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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-20 02:38:24.845429 | 2025-12-20 02:38:26.713187 | 16225506 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-06-27 | 2025-12-22 | M | AE | PT | 4497 | WECHTER | 3J65TR5GR88 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/14513880/check_16225506_a26547f1-314b-4ac9-92e3-a3018d09e21a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14513880/check_16225506_9bf2cc6d-1f5f-49bb-bacc-4839b29ad9ea.json | N/A | N/A | N/A | N/A | N/A | 3J65TR5GR88 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-27 | N/A | N/A | N/A | MA | false | WECHTER | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9563364447 | N/A | N/A | 14513880 | 2222 | N/A | 16462469 | N/A | 12644286 | 2025-12-20 02:38:26.713187 | 2025-12-22 18:40:58.838910 |
| 2025-12-20 02:35:58.410909 | 2025-12-20 02:36:00.277524 | 16225505 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-06-27 | 2025-12-22 | M | AE | PT | 4497 | WECHTER | 3J65TR5GR88 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/14513880/check_16225505_d3072f97-0fbd-4d72-8254-23edd75d6741.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14513880/check_16225505_81525488-3a10-4e69-a1aa-57b1adf81b97.json | N/A | N/A | N/A | N/A | N/A | 3J65TR5GR88 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-27 | N/A | N/A | N/A | MA | false | WECHTER | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9563361902 | N/A | N/A | 14513880 | 2222 | N/A | 16462468 | N/A | 12644286 | 2025-12-20 02:36:00.277524 | 2025-12-22 18:40:58.838910 |
| 2025-12-20 02:35:51.181019 | 2025-12-20 02:35:53.050296 | 16225504 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-06-27 | 2025-12-22 | M | AE | PT | 4497 | WECHTER | 3J65TR5GR88 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/14513880/check_16225504_502487dd-9316-42d0-9d03-2c2523e8e9a1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14513880/check_16225504_9f749986-8229-4047-882a-10265dd48121.json | N/A | N/A | N/A | N/A | N/A | 3J65TR5GR88 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-27 | N/A | N/A | N/A | MB | false | WECHTER | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9563361762 | N/A | N/A | 14513880 | 2222 | N/A | 16462467 | N/A | 12644286 | 2025-12-20 02:35:53.050296 | 2025-12-22 18:40:58.838910 |
| 2025-12-20 02:34:13.128662 | 2025-12-20 02:34:15.219486 | 16225503 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-06-27 | 2025-12-22 | M | AE | PT | 4497 | WECHTER | 3J65TR5GR88 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/14513880/check_16225503_6629da24-64c9-46ce-aa51-0f98e5ec718e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14513880/check_16225503_d3e0be14-af0d-4c8b-9559-cff7113a5018.json | N/A | N/A | N/A | N/A | N/A | 3J65TR5GR88 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-27 | N/A | N/A | N/A | MA | false | WECHTER | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9563360098 | N/A | N/A | 14513880 | 2222 | N/A | 16462466 | N/A | 12644286 | 2025-12-20 02:34:15.219486 | 2025-12-22 18:40:58.838910 |
| 2025-12-20 02:33:30.297797 | 2025-12-20 02:33:32.255202 | 16225502 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-06-27 | 2025-12-22 | M | AE | PT | 4497 | WECHTER | 3J65TR5GR88 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/14513880/check_16225502_ae665882-35fa-495e-af57-643e6dde3086.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14513880/check_16225502_818246c9-782e-4641-a2f5-cd32458f746c.json | N/A | N/A | N/A | N/A | N/A | 3J65TR5GR88 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-27 | N/A | N/A | N/A | MA | false | WECHTER | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9563359335 | N/A | N/A | 14513880 | 2222 | N/A | 16462465 | N/A | 12644286 | 2025-12-20 02:33:32.255202 | 2025-12-22 18:40:58.838910 |
| 2025-12-20 02:33:07.192719 | 2025-12-20 02:33:09.158914 | 16225501 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-06-27 | 2025-12-22 | M | AE | PT | 4497 | WECHTER | 3J65TR5GR88 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/14513880/check_16225501_3739275c-f79c-4094-b9d6-08bfcd98c896.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14513880/check_16225501_ea07abf8-d74a-46c8-ba22-d8bcec50f34f.json | N/A | N/A | N/A | N/A | N/A | 3J65TR5GR88 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-27 | N/A | N/A | N/A | MB | false | WECHTER | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9563358856 | N/A | N/A | 14513880 | 2222 | N/A | 16462464 | N/A | 12644286 | 2025-12-20 02:33:09.158914 | 2025-12-22 18:40:58.838910 |
