | SHANNON | N/A | N/A | N/A | SELECT PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15962978 | 2222 | N/A | 18511239 | N/A | 14043687 | 2026-02-08 18:48:45.315124 | 2026-02-08 18:29:07.348795 |
| 2026-02-08 18:47:28.262047 | 2026-02-08 18:47:30.361471 | 18264031 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-03-17 | 2026-02-09 | F | AE | PT | LORENZEN | 967970147 | Shannon | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15962978/check_18264031_24bb362c-4b7e-4b87-b3b3-1828ec827c6a.json | UHC | N/A | INSIGHTS | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15962978/check_18264031_39d78cc2-2922-4fe8-a0b3-0528d7034ca4.json | N/A | N/A | N/A | N/A | N/A | 967970147 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1982-03-17 | N/A | 936200 | N/A | C1 | false | LORENZEN | N/A | SHANNON | N/A | N/A | N/A | SELECT PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15962978 | 2222 | N/A | 18511231 | N/A | 14043687 | 2026-02-08 18:47:30.361471 | 2026-02-08 18:29:07.348795 |
| 2026-02-08 18:47:05.331978 | 2026-02-08 18:47:07.159713 | 18264029 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-03-17 | 2026-02-09 | F | AE | PT | LORENZEN | 967970147 | Shannon | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15962978/check_18264029_a5259582-3483-4cc8-9188-a5c12f5167c3.json | UHC | N/A | INSIGHTS | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15962978/check_18264029_f5c5622a-dad0-4332-b025-b21cdf88f124.json | N/A | N/A | N/A | N/A | N/A | 967970147 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1982-03-17 | N/A | 936200 | N/A | C1 | false | LORENZEN | N/A | SHANNON | N/A | N/A | N/A | SELECT PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15962978 | 2222 | N/A | 18511229 | N/A | 14043687 | 2026-02-08 18:47:07.159713 | 2026-02-08 18:29:07.348795 |
| 2026-02-08 18:46:52.085818 | 2026-02-08 18:46:54.234768 | 18264026 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-03-17 | 2026-02-09 | F | AE | PT | LORENZEN | 967970147 | Shannon | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15962978/check_18264026_90028159-fd1a-4596-8e2b-d5a98714c7cb.json | UHC | N/A | INSIGHTS | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15962978/check_18264026_b012f68d-5853-44d6-b7de-2d3776940886.json | N/A | N/A | N/A | N/A | N/A | 967970147 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1982-03-17 | N/A | 936200 | N/A | C1 | false | LORENZEN | N/A | SHANNON | N/A | N/A | N/A | SELECT PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15962978 | 2222 | N/A | 18511226 | N/A | 14043687 | 2026-02-08 18:46:54.234768 | 2026-02-08 18:29:07.348795 |
| 2026-02-08 18:46:29.792637 | 2026-02-08 18:46:34.045855 | 18264024 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-03-17 | 2026-02-09 | F | AE | PT | LORENZEN | 967970147 | Shannon | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15962978/check_18264024_0df36131-2574-4595-ade6-91efdeca832a.json | UHC | N/A | INSIGHTS | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15962978/check_18264024_de2e2031-6fe6-4553-9dd6-b2af78200995.json | N/A | N/A | N/A | N/A | N/A | 967970147 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1982-03-17 | N/A | 936200 | N/A | C1 | false | LORENZEN | N/A | SHANNON | N/A | N/A | N/A | SELECT PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15962978 | 2222 | N/A | 18511224 | N/A | 14043687 | 2026-02-08 18:46:34.045855 | 2026-02-08 18:29:07.348795 |
