API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-14 22:42:02.649018 | 2025-07-14 22:42:04.342326 | 9841175 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-08-20 | 2025-07-21 | F | AE | PT | 23298 | STARK | 8779568-02 | DANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7003099/check_9841175_aeb5d174-e565-434d-ab65-4786833c2657.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003099/check_9841175_819e3517-02f7-4c66-87b0-10441e4b1cf5.json | N/A | N/A | N/A | N/A | N/A | 8779568-02 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1969-08-20 | N/A | N/A | N/A | N/A | false | STARK | N/A | DANA | 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 | 7003099 | 2222 | N/A | 9559900 | N/A | 6021278 | 2025-07-14 22:42:04.342326 | 2025-07-14 22:36:43.535840 |
| 2025-07-14 22:41:59.096062 | 2025-07-14 22:42:02.647040 | 9841174 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-08-20 | 2025-07-21 | F | AE | PT | 23298 | STARK | 8779568-02 | DANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7003099/check_9841174_15b51943-c361-48ba-8a64-c37b2e34e90a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | N/A | N/A | N/A | N/A | N/A | N/A | 8779568-02 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1969-08-20 | N/A | N/A | N/A | N/A | false | STARK | N/A | DANA | 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 | 7003099 | 2222 | N/A | N/A | N/A | 6021278 | 2025-07-14 22:42:02.647040 | 2025-07-14 22:36:43.535840 |
| 2025-07-14 22:00:30.462752 | 2025-07-14 22:00:32.305739 | 9840897 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-07-01 | F | PT | AE | 23277 | Yiannakakis | JQS136M00056 | Kathy | https://storage.googleapis.com/normandy-eligibility-checks/2222/6630336/check_9840897_138bef14-86fc-4419-b5a1-78c4155eaee7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6630336/check_9840897_934a49dc-80df-42d6-b90c-135529e89b63.json | N/A | N/A | N/A | N/A | N/A | JQS136M00056 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7693 | N/A | 6630336 | 2222 | N/A | 9559527 | N/A | 4766950 | 2025-07-14 22:00:32.305739 | 2025-06-03 22:10:54.646473 |
| 2025-07-14 22:00:28.867828 | 2025-07-14 22:00:30.460449 | 9840896 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-07-01 | F | PT | AE | 23277 | Yiannakakis | JQS136M00056 | Kathy | https://storage.googleapis.com/normandy-eligibility-checks/2222/6630336/check_9840896_fc8b14ca-26e0-461e-9444-8d9f572e0df1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | JQS136M00056 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7693 | N/A | 6630336 | 2222 | N/A | N/A | N/A | 4766950 | 2025-07-14 22:00:30.460449 | 2025-06-03 22:10:54.646473 |
| 2025-07-14 21:45:47.878152 | 2025-07-14 21:45:51.681927 | 9840816 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-10-18 | 2025-07-15 | F | PT | N/A | 4184 | GARCIA | LDU736A55056 | SADIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6506811/check_9840816_c7ee9c2e-3a7d-4f88-9715-9faf508de2d1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6506811/check_9840816_b04e2786-474e-4c06-9c4e-542d93bd0b70.json | N/A | N/A | N/A | N/A | N/A | LDU736A55056 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 2011-10-18 | 040 | 1838NJ | N/A | EP | false | GARCIA | N/A | RUBEN | N/A | 9999-12-31 | 2024-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8261009556 | N/A | N/A | 6506811 | 2222 | N/A | 9559428 | N/A | 5132739 | 2025-07-14 21:45:51.681927 | 2025-07-14 21:32:03.363712 |
| 2025-07-14 21:40:42.271763 | 2025-07-14 21:40:44.109812 | 9840779 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-07-07 | 2025-07-01 | M | PT | AE | 4191 | Blatt | W0051486 | Omer | https://storage.googleapis.com/normandy-eligibility-checks/2222/6631136/check_9840779_03686e01-2ff4-427b-a337-2e199cb5306c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6631136/check_9840779_65bf32b7-5788-4c91-8303-1070610ea491.json | N/A | N/A | N/A | N/A | N/A | W0051486 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1983-07-07 | N/A | N/A | N/A | N/A | false | BLATT | N/A | OMER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7690 | N/A | 6631136 | 2222 | N/A | 9559384 | N/A | 5246980 | 2025-07-14 21:40:44.109812 | 2026-01-13 00:33:20.593425 |