| 2025-12-20 02:32:46.920629 | 2025-12-20 02:32:48.920098 | 16225500 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-06-27 | 2025-12-22 | M | AE | PT | 4497 | WECHTER | 3J65TR5GR88 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/14513880/check_16225500_99e39d44-ae93-4509-91ef-b808bf22df91.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14513880/check_16225500_40b529f2-3405-4f2f-b5f1-06f00d7cc4b5.json | N/A | N/A | N/A | N/A | N/A | 3J65TR5GR88 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-27 | N/A | N/A | N/A | MA | false | WECHTER | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9563358391 | N/A | N/A | 14513880 | 2222 | N/A | 16462463 | N/A | 12644286 | 2025-12-20 02:32:48.920098 | 2025-12-22 18:40:58.838910 |
| 2025-12-20 02:32:40.709045 | 2025-12-20 02:32:42.818393 | 16225499 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-06-27 | 2025-12-22 | M | AE | PT | 4497 | WECHTER | 3J65TR5GR88 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/14513880/check_16225499_fa3c8fe0-7cca-4815-96f2-0ac3d3466922.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14513880/check_16225499_bebe009c-56fd-40de-b80d-4fad8bbfdff4.json | N/A | N/A | N/A | N/A | N/A | 3J65TR5GR88 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-27 | N/A | N/A | N/A | MB | false | WECHTER | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9563358268 | N/A | N/A | 14513880 | 2222 | N/A | 16462462 | N/A | 12644286 | 2025-12-20 02:32:42.818393 | 2025-12-22 18:40:58.838910 |
| 2025-12-20 02:32:35.993469 | 2025-12-20 02:32:37.864575 | 16225498 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-06-27 | 2025-12-22 | M | AE | PT | 4497 | WECHTER | 3J65TR5GR88 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/14513880/check_16225498_6bca018a-6bd6-46dc-9112-166e72bcfd70.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14513880/check_16225498_451c5da7-6ef3-48d2-8472-ca4df79f2d07.json | N/A | N/A | N/A | N/A | N/A | 3J65TR5GR88 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-27 | N/A | N/A | N/A | MA | false | WECHTER | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9563358179 | N/A | N/A | 14513880 | 2222 | N/A | 16462461 | N/A | 12644286 | 2025-12-20 02:32:37.864575 | 2025-12-22 18:40:58.838910 |
| 2025-12-20 02:31:53.663206 | 2025-12-20 02:31:55.529939 | 16225497 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-06-27 | 2025-12-22 | M | AE | PT | 4497 | WECHTER | 3J65TR5GR88 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/14513880/check_16225497_3dc0f41f-fe99-4726-a04c-b46b8d14295b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14513880/check_16225497_2d10161d-3de0-452f-9116-68f24f59efb8.json | N/A | N/A | N/A | N/A | N/A | 3J65TR5GR88 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-27 | N/A | N/A | N/A | MB | false | WECHTER | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9563357423 | N/A | N/A | 14513880 | 2222 | N/A | 16462460 | N/A | 12644286 | 2025-12-20 02:31:55.529939 | 2025-12-22 18:40:58.838910 |
| 2025-12-20 02:31:44.116807 | 2025-12-20 02:31:46.140206 | 16225496 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-06-27 | 2025-12-22 | M | AE | PT | 4497 | WECHTER | 3J65TR5GR88 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/14513880/check_16225496_b7da87f1-d09b-4ddc-af7d-7f8082f43e91.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14513880/check_16225496_63b3809c-0790-4130-a636-7b21ae60bffc.json | N/A | N/A | N/A | N/A | N/A | 3J65TR5GR88 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-27 | N/A | N/A | N/A | MA | false | WECHTER | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9563357237 | N/A | N/A | 14513880 | 2222 | N/A | 16462459 | N/A | 12644286 | 2025-12-20 02:31:46.140206 | 2025-12-22 18:40:58.838910 |
| 2025-12-19 23:51:38.970140 | 2025-12-19 23:51:40.869681 | 16225236 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-25 | 2025-12-10 | M | AE | PT | 4437 | Maher | 80Y0447913 | Timothy | https://storage.googleapis.com/normandy-eligibility-checks/2222/13655343/check_16225236_5aacecd9-0f62-45b9-967b-cedda032ed0f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13655343/check_16225236_d08cd13d-944b-4dab-a721-3f87312c0f3b.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 | 6189 | N/A | 13655343 | 2222 | N/A | 16444015 | N/A | 11803316 | 2025-12-19 23:51:40.869681 | 2025-12-16 19:29:59.872631 |