| 2026-02-08 15:43:34.330425 | 2026-02-08 15:43:36.083070 | 18263338 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-05-21 | 2026-02-10 | F | AE | PT | Pitillo | 2DC5XR5QX88 | Marsha | Ann | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16364556/check_18263338_899bb478-7073-4ef5-8562-c9d67673bc7d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16364556/check_18263338_38a2120f-e82d-4f22-9220-e76c89e2ab1e.json | N/A | N/A | N/A | N/A | N/A | 2DC5XR5QX88 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-05-21 | N/A | N/A | N/A | MA | false | PITILLO | N/A | MARSHA | 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 | 9983017624 | N/A | N/A | 16364556 | 2222 | N/A | 18510563 | N/A | 14409841 | 2026-02-08 15:43:36.083070 | 2026-02-06 15:48:01.559884 |
| 2026-02-08 09:47:29.845985 | 2026-02-08 09:47:32.652036 | 18261919 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-11-30 | 2025-10-17 | N/A | PT | AE | LACAILLE | 000024915259 | MARC | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11096601/check_18261919_53727e81-2fb0-4b8b-a449-7226badc3a36.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11096601/check_18261919_aedb5202-f681-4373-8c42-486e91ca914b.json | N/A | N/A | N/A | N/A | N/A | 000024915259 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1984-11-30 | 4393205 | 232796 | N/A | N/A | false | LACAILLE | N/A | MARC | N/A | N/A | N/A | META PLATFORMS, INC. (META) META | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9982151946 | 1275 | N/A | 11096601 | 2222 | N/A | 18509163 | N/A | 8500356 | 2026-02-08 09:47:32.652036 | 2025-10-13 22:28:47.604295 |
| 2026-02-08 03:27:14.526615 | 2026-02-08 03:28:02.737023 | 18261179 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-12-15 | 2026-02-10 | F | PT | N/A | STYLES | XYL990311433 | SUSAN | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14110178/check_18261179_31789e7e-4d31-4fe6-bb56-e58811c05b15.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | UNKNOWN | N/A | N/A | N/A | N/A | N/A | N/A | false | UNKNOWN | N/A | N/A | 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 | 14110178 | 2222 | N/A | N/A | N/A | 10999467 | 2026-02-08 03:28:02.737023 | 2025-11-14 21:36:13.911423 |
| 2026-02-08 03:25:23.845468 | 2026-02-08 03:27:14.522685 | 18261178 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-12-15 | 2026-02-10 | F | PT | N/A | STYLES | XYL990311433 | SUSAN | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14110178/check_18261178_3d3ee117-683f-4687-a60a-78db128acc45.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14110178 | 2222 | N/A | N/A | N/A | 10999467 | 2026-02-08 03:27:14.522685 | 2025-11-14 21:36:13.911423 |
| 2026-02-08 03:19:32.209505 | 2026-02-08 03:19:34.023802 | 18261175 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-12-15 | 2026-02-10 | F | PT | N/A | STYLES | X3LM63380448 | SUSAN | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14110178/check_18261175_e12d7e69-7ba5-4ac4-839b-1a0f147c69e3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14110178/check_18261175_781fb09e-751d-46c2-a7f2-41993ee5d47e.json | N/A | N/A | N/A | N/A | N/A | X3LM63380448 | Preferred Provider Organization (PPO) | MPSERS MEDICARE ADVANTAGE | MEDICARE B | N/A | 1951-12-15 | 710 | 0070138470023001 | N/A | PR | false | STYLES | N/A | SUSAN | N/A | 9999-12-31 | 2026-01-01 | MED ADV | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9981338379 | N/A | N/A | 14110178 | 2222 | N/A | 18504430 | N/A | 10999467 | 2026-02-08 03:19:34.023802 | 2025-11-14 21:36:13.911423 |
| 2026-02-08 03:18:18.216874 | 2026-02-08 03:18:24.432249 | 18261174 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-12-15 | 2026-02-10 | F | PT | N/A | STYLES | X3LM63380448 | SUSAN | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14110178/check_18261174_de9ba04d-b583-4cad-97c6-65e04c73c701.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14110178/check_18261174_9e148542-31f7-4bc7-b5ef-a3994d5f586b.json | N/A | N/A | N/A | N/A | N/A | X3LM63380448 | Preferred Provider Organization (PPO) | MPSERS MEDICARE ADVANTAGE | MEDICARE B | N/A | 1951-12-15 | 710 | 0070138470023001 | N/A | PR | false | STYLES | N/A | SUSAN | N/A | 9999-12-31 | 2026-01-01 | MED ADV | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9981337363 | N/A | N/A | 14110178 | 2222 | N/A | 18504429 | N/A | 10999467 | 2026-02-08 03:18:24.432249 | 2025-11-14 21:36:13.911423 |
