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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-05 08:09:34.411949 | 2026-01-06 01:41:57.069392 | 16685540 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16685540 | Athletic Physical Therapy Inc | 1956-01-14 | 2026-01-07 | F | AE | PT | COHENZADEH | 1YM2D25GY27 | SIMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_16685540_51c7c3d0-ea3d-4d3d-8882-e053f6620e0c.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679469522 | N/A | N/A | 5541059 | 2222 | 4802 | 16959439 | N/A | 4213119 | 2026-01-06 01:41:57.069392 | 2025-11-20 01:13:31.057962 |
| 2026-01-05 08:09:34.316689 | 2026-01-06 01:41:56.816299 | 16685528 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16685528 | Athletic Physical Therapy Inc | 1956-09-14 | 2026-01-07 | M | AE | PT | COHENZADEH | 7UJ5QD2DD88 | DAVOOD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540904/check_16685528_9f8bceac-05fb-4f62-a675-4515a8ba74cf.json | N/A | N/A | N/A | N/A | N/A | 7UJ5QD2DD88 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-09-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | DAVOOD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679469521 | N/A | N/A | 5540904 | 2222 | 4802 | 16959427 | N/A | 4212983 | 2026-01-06 01:41:56.816299 | 2025-11-19 21:27:11.455704 |
| 2026-01-05 08:09:34.150754 | 2026-01-06 01:39:02.927857 | 16685501 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16685501 | Athletic Physical Therapy Inc | 1997-07-14 | 2026-01-08 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_16685501_1abb52cd-eee8-42fa-973e-47a73e01993a.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZL002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9679469520 | N/A | N/A | 5540558 | 2222 | 4801 | 16951793 | N/A | 4212698 | 2026-01-06 01:39:02.927857 | 2025-05-13 04:29:37.227042 |
| 2026-01-05 08:09:34.025734 | 2026-01-06 01:37:01.271217 | 16685488 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16685488 | Athletic Physical Therapy Inc | 1956-07-18 | 2026-01-08 | M | AE | PT | BELL | 40055462001 | LOWELL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540339/check_16685488_59d88d7f-bc95-4f73-ac53-ff160f921e61.json | N/A | N/A | N/A | N/A | N/A | 40055462001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-07-18 | 2026H5425097VEF | H5425CSNP | N/A | N/A | false | BELL | N/A | LOWELL | N/A | N/A | N/A | SCAN STRIVE (HMO SNP), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679469519 | N/A | N/A | 5540339 | 2222 | 4801 | 16947469 | N/A | 4212512 | 2026-01-06 01:37:01.271217 | 2025-11-04 22:17:35.476315 |
| 2026-01-05 08:09:33.861833 | 2026-01-06 01:38:21.327924 | 16685467 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16685467 | Athletic Physical Therapy Inc | 1982-06-09 | 2026-01-07 | M | AE | PT | FULKERSON | R12222652MM1 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539956/check_16685467_10e4783f-afdf-4d35-b353-e614408f41fd.json | N/A | N/A | N/A | N/A | N/A | R12222652MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1982-06-09 | N/A | N/A | N/A | N/A | false | FULKERSON | N/A | SCOTT | N/A | N/A | N/A | NCE UCNNHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679469518 | N/A | N/A | 5539956 | 2222 | 4801 | 16950140 | N/A | 4212166 | 2026-01-06 01:38:21.327924 | 2025-10-23 15:59:33.239127 |
| 2026-01-05 08:09:33.725584 | 2026-01-06 01:37:00.738725 | 16685453 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16685453 | Athletic Physical Therapy Inc | 1939-12-29 | 2026-01-07 | F | AE | PT | ALESSI | 31019902301 | JEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539133/check_16685453_aaf2d855-e0df-4ff9-a274-32899f08ba2e.json | N/A | N/A | N/A | N/A | N/A | 31019902301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1939-12-29 | 2026H5425001 | H5425M | N/A | N/A | false | ALESSI | N/A | JEAN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679469517 | N/A | N/A | 5539133 | 2222 | 4793 | 16947441 | N/A | 4211471 | 2026-01-06 01:37:00.738725 | 2025-07-09 03:59:33.308587 |
| 2026-01-05 08:09:33.617812 | 2026-01-06 01:38:46.690755 | 16685439 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16685439 | Athletic Physical Therapy Inc | 1980-04-11 | 2026-01-07 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_16685439_0aea2467-f6bb-4788-a6bc-82e3a8c8b3da.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9679469516 | N/A | N/A | 5539085 | 2222 | 4793 | 16951129 | N/A | 4211408 | 2026-01-06 01:38:46.690755 | 2025-09-18 00:42:48.586801 |
