API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-20 19:57:40.786783 | 2026-01-20 19:57:42.639077 | 17377537 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-04 | 2026-01-20 | F | AE | PT | 4497 | Dunkerley | 9N89GR7HH33 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/9665219/check_17377537_57cdda36-ae9d-4f2b-9a67-9132c00f317a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9665219/check_17377537_f321770c-e2b0-4372-b574-b7f1741c133f.json | N/A | N/A | N/A | N/A | N/A | 9N89GR7HH33 | N/A | N/A | CMS | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | 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 | 9344 | N/A | 9665219 | 2222 | N/A | 17627703 | N/A | 8086688 | 2026-01-20 19:57:42.639077 | 2026-01-15 18:07:39.869679 |
| 2026-01-20 19:57:38.087887 | 2026-01-20 19:57:40.782456 | 17377534 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-04 | 2026-01-20 | F | AE | PT | 4497 | Dunkerley | 9N89GR7HH33 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/9665219/check_17377534_5dd140ef-6975-454c-870b-cd003bb8d844.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | N/A | N/A | N/A | N/A | N/A | N/A | 9N89GR7HH33 | N/A | N/A | CMS | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | 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 | 9344 | N/A | 9665219 | 2222 | N/A | N/A | N/A | 8086688 | 2026-01-20 19:57:40.782456 | 2026-01-15 18:07:39.869679 |
| 2026-01-20 19:56:35.196367 | 2026-01-20 19:56:37.206402 | 17377521 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-04 | 2026-01-20 | F | AE | PT | 3948 | Dunkerley | AHC2057583 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/9665220/check_17377521_91b74664-34ef-47b1-810c-b7b76bfc4a75.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9665220/check_17377521_48c59a4e-38de-4ece-9f3d-c598f7d1340a.json | N/A | N/A | N/A | N/A | N/A | AHC2057583 | N/A | N/A | AETNA INC | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | 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 | 9344 | N/A | 9665220 | 2222 | N/A | 17627685 | N/A | 8086688 | 2026-01-20 19:56:37.206402 | 2026-01-15 18:07:39.869679 |
| 2026-01-20 19:56:32.292323 | 2026-01-20 19:56:35.192956 | 17377517 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-04 | 2026-01-20 | F | AE | PT | 3948 | Dunkerley | AHC2057583 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/9665220/check_17377517_dce20c61-afc4-4f02-a00b-f0400de90ae2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | N/A | N/A | N/A | N/A | N/A | N/A | AHC2057583 | N/A | N/A | AETNA INC | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | 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 | 9344 | N/A | 9665220 | 2222 | N/A | N/A | N/A | 8086688 | 2026-01-20 19:56:35.192956 | 2026-01-15 18:07:39.869679 |
| 2026-01-20 19:53:21.731988 | 2026-01-20 19:53:23.672622 | 17377476 | N/A | N/A | 22384 | Administrative Concepts, Inc | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-14 | 2026-01-21 | M | AE | PT | 3906 | YOUHANAIE | 9RG5-DX0-YJ71 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/15693033/check_17377476_eb1a81b1-85f0-406b-9fad-09f88e2399bc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15693033/check_17377476_d0aff9bf-fdda-4b03-a9e1-9b98ccd95665.json | N/A | N/A | N/A | N/A | N/A | 9RG5-DX0-YJ71 | N/A | N/A | ACI | N/A | 1959-08-14 | 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 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15693033 | 2222 | N/A | 17627628 | N/A | 4211122 | 2026-01-20 19:53:23.672622 | 2025-05-13 04:29:37.225524 |
| 2026-01-20 19:53:15.988768 | 2026-01-20 19:53:21.726442 | 17377475 | N/A | N/A | 22384 | Administrative Concepts, Inc | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-14 | 2026-01-21 | M | AE | PT | 3906 | YOUHANAIE | 9RG5-DX0-YJ71 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/15693033/check_17377475_c5baf3c6-60bf-4afa-9618-d65ace07b65e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-21 | N/A | N/A | N/A | N/A | N/A | N/A | 9RG5-DX0-YJ71 | N/A | N/A | ACI | N/A | 1959-08-14 | 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 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15693033 | 2222 | N/A | N/A | N/A | 4211122 | 2026-01-20 19:53:21.726442 | 2025-05-13 04:29:37.225524 |
