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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-09 20:54:35.721490 | 2026-01-09 20:54:38.718912 | 16955243 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-02-20 | 2026-01-19 | F | AE | PT | 6798 | SALGUERO | 35955370 | DINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6711965/check_16955243_d9b18484-0c98-4211-a5ea-368315c07693.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-19 | N/A | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | N/A | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | 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 | 6711965 | 2222 | N/A | N/A | N/A | 4210430 | 2026-01-09 20:54:38.718912 | 2025-05-13 04:29:37.224841 |
| 2026-01-09 20:44:10.755781 | 2026-01-09 20:44:14.011392 | 16955093 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-06-17 | 2026-01-06 | M | AE | PT | 5538 | FAVELA | 620360888 | MAXIMILIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8960010/check_16955093_a5f58f5a-380d-421c-8fba-f3d2c3cb291d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_16955093_cda3524b-fc3d-4a08-be7f-cfefcf294b92.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | N/A | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9732550398 | 6189 | N/A | 8960010 | 2222 | N/A | 17169012 | N/A | 7476978 | 2026-01-09 20:44:14.011392 | 2026-01-07 18:27:22.752552 |
| 2026-01-09 20:42:29.909661 | 2026-01-09 20:42:31.828347 | 16955077 | N/A | N/A | MPM06 | Health Care LA IPA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-06-17 | 2026-01-06 | M | AE | PT | 1861 | FAVELA | 620360888 | MAXIMILIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8960010/check_16955077_2a144d19-6aa5-46ae-9146-e280fd6e68fa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_16955077_a23de3dd-55a7-46ca-8b06-725373ce5863.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | N/A | HEALTH CARE LA IPA | N/A | 1987-06-17 | N/A | N/A | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | 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 | 8960010 | 2222 | N/A | 17168988 | N/A | 7476978 | 2026-01-09 20:42:31.828347 | 2026-01-07 18:27:22.752552 |
| 2026-01-09 20:42:28.108655 | 2026-01-09 20:42:29.906689 | 16955076 | N/A | N/A | MPM06 | Health Care LA IPA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-06-17 | 2026-01-06 | M | AE | PT | 1861 | FAVELA | 620360888 | MAXIMILIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8960010/check_16955076_34d181c6-3bcc-4418-876e-fe33750cf589.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-06 | N/A | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | N/A | HEALTH CARE LA IPA | N/A | 1987-06-17 | N/A | N/A | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | 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 | 8960010 | 2222 | N/A | N/A | N/A | 7476978 | 2026-01-09 20:42:29.906689 | 2026-01-07 18:27:22.752552 |
| 2026-01-09 20:33:59.925565 | 2026-01-09 20:34:01.931559 | 16954980 | N/A | N/A | MPM06 | Health Care LA IPA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-06-17 | 2026-01-06 | M | AE | PT | 1861 | FAVELA | 620360888 | MAXIMILIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8960010/check_16954980_fe96891c-5d65-434a-ad32-b2399c73c6fe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_16954980_0bd9032e-e57f-4ea3-95db-7bffd4615b16.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | N/A | HEALTH CARE LA IPA | N/A | 1987-06-17 | N/A | N/A | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | 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 | 8960010 | 2222 | N/A | 17168874 | N/A | 7476978 | 2026-01-09 20:34:01.931559 | 2026-01-07 18:27:22.752552 |
| 2026-01-09 20:33:58.141537 | 2026-01-09 20:33:59.922988 | 16954979 | N/A | N/A | MPM06 | Health Care LA IPA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-06-17 | 2026-01-06 | M | AE | PT | 1861 | FAVELA | 620360888 | MAXIMILIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8960010/check_16954979_06c46e72-6bc2-4795-bf47-6be415834533.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-06 | N/A | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | N/A | HEALTH CARE LA IPA | N/A | 1987-06-17 | N/A | N/A | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | 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 | 8960010 | 2222 | N/A | N/A | N/A | 7476978 | 2026-01-09 20:33:59.922988 | 2026-01-07 18:27:22.752552 |