| 2026-01-05 08:09:33.482064 | 2026-01-06 01:34:27.020784 | 16685425 | N/A | N/A | 61101 | HUMANA | 1114042165 | 16685425 | Athletic Physical Therapy Inc | 1952-05-02 | 2026-01-07 | F | AE | PT | HASSEY DE HANSON | H6569972200 | HILDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536963/check_16685425_8865781f-9085-461e-b9ab-ff7323dfdd94.json | N/A | N/A | N/A | N/A | N/A | H65699722 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA 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 | 1952-05-02 | N/A | 2B722001 | N/A | HN | false | HASSEY DE HA | N/A | HILDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679469515 | N/A | N/A | 5536963 | 2222 | 4793 | 16943281 | 5349 | 4209616 | 2026-01-06 01:34:27.020784 | 2025-12-02 19:38:35.715555 |
| 2026-01-05 08:09:33.340528 | 2026-01-06 01:38:47.807497 | 16685408 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16685408 | Athletic Physical Therapy Inc | 1969-03-28 | 2026-01-07 | M | PT | N/A | KOSTER | DGA11321380J | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536722/check_16685408_aa9b2ba4-510d-4f0d-b3aa-350b00197365.json | N/A | N/A | N/A | N/A | N/A | DGA11321380J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 276945M001 | N/A | PR | false | KOSTER | N/A | KEVIN | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9679469514 | N/A | N/A | 5536722 | 2222 | 4802 | 16951181 | N/A | 4209420 | 2026-01-06 01:38:47.807497 | 2025-05-13 04:29:37.223843 |
| 2026-01-05 08:09:33.228922 | 2026-01-06 01:38:17.510989 | 16685395 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16685395 | Athletic Physical Therapy Inc | 1972-10-15 | 2026-01-08 | F | AE | PT | BAHGAT | R0765902916 | MONA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536335/check_16685395_9ac90653-d936-4f6b-b411-276842086ccb.json | N/A | N/A | N/A | N/A | N/A | R0765902916 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-10-15 | 67138CA0520010-01 | N/A | N/A | N/A | false | BAHGAT | N/A | MONA | N/A | N/A | N/A | GOLD 80 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679469513 | N/A | N/A | 5536335 | 2222 | 4802 | 16949992 | N/A | 4209098 | 2026-01-06 01:38:17.510989 | 2025-05-13 04:29:37.223519 |
| 2026-01-05 08:09:33.062771 | 2026-01-06 01:38:19.582701 | 16685373 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16685373 | Athletic Physical Therapy Inc | 2008-04-21 | 2026-01-07 | F | AE | PT | BAUMAN | R01271027FD1 | ALEXIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536279/check_16685373_cf4ba8e0-256b-4b54-bbc0-f73df93c0fa1.json | N/A | N/A | N/A | N/A | N/A | R01271027FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2008-04-21 | N/A | N/A | N/A | N/A | false | BAUMAN | N/A | ALEXIS | N/A | N/A | N/A | NA6 COMHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679469512 | N/A | N/A | 5536279 | 2222 | 4793 | 16950079 | N/A | 4209049 | 2026-01-06 01:38:19.582701 | 2025-12-12 22:17:49.863168 |
| 2026-01-05 08:09:32.964430 | 2026-01-06 01:41:58.829233 | 16685359 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16685359 | Athletic Physical Therapy Inc | 1945-09-15 | 2026-01-08 | F | AE | PT | KHORSANDI | 3CF4YQ5UH79 | PARIVASH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536010/check_16685359_453e930c-6551-474e-8282-c89729050bc5.json | N/A | N/A | N/A | N/A | N/A | 3CF4YQ5UH79 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-09-15 | S5921 | N/A | N/A | MA | false | KHORSANDI | N/A | PARIVASH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679469511 | N/A | N/A | 5536010 | 2222 | 4802 | 16959512 | N/A | 4208831 | 2026-01-06 01:41:58.829233 | 2025-10-30 22:42:31.399473 |
| 2026-01-05 08:09:32.793117 | 2026-01-06 01:42:00.703825 | 16685334 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16685334 | Athletic Physical Therapy Inc | 1939-06-24 | 2026-01-07 | M | AE | PT | ULLMAN | 3A76X26KQ40 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_16685334_6c4d99b3-a8bf-4128-8812-a88526099ecc.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679469510 | N/A | N/A | 5535838 | 2222 | 4801 | 16959608 | N/A | 4208696 | 2026-01-06 01:42:00.703825 | 2025-06-07 16:16:45.844566 |