| 2025-12-19 23:51:37.150989 | 2025-12-19 23:51:38.964236 | 16225235 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-25 | 2025-12-10 | M | AE | PT | 4437 | Maher | 80Y0447913 | Timothy | https://storage.googleapis.com/normandy-eligibility-checks/2222/13655343/check_16225235_018829e5-6b5a-4c4b-b2e6-35b2211c285d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-10 | 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 | 6189 | N/A | 13655343 | 2222 | N/A | N/A | N/A | 11803316 | 2025-12-19 23:51:38.964236 | 2025-12-16 19:29:59.872631 |
| 2025-12-19 23:40:48.383886 | 2025-12-19 23:40:52.439898 | 16225193 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-07-18 | 2025-12-22 | F | AE | PT | 4811 | Hartman | 000016528383 | Pamela | https://storage.googleapis.com/normandy-eligibility-checks/2222/14050933/check_16225193_9c7a05e0-a19f-443a-b9de-009d7d5d8d51.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14050933/check_16225193_f6303b86-bdf2-44af-85b6-260d0cbc1c8d.json | N/A | N/A | N/A | N/A | N/A | 000016528383 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1961-07-18 | 4332645 | 1650095001 | N/A | N/A | false | HARTMAN | N/A | PAMELA | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9562925614 | 160458 | N/A | 14050933 | 2222 | N/A | 16443952 | N/A | 12196734 | 2025-12-19 23:40:52.439898 | 2025-12-16 19:40:10.416579 |
| 2025-12-19 23:24:37.624834 | 2025-12-19 23:24:40.531662 | 16225118 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-12-31 | 2025-12-31 | F | AE | PT | 4709 | Vallarta | C4105632001 | Denise | https://storage.googleapis.com/normandy-eligibility-checks/2222/13041876/check_16225118_8408abcf-e332-404e-a220-a6a9192a7b0f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13041876/check_16225118_ce0b4079-e378-4186-9bcf-8e4a4d7b5461.json | N/A | N/A | N/A | N/A | N/A | C4105632001 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1962-12-31 | N/A | CA35610008 | N/A | N/A | false | VALLARTA | N/A | DENISE | N/A | N/A | N/A | WELLCARE DUAL ALIGN (HMO DSNP) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9562877170 | 6189 | N/A | 13041876 | 2222 | N/A | 16443851 | N/A | 11199149 | 2025-12-19 23:24:40.531662 | 2025-12-15 20:02:32.463902 |
| 2025-12-19 23:24:11.644831 | 2025-12-19 23:24:13.498297 | 16225115 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-12-31 | 2025-12-31 | F | AE | PT | 4709 | Vallarta | C41056320-01 | Denise | https://storage.googleapis.com/normandy-eligibility-checks/2222/13041876/check_16225115_bc744726-e158-439a-90e4-10e09e3c7b3e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13041876/check_16225115_fb6f1e93-7911-4758-a751-57d85f326a6e.json | N/A | N/A | N/A | N/A | N/A | C41056320-01 | N/A | N/A | CENTENE CORPORATION | N/A | 1962-12-31 | N/A | N/A | N/A | N/A | false | VALLARTA | N/A | DENISE | 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 | 6189 | N/A | 13041876 | 2222 | N/A | 16443848 | N/A | 11199149 | 2025-12-19 23:24:13.498297 | 2025-12-15 20:02:32.463902 |
| 2025-12-19 23:24:09.903771 | 2025-12-19 23:24:11.641525 | 16225114 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-12-31 | 2025-12-31 | F | AE | PT | 4709 | Vallarta | C41056320-01 | Denise | https://storage.googleapis.com/normandy-eligibility-checks/2222/13041876/check_16225114_82ced0a9-dfbf-4f12-9c08-ba378891e297.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-31 | N/A | N/A | N/A | N/A | N/A | N/A | C41056320-01 | N/A | N/A | CENTENE CORPORATION | N/A | 1962-12-31 | N/A | N/A | N/A | N/A | false | VALLARTA | N/A | DENISE | 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 | 6189 | N/A | 13041876 | 2222 | N/A | N/A | N/A | 11199149 | 2025-12-19 23:24:11.641525 | 2025-12-15 20:02:32.463902 |
| 2025-12-19 23:17:53.641108 | 2025-12-19 23:17:55.454914 | 16225095 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-01-14 | 2025-12-01 | F | PT | N/A | 4191 | KRAFT | XED911569862 | KATHRIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/7294742/check_16225095_78aef7e7-7121-41a4-bb2c-26ae1ab16767.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_16225095_db1d8abf-e799-43a4-872a-38f7fbf6ce18.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002175 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 2025-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9562863384 | 6189 | N/A | 7294742 | 2222 | N/A | 16443816 | N/A | 6254569 | 2025-12-19 23:17:55.454914 | 2025-08-12 09:24:43.956957 |
