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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-15 08:14:37.814261 | 2026-01-15 08:15:11.408596 | 17171664 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2026-01-16 | F | AE | PT | 6338 | YUNG | 00854676304 | MAYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_17171664_d2153d28-76bd-4fa5-b5a7-179113712515.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-16 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | 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 | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-01-15 08:15:11.408596 | 2025-05-13 04:29:37.229495 |
| 2026-01-15 08:12:07.086831 | 2026-01-15 08:12:11.046773 | 17170425 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-12 | 2026-01-15 | F | AE | PT | 4185 | FINCH | XDD909A67880 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538474/check_17170425_9a10fe70-7b24-4beb-ae7d-91548077f762.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538474/check_17170425_2503a41e-e71d-4b24-9d90-a145e951137f.json | N/A | N/A | N/A | N/A | N/A | XDD909A67880 | N/A | CALPERS PERS PLATINUM MSUPP RETIREES(PA) REGION3 | MEDICARE B | N/A | 1954-01-12 | 040 | BS270I | N/A | N/A | false | FINCH | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9775449722 | N/A | N/A | 5538474 | 2222 | N/A | 17400339 | N/A | 4210886 | 2026-01-15 08:12:11.046773 | 2025-05-13 04:29:37.225284 |
| 2026-01-15 08:09:28.702680 | 2026-01-16 01:37:22.650529 | 17161785 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17161785 | Athletic Physical Therapy Inc | 1946-12-07 | 2026-01-16 | F | AE | PT | N/A | MOONVES | XEM913053395 | NANCY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260115.121224376.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928920/check_17161785_24f7544c-bb24-4794-88d3-28c5e854fcad.json | N/A | N/A | N/A | N/A | N/A | XEM913053395 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-12-07 | 2002SE000030 | X0001002 | N/A | OT | false | MOONVES | N/A | NANCY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9775444866 | N/A | N/A | 5928920 | 2222 | 4802 | 17426998 | N/A | 4208883 | 2026-01-16 01:37:22.650529 | 2025-05-13 04:29:37.223310 |
| 2026-01-15 08:08:55.937358 | 2026-01-15 08:09:01.770056 | 17159280 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-12 | 2026-01-15 | F | AE | PT | 4497 | FINCH | 3YV4XM6FP06 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538472/check_17159280_2bf60ee4-3dd4-4f66-ba2e-9736f903de42.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538472/check_17159280_d23ff988-3f1d-48fb-bf45-896dd1c18a41.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S5601 | N/A | N/A | MA | false | FINCH | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9775428331 | N/A | N/A | 5538472 | 2222 | N/A | 17398662 | N/A | 4210886 | 2026-01-15 08:09:01.770056 | 2025-05-13 04:29:37.225284 |
| 2026-01-15 08:08:13.170349 | 2026-01-16 01:35:42.532411 | 17156249 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17156249 | Athletic Physical Therapy Inc | 1957-07-16 | 2026-01-16 | M | PT | N/A | N/A | GREENHALGE | 143A55388 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260115.111827000.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14411082/check_17156249_7bd8578c-83a0-47fe-a807-0d0817d115e2.json | N/A | N/A | N/A | N/A | N/A | NCF143A55388 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1957-07-16 | 040 | 57AJCA | N/A | HM | false | GREENHALGE | N/A | STEVE | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9775438788 | N/A | N/A | 14411082 | 2222 | 4801 | 17425159 | N/A | 12546413 | 2026-01-16 01:35:42.532411 | 2026-02-05 22:22:26.212113 |
| 2026-01-15 08:08:13.099915 | 2026-01-16 01:31:50.045261 | 17156246 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17156246 | Athletic Physical Therapy Inc | 1963-03-31 | 2026-01-16 | M | AE | PT | N/A | MILLER | 93938354D | GUSSIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260115.111827000.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12109408/check_17156246_952d648d-ee2d-4838-bd41-471e0b915e6b.json | N/A | N/A | N/A | N/A | N/A | 93938354D | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1963-03-31 | N/A | N/A | N/A | N/A | false | MILLER | N/A | GUSSIE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9775438787 | N/A | N/A | 12109408 | 2222 | 4793 | 17419965 | 4211 | 10327291 | 2026-01-16 01:31:50.045261 | 2025-11-04 18:11:41.886029 |