| 2026-01-05 08:08:29.707364 | 2026-01-05 08:08:35.555916 | 16678946 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1994-03-01 | 2026-01-05 | M | PT | N/A | VANE | GMB812956081 | KYLE | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14980212/check_16678946_9d5fd833-da0f-49d6-bc61-f9ddf688b003.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14980212/check_16678946_d71c67fe-97b4-4e6d-b659-e01e83d2fa3c.json | N/A | N/A | N/A | N/A | N/A | GMB812956081 | Preferred Provider Organization (PPO) | ARTHUR J GALLAGHER ILLINOIS, LLC | BLUE SHIELD OF CALIFORNIA | HEALTH CARE ACCOUNT BALANCE PLEASE DO NOT BILL THE PATIENT. THIS POLICY HAS AN EMPLOYER-FUNDED HEALTH CARE ACCOUNT. THIS TYPE OF HRA WILL BE USED TO PAY FOR QUALIFIED MEDICAL EXPENSES, INCLUDING, BUT NOT LIMITED TO DEDUCTIBLE. | 1994-03-01 | N/A | 169150 | N/A | PR | false | VANE | N/A | KYLE | N/A | 9999-12-31 | 2025-01-01 | BLUEEDGE HCA | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9679437773 | N/A | N/A | 14980212 | 2222 | N/A | 16908546 | N/A | 4213573 | 2026-01-05 08:08:35.555916 | 2026-01-05 00:56:21.017893 |
| 2026-01-05 08:08:29.488925 | 2026-01-05 08:08:33.319648 | 16678932 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-01-22 | 2026-01-05 | F | AE | PT | MEZA | 31192859301 | CARMEN | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13683476/check_16678932_62ebf051-86dc-4233-9aaa-12e38924bdb4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13683476/check_16678932_e45d8117-7e8d-426b-9a81-28523345964a.json | N/A | N/A | N/A | N/A | N/A | 31192859301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1947-01-22 | 2026H5425001 | H5425M | N/A | N/A | false | MEZA | N/A | CARMEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679437755 | N/A | N/A | 13683476 | 2222 | N/A | 16908531 | N/A | 11833622 | 2026-01-05 08:08:33.319648 | 2025-12-15 22:10:36.727511 |
| 2026-01-05 05:17:32.050784 | 2026-01-05 05:17:34.997700 | 16675752 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-14 | 2026-01-05 | F | AE | PT | McKinnon | XEM913376502 | Dawn | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7783106/check_16675752_8c9bf73e-2bae-4bce-85ab-eb7771facd62.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783106/check_16675752_cb264627-3308-4e6e-b8f7-35b36122ffe9.json | N/A | N/A | N/A | N/A | N/A | XEM913376502 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-08-14 | 2002SE000030 | X0001002 | N/A | OT | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9678498450 | N/A | N/A | 7783106 | 2222 | N/A | 16907809 | N/A | 6628331 | 2026-01-05 05:17:34.997700 | 2025-08-22 15:16:03.942743 |
| 2026-01-05 05:17:31.036782 | 2026-01-05 05:17:32.806784 | 16675751 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-14 | 2026-01-05 | F | AE | PT | McKinnon | 4Q81VP4NU12 | Dawn | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7783105/check_16675751_513c67a2-8aaa-4b44-9f57-5c75e15f7de7.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783105/check_16675751_8ba8727f-b6d9-4dc6-879d-9ce4f82a38e1.json | N/A | N/A | N/A | N/A | N/A | 4Q81VP4NU12 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MA | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9678498366 | N/A | N/A | 7783105 | 2222 | N/A | 16907808 | N/A | 6628331 | 2026-01-05 05:17:32.806784 | 2025-08-22 15:16:03.942743 |
| 2026-01-05 03:29:10.549223 | 2026-01-05 03:29:12.466315 | 16675488 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-09-21 | 2026-01-05 | M | AE | PT | Mccallum | 0016751002 | Caden | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14655669/check_16675488_5d0a7202-a713-43d6-80d9-dd5fd12e2c9b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14655669/check_16675488_2a36a2ed-c042-4085-864b-a687a24bef92.json | N/A | N/A | N/A | N/A | N/A | 0016751002 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2005-09-21 | N/A | N/A | N/A | N/A | false | MCCALLUM | N/A | CADEN | 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 | 14655669 | 2222 | N/A | 16907548 | N/A | 12783185 | 2026-01-05 03:29:12.466315 | 2025-12-23 22:44:08.924085 |
| 2026-01-05 03:29:08.822193 | 2026-01-05 03:29:10.544999 | 16675487 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-09-21 | 2026-01-05 | M | AE | PT | Mccallum | 0016751002 | Caden | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14655669/check_16675487_64902aa9-f70c-4433-9337-fb3f77fe8b4a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | N/A | N/A | N/A | N/A | N/A | N/A | 0016751002 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2005-09-21 | N/A | N/A | N/A | N/A | false | MCCALLUM | N/A | CADEN | 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 | 14655669 | 2222 | N/A | N/A | N/A | 12783185 | 2026-01-05 03:29:10.544999 | 2025-12-23 22:44:08.924085 |
