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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-11 22:20:59.104111 | 2025-06-11 22:21:00.830805 | 8730922 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-06-11 | F | PT | AE | 5349 | QUIJANO CASTRO | H6217693700 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6225252/check_8730922_f041bad8-694f-4d40-bb6d-32783ee48bae.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6225252/check_8730922_cb11498c-bdc2-4a4f-a732-dfc0b630a2b9.json | N/A | N/A | N/A | N/A | N/A | H62176937 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 GOLD+/EMP HMO - ALL OTHR WA MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1962-09-10 | N/A | 0B635001 | N/A | HN | false | QUIJANO CASTRO | N/A | PATRICIA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7906874766 | 7927 | N/A | 6225252 | 2222 | N/A | 8440642 | N/A | 4213051 | 2025-06-11 22:21:00.830805 | 2025-05-13 04:29:37.227377 |
| 2025-06-11 22:20:39.488989 | 2025-06-11 22:20:41.394930 | 8730921 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-06-04 | F | PT | AE | 2630 | QUIJANO CASTRO | 00000259543 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540970/check_8730921_6a0929a3-9d59-4a31-909b-9cd6d648fce5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540970/check_8730921_322ee58e-867a-490a-9227-a8437bd4f8f3.json | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5540970 | 2222 | N/A | 8440640 | N/A | 4213051 | 2025-06-11 22:20:41.394930 | 2025-05-13 04:29:37.227377 |
| 2025-06-11 22:20:36.567772 | 2025-06-11 22:20:39.486181 | 8730920 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-06-04 | F | PT | AE | 2630 | QUIJANO CASTRO | 00000259543 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540970/check_8730920_f27e5205-36fd-40e8-b82e-a2962da86a00.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5540970 | 2222 | N/A | N/A | N/A | 4213051 | 2025-06-11 22:20:39.486181 | 2025-05-13 04:29:37.227377 |
| 2025-06-11 22:15:46.487897 | 2025-06-11 22:15:49.237131 | 8730732 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-02-09 | 2025-05-29 | F | PT | AE | 1534 | SANABRIA CORA | U8180342003 | ISABELLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537809/check_8730732_25a07bf1-5dd4-4ab6-9e06-89d686c975e8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537809/check_8730732_ce998f70-9c84-44d9-8d2d-ddcb67c9828b.json | N/A | N/A | N/A | N/A | N/A | U8180342003 | N/A | TRAVERE THERAPEUTICS, INC. | CGLIC | N/A | 2009-02-09 | N/A | 3344539 | N/A | N/A | false | SANABRIA-CORA | N/A | ISABELLA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7906766247 | 7927 | N/A | 5537809 | 2222 | N/A | 8440434 | N/A | 4210321 | 2025-06-11 22:15:49.237131 | 2025-06-11 21:24:33.499500 |
| 2025-06-11 22:00:45.881415 | 2025-06-11 22:00:49.786692 | 8730215 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-15 | 2025-06-11 | M | PT | N/A | 4437 | SPENCE | 111502776 | CHAD | https://storage.googleapis.com/normandy-eligibility-checks/2222/6225645/check_8730215_6db5ee3d-1385-460c-a6f0-9c7803490d27.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6225645/check_8730215_52a82462-925a-41c5-a5c4-299c356de6ba.json | N/A | N/A | N/A | N/A | N/A | 11150277601 | N/A | PACIFIC BIOSCIENCES OF CALIFORNIA, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 2005-12-15 | N/A | 00630607 | N/A | N/A | false | SPENCE | N/A | CHAD | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7906456350 | 9345 | N/A | 6225645 | 2222 | N/A | 8439863 | N/A | 4214787 | 2025-06-11 22:00:49.786692 | 2025-08-17 21:31:52.380866 |
| 2025-06-11 21:56:09.187108 | 2025-06-11 21:56:10.987492 | 8730090 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-15 | 2025-06-11 | M | PT | N/A | 4184 | SPENCE | JQU035W17626 | CHAD | https://storage.googleapis.com/normandy-eligibility-checks/2222/6193619/check_8730090_2ec2c597-1a6d-4f50-bcd8-bc6eadf8105c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193619/check_8730090_db1195ad-d58c-42b2-90ba-bf4e47ab61bd.json | N/A | N/A | N/A | N/A | N/A | JQU035W17626 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-12-15 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | 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 | 9345 | N/A | 6193619 | 2222 | N/A | 8439736 | N/A | 4214787 | 2025-06-11 21:56:10.987492 | 2025-08-17 21:31:52.380866 |
