API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-19 08:11:02.327348 | 2025-12-20 01:49:48.452478 | 16189287 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16189287 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-12-22 | F | AE | PT | LADEN | 6GY2TG9HX06 | CANDACE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540768/check_16189287_764cd33d-c16f-4250-a511-f597938528a7.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MA | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | 311399 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408919 | N/A | N/A | 5540768 | 2222 | 4802 | 16458959 | N/A | 4212856 | 2025-12-20 01:49:48.452478 | 2025-08-04 18:33:35.319989 |
| 2025-12-19 08:11:02.144175 | 2025-12-20 01:46:48.554824 | 16189272 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16189272 | Athletic Physical Therapy Inc | 2011-05-18 | 2025-12-22 | F | PT | N/A | WILLIAMS | XDP795A62672 | PIPER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540171/check_16189272_0947225b-6af1-4709-843a-b7747237e9e6.json | N/A | N/A | N/A | N/A | N/A | JQU795A62672 | Preferred Provider Organization (PPO) | DELOS DATA INC | ANTHEM BLUE CROSS | N/A | 2011-05-18 | 040 | U36898 | N/A | PR | false | WILLIAMS | N/A | ERIC | N/A | 2026-01-01 | 2025-12-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408918 | N/A | N/A | 5540171 | 2222 | 4793 | 16457000 | N/A | 4212367 | 2025-12-20 01:46:48.554824 | 2025-05-13 04:29:37.226697 |
| 2025-12-19 08:11:01.930588 | 2025-12-20 01:46:16.990071 | 16189261 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16189261 | Athletic Physical Therapy Inc | 1982-06-09 | 2025-12-22 | M | AE | PT | FULKERSON | R12222652MM1 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539956/check_16189261_9f0448fd-15b4-4c71-bcdd-e79d0642baa7.json | N/A | N/A | N/A | N/A | N/A | R12222652MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1982-06-09 | N/A | N/A | N/A | N/A | false | FULKERSON | N/A | SCOTT | N/A | N/A | N/A | MFC UCNNHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408917 | N/A | N/A | 5539956 | 2222 | 4801 | 16456683 | N/A | 4212166 | 2025-12-20 01:46:16.990071 | 2025-10-23 15:59:33.239127 |
| 2025-12-19 08:11:01.483774 | 2025-12-20 01:46:39.980954 | 16189234 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16189234 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-12-22 | F | PT | N/A | GINSBERG | JQU469A62630 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539612/check_16189234_13baef22-a87a-4893-9862-16cbd16b6c48.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408916 | N/A | N/A | 5539612 | 2222 | 4793 | 16456912 | N/A | 4211892 | 2025-12-20 01:46:39.980954 | 2025-11-02 22:03:21.557202 |
| 2025-12-19 08:11:01.185360 | 2025-12-20 01:46:41.680225 | 16189216 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16189216 | Athletic Physical Therapy Inc | 1952-09-29 | 2025-12-22 | F | PT | N/A | JOHNSON | JQS766M90611 | JANET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539188/check_16189216_2c28abf3-621a-44ef-9380-58536426a223.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408915 | N/A | N/A | 5539188 | 2222 | 4801 | 16456929 | 4185 | 4211521 | 2025-12-20 01:46:41.680225 | 2025-10-19 23:43:25.603984 |
| 2025-12-19 08:11:00.921328 | 2025-12-20 01:45:21.357490 | 16189200 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16189200 | Athletic Physical Therapy Inc | 1939-12-29 | 2025-12-22 | F | AE | PT | ALESSI | 31019902301 | JEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539133/check_16189200_360d7e99-2db6-451d-bd69-786fbbd72132.json | N/A | N/A | N/A | N/A | N/A | 31019902301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1939-12-29 | 2025H5425001 | H5425M | N/A | N/A | false | ALESSI | N/A | JEAN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408914 | N/A | N/A | 5539133 | 2222 | 4793 | 16456116 | N/A | 4211471 | 2025-12-20 01:45:21.357490 | 2025-07-09 03:59:33.308587 |