| 2026-01-04 18:12:16.033412 | 2026-01-04 18:12:19.048326 | 16674450 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-08-23 | 2026-01-05 | M | AE | PT | OMID | W263035338 | RAMBOD | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14143115/check_16674450_6f3aff53-68b8-473d-8d02-d16692e872c2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14143115/check_16674450_3b4a2e2f-7d29-4d46-8a46-7c89b34b6bfe.json | N/A | N/A | N/A | N/A | N/A | W263035338 | N/A | N/A | AETNA | N/A | 1963-08-23 | 0161087 | 016108701100001 | N/A | N/A | false | OMID | N/A | RAMBOD | 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 | 9676353720 | 7927 | N/A | 14143115 | 2222 | N/A | 16906538 | N/A | 12282275 | 2026-01-04 18:12:19.048326 | 2025-12-12 22:24:17.407952 |
| 2026-01-04 18:07:04.664063 | 2026-01-04 18:07:06.746045 | 16674437 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-10-16 | 2026-01-05 | F | AE | PT | ARGANO | 566107301 | CHERYL | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11373547/check_16674437_ea5f8aa3-9023-4b7e-a97e-9c48904d9a2f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11373547/check_16674437_e197e813-bd12-4459-971a-10516a414a84.json | N/A | N/A | N/A | N/A | N/A | 566107301 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1970-10-16 | N/A | N/A | N/A | N/A | false | ARGANO | N/A | CHERYL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9676331307 | 7927 | N/A | 11373547 | 2222 | N/A | 16906526 | N/A | 9641068 | 2026-01-04 18:07:06.746045 | 2026-01-05 00:03:15.190239 |
| 2026-01-04 18:05:20.319572 | 2026-01-04 18:05:24.278834 | 16674417 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-10-16 | 2026-01-05 | F | AE | PT | ARGANO | 566107301 | CHERYL | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11373547/check_16674417_1c6c2157-e05e-465d-befc-8f6905bfeb28.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11373547/check_16674417_88b76890-b316-4e2c-91fc-b7579de3a0ef.json | N/A | N/A | N/A | N/A | N/A | 566107301 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1970-10-16 | N/A | N/A | N/A | N/A | false | ARGANO | N/A | CHERYL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9676324951 | 7927 | N/A | 11373547 | 2222 | N/A | 16906506 | N/A | 9641068 | 2026-01-04 18:05:24.278834 | 2026-01-05 00:03:15.190239 |
| 2026-01-04 18:03:38.157121 | 2026-01-04 18:05:20.314496 | 16674397 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-10-16 | 2026-01-05 | F | AE | PT | ARGANO | 566107301 | CHERYL | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11373547/check_16674397_0fa36516-d811-4444-aa16-2c81bbe80b54.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | N/A | N/A | N/A | N/A | N/A | N/A | 566107301 | N/A | N/A | UNITED HEALTHCARE | N/A | 1970-10-16 | N/A | N/A | N/A | N/A | false | ARGANO | N/A | CHERYL | 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 | 7927 | N/A | 11373547 | 2222 | N/A | N/A | N/A | 9641068 | 2026-01-04 18:05:20.314496 | 2026-01-05 00:03:15.190239 |
| 2026-01-04 17:40:08.012058 | 2026-01-04 17:40:10.122817 | 16674358 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-19 | 2026-01-05 | F | PT | N/A | SWAMINATHAN | PAM911049144 | SRIHARI | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537224/check_16674358_65987fa3-96da-4af3-92b5-f947c1705b8d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537224/check_16674358_9a209bcd-bad5-49d0-8f0e-588fe17c346e.json | N/A | N/A | N/A | N/A | N/A | PAM911049144 | Preferred Provider Organization (PPO) | PALO ALTO NETWORKS INC | BLUE SHIELD CALIFORNIA | N/A | 1981-07-19 | 1000PPOX0001 | W8000013 | N/A | PR | false | SWAMINATHAN | N/A | SRIHARI PRASATH | N/A | N/A | N/A | PALO ALTO NETWORKS INC ASO PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9676214613 | 7927 | N/A | 5537224 | 2222 | N/A | 16906448 | N/A | 4209830 | 2026-01-04 17:40:10.122817 | 2026-01-05 23:05:15.485219 |
| 2026-01-04 17:34:50.607156 | 2026-01-04 17:35:09.749916 | 16674350 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-01-22 | 2026-01-05 | F | AE | PT | MEZA | 31192859301 | CARMEN | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13683476/check_16674350_76c76616-f11e-4c5f-bc18-bb0191960dc0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13683476/check_16674350_2210c3a5-8744-4fe2-98cc-a6203ae2f962.json | N/A | N/A | N/A | N/A | N/A | 31192859301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1947-01-22 | 2026H5425001 | H5425M | N/A | N/A | false | MEZA | N/A | CARMEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9676197379 | 7927 | N/A | 13683476 | 2222 | N/A | 16906440 | N/A | 11833622 | 2026-01-04 17:35:09.749916 | 2025-12-15 22:10:36.727511 |
