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 09:15:13.130632 | 2025-06-11 09:15:14.907825 | 8725522 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-20 | 2025-06-11 | M | PT | AE | 4497 | GRANT | 2p67ae9mf59 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6211373/check_8725522_b1381b12-a9e9-443a-8f99-feb3313f14ea.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211373/check_8725522_873225db-68d1-475a-bbd8-eee425daa975.json | N/A | N/A | N/A | N/A | N/A | 2P67AE9MF59 | Medicare Part A | N/A | AETNA HEALTH INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-04-20 | S4802 | 019303801200001 | N/A | MA | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7895366115 | N/A | N/A | 6211373 | 2222 | N/A | 8433612 | N/A | 4214087 | 2025-06-11 09:15:14.907825 | 2025-05-13 04:29:37.228402 |
| 2025-06-11 09:11:12.577962 | 2025-06-11 09:11:14.715844 | 8724910 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-05-15 | 2025-06-11 | M | PT | N/A | 4184 | BAIRD | XEH909620608 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542883/check_8724910_ab39d5fa-5e34-4180-af17-e6dad06a0366.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542883/check_8724910_8910226e-c757-40ed-aa75-32d18cb2d7cc.json | N/A | N/A | N/A | N/A | N/A | XEH909620608 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 2007-05-15 | 1479HMOX0001 | W0051411 | N/A | HM | false | BAIRD | N/A | SHAYA | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7895325483 | N/A | N/A | 5542883 | 2222 | N/A | 8433107 | N/A | 4214747 | 2025-06-11 09:11:14.715844 | 2025-05-13 04:29:37.229066 |
| 2025-06-11 09:09:42.718140 | 2025-06-12 02:16:17.912991 | 8724499 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8724499 | Athletic Physical Therapy Inc | 1976-11-09 | 2025-06-12 | M | AE | PT | N/A | LAWSON | 10975548900 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.141338249.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6213138/check_8724499_440efe17-c1c8-4c99-9c52-ad30ffc85d94.json | N/A | N/A | N/A | N/A | N/A | 10975548900 | N/A | ACELYRIN, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1976-11-09 | N/A | 00652240 | N/A | N/A | false | LAWSON | N/A | KENNETH | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7895341447 | N/A | N/A | 6213138 | 2222 | 4793 | 8445554 | N/A | 4856781 | 2025-06-12 02:16:17.912991 | 2025-06-12 21:52:37.627086 |
| 2025-06-11 09:09:36.215897 | 2025-06-12 02:23:24.394406 | 8724465 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 8724465 | Athletic Physical Therapy Inc | 1964-11-03 | 2025-06-13 | U | AE | PT | N/A | REVAYANI | 97093372E | SOHAYLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.141338249.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6212389/check_8724465_3c7c132f-f32e-447f-8f39-f4ca3591ab62.json | N/A | N/A | N/A | N/A | N/A | 97093372E | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1964-11-03 | N/A | N/A | N/A | N/A | false | REVAYANI | N/A | SOHAYLA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7895341419 | N/A | N/A | 6212389 | 2222 | 4802 | 8447237 | N/A | 4856155 | 2025-06-12 02:23:24.394406 | 2025-06-10 21:59:11.242231 |
| 2025-06-11 09:09:31.237664 | 2025-06-12 02:30:45.406429 | 8724440 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8724440 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-06-13 | M | PT | AE | N/A | GRANT | 2p67ae9mf59 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.141338249.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211373/check_8724440_766239e7-1ba2-4433-ba1e-beca7c5d917b.json | N/A | N/A | N/A | N/A | N/A | 2P67AE9MF59 | Medicare Part A | N/A | AETNA HEALTH INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-04-20 | S4802 | 019303801200001 | N/A | MA | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7895342033 | N/A | N/A | 6211373 | 2222 | 4793 | 8448846 | N/A | 4214087 | 2025-06-12 02:30:45.406429 | 2025-05-13 04:29:37.228402 |
