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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-10 21:27:56.392384 | 2025-06-10 21:27:57.959066 | 8711455 | 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_8711455_62ed31c9-2f80-4503-95a9-7471c5ffc89f.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 21:27:57.959066 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 21:27:37.146034 | 2025-06-10 21:27:38.845635 | 8711453 | 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_8711453_22577587-d554-4b29-ace7-aaff99cbdb50.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_8711453_e40ef22e-c02a-4ab2-9c99-616a2baa1553.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 | 8399496 | N/A | 4215193 | 2025-06-10 21:27:38.845635 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 21:27:35.506656 | 2025-06-10 21:27:37.144336 | 8711452 | 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_8711452_736c7284-9cf2-4cde-8a6c-4ed8bc538262.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 21:27:37.144336 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 21:27:27.210842 | 2025-06-10 21:27:28.905338 | 8711451 | 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_8711451_fde8db85-6133-4b2e-81c2-0577dffdf779.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_8711451_cb7ce400-ee87-40e4-8c00-46e8a7ceb5dd.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 | 8399493 | N/A | 4215193 | 2025-06-10 21:27:28.905338 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 21:27:25.636454 | 2025-06-10 21:27:27.209114 | 8711450 | 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_8711450_b2a8eade-f608-446a-b426-b1381daa92f2.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 21:27:27.209114 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 21:13:19.425310 | 2025-06-10 21:13:21.172428 | 8711398 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-08-19 | 2025-06-10 | U | AE | PT | 6237 | SANCHEZ | 400546562-01 | LIBERTA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5551017/check_8711398_0ac0aa85-2444-4c4e-bf5b-a0084155d9fb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551017/check_8711398_78076adc-602f-40e5-b67e-b3153b37a2ae.json | N/A | N/A | N/A | N/A | N/A | 400546562-01 | N/A | N/A | SCAN HEALTH PLAN CALIFORNIA | N/A | 1956-08-19 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | LIBERTA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5551017 | 2222 | N/A | 8399397 | N/A | 4219840 | 2025-06-10 21:13:21.172428 | 2025-06-10 21:13:44.297814 |
| 2025-06-10 21:13:17.815623 | 2025-06-10 21:13:19.423064 | 8711397 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-08-19 | 2025-06-10 | U | AE | PT | 6237 | SANCHEZ | 400546562-01 | LIBERTA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5551017/check_8711397_f4969316-cb23-47be-831a-0a11e6c3a539.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | 400546562-01 | N/A | N/A | SCAN HEALTH PLAN CALIFORNIA | N/A | 1956-08-19 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | LIBERTA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5551017 | 2222 | N/A | N/A | N/A | 4219840 | 2025-06-10 21:13:19.423064 | 2025-06-10 21:13:44.297814 |
| 2025-06-10 21:13:03.335082 | 2025-06-10 21:13:05.235175 | 8711392 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-08-19 | 2025-06-10 | U | AE | PT | 6237 | SANCHEZ | 40054656201 | LIBERTA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5551017/check_8711392_07d86217-d7a7-4258-b9b0-d8ce721c546c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551017/check_8711392_3588fb85-45b9-4439-8418-d6ecbfc4d41e.json | N/A | N/A | N/A | N/A | N/A | 40054656201 | N/A | N/A | SCAN HEALTH PLAN CALIFORNIA | N/A | 1956-08-19 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | LIBERTA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5551017 | 2222 | N/A | 8399389 | N/A | 4219840 | 2025-06-10 21:13:05.235175 | 2025-06-10 21:13:44.297814 |