| 2026-01-09 19:08:21.758352 | 2026-01-09 19:08:23.604503 | 16953547 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-13 | F | AE | PT | 5504 | Chamas | 0014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_16953547_20155161-e035-4f27-a9cc-8df6f4ffb34d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15223112/check_16953547_c61a9338-ea18-44bb-9ad2-90da0f51185f.json | N/A | N/A | N/A | N/A | N/A | 0014201583 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-05-30 | N/A | N/A | N/A | N/A | false | CHAMAS | N/A | SAWSAN | 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 | 15223112 | 2222 | N/A | 17167116 | N/A | 13324352 | 2026-01-09 19:08:23.604503 | 2026-01-09 17:26:44.553500 |
| 2026-01-09 19:08:20.018165 | 2026-01-09 19:08:21.755002 | 16953546 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-13 | F | AE | PT | 5504 | Chamas | 0014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_16953546_4106cf4e-c89e-4539-906d-bef27e97b651.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | N/A | N/A | N/A | N/A | N/A | N/A | 0014201583 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-05-30 | N/A | N/A | N/A | N/A | false | CHAMAS | N/A | SAWSAN | 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 | 15223112 | 2222 | N/A | N/A | N/A | 13324352 | 2026-01-09 19:08:21.755002 | 2026-01-09 17:26:44.553500 |
| 2026-01-09 19:02:25.263679 | 2026-01-09 19:02:27.277984 | 16953471 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-12-08 | 2026-01-09 | M | AE | PT | 5505 | Jinks | 000022510815 | Roger | https://storage.googleapis.com/normandy-eligibility-checks/2222/13538250/check_16953471_5f52a119-6b22-48b8-a20a-c37af0969e5c.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-01-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13538250/check_16953471_5cb2bcb3-b602-4084-b04e-0e619cd1f845.json | N/A | N/A | N/A | N/A | N/A | 000022510815 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1956-12-08 | 4373777 | 106210 | N/A | N/A | false | JINKS | N/A | ROGER | N/A | N/A | N/A | FEDERAL EMPLOYEES HEALTH BENEFITS FEDERAL EMPLOYEE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9731758692 | N/A | N/A | 13538250 | 2222 | N/A | 17167024 | N/A | 11688214 | 2026-01-09 19:02:27.277984 | 2025-12-03 07:14:09.191958 |
| 2026-01-09 18:14:16.314554 | 2026-01-09 18:14:18.136762 | 16952525 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-13 | F | AE | PT | 5504 | Chamas | 0014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_16952525_101e22ec-7629-4b63-b7e8-6fbbda860cfc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15223112/check_16952525_881812f3-2adb-4fd7-b712-207c7bf5efd2.json | N/A | N/A | N/A | N/A | N/A | 0014201583 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-05-30 | N/A | N/A | N/A | N/A | false | CHAMAS | N/A | SAWSAN | 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 | 15223112 | 2222 | N/A | 17165975 | N/A | 13324352 | 2026-01-09 18:14:18.136762 | 2026-01-09 17:26:44.553500 |
| 2026-01-09 18:14:14.630983 | 2026-01-09 18:14:16.311228 | 16952522 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-13 | F | AE | PT | 5504 | Chamas | 0014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_16952522_d96bb859-7c51-4a81-91d9-0d160419fd75.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | N/A | N/A | N/A | N/A | N/A | N/A | 0014201583 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-05-30 | N/A | N/A | N/A | N/A | false | CHAMAS | N/A | SAWSAN | 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 | 15223112 | 2222 | N/A | N/A | N/A | 13324352 | 2026-01-09 18:14:16.311228 | 2026-01-09 17:26:44.553500 |
| 2026-01-09 18:14:10.561847 | 2026-01-09 18:14:12.400310 | 16952521 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-13 | F | AE | PT | 5504 | Chamas | 0014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_16952521_882f61e9-211f-4e3e-b7fa-91908da31512.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15223112/check_16952521_ae5f2773-9b01-4b13-a886-e4d907cafcf5.json | N/A | N/A | N/A | N/A | N/A | 0014201583 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-05-30 | N/A | N/A | N/A | N/A | false | CHAMAS | N/A | SAWSAN | 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 | 15223112 | 2222 | N/A | 17165973 | N/A | 13324352 | 2026-01-09 18:14:12.400310 | 2026-01-09 17:26:44.553500 |