| 2025-07-14 21:40:40.638072 | 2025-07-14 21:40:42.269666 | 9840777 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-07-07 | 2025-07-01 | M | PT | AE | 4191 | Blatt | W0051486 | Omer | https://storage.googleapis.com/normandy-eligibility-checks/2222/6631136/check_9840777_ba71877c-30aa-4831-a521-d69a53a442a9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | W0051486 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1983-07-07 | N/A | N/A | N/A | N/A | false | BLATT | N/A | OMER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7690 | N/A | 6631136 | 2222 | N/A | N/A | N/A | 5246980 | 2025-07-14 21:40:42.269666 | 2026-01-13 00:33:20.593425 |
| 2025-07-14 20:41:31.748480 | 2025-07-14 20:41:37.576553 | 9840354 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-04-14 | 2025-07-14 | M | AE | PT | 3948 | FAGAN | W275345811 | ARIEH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078250/check_9840354_e9bc10ef-ae0b-4f78-a3fa-702d4a3ea83f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078250/check_9840354_c27c2bfc-613a-4220-baf7-6d275db8374b.json | N/A | N/A | N/A | N/A | N/A | W275345811 | Point of Service (POS) | ARUP US, INC. | AETNA | N/A | 1999-04-14 | 0847223 | 084722301300002 | N/A | PS | false | FAGAN | N/A | ARIEH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8260513907 | 160084 | N/A | 6078250 | 2222 | N/A | 9558863 | N/A | 4722504 | 2025-07-14 20:41:37.576553 | 2025-06-19 03:19:24.165458 |
| 2025-07-14 18:41:41.184483 | 2025-07-14 18:41:44.019579 | 9839517 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-06 | 2025-07-30 | F | AE | PT | 4497 | FRITH SMITH | 9M69RM7JM34 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6998367/check_9839517_f0c9e974-c978-41bd-a3f5-26aa81438eb5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6998367/check_9839517_03b3fe82-f3cb-4e9b-882b-a96b97f28d0a.json | N/A | N/A | N/A | N/A | N/A | 9M69RM7JM34 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-01-06 | S4802 | N/A | N/A | MA | false | FRITH SMITH | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8259570664 | N/A | N/A | 6998367 | 2222 | N/A | 9557859 | N/A | 6017959 | 2025-07-14 18:41:44.019579 | 2025-07-14 18:22:35.995798 |
| 2025-07-14 18:17:17.428057 | 2025-07-14 18:17:24.289445 | 9839277 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-11-02 | 2025-07-14 | F | AD | N/A | 1534 | CHUNG | U8197480201 | KRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539237/check_9839277_b3c7d8e6-5c41-4453-9a60-a73eeada98e8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539237/check_9839277_4d6ed247-78f7-4cd6-b595-d721c3c4e1e5.json | N/A | N/A | N/A | N/A | N/A | U8197480201 | N/A | KONAMI DIGITAL ENTERTAINMENT, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 1974-11-02 | N/A | 3344762 | N/A | N/A | false | CHUNG | N/A | KRISTINA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8259351323 | 160084 | N/A | 5539237 | 2222 | N/A | 9557586 | N/A | 4211568 | 2025-07-14 18:17:24.289445 | 2025-05-13 04:29:37.225900 |
| 2025-07-14 17:48:00.274269 | 2025-07-14 17:48:03.150167 | 9839019 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-10-14 | 2025-04-04 | M | PT | AE | 4191 | ABI MALHAB | KSI73549599C | NADIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541968/check_9839019_4a267b54-9d42-40d5-9544-3dca3c533e58.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-04-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541968/check_9839019_20e73635-216f-4871-a1fc-51ebb15df0df.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1980-10-14 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8259066821 | 5831 | N/A | 5541968 | 2222 | N/A | 9557288 | N/A | 4213936 | 2025-07-14 17:48:03.150167 | 2025-05-13 04:29:37.228255 |
| 2025-07-14 17:20:55.475690 | 2025-07-14 17:20:58.450649 | 9838721 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-28 | 2025-07-07 | M | PT | N/A | 4185 | GARCIA | FJB21294792M | STARR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542769/check_9838721_18d9f0f4-d1ab-4974-b414-195076898679.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542769/check_9838721_309e3b00-6572-43e9-b4d9-b4c7888a5def.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | Preferred Provider Organization (PPO) | BANK OF AMERICA CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-08-28 | 101 | 174549M111 | N/A | PR | false | RAY | N/A | ALLISON | N/A | 9999-12-31 | 2016-01-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8258806472 | 9483 | N/A | 5542769 | 2222 | N/A | 9556985 | N/A | 4214641 | 2025-07-14 17:20:58.450649 | 2025-12-09 08:50:02.875071 |