| 2025-12-19 23:16:55.283096 | 2025-12-19 23:16:58.461717 | 16225094 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-01-14 | 2025-12-09 | F | PT | N/A | 4191 | KRAFT | XED911569862 | KATHRIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/7294742/check_16225094_f6761dd3-3142-4439-9d60-73ab4e75a5b7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_16225094_82d97e39-2874-4fd6-b712-21bb0b296617.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002175 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9562861481 | 6189 | N/A | 7294742 | 2222 | N/A | 16443814 | N/A | 6254569 | 2025-12-19 23:16:58.461717 | 2025-08-12 09:24:43.956957 |
| 2025-12-19 22:48:37.381065 | 2025-12-19 22:48:39.179795 | 16224890 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-01-21 | 2025-12-19 | F | AE | PT | 5505 | Czapla | 000023476805 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187404/check_16224890_5404ddf2-b805-4759-b451-4d0d21b51946.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14187404/check_16224890_c1b2aa7a-ba18-4916-8261-3cd2d3883651.json | N/A | N/A | N/A | N/A | N/A | 000023476805 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 2000-01-21 | N/A | N/A | N/A | N/A | false | CZAPLA | N/A | ELIZABETH | 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 | 14187404 | 2222 | N/A | 16443537 | N/A | 12319104 | 2025-12-19 22:48:39.179795 | 2025-12-12 00:58:12.994301 |
| 2025-12-19 22:48:35.699651 | 2025-12-19 22:48:37.377221 | 16224889 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-01-21 | 2025-12-19 | F | AE | PT | 5505 | Czapla | 000023476805 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187404/check_16224889_5bb3e207-91a7-4435-abac-3e5d53e54397.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-19 | N/A | N/A | N/A | N/A | N/A | N/A | 000023476805 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 2000-01-21 | N/A | N/A | N/A | N/A | false | CZAPLA | N/A | ELIZABETH | 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 | 14187404 | 2222 | N/A | N/A | N/A | 12319104 | 2025-12-19 22:48:37.377221 | 2025-12-12 00:58:12.994301 |
| 2025-12-19 22:47:17.126787 | 2025-12-19 22:47:18.956947 | 16224885 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-01-21 | 2025-12-19 | F | AE | PT | 5505 | Czapla | 000023476805 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187404/check_16224885_1eae0ed5-89ef-4c93-8f43-c97e4dd2dc0f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14187404/check_16224885_e924276f-077d-4fa9-a79e-f80a4954b7f2.json | N/A | N/A | N/A | N/A | N/A | 000023476805 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 2000-01-21 | N/A | N/A | N/A | N/A | false | CZAPLA | N/A | ELIZABETH | 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 | 14187404 | 2222 | N/A | 16443529 | N/A | 12319104 | 2025-12-19 22:47:18.956947 | 2025-12-12 00:58:12.994301 |
| 2025-12-19 22:47:15.340912 | 2025-12-19 22:47:17.124129 | 16224884 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-01-21 | 2025-12-19 | F | AE | PT | 5505 | Czapla | 000023476805 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187404/check_16224884_d2984158-eae1-4a83-8abf-90aa2ebc6523.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-19 | N/A | N/A | N/A | N/A | N/A | N/A | 000023476805 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 2000-01-21 | N/A | N/A | N/A | N/A | false | CZAPLA | N/A | ELIZABETH | 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 | 14187404 | 2222 | N/A | N/A | N/A | 12319104 | 2025-12-19 22:47:17.124129 | 2025-12-12 00:58:12.994301 |
| 2025-12-19 22:44:09.530354 | 2025-12-19 22:44:11.325819 | 16224873 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-01-21 | 2025-12-19 | F | AE | PT | 5505 | Czapla | 000023476805 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187404/check_16224873_77d37824-9d9e-42db-8401-81c36e716979.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14187404/check_16224873_b60dca1d-69f4-4aad-8981-d3ec963fa2c7.json | N/A | N/A | N/A | N/A | N/A | 000023476805 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 2000-01-21 | N/A | N/A | N/A | N/A | false | CZAPLA | N/A | ELIZABETH | 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 | 14187404 | 2222 | N/A | 16443511 | N/A | 12319104 | 2025-12-19 22:44:11.325819 | 2025-12-12 00:58:12.994301 |
| 2025-12-19 22:44:06.844739 | 2025-12-19 22:44:09.526299 | 16224872 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-01-21 | 2025-12-19 | F | AE | PT | 5505 | Czapla | 000023476805 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187404/check_16224872_1f8d2a1e-aaed-48ff-9b50-d7acb3ef6895.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-19 | N/A | N/A | N/A | N/A | N/A | N/A | 000023476805 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 2000-01-21 | N/A | N/A | N/A | N/A | false | CZAPLA | N/A | ELIZABETH | 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 | 14187404 | 2222 | N/A | N/A | N/A | 12319104 | 2025-12-19 22:44:09.526299 | 2025-12-12 00:58:12.994301 |