| 2025-12-19 08:11:00.506530 | 2025-12-20 01:46:41.344518 | 16189178 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16189178 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-12-22 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_16189178_a6ad4672-caba-49cd-9b89-13ac5fa75c69.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408913 | N/A | N/A | 5539085 | 2222 | 4793 | 16456925 | N/A | 4211408 | 2025-12-20 01:46:41.344518 | 2025-09-18 00:42:48.586801 |
| 2025-12-19 08:11:00.038438 | 2025-12-20 01:46:58.671965 | 16189150 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16189150 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-12-22 | M | PT | N/A | TOOCH | JPU633M84536 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_16189150_3af4d2cc-f2b4-433e-a45d-6ff4f1f3059a.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 2026-01-01 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408912 | N/A | N/A | 5538874 | 2222 | 4801 | 16457098 | N/A | 4211227 | 2025-12-20 01:46:58.671965 | 2025-05-13 04:29:37.225625 |
| 2025-12-19 08:10:59.675779 | 2025-12-20 01:43:15.497150 | 16189125 | N/A | N/A | 60054 | Aetna | 1114042165 | 16189125 | Athletic Physical Therapy Inc | 1992-03-04 | 2025-12-22 | M | AE | PT | INCHALIK | W291674431 | BENJAMIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538651/check_16189125_f3a5301d-05f6-473c-9be0-ef43b09ae43e.json | N/A | N/A | N/A | N/A | N/A | W291674431 | Point of Service (POS) | FIGS, INC. | AETNA | N/A | 1992-03-04 | 0251488 | 025148801200001 | N/A | PS | false | INCHALIK | N/A | BENJAMIN | 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 | 9556408911 | N/A | N/A | 5538651 | 2222 | 4802 | 16454707 | N/A | 4211040 | 2025-12-20 01:43:15.497150 | 2025-05-13 04:29:37.225445 |
| 2025-12-19 08:10:59.296621 | 2025-12-20 01:46:40.687181 | 16189104 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16189104 | Athletic Physical Therapy Inc | 1995-11-17 | 2025-12-22 | M | PT | N/A | HAMILTON | KZU14135950E | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538409/check_16189104_5a3aac8b-afaf-401b-bcda-cbc6f5ecfb4b.json | N/A | N/A | N/A | N/A | N/A | KZU14135950E | Preferred Provider Organization (PPO) | AEROVIRONMENT INC | ANTHEM BLUE CROSS | N/A | 1995-11-17 | 040 | 277825M007 | N/A | PR | false | HAMILTON | N/A | JAMES | N/A | 9999-12-31 | 2022-10-10 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408910 | N/A | N/A | 5538409 | 2222 | 4801 | 16456919 | N/A | 4210828 | 2025-12-20 01:46:40.687181 | 2025-05-13 04:29:37.225234 |
| 2025-12-19 08:10:59.031743 | 2025-12-20 01:49:49.754233 | 16189082 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16189082 | Athletic Physical Therapy Inc | 1958-02-17 | 2025-12-22 | F | AE | PT | MASATANI | 8A21NQ8MC22 | LAURA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538406/check_16189082_567550bc-a3e4-4bb0-95ff-5e94ff7f93f7.json | N/A | N/A | N/A | N/A | N/A | 8A21NQ8MC22 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-02-17 | N/A | N/A | N/A | MA | false | MASATANI | N/A | LAURA | N/A | N/A | N/A | N/A | N/A | 30163 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408909 | N/A | N/A | 5538406 | 2222 | 4802 | 16458977 | N/A | 4210838 | 2025-12-20 01:49:49.754233 | 2025-05-13 04:29:37.225242 |
| 2025-12-19 08:10:58.814699 | 2025-12-20 01:46:43.088142 | 16189071 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16189071 | Athletic Physical Therapy Inc | 1977-06-07 | 2025-12-22 | M | PT | N/A | MARSHALL | MPI01520612Q | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537511/check_16189071_ec308a75-28fb-4f47-9653-9986667ef7c1.json | N/A | N/A | N/A | N/A | N/A | MPI01520612Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1977-06-07 | 040 | 277163M401 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 9999-12-31 | 2024-06-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408908 | N/A | N/A | 5537511 | 2222 | 4801 | 16456942 | N/A | 4210061 | 2025-12-20 01:46:43.088142 | 2025-05-13 04:29:37.224481 |