| 2026-01-04 17:33:07.793277 | 2026-01-04 17:33:29.935599 | 16674348 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-01-22 | 2026-01-05 | F | AE | PT | MEZA | 311192859301 | CARMEN | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13683476/check_16674348_726193dc-b99d-46e9-9119-049f0c7525d9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13683476/check_16674348_0185a221-ea9f-4aac-8c35-bcb39665cc96.json | N/A | N/A | N/A | N/A | N/A | 311192859301 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1947-01-22 | N/A | N/A | N/A | N/A | false | MEZA | N/A | CARMEN | 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 | 7927 | N/A | 13683476 | 2222 | N/A | 16906439 | N/A | 11833622 | 2026-01-04 17:33:29.935599 | 2025-12-15 22:10:36.727511 |
| 2026-01-04 17:32:45.743030 | 2026-01-04 17:33:07.789501 | 16674347 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-01-22 | 2026-01-05 | F | AE | PT | MEZA | 311192859301 | CARMEN | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13683476/check_16674347_a616cb21-383b-443e-89cf-dce5b9df1fb1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | N/A | N/A | N/A | N/A | N/A | N/A | 311192859301 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1947-01-22 | N/A | N/A | N/A | N/A | false | MEZA | N/A | CARMEN | 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 | 7927 | N/A | 13683476 | 2222 | N/A | N/A | N/A | 11833622 | 2026-01-04 17:33:07.789501 | 2025-12-15 22:10:36.727511 |
| 2026-01-04 17:28:48.954464 | 2026-01-04 17:28:50.841749 | 16674340 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-20 | 2026-01-05 | F | PT | N/A | FOX | 941W2386920 | GENOVEVA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14508581/check_16674340_4c44a312-52ca-48c1-a5ac-5e3c4378da3e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14508581/check_16674340_ed067f0a-edf8-4108-83b6-9a672862bf10.json | N/A | N/A | N/A | N/A | N/A | 941W2386920 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-04-20 | N/A | N/A | N/A | N/A | false | FOX | N/A | GENOVEVA | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 14508581 | 2222 | N/A | 16906430 | N/A | 10741847 | 2026-01-04 17:28:50.841749 | 2025-11-17 21:17:39.202453 |
| 2026-01-04 17:28:34.873585 | 2026-01-04 17:28:48.951373 | 16674338 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-20 | 2026-01-05 | F | PT | N/A | FOX | 941W2386920 | GENOVEVA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14508581/check_16674338_b37ca989-1383-4710-b5d8-6d241fe6af07.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | N/A | N/A | N/A | N/A | N/A | N/A | 941W2386920 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-04-20 | N/A | N/A | N/A | N/A | false | FOX | N/A | GENOVEVA | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 14508581 | 2222 | N/A | N/A | N/A | 10741847 | 2026-01-04 17:28:48.951373 | 2025-11-17 21:17:39.202453 |
| 2026-01-04 17:15:11.574180 | 2026-01-04 17:15:13.462981 | 16674318 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-09-23 | 2026-01-05 | M | PT | N/A | STRASSNER | 653M8615410 | MARCUS | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538249/check_16674318_9d90653f-8dd0-42d7-a72e-3cf3d51529d6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538249/check_16674318_e8a8b07d-2493-4595-a793-2c95706316e6.json | N/A | N/A | N/A | N/A | N/A | 653M8615410 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-09-23 | N/A | N/A | N/A | N/A | false | STRASSNER | N/A | MARCUS | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5538249 | 2222 | N/A | 16906408 | N/A | 4210696 | 2026-01-04 17:15:13.462981 | 2026-01-04 17:14:56.140441 |
| 2026-01-04 17:15:09.651895 | 2026-01-04 17:15:11.568726 | 16674317 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-09-23 | 2026-01-05 | M | PT | N/A | STRASSNER | 653M8615410 | MARCUS | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538249/check_16674317_d30cd8de-dd21-4e83-9244-08535cf3ed40.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | N/A | N/A | N/A | N/A | N/A | N/A | 653M8615410 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-09-23 | N/A | N/A | N/A | N/A | false | STRASSNER | N/A | MARCUS | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5538249 | 2222 | N/A | N/A | N/A | 4210696 | 2026-01-04 17:15:11.568726 | 2026-01-04 17:14:56.140441 |