| 2026-01-15 08:08:13.035075 | 2026-01-16 01:35:43.024519 | 17156244 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17156244 | Athletic Physical Therapy Inc | 1967-01-16 | 2026-01-16 | F | PT | N/A | N/A | Wesel | QUC628W15332 | Ellen | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260115.111827000.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9854973/check_17156244_fb559a74-4ad4-4408-8a00-e48867228c47.json | N/A | N/A | N/A | N/A | N/A | QUC628W15332 | N/A | UNIVERSITY OF CALIFORNIA | UNITEDHEALTHCARE | N/A | 1967-01-16 | 040 | 280509A420 | N/A | N/A | false | WESEL | N/A | RICHARD | 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 | 9775438786 | N/A | N/A | 9854973 | 2222 | 4802 | 17425171 | N/A | 8205288 | 2026-01-16 01:35:43.024519 | 2025-09-30 16:15:04.552446 |
| 2026-01-15 08:08:12.965548 | 2026-01-16 01:35:15.770341 | 17156240 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17156240 | Athletic Physical Therapy Inc | 1961-09-17 | 2026-01-16 | F | AE | PT | N/A | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260115.111827000.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_17156240_f23ec29f-37ad-4c62-aea1-fad9120e3af7.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | 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. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9775438785 | N/A | N/A | 5568076 | 2222 | 4802 | 17424557 | 4625 | 4209480 | 2026-01-16 01:35:15.770341 | 2026-04-10 02:05:15.976484 |
| 2026-01-15 08:08:12.912264 | 2026-01-16 01:35:42.773950 | 17156239 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17156239 | Athletic Physical Therapy Inc | 1942-12-17 | 2026-01-16 | F | PT | N/A | N/A | STEINBERG | MBL988M98459 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260115.111827000.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_17156239_a6b8d6d8-87be-413d-8d8a-45ba9c4d2430.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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9775438784 | N/A | N/A | 5542014 | 2222 | 4793 | 17425165 | N/A | 4213977 | 2026-01-16 01:35:42.773950 | 2025-05-13 04:29:37.228294 |
| 2026-01-15 08:08:12.853229 | 2026-01-16 01:35:42.244205 | 17156236 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17156236 | Athletic Physical Therapy Inc | 1974-05-24 | 2026-01-16 | F | PT | N/A | N/A | CLARK | JQU645W04003 | CLAUDIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260115.111827000.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536134/check_17156236_89a51a13-0556-4487-9e1f-11f27d72e07a.json | N/A | N/A | N/A | N/A | N/A | JQU645W04003 | Preferred Provider Organization (PPO) | ATHLETIC PHYSICAL THERAPY INC | ANTHEM BLUE CROSS | N/A | 1974-05-24 | 040 | G76231 | N/A | PR | false | CLARK | N/A | STEPHEN | N/A | 9999-12-31 | 2026-01-01 | CA SG ANTHEM HSA | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9775438783 | N/A | N/A | 5536134 | 2222 | 4793 | 17425153 | N/A | 4208937 | 2026-01-16 01:35:42.244205 | 2026-02-26 17:45:27.761245 |
| 2026-01-15 06:46:29.564621 | 2026-01-15 06:46:34.237406 | 17155017 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2026-01-07 | N/A | PT | AE | 4497 | ULLMAN | 8HC8F35AX50 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_17155017_d801699f-641f-4647-8fc2-c0b9735001c7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_17155017_389b74a9-141f-4ed4-9fc4-3b28e581dd9b.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MA | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9774942910 | 1275 | N/A | 5543201 | 2222 | N/A | 17398045 | N/A | 4215026 | 2026-01-15 06:46:34.237406 | 2025-06-07 16:16:41.178119 |
| 2026-01-15 04:56:43.397704 | 2026-01-15 04:56:46.297557 | 17154260 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-01-31 | 2026-01-21 | F | PT | N/A | 4184 | Noghreian | JQU433W07737 | Nazanine | https://storage.googleapis.com/normandy-eligibility-checks/2222/15391519/check_17154260_237ec42c-bbed-49af-8ca0-6e6f8dc5a63e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15391519/check_17154260_203adaba-f667-4818-8f66-49c32cc461d8.json | N/A | N/A | N/A | N/A | N/A | JQU433W07737 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1970-01-31 | 040 | 476522 | N/A | PR | false | NOGHREIAN | N/A | RAMIN | N/A | 9999-12-31 | 2026-01-01 | ANTHEM SILVER PPO 50/1700/40% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9774539032 | N/A | N/A | 15391519 | 2222 | N/A | 17397224 | N/A | 13486080 | 2026-01-15 04:56:46.297557 | 2026-01-14 17:25:11.719590 |