| 2025-06-10 21:12:57.223207 | 2025-06-10 21:13:03.332698 | 8711390 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-08-19 | 2025-06-10 | U | AE | PT | 6237 | SANCHEZ | 40054656201 | LIBERTA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5551017/check_8711390_536b6a9c-bd14-4e43-acc6-37aab9aa0b83.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | 40054656201 | N/A | N/A | SCAN HEALTH PLAN CALIFORNIA | N/A | 1956-08-19 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | LIBERTA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5551017 | 2222 | N/A | N/A | N/A | 4219840 | 2025-06-10 21:13:03.332698 | 2025-06-10 21:13:44.297814 |
| 2025-06-10 20:43:42.561548 | 2025-06-10 20:43:44.394412 | 8711265 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-12-31 | 2025-06-10 | M | PT | N/A | 4191 | SIMON | 913762408 | DUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542213/check_8711265_3d4d01bc-6898-4198-9dde-900c4ea18e24.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542213/check_8711265_fd53afc1-1860-4a25-a6a1-b18f71eec0dc.json | N/A | N/A | N/A | N/A | N/A | 913762408 | N/A | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-12-31 | 2001DA000346 | X0001004 | N/A | N/A | false | SIMON | N/A | DUSTIN | N/A | N/A | N/A | FAMILY DENTAL HMO PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7889215954 | 9482 | N/A | 5542213 | 2222 | N/A | 8399163 | N/A | 4214155 | 2025-06-10 20:43:44.394412 | 2025-05-13 04:29:37.228482 |
| 2025-06-10 20:16:56.523898 | 2025-06-10 20:16:58.424147 | 8711174 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-13 | 2025-06-10 | M | AE | PT | 6411 | MORA | 14996176800 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541489/check_8711174_6b50a361-0b48-411d-9cc1-a0e310acfc52.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541489/check_8711174_9e55ff77-5885-4ffe-8cf4-789082db4767.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 | 7888983917 | 9482 | N/A | 5541489 | 2222 | N/A | 8398964 | N/A | 4213500 | 2025-06-10 20:16:58.424147 | 2025-05-13 04:29:37.227819 |
| 2025-06-10 20:15:50.978616 | 2025-06-10 20:15:55.802937 | 8711165 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-13 | 2025-06-10 | M | AE | PT | 6411 | MORA | 14996176800 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541489/check_8711165_cbd7c4af-d677-495b-9686-7ff0a7b15b3d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541489/check_8711165_4e159b5b-36a4-43d3-bb2a-b1c56261965c.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 | 7888970858 | 9482 | N/A | 5541489 | 2222 | N/A | 8398953 | N/A | 4213500 | 2025-06-10 20:15:55.802937 | 2025-05-13 04:29:37.227819 |
| 2025-06-10 19:37:58.736452 | 2025-06-10 19:38:00.708022 | 8711030 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-20 | 2025-06-02 | M | PT | AE | 4497 | GRANT | 2p67ae9mf59 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6211373/check_8711030_9f03552d-974f-4bd0-8561-296da3d9af65.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211373/check_8711030_d586c913-30ea-4692-a94a-d99b8758d943.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 | 7888681970 | 7927 | N/A | 6211373 | 2222 | N/A | 8398705 | N/A | 4214087 | 2025-06-10 19:38:00.708022 | 2025-05-13 04:29:37.228402 |
| 2025-06-10 19:34:20.656658 | 2025-06-10 19:34:27.588399 | 8711019 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-20 | 2025-06-02 | M | PT | AE | 4191 | GRANT | xem914408420 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6211380/check_8711019_381f17e8-f5b6-459c-85e4-d7ba548b19fd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211380/check_8711019_edd2e219-1781-45c9-b484-85008e0b4d11.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 | 7888642704 | 7927 | N/A | 6211380 | 2222 | N/A | 8398682 | N/A | 4214087 | 2025-06-10 19:34:27.588399 | 2025-05-13 04:29:37.228402 |