| 2025-12-19 08:10:58.617038 | 2025-12-20 01:46:13.992528 | 16189060 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16189060 | Athletic Physical Therapy Inc | 1972-10-15 | 2025-12-22 | F | AE | PT | BAHGAT | R0765902916 | MONA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536335/check_16189060_e9494da8-c39e-4812-a87a-7e0480b1a2ef.json | N/A | N/A | N/A | N/A | N/A | R0765902916 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-10-15 | 67138CA0520010-01 | N/A | N/A | N/A | false | BAHGAT | N/A | MONA | N/A | N/A | N/A | GOLD 80 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408907 | N/A | N/A | 5536335 | 2222 | 4802 | 16456650 | N/A | 4209098 | 2025-12-20 01:46:13.992528 | 2025-05-13 04:29:37.223519 |
| 2025-12-19 08:10:58.386987 | 2025-12-20 01:49:51.390792 | 16189048 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16189048 | Athletic Physical Therapy Inc | 1945-03-19 | 2025-12-22 | F | AE | PT | ROSS | 6QX7T41GM46 | MARTHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536301/check_16189048_15555076-c83c-4a5f-9214-3a2c254b1c73.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MB | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | 50277 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407444 | N/A | N/A | 5536301 | 2222 | 4802 | 16458997 | N/A | 4209073 | 2025-12-20 01:49:51.390792 | 2025-11-19 19:47:03.642493 |
| 2025-12-19 08:10:58.112193 | 2025-12-20 01:46:15.548848 | 16189034 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16189034 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-22 | F | AE | PT | BAUMAN | R01271027FD1 | ALEXIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536279/check_16189034_7f3df41b-6bdf-4370-82ed-b2a5e7d66db4.json | N/A | N/A | N/A | N/A | N/A | R01271027FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2008-04-21 | N/A | N/A | N/A | N/A | false | BAUMAN | N/A | ALEXIS | N/A | N/A | N/A | MDV COMHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407443 | N/A | N/A | 5536279 | 2222 | 4793 | 16456665 | N/A | 4209049 | 2025-12-20 01:46:15.548848 | 2025-12-12 22:17:49.863168 |
| 2025-12-19 08:10:57.913768 | 2025-12-20 01:49:51.655876 | 16189024 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16189024 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-12-22 | M | AE | PT | ROTHMAN | 6H65JC7UD67 | MIKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536194/check_16189024_46b8ae27-dd8e-4270-891e-4913710af5d7.json | N/A | N/A | N/A | N/A | N/A | 6H65JC7UD67 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-08-26 | S4802 | N/A | N/A | MA | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | 158766 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407442 | N/A | N/A | 5536194 | 2222 | 4801 | 16459001 | N/A | 4208978 | 2025-12-20 01:49:51.655876 | 2025-05-13 04:29:37.223404 |
| 2025-12-19 08:10:57.703780 | 2025-12-20 01:46:38.666933 | 16189011 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16189011 | Athletic Physical Therapy Inc | 1960-04-27 | 2025-12-22 | M | PT | N/A | ENRIGHT | DGA10462968J | HAROLD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535419/check_16189011_659c2f1d-165d-4bdb-bdf2-93f0c3f1ce0a.json | N/A | N/A | N/A | N/A | N/A | DGA10462968J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1960-04-27 | 040 | 276945M001 | N/A | PR | false | ENRIGHT | N/A | HAROLD | N/A | 9999-12-31 | 2017-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556407441 | N/A | N/A | 5535419 | 2222 | 4793 | 16456901 | N/A | 4208347 | 2025-12-20 01:46:38.666933 | 2025-05-13 04:29:37.222769 |
| 2025-12-19 08:08:31.556693 | 2025-12-19 08:08:34.982219 | 16178310 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-28 | 2025-12-19 | F | AE | PT | GARCIA | FJB21294792M | STARR | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542769/check_16178310_1c3c23ea-81c5-4aac-82b4-eedb1c6ac354.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542769/check_16178310_d4a692a5-fa60-45fe-8021-0143cfc58b73.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | N/A | N/A | AETNA | N/A | 2009-08-28 | 0811385 | 081138503000106 | N/A | N/A | false | RAY | N/A | ALLISON | N/A | N/A | N/A | AETNA VISION PREFERRED | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556360205 | N/A | N/A | 5542769 | 2222 | N/A | 16418339 | N/A | 4214641 | 2025-12-19 08:08:34.982219 | 2025-12-09 08:50:02.875071 |