| 2026-01-15 03:32:53.056766 | 2026-01-15 03:32:54.871864 | 17154107 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-09-16 | 2026-01-05 | M | AE | PT | 2630 | HANGVAL | 00000401784 | BAHMANYAR | https://storage.googleapis.com/normandy-eligibility-checks/2222/11061532/check_17154107_0dae7728-c06c-4d09-b9ce-c543bb95a0a6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11061532/check_17154107_fa8a31c4-a4d9-418d-bb5d-cc0c664dd1fa.json | N/A | N/A | N/A | N/A | N/A | 00000401784 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-09-16 | N/A | N/A | N/A | N/A | false | HANGVAL | N/A | BAHMANYAR | 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 | 2182 | N/A | 11061532 | 2222 | N/A | 17395434 | N/A | 9420286 | 2026-01-15 03:32:54.871864 | 2025-10-27 20:50:02.906306 |
| 2026-01-15 03:32:51.036094 | 2026-01-15 03:32:53.054303 | 17154106 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-09-16 | 2026-01-05 | M | AE | PT | 2630 | HANGVAL | 00000401784 | BAHMANYAR | https://storage.googleapis.com/normandy-eligibility-checks/2222/11061532/check_17154106_5e3717db-9b11-45df-8c90-82122b82ad33.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | N/A | N/A | N/A | N/A | N/A | N/A | 00000401784 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-09-16 | N/A | N/A | N/A | N/A | false | HANGVAL | N/A | BAHMANYAR | 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 | 2182 | N/A | 11061532 | 2222 | N/A | N/A | N/A | 9420286 | 2026-01-15 03:32:53.054303 | 2025-10-27 20:50:02.906306 |
| 2026-01-15 03:24:29.362532 | 2026-01-15 03:24:34.278614 | 17154097 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-11-28 | 2026-01-15 | M | AE | PT | 3948 | KAHN | W2491 90901 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223935/check_17154097_35d120f6-c128-42e5-9fc0-576b8f8481e5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15223935/check_17154097_79b09dfa-35b5-4bea-9723-347961b89f3f.json | N/A | N/A | N/A | N/A | N/A | W249190901 | Point of Service (POS) | BRENTWOOD SCHOOL | AETNA | N/A | 1964-11-28 | 0108694 | 010869401200001 | N/A | PS | false | KAHN | N/A | ROBERT | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9774240594 | N/A | N/A | 15223935 | 2222 | N/A | 17395069 | N/A | 13325263 | 2026-01-15 03:24:34.278614 | 2026-01-15 15:51:51.531614 |
| 2026-01-15 03:08:47.295108 | 2026-01-15 03:08:50.179936 | 17154048 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-06-09 | 2026-01-13 | F | AE | PT | 5505 | Lopez | 000004692863 | Rachel | https://storage.googleapis.com/normandy-eligibility-checks/2222/13727884/check_17154048_41ae2706-5d31-40bb-8d5d-442dae8fa469.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13727884/check_17154048_218b561c-7fb5-4073-91d0-c78bfa865523.json | N/A | N/A | N/A | N/A | N/A | 000004692863 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1974-06-09 | 4362456 | 1650095001 | N/A | N/A | false | LOPEZ | N/A | RACHEL | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9774210922 | 2182 | N/A | 13727884 | 2222 | N/A | 17395024 | N/A | 11878746 | 2026-01-15 03:08:50.179936 | 2026-01-15 03:14:06.737546 |
| 2026-01-15 03:07:58.334536 | 2026-01-15 03:08:00.380210 | 17154043 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-06-09 | 2026-01-13 | F | AE | PT | 5505 | Lopez | 000004622863 | Rachel | https://storage.googleapis.com/normandy-eligibility-checks/2222/13727884/check_17154043_8578b59a-dafc-4e3b-b9cf-0c2b58b7a248.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13727884/check_17154043_4c9be6f1-3a25-4668-a189-6f02a50af7a3.json | N/A | N/A | N/A | N/A | N/A | 000004622863 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1974-06-09 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | RACHEL | 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 | 2182 | N/A | 13727884 | 2222 | N/A | 17395020 | N/A | 11878746 | 2026-01-15 03:08:00.380210 | 2026-01-15 03:14:06.737546 |
| 2026-01-15 03:07:56.595553 | 2026-01-15 03:07:58.331126 | 17154042 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-06-09 | 2026-01-13 | F | AE | PT | 5505 | Lopez | 000004622863 | Rachel | https://storage.googleapis.com/normandy-eligibility-checks/2222/13727884/check_17154042_ec2ceea3-c592-492e-9214-68bde92db68b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | N/A | N/A | N/A | N/A | N/A | N/A | 000004622863 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1974-06-09 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | RACHEL | 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 | 2182 | N/A | 13727884 | 2222 | N/A | N/A | N/A | 11878746 | 2026-01-15 03:07:58.331126 | 2026-01-15 03:14:06.737546 |