| 2025-06-10 19:33:59.648938 | 2025-06-10 19:34:10.833823 | 8711018 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-20 | 2025-06-02 | M | PT | AE | 4497 | GRANT | 2p67ae9mf59 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6211373/check_8711018_677ce691-af94-4293-b2b2-cb734ed663a6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211373/check_8711018_bfa0651e-16c2-4fd3-b2d6-aa8983ba0333.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 | 7888639889 | 7927 | N/A | 6211373 | 2222 | N/A | 8398681 | N/A | 4214087 | 2025-06-10 19:34:10.833823 | 2025-05-13 04:29:37.228402 |
| 2025-06-10 19:12:33.931245 | 2025-06-10 19:12:43.787794 | 8710887 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-08-11 | 2025-06-11 | M | PT | N/A | 23277 | ALBA | XEH909330777 | KYLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210099/check_8710887_16d9d753-80aa-4313-950b-5107ef3e7064.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210099/check_8710887_5efb4688-ab1f-4fbe-b379-d5e1ab6966d5.json | N/A | N/A | N/A | N/A | N/A | XEH909330777 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-08-11 | N/A | N/A | N/A | N/A | false | ALBA | N/A | KYLE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6210099 | 2222 | N/A | 8398466 | N/A | 4852857 | 2025-06-10 19:12:43.787794 | 2025-06-17 16:28:13.795457 |
| 2025-06-10 19:12:31.171623 | 2025-06-10 19:12:33.927518 | 8710886 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-08-11 | 2025-06-11 | M | PT | N/A | 23277 | ALBA | XEH909330777 | KYLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210099/check_8710886_2508a5f6-3e13-4896-87be-334a69e10d08.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | XEH909330777 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-08-11 | N/A | N/A | N/A | N/A | false | ALBA | N/A | KYLE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6210099 | 2222 | N/A | N/A | N/A | 4852857 | 2025-06-10 19:12:33.927518 | 2025-06-17 16:28:13.795457 |
| 2025-06-10 19:12:14.721972 | 2025-06-10 19:12:16.548865 | 8710885 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-08-11 | 2025-06-11 | M | PT | N/A | 23277 | ALBA | XEH909330777 | KYLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210099/check_8710885_925df88b-362e-4bea-86cd-0b2f1716cd08.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210099/check_8710885_9665215a-c845-4d2e-9bca-d80dd7138081.json | N/A | N/A | N/A | N/A | N/A | XEH909330777 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-08-11 | N/A | N/A | N/A | N/A | false | ALBA | N/A | KYLE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6210099 | 2222 | N/A | 8398462 | N/A | 4852857 | 2025-06-10 19:12:16.548865 | 2025-06-17 16:28:13.795457 |
| 2025-06-10 19:11:55.977029 | 2025-06-10 19:12:14.717886 | 8710883 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-08-11 | 2025-06-11 | M | PT | N/A | 23277 | ALBA | XEH909330777 | KYLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210099/check_8710883_2ab7b074-6e01-4d8f-a0a3-c1124f572de4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | XEH909330777 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-08-11 | N/A | N/A | N/A | N/A | false | ALBA | N/A | KYLE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6210099 | 2222 | N/A | N/A | N/A | 4852857 | 2025-06-10 19:12:14.717886 | 2025-06-17 16:28:13.795457 |
| 2025-06-10 18:54:51.814146 | 2025-06-10 18:54:53.621798 | 8710799 | 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_8710799_ea7aa7cf-370d-4189-8fa3-5cb277d8f3d2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_8710799_99230458-7451-4fc4-80df-d22a0dbe7903.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 | 8398335 | N/A | 4215193 | 2025-06-10 18:54:53.621798 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 18:54:50.181135 | 2025-06-10 18:54:51.807772 | 8710798 | 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_8710798_60e12767-1733-423e-8069-b17f399bd2b2.