API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | service_type_codes_3 | service_type_codes_4 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-12 22:03:23.985879 | 2025-06-12 22:03:26.802627 | 8751620 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-13 | 2025-06-12 | M | PT | AE | 2630 | HACKBARTH | 00000294758 | HAROLD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_8751620_b412373d-9292-4be5-944b-67d75d685f0b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_8751620_9e5786ef-99db-45f4-b9f7-a3bd9e5ebc12.json | N/A | N/A | N/A | N/A | N/A | 00000294758 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1944-11-13 | N/A | N/A | N/A | N/A | false | HACKBARTH | N/A | HAROLD | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 5568081 | 2222 | N/A | 8459617 | N/A | 4212656 | 2025-06-12 22:03:26.802627 | 2025-08-12 21:09:57.607033 |
| 2025-06-12 22:03:18.282218 | 2025-06-12 22:03:23.982421 | 8751619 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-13 | 2025-06-12 | M | PT | AE | 2630 | HACKBARTH | 00000294758 | HAROLD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_8751619_dbaa9c66-6074-4fb5-a5dc-36fe2f42ef4e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 00000294758 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1944-11-13 | N/A | N/A | N/A | N/A | false | HACKBARTH | N/A | HAROLD | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 5568081 | 2222 | N/A | N/A | N/A | 4212656 | 2025-06-12 22:03:23.982421 | 2025-08-12 21:09:57.607033 |
| 2025-06-12 21:51:01.883531 | 2025-06-12 21:51:06.724532 | 8751488 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-08-09 | 2025-07-08 | M | AE | PT | 3948 | TORIO | W2872 78504 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6235883/check_8751488_9299854a-4fa5-4959-9dd9-2950880382f1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_8751488_7025968c-141f-46e5-995c-cc332f58eff1.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000026 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7920232139 | N/A | N/A | 6235883 | 2222 | N/A | 8459425 | N/A | 4883697 | 2025-06-12 21:51:06.724532 | 2025-07-08 14:55:53.397662 |
| 2025-06-12 21:50:44.152224 | 2025-06-12 21:50:46.944852 | 8751487 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-20 | 2025-06-05 | M | PT | AE | 6798 | KIRKLAND | 30729619 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068051/check_8751487_48237e01-78ba-4f6b-bd9c-1dfbdcfe1892.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068051/check_8751487_eacc2980-ed65-489d-bdae-b88af8e050c8.json | N/A | N/A | N/A | N/A | N/A | 30729619 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1960-10-20 | 406-032-000 | N/A | N/A | N/A | false | KIRKLAND | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7920231343 | 5687 | N/A | 6068051 | 2222 | N/A | 8459423 | N/A | 4712994 | 2025-06-12 21:50:46.944852 | 2025-07-31 22:51:16.261439 |
| 2025-06-12 21:50:05.608896 | 2025-06-12 21:50:07.425628 | 8751484 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-20 | 2025-06-05 | M | PT | AE | 23325 | KIRKLAND | 30729619 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/2222/6188935/check_8751484_354fe379-d90a-4ff5-9404-b7bd9796f32f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6188935/check_8751484_7d39969a-6261-413e-ad46-494c68e0e522.json | N/A | N/A | N/A | N/A | N/A | 30729619 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-10-20 | N/A | N/A | N/A | N/A | false | KIRKLAND | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5687 | N/A | 6188935 | 2222 | N/A | 8459419 | N/A | 4712994 | 2025-06-12 21:50:07.425628 | 2025-07-31 22:51:16.261439 |
| 2025-06-12 21:50:03.953078 | 2025-06-12 21:50:05.606129 | 8751483 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-20 | 2025-06-05 | M | PT | AE | 23325 | KIRKLAND | 30729619 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/2222/6188935/check_8751483_404db391-e9c3-400e-985d-ae6dbd5e6d59.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | 30729619 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-10-20 | N/A | N/A | N/A | N/A | false | KIRKLAND | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5687 | N/A | 6188935 | 2222 | N/A | N/A | N/A | 4712994 | 2025-06-12 21:50:05.606129 | 2025-07-31 22:51:16.261439 |
