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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-25 08:08:01.637593 | 2025-12-26 03:51:20.495190 | 16338132 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16338132 | Athletic Physical Therapy Inc | 1964-08-15 | 2025-12-26 | F | PT | OCONLON | XED909983270 | SARA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542827/check_16338132_673598ce-2ff7-4f8e-964a-5ba55e9b94d6.json | N/A | N/A | N/A | N/A | N/A | XED909983270 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1964-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | OCONLON | N/A | SARA | N/A | 9999-12-31 | 2020-08-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9596272508 | N/A | N/A | 5542827 | 2222 | 4793 | 16595740 | N/A | 4214693 | 2025-12-26 03:51:20.495190 | 2025-05-13 04:29:37.229010 |
| 2025-12-25 08:08:01.554592 | 2025-12-26 03:51:14.380198 | 16338128 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16338128 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-12-26 | M | PT | GINSBERG | JQU469A62630 | STEVEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_16338128_d81d1880-57a6-40f9-aff3-b16e3c0d1b3d.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9596272507 | N/A | N/A | 5538693 | 2222 | 4793 | 16595719 | N/A | 4211081 | 2025-12-26 03:51:14.380198 | 2025-05-13 04:29:37.225492 |
| 2025-12-25 08:08:01.469510 | 2025-12-26 03:55:00.440780 | 16338124 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16338124 | Athletic Physical Therapy Inc | 1946-12-07 | 2025-12-26 | F | AE | MOONVES | 9VC3KJ4XU95 | NANCY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536069/check_16338124_0bf42c63-97c2-4bf0-a91d-0d43f83ec5ce.json | N/A | N/A | N/A | N/A | N/A | 9VC3KJ4XU95 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-12-07 | S5596 | N/A | N/A | MA | false | MOONVES | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | 140845 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9596272506 | N/A | N/A | 5536069 | 2222 | 4802 | 16596320 | N/A | 4208883 | 2025-12-26 03:55:00.440780 | 2025-05-13 04:29:37.223310 |
| 2025-12-25 08:08:01.377584 | 2025-12-26 03:49:37.736051 | 16338118 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16338118 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-12-26 | F | AE | PORTER | 40028215401 | SHERIL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_16338118_6a8cf87c-abb3-4676-b3b4-9e6c20501a64.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | 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 | 9596272505 | N/A | N/A | 5535434 | 2222 | 4793 | 16595557 | 6237 | 4208356 | 2025-12-26 03:49:37.736051 | 2025-08-25 14:49:27.724897 |
| 2025-12-25 02:05:01.884034 | 2025-12-25 02:05:05.818442 | 16335398 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-05-27 | 2026-01-09 | M | PT | MOYNIHAN | XEA905764029 | KEITH | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542720/check_16335398_d135b213-6838-48f8-b4d9-3eec51d8a5e4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542720/check_16335398_8547c80c-9a72-4e84-bf53-26b648967646.json | N/A | N/A | N/A | N/A | N/A | QMS905764029 | Preferred Provider Organization (PPO) | MILLENNIUM SPACE SYSTEMS INC | BLUE SHIELD CALIFORNIA | N/A | 1991-05-27 | 1000VX000102 | W0037357 | N/A | PR | false | MOYNIHAN | N/A | KEITH | N/A | N/A | N/A | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9595470770 | N/A | N/A | 5542720 | 2222 | N/A | 16578308 | N/A | 4214596 | 2025-12-25 02:05:05.818442 | 2025-05-13 04:29:37.228923 |
| 2025-12-24 23:02:13.942600 | 2025-12-24 23:02:15.794313 | 16335172 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-10-04 | 2026-01-07 | F | AE | Zlotnik | 4QK5d46EM75 | Arna | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14680293/check_16335172_55c27ad6-0e2a-4d3b-a32e-0fb31798be7e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14680293/check_16335172_e0ce3845-7e49-4bd5-883f-29c7dd3da10a.json | N/A | N/A | N/A | N/A | N/A | 4QK5D46EM75 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-04 | S2468 | N/A | N/A | MA | false | ZLOTNIK | N/A | ARNA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9595028781 | N/A | N/A | 14680293 | 2222 | N/A | 16576056 | N/A | 12809193 | 2025-12-24 23:02:15.794313 | 2025-12-24 22:33:12.925424 |