| 2025-12-19 22:43:07.144863 | 2025-12-19 22:43:09.213881 | 16224871 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-11-24 | 2025-12-19 | U | AE | PT | 5504 | Hahn | 000023476805 | John | https://storage.googleapis.com/normandy-eligibility-checks/2222/14297735/check_16224871_e7ca2ef0-500d-4e6e-945c-6c66c6027996.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14297735/check_16224871_917fe37d-7bba-47b9-addd-0c1a574b3b25.json | N/A | N/A | N/A | N/A | N/A | 000023476805 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1937-11-24 | N/A | N/A | N/A | N/A | false | HAHN | N/A | JOHN | 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 | 14297735 | 2222 | N/A | 16443505 | N/A | 12431457 | 2025-12-19 22:43:09.213881 | 2025-12-24 16:43:10.665380 |
| 2025-12-19 22:43:05.252671 | 2025-12-19 22:43:07.141666 | 16224870 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-11-24 | 2025-12-19 | U | AE | PT | 5504 | Hahn | 000023476805 | John | https://storage.googleapis.com/normandy-eligibility-checks/2222/14297735/check_16224870_07727746-18f3-4de0-8505-81766536ae63.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-19 | N/A | N/A | N/A | N/A | N/A | N/A | 000023476805 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1937-11-24 | N/A | N/A | N/A | N/A | false | HAHN | N/A | JOHN | 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 | 14297735 | 2222 | N/A | N/A | N/A | 12431457 | 2025-12-19 22:43:07.141666 | 2025-12-24 16:43:10.665380 |
| 2025-12-19 22:42:29.049185 | 2025-12-19 22:42:30.958732 | 16224866 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-11-24 | 2025-12-19 | U | AE | PT | 5504 | Hahn | 000023476805 | John | https://storage.googleapis.com/normandy-eligibility-checks/2222/14297735/check_16224866_dbb33b42-60f1-4ead-b567-9905dc33bcc2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14297735/check_16224866_839dcbe1-e6a4-4c81-9d39-ef1a501c9fcc.json | N/A | N/A | N/A | N/A | N/A | 000023476805 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1937-11-24 | N/A | N/A | N/A | N/A | false | HAHN | N/A | JOHN | 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 | 14297735 | 2222 | N/A | 16443500 | N/A | 12431457 | 2025-12-19 22:42:30.958732 | 2025-12-24 16:43:10.665380 |
| 2025-12-19 22:42:27.027188 | 2025-12-19 22:42:29.044917 | 16224865 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-11-24 | 2025-12-19 | U | AE | PT | 5504 | Hahn | 000023476805 | John | https://storage.googleapis.com/normandy-eligibility-checks/2222/14297735/check_16224865_26b1cb0f-1f0b-45b2-8d8c-cbb232e83242.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-19 | N/A | N/A | N/A | N/A | N/A | N/A | 000023476805 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1937-11-24 | N/A | N/A | N/A | N/A | false | HAHN | N/A | JOHN | 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 | 14297735 | 2222 | N/A | N/A | N/A | 12431457 | 2025-12-19 22:42:29.044917 | 2025-12-24 16:43:10.665380 |
| 2025-12-19 22:37:34.857220 | 2025-12-19 22:37:37.725721 | 16224836 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-02-25 | 2025-12-11 | F | PT | N/A | 4191 | GIANNE | XED910762094 | NATALIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7994545/check_16224836_9b87eab5-21a5-4031-b401-718b4f417506.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_16224836_9509b1f1-b793-490a-81dc-41fd31eae2ec.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9562736457 | 6189 | N/A | 7994545 | 2222 | N/A | 16443454 | N/A | 6802250 | 2025-12-19 22:37:37.725721 | 2025-08-11 23:58:28.358402 |
| 2025-12-19 22:08:38.563048 | 2025-12-19 22:08:43.414567 | 16224681 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-20 | 2025-12-24 | M | AE | PT | 3948 | HIRSCH | H2853-02089 | ERIC | https://storage.googleapis.com/normandy-eligibility-checks/2222/14483442/check_16224681_179e147f-31df-46db-a752-34be2ecc2db8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14483442/check_16224681_b12a2ad5-8dc3-4aee-8a6e-c6dd317fb575.json | N/A | N/A | N/A | N/A | N/A | W283502089 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1959-08-20 | 0169696 | 016969601000030 | N/A | PS | false | HIRSCH | N/A | ERIC | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9562636012 | N/A | N/A | 14483442 | 2222 | N/A | 16443221 | N/A | 12613657 | 2025-12-19 22:08:43.414567 | 2025-12-19 21:56:25.887808 |