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 18:54:51.807772 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 18:54:43.716603 | 2025-06-10 18:54:45.516869 | 8710797 | 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_8710797_f7a0e73c-2705-43b5-94d8-b06dfdd47ce7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_8710797_ab1a56a3-c7ff-41b2-9ead-4b8284828374.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 | 8398333 | N/A | 4215193 | 2025-06-10 18:54:45.516869 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 18:54:41.794887 | 2025-06-10 18:54:43.703573 | 8710795 | 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_8710795_39bc9b5d-43c9-4097-bb2a-2e83e375dba5.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 18:54:43.703573 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 18:54:03.128082 | 2025-06-10 18:54:05.269588 | 8710793 | 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_8710793_91298ff5-c82f-4d5b-836c-f53aac235f87.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_8710793_1b4a912e-e9d4-4fe3-b8aa-6d5a68084693.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 | 8398327 | N/A | 4215193 | 2025-06-10 18:54:05.269588 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 18:54:01.226428 | 2025-06-10 18:54:03.098333 | 8710792 | 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_8710792_0eca0172-f57f-4fdb-acd7-ab26eb9397c2.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 18:54:03.098333 | 2026-01-16 04:38:12.725481 |
| 2025-06-10 17:30:24.695987 | 2025-06-10 17:30:26.609299 | 8710441 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-11-16 | 2025-06-11 | M | AE | PT | 2815 | MUELLER | 00023746903 | AIDEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858728/check_8710441_b0958356-3c95-4aba-abcd-e3d828910f83.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858728/check_8710441_162af22f-6a2a-4f8d-9e5c-2dec07181d87.json | N/A | N/A | N/A | N/A | N/A | 00023746903 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 2007-11-16 | N/A | N/A | N/A | N/A | false | MUELLER | N/A | AIDEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5858728 | 2222 | N/A | 8397773 | N/A | 4214856 | 2025-06-10 17:30:26.609299 | 2025-05-13 04:29:37.229180 |
| 2025-06-10 17:30:22.958764 | 2025-06-10 17:30:24.693622 | 8710439 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-11-16 | 2025-06-11 | M | AE | PT | 2815 | MUELLER | 00023746903 | AIDEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858728/check_8710439_9b76bdbe-dbc9-4ba1-ae2b-f0de1d9a414b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00023746903 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 2007-11-16 | N/A | N/A | N/A | N/A | false | MUELLER | N/A | AIDEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5858728 | 2222 | N/A | N/A | N/A | 4214856 | 2025-06-10 17:30:24.693622 | 2025-05-13 04:29:37.229180 |
| 2025-06-10 17:28:54.578850 | 2025-06-10 17:29:03.411116 | 8710422 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-06-02 | 2025-06-03 | F | PT | N/A | 4185 | VISHNUVAJJALA | CQP771W14692 | SRIDEVI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543229/check_8710422_bbab5025-4407-4569-a48a-35832acf3129.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543229/check_8710422_a48bf7a6-8e05-494d-bdc7-2f3ec7d329a7.json | N/A | N/A | N/A | N/A | N/A | CQP771W14692 | Preferred Provider Organization (PPO) | CENTENE CORPORATION | ANTHEM BLUE CROSS | N/A | 1975-06-02 | 241 | 230043M11A | N/A | PR | false | VISHNUVAJJALA | N/A | SRIDEVI | N/A | 9999-12-31 | 2025-01-01 | BLUE ACCESS PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7887452143 | 5831 | N/A | 5543229 | 2222 | N/A | 8397752 | N/A | 4215047 | 2025-06-10 17:29:03.411116 | 2025-06-06 02:34:02.692173 |