| 2025-06-11 21:56:06.510883 | 2025-06-11 21:56:09.183672 | 8730089 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-15 | 2025-06-11 | M | PT | N/A | 4184 | SPENCE | JQU035W17626 | CHAD | https://storage.googleapis.com/normandy-eligibility-checks/2222/6193619/check_8730089_db10d278-f28f-4b31-8b17-2b9971685122.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | JQU035W17626 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-12-15 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | 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 | 9345 | N/A | 6193619 | 2222 | N/A | N/A | N/A | 4214787 | 2025-06-11 21:56:09.183672 | 2025-08-17 21:31:52.380866 |
| 2025-06-11 21:55:44.043369 | 2025-06-11 21:55:45.856122 | 8730086 | N/A | N/A | SELF1 | SELF-PAY (NO INSURANCE) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-08-22 | 2025-06-11 | M | AE | PT | 6895 | TORRES | MISSINGPOLICYNUMBER | LEONARDO | https://storage.googleapis.com/normandy-eligibility-checks/2222/6175580/check_8730086_24b7d859-0b27-4c92-b926-1735333a277f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6175580/check_8730086_1e56d14d-fd42-44d2-8550-37a43c23a9f0.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | SELF PAY ESTIMATION ONLY | N/A | 1983-08-22 | N/A | N/A | N/A | N/A | false | TORRES | N/A | LEONARDO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9344 | N/A | 6175580 | 2222 | N/A | 8439730 | N/A | 4816070 | 2025-06-11 21:55:45.856122 | 2025-06-11 22:02:07.451262 |
| 2025-06-11 21:55:42.451126 | 2025-06-11 21:55:44.039633 | 8730085 | N/A | N/A | SELF1 | SELF-PAY (NO INSURANCE) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-08-22 | 2025-06-11 | M | AE | PT | 6895 | TORRES | MISSINGPOLICYNUMBER | LEONARDO | https://storage.googleapis.com/normandy-eligibility-checks/2222/6175580/check_8730085_c93cc15e-39ed-44cb-8d29-252be29f6bbc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | SELF PAY ESTIMATION ONLY | N/A | 1983-08-22 | N/A | N/A | N/A | N/A | false | TORRES | N/A | LEONARDO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9344 | N/A | 6175580 | 2222 | N/A | N/A | N/A | 4816070 | 2025-06-11 21:55:44.039633 | 2025-06-11 22:02:07.451262 |
| 2025-06-11 21:53:42.088264 | 2025-06-11 21:53:43.828704 | 8730075 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-12 | F | PT | AE | 4184 | AZUCENA | 381256401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541750/check_8730075_95f0a9db-65c9-44a6-9c1d-aac8c6db1a9e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541750/check_8730075_1e5ccbce-814e-4bab-a057-a0ebd926333c.json | N/A | N/A | N/A | N/A | N/A | 381256401 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 7927 | N/A | 5541750 | 2222 | N/A | 8439715 | N/A | 4213743 | 2025-06-11 21:53:43.828704 | 2025-05-13 04:29:37.228064 |
| 2025-06-11 21:53:40.501568 | 2025-06-11 21:53:42.085251 | 8730074 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-12 | F | PT | AE | 4184 | AZUCENA | 381256401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541750/check_8730074_47a6624b-37b7-4ffa-9192-6d7c8fa52b7a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 381256401 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 7927 | N/A | 5541750 | 2222 | N/A | N/A | N/A | 4213743 | 2025-06-11 21:53:42.085251 | 2025-05-13 04:29:37.228064 |
| 2025-06-11 21:52:15.663726 | 2025-06-11 21:52:17.490090 | 8730065 | 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 | 381256401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541750/check_8730065_10824fb7-d367-4483-85b1-fac8258a7801.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541750/check_8730065_4d2de8da-947b-4aed-bfe0-c29da584010d.json | N/A | N/A | N/A | N/A | N/A | 381256401 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 7927 | N/A | 5541750 | 2222 | N/A | 8439701 | N/A | 4213743 | 2025-06-11 21:52:17.490090 | 2025-05-13 04:29:37.228064 |