| 2025-06-11 09:05:52.847376 | 2025-06-12 02:23:55.390429 | 8722994 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8722994 | Athletic Physical Therapy Inc | 1995-02-28 | 2025-06-12 | U | PT | N/A | N/A | JONES | LTC290M90213 | CAROLINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.141338249.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134260/check_8722994_bc7dcfad-d5e7-4d5d-93ba-0cf4e5eec093.json | N/A | N/A | N/A | N/A | N/A | LTC290M90213 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1995-02-28 | N/A | N/A | N/A | N/A | false | JONES | N/A | CAROLINE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7895342148 | N/A | N/A | 6134260 | 2222 | 4802 | 8447373 | N/A | 4775735 | 2025-06-12 02:23:55.390429 | 2025-07-08 23:42:37.640916 |
| 2025-06-11 09:05:22.092807 | 2025-06-12 02:23:55.113265 | 8722727 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8722727 | Athletic Physical Therapy Inc | 2025-06-03 | 2025-06-12 | U | PT | N/A | N/A | Dau | JQU908A56308 | Josh | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.141338249.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6122257/check_8722727_bdcdb009-9ae8-446d-99b8-b616ce369760.json | N/A | N/A | N/A | N/A | N/A | JQU908A56308 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 2025-06-03 | N/A | N/A | N/A | N/A | false | DAU | N/A | JOSH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7895341950 | N/A | N/A | 6122257 | 2222 | 4802 | 8447371 | N/A | 4764922 | 2025-06-12 02:23:55.113265 | 2025-06-12 17:36:43.711013 |
| 2025-06-11 09:04:30.675270 | 2025-06-12 02:24:07.170128 | 8722199 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8722199 | Athletic Physical Therapy Inc | 2014-10-30 | 2025-06-13 | F | PT | N/A | N/A | ARROCHA | M9Z801270679 | REBECCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.141338249.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085906/check_8722199_92f28560-6196-48cf-b80d-dcb9683f4e15.json | N/A | N/A | N/A | N/A | N/A | M9Z801270679 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2014-10-30 | N/A | 55060 | N/A | PR | false | ARROCHA CONTRERAS | N/A | EDGAR | N/A | 9999-12-31 | 2025-01-01 | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7895340543 | N/A | N/A | 6085906 | 2222 | 4793 | 8447426 | N/A | 4729280 | 2025-06-12 02:24:07.170128 | 2025-06-03 23:56:51.902281 |
| 2025-06-11 09:04:13.697810 | 2025-06-12 02:13:58.337270 | 8721932 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8721932 | Athletic Physical Therapy Inc | 1994-05-07 | 2025-06-13 | F | PT | N/A | N/A | RAFFERTY | XED913453119 | ZOE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.140537814.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_8721932_dc128553-2ef8-4d37-a137-b5dae9cd6771.json | N/A | N/A | N/A | N/A | N/A | XED913453119 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1994-05-07 | 2001ZK002187 | X0001004 | N/A | PR | false | RAFFERTY | N/A | ZOE | N/A | N/A | N/A | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7895258712 | N/A | N/A | 5874430 | 2222 | 4802 | 8445126 | N/A | 4534559 | 2025-06-12 02:13:58.337270 | 2025-06-06 02:13:35.698378 |
| 2025-06-11 09:04:01.653841 | 2025-06-12 02:23:28.961091 | 8721629 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 8721629 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-06-13 | M | AE | PT | N/A | BECKLEY | 00000375188 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.141338249.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077164/check_8721629_b331d7a6-4613-432e-bf24-dd83f5714534.json | N/A | N/A | N/A | N/A | N/A | 00000375188 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1957-09-06 | H3815028 | N/A | N/A | HM | false | BECKLEY | N/A | STEVE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7895341604 | N/A | N/A | 6077164 | 2222 | 4793 | 8447255 | 2630 | 4720748 | 2025-06-12 02:23:28.961091 | 2025-06-11 15:34:07.942696 |
| 2025-06-11 09:03:43.479284 | 2025-06-12 02:21:31.709545 | 8721239 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8721239 | Athletic Physical Therapy Inc | 1978-08-18 | 2025-06-13 | F | AE | PT | N/A | DABBY JOYCE | 698634440 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.141338249.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068059/check_8721239_fa1e2837-8f24-4336-bc3d-01e18bfc0abd.json | N/A | N/A | N/A | N/A | N/A | 69863444000 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | MEMBER ON DOWNSTREAM HOLD 2025-06-02 - 2025-08-02 FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1978-08-18 | N/A | 1671793 | N/A | C1 | false | DABBY JOYCE | N/A | LISA | N/A | N/A | N/A | SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7895341548 | N/A | N/A | 6068059 | 2222 | 4802 | 8446766 | N/A | 4713001 | 2025-06-12 02:21:31.709545 | 2025-10-23 14:37:36.593472 |