| 2025-06-10 17:25:22.410562 | 2025-06-10 17:25:25.231236 | 8710377 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-04-27 | 2025-06-16 | F | PT | N/A | 4191 | WAKELAND | 905610027-002 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6209752/check_8710377_17678d6b-7e04-411e-ade2-217512858f8b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6209752/check_8710377_75b7b2ae-68d1-401d-ac1d-3188646e8f20.json | N/A | N/A | N/A | N/A | N/A | XEH905610027 | Health Maintenance Organization (HMO) | LOCAL MEDIA SAN DIEGO LLC | BLUE SHIELD CALIFORNIA | N/A | 2000-04-27 | 1000VX000101 | W0086746 | N/A | HM | false | WAKELAND | N/A | MICHELLE | N/A | 9999-12-31 | 2024-09-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7887412492 | 9489 | N/A | 6209752 | 2222 | N/A | 8397696 | N/A | 4852447 | 2025-06-10 17:25:25.231236 | 2025-06-25 17:11:35.957008 |
| 2025-06-10 17:24:04.787225 | 2025-06-10 17:24:06.594422 | 8710358 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-04-27 | 2025-06-16 | F | PT | N/A | 23306 | WAKELAND | 905610027-002 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6209752/check_8710358_aac338fb-cb3c-4358-96b2-0e22a29b1304.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6209752/check_8710358_664d134d-1452-4395-9222-a020685cfbf3.json | N/A | N/A | N/A | N/A | N/A | 905610027-002 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2000-04-27 | N/A | N/A | N/A | N/A | false | WAKELAND | N/A | NICOLE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6209752 | 2222 | N/A | 8397674 | N/A | 4852447 | 2025-06-10 17:24:06.594422 | 2025-06-25 17:11:35.957008 |
| 2025-06-10 17:24:01.036600 | 2025-06-10 17:24:04.784651 | 8710356 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-04-27 | 2025-06-16 | F | PT | N/A | 23306 | WAKELAND | 905610027-002 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6209752/check_8710356_120a2cc2-068f-4a58-908b-12ce9094b65a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | N/A | N/A | N/A | N/A | N/A | N/A | 905610027-002 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2000-04-27 | N/A | N/A | N/A | N/A | false | WAKELAND | N/A | NICOLE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6209752 | 2222 | N/A | N/A | N/A | 4852447 | 2025-06-10 17:24:04.784651 | 2025-06-25 17:11:35.957008 |
| 2025-06-10 17:17:03.955309 | 2025-06-10 17:17:06.930049 | 8710212 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-08-02 | 2025-06-10 | M | PT | AE | 6237 | CHADIDA | 40060913601 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538674/check_8710212_7fba81d0-2af0-42c3-8d77-537354f0f9fc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_8710212_8003c5ea-9b24-4cf9-9e2e-68c682e7042e.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2025H5425001 | H5425M | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7887284834 | 5831 | N/A | 5538674 | 2222 | N/A | 8397517 | N/A | 4211039 | 2025-06-10 17:17:06.930049 | 2025-05-13 04:29:37.225444 |
| 2025-06-10 17:15:05.140196 | 2025-06-10 17:15:07.138285 | 8710200 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-08-02 | 2025-06-10 | M | PT | AE | 4184 | CHADIDA | 40060913601 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538674/check_8710200_1a045c6c-3db2-4409-9595-8c2adeec009f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_8710200_72ab712f-3c00-4996-a54f-df5de05d8eae.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1951-08-02 | N/A | N/A | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5538674 | 2222 | N/A | 8397499 | N/A | 4211039 | 2025-06-10 17:15:07.138285 | 2025-05-13 04:29:37.225444 |
| 2025-06-10 17:15:02.518227 | 2025-06-10 17:15:05.137994 | 8710199 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-08-02 | 2025-06-10 | M | PT | AE | 4184 | CHADIDA | 40060913601 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538674/check_8710199_a0504bea-3684-4175-8f53-92c30ed1cf0a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1951-08-02 | N/A | N/A | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5538674 | 2222 | N/A | N/A | N/A | 4211039 | 2025-06-10 17:15:05.137994 | 2025-05-13 04:29:37.225444 |