| 2025-06-11 21:52:14.046435 | 2025-06-11 21:52:15.660415 | 8730064 | 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 | 381256401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541750/check_8730064_5d7a27f6-dabd-474f-a9a1-66b0526e1222.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 381256401 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 7927 | N/A | 5541750 | 2222 | N/A | N/A | N/A | 4213743 | 2025-06-11 21:52:15.660415 | 2025-05-13 04:29:37.228064 |
| 2025-06-11 21:50:31.475613 | 2025-06-11 21:50:33.267219 | 8730056 | 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 | 139W2160620 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541750/check_8730056_0e8d47ef-021e-461a-ac78-185897edfbeb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541750/check_8730056_e5cf3eba-9542-46e6-add0-344a17486c34.json | N/A | N/A | N/A | N/A | N/A | 139W2160620 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 7927 | N/A | 5541750 | 2222 | N/A | 8439686 | N/A | 4213743 | 2025-06-11 21:50:33.267219 | 2025-05-13 04:29:37.228064 |
| 2025-06-11 21:50:29.762659 | 2025-06-11 21:50:31.472221 | 8730055 | 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 | 139W2160620 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541750/check_8730055_aa04e10b-f26c-4176-a023-239171fb5f77.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 139W2160620 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 7927 | N/A | 5541750 | 2222 | N/A | N/A | N/A | 4213743 | 2025-06-11 21:50:31.472221 | 2025-05-13 04:29:37.228064 |
| 2025-06-11 21:50:02.885086 | 2025-06-11 21:50:08.819645 | 8730052 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-12 | F | PT | AE | 23311 | AZUCENA | 139W21606-20 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541750/check_8730052_bad0e79c-fa5b-426e-816b-c6c5b397c283.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541750/check_8730052_626f9e12-1334-4037-842a-616bf24a872e.json | N/A | N/A | N/A | N/A | N/A | 139W21606-20 | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | 7927 | N/A | 5541750 | 2222 | N/A | 8439681 | N/A | 4213743 | 2025-06-11 21:50:08.819645 | 2025-05-13 04:29:37.228064 |
| 2025-06-11 21:50:01.297532 | 2025-06-11 21:50:02.880451 | 8730051 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-12 | F | PT | AE | 23311 | AZUCENA | 139W21606-20 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541750/check_8730051_2aec0014-33cf-40d2-8259-bb77a9a0b6be.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 139W21606-20 | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | 7927 | N/A | 5541750 | 2222 | N/A | N/A | N/A | 4213743 | 2025-06-11 21:50:02.880451 | 2025-05-13 04:29:37.228064 |
| 2025-06-11 21:49:48.402571 | 2025-06-11 21:49:50.328548 | 8730049 | 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 | 139W21606-20 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541750/check_8730049_222e3be8-221d-4f20-9173-1f88464cddc5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541750/check_8730049_dba0ca25-4022-4430-b91b-2a05cdc0867b.json | N/A | N/A | N/A | N/A | N/A | 139W21606-20 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 7927 | N/A | 5541750 | 2222 | N/A | 8439677 | N/A | 4213743 | 2025-06-11 21:49:50.328548 | 2025-05-13 04:29:37.228064 |
| 2025-06-11 21:49:42.752616 | 2025-06-11 21:49:48.399503 | 8730048 | 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 | 139W21606-20 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541750/check_8730048_d0524df9-4bec-4c8d-b415-1c8f58e13a90.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 139W21606-20 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 7927 | N/A | 5541750 | 2222 | N/A | N/A | N/A | 4213743 | 2025-06-11 21:49:48.399503 | 2025-05-13 04:29:37.228064 |