| 2026-01-20 19:51:45.960689 | 2026-01-20 19:51:48.018558 | 17377425 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-04 | 2026-01-20 | F | AE | PT | 3948 | Dunkerley | 9M89GR7HH33 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/9665220/check_17377425_73c58c07-79b6-4c51-9d99-6095e1540c94.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9665220/check_17377425_9e82d5e3-6cc3-453f-b2b4-b9344d99ef9a.json | N/A | N/A | N/A | N/A | N/A | 9M89GR7HH33 | N/A | N/A | AETNA INC | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | 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 | 9344 | N/A | 9665220 | 2222 | N/A | 17627573 | N/A | 8086688 | 2026-01-20 19:51:48.018558 | 2026-01-15 18:07:39.869679 |
| 2026-01-20 19:51:24.886663 | 2026-01-20 19:51:45.956459 | 17377421 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-04 | 2026-01-20 | F | AE | PT | 3948 | Dunkerley | 9M89GR7HH33 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/9665220/check_17377421_804fc3ef-5382-45d2-a2ca-73f0b5c89cb4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | N/A | N/A | N/A | N/A | N/A | N/A | 9M89GR7HH33 | N/A | N/A | AETNA INC | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | 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 | 9344 | N/A | 9665220 | 2222 | N/A | N/A | N/A | 8086688 | 2026-01-20 19:51:45.956459 | 2026-01-15 18:07:39.869679 |
| 2026-01-20 19:50:32.873839 | 2026-01-20 19:50:34.886685 | 17377403 | N/A | N/A | 14163 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-14 | 2026-01-21 | M | AE | PT | 23297 | YOUHANAIE | 9RG5-DX0-YJ71 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/15693033/check_17377403_e8c7b934-b654-4e01-b511-66ba62834c99.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15693033/check_17377403_f8332fbc-1e8b-47f5-8bbe-75af8792bc1b.json | N/A | N/A | N/A | N/A | N/A | 40876468 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1959-08-14 | V32-163 | N/A | N/A | N/A | false | YOUHANAIE | N/A | MARK | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9818423533 | N/A | N/A | 15693033 | 2222 | N/A | 17627548 | N/A | 4211122 | 2026-01-20 19:50:34.886685 | 2025-05-13 04:29:37.225524 |
| 2026-01-20 19:47:09.683523 | 2026-01-20 19:47:11.660849 | 17377347 | N/A | N/A | 14163 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-14 | 2026-01-21 | M | AE | PT | 23297 | YOUHANAIE | 9RG5-DX0-YJ71 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/15693033/check_17377347_1ec48c48-6452-4c1a-8981-84230c449ea0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15693033/check_17377347_80d95041-17ee-4327-b4e7-5b8b3ede6e9a.json | N/A | N/A | N/A | N/A | N/A | 40876468 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1959-08-14 | V32-163 | N/A | N/A | N/A | false | YOUHANAIE | N/A | MARK | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9818384071 | N/A | N/A | 15693033 | 2222 | N/A | 17627483 | N/A | 4211122 | 2026-01-20 19:47:11.660849 | 2025-05-13 04:29:37.225524 |
| 2026-01-20 19:46:37.651755 | 2026-01-20 19:46:39.762347 | 17377335 | N/A | N/A | 14163 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-14 | 2026-01-21 | M | AE | PT | 23297 | YOUHANAIE | 9RG5-DX0-YJ71 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/15693033/check_17377335_b08b4c86-4529-4bdd-ab5e-fdae0a680aa4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15693033/check_17377335_b6fb2e29-c859-467c-812f-1630f77ad24c.json | N/A | N/A | N/A | N/A | N/A | 40876468 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1959-08-14 | V32-163 | N/A | N/A | N/A | false | YOUHANAIE | N/A | MARK | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9818377729 | N/A | N/A | 15693033 | 2222 | N/A | 17627469 | N/A | 4211122 | 2026-01-20 19:46:39.762347 | 2025-05-13 04:29:37.225524 |
| 2026-01-20 19:44:31.292387 | 2026-01-20 19:44:34.215633 | 17377310 | N/A | N/A | 14163 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-14 | 2026-01-21 | M | AE | PT | 23297 | YOUHANAIE | 9RG5-DX0-YJ71 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/15693033/check_17377310_2be73861-3970-4120-b1be-054b938a103e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15693033/check_17377310_74fad0ad-fe24-4a78-81f4-5db7c9629b14.json | N/A | N/A | N/A | N/A | N/A | 40876468 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1959-08-14 | V32-163 | N/A | N/A | N/A | false | YOUHANAIE | N/A | MARK | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9818354166 | N/A | N/A | 15693033 | 2222 | N/A | 17627438 | N/A | 4211122 | 2026-01-20 19:44:34.215633 | 2025-05-13 04:29:37.225524 |
| 2026-01-20 19:02:28.325508 | 2026-01-20 19:02:33.411151 | 17376520 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-11-26 | 2026-01-21 | F | PT | N/A | 4185 | PELLEGRINI | XAN913808278 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6165269/check_17376520_29f2192e-7a44-43e6-a4b3-4a8aed6bbf92.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6165269/check_17376520_a7d5a820-cb59-4d8b-8b4e-20f0495fd6ee.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1968-11-26 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9817881940 | N/A | N/A | 6165269 | 2222 | N/A | 17626513 | N/A | 4807600 | 2026-01-20 19:02:33.411151 | 2025-06-18 15:19:08.524396 |