| 2025-06-11 09:03:22.886876 | 2025-06-12 02:01:52.702098 | 8720701 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8720701 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-06-13 | F | AE | PT | N/A | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.140537814.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_8720701_511cd96f-0145-4717-9d50-92f72fa3666a.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-09-17 | N/A | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7895258336 | N/A | N/A | 5568076 | 2222 | 4802 | 8442556 | N/A | 4209480 | 2025-06-12 02:01:52.702098 | 2026-04-10 02:05:15.976484 |
| 2025-06-11 09:03:18.081326 | 2025-06-12 02:12:57.362319 | 8720562 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8720562 | Athletic Physical Therapy Inc | 1966-04-27 | 2025-06-12 | M | PT | N/A | N/A | MERTES | XED914030953 | CORY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.140537814.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550989/check_8720562_79be398e-fc93-45aa-bb35-61194039533d.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 | 7895258175 | N/A | N/A | 5550989 | 2222 | 4793 | 8444931 | N/A | 4219813 | 2025-06-12 02:12:57.362319 | 2025-05-13 04:29:37.230860 |
| 2025-06-11 09:03:17.871134 | 2025-06-12 02:11:51.770560 | 8720559 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 8720559 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-06-12 | M | AE | PT | N/A | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.140537814.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_8720559_808e1d7f-128d-4a32-b35e-ae7909b366cb.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7895258173 | N/A | N/A | 5550751 | 2222 | 4801 | 8444725 | 2630 | 4219640 | 2025-06-12 02:11:51.770560 | 2025-05-13 04:29:37.230682 |
| 2025-06-11 09:03:17.622292 | 2025-06-12 02:12:55.938371 | 8720556 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8720556 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-06-13 | F | PT | N/A | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.140537814.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_8720556_07f0e901-182f-4b35-a040-1e75cf612ef9.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | IF THE MEMBER QUALIFIES FOR COBRA COVERAGE,THE POLICY MAY BE SUBJECT TO RETROACTIVE CANCELLATION OR REINSTATEMENT, BASED ON THE PLAN DESIGN AND THE MEMBER COBRA ELECTION. FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR USPSTF A AND B RECOMMENDATIONS. | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7895258171 | N/A | N/A | 5549317 | 2222 | 4801 | 8444928 | N/A | 4219010 | 2025-06-12 02:12:55.938371 | 2026-01-09 18:32:07.618867 |
| 2025-06-11 09:03:16.832403 | 2025-06-12 02:12:52.777076 | 8720535 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8720535 | Athletic Physical Therapy Inc | 1994-02-19 | 2025-06-13 | M | PT | N/A | N/A | LIEBLEIN | MSJ60221038001 | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.140537814.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543099/check_8720535_64856f58-9bd1-4be2-8a47-35a49edc5927.json | N/A | N/A | N/A | N/A | N/A | MSJ60221038001 | Other | MICROSOFT | ANTHEM BLUE CROSS | N/A | 1994-02-19 | N/A | 1000010 | N/A | OT | false | LIEBLEIN | N/A | RYAN | N/A | 9999-12-31 | 2017-07-10 | SELF-FUNDED HDHP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7895258155 | N/A | N/A | 5543099 | 2222 | 4802 | 8444919 | N/A | 4214934 | 2025-06-12 02:12:52.777076 | 2025-05-13 04:29:37.229256 |