| 2025-06-11 21:48:34.828951 | 2025-06-11 21:48:37.673295 | 8730042 | 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 | 139W21606-20 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541750/check_8730042_443b8f56-debf-476e-bfca-d44d88b1b387.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541750/check_8730042_e1d76e64-90fd-497d-839a-913410c66201.json | N/A | N/A | N/A | N/A | N/A | 139W21606-20 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 7927 | N/A | 5541750 | 2222 | N/A | 8439667 | N/A | 4213743 | 2025-06-11 21:48:37.673295 | 2025-05-13 04:29:37.228064 |
| 2025-06-11 21:48:28.556226 | 2025-06-11 21:48:34.826328 | 8730041 | 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 | 139W21606-20 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541750/check_8730041_c02c0125-c49a-48a8-a5be-5aed9020f68d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 139W21606-20 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 7927 | N/A | 5541750 | 2222 | N/A | N/A | N/A | 4213743 | 2025-06-11 21:48:34.826328 | 2025-05-13 04:29:37.228064 |
| 2025-06-11 21:47:30.766935 | 2025-06-11 21:47:32.565561 | 8730039 | 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 | 139W21606-20 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541750/check_8730039_28ceb15e-d1a6-40cc-8540-3b64997497af.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541750/check_8730039_3964fc61-cefd-4d89-bfb2-4b819be67cfc.json | N/A | N/A | N/A | N/A | N/A | 139W21606-20 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 7927 | N/A | 5541750 | 2222 | N/A | 8439656 | N/A | 4213743 | 2025-06-11 21:47:32.565561 | 2025-05-13 04:29:37.228064 |
| 2025-06-11 21:47:29.109364 | 2025-06-11 21:47:30.763778 | 8730038 | 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 | 139W21606-20 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541750/check_8730038_c6856453-821a-4333-89b3-6f793f074785.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 139W21606-20 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 7927 | N/A | 5541750 | 2222 | N/A | N/A | N/A | 4213743 | 2025-06-11 21:47:30.763778 | 2025-05-13 04:29:37.228064 |
| 2025-06-11 21:41:34.697134 | 2025-06-11 21:41:36.443897 | 8730016 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-06-11 | F | PT | AE | 2630 | QUIJANO CASTRO | 00000259543 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222093/check_8730016_593be1a6-97ea-487c-9948-f80d49b949f7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222093/check_8730016_329c4712-cc68-42a7-8b30-c3b7cbaea4e6.json | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6222093 | 2222 | N/A | 8439618 | N/A | 4213051 | 2025-06-11 21:41:36.443897 | 2025-05-13 04:29:37.227377 |
| 2025-06-11 21:41:33.057046 | 2025-06-11 21:41:34.693956 | 8730015 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-06-11 | F | PT | AE | 2630 | QUIJANO CASTRO | 00000259543 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222093/check_8730015_cb1be160-ea1f-4c8c-9ef8-8789cf197675.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6222093 | 2222 | N/A | N/A | N/A | 4213051 | 2025-06-11 21:41:34.693956 | 2025-05-13 04:29:37.227377 |
| 2025-06-11 21:31:07.091207 | 2025-06-11 21:31:20.084247 | 8729984 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-03-26 | 2025-06-11 | M | PT | AE | 6411 | ORLOV | G45110724 | BORIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543101/check_8729984_3f171c84-8b0d-4ff7-8a07-190dcdbf31b9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543101/check_8729984_bef93d02-e53e-46a9-81b3-a62982d0cb00.json | N/A | N/A | N/A | N/A | N/A | G45110724 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1976-03-26 | 767000416933003 | 76416933 | N/A | N/A | false | ORLOV | N/A | BORIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7905736173 | 5831 | N/A | 5543101 | 2222 | N/A | 8439548 | N/A | 4214932 | 2025-06-11 21:31:20.084247 | 2025-05-13 04:29:37.229254 |