| 2026-01-09 18:14:08.833926 | 2026-01-09 18:14:10.557796 | 16952520 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-13 | F | AE | PT | 5504 | Chamas | 0014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_16952520_e9c5eb61-68f9-457f-8274-f5254044f526.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | N/A | N/A | N/A | N/A | N/A | N/A | 0014201583 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-05-30 | N/A | N/A | N/A | N/A | false | CHAMAS | N/A | SAWSAN | 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 | 15223112 | 2222 | N/A | N/A | N/A | 13324352 | 2026-01-09 18:14:10.557796 | 2026-01-09 17:26:44.553500 |
| 2026-01-09 18:14:04.535624 | 2026-01-09 18:14:06.401149 | 16952517 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-13 | F | AE | PT | 5504 | Chamas | 0014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_16952517_48cf8e8a-cdc3-4a8e-8b83-8675381c84ee.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15223112/check_16952517_319ae803-487c-4943-ab11-4f515a98b821.json | N/A | N/A | N/A | N/A | N/A | 0014201583 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-05-30 | N/A | N/A | N/A | N/A | false | CHAMAS | N/A | SAWSAN | 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 | 15223112 | 2222 | N/A | 17165968 | N/A | 13324352 | 2026-01-09 18:14:06.401149 | 2026-01-09 17:26:44.553500 |
| 2026-01-09 18:14:02.785588 | 2026-01-09 18:14:04.531890 | 16952516 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-13 | F | AE | PT | 5504 | Chamas | 0014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_16952516_9da3011a-d0dc-4500-a38d-67d0b1c4d2b9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | N/A | N/A | N/A | N/A | N/A | N/A | 0014201583 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-05-30 | N/A | N/A | N/A | N/A | false | CHAMAS | N/A | SAWSAN | 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 | 15223112 | 2222 | N/A | N/A | N/A | 13324352 | 2026-01-09 18:14:04.531890 | 2026-01-09 17:26:44.553500 |
| 2026-01-09 18:13:53.031734 | 2026-01-09 18:13:55.069296 | 16952512 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-13 | F | AE | PT | 5504 | Chamas | 0014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_16952512_5e7364a9-38b8-45d0-a8d2-5c18cc71aef7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15223112/check_16952512_f448bead-c60a-4f68-85c7-bc114f8a6f8f.json | N/A | N/A | N/A | N/A | N/A | 0014201583 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-05-30 | N/A | N/A | N/A | N/A | false | CHAMAS | N/A | SAWSAN | 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 | 15223112 | 2222 | N/A | 17165962 | N/A | 13324352 | 2026-01-09 18:13:55.069296 | 2026-01-09 17:26:44.553500 |
| 2026-01-09 18:13:51.193104 | 2026-01-09 18:13:53.025457 | 16952511 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-13 | F | AE | PT | 5504 | Chamas | 0014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_16952511_2011a577-aebf-495f-becd-1e93e851a673.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | N/A | N/A | N/A | N/A | N/A | N/A | 0014201583 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-05-30 | N/A | N/A | N/A | N/A | false | CHAMAS | N/A | SAWSAN | 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 | 15223112 | 2222 | N/A | N/A | N/A | 13324352 | 2026-01-09 18:13:53.025457 | 2026-01-09 17:26:44.553500 |
| 2026-01-09 18:13:13.039513 | 2026-01-09 18:13:14.885798 | 16952495 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-13 | F | AE | PT | 5504 | Chamas | 0014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_16952495_7210ad7d-3ae5-42d4-beb6-559cbd1ba0bd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15223112/check_16952495_e2fa3470-039c-4c54-841c-e12f0924d7e4.json | N/A | N/A | N/A | N/A | N/A | 0014201583 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-05-30 | N/A | N/A | N/A | N/A | false | CHAMAS | N/A | SAWSAN | 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 | 15223112 | 2222 | N/A | 17165946 | N/A | 13324352 | 2026-01-09 18:13:14.885798 | 2026-01-09 17:26:44.553500 |
| 2026-01-09 18:13:11.305035 | 2026-01-09 18:13:13.036324 | 16952493 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-13 | F | AE | PT | 5504 | Chamas | 0014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_16952493_1bda746a-52ba-403f-a054-2f788a5d05ff.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | N/A | N/A | N/A | N/A | N/A | N/A | 0014201583 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-05-30 | N/A | N/A | N/A | N/A | false | CHAMAS | N/A | SAWSAN | 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 | 15223112 | 2222 | N/A | N/A | N/A | 13324352 | 2026-01-09 18:13:13.036324 | 2026-01-09 17:26:44.553500 |