| 2025-06-11 09:03:16.774542 | 2025-06-12 02:12:52.268284 | 8720533 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8720533 | Athletic Physical Therapy Inc | 2007-05-15 | 2025-06-13 | M | PT | N/A | N/A | BAIRD | XEH909620608 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.140537814.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542883/check_8720533_258cfa93-4be9-465c-99ab-9651793ffc7d.json | N/A | N/A | N/A | N/A | N/A | XEH909620608 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 2007-05-15 | 1479HMOX0001 | W0051411 | N/A | HM | false | BAIRD | N/A | SHAYA | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7895258152 | N/A | N/A | 5542883 | 2222 | 4793 | 8444917 | 4184 | 4214747 | 2025-06-12 02:12:52.268284 | 2025-05-13 04:29:37.229066 |
| 2025-06-11 09:03:16.716956 | 2025-06-12 02:09:43.542851 | 8720531 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8720531 | Athletic Physical Therapy Inc | 1969-05-13 | 2025-06-12 | M | AE | PT | N/A | MORA | 149961768 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.140537814.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541489/check_8720531_21ab5148-fb21-491c-a8ac-92732703de69.json | N/A | N/A | N/A | N/A | N/A | 14996176800 | Commercial | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | FUNDING TYPE = FULLY INSURED - LARGE GROUP LABORATORY DESIGNATED DIAGNOSTIC BENEFITS IMAGING DESIGNATED DIAGNOSTIC BENEFITS | 1969-05-13 | N/A | 1707364 | N/A | C1 | false | MORA | N/A | JOHN | N/A | N/A | N/A | CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7895258149 | N/A | N/A | 5541489 | 2222 | 4793 | 8444206 | N/A | 4213500 | 2025-06-12 02:09:43.542851 | 2025-05-13 04:29:37.227819 |
| 2025-06-11 09:03:16.664204 | 2025-06-12 02:12:54.263347 | 8720529 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8720529 | Athletic Physical Therapy Inc | 2012-06-25 | 2025-06-13 | F | PT | N/A | N/A | LORD | JQK822A53740 | ALYSSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.140537814.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541409/check_8720529_0abe44ed-63f9-47f1-9c98-ceb1211251a7.json | N/A | N/A | N/A | N/A | N/A | JQK822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | ANTHEM BLUE CROSS | N/A | 2012-06-25 | 040 | Q84816 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2024-08-01 | CA SG ANTHEM HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7895258148 | N/A | N/A | 5541409 | 2222 | 4793 | 8444922 | 4184 | 4213435 | 2025-06-12 02:12:54.263347 | 2025-05-13 04:29:37.227756 |
| 2025-06-11 09:03:16.610117 | 2025-06-12 02:09:42.974590 | 8720527 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8720527 | Athletic Physical Therapy Inc | 1945-04-21 | 2025-06-12 | F | AE | PT | N/A | ENGBER | 951452113 | KERRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.140537814.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540085/check_8720527_e56c034d-31ee-4506-8755-d63a3b344233.json | N/A | N/A | N/A | N/A | N/A | 951452113 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1945-04-21 | N/A | 15896 | N/A | PR | false | ENGBER | N/A | KERRY | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7895258147 | N/A | N/A | 5540085 | 2222 | 4802 | 8444205 | N/A | 4212291 | 2025-06-12 02:09:42.974590 | 2025-05-13 04:29:37.226630 |
| 2025-06-11 09:03:16.481648 | 2025-06-12 02:08:43.654753 | 8720523 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 8720523 | N/A | 1958-02-11 | 2025-06-12 | F | AE | PT | N/A | LEVESQUE | 097A2439020 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.140537814.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539382/check_8720523_8eb79acc-189c-496a-8785-18ec6726d53d.json | N/A | N/A | N/A | N/A | N/A | 097A2439020 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1958-02-11 | N/A | N/A | N/A | N/A | false | LEVESQUE | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7895258146 | N/A | N/A | 5539382 | 2222 | 4793 | 8443984 | N/A | 4211704 | 2025-06-12 02:08:43.654753 | 2025-06-06 23:08:42.876895 |
| 2025-06-11 09:03:11.092872 | 2025-06-12 02:12:56.314901 | 8720344 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8720344 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-06-13 | M | PT | AE | N/A | GRANT | xem914408420 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.140416276.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211380/check_8720344_3b2fbfba-9653-476f-82ca-cbc52355aca1.json | N/A | N/A | N/A | N/A | N/A | XEM914408420 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-04-20 | 2002SEW00028 | X0001002 | N/A | OT | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7895244422 | N/A | N/A | 6211380 | 2222 | 4793 | 8444930 | N/A | 4214087 | 2025-06-12 02:12:56.314901 | 2025-05-13 04:29:37.228402 |