| 2025-12-19 15:49:16.982209 | 2025-12-19 15:49:18.877363 | 16219940 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-09-14 | 2025-12-19 | M | AE | PT | 4185 | COHENZADEH | JQE934W99391 | DAVOOD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928905/check_16219940_f8f7b5ea-e1ef-47fc-a536-e4c8a61d18d7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928905/check_16219940_1edbb121-951b-4fdf-a3d9-73d74b9efeff.json | N/A | N/A | N/A | N/A | N/A | JQE934W99391 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-09-14 | N/A | N/A | N/A | N/A | false | COHENZADEH | N/A | DAVOOD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 5928905 | 2222 | N/A | 16437647 | N/A | 4212983 | 2025-12-19 15:49:18.877363 | 2025-11-19 21:27:11.455704 |
| 2025-12-19 15:49:15.049334 | 2025-12-19 15:49:16.977998 | 16219939 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-09-14 | 2025-12-19 | M | AE | PT | 4185 | COHENZADEH | JQE934W99391 | DAVOOD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928905/check_16219939_a4399bdb-8d5d-47bd-af31-1143ea21fa34.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-19 | N/A | N/A | N/A | N/A | N/A | N/A | JQE934W99391 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-09-14 | N/A | N/A | N/A | N/A | false | COHENZADEH | N/A | DAVOOD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 5928905 | 2222 | N/A | N/A | N/A | 4212983 | 2025-12-19 15:49:16.977998 | 2025-11-19 21:27:11.455704 |
| 2025-12-19 15:46:40.044722 | 2025-12-19 15:46:42.003279 | 16219906 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-25 | 2025-12-15 | M | AE | PT | 4437 | Maher | 80Y0447913 | Timothy | https://storage.googleapis.com/normandy-eligibility-checks/2222/13655343/check_16219906_e083a3a6-3737-4459-bf51-b699dd37b490.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13655343/check_16219906_edcd1a1c-aaf9-4110-a89e-ccc4086054c9.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 | 165095 | N/A | 13655343 | 2222 | N/A | 16437611 | N/A | 11803316 | 2025-12-19 15:46:42.003279 | 2025-12-16 19:29:59.872631 |
| 2025-12-19 15:46:37.294378 | 2025-12-19 15:46:40.039629 | 16219904 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-25 | 2025-12-15 | M | AE | PT | 4437 | Maher | 80Y0447913 | Timothy | https://storage.googleapis.com/normandy-eligibility-checks/2222/13655343/check_16219904_553729b2-35f1-4e0e-95d4-4cf5e5dc3040.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-15 | 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 | 165095 | N/A | 13655343 | 2222 | N/A | N/A | N/A | 11803316 | 2025-12-19 15:46:40.039629 | 2025-12-16 19:29:59.872631 |
| 2025-12-19 15:26:11.712600 | 2025-12-19 15:26:13.669032 | 16219637 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-25 | 2025-12-10 | M | AE | PT | 4437 | Maher | 80Y0447913 | Timothy | https://storage.googleapis.com/normandy-eligibility-checks/2222/13655343/check_16219637_30d3b099-6b7c-4850-88db-3b67a2f7e667.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13655343/check_16219637_04647ea3-b983-45d6-bc36-aca93f229bad.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 | 165095 | N/A | 13655343 | 2222 | N/A | 16437299 | N/A | 11803316 | 2025-12-19 15:26:13.669032 | 2025-12-16 19:29:59.872631 |
| 2025-12-19 15:26:09.728006 | 2025-12-19 15:26:11.709084 | 16219635 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-25 | 2025-12-10 | M | AE | PT | 4437 | Maher | 80Y0447913 | Timothy | https://storage.googleapis.com/normandy-eligibility-checks/2222/13655343/check_16219635_1aa8b6df-40ac-471e-a2a7-5763afc58aac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-10 | 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 | 165095 | N/A | 13655343 | 2222 | N/A | N/A | N/A | 11803316 | 2025-12-19 15:26:11.709084 | 2025-12-16 19:29:59.872631 |
| 2025-12-19 14:49:53.887230 | 2025-12-19 14:49:58.789786 | 16219174 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-07-18 | 2025-12-15 | F | AE | PT | 4811 | Hartman | 000016528383 | Pamela | https://storage.googleapis.com/normandy-eligibility-checks/2222/14050933/check_16219174_7f715489-9955-4ef7-b890-1c23c73efa4c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14050933/check_16219174_d6be1db1-2ffc-413b-9446-ab3b08471272.json | N/A | N/A | N/A | N/A | N/A | 000016528383 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1961-07-18 | 4332645 | 1650095001 | N/A | N/A | false | HARTMAN | N/A | PAMELA | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE PLATINUM 90 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9559810855 | 165095 | N/A | 14050933 | 2222 | N/A | 16436816 | N/A | 12196734 | 2025-12-19 14:49:58.789786 | 2025-12-16 19:40:10.416579 |