| 2026-01-04 17:14:21.445784 | 2026-01-04 17:14:23.274172 | 16674314 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-09-23 | 2026-01-05 | M | PT | N/A | STRASSNER | 653M8615410 | MARCUS | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538249/check_16674314_68ccaeb0-44f2-41ff-bd56-b9e8ede6b274.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538249/check_16674314_c4f0d8ec-efff-4eea-8608-ac85abfb03cf.json | N/A | N/A | N/A | N/A | N/A | 653M8615410 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-09-23 | N/A | N/A | N/A | N/A | false | STRASSNER | N/A | MARCUS | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5538249 | 2222 | N/A | 16906404 | N/A | 4210696 | 2026-01-04 17:14:23.274172 | 2026-01-04 17:14:56.140441 |
| 2026-01-04 17:14:19.738813 | 2026-01-04 17:14:21.441375 | 16674313 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-09-23 | 2026-01-05 | M | PT | N/A | STRASSNER | 653M8615410 | MARCUS | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538249/check_16674313_205991fb-b6a1-4ef7-bef3-d7ff767c623b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | N/A | N/A | N/A | N/A | N/A | N/A | 653M8615410 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-09-23 | N/A | N/A | N/A | N/A | false | STRASSNER | N/A | MARCUS | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5538249 | 2222 | N/A | N/A | N/A | 4210696 | 2026-01-04 17:14:21.441375 | 2026-01-04 17:14:56.140441 |
| 2026-01-04 17:04:32.481118 | 2026-01-04 17:04:37.460369 | 16674295 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-04-03 | 2026-01-05 | M | AE | PT | IASCONE | 960990032400 | CRAIG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539761/check_16674295_7331580e-0e61-4654-a285-6182d164ffec.json | UHC | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539761/check_16674295_b8b0280d-b3ef-4ca6-a401-583fd3369e16.json | N/A | N/A | N/A | N/A | N/A | 960990324 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1956-04-03 | N/A | 74134 | N/A | N/A | false | IASCONE | N/A | CRAIG | 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 | 7927 | N/A | 5539761 | 2222 | N/A | 16906387 | N/A | 4212022 | 2026-01-04 17:04:37.460369 | 2025-05-13 04:29:37.226346 |
| 2026-01-04 16:57:17.986644 | 2026-01-04 16:57:22.832279 | 16674267 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-08-04 | 2026-01-05 | F | AE | PT | Tabb | W291557361 | Kelly | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12993727/check_16674267_2ee36f1b-3c30-467e-b088-5623e83b94d2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12993727/check_16674267_a88d1829-f94d-4899-b00a-81bb97de47cd.json | N/A | N/A | N/A | N/A | N/A | W291557361 | N/A | N/A | AETNA | N/A | 1962-08-04 | 0251528 | 025152802100088 | N/A | N/A | false | TABB | N/A | KELLI | N/A | N/A | N/A | HSA OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9676060275 | 7927 | N/A | 12993727 | 2222 | N/A | 16906359 | N/A | 11151756 | 2026-01-04 16:57:22.832279 | 2025-12-15 17:17:58.439188 |
| 2026-01-04 16:55:14.018906 | 2026-01-04 16:55:15.971571 | 16674253 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-06 | 2026-01-05 | M | AE | PT | Sack | 40039393001 | Robert | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14042644/check_16674253_ca6312cf-0b7f-4b54-8c31-fcd1ccf07ee3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14042644/check_16674253_a45e2411-268a-45bf-8ab2-09f3c431b362.json | N/A | N/A | N/A | N/A | N/A | 40039393001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-03-06 | 2026H5425001 | H5425M | N/A | N/A | false | SACK JR | N/A | ROBERT | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9676053417 | 7927 | N/A | 14042644 | 2222 | N/A | 16906346 | N/A | 10314571 | 2026-01-04 16:55:15.971571 | 2026-01-04 16:54:02.110823 |
| 2026-01-04 16:53:33.293520 | 2026-01-04 16:53:45.575447 | 16674244 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-06 | 2026-01-05 | M | AE | PT | Sack | 40039393001 | Robert | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14042644/check_16674244_9bd622de-8f47-495c-ad13-90ace92a5bda.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14042644/check_16674244_949814a2-70a7-4667-a65a-428f5ab70ae4.json | N/A | N/A | N/A | N/A | N/A | 40039393001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-03-06 | 2026H5425001 | H5425M | N/A | N/A | false | SACK JR | N/A | ROBERT | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9676049807 | 7927 | N/A | 14042644 | 2222 | N/A | 16906337 | N/A | 10314571 | 2026-01-04 16:53:45.575447 | 2026-01-04 16:54:02.110823 |