| 2025-06-12 21:45:47.956752 | 2025-06-12 21:45:50.704486 | 8751468 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-06-25 | 2025-06-12 | M | AE | PT | 4497 | CHUAN | 5VJ3F31JM85 | PETER | https://storage.googleapis.com/normandy-eligibility-checks/2222/6223393/check_8751468_bcd03ce0-4f5e-4e8c-89ef-c2043b059bcf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6223393/check_8751468_08ec533c-fc4f-43f3-a985-d5c01cf61d47.json | N/A | N/A | N/A | N/A | N/A | 5VJ3F31JM85 | N/A | N/A | CMS | N/A | 1952-06-25 | N/A | N/A | N/A | N/A | false | CHUAN | N/A | PETER | 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 | N/A | N/A | 6223393 | 2222 | N/A | 8459387 | N/A | 4870453 | 2025-06-12 21:45:50.704486 | 2025-06-12 21:35:11.378368 |
| 2025-06-12 21:45:45.404534 | 2025-06-12 21:45:47.952341 | 8751467 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-06-25 | 2025-06-12 | M | AE | PT | 4497 | CHUAN | 5VJ3F31JM85 | PETER | https://storage.googleapis.com/normandy-eligibility-checks/2222/6223393/check_8751467_03eb1a8d-68d0-4f59-930f-680ae89b5f8a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 5VJ3F31JM85 | N/A | N/A | CMS | N/A | 1952-06-25 | N/A | N/A | N/A | N/A | false | CHUAN | N/A | PETER | 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 | N/A | N/A | 6223393 | 2222 | N/A | N/A | N/A | 4870453 | 2025-06-12 21:45:47.952341 | 2025-06-12 21:35:11.378368 |
| 2025-06-12 21:36:26.755939 | 2025-06-12 21:36:29.560909 | 8751429 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-05-22 | 2025-06-12 | M | AE | PT | 4625 | DUKOVIC | 91996483H | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676383/check_8751429_56607541-71c3-4d0f-b431-e0a2e361351e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676383/check_8751429_5cf52d1c-39ba-4287-9833-2fce06ab85a2.json | N/A | N/A | N/A | N/A | N/A | 91996483H | N/A | N/A | HEALTH NET, LLC | N/A | 1995-05-22 | N/A | N/A | N/A | N/A | false | DUKOVIC | N/A | KEVIN | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7920187813 | 5831 | N/A | 5676383 | 2222 | N/A | 8459313 | N/A | 4343442 | 2025-06-12 21:36:29.560909 | 2025-05-13 04:29:37.230921 |
| 2025-06-12 21:34:55.085074 | 2025-06-12 21:34:56.941710 | 8751418 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-12 | M | PT | AE | 4184 | BUI | 556M78105-10 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8751418_b3b94680-2179-4eb4-ac18-c7da25291109.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_8751418_0fee277e-3eb1-411b-bcce-ab8be00cdfff.json | N/A | N/A | N/A | N/A | N/A | 556M78105-10 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542429 | 2222 | N/A | 8459298 | N/A | 4214340 | 2025-06-12 21:34:56.941710 | 2025-06-16 23:14:10.518236 |
| 2025-06-12 21:34:53.479518 | 2025-06-12 21:34:55.081542 | 8751417 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-12 | M | PT | AE | 4184 | BUI | 556M78105-10 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8751417_ddab2955-364a-4100-abcf-682381ff5c08.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 556M78105-10 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-12 21:34:55.081542 | 2025-06-16 23:14:10.518236 |
| 2025-06-12 21:33:54.839860 | 2025-06-12 21:33:56.610243 | 8751415 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-12 | M | PT | AE | 4184 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8751415_4e0b0f93-0cfd-43f6-a773-a7a692a05613.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_8751415_061c47e3-4cc8-425a-94bb-203419d174ce.json | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542429 | 2222 | N/A | 8459291 | N/A | 4214340 | 2025-06-12 21:33:56.610243 | 2025-06-16 23:14:10.518236 |