| 2025-12-24 22:19:33.730149 | 2025-12-24 22:19:35.521735 | 16335126 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-12-14 | 2025-12-31 | M | AE | Desjardins | 0006623220 | Paul | PT | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14590030/check_16335126_849c0c57-5d1d-4865-ad52-39a674cab80e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14590030/check_16335126_82caad68-1dfd-40ed-84b9-2512add4d7f5.json | N/A | N/A | N/A | N/A | N/A | 0006623220 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1960-12-14 | N/A | N/A | N/A | N/A | false | DESJARDINS | N/A | PAUL | 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 | 14590030 | 2222 | N/A | 16575976 | N/A | 12721115 | 2025-12-24 22:19:35.521735 | 2025-12-22 19:30:09.907535 |
| 2025-12-24 22:19:32.041152 | 2025-12-24 22:19:33.726484 | 16335125 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-12-14 | 2025-12-31 | M | AE | Desjardins | 0006623220 | Paul | PT | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14590030/check_16335125_adfea57c-5e57-42ad-ae28-7222f2c5433e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-31 | N/A | N/A | N/A | N/A | N/A | N/A | 0006623220 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1960-12-14 | N/A | N/A | N/A | N/A | false | DESJARDINS | N/A | PAUL | 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 | 14590030 | 2222 | N/A | N/A | N/A | 12721115 | 2025-12-24 22:19:33.726484 | 2025-12-22 19:30:09.907535 |
| 2025-12-24 22:17:19.717622 | 2025-12-24 22:17:21.503505 | 16335120 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-12-14 | 2025-12-31 | M | AE | Desjardins | 00 0006623220 | Paul | PT | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14590030/check_16335120_2870c60a-92e8-4979-93a0-3d898b4f2185.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14590030/check_16335120_3b44abfb-9dd3-40bf-8022-ac2ecb8948bb.json | N/A | N/A | N/A | N/A | N/A | 00 0006623220 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1960-12-14 | N/A | N/A | N/A | N/A | false | DESJARDINS | N/A | PAUL | 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 | 14590030 | 2222 | N/A | 16575970 | N/A | 12721115 | 2025-12-24 22:17:21.503505 | 2025-12-22 19:30:09.907535 |
| 2025-12-24 22:17:17.975242 | 2025-12-24 22:17:19.713011 | 16335119 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-12-14 | 2025-12-31 | M | AE | Desjardins | 00 0006623220 | Paul | PT | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14590030/check_16335119_85e002c3-69a6-433f-8bea-0ae81ef902f6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-31 | N/A | N/A | N/A | N/A | N/A | N/A | 00 0006623220 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1960-12-14 | N/A | N/A | N/A | N/A | false | DESJARDINS | N/A | PAUL | 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 | 14590030 | 2222 | N/A | N/A | N/A | 12721115 | 2025-12-24 22:17:19.713011 | 2025-12-22 19:30:09.907535 |
| 2025-12-24 22:01:01.920312 | 2025-12-24 22:01:05.204186 | 16335035 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-08-08 | 2025-12-24 | M | PT | GINSBERG | JQU469A62630 | STEVEN | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538693/check_16335035_4891638e-6a87-4a17-9077-ed9bed0153d0.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_16335035_e156be14-281e-4056-831e-fa8f40e0dd40.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9594894724 | N/A | N/A | 5538693 | 2222 | N/A | 16575884 | N/A | 4211081 | 2025-12-24 22:01:05.204186 | 2025-05-13 04:29:37.225492 |
| 2025-12-24 20:01:55.024344 | 2025-12-24 20:01:56.951566 | 16334518 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-09-24 | 2025-12-26 | F | AE | Franzblau | 00002384123 | Jean | PT | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14320858/check_16334518_8f925ca9-ac6d-470c-9cee-606a80553200.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14320858/check_16334518_ef5cd035-73bf-4393-a15c-6821ad6ac41d.json | N/A | N/A | N/A | N/A | N/A | 00002384123 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1970-09-24 | N/A | N/A | N/A | N/A | false | FRANZBLAU | N/A | JEAN | 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 | 9481 | N/A | 14320858 | 2222 | N/A | 16575195 | N/A | 12459118 | 2025-12-24 20:01:56.951566 | 2025-12-16 16:43:42.250412 |