| 2026-01-09 18:12:59.509685 | 2026-01-09 18:13:01.567506 | 16952492 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-13 | F | AE | PT | 5504 | Chamas | 0014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_16952492_e6c6dea2-a839-4131-badf-ada2ae8fea12.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15223112/check_16952492_d23501ce-4e8e-4340-a0fc-a11b74aac268.json | N/A | N/A | N/A | N/A | N/A | 0014201583 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-05-30 | N/A | N/A | N/A | N/A | false | CHAMAS | N/A | SAWSAN | 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 | 15223112 | 2222 | N/A | 17165944 | N/A | 13324352 | 2026-01-09 18:13:01.567506 | 2026-01-09 17:26:44.553500 |
| 2026-01-09 18:12:57.492943 | 2026-01-09 18:12:59.505091 | 16952491 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-13 | F | AE | PT | 5504 | Chamas | 0014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_16952491_d268129a-30ef-4f6d-b75d-d3622f495a98.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | N/A | N/A | N/A | N/A | N/A | N/A | 0014201583 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-05-30 | N/A | N/A | N/A | N/A | false | CHAMAS | N/A | SAWSAN | 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 | 15223112 | 2222 | N/A | N/A | N/A | 13324352 | 2026-01-09 18:12:59.505091 | 2026-01-09 17:26:44.553500 |
| 2026-01-09 18:12:21.522528 | 2026-01-09 18:12:23.360474 | 16952481 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-13 | F | AE | PT | 5504 | Chamas | 0014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_16952481_808fbc2b-5a2c-429b-b98e-855d84179906.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15223112/check_16952481_f7494aa2-3ede-475a-98a5-e9fad6ca0677.json | N/A | N/A | N/A | N/A | N/A | 0014201583 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-05-30 | N/A | N/A | N/A | N/A | false | CHAMAS | N/A | SAWSAN | 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 | 15223112 | 2222 | N/A | 17165930 | N/A | 13324352 | 2026-01-09 18:12:23.360474 | 2026-01-09 17:26:44.553500 |
| 2026-01-09 18:12:19.727023 | 2026-01-09 18:12:21.520046 | 16952480 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-30 | 2026-01-13 | F | AE | PT | 5504 | Chamas | 0014201583 | Sawsan | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223112/check_16952480_6c555776-de65-468b-a13e-17e01e1f702b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | N/A | N/A | N/A | N/A | N/A | N/A | 0014201583 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-05-30 | N/A | N/A | N/A | N/A | false | CHAMAS | N/A | SAWSAN | 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 | 15223112 | 2222 | N/A | N/A | N/A | 13324352 | 2026-01-09 18:12:21.520046 | 2026-01-09 17:26:44.553500 |
| 2026-01-09 18:09:27.801843 | 2026-01-09 18:09:32.909481 | 16952429 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-07-14 | 2026-01-09 | M | AE | PT | 3939 | KELKAR | W293958328 | SHASHANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/15126340/check_16952429_3b2a7372-db84-4151-b568-5c4adc7c6cb1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15126340/check_16952429_19b81111-9b2f-4ccb-8a47-4c3bb89189e4.json | N/A | N/A | N/A | N/A | N/A | W293958328 | Point of Service (POS) | ASTRAZENECA PHARMACEUTICALS LP | AETNA | N/A | 1970-07-14 | 0192654 | 019265403800001 | N/A | PS | false | KELKAR | N/A | SHASHANK | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9731320619 | N/A | N/A | 15126340 | 2222 | N/A | 17165866 | N/A | 13234520 | 2026-01-09 18:09:32.909481 | 2026-01-09 18:02:31.951552 |
| 2026-01-09 17:56:52.498133 | 2026-01-09 17:56:57.566707 | 16952134 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-11-28 | 2026-01-15 | M | AE | PT | 3948 | KAHN | W249190901 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15223935/check_16952134_ec2981ef-c834-49e3-b5b2-53da0615e85b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15223935/check_16952134_30d3d2cc-09e4-417a-933a-bf551c2fa7fe.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 | 9731233199 | 9487 | N/A | 15223935 | 2222 | N/A | 17165555 | N/A | 13325263 | 2026-01-09 17:56:57.566707 | 2026-01-15 15:51:51.531614 |