| 2025-06-12 21:33:53.257239 | 2025-06-12 21:33:54.825591 | 8751414 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-12 | M | PT | AE | 4184 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8751414_079cd43a-6b78-4209-b092-2252165ab732.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-12 21:33:54.825591 | 2025-06-16 23:14:10.518236 |
| 2025-06-12 21:33:06.116201 | 2025-06-12 21:33:07.958774 | 8751411 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-12 | M | PT | AE | 4184 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8751411_a70b524c-ad8a-426c-b31a-08b9caeb0572.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_8751411_0c150506-99be-45c5-8fea-9e70faf6f6f0.json | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542429 | 2222 | N/A | 8459282 | N/A | 4214340 | 2025-06-12 21:33:07.958774 | 2025-06-16 23:14:10.518236 |
| 2025-06-12 21:33:04.481755 | 2025-06-12 21:33:06.111390 | 8751410 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-12 | M | PT | AE | 4184 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8751410_d5def3ec-a231-4e5b-aaa6-fa93be23726c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-12 21:33:06.111390 | 2025-06-16 23:14:10.518236 |
| 2025-06-12 21:28:28.211753 | 2025-06-12 21:28:31.960249 | 8751374 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-12-09 | 2025-06-12 | F | PT | N/A | 4184 | THOMAS | MBL885A62121 | MARILYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6123972/check_8751374_004d79b0-18dc-41aa-bf15-6513d7b2393c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6123972/check_8751374_5fdd35ec-1f2b-495f-b605-926cd175eb03.json | N/A | N/A | N/A | N/A | N/A | MBL885A62121 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1936-12-09 | 040 | CA039GRS | N/A | N/A | false | THOMAS | N/A | MARILYN | N/A | 9999-12-31 | 2022-01-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7920156708 | 5831 | N/A | 6123972 | 2222 | N/A | 8459225 | N/A | 4766662 | 2025-06-12 21:28:31.960249 | 2025-06-20 18:21:56.806720 |
| 2025-06-12 21:24:35.406489 | 2025-06-12 21:24:37.219774 | 8751349 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-13 | 2025-06-12 | M | PT | AE | 6798 | HACKBARTH | 27593277 | HAROLD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_8751349_66cc3ef7-a0e8-4c43-b490-1519bcd0888d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_8751349_24811d0c-78aa-4fca-959a-621159aca09d.json | N/A | N/A | N/A | N/A | N/A | 27593277 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1944-11-13 | N/A | N/A | N/A | N/A | false | HACKBARTH MR | N/A | HAROLD | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7920139188 | 5831 | N/A | 5568081 | 2222 | N/A | 8459175 | N/A | 4212656 | 2025-06-12 21:24:37.219774 | 2025-08-12 21:09:57.607033 |
| 2025-06-12 21:23:16.805721 | 2025-06-12 21:23:19.602122 | 8751337 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-13 | 2025-06-12 | M | PT | AE | 6798 | HACKBARTH | 27593277 | HAROLD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_8751337_e8c0d7db-441d-41f0-bde1-3a465ab1a78d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_8751337_47264c5d-a03c-4f06-b247-72abfc9c3b0f.json | N/A | N/A | N/A | N/A | N/A | 27593277 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1944-11-13 | N/A | N/A | N/A | N/A | false | HACKBARTH MR | N/A | HAROLD | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7920134896 | 5831 | N/A | 5568081 | 2222 | N/A | 8459157 | N/A | 4212656 | 2025-06-12 21:23:19.602122 | 2025-08-12 21:09:57.607033 |
| 2025-06-12 21:16:20.856769 | 2025-06-12 21:16:22.604761 | 8751305 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-18 | 2025-06-12 | F | AE | PT | 4185 | BARRUNDIA | 789W2003120 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993969/check_8751305_e4c3941b-790f-480a-ab6c-ed2e5d1d069d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993969/check_8751305_9d464126-1772-48f6-b150-63bec5de2567.json | N/A | N/A | N/A | N/A | N/A | 789W2003120 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-18 | N/A | N/A | N/A | N/A | false | BARRUNDIA | N/A | MARIA | 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 | 5831 | N/A | 5993969 | 2222 | N/A | 8459099 | N/A | 4642900 | 2025-06-12 21:16:22.604761 | 2025-12-12 21:30:04.843166 |