| 2026-01-20 16:53:37.581457 | 2026-01-20 16:53:39.486182 | 17373883 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-11-24 | 2026-01-26 | F | AE | PT | 5504 | Maghen | 0018683927 | Sima | https://storage.googleapis.com/normandy-eligibility-checks/2222/15605116/check_17373883_ad525c54-d8fd-458d-b00b-a24f0b2a9a7e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15605116/check_17373883_ffe578c5-0f5f-455f-b8b0-4e61b1846c04.json | N/A | N/A | N/A | N/A | N/A | 0018683927 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1958-11-24 | N/A | N/A | N/A | N/A | false | MAGHEN | N/A | SIMA | 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 | 15605116 | 2222 | N/A | 17623690 | N/A | 13697818 | 2026-01-20 16:53:39.486182 | 2026-01-19 23:31:29.530157 |
| 2026-01-20 16:53:35.893733 | 2026-01-20 16:53:37.577086 | 17373882 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-11-24 | 2026-01-26 | F | AE | PT | 5504 | Maghen | 0018683927 | Sima | https://storage.googleapis.com/normandy-eligibility-checks/2222/15605116/check_17373882_68b2a949-e0bd-47a8-8b20-af3a565dd491.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-26 | N/A | N/A | N/A | N/A | N/A | N/A | 0018683927 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1958-11-24 | N/A | N/A | N/A | N/A | false | MAGHEN | N/A | SIMA | 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 | 15605116 | 2222 | N/A | N/A | N/A | 13697818 | 2026-01-20 16:53:37.577086 | 2026-01-19 23:31:29.530157 |
| 2026-01-20 16:40:27.857060 | 2026-01-20 16:40:30.856189 | 17373675 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-25 | 2026-01-20 | M | PT | N/A | 4185 | KIRCHBERG | MMA874W18159 | CHRIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/15482537/check_17373675_177d1143-8a64-470c-8708-07af31449c80.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15482537/check_17373675_262d023c-ce67-436e-8ae2-39f85275a479.json | N/A | N/A | N/A | N/A | N/A | MMA874W18159 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-11-25 | 040 | CAMCRWP0 | N/A | MP | false | KIRCHBERG | N/A | CHRISTOPHE | N/A | 9999-12-31 | 2026-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9816634337 | 163852 | N/A | 15482537 | 2222 | N/A | 17623445 | N/A | 4210991 | 2026-01-20 16:40:30.856189 | 2026-01-22 00:44:28.665898 |
| 2026-01-20 16:36:37.325661 | 2026-01-20 16:36:43.251442 | 17373628 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-05-16 | 2026-01-20 | M | PT | N/A | 4184 | MUIRHEAD | MBL983M98448 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/15483494/check_17373628_fda8347f-522f-46ae-a904-aaf15835b78d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15483494/check_17373628_0f5b63de-c27a-4524-80e5-70eba9f428fc.json | N/A | N/A | N/A | N/A | N/A | MBL983M98448 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1937-05-16 | 040 | CAEGR005 | N/A | N/A | false | MUIRHEAD | N/A | GARY | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9816596861 | N/A | N/A | 15483494 | 2222 | N/A | 17623388 | N/A | 13569666 | 2026-01-20 16:36:43.251442 | 2026-01-19 23:27:00.524405 |
| 2026-01-20 08:29:22.441522 | 2026-01-20 08:29:24.595356 | 17369270 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-11-10 | 2026-01-23 | M | PT | N/A | 4184 | BEBEN | DGA11974486J | EUGENE | https://storage.googleapis.com/normandy-eligibility-checks/2222/15511522/check_17369270_523c79ef-9ec5-46f7-94f1-5a9369e94ccc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15511522/check_17369270_5a4359cf-3b18-4c37-a15c-088a620c6fd0.json | N/A | N/A | N/A | N/A | N/A | DGA11974486J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1953-11-10 | 040 | 276945M001 | N/A | PR | false | BEBEN | N/A | EUGENE | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9811220191 | N/A | N/A | 15511522 | 2222 | N/A | 17618204 | N/A | 13598303 | 2026-01-20 08:29:24.595356 | 2026-01-20 08:19:07.770958 |
| 2026-01-20 08:29:09.750022 | 2026-01-20 08:29:11.737324 | 17369269 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-11-10 | 2026-01-23 | M | PT | N/A | 4184 | BEBEN | DGA11974486J | EUGENE | https://storage.googleapis.com/normandy-eligibility-checks/2222/15511522/check_17369269_e1bba1ef-6a8b-4775-9828-2134768394c4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15511522/check_17369269_bb0743be-45dd-4185-85f0-4b50845f5c47.json | N/A | N/A | N/A | N/A | N/A | DGA11974486J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1953-11-10 | 040 | 276945M001 | N/A | PR | false | BEBEN | N/A | EUGENE | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9811219788 | N/A | N/A | 15511522 | 2222 | N/A | 17618203 | N/A | 13598303 | 2026-01-20 08:29:11.737324 | 2026-01-20 08:19:07.770958 |