| 2025-06-11 09:02:42.331606 | 2025-06-12 02:23:50.726593 | 8719419 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8719419 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-06-13 | F | PT | N/A | N/A | MASUDA | MISSINGPOLICYNUMBER | MASAKO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.141338249.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993968/check_8719419_5a486bba-ab10-4e99-bb72-59859ca8764f.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1953-05-16 | N/A | N/A | N/A | N/A | false | MASUDA | N/A | MASAKO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7895341274 | N/A | N/A | 5993968 | 2222 | 4802 | 8447349 | N/A | 4642899 | 2025-06-12 02:23:50.726593 | 2025-06-06 02:16:59.685673 |
| 2025-06-11 09:02:26.692347 | 2025-06-12 02:12:24.365749 | 8718959 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8718959 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-06-12 | F | PT | AE | N/A | OBLINGER | JQS491M78254 | MARIA DEL CARMEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250611.140416276.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_8718959_753c78ea-58cd-4aa4-b491-8baf05752b02.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7895244542 | N/A | N/A | 5676340 | 2222 | 4793 | 8444826 | 4184 | 4210531 | 2025-06-12 02:12:24.365749 | 2025-12-09 17:09:13.960610 |
| 2025-06-11 05:26:28.065564 | 2025-06-11 05:26:30.996460 | 8716494 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-08-10 | 2025-06-11 | F | PT | AE | 4437 | PHILP | 110990547 | LORENA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085144/check_8716494_d267c7a9-c6b3-42e6-a616-a529b63a51da.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085144/check_8716494_2ecc5ac4-1ecf-4d56-8f77-a7cff10b52cb.json | N/A | N/A | N/A | N/A | N/A | 11099054700 | N/A | TABOOLA, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1966-08-10 | N/A | 00655589 | N/A | N/A | false | PHILP | N/A | LORENA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7893157910 | N/A | N/A | 6085144 | 2222 | N/A | 8431539 | N/A | 4728462 | 2025-06-11 05:26:30.996460 | 2025-05-30 21:02:50.619141 |
| 2025-06-11 01:02:52.865728 | 2025-06-11 01:02:56.686878 | 8714239 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-12-21 | 2025-06-11 | F | PT | AE | 6411 | MCMAHON | 970178801 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543580/check_8714239_fd7da06c-38fd-459d-a02a-13c46e733824.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543580/check_8714239_e740c427-1e39-429a-84fa-30ba40608847.json | N/A | N/A | N/A | N/A | N/A | 970178801 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1946-12-21 | N/A | N/A | N/A | N/A | false | MCMAHON | N/A | JUDITH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7890817000 | 5831 | N/A | 5543580 | 2222 | N/A | 8402833 | N/A | 4215353 | 2025-06-11 01:02:56.686878 | 2025-05-13 04:29:37.229674 |
| 2025-06-11 00:13:09.352726 | 2025-06-11 00:13:11.110364 | 8714148 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-13 | F | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8714148_ee08a11d-a00a-4d0b-979b-84a3abf55f36.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_8714148_e9e3123f-d7ea-4247-b363-1e8506daae22.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5543396 | 2222 | N/A | 8402745 | N/A | 4215193 | 2025-06-11 00:13:11.110364 | 2026-01-16 04:38:12.725481 |
| 2025-06-11 00:13:06.647385 | 2025-06-11 00:13:09.350096 | 8714147 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-13 | F | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8714147_848c29ab-2114-4b88-a36f-b607dc99c3ee.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5543396 | 2222 | N/A | N/A | N/A | 4215193 | 2025-06-11 00:13:09.350096 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 23:54:21.487496 | 2025-06-10 23:54:27.293305 | 8714138 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-10 | 2025-06-16 | F | AE | PT | 23322 | LAYTON | 97111265F | KARLEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6213233/check_8714138_483c39b4-f131-4162-9629-cb9dde327e10.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6213233/check_8714138_c6d43b14-24c2-4f67-928d-fa190342a2ab.json | N/A | N/A | N/A | N/A | N/A | 97111265F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-10 | N/A | N/A | N/A | N/A | false | LAYTON | N/A | KARLEE | 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 | 6213233 | 2222 | N/A | 8402703 | N/A | 4856954 | 2025-06-10 23:54:27.293305 | 2025-06-10 23:10:17.499139 |