| 2025-06-12 21:16:18.170389 | 2025-06-12 21:16:20.854572 | 8751304 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-18 | 2025-06-12 | F | AE | PT | 4185 | BARRUNDIA | 789W2003120 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993969/check_8751304_a2bdb256-38f8-4a91-8651-44f395c55e67.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 789W2003120 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-18 | N/A | N/A | N/A | N/A | false | BARRUNDIA | N/A | MARIA | 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 | 5831 | N/A | 5993969 | 2222 | N/A | N/A | N/A | 4642900 | 2025-06-12 21:16:20.854572 | 2025-12-12 21:30:04.843166 |
| 2025-06-12 20:52:43.393740 | 2025-06-12 20:52:46.216397 | 8751211 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-12 | M | PT | AE | 4184 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8751211_197d322b-3f25-4ed0-81e2-6b22773bd900.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_8751211_1bad4828-81a0-460a-9df7-4dcdd45319e6.json | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542429 | 2222 | N/A | 8458971 | N/A | 4214340 | 2025-06-12 20:52:46.216397 | 2025-06-16 23:14:10.518236 |
| 2025-06-12 20:52:41.565260 | 2025-06-12 20:52:43.384158 | 8751209 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-12 | M | PT | AE | 4184 | BUI | 556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_8751209_54600e99-2196-48a5-9e3e-9a876ee8ec51.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-12 20:52:43.384158 | 2025-06-16 23:14:10.518236 |
| 2025-06-12 20:51:28.172364 | 2025-06-12 20:51:29.916742 | 8751204 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-12-09 | 2025-06-12 | F | PT | N/A | 4497 | THOMAS | MBL885A62121 | MARILYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6123973/check_8751204_8920dde5-c022-44cf-93de-608f65905ceb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6123973/check_8751204_ea3f5275-edf9-4d74-beba-e16a4561b3e7.json | N/A | N/A | N/A | N/A | N/A | MBL885A62121 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1936-12-09 | N/A | N/A | N/A | N/A | false | THOMAS | N/A | MARILYN | 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 | 5831 | N/A | 6123973 | 2222 | N/A | 8458965 | N/A | 4766662 | 2025-06-12 20:51:29.916742 | 2025-06-20 18:21:56.806720 |
| 2025-06-12 20:51:19.570474 | 2025-06-12 20:51:28.170199 | 8751203 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-12-09 | 2025-06-12 | F | PT | N/A | 4497 | THOMAS | MBL885A62121 | MARILYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6123973/check_8751203_962c9a73-3f57-4d61-8c3b-4c3770849b3d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | MBL885A62121 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1936-12-09 | N/A | N/A | N/A | N/A | false | THOMAS | N/A | MARILYN | 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 | 5831 | N/A | 6123973 | 2222 | N/A | N/A | N/A | 4766662 | 2025-06-12 20:51:28.170199 | 2025-06-20 18:21:56.806720 |
| 2025-06-12 20:50:07.924496 | 2025-06-12 20:50:09.755307 | 8751199 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-21 | 2025-06-12 | M | PT | AE | 4199 | ROOFEH | 96113754F03034 | NADDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538289/check_8751199_772e54e9-96e3-4047-abd6-70eb4878aa72.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538289/check_8751199_0de71c90-d720-4d86-9163-aa5debd03a21.json | N/A | N/A | N/A | N/A | N/A | 96113754F03034 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1957-07-21 | N/A | N/A | N/A | N/A | false | ROOFEH | N/A | NADDER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5538289 | 2222 | N/A | 8458960 | N/A | 4210725 | 2025-06-12 20:50:09.755307 | 2025-06-16 16:15:05.679018 |