| 2026-01-15 03:07:04.649205 | 2026-01-15 03:07:06.549650 | 17154040 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-06-09 | 2026-01-13 | F | AE | PT | 5505 | Lopez | 000004622863 | Rachel | https://storage.googleapis.com/normandy-eligibility-checks/2222/13727884/check_17154040_a4e9d68f-8fe6-4f4c-876b-a63a5d8f1073.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13727884/check_17154040_6a1e5a19-a807-467c-b7cc-c4a169fe45f9.json | N/A | N/A | N/A | N/A | N/A | 000004622863 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1974-06-09 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | RACHEL | 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 | 2182 | N/A | 13727884 | 2222 | N/A | 17395017 | N/A | 11878746 | 2026-01-15 03:07:06.549650 | 2026-01-15 03:14:06.737546 |
| 2026-01-15 03:07:00.915482 | 2026-01-15 03:07:04.646251 | 17154039 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-06-09 | 2026-01-13 | F | AE | PT | 5505 | Lopez | 000004622863 | Rachel | https://storage.googleapis.com/normandy-eligibility-checks/2222/13727884/check_17154039_18c278f7-32e2-40ab-b721-93722a3124a4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | N/A | N/A | N/A | N/A | N/A | N/A | 000004622863 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1974-06-09 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | RACHEL | 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 | 2182 | N/A | 13727884 | 2222 | N/A | N/A | N/A | 11878746 | 2026-01-15 03:07:04.646251 | 2026-01-15 03:14:06.737546 |
| 2026-01-15 03:04:57.245450 | 2026-01-15 03:05:00.098022 | 17153952 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-06-09 | 2025-12-23 | F | AE | PT | 5505 | Lopez | 0004622863 | Rachel | https://storage.googleapis.com/normandy-eligibility-checks/2222/13727884/check_17153952_38585d3a-5f7f-40f1-880e-caf4b68f1c69.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13727884/check_17153952_1b334005-c3a9-4834-b841-8f3d88cc4235.json | N/A | N/A | N/A | N/A | N/A | 0004622863 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1974-06-09 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | RACHEL | 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 | 2182 | N/A | 13727884 | 2222 | N/A | 17394932 | N/A | 11878746 | 2026-01-15 03:05:00.098022 | 2026-01-15 03:14:06.737546 |
| 2026-01-15 03:04:54.360119 | 2026-01-15 03:04:57.242155 | 17153947 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-06-09 | 2025-12-23 | F | AE | PT | 5505 | Lopez | 0004622863 | Rachel | https://storage.googleapis.com/normandy-eligibility-checks/2222/13727884/check_17153947_165e52d2-8f47-4234-a2fd-a72b9e21fd19.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | N/A | N/A | N/A | N/A | N/A | N/A | 0004622863 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1974-06-09 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | RACHEL | 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 | 2182 | N/A | 13727884 | 2222 | N/A | N/A | N/A | 11878746 | 2026-01-15 03:04:57.242155 | 2026-01-15 03:14:06.737546 |
| 2026-01-15 03:04:32.720351 | 2026-01-15 03:04:35.650976 | 17153945 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-06-09 | 2025-12-23 | F | AE | PT | 5505 | Lopez | 000004622863 | Rachel | https://storage.googleapis.com/normandy-eligibility-checks/2222/13727884/check_17153945_c712fe28-80f5-4e05-a417-bfdc3ec8c886.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13727884/check_17153945_b46b5805-3ade-4181-953a-0a18dda7595d.json | N/A | N/A | N/A | N/A | N/A | 000004622863 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1974-06-09 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | RACHEL | 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 | 2182 | N/A | 13727884 | 2222 | N/A | 17394926 | N/A | 11878746 | 2026-01-15 03:04:35.650976 | 2026-01-15 03:14:06.737546 |
| 2026-01-15 03:04:28.562124 | 2026-01-15 03:04:32.714960 | 17153944 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-06-09 | 2025-12-23 | F | AE | PT | 5505 | Lopez | 000004622863 | Rachel | https://storage.googleapis.com/normandy-eligibility-checks/2222/13727884/check_17153944_268c6800-272e-4853-9f6c-fd91a4acec8e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | N/A | N/A | N/A | N/A | N/A | N/A | 000004622863 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1974-06-09 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | RACHEL | 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 | 2182 | N/A | 13727884 | 2222 | N/A | N/A | N/A | 11878746 | 2026-01-15 03:04:32.714960 | 2026-01-15 03:14:06.737546 |