| 2026-02-07 23:36:39.876620 | 2026-02-07 23:36:43.722778 | 18260895 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-23 | 2026-02-09 | M | AE | PT | SEINFELD | 000011161002 | JACK | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16314534/check_18260895_6859bc01-cbae-4410-a126-61bbc968d352.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16314534/check_18260895_2ed45aaf-948c-44db-acc1-494454a08b0f.json | N/A | N/A | N/A | N/A | N/A | 000011161002 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1949-10-23 | 4385645 | 101555 | N/A | N/A | false | SEINFELD | N/A | JACK | N/A | N/A | N/A | RAND CORPORATION RAND CORPORATION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9980670603 | N/A | N/A | 16314534 | 2222 | N/A | 18485755 | N/A | 14364107 | 2026-02-07 23:36:43.722778 | 2026-02-04 17:56:53.128350 |
| 2026-02-07 23:35:18.369297 | 2026-02-07 23:35:22.165552 | 18260894 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1949-10-23 | 2026-02-09 | M | AE | PT | SEINFELD | 000011161002 | JACK | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16314534/check_18260894_9c928951-82f5-4a19-a805-a957e78dd1bd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16314534/check_18260894_60fa552e-4135-4c16-9099-d07738c5631d.json | N/A | N/A | N/A | N/A | N/A | 000011161002 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1949-10-23 | 4385645 | 101555 | N/A | N/A | false | SEINFELD | N/A | JACK | N/A | N/A | N/A | RAND CORPORATION RAND CORPORATION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9980669113 | N/A | N/A | 16314534 | 2222 | N/A | 18485754 | N/A | 14364107 | 2026-02-07 23:35:22.165552 | 2026-02-04 17:56:53.128350 |
| 2026-02-07 09:17:01.709228 | 2026-02-07 09:17:05.515291 | 18259316 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2026-02-03 | N/A | PT | AE | M Johnson | KWS141015355001 | David | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14282249/check_18259316_18a221ae-d7b3-4cf3-aba2-ded0740d9f76.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14282249/check_18259316_06a1ea83-1b13-4227-b84e-002d7697dd2f.json | N/A | N/A | N/A | N/A | N/A | KWS141015355001 | Preferred Provider Organization (PPO) | BOIRON, INC. ACTIVE | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = FULLY INSURED | 1962-09-10 | 376 | 10897275 | N/A | PR | false | JOHNSON | N/A | DAVID | N/A | 9999-12-31 | 2025-07-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9977190165 | 1275 | N/A | 14282249 | 2222 | N/A | 18484184 | N/A | 12247347 | 2026-02-07 09:17:05.515291 | 2025-12-10 23:35:09.824882 |
| 2026-02-07 08:39:10.738843 | 2026-02-07 08:39:18.870085 | 18258025 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2026-02-10 | M | AE | PT | STEIN | 317801903-11 | DONALD | N/A | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538579/check_18258025_0ae6dc94-9fe1-4235-a622-320acc2f3478.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538579/check_18258025_b424f192-431c-4e78-a599-65e93fc6efe8.json | N/A | N/A | N/A | N/A | N/A | 317801903 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1943-07-22 | N/A | N/A | N/A | N/A | false | STEIN | N/A | DONALD | 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 | 5538579 | 2222 | N/A | 18483129 | N/A | 4210984 | 2026-02-07 08:39:18.870085 | 2025-08-15 17:42:50.500189 |