| 2025-06-10 17:07:53.538294 | 2025-06-10 17:08:01.589393 | 8710168 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-05-21 | 2025-06-10 | M | PT | N/A | 4185 | RECAO | JQO010W18072 | WALTER | https://storage.googleapis.com/normandy-eligibility-checks/2222/6199523/check_8710168_ed7e3440-7344-484e-92e6-3eeb87b6e0eb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6199523/check_8710168_1250a058-c6c4-40a1-ab12-dc4d6d1ea6c7.json | N/A | N/A | N/A | N/A | N/A | JQO010W18072 | Health Maintenance Organization (HMO) | N/A | ANTHEM BLUE CROSS | COVERAGE SUSPENDED. ELIGIBILITY IS CONTINGENT ON THE TIMELY PAYMENT OF THE PREMIUM DUE. | 1990-05-21 | 040 | 82CX00 | N/A | HM | false | RECAO | N/A | WALTER | N/A | N/A | N/A | EXCHANGE MEMBER - ANTHEM SILVER 73 HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7887168122 | 5831 | N/A | 6199523 | 2222 | N/A | 8397454 | N/A | 4843151 | 2025-06-10 17:08:01.589393 | 2025-06-10 14:36:59.767163 |
| 2025-06-10 16:29:03.478587 | 2025-06-10 16:29:08.376738 | 8709923 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-03-07 | 2025-06-10 | F | PT | AE | 6411 | AFSHAR | 970001399 | NAZFAR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541142/check_8709923_ee5396ca-8cfb-4b81-93af-7dca14d57260.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541142/check_8709923_0bdb15d6-e178-444e-881e-47ebdb94040e.json | N/A | N/A | N/A | N/A | N/A | 970001399 | Commercial | GURSEY SCHNEIDER | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1959-03-07 | 0003 0003 | 937230 | N/A | C1 | false | AFSHAR | N/A | NAZFAR | N/A | N/A | N/A | SELECT PLUS PPO CA 2023 CUIR MOD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7886663539 | 7927 | N/A | 5541142 | 2222 | N/A | 8397095 | N/A | 4213197 | 2025-06-10 16:29:08.376738 | 2025-06-03 05:25:30.972895 |
| 2025-06-10 15:02:41.790881 | 2025-06-10 15:02:47.709102 | 8709497 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-06-10 | 2025-06-12 | M | AE | PT | 6411 | Corpe | 985837503 | Olivier | https://storage.googleapis.com/normandy-eligibility-checks/2222/6161213/check_8709497_0c965c9b-723e-4cac-b5f1-b8930d17bf3a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6161213/check_8709497_c39b3fde-ebfa-42d1-bc7c-7e97a4a550e7.json | N/A | N/A | N/A | N/A | N/A | 985837503 | Commercial | CANDLE MEDIA, LLC | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1991-09-10 | 0026 0026 | 932244 | N/A | C1 | false | CORPE | N/A | OLIVIER | N/A | N/A | N/A | UNITEDHEALTHCARE SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7885511615 | 8428 | N/A | 6161213 | 2222 | N/A | 8396545 | N/A | 4801864 | 2025-06-10 15:02:47.709102 | 2025-06-05 19:59:59.163437 |
| 2025-06-10 15:01:49.460028 | 2025-06-10 15:02:04.368176 | 8709494 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-11-02 | 2025-06-12 | F | AD | N/A | 1534 | CHUNG | U8197480201 | KRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539237/check_8709494_8537e19b-4886-46d8-ab63-c9808ac1c4ea.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539237/check_8709494_c8a5babf-0f55-42e5-b772-278ad957b582.json | N/A | N/A | N/A | N/A | N/A | U8197480201 | N/A | KONAMI DIGITAL ENTERTAINMENT, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 1974-11-02 | N/A | 3344762 | N/A | N/A | false | CHUNG | N/A | KRISTINA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7885499870 | 8428 | N/A | 5539237 | 2222 | N/A | 8396542 | N/A | 4211568 | 2025-06-10 15:02:04.368176 | 2025-05-13 04:29:37.225900 |
| 2025-06-10 15:00:54.462315 | 2025-06-10 15:00:57.508352 | 8709487 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1933-08-29 | 2025-06-12 | F | PT | AE | 6237 | MALOLEPSZY | 31048620001 | CHRISTINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676397/check_8709487_7a0e45b5-7856-48e5-b358-328784ac0b42.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676397/check_8709487_f43f31ee-8eb2-4159-be5c-5169dbae9a60.json | N/A | N/A | N/A | N/A | N/A | 31048620001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1933-08-29 | 2025H5425001 | H5425M | N/A | N/A | false | MALOLEPSZY | N/A | CHRISTINE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7885488131 | 8428 | N/A | 5676397 | 2222 | N/A | 8396535 | N/A | 4343449 | 2025-06-10 15:00:57.508352 | 2025-05-13 04:29:37.230927 |