| 2026-01-09 17:40:00.982525 | 2026-01-09 17:40:05.582132 | 16951962 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-10-11 | 2026-01-09 | M | AE | PT | N/A | Moore | 977025736 | James | https://storage.googleapis.com/normandy-eligibility-checks/2222/14388805/check_16951962_424d4d8b-341a-4ea2-8afe-7bebeaf5c0ec.json | UHC | N/A | INSIGHTS | 2026-01-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14388805/check_16951962_f2ffbf32-4d92-400d-9393-9d543776e674.json | N/A | N/A | N/A | N/A | N/A | 977025736 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1985-10-11 | N/A | 708744 | N/A | C1 | false | MOORE | N/A | JAMES | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14388805 | 2222 | N/A | 17165347 | N/A | 12523013 | 2026-01-09 17:40:05.582132 | 2025-12-17 23:02:14.695752 |
| 2026-01-09 16:44:49.176434 | 2026-01-09 16:44:52.252200 | 16951239 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-20 | 2026-01-09 | F | PT | N/A | 4185 | FOX | MMA941W23869 | GENOVEVA | https://storage.googleapis.com/normandy-eligibility-checks/2222/14508581/check_16951239_e69eba15-bb1f-42d8-94a5-4e4dfa9e9a1b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14508581/check_16951239_48aa1ea0-33c0-47d6-9924-1ee25c22469d.json | N/A | N/A | N/A | N/A | N/A | MMA941W23869 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-20 | 040 | CAMCRWP0 | N/A | MP | false | FOX | N/A | GENOVEVA | N/A | 9999-12-31 | 2025-05-01 | 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 | 9730712693 | 162972 | N/A | 14508581 | 2222 | N/A | 17164528 | N/A | 10741847 | 2026-01-09 16:44:52.252200 | 2025-11-17 21:17:39.202453 |
| 2026-01-09 16:37:18.603508 | 2026-01-09 16:37:23.564772 | 16951158 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-22 | 2026-01-09 | F | AE | PT | 4211 | ESPINOZA | 90178775F | GRISELDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/15075128/check_16951158_e52b7cff-ca52-43bc-9cec-203b799adec7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15075128/check_16951158_efb10c37-bc63-4fef-9aad-c2e0fa6637a8.json | N/A | N/A | N/A | N/A | N/A | 90178775F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1971-12-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | ESPINOZA | N/A | GRISELDA | N/A | 2078-12-31 | 2024-07-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9730644241 | N/A | N/A | 15075128 | 2222 | N/A | 17164437 | N/A | 13186313 | 2026-01-09 16:37:23.564772 | 2026-01-09 16:32:44.072135 |
| 2026-01-09 16:30:48.690933 | 2026-01-09 16:30:51.778298 | 16951040 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-10-01 | 2026-01-05 | M | PT | AE | 4185 | LOPATY | SIF545W21388 | CLINT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540566/check_16951040_99bb9809-d9c2-48d4-a4ef-473910b65468.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540566/check_16951040_890ff4ed-ba2c-463b-9097-4329a4c0e756.json | N/A | N/A | N/A | N/A | N/A | SIF545W21388 | N/A | SISC - PASADENA CITY COLLEGE | ANTHEM BLUE CROSS | N/A | 1979-10-01 | 040 | 40868B | N/A | N/A | false | LOPATY | N/A | CLINT | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9730589086 | 7694 | N/A | 5540566 | 2222 | N/A | 17164311 | N/A | 4212709 | 2026-01-09 16:30:51.778298 | 2025-05-13 04:29:37.227054 |
| 2026-01-09 16:30:41.698317 | 2026-01-09 16:30:43.452813 | 16951038 | N/A | N/A | SB040 | Blue Cross California | 1356006142 | N/A | override_provider | 1959-07-25 | 2025-11-03 | F | PT | AE | 4185 | CARRANZA | 94113505C | KISELL | https://storage.googleapis.com/normandy-eligibility-checks/2222/7508301/check_16951038_b6dc8fa2-cdbc-4a4b-bd7f-3e758abfb49a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7508301/check_16951038_72acd679-60f1-459f-ba8b-35587488d5db.json | N/A | N/A | N/A | N/A | N/A | 94113505C | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-07-25 | N/A | N/A | N/A | N/A | false | CARRANZA | N/A | KISELL | 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 | N/A | N/A | 7508301 | 2222 | N/A | 17164309 | N/A | 4214064 | 2026-01-09 16:30:43.452813 | 2025-07-15 17:36:25.711810 |
| 2026-01-09 16:30:40.057203 | 2026-01-09 16:30:41.693956 | 16951036 | N/A | N/A | SB040 | Blue Cross California | 1356006142 | N/A | override_provider | 1959-07-25 | 2025-11-03 | F | PT | AE | 4185 | CARRANZA | 94113505C | KISELL | https://storage.googleapis.com/normandy-eligibility-checks/2222/7508301/check_16951036_53c2c435-9fce-4a79-b045-d6a2c86cbf1b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-03 | N/A | N/A | N/A | N/A | N/A | N/A | 94113505C | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-07-25 | N/A | N/A | N/A | N/A | false | CARRANZA | N/A | KISELL | 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 | N/A | N/A | 7508301 | 2222 | N/A | N/A | N/A | 4214064 | 2026-01-09 16:30:41.693956 | 2025-07-15 17:36:25.711810 |