| 2025-06-12 20:50:06.289913 | 2025-06-12 20:50:07.920549 | 8751198 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-21 | 2025-06-12 | M | PT | AE | 4199 | ROOFEH | 96113754F03034 | NADDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538289/check_8751198_3c24f691-bc96-48b8-be35-a2afa007564b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 96113754F03034 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1957-07-21 | N/A | N/A | N/A | N/A | false | ROOFEH | N/A | NADDER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5538289 | 2222 | N/A | N/A | N/A | 4210725 | 2025-06-12 20:50:07.920549 | 2025-06-16 16:15:05.679018 |
| 2025-06-12 17:48:41.071306 | 2025-06-12 17:48:44.961836 | 8750906 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-08-09 | 2025-07-08 | M | AE | PT | 3948 | TORIO | W287278504 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6235883/check_8750906_cc45e7e0-79b7-4b30-bc49-d679b2873b5f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_8750906_c16e7c9a-3b48-4009-ae72-4eac77410ada.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000026 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7918825753 | 9489 | N/A | 6235883 | 2222 | N/A | 8458501 | N/A | 4883697 | 2025-06-12 17:48:44.961836 | 2025-07-08 14:55:53.397662 |
| 2025-06-12 17:37:14.274828 | 2025-06-12 17:37:17.120003 | 8750870 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-10-10 | 2025-06-12 | M | PT | N/A | 4185 | Dau | JQU908A56308 | Josh | https://storage.googleapis.com/normandy-eligibility-checks/2222/6122257/check_8750870_5fd3193f-4ef9-42eb-a794-a38d277748b4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6122257/check_8750870_dc8dd889-910a-4946-b8fd-3631cd66ae59.json | N/A | N/A | N/A | N/A | N/A | JQU908A56308 | Preferred Provider Organization (PPO) | WILLOW GROWTH PARTNERS MANAGEMENT LLC | ANTHEM BLUE CROSS | N/A | 2000-10-10 | 040 | Q71084 | N/A | PR | false | BENTON | N/A | DEBORAH | N/A | 9999-12-31 | 2025-05-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7918739325 | 9489 | N/A | 6122257 | 2222 | N/A | 8458446 | N/A | 4764922 | 2025-06-12 17:37:17.120003 | 2025-06-12 17:36:43.711013 |
| 2025-06-12 17:26:29.468317 | 2025-06-12 17:26:32.298916 | 8750840 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-12 | F | PT | AE | 4497 | AZUCENA | 1YT8RR4MX51 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6235090/check_8750840_e29434e9-df31-40ff-837e-bd05c77153cc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235090/check_8750840_89800ff6-f141-4f60-8866-de5bca6bf5ce.json | N/A | N/A | N/A | N/A | N/A | 1YT8RR4MX51 | Medicare Part B | N/A | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-03-19 | H4161 | N/A | N/A | MB | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7918649841 | 5831 | N/A | 6235090 | 2222 | N/A | 8458394 | N/A | 4213743 | 2025-06-12 17:26:32.298916 | 2025-05-13 04:29:37.228064 |
| 2025-06-12 17:12:46.606079 | 2025-06-12 17:12:48.893261 | 8750782 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-02 | 2025-06-13 | M | AE | PT | 23322 | TREJO | U319979301 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222331/check_8750782_549223cf-41c7-423f-96ce-ecd4fe8baf29.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222331/check_8750782_e29f3969-463c-40b1-bbfb-2e59b69bc960.json | N/A | N/A | N/A | N/A | N/A | U319979301 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1963-09-02 | N/A | N/A | N/A | N/A | false | TREJO | N/A | FRANK | 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 | N/A | N/A | 6222331 | 2222 | N/A | 8458300 | N/A | 4866524 | 2025-06-12 17:12:48.893261 | 2025-06-17 17:52:29.549635 |
| 2025-06-12 17:12:43.686912 | 2025-06-12 17:12:46.593615 | 8750779 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-02 | 2025-06-13 | M | AE | PT | 23322 | TREJO | U319979301 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222331/check_8750779_a3df948e-2ed4-4305-814b-b53b41dae1cf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | N/A | N/A | N/A | N/A | N/A | N/A | U319979301 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1963-09-02 | N/A | N/A | N/A | N/A | false | TREJO | N/A | FRANK | 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 | N/A | N/A | 6222331 | 2222 | N/A | N/A | N/A | 4866524 | 2025-06-12 17:12:46.593615 | 2025-06-17 17:52:29.549635 |