| 2026-01-15 03:02:31.786462 | 2026-01-15 03:02:36.643111 | 17153942 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-06-09 | 2026-01-06 | F | AE | PT | 5505 | Lopez | 000004622863 | Rachel | https://storage.googleapis.com/normandy-eligibility-checks/2222/13727884/check_17153942_b5ceb116-8b85-4a95-8382-5c7e71570279.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13727884/check_17153942_bd0eaf88-bb90-4e85-8ec2-c2e891b223f4.json | N/A | N/A | N/A | N/A | N/A | 000004622863 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1974-06-09 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | RACHEL | 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 | 2182 | N/A | 13727884 | 2222 | N/A | 17394923 | N/A | 11878746 | 2026-01-15 03:02:36.643111 | 2026-01-15 03:14:06.737546 |
| 2026-01-15 03:02:27.843970 | 2026-01-15 03:02:31.751385 | 17153941 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-06-09 | 2026-01-06 | F | AE | PT | 5505 | Lopez | 000004622863 | Rachel | https://storage.googleapis.com/normandy-eligibility-checks/2222/13727884/check_17153941_6a27a349-fbfe-46a1-9393-5b4819b03d62.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-06 | N/A | N/A | N/A | N/A | N/A | N/A | 000004622863 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1974-06-09 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | RACHEL | 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 | 2182 | N/A | 13727884 | 2222 | N/A | N/A | N/A | 11878746 | 2026-01-15 03:02:31.751385 | 2026-01-15 03:14:06.737546 |
| 2026-01-15 02:36:42.040289 | 2026-01-15 02:36:47.633269 | 17153913 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-08-02 | 2025-01-07 | F | PT | AE | N/A | RAMSEY KANZAWA | 804015480 | JENNIFER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541155/check_17153913_150334d5-390b-4c96-a813-3737d802750b.json | UHC | N/A | INSIGHTS | 2025-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541155/check_17153913_e0c14868-8262-49c1-b8a6-aa1975284f01.json | N/A | N/A | N/A | N/A | N/A | 804015480 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1972-08-02 | N/A | 7S3354 | N/A | N/A | false | KANZAWA | N/A | JENNIFER | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 5541155 | 2222 | N/A | 17394898 | N/A | 4213204 | 2026-01-15 02:36:47.633269 | 2025-05-28 20:17:37.873556 |
| 2026-01-15 02:27:54.145519 | 2026-01-15 02:28:02.206784 | 17153901 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1994-03-01 | 2026-01-22 | M | PT | N/A | 4197 | VANE | GMB812956081 | KYLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/14980212/check_17153901_9fba17b2-62c6-41c0-bf3d-a8cab6523115.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14980212/check_17153901_eaa527f2-8f28-4df2-b1e1-383ca56a59f1.json | N/A | N/A | N/A | N/A | N/A | GMB812956081 | Preferred Provider Organization (PPO) | ARTHUR J GALLAGHER ILLINOIS, LLC | BLUE SHIELD OF CALIFORNIA | HEALTH CARE ACCOUNT BALANCE PLEASE DO NOT BILL THE PATIENT. THIS POLICY HAS AN EMPLOYER-FUNDED HEALTH CARE ACCOUNT. THIS TYPE OF HRA WILL BE USED TO PAY FOR QUALIFIED MEDICAL EXPENSES, INCLUDING, BUT NOT LIMITED TO DEDUCTIBLE. | 1994-03-01 | N/A | 169150 | N/A | PR | false | VANE | N/A | KYLE | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9774097654 | 2182 | N/A | 14980212 | 2222 | N/A | 17394886 | N/A | 4213573 | 2026-01-15 02:28:02.206784 | 2026-01-05 00:56:21.017893 |
| 2026-01-15 02:26:39.653072 | 2026-01-15 02:26:43.568685 | 17153900 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-01-23 | 2025-11-04 | F | AE | PT | 4211 | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543335/check_17153900_e31ee291-d28e-412a-8452-d5c61924e3fe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_17153900_e2983c79-b6d5-4f63-bace-c528ba90a319.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9774095498 | 6189 | N/A | 5543335 | 2222 | N/A | 17394885 | N/A | 4215139 | 2026-01-15 02:26:43.568685 | 2025-05-13 21:20:11.455022 |
| 2026-01-15 02:26:30.484508 | 2026-01-15 02:26:34.415489 | 17153899 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-01-23 | 2025-11-06 | F | AE | PT | 4211 | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543335/check_17153899_b6496bba-782f-4473-9bf8-a1a759b4ad53.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_17153899_04e0a769-6f1c-4585-b292-3f5e13e66df0.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9774095291 | 6189 | N/A | 5543335 | 2222 | N/A | 17394884 | N/A | 4215139 | 2026-01-15 02:26:34.415489 | 2025-05-13 21:20:11.455022 |