| 2025-06-10 14:51:21.757108 | 2025-06-10 14:51:28.808626 | 8709433 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-07-11 | 2025-06-12 | M | PT | AE | 4625 | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_8709433_8fede074-9c3e-404d-8297-8c9213ece805.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_8709433_a30d097e-d96d-433b-870b-4d18607a0ff2.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5540113 | 2222 | N/A | 8396481 | N/A | 4212315 | 2025-06-10 14:51:28.808626 | 2025-12-29 21:20:15.158611 |
| 2025-06-10 14:51:13.718652 | 2025-06-10 14:51:21.754600 | 8709432 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-07-11 | 2025-06-12 | M | PT | AE | 4625 | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_8709432_97bef698-e354-473c-a308-87cad7aa2f2f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5540113 | 2222 | N/A | N/A | N/A | 4212315 | 2025-06-10 14:51:21.754600 | 2025-12-29 21:20:15.158611 |
| 2025-06-10 14:47:30.975997 | 2025-06-10 14:47:34.889698 | 8709415 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-06-11 | 2025-06-12 | F | PT | N/A | 4191 | MEDINA | XDP628W03244 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993935/check_8709415_3be134db-bd3e-42d9-997c-0d31dfd1a75f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993935/check_8709415_bdbfcac3-ae9b-46bc-888e-44ba68ba3fb9.json | N/A | N/A | N/A | N/A | N/A | XDP628W03244 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1964-06-11 | N/A | N/A | N/A | N/A | false | MEDINA | N/A | RACHEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5993935 | 2222 | N/A | 8396463 | N/A | 4642857 | 2025-06-10 14:47:34.889698 | 2025-07-07 14:11:20.082988 |
| 2025-06-10 14:47:26.315293 | 2025-06-10 14:47:30.971082 | 8709414 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-06-11 | 2025-06-12 | F | PT | N/A | 4191 | MEDINA | XDP628W03244 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993935/check_8709414_3b439961-d7c6-4f05-a02a-684ead2c41c4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | XDP628W03244 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1964-06-11 | N/A | N/A | N/A | N/A | false | MEDINA | N/A | RACHEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5993935 | 2222 | N/A | N/A | N/A | 4642857 | 2025-06-10 14:47:30.971082 | 2025-07-07 14:11:20.082988 |
| 2025-06-10 14:45:47.597840 | 2025-06-10 14:45:49.534424 | 8709410 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-06-11 | 2025-06-12 | F | PT | N/A | 4185 | MEDINA | XDP628W03244 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993935/check_8709410_d5772257-06d4-43ba-810d-b2c69a835345.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993935/check_8709410_000742b3-ff99-4ce4-812e-3adafccd850e.json | N/A | N/A | N/A | N/A | N/A | XDP628W03244 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1964-06-11 | N/A | N/A | N/A | N/A | false | MEDINA | N/A | RACHEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5993935 | 2222 | N/A | 8396457 | N/A | 4642857 | 2025-06-10 14:45:49.534424 | 2025-07-07 14:11:20.082988 |
| 2025-06-10 14:45:44.845258 | 2025-06-10 14:45:47.594417 | 8709409 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-06-11 | 2025-06-12 | F | PT | N/A | 4185 | MEDINA | XDP628W03244 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993935/check_8709409_d5543a0a-ab29-4b32-8782-445f054d7f75.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | XDP628W03244 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1964-06-11 | N/A | N/A | N/A | N/A | false | MEDINA | N/A | RACHEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5993935 | 2222 | N/A | N/A | N/A | 4642857 | 2025-06-10 14:45:47.594417 | 2025-07-07 14:11:20.082988 |