| 2025-06-12 17:12:33.133312 | 2025-06-12 17:12:35.897608 | 8750777 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-02 | 2025-06-13 | M | AE | PT | 23322 | TREJO | U319979301 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222331/check_8750777_5085e737-f3de-4b52-9304-d785d605dafb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222331/check_8750777_fec7ab6b-d966-434d-a9df-21b68ec31a0e.json | N/A | N/A | N/A | N/A | N/A | U319979301 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1963-09-02 | N/A | N/A | N/A | N/A | false | TREJO | N/A | FRANK | 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 | N/A | N/A | 6222331 | 2222 | N/A | 8458297 | N/A | 4866524 | 2025-06-12 17:12:35.897608 | 2025-06-17 17:52:29.549635 |
| 2025-06-12 17:12:30.512706 | 2025-06-12 17:12:33.127502 | 8750776 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-02 | 2025-06-13 | M | AE | PT | 23322 | TREJO | U319979301 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222331/check_8750776_d8d2e5d0-b12f-44cd-b57d-77a2fd1f12de.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | N/A | N/A | N/A | N/A | N/A | N/A | U319979301 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1963-09-02 | N/A | N/A | N/A | N/A | false | TREJO | N/A | FRANK | 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 | N/A | N/A | 6222331 | 2222 | N/A | N/A | N/A | 4866524 | 2025-06-12 17:12:33.127502 | 2025-06-17 17:52:29.549635 |
| 2025-06-12 17:11:46.525677 | 2025-06-12 17:11:48.254398 | 8750770 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-02 | 2025-06-13 | M | AE | PT | 23322 | TREJO | U319979301 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222331/check_8750770_81e2626c-351d-4da1-b7d6-3ba84c80797b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222331/check_8750770_45d0313b-6c9f-4575-a862-9e1e9420e310.json | N/A | N/A | N/A | N/A | N/A | U319979301 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1963-09-02 | N/A | N/A | N/A | N/A | false | TREJO | N/A | FRANK | 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 | N/A | N/A | 6222331 | 2222 | N/A | 8458289 | N/A | 4866524 | 2025-06-12 17:11:48.254398 | 2025-06-17 17:52:29.549635 |
| 2025-06-12 17:11:44.775187 | 2025-06-12 17:11:46.520292 | 8750769 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-02 | 2025-06-13 | M | AE | PT | 23322 | TREJO | U319979301 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222331/check_8750769_0971c79a-49eb-4bc7-b27d-fce4b66f3380.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | N/A | N/A | N/A | N/A | N/A | N/A | U319979301 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1963-09-02 | N/A | N/A | N/A | N/A | false | TREJO | N/A | FRANK | 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 | N/A | N/A | 6222331 | 2222 | N/A | N/A | N/A | 4866524 | 2025-06-12 17:11:46.520292 | 2025-06-17 17:52:29.549635 |
| 2025-06-12 16:27:08.830019 | 2025-06-12 16:27:11.643638 | 8750603 | N/A | N/A | Z1073 | Medicare B California Southern | 1194038919 | N/A | Andrew Magpali | 1950-03-19 | 2025-06-12 | F | PT | AE | 4497 | AZUCENA | 1ytbrr4mx51 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6235090/check_8750603_a2b4280f-c664-4537-987c-d5e35e359e26.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235090/check_8750603_65d4f868-2c4e-427a-9429-a3d3e3b2dfb1.json | N/A | N/A | N/A | N/A | N/A | 1YTBRR4MX51 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6235090 | 2222 | N/A | 8458056 | N/A | 4213743 | 2025-06-12 16:27:11.643638 | 2025-05-13 04:29:37.228064 |
| 2025-06-12 16:27:07.031226 | 2025-06-12 16:27:08.783967 | 8750602 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-12 | F | PT | AE | 4497 | AZUCENA | 1ytbrr4mx51 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6235090/check_8750602_5c953643-abb9-43f7-86ce-48cb86ce30ad.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235090/check_8750602_ab9722c4-6514-4997-b1eb-e963d5534072.json | N/A | N/A | N/A | N/A | N/A | 1YTBRR4MX51 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6235090 | 2222 | N/A | 8458055 | N/A | 4213743 | 2025-06-12 16:27:08.783967 | 2025-05-13 04:29:37.228064 |