| 2025-12-24 20:01:53.281956 | 2025-12-24 20:01:55.020409 | 16334517 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-09-24 | 2025-12-26 | F | AE | Franzblau | 00002384123 | Jean | PT | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14320858/check_16334517_d678e3e5-4260-4e78-98b5-aa0322607436.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | N/A | N/A | N/A | N/A | N/A | N/A | 00002384123 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1970-09-24 | N/A | N/A | N/A | N/A | false | FRANZBLAU | N/A | JEAN | 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 | 9481 | N/A | 14320858 | 2222 | N/A | N/A | N/A | 12459118 | 2025-12-24 20:01:55.020409 | 2025-12-16 16:43:42.250412 |
| 2025-12-24 19:59:51.651848 | 2025-12-24 19:59:53.546665 | 16334506 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-09-24 | 2025-12-26 | F | AE | Franzblau | 00002384123 | Jean | PT | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14320858/check_16334506_b9835d7f-2790-4d2f-8562-dffad56604de.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14320858/check_16334506_b91dc38c-54bc-4ba8-bf6e-3da850412938.json | N/A | N/A | N/A | N/A | N/A | 00002384123 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1970-09-24 | N/A | N/A | N/A | N/A | false | FRANZBLAU | N/A | JEAN | 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 | 9481 | N/A | 14320858 | 2222 | N/A | 16575182 | N/A | 12459118 | 2025-12-24 19:59:53.546665 | 2025-12-16 16:43:42.250412 |
| 2025-12-24 19:59:49.853831 | 2025-12-24 19:59:51.647943 | 16334505 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-09-24 | 2025-12-26 | F | AE | Franzblau | 00002384123 | Jean | PT | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14320858/check_16334505_6d4058f0-2f3d-477e-94cd-822eb45db007.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | N/A | N/A | N/A | N/A | N/A | N/A | 00002384123 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1970-09-24 | N/A | N/A | N/A | N/A | false | FRANZBLAU | N/A | JEAN | 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 | 9481 | N/A | 14320858 | 2222 | N/A | N/A | N/A | 12459118 | 2025-12-24 19:59:51.647943 | 2025-12-16 16:43:42.250412 |
| 2025-12-24 19:57:05.225746 | 2025-12-24 19:57:07.111085 | 16334490 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-12-26 | M | AE | DE ANGELO | 985145456 | DAN | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542953/check_16334490_ce45dcd2-a585-4edd-ac2c-4f37d8ce637b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542953/check_16334490_242e4ab7-d8a2-41be-a29b-80e65e932701.json | N/A | N/A | N/A | N/A | N/A | 985145456 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1961-08-04 | N/A | N/A | N/A | N/A | false | DE ANGELO | N/A | DAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 5542953 | 2222 | N/A | 16575166 | N/A | 4214807 | 2025-12-24 19:57:07.111085 | 2025-12-24 19:51:54.688309 |
| 2025-12-24 19:57:03.557231 | 2025-12-24 19:57:05.222816 | 16334489 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-12-26 | M | AE | DE ANGELO | 985145456 | DAN | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542953/check_16334489_04ff7e01-9025-425a-8da2-1f99fef9c67e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | N/A | N/A | N/A | N/A | N/A | N/A | 985145456 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1961-08-04 | N/A | N/A | N/A | N/A | false | DE ANGELO | N/A | DAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 5542953 | 2222 | N/A | N/A | N/A | 4214807 | 2025-12-24 19:57:05.222816 | 2025-12-24 19:51:54.688309 |
| 2025-12-24 19:57:01.660376 | 2025-12-24 19:57:02.016124 | 16334488 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-12-26 | M | AE | DE ANGELO | 985145456 | DAN | PT | N/A | N/A | UHC | N/A | INSIGHTS | 2025-12-26 | 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 | 9481 | N/A | 5542953 | 2222 | N/A | N/A | N/A | 4214807 | 2025-12-24 19:57:02.016124 | 2025-12-24 19:51:54.688309 |