| 2025-12-19 14:47:59.130656 | 2025-12-19 14:48:01.230785 | 16219144 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-07-18 | 2025-12-15 | F | AE | PT | 4811 | Hartman | 16528383 | Pamela | https://storage.googleapis.com/normandy-eligibility-checks/2222/14050933/check_16219144_f9a023bf-b2fa-4ccc-a22a-e661242faf07.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14050933/check_16219144_9f25229b-89a1-41c0-9756-bb859575131c.json | N/A | N/A | N/A | N/A | N/A | 16528383 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1961-07-18 | N/A | N/A | N/A | N/A | false | HARTMAN | N/A | PAMELA | 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 | 165095 | N/A | 14050933 | 2222 | N/A | 16436786 | N/A | 12196734 | 2025-12-19 14:48:01.230785 | 2025-12-16 19:40:10.416579 |
| 2025-12-19 14:47:57.351736 | 2025-12-19 14:47:59.126788 | 16219141 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-07-18 | 2025-12-15 | F | AE | PT | 4811 | Hartman | 16528383 | Pamela | https://storage.googleapis.com/normandy-eligibility-checks/2222/14050933/check_16219141_fa7fb3bf-df76-4ee2-84ac-1e3f0bc6ee5f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-15 | N/A | N/A | N/A | N/A | N/A | N/A | 16528383 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1961-07-18 | N/A | N/A | N/A | N/A | false | HARTMAN | N/A | PAMELA | 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 | 165095 | N/A | 14050933 | 2222 | N/A | N/A | N/A | 12196734 | 2025-12-19 14:47:59.126788 | 2025-12-16 19:40:10.416579 |
| 2025-12-19 14:04:01.450418 | 2025-12-19 14:04:05.453513 | 16218578 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-06-12 | 2025-12-03 | M | AE | PT | 4811 | Rosell | 000023922241 | Steven | https://storage.googleapis.com/normandy-eligibility-checks/2222/12786540/check_16218578_01e774fd-8eea-4bd2-97ac-30cf63d1e0c1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12786540/check_16218578_51c207cf-117b-4cd6-a6a1-351051fbb953.json | N/A | N/A | N/A | N/A | N/A | 000023922241 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1970-06-12 | 4308534 | 1650095001 | N/A | N/A | false | ROSELL | N/A | STEVEN | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 94 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9559514396 | 9390 | N/A | 12786540 | 2222 | N/A | 16436204 | N/A | 10953465 | 2025-12-19 14:04:05.453513 | 2025-12-17 20:07:45.135929 |
| 2025-12-19 13:15:32.001453 | 2025-12-19 13:15:35.070684 | 16218247 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-01-14 | 2025-12-04 | F | PT | N/A | 4191 | KRAFT | XED911569862 | KATHRIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/7294742/check_16218247_ab6652cf-b5ed-43c8-af79-29b0c5623e6a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_16218247_4e3388a4-8873-4ee6-8059-53790875c2fd.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002175 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 2025-12-31 | 2025-01-01 | SILVER 70 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9558822579 | 159980 | N/A | 7294742 | 2222 | N/A | 16435745 | N/A | 6254569 | 2025-12-19 13:15:35.070684 | 2025-08-12 09:24:43.956957 |
| 2025-12-19 12:30:54.749397 | 2025-12-19 12:30:57.644091 | 16218045 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-12-31 | 2025-12-18 | F | AE | PT | 4709 | Vallarta | C4105632001 | Denise | https://storage.googleapis.com/normandy-eligibility-checks/2222/13041876/check_16218045_88997d6a-059d-4484-8a8c-38d9aef9673c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13041876/check_16218045_eb03ce02-6079-4e7e-abd1-1a8f4947fe28.json | N/A | N/A | N/A | N/A | N/A | C4105632001 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1962-12-31 | N/A | CA35610008 | N/A | N/A | false | VALLARTA | N/A | DENISE | N/A | N/A | N/A | WELLCARE DUAL ALIGN (HMO DSNP) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9558005945 | 9390 | N/A | 13041876 | 2222 | N/A | 16435414 | N/A | 11199149 | 2025-12-19 12:30:57.644091 | 2025-12-15 20:02:32.463902 |
| 2025-12-19 08:51:27.136967 | 2025-12-19 08:51:35.200477 | 16210411 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-02-20 | 2025-12-19 | M | PT | N/A | 4191 | Burke | R59775017 | Alex | https://storage.googleapis.com/normandy-eligibility-checks/2222/14204987/check_16210411_655c7d2b-fc28-4238-92e4-9f8b52a9f65c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14204987/check_16210411_c170302c-b6cb-4682-ab89-33fef79272e9.json | N/A | N/A | N/A | N/A | N/A | R59775017 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2003-02-20 | N/A | 112 | N/A | PR | false | BURKE | N/A | ANTHONY | N/A | 2029-03-22 | 2010-01-03 | BASIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556483526 | N/A | N/A | 14204987 | 2222 | N/A | 16427414 | N/A | 12336435 | 2025-12-19 08:51:35.200477 | 2025-12-12 16:40:07.384102 |