| 2025-06-11 21:29:31.483675 | 2025-06-11 21:29:34.249347 | 8729979 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-09-11 | 2025-06-11 | F | AE | PT | 4185 | AMIN | JQU610A63416 | SHIRIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5580296/check_8729979_bb91342e-7019-40c5-a922-a866b7d26dc7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5580296/check_8729979_8d665b7f-e757-40af-bd3d-b483644099b9.json | N/A | N/A | N/A | N/A | N/A | JQU610A63416 | Preferred Provider Organization (PPO) | PRIMEX WORLD INC | ANTHEM BLUE CROSS | N/A | 1975-09-11 | 040 | K38905 | N/A | PR | false | AMIN | N/A | MAHMOOD | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7905704916 | 5831 | N/A | 5580296 | 2222 | N/A | 8439540 | N/A | 4212993 | 2025-06-11 21:29:34.249347 | 2025-05-13 04:29:37.227321 |
| 2025-06-11 21:25:05.315552 | 2025-06-11 21:25:09.236380 | 8729947 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-02-09 | 2025-06-11 | F | PT | AE | 1534 | SANABRIA CORA | U8180342003 | ISABELLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537809/check_8729947_11046899-839f-4ff8-b191-f9b3d5834bdb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537809/check_8729947_4541c93b-e553-4a89-a06e-f631c511b16d.json | N/A | N/A | N/A | N/A | N/A | U8180342003 | N/A | TRAVERE THERAPEUTICS, INC. | CGLIC | N/A | 2009-02-09 | N/A | 3344539 | N/A | N/A | false | SANABRIA-CORA | N/A | ISABELLA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7905618203 | 5831 | N/A | 5537809 | 2222 | N/A | 8439495 | N/A | 4210321 | 2025-06-11 21:25:09.236380 | 2025-06-11 21:24:33.499500 |
| 2025-06-11 21:21:09.228158 | 2025-06-11 21:21:11.063826 | 8729927 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-02 | 2025-06-11 | M | PT | AE | 4437 | HOLDENDER | 111099054701 | JACQUES | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085205/check_8729927_a867a603-4d0f-474a-bba5-81e53df5623e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085205/check_8729927_e55053a9-0ff4-425f-96b2-d6bea08f6d4a.json | N/A | N/A | N/A | N/A | N/A | 111099054701 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1953-09-02 | N/A | N/A | N/A | N/A | false | HOLDENDER | N/A | JACQUES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6085205 | 2222 | N/A | 8439471 | N/A | 4728521 | 2025-06-11 21:21:11.063826 | 2025-06-11 18:09:57.931210 |
| 2025-06-11 21:21:07.591409 | 2025-06-11 21:21:09.225449 | 8729926 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-02 | 2025-06-11 | M | PT | AE | 4437 | HOLDENDER | 111099054701 | JACQUES | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085205/check_8729926_38be37f1-c73d-4b7d-8aaf-bf1350b874e8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | 111099054701 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1953-09-02 | N/A | N/A | N/A | N/A | false | HOLDENDER | N/A | JACQUES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6085205 | 2222 | N/A | N/A | N/A | 4728521 | 2025-06-11 21:21:09.225449 | 2025-06-11 18:09:57.931210 |
| 2025-06-11 21:15:24.886998 | 2025-06-11 21:15:28.660188 | 8729913 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-06-11 | F | PT | AE | 2630 | CASTRO | 00000259543 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222093/check_8729913_32575859-458b-4d67-a436-0d1955222e79.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222093/check_8729913_dd8a246e-0b07-49e0-b8fb-1402d4a0b7b4.json | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6222093 | 2222 | N/A | 8439446 | N/A | 4213051 | 2025-06-11 21:15:28.660188 | 2025-05-13 04:29:37.227377 |
| 2025-06-11 21:15:20.178522 | 2025-06-11 21:15:24.882923 | 8729912 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-06-11 | F | PT | AE | 2630 | CASTRO | 00000259543 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222093/check_8729912_c78b7f5b-2e3d-473c-9bd4-e6af150efe8e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6222093 | 2222 | N/A | N/A | N/A | 4213051 | 2025-06-11 21:15:24.882923 | 2025-05-13 04:29:37.227377 |
| 2025-06-11 21:15:05.277557 | 2025-06-11 21:15:07.084314 | 8729909 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-06-11 | F | PT | AE | 2630 | CASTRO | 00000259543 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222093/check_8729909_61fde073-4dea-4830-a02c-1fc4b530f26d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222093/check_8729909_6947b4df-d918-40d9-b108-4b942b08e9da.json | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6222093 | 2222 | N/A | 8439442 | N/A | 4213051 | 2025-06-11 21:15:07.084314 | 2025-05-13 04:29:37.227377 |