| 2025-12-24 19:55:32.554978 | 2025-12-24 19:55:34.617722 | 16334483 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-12-26 | M | AE | DEANGELO | 985145456 | DAN | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542953/check_16334483_4504bcfa-f995-4515-8c89-bd5419230d2b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542953/check_16334483_0b79a202-3dec-493b-bfb8-f2c6a6a40f65.json | N/A | N/A | N/A | N/A | N/A | 985145456 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1961-08-04 | N/A | N/A | N/A | N/A | false | DEANGELO | N/A | DAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 5542953 | 2222 | N/A | 16575159 | N/A | 4214807 | 2025-12-24 19:55:34.617722 | 2025-12-24 19:51:54.688309 |
| 2025-12-24 19:55:29.749634 | 2025-12-24 19:55:32.552528 | 16334482 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-12-26 | M | AE | DEANGELO | 985145456 | DAN | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542953/check_16334482_10085efc-35ed-4921-afc8-602a4b275308.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | N/A | N/A | N/A | N/A | N/A | N/A | 985145456 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1961-08-04 | N/A | N/A | N/A | N/A | false | DEANGELO | N/A | DAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 5542953 | 2222 | N/A | N/A | N/A | 4214807 | 2025-12-24 19:55:32.552528 | 2025-12-24 19:51:54.688309 |
| 2025-12-24 19:55:27.801060 | 2025-12-24 19:55:28.352830 | 16334481 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-12-26 | M | AE | DEANGELO | 985145456 | DAN | PT | N/A | N/A | UHC | N/A | INSIGHTS | 2025-12-26 | 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 | 9481 | N/A | 5542953 | 2222 | N/A | N/A | N/A | 4214807 | 2025-12-24 19:55:28.352830 | 2025-12-24 19:51:54.688309 |
| 2025-12-24 19:53:50.132307 | 2025-12-24 19:53:51.973510 | 16334467 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-12-26 | M | AE | DE ANGELO | 985145456 | DAN | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542953/check_16334467_6a6efad6-0f6c-42a4-ba0e-3954fc7df45c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542953/check_16334467_1f83bdca-e89b-4434-876f-3d6c5dde0d36.json | N/A | N/A | N/A | N/A | N/A | 985145456 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1961-08-04 | N/A | N/A | N/A | N/A | false | DE ANGELO | N/A | DAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 5542953 | 2222 | N/A | 16575140 | N/A | 4214807 | 2025-12-24 19:53:51.973510 | 2025-12-24 19:51:54.688309 |
| 2025-12-24 19:53:47.394948 | 2025-12-24 19:53:50.130309 | 16334466 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-12-26 | M | AE | DE ANGELO | 985145456 | DAN | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542953/check_16334466_6ced55cf-eb56-46de-8239-03d1c5f285c1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | N/A | N/A | N/A | N/A | N/A | N/A | 985145456 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1961-08-04 | N/A | N/A | N/A | N/A | false | DE ANGELO | N/A | DAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 5542953 | 2222 | N/A | N/A | N/A | 4214807 | 2025-12-24 19:53:50.130309 | 2025-12-24 19:51:54.688309 |
| 2025-12-24 19:53:45.651948 | 2025-12-24 19:53:45.959301 | 16334465 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-12-26 | M | AE | DE ANGELO | 985145456 | DAN | PT | N/A | N/A | UHC | N/A | INSIGHTS | 2025-12-26 | 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 | 9481 | N/A | 5542953 | 2222 | N/A | N/A | N/A | 4214807 | 2025-12-24 19:53:45.959301 | 2025-12-24 19:51:54.688309 |
| 2025-12-24 19:49:35.598855 | 2025-12-24 19:49:37.357111 | 16334445 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2025-12-26 | F | AE | HERNANDEZ | 98922553G79170 | JUANA | PT | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_16334445_f7334635-9f1f-4b3e-97ab-fbbf54ca8662.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14058775/check_16334445_14f50eff-f59d-4075-8982-e0a88b65c964.json | N/A | N/A | N/A | N/A | N/A | 98922553G79170 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | 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 | 9481 | N/A | 14058775 | 2222 | N/A | 16575111 | N/A | 12203619 | 2025-12-24 19:49:37.357111 | 2025-12-24 19:48:19.199045 |