| 2025-06-10 23:54:19.774311 | 2025-06-10 23:54:21.485028 | 8714137 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-10 | 2025-06-16 | F | AE | PT | 23322 | LAYTON | 97111265F | KARLEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6213233/check_8714137_540820fd-134e-438f-9a4f-0142ef921bb2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | 97111265F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-10 | N/A | N/A | N/A | N/A | false | LAYTON | N/A | KARLEE | 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 | 6213233 | 2222 | N/A | N/A | N/A | 4856954 | 2025-06-10 23:54:21.485028 | 2025-06-10 23:10:17.499139 |
| 2025-06-10 23:52:19.870564 | 2025-06-10 23:52:21.616561 | 8714136 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-10 | 2025-06-16 | F | AE | PT | 23322 | LAYTON | 97111265F | KARLEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6213233/check_8714136_fbacaae0-9927-4244-b077-bd9540e24f29.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6213233/check_8714136_9179b87c-83aa-4c68-9621-fe7019192311.json | N/A | N/A | N/A | N/A | N/A | 97111265F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-10 | N/A | N/A | N/A | N/A | false | LAYTON | N/A | KARLEE | 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 | 6213233 | 2222 | N/A | 8402692 | N/A | 4856954 | 2025-06-10 23:52:21.616561 | 2025-06-10 23:10:17.499139 |
| 2025-06-10 23:52:18.092928 | 2025-06-10 23:52:19.867378 | 8714135 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-10 | 2025-06-16 | F | AE | PT | 23322 | LAYTON | 97111265F | KARLEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6213233/check_8714135_f09da917-b387-4945-83dd-9bad30487761.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | 97111265F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-10 | N/A | N/A | N/A | N/A | false | LAYTON | N/A | KARLEE | 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 | 6213233 | 2222 | N/A | N/A | N/A | 4856954 | 2025-06-10 23:52:19.867378 | 2025-06-10 23:10:17.499139 |
| 2025-06-10 23:51:45.965184 | 2025-06-10 23:51:47.749242 | 8714134 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-10 | 2025-06-16 | F | AE | PT | 23322 | LAYTON | 97111265F | KARLEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6213233/check_8714134_ced9563b-531b-4f09-bd1e-66914344b59b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6213233/check_8714134_f07ee555-2461-45dd-9b8b-49a9c4510e1e.json | N/A | N/A | N/A | N/A | N/A | 97111265F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-10 | N/A | N/A | N/A | N/A | false | LAYTON | N/A | KARLEE | 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 | 6213233 | 2222 | N/A | 8402689 | N/A | 4856954 | 2025-06-10 23:51:47.749242 | 2025-06-10 23:10:17.499139 |
| 2025-06-10 23:51:44.289988 | 2025-06-10 23:51:45.962622 | 8714133 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-10 | 2025-06-16 | F | AE | PT | 23322 | LAYTON | 97111265F | KARLEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6213233/check_8714133_1023e03b-6082-4751-9a18-3858af8ac1b3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | 97111265F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-10 | N/A | N/A | N/A | N/A | false | LAYTON | N/A | KARLEE | 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 | 6213233 | 2222 | N/A | N/A | N/A | 4856954 | 2025-06-10 23:51:45.962622 | 2025-06-10 23:10:17.499139 |