| 2026-01-20 08:29:02.712405 | 2026-01-20 08:29:04.624709 | 17369268 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-11-10 | 2026-01-23 | M | PT | N/A | 4184 | BEBEN | DGA11974486J | EUGENE | https://storage.googleapis.com/normandy-eligibility-checks/2222/15511522/check_17369268_86f4e153-5b5a-48c3-a626-6eb494c55138.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15511522/check_17369268_eac52969-c4ad-4694-9cb6-7233c70898af.json | N/A | N/A | N/A | N/A | N/A | DGA11974486J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1953-11-10 | 040 | 276945M001 | N/A | PR | false | BEBEN | N/A | EUGENE | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9811219578 | N/A | N/A | 15511522 | 2222 | N/A | 17618202 | N/A | 13598303 | 2026-01-20 08:29:04.624709 | 2026-01-20 08:19:07.770958 |
| 2026-01-20 08:28:54.273037 | 2026-01-20 08:28:57.124834 | 17369267 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-11-10 | 2026-01-23 | M | PT | N/A | 4184 | BEBEN | DGA11974486J | EUGENE | https://storage.googleapis.com/normandy-eligibility-checks/2222/15511522/check_17369267_49b6ebeb-35bc-4857-b581-b447bcf84af0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15511522/check_17369267_7f379176-3343-4677-9440-42f2d5657b8a.json | N/A | N/A | N/A | N/A | N/A | DGA11974486J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1953-11-10 | 040 | 276945M001 | N/A | PR | false | BEBEN | N/A | EUGENE | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9811219315 | N/A | N/A | 15511522 | 2222 | N/A | 17618201 | N/A | 13598303 | 2026-01-20 08:28:57.124834 | 2026-01-20 08:19:07.770958 |
| 2026-01-20 07:37:13.580017 | 2026-01-20 07:37:17.436255 | 17369250 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-08-11 | 2026-01-20 | M | AE | PT | 5504 | Hlavsa | 000025362084 | Michael | https://storage.googleapis.com/normandy-eligibility-checks/2222/15405467/check_17369250_f6c19c19-3ec2-4340-8b12-51da672faf6a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15405467/check_17369250_e9bf4d88-c701-4f41-9e5b-facbd23f451d.json | N/A | N/A | N/A | N/A | N/A | 000025362084 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1983-08-11 | 4332646 | 1650095001 | N/A | N/A | false | HLAVSA | N/A | MICHAEL | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9811020345 | N/A | N/A | 15405467 | 2222 | N/A | 17608029 | N/A | 13497020 | 2026-01-20 07:37:17.436255 | 2026-01-14 20:45:46.937646 |
| 2026-01-20 00:41:20.852784 | 2026-01-20 00:41:23.011133 | 17366548 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2026-01-19 | F | AE | PT | 6798 | VARGAS | C4080406701 | AUXILIADOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_17366548_e583bd1a-8585-4633-9be1-54d729e71443.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538314/check_17366548_b33bbc72-4b0c-4804-9899-e27e4c2993dc.json | N/A | N/A | N/A | N/A | N/A | C4080406701 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1956-10-22 | N/A | N/A | N/A | N/A | false | VARGAS | N/A | AUXILIADOR | 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 | 9481 | N/A | 5538314 | 2222 | N/A | 17553300 | N/A | 4210749 | 2026-01-20 00:41:23.011133 | 2026-01-29 18:21:20.298304 |
| 2026-01-20 00:41:17.482158 | 2026-01-20 00:41:20.840266 | 17366546 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2026-01-19 | F | AE | PT | 6798 | VARGAS | C4080406701 | AUXILIADOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_17366546_4636003a-aa62-4060-8aa4-8ccb0284324a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-19 | N/A | N/A | N/A | N/A | N/A | N/A | C4080406701 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1956-10-22 | N/A | N/A | N/A | N/A | false | VARGAS | N/A | AUXILIADOR | 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 | 9481 | N/A | 5538314 | 2222 | N/A | N/A | N/A | 4210749 | 2026-01-20 00:41:20.840266 | 2026-01-29 18:21:20.298304 |
| 2026-01-19 23:46:12.694998 | 2026-01-19 23:46:14.436706 | 17366096 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-05-16 | 2026-01-20 | M | PT | N/A | 4184 | MUIRHEAD | MBL983M98448 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/15483494/check_17366096_708ae3ca-18e3-42c5-a85f-e1ab2c53e10c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15483494/check_17366096_6ec93d83-fe7d-4b96-a0f3-561d30e88dd0.json | N/A | N/A | N/A | N/A | N/A | MBL983M98448 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1937-05-16 | 040 | CAEGR005 | N/A | N/A | false | MUIRHEAD | N/A | GARY | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9809486393 | N/A | N/A | 15483494 | 2222 | N/A | 17552806 | N/A | 13569666 | 2026-01-19 23:46:14.436706 | 2026-01-19 23:27:00.524405 |