| 2025-12-24 19:49:33.756268 | 2025-12-24 19:49:35.591531 | 16334444 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2025-12-26 | F | AE | HERNANDEZ | 98922553G79170 | JUANA | PT | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_16334444_1243e0ac-6e87-40e6-b387-199df62bf2bc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | N/A | N/A | N/A | N/A | N/A | N/A | 98922553G79170 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | 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 | 9481 | N/A | 14058775 | 2222 | N/A | N/A | N/A | 12203619 | 2025-12-24 19:49:35.591531 | 2025-12-24 19:48:19.199045 |
| 2025-12-24 19:48:43.594126 | 2025-12-24 19:48:45.477433 | 16334442 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2025-12-26 | F | AE | HERNANDEZ | 98922553G79170 | JUANA | PT | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_16334442_cbb1d44e-e00c-40c7-8278-bd148877faf0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14058775/check_16334442_331a5ee0-44c4-4d23-87cf-adbdd790fb66.json | N/A | N/A | N/A | N/A | N/A | 98922553G79170 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | 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 | 9481 | N/A | 14058775 | 2222 | N/A | 16575109 | N/A | 12203619 | 2025-12-24 19:48:45.477433 | 2025-12-24 19:48:19.199045 |
| 2025-12-24 19:48:41.818916 | 2025-12-24 19:48:43.590627 | 16334441 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2025-12-26 | F | AE | HERNANDEZ | 98922553G79170 | JUANA | PT | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_16334441_faa3784a-5880-478e-93d2-bd6aec2ca4fe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | N/A | N/A | N/A | N/A | N/A | N/A | 98922553G79170 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | 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 | 9481 | N/A | 14058775 | 2222 | N/A | N/A | N/A | 12203619 | 2025-12-24 19:48:43.590627 | 2025-12-24 19:48:19.199045 |
| 2025-12-24 19:48:30.219201 | 2025-12-24 19:48:32.165567 | 16334438 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2025-12-26 | F | AE | HERNANDEZ | 98922553G | JUANA | PT | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_16334438_bb5e8d35-5730-4cdf-8c55-0b1ad5928b2c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14058775/check_16334438_a0deb9a7-296c-43bf-ad9c-adfcc6e27a6d.json | N/A | N/A | N/A | N/A | N/A | 98922553G | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | 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 | 9481 | N/A | 14058775 | 2222 | N/A | 16575105 | N/A | 12203619 | 2025-12-24 19:48:32.165567 | 2025-12-24 19:48:19.199045 |
| 2025-12-24 19:48:28.481110 | 2025-12-24 19:48:30.215599 | 16334437 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2025-12-26 | F | AE | HERNANDEZ | 98922553G | JUANA | PT | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_16334437_c887bbeb-d10a-4782-8927-7eb77855f7ef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | N/A | N/A | N/A | N/A | N/A | N/A | 98922553G | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | 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 | 9481 | N/A | 14058775 | 2222 | N/A | N/A | N/A | 12203619 | 2025-12-24 19:48:30.215599 | 2025-12-24 19:48:19.199045 |
| 2025-12-24 19:45:33.792193 | 2025-12-24 19:45:35.708051 | 16334431 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2025-12-26 | F | AE | HERNANDEZ GARCIA | 98922553G | JUANA | PT | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_16334431_842d80b0-fdef-40d3-8ded-f0d33b09c536.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14058775/check_16334431_8b9cd08d-808e-4f6f-8f26-d9ccb4df34d1.json | N/A | N/A | N/A | N/A | N/A | 98922553G | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ GARCIA | N/A | JUANA | 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 | 9481 | N/A | 14058775 | 2222 | N/A | 16575095 | N/A | 12203619 | 2025-12-24 19:45:35.708051 | 2025-12-24 19:48:19.199045 |
| 2025-12-24 19:45:32.102174 | 2025-12-24 19:45:33.788495 | 16334429 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2025-12-26 | F | AE | HERNANDEZ GARCIA | 98922553G | JUANA | PT | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_16334429_f40e584e-8cc0-4ace-98f3-70b592301143.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | N/A | N/A | N/A | N/A | N/A | N/A | 98922553G | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ GARCIA | N/A | JUANA | 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 | 9481 | N/A | 14058775 | 2222 | N/A | N/A | N/A | 12203619 | 2025-12-24 19:45:33.788495 | 2025-12-24 19:48:19.199045 |