| 2025-06-10 14:44:32.721855 | 2025-06-10 14:44:35.608163 | 8709394 | N/A | N/A | SELF1 | SELF-PAY (NO INSURANCE) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-05-21 | 2025-06-10 | M | AE | PT | 6895 | RECAO | JQO010W18072 | WALTER | https://storage.googleapis.com/normandy-eligibility-checks/2222/6199523/check_8709394_da7ff5b1-e42f-4eed-b9ce-671ec80d09c8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6199523/check_8709394_d674d610-e83a-49c4-81c0-b232bc486c73.json | N/A | N/A | N/A | N/A | N/A | JQO010W18072 | N/A | N/A | SELF PAY ESTIMATION ONLY | N/A | 1990-05-21 | N/A | N/A | N/A | N/A | false | RECAO | N/A | WALTER | 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 | 6199523 | 2222 | N/A | 8396442 | N/A | 4843151 | 2025-06-10 14:44:35.608163 | 2025-06-10 14:36:59.767163 |
| 2025-06-10 14:44:31.101086 | 2025-06-10 14:44:32.719541 | 8709393 | N/A | N/A | SELF1 | SELF-PAY (NO INSURANCE) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-05-21 | 2025-06-10 | M | AE | PT | 6895 | RECAO | JQO010W18072 | WALTER | https://storage.googleapis.com/normandy-eligibility-checks/2222/6199523/check_8709393_a70512d6-f21b-4f3d-9341-48bd518bd920.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | JQO010W18072 | N/A | N/A | SELF PAY ESTIMATION ONLY | N/A | 1990-05-21 | N/A | N/A | N/A | N/A | false | RECAO | N/A | WALTER | 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 | 6199523 | 2222 | N/A | N/A | N/A | 4843151 | 2025-06-10 14:44:32.719541 | 2025-06-10 14:36:59.767163 |
| 2025-06-10 14:43:56.927942 | 2025-06-10 14:44:00.892994 | 8709391 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-09 | 2025-06-12 | F | PT | AE | 4625 | SHAUGHNESSY | U9219243801 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550965/check_8709391_9809c2b3-b52a-4cf7-a315-01b48bc056ce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550965/check_8709391_9d7a6801-09eb-405b-bb31-7747789a1801.json | N/A | N/A | N/A | N/A | N/A | U9219243801 | N/A | N/A | HEALTH NET OF CALIFORNIA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1968-04-09 | 67138CA0750010-00 | N/A | N/A | N/A | false | SHAUGHNESSY | N/A | MARGARET | N/A | N/A | N/A | SILVER 70 OFF EXCHANGE AMBETTER HMO + ADULT DENTAL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7885250947 | 8428 | N/A | 5550965 | 2222 | N/A | 8396439 | N/A | 4219798 | 2025-06-10 14:44:00.892994 | 2025-05-13 04:29:37.230838 |
| 2025-06-10 14:43:02.318283 | 2025-06-10 14:43:04.175718 | 8709386 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-09 | 2025-06-12 | F | PT | AE | 4437 | SHAUGHNESSY | U9219243801 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550965/check_8709386_9e65731d-8482-4aa5-84ac-e00aff657f9d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550965/check_8709386_ede022cf-836c-4bc5-9283-27b60210ca07.json | N/A | N/A | N/A | N/A | N/A | U9219243801 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1968-04-09 | N/A | N/A | N/A | N/A | false | SHAUGHNESSY | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5550965 | 2222 | N/A | 8396434 | N/A | 4219798 | 2025-06-10 14:43:04.175718 | 2025-05-13 04:29:37.230838 |
| 2025-06-10 14:42:59.514606 | 2025-06-10 14:43:02.316128 | 8709385 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-09 | 2025-06-12 | F | PT | AE | 4437 | SHAUGHNESSY | U9219243801 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550965/check_8709385_8987fdd0-2720-44fc-b004-dc207a81cbfd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | U9219243801 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1968-04-09 | N/A | N/A | N/A | N/A | false | SHAUGHNESSY | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5550965 | 2222 | N/A | N/A | N/A | 4219798 | 2025-06-10 14:43:02.316128 | 2025-05-13 04:29:37.230838 |