| 2026-01-04 01:22:20.943074 | 2026-01-04 01:22:23.097920 | 16673381 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-07 | 2026-01-07 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6752936/check_16673381_d14e40c7-5a48-44ff-a842-a2eaea3928db.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_16673381_f27f48eb-03a3-40ad-a5e7-8553e7d28d98.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9673036754 | N/A | N/A | 6752936 | 2222 | N/A | 16883055 | N/A | 5065602 | 2026-01-04 01:22:23.097920 | 2025-07-01 17:25:13.681724 |
| 2026-01-03 08:37:34.084513 | 2026-01-03 08:37:38.079521 | 16665270 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-11-18 | 2026-01-06 | F | AE | PT | Liberto | 229149130300 | Virginia | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9487561/check_16665270_18baabed-eef7-4c1f-8ed8-ac067d41c889.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9487561/check_16665270_f2d9322b-639e-4a7c-be60-273d7ed50147.json | N/A | N/A | N/A | N/A | N/A | 22914913000 | Commercial | N/A | OXFORD HEALTH INSURANCE, INC. | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1996-11-18 | N/A | 1363990 | N/A | C1 | false | LIBERTO | N/A | VIRGINIA | N/A | N/A | N/A | FREEDOM NETWORK | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666976112 | N/A | N/A | 9487561 | 2222 | N/A | 16876967 | N/A | 7937193 | 2026-01-03 08:37:38.079521 | 2025-09-17 23:48:53.744310 |
| 2026-01-03 08:37:30.524805 | 2026-01-03 08:37:34.225370 | 16665251 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-08-02 | 2026-01-06 | F | AE | PT | RAMSEY KANZAWA | 77879024100 | JENNIFER | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541156/check_16665251_d16fc661-a307-47b6-99aa-91ed7e2033f2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541156/check_16665251_ebd414c1-ae97-448d-b3bd-c07f742f1090.json | N/A | N/A | N/A | N/A | N/A | 77879024100 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1972-08-02 | N/A | 1687339 | N/A | C1 | false | KANZAWA | N/A | JENNIFER | N/A | N/A | N/A | SELECT PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666975709 | N/A | N/A | 5541156 | 2222 | N/A | 16876940 | N/A | 4213204 | 2026-01-03 08:37:34.225370 | 2025-05-28 20:17:37.873556 |
| 2026-01-03 08:37:18.717118 | 2026-01-03 08:37:26.850809 | 16665179 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-05-19 | 2026-01-06 | M | AE | PT | MALHOTRA | 934509267 | DAVE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14936491/check_16665179_272b785d-2d99-43ac-bb4f-0e94edefec98.json | UHC | N/A | GOOGLE_CLOUD | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14936491/check_16665179_26847c3e-12d1-4997-b2a5-1fcac3fa6c5e.json | N/A | N/A | N/A | N/A | N/A | 934509267 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1977-05-19 | N/A | 941855 | N/A | C1 | false | MALHOTRA | N/A | DAVE | N/A | N/A | N/A | POS CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14936491 | 2222 | N/A | 16876914 | N/A | 8100424 | 2026-01-03 08:37:26.850809 | 2025-10-07 13:46:29.078092 |
| 2026-01-03 08:37:18.539346 | 2026-01-03 08:37:18.966531 | 16665178 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-11-18 | 2026-01-06 | F | AE | PT | Liberto | 229149130300 | Virginia | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2026-01-06 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9487561 | 2222 | N/A | N/A | N/A | 7937193 | 2026-01-03 08:37:18.966531 | 2025-09-17 23:48:53.744310 |
| 2026-01-03 08:37:18.502318 | 2026-01-03 08:37:20.326822 | 16665177 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-10-11 | 2026-01-06 | M | AE | PT | Moore | 977025736 | James | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14388805/check_16665177_926e79d9-2cc5-4ad1-a051-73c84006a51a.json | UHC | N/A | GOOGLE_CLOUD | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14388805/check_16665177_71aac864-1496-4ee3-b0c3-6f79dd1b030a.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 | 16876888 | N/A | 12523013 | 2026-01-03 08:37:20.326822 | 2025-12-17 23:02:14.695752 |