| 2025-12-19 08:08:31.425218 | 2025-12-19 08:08:34.398700 | 16178302 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-02-25 | 2025-12-19 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7994545/check_16178302_932c9df1-74e1-441e-baa0-e81a7fc0959b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_16178302_d7c243b9-3470-4338-9bb8-e344b1266c5a.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 | 9999-12-31 | 2021-09-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556360201 | N/A | N/A | 7994545 | 2222 | N/A | 16418336 | N/A | 6802250 | 2025-12-19 08:08:34.398700 | 2025-08-11 23:58:28.358402 |
| 2025-12-19 08:08:31.386003 | 2025-12-19 08:08:33.445883 | 16178300 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-01-11 | 2025-12-19 | F | AE | PT | STROM | 1NH2KJ7FT00 | YOLANDA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538182/check_16178300_bd7879c3-9158-4099-91ef-c8fe3aa77317.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538182/check_16178300_205c20a5-906a-42c3-b6d0-cb1a5b18541e.json | N/A | N/A | N/A | N/A | N/A | 1NH2KJ7FT00 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-01-11 | S5921 | N/A | N/A | MA | false | STROM | N/A | YOLANDA | N/A | N/A | N/A | N/A | N/A | 30163 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556360194 | N/A | N/A | 5538182 | 2222 | N/A | 16418334 | N/A | 4210637 | 2025-12-19 08:08:33.445883 | 2025-05-13 04:29:37.225051 |
| 2025-12-19 08:08:31.326264 | 2025-12-19 08:08:35.181479 | 16178297 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-05-26 | 2025-12-19 | F | 30 | AD | TORRES | 40067303001 | OLGA | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543371/check_16178297_338f0c62-284b-4380-8ac9-ceb3932f5239.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543371/check_16178297_b8bb87dd-bbf6-49b4-9560-27ec524a8c98.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-05-26 | 2025H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 9556360191 | N/A | N/A | 5543371 | 2222 | N/A | 16418342 | N/A | 4215172 | 2025-12-19 08:08:35.181479 | 2025-05-13 04:29:37.229489 |
| 2025-12-19 07:03:29.984758 | 2025-12-19 07:03:32.308847 | 16175570 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-12-12 | N/A | PT | AE | ULLMAN | 8HC8F35AX50 | DAVID | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_16175570_2829042c-d194-4145-a1d7-0842201aab91.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_16175570_7f9d6143-0946-46bf-84ef-701a2ae5b03d.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MB | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | 391444 | PT | AE | N/A | N/A | N/A | N/A | N/A | 9556196605 | 1275 | N/A | 5543201 | 2222 | N/A | 16417970 | N/A | 4215026 | 2025-12-19 07:03:32.308847 | 2025-06-07 16:16:41.178119 |
| 2025-12-19 00:21:36.045786 | 2025-12-19 00:21:38.843149 | 16174275 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-28 | 2025-12-23 | M | AE | PT | Grinberg | 91813553H | Kostyantyn | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14391843/check_16174275_6342101e-1767-4ba0-ae3d-2f9b3114861e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14391843/check_16174275_0578104a-2ca9-4bc2-b367-44684d7bc217.json | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | 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 | 14391843 | 2222 | N/A | 16403050 | N/A | 12525833 | 2025-12-19 00:21:38.843149 | 2025-12-18 00:21:04.843955 |
| 2025-12-19 00:21:33.348224 | 2025-12-19 00:21:36.041284 | 16174274 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-28 | 2025-12-23 | M | AE | PT | Grinberg | 91813553H | Kostyantyn | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14391843/check_16174274_f674c121-0cde-43e4-9172-de816a3fa5ee.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | N/A | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | 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 | 14391843 | 2222 | N/A | N/A | N/A | 12525833 | 2025-12-19 00:21:36.041284 | 2025-12-18 00:21:04.843955 |