| 2025-07-14 16:57:31.506336 | 2025-07-14 16:57:35.281713 | 9838440 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-03-08 | 2025-07-14 | F | AE | PT | 6397 | Fulker | 123123123 | Megan | https://storage.googleapis.com/normandy-eligibility-checks/2222/6996570/check_9838440_5c074b29-b830-4d61-80cf-6550f6ce1c0d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6996570/check_9838440_c0651b35-d9e5-4b6d-981d-e8119f06e87c.json | N/A | N/A | N/A | N/A | N/A | 910682782 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1987-03-08 | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8258604243 | N/A | N/A | 6996570 | 2222 | N/A | 9556693 | N/A | 6016782 | 2025-07-14 16:57:35.281713 | 2025-07-14 16:56:31.587983 |
| 2025-07-14 16:50:26.805663 | 2025-07-14 16:50:28.554734 | 9838401 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-03-08 | 2025-07-14 | N/A | AE | PT | 3842 | Fulker | 123123123 | Megan | https://storage.googleapis.com/normandy-eligibility-checks/2222/6996570/check_9838401_54b68821-7817-40d3-923e-174e89ec20c2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6996570/check_9838401_413e009e-29d9-4f00-8a60-cca7c1bc5dae.json | N/A | N/A | N/A | N/A | N/A | 123123123 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1987-03-08 | N/A | N/A | N/A | N/A | false | FULKER | N/A | MEGAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 6996570 | 2222 | N/A | 9556649 | N/A | 6016782 | 2025-07-14 16:50:28.554734 | 2025-07-14 16:56:31.587983 |
| 2025-07-14 16:50:24.154769 | 2025-07-14 16:50:26.799699 | 9838400 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-03-08 | 2025-07-14 | N/A | AE | PT | 3842 | Fulker | 123123123 | Megan | https://storage.googleapis.com/normandy-eligibility-checks/2222/6996570/check_9838400_14b7bc76-d846-44b9-a17c-bcf8b394cb34.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | 123123123 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1987-03-08 | N/A | N/A | N/A | N/A | false | FULKER | N/A | MEGAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 6996570 | 2222 | N/A | N/A | N/A | 6016782 | 2025-07-14 16:50:26.799699 | 2025-07-14 16:56:31.587983 |
| 2025-07-14 16:43:27.951283 | 2025-07-14 16:43:33.073213 | 9838374 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-02-28 | 2025-07-15 | F | PT | N/A | 4191 | JONES | LTC290M90213 | CAROLINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6770884/check_9838374_8e6c17b1-2d95-48d5-b3b9-bb34a206e1d8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770884/check_9838374_71bb2120-d88e-49fd-a7b9-258255c0a8a9.json | N/A | N/A | N/A | N/A | N/A | LTC290M90213 | Preferred Provider Organization (PPO) | THE AEROSPACE CORPORATION | BLUE SHIELD OF CALIFORNIA | N/A | 1995-02-28 | 040 | 174151MCA3 | N/A | PR | false | JONES | N/A | CAROLINE | N/A | 9999-12-31 | 2025-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8258476088 | 9228 | N/A | 6770884 | 2222 | N/A | 9556618 | N/A | 4775735 | 2025-07-14 16:43:33.073213 | 2025-07-08 23:42:37.640916 |
| 2025-07-14 16:43:03.406551 | 2025-07-14 16:43:09.591369 | 9838371 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-02-28 | 2025-07-17 | F | PT | N/A | 4191 | JONES | LTC290M90213 | CAROLINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6770884/check_9838371_0966cee1-0351-44b4-9786-4d733c68eed6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770884/check_9838371_576e3379-0529-4208-835c-e7cb3dd28ea6.json | N/A | N/A | N/A | N/A | N/A | LTC290M90213 | Preferred Provider Organization (PPO) | THE AEROSPACE CORPORATION | BLUE SHIELD OF CALIFORNIA | N/A | 1995-02-28 | 040 | 174151MCA3 | N/A | PR | false | JONES | N/A | CAROLINE | N/A | 9999-12-31 | 2025-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8258472925 | 9228 | N/A | 6770884 | 2222 | N/A | 9556613 | N/A | 4775735 | 2025-07-14 16:43:09.591369 | 2025-07-08 23:42:37.640916 |
| 2025-07-14 16:11:29.561605 | 2025-07-14 16:11:36.453876 | 9838173 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 23298 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9838173_460fc4de-0efe-4031-b08a-3a11edc64003.