| 2025-06-11 21:15:02.622895 | 2025-06-11 21:15:05.273622 | 8729908 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-06-11 | F | PT | AE | 2630 | CASTRO | 00000259543 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222093/check_8729908_eaf1a912-225a-4281-8c17-9f6aad02430a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6222093 | 2222 | N/A | N/A | N/A | 4213051 | 2025-06-11 21:15:05.273622 | 2025-05-13 04:29:37.227377 |
| 2025-06-11 20:20:00.652667 | 2025-06-11 20:20:04.503132 | 8729643 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-03-26 | 2025-06-11 | M | PT | AE | 6411 | ORLOV | 23474362GEHA | BORIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543101/check_8729643_7c7417c3-a7c7-416e-8aa5-6f9e46964f50.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543101/check_8729643_bd652515-73e9-419d-b794-9da3b7ee6b40.json | N/A | N/A | N/A | N/A | N/A | 23474362GEHA | N/A | N/A | UNITEDHEALTHCARE | N/A | 1976-03-26 | N/A | N/A | N/A | N/A | false | ORLOV | N/A | BORIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7904403769 | 9489 | N/A | 5543101 | 2222 | N/A | 8439032 | N/A | 4214932 | 2025-06-11 20:20:04.503132 | 2025-05-13 04:29:37.229254 |
| 2025-06-11 20:13:19.567574 | 2025-06-11 20:13:22.627592 | 8729612 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-06-26 | 2025-04-04 | M | PT | AE | 4191 | ARSHADNIA | XEK904721388 | SHAHRIAR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542770/check_8729612_5d559c1d-f3af-4fbf-aa38-eb228ad68034.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-04-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542770/check_8729612_ffa5a7c7-29e2-4737-9465-7b4680945b09.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-06-26 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED VISION | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7904287319 | 9489 | N/A | 5542770 | 2222 | N/A | 8438985 | N/A | 4214643 | 2025-06-11 20:13:22.627592 | 2025-05-13 04:29:37.228964 |
| 2025-06-11 20:04:54.146198 | 2025-06-11 20:04:58.972107 | 8729562 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-28 | 2025-06-11 | F | PT | AE | 2630 | STEVENS | 00000348252 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540659/check_8729562_0a7b6a2b-8a97-4914-b2e4-09c59c7fdd83.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540659/check_8729562_68a764f2-291b-48be-af9a-d1020d5212d2.json | N/A | N/A | N/A | N/A | N/A | 00000348252 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1959-09-28 | H3815028 | N/A | N/A | HM | false | STEVENS | N/A | JANET | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7904150276 | 9483 | N/A | 5540659 | 2222 | N/A | 8438905 | N/A | 4212773 | 2025-06-11 20:04:58.972107 | 2026-04-04 05:51:01.155131 |
| 2025-06-11 18:55:23.291264 | 2025-06-11 18:55:25.169222 | 8729168 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-04-27 | 2025-06-11 | M | PT | N/A | 4185 | MERTES | XED914030953 | CORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550989/check_8729168_9bd5f06e-16b0-4ff6-aa39-85e6f2b9fcd3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550989/check_8729168_b853e2b9-bd13-47d3-a3ba-13210adef18a.json | N/A | N/A | N/A | N/A | N/A | XED914030953 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | ANTHEM BLUE CROSS | N/A | 1966-04-27 | 2001ZK002184 | X0001004 | N/A | PR | false | MERTES | N/A | CORY | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7903005430 | 9482 | N/A | 5550989 | 2222 | N/A | 8438341 | N/A | 4219813 | 2025-06-11 18:55:25.169222 | 2025-05-13 04:29:37.230860 |