| 2026-01-15 02:18:37.781488 | 2026-01-15 02:18:40.918206 | 17153880 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-06-09 | 2026-01-16 | F | AE | PT | 5505 | Lopez | 000004692863 | Rachel | https://storage.googleapis.com/normandy-eligibility-checks/2222/13727884/check_17153880_7c5b1fc0-01ed-4e16-b9ef-dec9a289595d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13727884/check_17153880_361ad401-3849-41a3-be72-4804496fe92a.json | N/A | N/A | N/A | N/A | N/A | 000004692863 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1974-06-09 | 4362456 | 1650095001 | N/A | N/A | false | LOPEZ | N/A | RACHEL | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9774080345 | 6189 | N/A | 13727884 | 2222 | N/A | 17394865 | N/A | 11878746 | 2026-01-15 02:18:40.918206 | 2026-01-15 03:14:06.737546 |
| 2026-01-15 02:17:28.850877 | 2026-01-15 02:17:30.675695 | 17153879 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2026-01-16 | F | AE | PT | 6798 | VARGAS | C4080406701 | AUXILIADORA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_17153879_9cd31cc7-128d-4da7-a158-0c1b450c9d6e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538314/check_17153879_1503a9e0-baa9-4e7e-b2a0-620f0c6460dc.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9774078511 | 2182 | N/A | 5538314 | 2222 | N/A | 17394864 | N/A | 4210749 | 2026-01-15 02:17:30.675695 | 2026-01-29 18:21:20.298304 |
| 2026-01-15 02:17:20.171435 | 2026-01-15 02:17:22.198305 | 17153878 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2026-01-16 | F | AE | PT | 6798 | VARGAS | C4080406701 | AUXILIADOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_17153878_b89c5fe0-6040-43bd-a167-b32b5fa6fa9f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538314/check_17153878_b8783d2d-8991-4ff1-97e7-d990b2bf1802.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 | 2182 | N/A | 5538314 | 2222 | N/A | 17394863 | N/A | 4210749 | 2026-01-15 02:17:22.198305 | 2026-01-29 18:21:20.298304 |
| 2026-01-15 02:17:17.068319 | 2026-01-15 02:17:20.168598 | 17153877 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2026-01-16 | F | AE | PT | 6798 | VARGAS | C4080406701 | AUXILIADOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_17153877_18a2a562-3a51-4092-8ccd-fc2d470d19a2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-16 | 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 | 2182 | N/A | 5538314 | 2222 | N/A | N/A | N/A | 4210749 | 2026-01-15 02:17:20.168598 | 2026-01-29 18:21:20.298304 |
| 2026-01-15 02:16:35.702585 | 2026-01-15 02:16:38.737070 | 17153869 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2026-01-16 | F | AE | PT | 6798 | VARGAS | C4080406701 | AUXILIADORA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_17153869_8d21943e-6e70-4803-8291-768d7e174660.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538314/check_17153869_53832644-414a-4afa-8595-a8c2781d9db9.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9774076811 | 2182 | N/A | 5538314 | 2222 | N/A | 17394854 | N/A | 4210749 | 2026-01-15 02:16:38.737070 | 2026-01-29 18:21:20.298304 |
| 2026-01-15 01:59:53.240551 | 2026-01-15 01:59:55.082492 | 17153796 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-07-28 | F | AE | PT | 2630 | Sankovich | 00000375069 | Deborahann | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_17153796_856744ec-ede8-426e-b4cd-b7f468e5a199.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_17153796_2146e03a-24d3-4218-9111-9f712cf3b189.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAHANN | 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 | 5264 | N/A | 6210775 | 2222 | N/A | 17394781 | N/A | 4215193 | 2026-01-15 01:59:55.082492 | 2026-01-16 04:38:12.725481 |
| 2026-01-15 01:59:50.320869 | 2026-01-15 01:59:53.236947 | 17153795 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-07-28 | F | AE | PT | 2630 | Sankovich | 00000375069 | Deborahann | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_17153795_14b35dc2-6c05-4313-a616-3344ebee0297.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-28 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAHANN | 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 | 5264 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2026-01-15 01:59:53.236947 | 2026-01-16 04:38:12.725481 |
| 2026-01-15 01:58:53.941526 | 2026-01-15 01:58:55.866150 | 17153794 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-06 | 2026-01-09 | F | 30 | AD | 6237 | TIPPITT | 40065208701 | SHIRLEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/10305383/check_17153794_dd405cf6-8e37-4146-b2ac-5ab02d9ee86f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10305383/check_17153794_db1af0e5-4e74-4138-be6b-3bbc1cedd769.json | N/A | N/A | N/A | N/A | N/A | 40065208701 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1943-02-06 | 2026H5425001 | H5425M | N/A | N/A | false | TIPPITT | N/A | SHIRLEY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 9774036337 | 6189 | N/A | 10305383 | 2222 | N/A | 17394779 | N/A | 8574477 | 2026-01-15 01:58:55.866150 | 2025-10-22 02:47:47.756973 |