| 2025-06-12 16:27:05.385625 | 2025-06-12 16:27:07.028437 | 8750601 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-12 | F | PT | AE | 4497 | AZUCENA | 1ytbrr4mx51 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6235090/check_8750601_cc9bf3e5-9ce0-4668-b941-cf9c1269e7f2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 1YTBRR4MX51 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6235090 | 2222 | N/A | N/A | N/A | 4213743 | 2025-06-12 16:27:07.028437 | 2025-05-13 04:29:37.228064 |
| 2025-06-12 16:26:37.062277 | 2025-06-12 16:26:38.838123 | 8750597 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-12 | F | PT | AE | 4185 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6234679/check_8750597_1a499011-ff7c-4d77-ae7c-47c8e5f94b40.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6234679/check_8750597_5c7a789c-dc6a-4415-98a3-89a4522d2d89.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7917907499 | 7927 | N/A | 6234679 | 2222 | N/A | 8458050 | N/A | 4213743 | 2025-06-12 16:26:38.838123 | 2025-05-13 04:29:37.228064 |
| 2025-06-12 16:24:25.024171 | 2025-06-12 16:24:30.013587 | 8750591 | N/A | N/A | Z1073 | Medicare B California Southern | 1508549650 | N/A | Ephraim Dolz | 1950-03-19 | 2025-06-18 | F | PT | 30 | 4497 | AZUCENA | 1ytbrr4mx51 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6235090/check_8750591_7eef7926-83af-45cc-938c-f861b85ec9b5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235090/check_8750591_b3a19856-4356-4ed6-9a81-fba9ccc2fb09.json | N/A | N/A | N/A | N/A | N/A | 1YTBRR4MX51 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6235090 | 2222 | N/A | 8458034 | N/A | 4213743 | 2025-06-12 16:24:30.013587 | 2025-05-13 04:29:37.228064 |
| 2025-06-12 16:24:23.199878 | 2025-06-12 16:24:24.994420 | 8750590 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-18 | F | PT | N/A | 4497 | AZUCENA | 1ytbrr4mx51 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6235090/check_8750590_b6087bf7-9cd2-4e4e-b1a3-56f6be169b19.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235090/check_8750590_0df50cad-4acf-4649-b027-e3414733c824.json | N/A | N/A | N/A | N/A | N/A | 1YTBRR4MX51 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | 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 | 7927 | N/A | 6235090 | 2222 | N/A | 8458033 | N/A | 4213743 | 2025-06-12 16:24:24.994420 | 2025-05-13 04:29:37.228064 |
| 2025-06-12 16:24:21.595718 | 2025-06-12 16:24:23.197290 | 8750589 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-18 | F | PT | N/A | 4497 | AZUCENA | 1ytbrr4mx51 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6235090/check_8750589_11d80fcc-b287-41e4-8614-8ef77ab92d4e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | 1YTBRR4MX51 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | 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 | 7927 | N/A | 6235090 | 2222 | N/A | N/A | N/A | 4213743 | 2025-06-12 16:24:23.197290 | 2025-05-13 04:29:37.228064 |
| 2025-06-12 16:15:08.836599 | 2025-06-12 16:15:10.691435 | 8750560 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-18 | F | PT | N/A | 4497 | AZUCENA | 1ytbrr4mx51 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6235090/check_8750560_a88ff5ad-f130-41c9-a234-98ceaff47bee.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235090/check_8750560_3765692d-68aa-4323-8905-6f5e3be22453.json | N/A | N/A | N/A | N/A | N/A | 1YTBRR4MX51 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | 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 | 7927 | N/A | 6235090 | 2222 | N/A | 8457990 | N/A | 4213743 | 2025-06-12 16:15:10.691435 | 2025-05-13 04:29:37.228064 |