| 2025-06-11 18:47:55.749679 | 2025-06-11 18:48:00.637721 | 8729136 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-04-27 | 2025-06-09 | M | PT | N/A | 4185 | MERTES | XED914030953 | CORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550989/check_8729136_d5d29b5d-917c-4671-9592-02371e2a8c6e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550989/check_8729136_8b0977fa-9d31-479d-9c79-cfed720862cf.json | N/A | N/A | N/A | N/A | N/A | XED914030953 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | ANTHEM BLUE CROSS | N/A | 1966-04-27 | 2001ZK002184 | X0001004 | N/A | PR | false | MERTES | N/A | CORY | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7902871488 | 9482 | N/A | 5550989 | 2222 | N/A | 8438297 | N/A | 4219813 | 2025-06-11 18:48:00.637721 | 2025-05-13 04:29:37.230860 |
| 2025-06-11 18:30:15.854728 | 2025-06-11 18:30:18.692760 | 8729019 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-10-30 | 2025-06-11 | F | PT | N/A | 4191 | SMITH | XEA911729154 | KAMALA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6162659/check_8729019_56f3dc14-7013-4da0-afe3-7904ae0a84e6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6162659/check_8729019_041406c7-1fd7-45d0-be7a-ed93b558c0d2.json | N/A | N/A | N/A | N/A | N/A | XEA911729154 | Preferred Provider Organization (PPO) | SHANTHA K SMITH BOOKS AND TAX LLC | BLUE SHIELD CALIFORNIA | N/A | 2009-10-30 | 1000VX000103 | W0074149 | N/A | PR | false | SMITH | N/A | SHANTHA | N/A | 2028-10-31 | 2022-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7902555623 | N/A | N/A | 6162659 | 2222 | N/A | 8438130 | N/A | 4805243 | 2025-06-11 18:30:18.692760 | 2025-06-23 19:30:24.977468 |
| 2025-06-11 17:59:37.605158 | 2025-06-11 17:59:41.352933 | 8728893 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2015-04-28 | 2025-06-13 | F | PT | N/A | 4184 | HARRIS | ZTQ074A70562 | ADELINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222060/check_8728893_f6bbbadc-a583-4da1-b697-7abde13c464d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222060/check_8728893_333852c0-5ec1-4926-8436-e1890b3cabbd.json | N/A | N/A | N/A | N/A | N/A | ZTQ074A70562 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC SCIENTIFIC & IMAGING | ANTHEM BLUE CROSS | N/A | 2015-04-28 | 040 | 174249M3BE | N/A | PR | false | VILLASANTA | N/A | VERONICA | N/A | 9999-12-31 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7902001015 | N/A | N/A | 6222060 | 2222 | N/A | 8437932 | N/A | 4866077 | 2025-06-11 17:59:41.352933 | 2025-06-30 23:43:30.307325 |
| 2025-06-11 17:32:06.270972 | 2025-06-11 17:32:10.026803 | 8728732 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-01-03 | 2025-06-11 | M | AE | PT | 3939 | HUANG | W278191924 | DANNY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6140246/check_8728732_3598569d-68e3-4b51-9dce-adf4bba10bf2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140246/check_8728732_a911ad5e-5357-45ea-b6c3-732569c28eec.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7901518854 | N/A | N/A | 6140246 | 2222 | N/A | 8437731 | N/A | 4781166 | 2025-06-11 17:32:10.026803 | 2025-06-11 17:29:46.826705 |
| 2025-06-11 17:11:22.340576 | 2025-06-11 17:11:24.161340 | 8728570 | 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 | U9319979301 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222331/check_8728570_69442224-2ab2-44c2-8cd2-525a33ef199d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222331/check_8728570_ec31ccff-d618-4e34-ba1b-b00878cd3e95.json | N/A | N/A | N/A | N/A | N/A | U9319979301 | 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 | 9482 | N/A | 6222331 | 2222 | N/A | 8437522 | N/A | 4866524 | 2025-06-11 17:11:24.161340 | 2025-06-17 17:52:29.549635 |
| 2025-06-11 17:11:20.569913 | 2025-06-11 17:11:22.335892 | 8728568 | 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 | U9319979301 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222331/check_8728568_bcb89a51-b56f-4042-8f55-4823909a97fe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | N/A | N/A | N/A | N/A | N/A | N/A | U9319979301 | 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 | 9482 | N/A | 6222331 | 2222 | N/A | N/A | N/A | 4866524 | 2025-06-11 17:11:22.335892 | 2025-06-17 17:52:29.549635 |