| 2025-12-19 00:01:55.200874 | 2025-12-19 00:01:57.006520 | 16174051 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2025-12-18 | F | AE | PT | HERNANDEZ | 98922553G79170 | JUANA | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_16174051_6d1c5d77-59e3-46f5-a40f-510be631d35f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14058775/check_16174051_a4864e2e-4613-4c66-9d79-d09e53a04c99.json | N/A | N/A | N/A | N/A | N/A | 98922553G79170 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14058775 | 2222 | N/A | 16402820 | N/A | 12203619 | 2025-12-19 00:01:57.006520 | 2025-12-24 19:48:19.199045 |
| 2025-12-19 00:01:53.489995 | 2025-12-19 00:01:55.195680 | 16174050 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2025-12-18 | F | AE | PT | HERNANDEZ | 98922553G79170 | JUANA | 4199 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_16174050_0729da49-e22b-4cd5-829c-87212651f3a7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-18 | N/A | N/A | N/A | N/A | N/A | N/A | 98922553G79170 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14058775 | 2222 | N/A | N/A | N/A | 12203619 | 2025-12-19 00:01:55.195680 | 2025-12-24 19:48:19.199045 |
| 2025-12-18 23:37:37.085016 | 2025-12-18 23:37:39.051408 | 16173969 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-01-28 | 2025-12-29 | F | PT | N/A | GORYOKA | ZD0891W25215 | HEATHER | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14435433/check_16173969_46e2b17a-271b-4806-9133-b894a9dff107.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14435433/check_16173969_9fed9ee5-39da-4984-a56c-3c25dc8a48e6.json | N/A | N/A | N/A | N/A | N/A | ZD0891W25215 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1996-01-28 | N/A | N/A | N/A | N/A | false | GORYOKA | N/A | HEATHER | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14435433 | 2222 | N/A | 16402626 | N/A | 12566878 | 2025-12-18 23:37:39.051408 | 2026-02-03 19:52:21.086943 |
| 2025-12-18 23:37:34.218963 | 2025-12-18 23:37:37.080200 | 16173968 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-01-28 | 2025-12-29 | F | PT | N/A | GORYOKA | ZD0891W25215 | HEATHER | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14435433/check_16173968_ac3bdb8f-8530-445f-99f9-99b674d79517.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-29 | N/A | N/A | N/A | N/A | N/A | N/A | ZD0891W25215 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1996-01-28 | N/A | N/A | N/A | N/A | false | GORYOKA | N/A | HEATHER | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14435433 | 2222 | N/A | N/A | N/A | 12566878 | 2025-12-18 23:37:37.080200 | 2026-02-03 19:52:21.086943 |
| 2025-12-18 23:32:55.656311 | 2025-12-18 23:32:58.547639 | 16173945 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-28 | 2025-12-23 | M | AE | PT | Grinberg | 91813553H | Kostyantyn | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14391843/check_16173945_b4c3d1e6-9cd9-494c-a37d-905088d89dc3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14391843/check_16173945_a9b0aa25-dd81-4e41-836b-b70552d056f8.json | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | 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 | 14391843 | 2222 | N/A | 16402588 | N/A | 12525833 | 2025-12-18 23:32:58.547639 | 2025-12-18 00:21:04.843955 |
| 2025-12-18 23:32:52.949583 | 2025-12-18 23:32:55.613616 | 16173943 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-28 | 2025-12-23 | M | AE | PT | Grinberg | 91813553H | Kostyantyn | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14391843/check_16173943_8d8acade-8f4b-4d83-a93b-28a92311ea00.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | N/A | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | 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 | 14391843 | 2222 | N/A | N/A | N/A | 12525833 | 2025-12-18 23:32:55.613616 | 2025-12-18 00:21:04.843955 |