| 2025-06-12 16:15:07.006572 | 2025-06-12 16:15:08.833849 | 8750559 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-18 | F | PT | N/A | 4497 | AZUCENA | 1ytbrr4mx51 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6235090/check_8750559_3a056f93-d14b-400f-9653-f80853ac63db.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | 1YTBRR4MX51 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | 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 | 7927 | N/A | 6235090 | 2222 | N/A | N/A | N/A | 4213743 | 2025-06-12 16:15:08.833849 | 2025-05-13 04:29:37.228064 |
| 2025-06-12 16:14:19.870146 | 2025-06-12 16:14:21.689177 | 8750554 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-12 | F | PT | AE | 4185 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6234679/check_8750554_984d84da-d9d8-45fc-b79d-fe2787d61c27.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6234679/check_8750554_2acdff65-3c6e-4180-acb0-7730b7b6015f.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7917752042 | 7927 | N/A | 6234679 | 2222 | N/A | 8457981 | N/A | 4213743 | 2025-06-12 16:14:21.689177 | 2025-05-13 04:29:37.228064 |
| 2025-06-12 16:12:00.733862 | 2025-06-12 16:12:08.594948 | 8750542 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-12 | F | PT | AE | 4497 | AZUCENA | 1ytbrr4mx51 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6234679/check_8750542_80629645-7e55-4aed-a6b5-87ec62a8e1c9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6234679/check_8750542_63b18425-1876-44d2-8198-ad7a7599cdd9.json | N/A | N/A | N/A | N/A | N/A | 1YTBRR4MX51 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6234679 | 2222 | N/A | 8457969 | N/A | 4213743 | 2025-06-12 16:12:08.594948 | 2025-05-13 04:29:37.228064 |
| 2025-06-12 16:11:58.847199 | 2025-06-12 16:12:00.731316 | 8750540 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-12 | F | PT | AE | 4497 | AZUCENA | 1ytbrr4mx51 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6234679/check_8750540_89b69cfc-ff5f-4b77-9bed-2f866b1875bd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 1YTBRR4MX51 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6234679 | 2222 | N/A | N/A | N/A | 4213743 | 2025-06-12 16:12:00.731316 | 2025-05-13 04:29:37.228064 |
| 2025-06-12 16:07:35.040313 | 2025-06-12 16:07:37.816502 | 8750502 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-02-18 | 2025-05-30 | M | PT | AE | 3937 | ZHAO | 916547548 | shanli | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550983/check_8750502_10e10437-7b43-436f-aedf-5cb82c8c4f5b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550983/check_8750502_2a59c23f-08ca-4550-87fd-289599d224a3.json | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5687 | N/A | 5550983 | 2222 | N/A | 8457920 | N/A | 4219811 | 2025-06-12 16:07:37.816502 | 2025-05-13 04:29:37.230858 |
| 2025-06-12 16:07:30.404045 | 2025-06-12 16:07:35.037269 | 8750501 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-02-18 | 2025-05-30 | M | PT | AE | 3937 | ZHAO | 916547548 | shanli | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550983/check_8750501_3d074405-809a-4840-ba72-f345a00bd2df.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5687 | N/A | 5550983 | 2222 | N/A | N/A | N/A | 4219811 | 2025-06-12 16:07:35.037269 | 2025-05-13 04:29:37.230858 |
| 2025-06-12 15:36:45.725304 | 2025-06-12 15:36:47.529263 | 8750371 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2025-06-03 | 2025-06-12 | M | PT | N/A | 4184 | Dau | JQU908A56308 | Josh | https://storage.googleapis.com/normandy-eligibility-checks/2222/6122257/check_8750371_140f2f3c-d675-485b-b770-3d9517ef438f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6122257/check_8750371_35da9951-5bbe-4e11-a20c-fbb137972809.json | N/A | N/A | N/A | N/A | N/A | JQU908A56308 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2025-06-03 | N/A | N/A | N/A | N/A | false | DAU | N/A | JOSH | 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 | 5831 | N/A | 6122257 | 2222 | N/A | 8457715 | N/A | 4764922 | 2025-06-12 15:36:47.529263 | 2025-06-12 17:36:43.711013 |