| 2025-12-19 08:40:05.751530 | 2025-12-19 08:40:09.120993 | 16209562 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-28 | 2025-12-22 | M | AE | PT | 6411 | WALROTH | 342501887-11 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7785551/check_16209562_e7b31c8a-a587-4639-bedf-01aee0b92687.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7785551/check_16209562_eca278eb-ae59-4eba-ab31-ca1cb1b2f709.json | N/A | N/A | N/A | N/A | N/A | 342501887 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1949-10-28 | N/A | N/A | N/A | N/A | false | WALROTH | N/A | TERRY | 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 | 7785551 | 2222 | N/A | 16426910 | N/A | 6629682 | 2025-12-19 08:40:09.120993 | 2025-08-05 17:28:10.392410 |
| 2025-12-19 08:40:02.643016 | 2025-12-19 08:40:05.743034 | 16209525 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-28 | 2025-12-22 | M | AE | PT | 6411 | WALROTH | 342501887-11 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7785551/check_16209525_8a88fdb6-39f7-4d6a-9252-1f8749ac37f9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-22 | N/A | N/A | N/A | N/A | N/A | N/A | 342501887 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1949-10-28 | N/A | N/A | N/A | N/A | false | WALROTH | N/A | TERRY | 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 | 7785551 | 2222 | N/A | N/A | N/A | 6629682 | 2025-12-19 08:40:05.743034 | 2025-08-05 17:28:10.392410 |
| 2025-12-19 08:33:12.041626 | 2025-12-19 08:33:13.766533 | 16206073 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-05 | 2025-12-22 | M | AE | PT | 6411 | FREDERICK | 988884456-00 | J | https://storage.googleapis.com/normandy-eligibility-checks/2222/14319900/check_16206073_97dbb82b-3a0a-44e0-a2a8-99481885f52a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14319900/check_16206073_c2e868a2-e62b-4927-aa06-40d1a7ddcb49.json | N/A | N/A | N/A | N/A | N/A | 988884456-00 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1949-03-05 | N/A | N/A | N/A | N/A | false | FREDERICK | N/A | J | 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 | 14319900 | 2222 | N/A | 16423775 | N/A | 12458141 | 2025-12-19 08:33:13.766533 | 2026-01-26 16:43:54.544162 |
| 2025-12-19 08:33:10.680144 | 2025-12-19 08:33:12.554666 | 16206062 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-12-22 | M | AE | PT | 6411 | DEANGELO | 985145456 | DAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542953/check_16206062_a409e3c6-8934-44d1-9271-8a259657f22e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542953/check_16206062_d4b7ff59-abef-442f-b41f-82c2fbc0b533.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 | N/A | N/A | 5542953 | 2222 | N/A | 16423768 | N/A | 4214807 | 2025-12-19 08:33:12.554666 | 2025-12-24 19:51:54.688309 |
| 2025-12-19 08:33:09.758264 | 2025-12-19 08:33:14.259119 | 16206054 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-11 | 2025-12-22 | F | AE | PT | 6411 | KUMAMOTO MILLIKAEN | 024563900 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6819187/check_16206054_ceed2dcd-f501-4a5f-a80c-64f1ba3605fb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6819187/check_16206054_5b204cda-ab2a-472e-b8fa-475d2e00f0b6.json | N/A | N/A | N/A | N/A | N/A | 024563900 | N/A | DELTA AIR LINES, INC. | UMR | N/A | 1958-08-11 | 767000415637061 | 76415637 | N/A | N/A | false | KUMAMOTO MILLIKEN | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556449702 | N/A | N/A | 6819187 | 2222 | N/A | 16423779 | N/A | 5861394 | 2025-12-19 08:33:14.259119 | 2025-07-13 22:09:56.766500 |
| 2025-12-19 08:33:09.450564 | 2025-12-19 08:33:12.038099 | 16206050 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-05 | 2025-12-22 | M | AE | PT | 6411 | FREDERICK | 988884456-00 | J | https://storage.googleapis.com/normandy-eligibility-checks/2222/14319900/check_16206050_3e73dd06-c375-4aaa-bf6f-593a64a59540.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-22 | N/A | N/A | N/A | N/A | N/A | N/A | 988884456-00 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1949-03-05 | N/A | N/A | N/A | N/A | false | FREDERICK | N/A | J | 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 | 14319900 | 2222 | N/A | N/A | N/A | 12458141 | 2025-12-19 08:33:12.038099 | 2026-01-26 16:43:54.544162 |