| 2025-12-18 23:32:39.458347 | 2025-12-18 23:32:42.273536 | 16173941 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-28 | 2025-12-23 | M | AE | PT | Grinberg | 91813553H | Kostyantyn | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14391843/check_16173941_3ca9a24a-c65e-44d8-b701-423838be2407.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14391843/check_16173941_f716893c-fc82-4856-aec5-78ff579cc497.json | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | 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 | 14391843 | 2222 | N/A | 16402582 | N/A | 12525833 | 2025-12-18 23:32:42.273536 | 2025-12-18 00:21:04.843955 |
| 2025-12-18 23:32:36.708038 | 2025-12-18 23:32:39.452599 | 16173940 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-28 | 2025-12-23 | M | AE | PT | Grinberg | 91813553H | Kostyantyn | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14391843/check_16173940_0e582fd0-5b1a-4fe1-9da1-61f0a5c26e4d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | N/A | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | 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 | 14391843 | 2222 | N/A | N/A | N/A | 12525833 | 2025-12-18 23:32:39.452599 | 2025-12-18 00:21:04.843955 |
| 2025-12-18 23:32:31.069507 | 2025-12-18 23:32:34.066117 | 16173939 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-28 | 2025-12-23 | M | AE | PT | Grinberg | 91813553H | Kostyantyn | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14391843/check_16173939_6b2963b7-f163-4a6a-8f85-3221af8ffe04.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14391843/check_16173939_6e921b10-e5ea-4a51-9e63-6968b02a41a3.json | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | 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 | 14391843 | 2222 | N/A | 16402578 | N/A | 12525833 | 2025-12-18 23:32:34.066117 | 2025-12-18 00:21:04.843955 |
| 2025-12-18 23:32:28.152659 | 2025-12-18 23:32:31.063408 | 16173938 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-28 | 2025-12-23 | M | AE | PT | Grinberg | 91813553H | Kostyantyn | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14391843/check_16173938_24ad2588-2d82-4e79-8959-bee3f49e09f9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | N/A | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | 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 | 14391843 | 2222 | N/A | N/A | N/A | 12525833 | 2025-12-18 23:32:31.063408 | 2025-12-18 00:21:04.843955 |
| 2025-12-18 23:32:16.445504 | 2025-12-18 23:32:19.321875 | 16173933 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-28 | 2025-12-23 | M | AE | PT | Grinberg | 91813553H | Kostyantyn | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14391843/check_16173933_84663783-772f-4bad-9513-5418581a200e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14391843/check_16173933_96240748-7470-42e0-adfd-1a6b20561864.json | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | 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 | 14391843 | 2222 | N/A | 16402572 | N/A | 12525833 | 2025-12-18 23:32:19.321875 | 2025-12-18 00:21:04.843955 |
| 2025-12-18 23:32:13.540847 | 2025-12-18 23:32:16.441610 | 16173932 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-28 | 2025-12-23 | M | AE | PT | Grinberg | 91813553H | Kostyantyn | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14391843/check_16173932_02997ca0-7afe-48f1-bdb1-47d5f4c968ab.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | N/A | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | 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 | 14391843 | 2222 | N/A | N/A | N/A | 12525833 | 2025-12-18 23:32:16.441610 | 2025-12-18 00:21:04.843955 |
| 2025-12-18 23:32:04.755913 | 2025-12-18 23:32:07.553552 | 16173930 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-28 | 2025-12-23 | M | AE | PT | Grinberg | 91813553H | Kostyantyn | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14391843/check_16173930_89f32c84-410a-46ac-b398-141fb7e3a39c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14391843/check_16173930_83592f12-f3af-49a5-a5f8-1138edfeddaa.json | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | 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 | 14391843 | 2222 | N/A | 16402568 | N/A | 12525833 | 2025-12-18 23:32:07.553552 | 2025-12-18 00:21:04.843955 |