| 2026-01-19 23:45:44.515507 | 2026-01-19 23:45:46.344664 | 17366065 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-05-16 | 2026-01-20 | M | PT | N/A | 4184 | MUIRHEAD | MBL983M98448 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/15483494/check_17366065_8e5cf6ca-bb1d-4eb7-9aa1-870c22a19085.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15483494/check_17366065_783fe89a-2af7-4e94-91cd-e0edd7baa2b6.json | N/A | N/A | N/A | N/A | N/A | MBL983M98448 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1937-05-16 | 040 | CAEGR005 | N/A | N/A | false | MUIRHEAD | N/A | GARY | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9809485311 | N/A | N/A | 15483494 | 2222 | N/A | 17552776 | N/A | 13569666 | 2026-01-19 23:45:46.344664 | 2026-01-19 23:27:00.524405 |
| 2026-01-19 23:45:26.702125 | 2026-01-19 23:45:28.693267 | 17366059 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-05-16 | 2026-01-20 | M | PT | N/A | 4184 | MUIRHEAD | MBL983M98448 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/15483494/check_17366059_e42b9f29-d17b-4936-9855-004637829457.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15483494/check_17366059_71a25cb2-ccc6-41f5-bb5c-3b8b110ec508.json | N/A | N/A | N/A | N/A | N/A | MBL983M98448 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1937-05-16 | 040 | CAEGR005 | N/A | N/A | false | MUIRHEAD | N/A | GARY | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9809484591 | N/A | N/A | 15483494 | 2222 | N/A | 17552772 | N/A | 13569666 | 2026-01-19 23:45:28.693267 | 2026-01-19 23:27:00.524405 |
| 2026-01-19 23:45:19.512626 | 2026-01-19 23:45:21.339652 | 17366056 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-05-16 | 2026-01-20 | M | PT | N/A | 4184 | MUIRHEAD | MBL983M98448 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/15483494/check_17366056_b2fdd582-5c6b-4146-83a0-1bae18b28e50.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15483494/check_17366056_3f41be00-e0c7-4b0a-84c1-903e35039c96.json | N/A | N/A | N/A | N/A | N/A | MBL983M98448 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1937-05-16 | 040 | CAEGR005 | N/A | N/A | false | MUIRHEAD | N/A | GARY | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9809484316 | N/A | N/A | 15483494 | 2222 | N/A | 17552768 | N/A | 13569666 | 2026-01-19 23:45:21.339652 | 2026-01-19 23:27:00.524405 |
| 2026-01-19 23:45:10.703590 | 2026-01-19 23:45:12.723081 | 17366054 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-05-16 | 2026-01-20 | M | PT | N/A | 4184 | MUIRHEAD | MBL983M98448 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/15483494/check_17366054_a52b49eb-5c31-47da-8038-4b2cfe8448c5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15483494/check_17366054_66ffe486-e65d-419d-a56c-deef2f2b13e0.json | N/A | N/A | N/A | N/A | N/A | MBL983M98448 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1937-05-16 | 040 | CAEGR005 | N/A | N/A | false | MUIRHEAD | N/A | GARY | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9809483885 | N/A | N/A | 15483494 | 2222 | N/A | 17552766 | N/A | 13569666 | 2026-01-19 23:45:12.723081 | 2026-01-19 23:27:00.524405 |
| 2026-01-19 23:45:06.215957 | 2026-01-19 23:45:07.990505 | 17366052 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-05-16 | 2026-01-20 | M | PT | N/A | 4184 | MUIRHEAD | MBL983M98448 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/15483494/check_17366052_bf9f4886-d980-438e-9800-3a3ffe0c8de5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15483494/check_17366052_441e8e40-756a-48cd-9780-e1fd3a583dd4.json | N/A | N/A | N/A | N/A | N/A | MBL983M98448 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1937-05-16 | 040 | CAEGR005 | N/A | N/A | false | MUIRHEAD | N/A | GARY | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9809483705 | N/A | N/A | 15483494 | 2222 | N/A | 17552764 | N/A | 13569666 | 2026-01-19 23:45:07.990505 | 2026-01-19 23:27:00.524405 |