| 2025-12-24 19:44:02.169739 | 2025-12-24 19:44:04.005329 | 16334422 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2025-12-26 | F | AE | HERNANDEZ | 98922553G | JUANA | PT | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_16334422_2ea1e8b5-d024-4a2d-8f67-4ac93adf1e58.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14058775/check_16334422_53fa9674-bcb8-4be8-a512-37b2afc8a064.json | N/A | N/A | N/A | N/A | N/A | 98922553G | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | 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 | 9481 | N/A | 14058775 | 2222 | N/A | 16575085 | N/A | 12203619 | 2025-12-24 19:44:04.005329 | 2025-12-24 19:48:19.199045 |
| 2025-12-24 19:44:00.462664 | 2025-12-24 19:44:02.166491 | 16334421 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2025-12-26 | F | AE | HERNANDEZ | 98922553G | JUANA | PT | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_16334421_d2729515-d005-4126-a381-7fb7d56216a5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | N/A | N/A | N/A | N/A | N/A | N/A | 98922553G | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | 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 | 9481 | N/A | 14058775 | 2222 | N/A | N/A | N/A | 12203619 | 2025-12-24 19:44:02.166491 | 2025-12-24 19:48:19.199045 |
| 2025-12-24 19:43:40.508136 | 2025-12-24 19:43:42.419446 | 16334416 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2025-12-26 | F | AE | HERNANDEZ | 98922553G79170 | JUANA | PT | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_16334416_48f13d63-4f52-4b01-86bc-0ad436e76469.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14058775/check_16334416_fca04a71-13ee-495f-9746-80d0b4a8d7af.json | N/A | N/A | N/A | N/A | N/A | 98922553G79170 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | 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 | 9481 | N/A | 14058775 | 2222 | N/A | 16575076 | N/A | 12203619 | 2025-12-24 19:43:42.419446 | 2025-12-24 19:48:19.199045 |
| 2025-12-24 19:43:38.651956 | 2025-12-24 19:43:40.504420 | 16334415 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2025-12-26 | F | AE | HERNANDEZ | 98922553G79170 | JUANA | PT | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_16334415_5a0e923d-18db-4d96-93c3-3ea31cf01c70.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | N/A | N/A | N/A | N/A | N/A | N/A | 98922553G79170 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | 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 | 9481 | N/A | 14058775 | 2222 | N/A | N/A | N/A | 12203619 | 2025-12-24 19:43:40.504420 | 2025-12-24 19:48:19.199045 |
| 2025-12-24 19:40:32.458786 | 2025-12-24 19:40:34.839349 | 16334404 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-08-09 | 2025-12-26 | M | AE | Kirgizbaev | 94138168G | Bakhtiyar | PT | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12407501/check_16334404_f67cc353-bade-4bf0-830c-4e0823539d70.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12407501/check_16334404_c1422920-344f-4864-812a-9b4ce58ddce6.json | N/A | N/A | N/A | N/A | N/A | 94138168G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1950-08-09 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | KIRGIZBAEV | N/A | BAKHTIYAR | N/A | 2078-12-31 | 2025-07-01 | AGED DISABLED - SPD - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9594511295 | 9481 | N/A | 12407501 | 2222 | N/A | 16575062 | N/A | 10587374 | 2025-12-24 19:40:34.839349 | 2025-12-24 19:36:03.607867 |
| 2025-12-24 19:40:19.245441 | 2025-12-24 19:40:21.134251 | 16334402 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-08-09 | 2025-12-26 | M | AE | Kirgizbaev | 9438168G | Bakhtiyar | PT | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12407501/check_16334402_1b18135c-d786-4dc7-ba87-243d603d2449.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12407501/check_16334402_fd87a2ac-31c1-460e-9662-701ce5941685.json | N/A | N/A | N/A | N/A | N/A | 9438168G | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1950-08-09 | N/A | N/A | N/A | N/A | false | KIRGIZBAEV | N/A | BAKHTIYAR | 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 | 9481 | N/A | 12407501 | 2222 | N/A | 16575059 | N/A | 10587374 | 2025-12-24 19:40:21.134251 | 2025-12-24 19:36:03.607867 |