| 2025-12-18 23:32:01.968279 | 2025-12-18 23:32:04.748336 | 16173929 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-28 | 2025-12-23 | M | AE | PT | Grinberg | 91813553H | Kostyantyn | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14391843/check_16173929_71ad10b3-3f0d-4039-8e33-dd68e9cff8c2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | N/A | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | 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 | 14391843 | 2222 | N/A | N/A | N/A | 12525833 | 2025-12-18 23:32:04.748336 | 2025-12-18 00:21:04.843955 |
| 2025-12-18 23:08:37.485937 | 2025-12-18 23:08:39.410980 | 16173681 | 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 | Czapla | 000023476805 | Elizabeth | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187404/check_16173681_c58b17f5-9f02-43c5-bb92-84ae3b81bc32.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14187404/check_16173681_2e86041e-138c-417b-a25e-43d58699f2ff.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 | N/A | N/A | 14187404 | 2222 | N/A | 16402209 | N/A | 12319104 | 2025-12-18 23:08:39.410980 | 2025-12-12 00:58:12.994301 |
| 2025-12-18 23:08:33.560684 | 2025-12-18 23:08:37.479815 | 16173680 | 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 | Czapla | 000023476805 | Elizabeth | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187404/check_16173680_dd6da539-7196-4eec-a0bb-e033967726fc.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 | N/A | N/A | 14187404 | 2222 | N/A | N/A | N/A | 12319104 | 2025-12-18 23:08:37.479815 | 2025-12-12 00:58:12.994301 |
| 2025-12-18 22:52:30.873262 | 2025-12-18 22:52:33.626646 | 16173468 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-12-18 | M | AE | PT | JAUDE | JQE122A53874 | KARIM | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821574/check_16173468_cf32aae5-a81b-4a63-a330-9d8d337213f1.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821574/check_16173468_58c27e1a-3cea-462a-b69c-7e827d03fe86.json | N/A | N/A | N/A | N/A | N/A | JQE122A53874 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1936-09-29 | 040 | CASUPWP0 | N/A | N/A | false | JAUDE | N/A | KARIM | N/A | 9999-12-31 | 2023-12-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9555122249 | N/A | N/A | 6821574 | 2222 | N/A | 16401908 | N/A | 4214191 | 2025-12-18 22:52:33.626646 | 2025-05-13 04:29:37.228525 |
| 2025-12-18 22:52:29.883577 | 2025-12-18 22:52:31.808351 | 16173467 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-12-18 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542251/check_16173467_cd0f0fa1-7ebc-4a58-8a2e-3ab430479f18.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_16173467_1dfd25e8-4b55-4dc5-81bc-fad409e886d1.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | 306292 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9555122217 | N/A | N/A | 5542251 | 2222 | N/A | 16401907 | N/A | 4214191 | 2025-12-18 22:52:31.808351 | 2025-05-13 04:29:37.228525 |
| 2025-12-18 22:30:55.660315 | 2025-12-18 22:30:57.694915 | 16173318 | 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 | Vallarta | C41056320FM1 | Denise | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13041876/check_16173318_d5bd0996-c0cd-4383-8956-984742890384.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13041876/check_16173318_5e94bbc0-a9c2-4188-b724-55b75c9818c5.json | N/A | N/A | N/A | N/A | N/A | C41056320FM1 | 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 | 162919 | N/A | 13041876 | 2222 | N/A | 16401674 | N/A | 11199149 | 2025-12-18 22:30:57.694915 | 2025-12-15 20:02:32.463902 |