| 2025-06-10 23:51:32.028083 | 2025-06-10 23:51:33.803679 | 8714132 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-10 | 2025-06-16 | F | AE | PT | 23322 | LAYTON | 97111265F | KARLEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6213233/check_8714132_f544b2a2-1ead-4c37-a655-c2f4c6659023.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6213233/check_8714132_21419d10-f928-423d-b3d6-9a0c778d596b.json | N/A | N/A | N/A | N/A | N/A | 97111265F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-10 | N/A | N/A | N/A | N/A | false | LAYTON | N/A | KARLEE | 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 | 6213233 | 2222 | N/A | 8402687 | N/A | 4856954 | 2025-06-10 23:51:33.803679 | 2025-06-10 23:10:17.499139 |
| 2025-06-10 23:51:30.389463 | 2025-06-10 23:51:32.026301 | 8714131 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-10 | 2025-06-16 | F | AE | PT | 23322 | LAYTON | 97111265F | KARLEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6213233/check_8714131_89089738-5677-47d1-be1e-8d1e17146eeb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | 97111265F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-10 | N/A | N/A | N/A | N/A | false | LAYTON | N/A | KARLEE | 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 | 6213233 | 2222 | N/A | N/A | N/A | 4856954 | 2025-06-10 23:51:32.026301 | 2025-06-10 23:10:17.499139 |
| 2025-06-10 22:18:27.818053 | 2025-06-10 22:18:41.876003 | 8712220 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-06-30 | 2025-06-16 | M | AE | PT | 4437 | YOKICH | 108161196 | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6165588/check_8712220_9d6660b9-c6c3-485b-8813-f93fa374b3e7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6165588/check_8712220_30cacb56-7d00-4532-832c-335cc95398b0.json | N/A | N/A | N/A | N/A | N/A | 10816119600 | N/A | SYMPHONYAI, LLC | CHLIC | COMPLETE CARE MANAGEMENT | 1964-06-30 | N/A | 00637648 | N/A | N/A | false | YOKICH | N/A | DANIEL | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7889782062 | 9489 | N/A | 6165588 | 2222 | N/A | 8400415 | N/A | 4807950 | 2025-06-10 22:18:41.876003 | 2025-06-06 21:18:25.086720 |
| 2025-06-10 22:11:15.677752 | 2025-06-10 22:11:22.565263 | 8712004 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-10-03 | 2025-06-11 | F | AE | PT | 4497 | CAVELLA | 3QD6Q97VV77 | EMIL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6203310/check_8712004_878414cf-ffe3-4fc3-926e-d19483664d76.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203310/check_8712004_b317b72c-c40b-4ca8-9490-e8063edb06b0.json | N/A | N/A | N/A | N/A | N/A | 3QD6Q97VV77 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-10-03 | S8841 | N/A | N/A | MA | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7889750829 | N/A | N/A | 6203310 | 2222 | N/A | 8400170 | N/A | 4846213 | 2025-06-10 22:11:22.565263 | 2025-06-10 21:58:09.734801 |
| 2025-06-10 22:04:29.835392 | 2025-06-10 22:04:32.625967 | 8711684 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-09-06 | 2025-06-10 | M | PT | AE | 2630 | BECKLEY | 00000375188 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077164/check_8711684_5a372a80-858b-4247-83a1-be52bc1ecf69.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077164/check_8711684_3657ff7c-8723-4a75-b0b6-8615e882fe31.json | N/A | N/A | N/A | N/A | N/A | 00000375188 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1957-09-06 | H3815028 | N/A | N/A | HM | false | BECKLEY | N/A | STEVE | 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 | 7889720289 | 9482 | N/A | 6077164 | 2222 | N/A | 8399829 | N/A | 4720748 | 2025-06-10 22:04:32.625967 | 2025-06-11 15:34:07.942696 |
| 2025-06-10 21:29:28.210948 | 2025-06-10 21:29:34.166850 | 8711475 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-09 | F | PT | AE | 23299 | SANKOVICH | 00000375069 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8711475_e7f5f737-b0fe-4d91-b23a-5f6d3abab2a3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_8711475_baee6f1f-c677-42ca-a4e8-80674b6e85d9.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543396 | 2222 | N/A | 8399520 | N/A | 4215193 | 2025-06-10 21:29:34.166850 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 21:29:26.532030 | 2025-06-10 21:29:28.209337 | 8711473 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-09 | F | PT | AE | 23299 | SANKOVICH | 00000375069 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8711473_d4b81468-f6aa-40fb-be4e-f47f246e99e3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543396 | 2222 | N/A | N/A | N/A | 4215193 | 2025-06-10 21:29:28.209337 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 21:29:15.322940 | 2025-06-10 21:29:17.013778 | 8711469 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-09 | F | PT | AE | 23299 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8711469_ad270891-2607-4aac-849c-8d900680dd9b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_8711469_e322a276-a6ea-4a94-a5c6-e839813e87e7.