| 2026-01-15 01:49:56.034797 | 2026-01-15 01:49:57.995654 | 17153784 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-06-12 | 2026-01-15 | F | AE | PT | 5538 | Ballatore | 90665617F | Chloe | https://storage.googleapis.com/normandy-eligibility-checks/2222/6553125/check_17153784_06500c7b-6a81-4d54-9558-e38e4b42c5a1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553125/check_17153784_1c42c225-a1f8-491c-ba5a-5ea6cd3ff864.json | N/A | N/A | N/A | N/A | N/A | 90665617F | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1969-06-12 | N/A | N/A | N/A | N/A | false | BALLATORE | N/A | CHLOE | 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 | 6189 | N/A | 6553125 | 2222 | N/A | 17394769 | N/A | 5176363 | 2026-01-15 01:49:57.995654 | 2025-06-23 23:46:22.182955 |
| 2026-01-15 01:49:53.375197 | 2026-01-15 01:49:56.030629 | 17153783 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-06-12 | 2026-01-15 | F | AE | PT | 5538 | Ballatore | 90665617F | Chloe | https://storage.googleapis.com/normandy-eligibility-checks/2222/6553125/check_17153783_c5744af6-7e18-45b5-b0ba-e1fb81852bfe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-15 | N/A | N/A | N/A | N/A | N/A | N/A | 90665617F | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1969-06-12 | N/A | N/A | N/A | N/A | false | BALLATORE | N/A | CHLOE | 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 | 6189 | N/A | 6553125 | 2222 | N/A | N/A | N/A | 5176363 | 2026-01-15 01:49:56.030629 | 2025-06-23 23:46:22.182955 |
| 2026-01-15 01:44:34.730101 | 2026-01-15 01:44:36.565019 | 17153774 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2026-01-06 | F | AE | PT | 6798 | VARGAS | C4080406701 | AUXILIADOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_17153774_25e1b935-d865-4335-996a-27af6a478e77.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538314/check_17153774_7b1057ee-3aa8-4aa3-ae61-717f6d06989b.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 | 6189 | N/A | 5538314 | 2222 | N/A | 17393675 | N/A | 4210749 | 2026-01-15 01:44:36.565019 | 2026-01-29 18:21:20.298304 |
| 2026-01-15 01:44:31.833925 | 2026-01-15 01:44:34.727252 | 17153773 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2026-01-06 | F | AE | PT | 6798 | VARGAS | C4080406701 | AUXILIADOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_17153773_0b335ece-a896-44e4-89d4-41e2f3c7b55b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-06 | 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 | 6189 | N/A | 5538314 | 2222 | N/A | N/A | N/A | 4210749 | 2026-01-15 01:44:34.727252 | 2026-01-29 18:21:20.298304 |
| 2026-01-15 01:42:17.730568 | 2026-01-15 01:42:20.492331 | 17153769 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-19 | 2026-01-15 | F | AE | PT | 4191 | Kellogg Darrin | XEM914551431 | Christine | https://storage.googleapis.com/normandy-eligibility-checks/2222/15422699/check_17153769_5dedca71-a382-43eb-8bce-482a39858cdd.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15422699/check_17153769_2910b0d4-c5a0-4a89-9ead-98e0d54cadd0.json | N/A | N/A | N/A | N/A | N/A | XEM914551431 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1960-09-19 | 2002SFW00028 | X0001002 | N/A | OT | false | KELLOGG DARRIN | N/A | CHRISTINE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9774009228 | N/A | N/A | 15422699 | 2222 | N/A | 17393099 | N/A | 13512843 | 2026-01-15 01:42:20.492331 | 2026-01-15 01:39:59.802810 |
| 2026-01-15 01:42:16.774798 | 2026-01-15 01:42:19.812473 | 17153768 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-19 | 2026-01-15 | F | AE | PT | 4497 | Kellogg Darrin | 8E73U41MN96 | Christine | https://storage.googleapis.com/normandy-eligibility-checks/2222/15422698/check_17153768_c1cafcdd-ef0b-4d43-8a44-f52d49c2b004.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15422698/check_17153768_1b14faa7-a9a9-4e8a-958a-221956da38f8.json | N/A | N/A | N/A | N/A | N/A | 8E73U41MN96 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-09-19 | S5617 | N/A | N/A | MA | false | KELLOGG DARRIN | N/A | CHRISTINE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9774009221 | N/A | N/A | 15422698 | 2222 | N/A | 17393095 | N/A | 13512843 | 2026-01-15 01:42:19.812473 | 2026-01-15 01:39:59.802810 |