| 2026-01-09 16:30:36.817907 | 2026-01-09 16:30:39.744600 | 16951035 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1356006142 | N/A | override_provider | 1959-07-25 | 2025-11-03 | F | PT | AE | 2630 | CARRANZA | 00000342921 | KISELL | https://storage.googleapis.com/normandy-eligibility-checks/2222/7019836/check_16951035_73b79116-777d-4b74-9d09-c7c4a02dbae3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019836/check_16951035_f8810e4d-27e5-4370-97f9-7377346a9d5b.json | N/A | N/A | N/A | N/A | N/A | 00000342921 | N/A | N/A | MEDICARE | N/A | 1959-07-25 | H3815039 | N/A | N/A | N/A | false | CARRANZA | N/A | KISELL | 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 | N/A | N/A | 7019836 | 2222 | N/A | 17164306 | N/A | 4214064 | 2026-01-09 16:30:39.744600 | 2025-07-15 17:36:25.711810 |
| 2026-01-09 16:30:33.165718 | 2026-01-09 16:30:36.814789 | 16951033 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1356006142 | N/A | override_provider | 1959-07-25 | 2025-11-03 | F | PT | AE | 2630 | CARRANZA | 00000342921 | KISELL | https://storage.googleapis.com/normandy-eligibility-checks/2222/7019836/check_16951033_ee63a98a-7935-48b4-9c5d-024de5b8ad21.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-03 | N/A | N/A | N/A | N/A | N/A | N/A | 00000342921 | N/A | N/A | MEDICARE | N/A | 1959-07-25 | H3815039 | N/A | N/A | N/A | false | CARRANZA | N/A | KISELL | 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 | N/A | N/A | 7019836 | 2222 | N/A | N/A | N/A | 4214064 | 2026-01-09 16:30:36.814789 | 2025-07-15 17:36:25.711810 |
| 2026-01-09 16:28:45.434653 | 2026-01-09 16:28:49.410156 | 16951018 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-20 | 2026-01-13 | M | AE | PT | 4811 | O'Leary | 000002103957 | Dan | https://storage.googleapis.com/normandy-eligibility-checks/2222/14775523/check_16951018_b8599fcc-9f0a-49f5-800c-858a56901668.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14775523/check_16951018_cd946e51-24b9-47df-9be1-324bbae91872.json | N/A | N/A | N/A | N/A | N/A | 000002103957 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1967-03-20 | 515238 | 125242 | N/A | N/A | false | O'LEARY | N/A | DAN | N/A | N/A | N/A | GF JANUARY - KPIF COPAY COPAYMENT $25 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9730570332 | 9487 | N/A | 14775523 | 2222 | N/A | 17164279 | N/A | 12906017 | 2026-01-09 16:28:49.410156 | 2025-12-29 18:24:02.402595 |
| 2026-01-09 16:28:42.661625 | 2026-01-09 16:28:45.431418 | 16951017 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-20 | 2026-01-13 | M | AE | PT | 4811 | O Leary | 000002103957 | Dan | https://storage.googleapis.com/normandy-eligibility-checks/2222/14775523/check_16951017_3f36f9c8-d862-4534-bd0e-b27650480fb1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | N/A | N/A | N/A | N/A | N/A | N/A | 000002103957 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1967-03-20 | N/A | N/A | N/A | N/A | false | O LEARY | N/A | DAN | 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 | 9487 | N/A | 14775523 | 2222 | N/A | N/A | N/A | 12906017 | 2026-01-09 16:28:45.431418 | 2025-12-29 18:24:02.402595 |
| 2026-01-09 16:27:11.600076 | 2026-01-09 16:27:16.501130 | 16950989 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-20 | 2026-01-13 | M | AE | PT | 4811 | O'Leary | 000203950317 | Dan | https://storage.googleapis.com/normandy-eligibility-checks/2222/14775523/check_16950989_bf62ade1-a99f-4284-8882-914f2112bd33.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14775523/check_16950989_c1ec6b2f-cf84-4384-bed6-e79e851f154b.json | N/A | N/A | N/A | N/A | N/A | 000203950317 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1967-03-20 | N/A | N/A | N/A | N/A | false | O'LEARY | N/A | DAN | 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 | 9487 | N/A | 14775523 | 2222 | N/A | 17164246 | N/A | 12906017 | 2026-01-09 16:27:16.501130 | 2025-12-29 18:24:02.402595 |
| 2026-01-09 16:27:06.823322 | 2026-01-09 16:27:11.596978 | 16950988 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-20 | 2026-01-13 | M | AE | PT | 4811 | O Leary | 000203950317 | Dan | https://storage.googleapis.com/normandy-eligibility-checks/2222/14775523/check_16950988_1b4dc7f5-a015-4408-bdce-eab2b4f4f891.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | N/A | N/A | N/A | N/A | N/A | N/A | 000203950317 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1967-03-20 | N/A | N/A | N/A | N/A | false | O LEARY | N/A | DAN | 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 | 9487 | N/A | 14775523 | 2222 | N/A | N/A | N/A | 12906017 | 2026-01-09 16:27:11.596978 | 2025-12-29 18:24:02.402595 |