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543396 | 2222 | N/A | 8399514 | N/A | 4215193 | 2025-06-10 21:29:17.013778 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 21:29:13.753950 | 2025-06-10 21:29:15.321731 | 8711468 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-09 | F | PT | AE | 23299 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8711468_5eed4d70-0e95-4661-8189-db591fbe6329.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543396 | 2222 | N/A | N/A | N/A | 4215193 | 2025-06-10 21:29:15.321731 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 21:28:48.813662 | 2025-06-10 21:28:50.562612 | 8711464 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-09 | F | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8711464_d686b05d-fed6-4a8c-a0de-ea146e88ab3e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_8711464_67b96492-b248-445f-8349-a261e5d55794.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543396 | 2222 | N/A | 8399508 | N/A | 4215193 | 2025-06-10 21:28:50.562612 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 21:28:47.206140 | 2025-06-10 21:28:48.811562 | 8711462 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-09 | F | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8711462_63c69ac5-eff9-4b65-beb7-f603150900d2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543396 | 2222 | N/A | N/A | N/A | 4215193 | 2025-06-10 21:28:48.811562 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 21:28:38.955004 | 2025-06-10 21:28:42.745171 | 8711460 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-09 | F | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8711460_d0e13dcd-6bee-40a3-b81c-eada6a02cfa8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_8711460_8062a218-9ed1-40f2-b4bc-be8e0ed9200d.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543396 | 2222 | N/A | 8399504 | N/A | 4215193 | 2025-06-10 21:28:42.745171 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 21:28:23.411733 | 2025-06-10 21:28:38.952938 | 8711459 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-09 | F | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8711459_35f72fd6-2126-469b-9b3b-5ff17afce171.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543396 | 2222 | N/A | N/A | N/A | 4215193 | 2025-06-10 21:28:38.952938 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 21:28:09.681142 | 2025-06-10 21:28:11.450830 | 8711458 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-09 | F | PT | AE | 23318 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8711458_b52e5eb8-b61b-4b43-a18d-23308df65eb3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_8711458_c517c1a3-ac01-4e77-9b34-24da1142d35c.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543396 | 2222 | N/A | 8399501 | N/A | 4215193 | 2025-06-10 21:28:11.450830 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 21:28:08.035186 | 2025-06-10 21:28:09.678748 | 8711457 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-09 | F | PT | AE | 23318 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8711457_fb158fdf-0215-425c-a8bd-08f353d2af86.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543396 | 2222 | N/A | N/A | N/A | 4215193 | 2025-06-10 21:28:09.678748 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 21:27:57.966021 | 2025-06-10 21:27:59.718521 | 8711456 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-09 | F | PT | AE | 23318 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8711456_560d840e-956b-485b-bd2f-f865082ce11b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_8711456_c7eefb6a-4acd-4c1c-9419-7e27ddc99337.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5543396 | 2222 | N/A | 8399499 | N/A | 4215193 | 2025-06-10 21:27:59.718521 | 2026-01-16 04:38:12.725481 |