| 2025-06-11 17:10:17.947729 | 2025-06-11 17:10:19.792227 | 8728563 | 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 | U9319979301 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222331/check_8728563_23d81dc1-991c-4928-a76a-9696db1c1d6c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222331/check_8728563_535d824e-1d06-47dc-9697-c57a9d1d4b81.json | N/A | N/A | N/A | N/A | N/A | U9319979301 | 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 | 9482 | N/A | 6222331 | 2222 | N/A | 8437513 | N/A | 4866524 | 2025-06-11 17:10:19.792227 | 2025-06-17 17:52:29.549635 |
| 2025-06-11 17:10:16.180640 | 2025-06-11 17:10:17.943297 | 8728562 | 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 | U9319979301 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222331/check_8728562_9f1299fe-1afe-4d83-8413-543e84914932.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | N/A | N/A | N/A | N/A | N/A | N/A | U9319979301 | 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 | 9482 | N/A | 6222331 | 2222 | N/A | N/A | N/A | 4866524 | 2025-06-11 17:10:17.943297 | 2025-06-17 17:52:29.549635 |
| 2025-06-11 16:46:36.758759 | 2025-06-11 16:46:39.989289 | 8728440 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-01-07 | 2025-06-30 | M | AE | PT | 2630 | Placeres | 00000387571 | Gerald | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210310/check_8728440_8ab54ac0-c6d0-4bde-bc67-f9199d2e481c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210310/check_8728440_85fed2db-a1ef-4457-8c3c-8287cbc82923.json | N/A | N/A | N/A | N/A | N/A | 00000387571 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1957-01-07 | N/A | N/A | N/A | N/A | false | PLACERES | N/A | GERALD | 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 | 6210310 | 2222 | N/A | 8437341 | N/A | 4853176 | 2025-06-11 16:46:39.989289 | 2025-06-11 16:41:23.932807 |
| 2025-06-11 16:46:31.896740 | 2025-06-11 16:46:36.749489 | 8728438 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-01-07 | 2025-06-30 | M | AE | PT | 2630 | Placeres | 00000387571 | Gerald | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210310/check_8728438_ca2f4efd-9801-4b59-bccf-5cff6f918142.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00000387571 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1957-01-07 | N/A | N/A | N/A | N/A | false | PLACERES | N/A | GERALD | 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 | 6210310 | 2222 | N/A | N/A | N/A | 4853176 | 2025-06-11 16:46:36.749489 | 2025-06-11 16:41:23.932807 |
| 2025-06-11 16:30:11.264086 | 2025-06-11 16:30:15.191144 | 8728344 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-04-30 | 2025-06-12 | F | AE | PT | 6411 | URBACH | 986803155-00 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068052/check_8728344_c1a51d46-3753-4425-9f9e-1a5f6bce39a3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068052/check_8728344_f6a578c0-646b-4124-a3e7-ee8838b62148.json | N/A | N/A | N/A | N/A | N/A | 209654791 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1941-04-30 | N/A | 74134 | N/A | PR | false | N/A | N/A | N/A | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7900534916 | 8428 | N/A | 6068052 | 2222 | N/A | 8437204 | N/A | 4712993 | 2025-06-11 16:30:15.191144 | 2025-06-12 23:03:47.433557 |
| 2025-06-11 16:28:59.875142 | 2025-06-11 16:29:02.660804 | 8728334 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-11-30 | 2025-06-11 | M | AE | PT | 4625 | FITZGIBBON | R1075485200 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541889/check_8728334_06c70f90-1401-40c3-af2b-e3635a59c9c6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541889/check_8728334_94a7a907-d6c7-470c-8a10-738b5293d35d.json | N/A | N/A | N/A | N/A | N/A | R1075485200 | N/A | N/A | HEALTH NET OF CALIFORNIA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1970-11-30 | 67138CA0520015-05 | N/A | N/A | N/A | false | FITZGIBBON | N/A | MICHAEL | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7900515831 | 8428 | N/A | 5541889 | 2222 | N/A | 8437190 | N/A | 4213867 | 2025-06-11 16:29:02.660804 | 2025-05-13 04:29:37.228184 |