| 2026-01-19 23:44:51.538219 | 2026-01-19 23:44:54.511402 | 17366048 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-05-16 | 2026-01-20 | M | PT | N/A | 4184 | MUIRHEAD | MBL983M98448 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/15483494/check_17366048_9b6594c8-4b9f-4bdd-9286-8a36153d0f89.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15483494/check_17366048_adb5f614-45ef-40f4-ad15-de9de2a5e5b9.json | N/A | N/A | N/A | N/A | N/A | MBL983M98448 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1937-05-16 | 040 | CAEGR005 | N/A | N/A | false | MUIRHEAD | N/A | GARY | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9809483074 | N/A | N/A | 15483494 | 2222 | N/A | 17552761 | N/A | 13569666 | 2026-01-19 23:44:54.511402 | 2026-01-19 23:27:00.524405 |
| 2026-01-19 23:07:11.494295 | 2026-01-19 23:07:16.234198 | 17365636 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-11-30 | 2026-01-19 | F | AE | PT | 3939 | Bitton MANFREDI | W228688169 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6417889/check_17365636_b6715fe1-91ef-4f82-bf7b-4124e36502d3.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417889/check_17365636_e4c2221d-8f47-47f6-a5a3-bd2856f09959.json | N/A | N/A | N/A | N/A | N/A | W228688169 | Point of Service (POS) | AIR CANADA | AETNA | N/A | 1968-11-30 | 0479208 | 047920803100012 | N/A | PS | false | BITTON MANFREDI | N/A | SANDRA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9809381315 | N/A | N/A | 6417889 | 2222 | N/A | 17552259 | N/A | 5065591 | 2026-01-19 23:07:16.234198 | 2025-06-18 18:47:45.179937 |
| 2026-01-19 22:52:00.324984 | 2026-01-19 22:52:02.362545 | 17365406 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-25 | 2026-01-20 | M | PT | N/A | 4184 | KIRCHBERG | MMAB741W18159 | CHRIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/15482537/check_17365406_dc2652b6-a01d-4fa0-818d-b0f083628afa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15482537/check_17365406_9116b803-bbbd-4c9d-bad5-2bc5e6bc76e1.json | N/A | N/A | N/A | N/A | N/A | MMAB741W18159 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-11-25 | N/A | N/A | N/A | N/A | false | KIRCHBERG | N/A | CHRIS | 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 | 15482537 | 2222 | N/A | 17551993 | N/A | 4210991 | 2026-01-19 22:52:02.362545 | 2026-01-22 00:44:28.665898 |
| 2026-01-19 22:51:58.644747 | 2026-01-19 22:52:00.321644 | 17365404 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-25 | 2026-01-20 | M | PT | N/A | 4184 | KIRCHBERG | MMAB741W18159 | CHRIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/15482537/check_17365404_e46c4d9d-537d-43d9-856f-aacb11c76f39.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | N/A | N/A | N/A | N/A | N/A | N/A | MMAB741W18159 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-11-25 | N/A | N/A | N/A | N/A | false | KIRCHBERG | N/A | CHRIS | 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 | 15482537 | 2222 | N/A | N/A | N/A | 4210991 | 2026-01-19 22:52:00.321644 | 2026-01-22 00:44:28.665898 |
| 2026-01-19 22:50:23.015927 | 2026-01-19 22:50:24.792024 | 17365393 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-25 | 2026-01-20 | M | PT | N/A | 4184 | KIRCHBERG | MMAB741W18159 | CHRIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/15482537/check_17365393_d7f949d6-d4e7-4a32-8272-5ef3b8fbf04e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15482537/check_17365393_20ebdcad-cd4e-4683-a121-0b7f2b15206c.json | N/A | N/A | N/A | N/A | N/A | MMAB741W18159 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-11-25 | N/A | N/A | N/A | N/A | false | KIRCHBERG | N/A | CHRIS | 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 | 15482537 | 2222 | N/A | 17551975 | N/A | 4210991 | 2026-01-19 22:50:24.792024 | 2026-01-22 00:44:28.665898 |
| 2026-01-19 22:50:21.372318 | 2026-01-19 22:50:23.012292 | 17365392 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-25 | 2026-01-20 | M | PT | N/A | 4184 | KIRCHBERG | MMAB741W18159 | CHRIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/15482537/check_17365392_f0dbca83-98e6-4eac-a4a8-16946ae0baf6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | N/A | N/A | N/A | N/A | N/A | N/A | MMAB741W18159 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-11-25 | N/A | N/A | N/A | N/A | false | KIRCHBERG | N/A | CHRIS | 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 | 15482537 | 2222 | N/A | N/A | N/A | 4210991 | 2026-01-19 22:50:23.012292 | 2026-01-22 00:44:28.665898 |
| 2026-01-19 22:50:14.317458 | 2026-01-19 22:50:16.096703 | 17365391 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-25 | 2026-01-20 | M | PT | N/A | 4184 | KIRCHBERG | MMAB741W18159 | CHRIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/15482537/check_17365391_99eabb61-5c84-47ac-9e1c-abd974318981.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15482537/check_17365391_aa0a2ba8-6b0d-461c-8ca9-5daee70d8c4b.json | N/A | N/A | N/A | N/A | N/A | MMAB741W18159 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-11-25 | N/A | N/A | N/A | N/A | false | KIRCHBERG | N/A | CHRIS | 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 | 15482537 | 2222 | N/A | 17551971 | N/A | 4210991 | 2026-01-19 22:50:16.096703 | 2026-01-22 00:44:28.665898 |