| 2025-12-24 19:40:17.372701 | 2025-12-24 19:40:19.241876 | 16334401 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-08-09 | 2025-12-26 | M | AE | Kirgizbaev | 9438168G | Bakhtiyar | PT | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12407501/check_16334401_f4f65c37-76a4-4af0-b85a-ab276b3aadbf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | N/A | N/A | N/A | N/A | N/A | N/A | 9438168G | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1950-08-09 | N/A | N/A | N/A | N/A | false | KIRGIZBAEV | N/A | BAKHTIYAR | 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 | 9481 | N/A | 12407501 | 2222 | N/A | N/A | N/A | 10587374 | 2025-12-24 19:40:19.241876 | 2025-12-24 19:36:03.607867 |
| 2025-12-24 19:34:40.014204 | 2025-12-24 19:34:44.116518 | 16334378 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-09-23 | 2025-12-26 | M | AE | RUIZ CORTES | 000023841194 | ROGELIO | PT | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11537156/check_16334378_850fc7c1-5af1-4e5b-bcd8-0d9285cef8e3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11537156/check_16334378_b6130da2-3695-4947-9b76-55287d8a8773.json | N/A | N/A | N/A | N/A | N/A | 000023841194 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1994-09-23 | 4327440 | 226369 | N/A | N/A | false | RUIZ CORTES | N/A | ROGELIO | N/A | N/A | N/A | PACWEST BANCORP PACWEST BANCORP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9594495042 | 9481 | N/A | 11537156 | 2222 | N/A | 16575029 | N/A | 9778191 | 2025-12-24 19:34:44.116518 | 2025-10-27 23:17:48.522975 |
| 2025-12-24 19:32:54.624412 | 2025-12-24 19:32:56.454039 | 16334376 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-25 | 2025-12-24 | M | AE | Maher | 80Y0447913 | Timothy | PT | 4437 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13655343/check_16334376_0ebfdcff-b039-49de-b86e-61fc33c7c94e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13655343/check_16334376_75a0ff84-4135-4d8d-8c1c-e82e54ee9016.json | N/A | N/A | N/A | N/A | N/A | 80Y0447913 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1943-11-25 | N/A | N/A | N/A | N/A | false | MAHER | N/A | TIMOTHY | 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 | 9481 | N/A | 13655343 | 2222 | N/A | 16575024 | N/A | 11803316 | 2025-12-24 19:32:56.454039 | 2025-12-16 19:29:59.872631 |
| 2025-12-24 19:32:51.827387 | 2025-12-24 19:32:54.618712 | 16334375 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-25 | 2025-12-24 | M | AE | Maher | 80Y0447913 | Timothy | PT | 4437 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13655343/check_16334375_3ab21164-7f93-4a89-a544-1448e188cad3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-24 | N/A | N/A | N/A | N/A | N/A | N/A | 80Y0447913 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1943-11-25 | N/A | N/A | N/A | N/A | false | MAHER | N/A | TIMOTHY | 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 | 9481 | N/A | 13655343 | 2222 | N/A | N/A | N/A | 11803316 | 2025-12-24 19:32:54.618712 | 2025-12-16 19:29:59.872631 |
| 2025-12-24 18:29:33.343865 | 2025-12-24 18:29:35.204332 | 16334093 | N/A | N/A | 39026 | UMR | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-31 | 2026-01-02 | F | AE | Kessler | 911-39026-02 | Margot | PT | 6589 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14672953/check_16334093_6c547f00-6d22-45ed-bd1d-13803b719bce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14672953/check_16334093_f887719f-949c-4f16-a172-59f5146d2cbb.json | N/A | N/A | N/A | N/A | N/A | 911-39026-02 | N/A | N/A | UMR | N/A | 1993-03-31 | N/A | N/A | N/A | N/A | false | KESSLER | N/A | MARGOT | 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 | 14672953 | 2222 | N/A | 16574724 | N/A | 12800447 | 2025-12-24 18:29:35.204332 | 2025-12-24 17:20:36.431749 |
| 2025-12-24 18:29:30.640816 | 2025-12-24 18:29:33.339206 | 16334091 | N/A | N/A | 39026 | UMR | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-31 | 2026-01-02 | F | AE | Kessler | 911-39026-02 | Margot | PT | 6589 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14672953/check_16334091_ca558a7c-9783-4777-9a87-757e3ca2d452.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-02 | N/A | N/A | N/A | N/A | N/A | N/A | 911-39026-02 | N/A | N/A | UMR | N/A | 1993-03-31 | N/A | N/A | N/A | N/A | false | KESSLER | N/A | MARGOT | 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 | 14672953 | 2222 | N/A | N/A | N/A | 12800447 | 2025-12-24 18:29:33.339206 | 2025-12-24 17:20:36.431749 |