| 2026-01-15 01:25:27.742446 | 2026-01-15 01:25:31.519724 | 17153748 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-09-09 | 2026-01-21 | M | PT | N/A | 4184 | Diefendorf | L13740M002 | Matthew | https://storage.googleapis.com/normandy-eligibility-checks/2222/15420543/check_17153748_1d58196f-bb1f-4e54-9076-128772e37cb2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15420543/check_17153748_1388bde2-d930-4d9c-9076-3726fbfac4f7.json | N/A | N/A | N/A | N/A | N/A | L13740M002 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1989-09-09 | N/A | N/A | N/A | N/A | false | DIEFENDORF | N/A | MATTHEW | 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 | 15420543 | 2222 | N/A | 17378456 | N/A | 13510633 | 2026-01-15 01:25:31.519724 | 2026-01-15 00:58:27.549900 |
| 2026-01-15 01:25:23.998414 | 2026-01-15 01:25:27.739074 | 17153747 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-09-09 | 2026-01-21 | M | PT | N/A | 4184 | Diefendorf | L13740M002 | Matthew | https://storage.googleapis.com/normandy-eligibility-checks/2222/15420543/check_17153747_725dd67b-51c1-4129-80e2-04a2cf0e7d4c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-21 | N/A | N/A | N/A | N/A | N/A | N/A | L13740M002 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1989-09-09 | N/A | N/A | N/A | N/A | false | DIEFENDORF | N/A | MATTHEW | 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 | 15420543 | 2222 | N/A | N/A | N/A | 13510633 | 2026-01-15 01:25:27.739074 | 2026-01-15 00:58:27.549900 |
| 2026-01-15 00:38:26.011561 | 2026-01-15 00:38:32.633738 | 17153574 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1997-11-05 | 2026-01-15 | M | PT | N/A | 4197 | VILLANUEVA | ZGP813002220 | YAIR | https://storage.googleapis.com/normandy-eligibility-checks/2222/11623284/check_17153574_fb724231-7136-4227-8f4b-d3fd677513f9.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11623284/check_17153574_04d2125e-d68d-4552-aabb-0fedd9687b98.json | N/A | N/A | N/A | N/A | N/A | ZGP813002220 | Preferred Provider Organization (PPO) | RIMKUS CONSULTING GROUP, INC | BLUE SHIELD OF CALIFORNIA | N/A | 1997-11-05 | N/A | 279469 | N/A | PR | false | VILLANUEVA | N/A | YAIR | N/A | 9999-12-31 | 2025-03-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9773514216 | N/A | N/A | 11623284 | 2222 | N/A | 17378287 | N/A | 9860485 | 2026-01-15 00:38:32.633738 | 2025-11-10 18:34:52.696278 |
| 2026-01-15 00:36:36.339618 | 2026-01-15 00:36:39.650551 | 17153562 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-01-16 | 2026-01-15 | F | AE | PT | 4184 | Wesel | QUC628W15332 | Ellen | https://storage.googleapis.com/normandy-eligibility-checks/2222/9854973/check_17153562_7d68b6dc-e4f0-411a-8a39-25e4af15bfbb.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9854973/check_17153562_8e876052-0a0d-4be5-af85-8bda4eff09a1.json | N/A | N/A | N/A | N/A | N/A | QUC628W15332 | N/A | UNIVERSITY OF CALIFORNIA | UNITEDHEALTHCARE | N/A | 1967-01-16 | 040 | 280509A420 | N/A | N/A | false | WESEL | N/A | RICHARD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9773510230 | N/A | N/A | 9854973 | 2222 | N/A | 17378275 | N/A | 8205288 | 2026-01-15 00:36:39.650551 | 2025-09-30 16:15:04.552446 |
| 2026-01-15 00:36:34.913826 | 2026-01-15 00:36:39.590736 | 17153561 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-01-16 | 2026-01-15 | F | AE | PT | N/A | Wesel | 953212552 | Ellen | https://storage.googleapis.com/normandy-eligibility-checks/2222/9795146/check_17153561_8857f4cb-6603-498d-80c3-5478d52dcf95.json | UHC | N/A | APPOINTMENT_PII_CHANGE | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9795146/check_17153561_e672231e-3089-4f2d-b0d5-a904a9a97244.json | N/A | N/A | N/A | N/A | N/A | 953212552 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1967-01-16 | N/A | 702581 | N/A | N/A | false | WESEL | N/A | ELLEN | 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 | 9795146 | 2222 | N/A | 17378276 | N/A | 8205288 | 2026-01-15 00:36:39.590736 | 2025-09-30 16:15:04.552446 |
| 2026-01-14 23:43:41.539248 | 2026-01-14 23:43:44.348168 | 17153031 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-09-22 | 2026-01-16 | F | PT | N/A | 4184 | LESTER | MMA334W14393 | EILEEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/15303663/check_17153031_af639eb8-5c1d-4c0a-a40d-8242798caa68.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15303663/check_17153031_ccfd7440-df92-4c7f-8487-75a1b768ca25.json | N/A | N/A | N/A | N/A | N/A | MMA334W14393 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-09-22 | 040 | CAMCRWP0 | N/A | MP | false | LESTER | N/A | EILEEN | N/A | 9999-12-31 | 2025-01-01 | 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 | 9773375942 | N/A | N/A | 15303663 | 2222 | N/A | 17377700 | N/A | 13404177 | 2026-01-14 23:43:44.348168 | 2026-01-14 23:36:42.048049 |