| 2026-01-03 08:37:18.340810 | 2026-01-03 08:37:23.465813 | 16665175 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-09 | 2026-01-06 | M | AE | PT | BEST | 983112629-00 | JEFFREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539159/check_16665175_60eee552-f869-4618-9d36-1928c31ba1d6.json | UHC | N/A | GOOGLE_CLOUD | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539159/check_16665175_71b6d302-a0bf-4f7f-b1d9-7e2c73188602.json | N/A | N/A | N/A | N/A | N/A | 983112629 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1951-03-09 | N/A | 15743 | N/A | PR | false | BEST | N/A | JEFFREY | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539159 | 2222 | N/A | 16876897 | N/A | 4211483 | 2026-01-03 08:37:23.465813 | 2025-05-13 04:29:37.225819 |
| 2026-01-03 08:37:18.171868 | 2026-01-03 08:37:18.449414 | 16665174 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-08-02 | 2026-01-06 | F | AE | PT | RAMSEY KANZAWA | 77879024100 | JENNIFER | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2026-01-06 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541156 | 2222 | N/A | N/A | N/A | 4213204 | 2026-01-03 08:37:18.449414 | 2025-05-28 20:17:37.873556 |
| 2026-01-03 08:37:17.738824 | 2026-01-03 08:37:23.382165 | 16665173 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-10 | 2026-01-06 | M | AE | PT | BRUNSKILL | 9853463-01 | NATHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538359/check_16665173_05e820a7-0eca-474a-86bd-c530e6e8d8bf.json | UHC | N/A | GOOGLE_CLOUD | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538359/check_16665173_2e802c93-c69c-4f5e-9dd8-6afa93192d03.json | N/A | N/A | N/A | N/A | N/A | 985346301 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1980-09-10 | N/A | 147417 | N/A | C1 | false | BRUNSKILL | N/A | NATHAN | N/A | N/A | N/A | SIGNATUREVALUE ADVANTAGE HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538359 | 2222 | N/A | 16876896 | N/A | 4210784 | 2026-01-03 08:37:23.382165 | 2025-05-13 04:29:37.225193 |
| 2026-01-03 08:09:49.431573 | 2026-01-03 08:10:23.306920 | 16652449 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-09-21 | 2026-01-06 | F | AE | PT | Grant | 1540368844 | Arden | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14708284/check_16652449_bb145415-ed28-41d8-a059-e92e66001bbb.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-06 | N/A | N/A | N/A | N/A | N/A | N/A | 1540368844 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14708284 | 2222 | N/A | N/A | N/A | 12837261 | 2026-01-03 08:10:23.306920 | 2025-12-26 20:53:51.700105 |
| 2026-01-03 08:09:49.369919 | 2026-01-03 08:10:23.930093 | 16652443 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-05-11 | 2026-01-06 | F | AE | PT | YOUNG | 1297768537 | JESSICA | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14110854/check_16652443_55376858-92cd-4a7e-8fd1-c7ddea632371.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-06 | N/A | N/A | N/A | N/A | N/A | N/A | 1297768537 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14110854 | 2222 | N/A | N/A | N/A | 12249693 | 2026-01-03 08:10:23.930093 | 2025-12-11 01:09:37.722947 |
| 2026-01-03 08:08:06.122022 | 2026-01-04 01:45:07.534586 | 16644029 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16644029 | Athletic Physical Therapy Inc | 2005-06-28 | 2026-01-05 | M | PT | N/A | ALEKS | XDPCA8458463 | Gabriel | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.121222396.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14942515/check_16644029_c2c4d1bf-7a7a-47a2-8c90-5db4d49bc1c9.json | N/A | N/A | N/A | N/A | N/A | XDPCA8458463 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | BLUE CROSS | N/A | 2005-06-28 | 040 | 275958P701 | N/A | PR | false | ALEKS | N/A | GABRIEL | N/A | 9999-12-31 | 2025-09-22 | PPO UC SHIP | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666714471 | N/A | N/A | 14942515 | 2222 | 4801 | 16892568 | N/A | 12743076 | 2026-01-04 01:45:07.534586 | 2026-01-23 21:42:43.573069 |
| 2026-01-03 08:08:06.046912 | 2026-01-04 01:45:09.933398 | 16644025 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16644025 | Athletic Physical Therapy Inc | 1939-03-14 | 2026-01-06 | M | AE | PT | Mainland | 500A23791 | Richard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.121222396.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14273867/check_16644025_5870a021-5942-4568-ac7c-6a9a42f87f54.json | N/A | N/A | N/A | N/A | N/A | 500A23791 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1939-03-14 | N/A | N/A | N/A | N/A | false | MAINLAND | N/A | RICHARD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666714470 | N/A | N/A | 14273867 | 2222 | 4802 | 16892611 | N/A | 12407790 | 2026-01-04 01:45:09.933398 | 2025-12-31 18:42:30.100074 |