| 2025-12-24 18:29:27.574383 | 2025-12-24 18:29:28.044515 | 16334090 | N/A | N/A | 39026 | UNITED MEDICAL RESOURCES | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-31 | 2026-01-02 | F | AE | Kessler | 911-39026-02 | Margot | PT | N/A | N/A | UHC | N/A | INSIGHTS | 2026-01-02 | 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 | 14672953 | 2222 | N/A | N/A | N/A | 12800447 | 2025-12-24 18:29:28.044515 | 2025-12-24 17:20:36.431749 |
| 2025-12-24 06:29:59.950324 | 2025-12-24 06:30:02.445875 | 16331257 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-12-17 | N/A | PT | ULLMAN | 8HC8F35AX50 | DAVID | AE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_16331257_36c87d6c-e10e-4a6c-a789-2c6e9211a218.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_16331257_01d2ad10-03ee-47a1-beea-6708c1238439.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MA | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | 396817 | PT | AE | N/A | N/A | N/A | N/A | N/A | 9589454556 | 1275 | N/A | 5543201 | 2222 | N/A | 16571752 | N/A | 4215026 | 2025-12-24 06:30:02.445875 | 2025-06-07 16:16:41.178119 |
| 2025-12-23 19:50:05.775678 | 2025-12-23 19:50:07.561580 | 16327882 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-11 | 2026-01-22 | M | AE | Bursaw | 00 0010765656 | Todd | PT | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14645547/check_16327882_694e2a67-f1dc-4e92-b985-7d3867d5dc7f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14645547/check_16327882_846c4d94-452d-4db8-9038-ed5a0904893d.json | N/A | N/A | N/A | N/A | N/A | 00 0010765656 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1966-02-11 | N/A | N/A | N/A | N/A | false | BURSAW | N/A | TODD | 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 | 14645547 | 2222 | N/A | 16552698 | N/A | 12773552 | 2025-12-23 19:50:07.561580 | 2025-12-23 19:42:22.053644 |
| 2025-12-23 19:50:04.011059 | 2025-12-23 19:50:05.772840 | 16327881 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-11 | 2026-01-22 | M | AE | Bursaw | 00 0010765656 | Todd | PT | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14645547/check_16327881_0dd23e74-7706-468d-8bdd-0f8ad825c72c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-22 | N/A | N/A | N/A | N/A | N/A | N/A | 00 0010765656 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1966-02-11 | N/A | N/A | N/A | N/A | false | BURSAW | N/A | TODD | 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 | 14645547 | 2222 | N/A | N/A | N/A | 12773552 | 2025-12-23 19:50:05.772840 | 2025-12-23 19:42:22.053644 |
| 2025-12-23 19:08:43.893305 | 2025-12-23 19:08:54.888158 | 16327476 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-11-24 | 2025-12-23 | F | PT | Halat | FIZ100010118257 | Hooram | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7870152/check_16327476_6794975f-f735-49c9-8030-ae471cd1d12a.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_16327476_72cd4465-fdae-4048-9ae4-16065d50a49b.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | 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 U.S.P.S.T.F. A AND B RECOMMENDATIONS. | 1987-11-24 | N/A | 716071106 | N/A | PR | false | HALAT | N/A | HOORAM | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9586722215 | N/A | N/A | 7870152 | 2222 | N/A | 16552157 | N/A | 6698799 | 2025-12-23 19:08:54.888158 | 2025-08-07 18:40:53.120761 |
| 2025-12-23 18:36:35.169631 | 2025-12-23 18:36:39.782061 | 16327051 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-09 | 2025-12-29 | M | AE | BEST | 983112629-00 | JEFFREY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539159/check_16327051_64f2a86d-dd3f-4cd7-94bd-92b99869ea3b.json | UHC | N/A | INSIGHTS | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539159/check_16327051_67a85bb1-3099-4be1-8ba9-886c398d8858.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 | 16551671 | N/A | 4211483 | 2025-12-23 18:36:39.782061 | 2025-05-13 04:29:37.225819 |