| 2026-01-09 16:12:49.633136 | 2026-01-09 16:13:11.694948 | 16950659 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-03-31 | 2026-01-12 | M | AE | PT | 4211 | MILLER | 93398354D | GUSSIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/12109408/check_16950659_7f315150-e1f4-45a4-86b1-baeda838d19d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12109408/check_16950659_6db4c4cc-bf3a-4fcd-936f-2b4362dd534b.json | N/A | N/A | N/A | N/A | N/A | 93398354D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-03-31 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MILLER | N/A | GUSSIE | N/A | 2078-12-31 | 2025-06-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9730423212 | 7929 | N/A | 12109408 | 2222 | N/A | 17163886 | N/A | 10327291 | 2026-01-09 16:13:11.694948 | 2025-11-04 18:11:41.886029 |
| 2026-01-09 16:01:30.617461 | 2026-01-09 16:01:34.730144 | 16950349 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-08-07 | 2026-01-13 | M | PT | N/A | 4184 | Friedman | PDA8735243AB | Max | https://storage.googleapis.com/normandy-eligibility-checks/2222/15072800/check_16950349_0f6c3662-13cd-4c56-8eb2-73341ead2aad.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15072800/check_16950349_cd9b661a-f428-4df4-b2b8-87cb195c4da2.json | N/A | N/A | N/A | N/A | N/A | PDA8735243AB | Preferred Provider Organization (PPO) | PUBLIC STORAGE INC | ANTHEM BLUE CROSS | N/A | 2000-08-07 | 040 | JNT239M3A1 | N/A | PR | false | FRIEDMAN | N/A | ANDRES | N/A | 9999-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9730316956 | 9487 | N/A | 15072800 | 2222 | N/A | 17163543 | N/A | 12900230 | 2026-01-09 16:01:34.730144 | 2025-12-29 17:30:18.319338 |
| 2026-01-09 15:34:57.787383 | 2026-01-09 15:35:00.965454 | 16949876 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-25 | 2025-11-11 | F | PT | AE | 4709 | CARRANZA | 94113505C | KISELL | https://storage.googleapis.com/normandy-eligibility-checks/2222/7019842/check_16949876_46d2d6f4-fbed-45dc-88f8-099187b5130c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019842/check_16949876_d1f79f24-2216-4ea0-9066-4908da9c038b.json | N/A | N/A | N/A | N/A | N/A | 94113505C | N/A | N/A | HEALTH NET, LLC | N/A | 1959-07-25 | N/A | N/A | N/A | N/A | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9730078838 | 7687 | N/A | 7019842 | 2222 | N/A | 17163007 | N/A | 4214064 | 2026-01-09 15:35:00.965454 | 2025-07-15 17:36:25.711810 |
| 2026-01-09 15:11:16.593259 | 2026-01-09 15:11:18.513287 | 16949280 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2026-01-09 | F | AE | PT | 6798 | VARGAS | C4080406701 | AUXILIADOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_16949280_3c299b05-0a56-41cc-b8d8-3e6fbc16e3de.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538314/check_16949280_fdd176ad-1c79-41f0-86ab-53e07bdd9005.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 | 9487 | N/A | 5538314 | 2222 | N/A | 17162389 | N/A | 4210749 | 2026-01-09 15:11:18.513287 | 2026-01-29 18:21:20.298304 |
| 2026-01-09 15:11:14.807608 | 2026-01-09 15:11:16.587693 | 16949279 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2026-01-09 | F | AE | PT | 6798 | VARGAS | C4080406701 | AUXILIADOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_16949279_747fc985-b085-42d6-8d2e-ecc4261ad062.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-09 | 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 | 9487 | N/A | 5538314 | 2222 | N/A | N/A | N/A | 4210749 | 2026-01-09 15:11:16.587693 | 2026-01-29 18:21:20.298304 |
| 2026-01-09 15:04:23.793772 | 2026-01-09 15:04:25.716111 | 16949179 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2026-01-09 | F | AE | PT | 6798 | VARGAS | C4080406701 | AUXILIADOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_16949179_cd498454-f1b8-449c-bdcd-50e2fe9efc6c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538314/check_16949179_edbcd320-54cf-4ca2-83f2-d639b01ecd11.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 | 9487 | N/A | 5538314 | 2222 | N/A | 17162282 | N/A | 4210749 | 2026-01-09 15:04:25.716111 | 2026-01-29 18:21:20.298304 |