| 2026-01-19 22:50:12.569081 | 2026-01-19 22:50:14.314458 | 17365387 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-25 | 2026-01-20 | M | PT | N/A | 4184 | KIRCHBERG | MMAB741W18159 | CHRIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/15482537/check_17365387_98ba6c7e-5d6d-4e87-a140-38ba4bff172b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | N/A | N/A | N/A | N/A | N/A | N/A | MMAB741W18159 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-11-25 | N/A | N/A | N/A | N/A | false | KIRCHBERG | N/A | CHRIS | 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 | 15482537 | 2222 | N/A | N/A | N/A | 4210991 | 2026-01-19 22:50:14.314458 | 2026-01-22 00:44:28.665898 |
| 2026-01-19 22:49:59.384630 | 2026-01-19 22:50:01.191457 | 17365384 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-25 | 2026-01-20 | M | PT | N/A | 4184 | KIRCHBERG | MMAB741W18159 | CHRIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/15482537/check_17365384_177317ac-6867-46f2-9530-e39e180098cc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15482537/check_17365384_7660c01f-b516-41e8-89c0-838e66d4bea2.json | N/A | N/A | N/A | N/A | N/A | MMAB741W18159 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-11-25 | N/A | N/A | N/A | N/A | false | KIRCHBERG | N/A | CHRIS | 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 | 15482537 | 2222 | N/A | 17551965 | N/A | 4210991 | 2026-01-19 22:50:01.191457 | 2026-01-22 00:44:28.665898 |
| 2026-01-19 22:49:57.684521 | 2026-01-19 22:49:59.381449 | 17365383 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-25 | 2026-01-20 | M | PT | N/A | 4184 | KIRCHBERG | MMAB741W18159 | CHRIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/15482537/check_17365383_a81f7396-8671-44e1-9d0a-b7c43505f725.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | N/A | N/A | N/A | N/A | N/A | N/A | MMAB741W18159 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-11-25 | N/A | N/A | N/A | N/A | false | KIRCHBERG | N/A | CHRIS | 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 | 15482537 | 2222 | N/A | N/A | N/A | 4210991 | 2026-01-19 22:49:59.381449 | 2026-01-22 00:44:28.665898 |
| 2026-01-19 22:49:45.925180 | 2026-01-19 22:49:47.729972 | 17365382 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-25 | 2026-01-20 | M | PT | N/A | 4184 | KIRCHBERG | MMAB741W18159 | CHRIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/15482537/check_17365382_1dcf2945-4df7-4eda-a55e-107be56fb661.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15482537/check_17365382_82c13e39-50a6-4e45-8d11-fccfeb0fd620.json | N/A | N/A | N/A | N/A | N/A | MMAB741W18159 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-11-25 | N/A | N/A | N/A | N/A | false | KIRCHBERG | N/A | CHRIS | 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 | 15482537 | 2222 | N/A | 17551962 | N/A | 4210991 | 2026-01-19 22:49:47.729972 | 2026-01-22 00:44:28.665898 |
| 2026-01-19 22:49:43.176839 | 2026-01-19 22:49:45.921966 | 17365381 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-25 | 2026-01-20 | M | PT | N/A | 4184 | KIRCHBERG | MMAB741W18159 | CHRIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/15482537/check_17365381_07b98474-7140-4860-8937-24af90ad8f86.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-20 | N/A | N/A | N/A | N/A | N/A | N/A | MMAB741W18159 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-11-25 | N/A | N/A | N/A | N/A | false | KIRCHBERG | N/A | CHRIS | 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 | 15482537 | 2222 | N/A | N/A | N/A | 4210991 | 2026-01-19 22:49:45.921966 | 2026-01-22 00:44:28.665898 |
| 2026-01-19 22:02:23.204921 | 2026-01-19 22:02:26.089775 | 17364853 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-11-21 | 2026-01-19 | M | PT | AE | 1534 | LYKIDIS | U1221753503 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541552/check_17364853_93c0b534-6c20-49f8-9aa7-860ccfa0a8e2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_17364853_fa7eb156-54ab-422b-ac25-117336aa8f1e.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9809118331 | 165061 | N/A | 5541552 | 2222 | N/A | 17551293 | N/A | 4213562 | 2026-01-19 22:02:26.089775 | 2025-05-13 04:29:37.227895 |