| 2025-12-18 22:30:53.966599 | 2025-12-18 22:30:55.656190 | 16173316 | 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 | Vallarta | C41056320FM1 | Denise | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13041876/check_16173316_cbcbdfc0-cb22-4fd4-9d76-1052e967ba18.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-18 | N/A | N/A | N/A | N/A | N/A | N/A | C41056320FM1 | 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 | 162919 | N/A | 13041876 | 2222 | N/A | N/A | N/A | 11199149 | 2025-12-18 22:30:55.656190 | 2025-12-15 20:02:32.463902 |
| 2025-12-18 22:24:11.962961 | 2025-12-18 22:24:13.901350 | 16173222 | 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 | Vallarta | C41056320FM1 | Denise | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13041876/check_16173222_338388e2-7a5c-4827-8cd0-cf9d35588200.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13041876/check_16173222_091fbc04-882c-4640-a578-c6da4f0c583c.json | N/A | N/A | N/A | N/A | N/A | C41056320FM1 | 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 | 162919 | N/A | 13041876 | 2222 | N/A | 16401561 | N/A | 11199149 | 2025-12-18 22:24:13.901350 | 2025-12-15 20:02:32.463902 |
| 2025-12-18 22:24:10.247492 | 2025-12-18 22:24:11.956712 | 16173220 | 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 | Vallarta | C41056320FM1 | Denise | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13041876/check_16173220_695321bf-0f07-47ab-b2e3-4c478640b7f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-18 | N/A | N/A | N/A | N/A | N/A | N/A | C41056320FM1 | 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 | 162919 | N/A | 13041876 | 2222 | N/A | N/A | N/A | 11199149 | 2025-12-18 22:24:11.956712 | 2025-12-15 20:02:32.463902 |
| 2025-12-18 18:51:03.978396 | 2025-12-18 18:51:06.109251 | 16170508 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-23 | 2025-12-18 | M | AE | PT | Bogen | WXY0981A22808 | Andrew | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11174641/check_16170508_f9633bf6-873f-4f93-a1f9-99fc21f71964.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174641/check_16170508_d27685e6-582a-4787-9d75-08cb6f32ca8d.json | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | BOGEN | N/A | ANDREW | 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 | 11174641 | 2222 | N/A | 16398270 | N/A | 9519718 | 2025-12-18 18:51:06.109251 | 2026-02-02 19:30:57.219688 |
| 2025-12-18 18:51:01.997739 | 2025-12-18 18:51:03.974703 | 16170506 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-23 | 2025-12-18 | M | AE | PT | Bogen | WXY0981A22808 | Andrew | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11174641/check_16170506_3405d289-3a4b-4021-83e3-510eb54aba7d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-18 | N/A | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | BOGEN | N/A | ANDREW | 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 | 11174641 | 2222 | N/A | N/A | N/A | 9519718 | 2025-12-18 18:51:03.974703 | 2026-02-02 19:30:57.219688 |
| 2025-12-18 18:45:15.563373 | 2025-12-18 18:45:17.572507 | 16170403 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-23 | 2025-12-18 | M | AE | PT | Bogen | WXY0981A22808 | Andrew | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11174641/check_16170403_20f246c0-c18d-48c4-8dd2-263868f958ff.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174641/check_16170403_df2ea03d-146e-472d-98b4-93613fe149fd.json | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | BOGEN | N/A | ANDREW | 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 | 11174641 | 2222 | N/A | 16398158 | N/A | 9519718 | 2025-12-18 18:45:17.572507 | 2026-02-02 19:30:57.219688 |
| 2025-12-18 18:45:13.745860 | 2025-12-18 18:45:15.558259 | 16170401 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-23 | 2025-12-18 | M | AE | PT | Bogen | WXY0981A22808 | Andrew | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11174641/check_16170401_1449bf9e-fa81-4e82-a63e-beb76e17932e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-18 | N/A | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | BOGEN | N/A | ANDREW | 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 | 11174641 | 2222 | N/A | N/A | N/A | 9519718 | 2025-12-18 18:45:15.558259 | 2026-02-02 19:30:57.219688 |