| 2026-01-09 15:04:20.075660 | 2026-01-09 15:04:23.791203 | 16949177 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2026-01-09 | F | AE | PT | 6798 | VARGAS | C4080406701 | AUXILIADOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_16949177_c14efb6b-61e8-4e90-828a-5bca2e5115ea.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-09 | 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 | 9487 | N/A | 5538314 | 2222 | N/A | N/A | N/A | 4210749 | 2026-01-09 15:04:23.791203 | 2026-01-29 18:21:20.298304 |
| 2026-01-09 15:02:08.659787 | 2026-01-09 15:02:33.287959 | 16949126 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-25 | 2025-10-31 | F | PT | AE | 4709 | CARRANZA | 94113505C | KISELL | https://storage.googleapis.com/normandy-eligibility-checks/2222/7019842/check_16949126_90ebc26f-f9df-4ead-abe4-030ee6766175.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019842/check_16949126_d2e63c05-a684-4565-a288-712bb2789f17.json | N/A | N/A | N/A | N/A | N/A | 94113505C | N/A | N/A | HEALTH NET, LLC | N/A | 1959-07-25 | N/A | N/A | N/A | N/A | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9729726530 | 5686 | N/A | 7019842 | 2222 | N/A | 17162238 | N/A | 4214064 | 2026-01-09 15:02:33.287959 | 2025-07-15 17:36:25.711810 |
| 2026-01-09 13:09:30.867138 | 2026-01-09 13:09:37.085892 | 16947688 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-24 | 2026-01-07 | F | AE | PT | 4211 | CRUTCHFIELD | 904430653D | HELEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/10103203/check_16947688_423047c1-7b5c-4804-957d-381debe3d36e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_16947688_780c5a46-12e8-4a12-943e-3a246599d544.json | N/A | N/A | N/A | N/A | N/A | 904430653D | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | 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 | 7929 | N/A | 10103203 | 2222 | N/A | 17160660 | N/A | 8437251 | 2026-01-09 13:09:37.085892 | 2025-10-07 19:08:26.048804 |
| 2026-01-09 13:09:24.105858 | 2026-01-09 13:09:30.863035 | 16947687 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-24 | 2026-01-07 | F | AE | PT | 4211 | CRUTCHFIELD | 904430653D | HELEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/10103203/check_16947687_eda4d0dd-5925-4989-ae8a-ddefa190ba1a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-07 | N/A | N/A | N/A | N/A | N/A | N/A | 904430653D | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | 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 | 7929 | N/A | 10103203 | 2222 | N/A | N/A | N/A | 8437251 | 2026-01-09 13:09:30.863035 | 2025-10-07 19:08:26.048804 |
| 2026-01-09 13:08:01.747703 | 2026-01-09 13:08:16.743155 | 16947673 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-24 | 2026-01-09 | F | AE | PT | 4211 | CRUTCHFIELD | 90443065D | HELEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/10103203/check_16947673_5767b343-fcc3-4ed9-9268-eea0f5179c00.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_16947673_7af7441f-31ee-4223-86e9-a7496f169b85.json | N/A | N/A | N/A | N/A | N/A | 90443065D | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | 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 | 7929 | N/A | 10103203 | 2222 | N/A | 17160644 | N/A | 8437251 | 2026-01-09 13:08:16.743155 | 2025-10-07 19:08:26.048804 |
| 2026-01-09 13:07:54.950940 | 2026-01-09 13:08:01.744870 | 16947672 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-24 | 2026-01-09 | F | AE | PT | 4211 | CRUTCHFIELD | 90443065D | HELEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/10103203/check_16947672_0a0a164b-c339-4ee9-89c6-70e4a24ddf7e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-09 | N/A | N/A | N/A | N/A | N/A | N/A | 90443065D | N/A | N/A | MOLINA HEALTHCARE OF CALIFORNIA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | 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 | 7929 | N/A | 10103203 | 2222 | N/A | N/A | N/A | 8437251 | 2026-01-09 13:08:01.744870 | 2025-10-07 19:08:26.048804 |
| 2026-01-09 13:03:37.521025 | 2026-01-09 13:03:39.594968 | 16947633 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-24 | 2026-01-07 | F | AE | PT | 4211 | CRUTCHFIELD | 904430653D | HELEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/10103203/check_16947633_fd96122d-6ac9-479f-9245-a7669228dfc3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_16947633_4831c5c7-2f57-409b-859e-cb566ddfbfb5.json | N/A | N/A | N/A | N/A | N/A | 904430653D | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | 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 | 7929 | N/A | 10103203 | 2222 | N/A | 17160592 | N/A | 8437251 | 2026-01-09 13:03:39.594968 | 2025-10-07 19:08:26.048804 |