| 2026-01-19 18:58:58.671769 | 2026-01-19 18:59:00.522803 | 17362140 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-02 | 2026-01-19 | F | AE | PT | 6411 | ISRAEL | 92557604200 | JJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/15047598/check_17362140_fed9a8b0-fcba-4d66-8cfb-f0fb90d1da7b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15047598/check_17362140_4d9feabf-5e13-4c5b-a42a-780dee64e94e.json | N/A | N/A | N/A | N/A | N/A | 92557604200 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1966-06-02 | N/A | N/A | N/A | N/A | false | ISRAEL | N/A | JJ | 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 | 9481 | N/A | 15047598 | 2222 | N/A | 17548077 | N/A | 4214617 | 2026-01-19 18:59:00.522803 | 2025-07-28 17:06:19.583415 |
| 2026-01-19 18:58:56.136810 | 2026-01-19 18:58:58.668600 | 17362139 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-02 | 2026-01-19 | F | AE | PT | 6411 | ISRAEL | 92557604200 | JJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/15047598/check_17362139_8534f57e-c07e-4a88-91c7-611cdbc92bb1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-19 | N/A | N/A | N/A | N/A | N/A | N/A | 92557604200 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1966-06-02 | N/A | N/A | N/A | N/A | false | ISRAEL | N/A | JJ | 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 | 9481 | N/A | 15047598 | 2222 | N/A | N/A | N/A | 4214617 | 2026-01-19 18:58:58.668600 | 2025-07-28 17:06:19.583415 |
| 2026-01-19 18:58:54.206426 | 2026-01-19 18:58:54.544462 | 17362138 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-02 | 2026-01-19 | F | AE | PT | N/A | ISRAEL | 92557604200 | JJ | N/A | UHC | N/A | INSIGHTS | 2026-01-19 | 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 | N/A | N/A | N/A | 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 | 9481 | N/A | 15047598 | 2222 | N/A | N/A | N/A | 4214617 | 2026-01-19 18:58:54.544462 | 2025-07-28 17:06:19.583415 |
| 2026-01-19 17:26:33.217074 | 2026-01-19 17:26:35.227080 | 17360382 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-02 | 2026-01-19 | F | AE | PT | 6411 | ISRAEL | 92557604200 | JJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/15047598/check_17360382_1e7f9b8b-e47b-4253-a48d-b12ec2c8f40a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15047598/check_17360382_a09d3ad1-b9c9-497c-9e1c-cdd5c88ef30f.json | N/A | N/A | N/A | N/A | N/A | 92557604200 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1966-06-02 | N/A | N/A | N/A | N/A | false | ISRAEL | N/A | JJ | 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 | 9481 | N/A | 15047598 | 2222 | N/A | 17546204 | N/A | 4214617 | 2026-01-19 17:26:35.227080 | 2025-07-28 17:06:19.583415 |
| 2026-01-19 17:26:28.503218 | 2026-01-19 17:26:33.213824 | 17360381 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-02 | 2026-01-19 | F | AE | PT | 6411 | ISRAEL | 92557604200 | JJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/15047598/check_17360381_6d6c14ed-7345-4266-a59c-4c495413a93a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-19 | N/A | N/A | N/A | N/A | N/A | N/A | 92557604200 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1966-06-02 | N/A | N/A | N/A | N/A | false | ISRAEL | N/A | JJ | 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 | 9481 | N/A | 15047598 | 2222 | N/A | N/A | N/A | 4214617 | 2026-01-19 17:26:33.213824 | 2025-07-28 17:06:19.583415 |
| 2026-01-19 17:26:26.638494 | 2026-01-19 17:26:26.995779 | 17360379 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-02 | 2026-01-19 | F | AE | PT | N/A | ISRAEL | 92557604200 | JJ | N/A | UHC | N/A | INSIGHTS | 2026-01-19 | 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 | N/A | N/A | N/A | 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 | 9481 | N/A | 15047598 | 2222 | N/A | N/A | N/A | 4214617 | 2026-01-19 17:26:26.995779 | 2025-07-28 17:06:19.583415 |
| 2026-01-19 17:12:30.223319 | 2026-01-19 17:12:32.133831 | 17360233 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-19 | F | AE | PT | 4811 | Chamas | 000014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_17360233_3e08b3be-b1ef-48df-9e74-a69691a2369b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15223112/check_17360233_22b2c727-5d06-4a5b-b1a0-33be8122d649.json | N/A | N/A | N/A | N/A | N/A | 000014201583 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1969-05-30 | 3003378 | 1650095001 | N/A | N/A | false | CHAMAS | N/A | SAWSAN | N/A | N/A | N/A | GF JANUARY - KPIF COPAY COPAYMENT $25 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9806965194 | 9481 | N/A | 15223112 | 2222 | N/A | 17546028 | N/A | 13324352 | 2026-01-19 17:12:32.133831 | 2026-01-09 17:26:44.553500 |