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821324/check_9838173_ec51c626-9123-497e-b27f-507353e3990d.json | N/A | N/A | N/A | N/A | N/A | 2404315-03 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | 9556390 | N/A | 5863588 | 2025-07-14 16:11:36.453876 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 16:11:27.855075 | 2025-07-14 16:11:29.558049 | 9838172 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 23298 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9838172_c6bc845a-f8c0-4049-afea-13786b452fd4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | 2404315-03 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | N/A | N/A | 5863588 | 2025-07-14 16:11:29.558049 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 16:11:06.818982 | 2025-07-14 16:11:11.795463 | 9838167 | N/A | N/A | 92916 | UNITED AMERICAN INSURANCE COMPANY | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 6640 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9838167_9f2cfdd3-79ce-4667-b5f9-9608bd463f3a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821324/check_9838167_9fcc5765-2678-451b-863b-367b36f11c05.json | N/A | N/A | N/A | N/A | N/A | 2404315-03 | N/A | N/A | UNITED AMERICAN INSURANCE COMPANY | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | 9556384 | N/A | 5863588 | 2025-07-14 16:11:11.795463 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 16:11:00.637456 | 2025-07-14 16:11:06.806929 | 9838164 | N/A | N/A | 92916 | UNITED AMERICAN INSURANCE COMPANY | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 6640 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9838164_6b5eb55a-a2c5-45ca-988f-fb559457d303.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | 2404315-03 | N/A | N/A | UNITED AMERICAN INSURANCE COMPANY | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | N/A | N/A | 5863588 | 2025-07-14 16:11:06.806929 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 16:10:10.466826 | 2025-07-14 16:10:14.225121 | 9838158 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 6411 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9838158_456d4956-6928-47d3-8d74-88fc31ad9d99.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821324/check_9838158_bbb49597-02b4-40da-89fa-272eef7153d8.json | N/A | N/A | N/A | N/A | N/A | 2404315 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | 9556372 | N/A | 5863588 | 2025-07-14 16:10:14.225121 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 16:10:05.435616 | 2025-07-14 16:10:10.463187 | 9838157 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 6411 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9838157_b2a793d0-6434-4269-84c3-1cb2cf5bbbbc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | 2404315 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | N/A | N/A | 5863588 | 2025-07-14 16:10:10.463187 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 16:09:46.731401 | 2025-07-14 16:09:48.565537 | 9838156 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 23298 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9838156_7f69dba9-6951-4961-958e-2cb2ffe15141.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821324/check_9838156_21a499db-89a3-4ec3-9ec8-e4271e9d110e.json | N/A | N/A | N/A | N/A | N/A | 2404315-03 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | 9556369 | N/A | 5863588 | 2025-07-14 16:09:48.565537 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 16:09:45.085420 | 2025-07-14 16:09:46.728264 | 9838155 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 23298 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9838155_67cfc522-19e1-4b72-bf05-8dafd0b6b06a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | 2404315-03 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | N/A | N/A | 5863588 | 2025-07-14 16:09:46.728264 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 15:47:03.320525 | 2025-07-14 15:47:05.200960 | 9837985 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 23298 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9837985_9c8081ae-3dc9-443d-800f-eaf5bd78bb22.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821324/check_9837985_dd7d130c-a536-4e73-8d37-1de0a486102f.json | N/A | N/A | N/A | N/A | N/A | 2404315-03 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | 9556179 | N/A | 5863588 | 2025-07-14 15:47:05.200960 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 15:47:01.683284 | 2025-07-14 15:47:03.318168 | 9837984 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 23298 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9837984_ae4e92b2-a073-4e64-b4d1-62c9c11bd501.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | 2404315-03 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | N/A | N/A | 5863588 | 2025-07-14 15:47:03.318168 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 15:46:35.593342 | 2025-07-14 15:46:37.416650 | 9837981 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 23298 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9837981_103d947c-9157-44c0-864f-995afe5fe8b0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821324/check_9837981_98fbaeaf-4116-4c07-8eef-84c268384d2c.json | N/A | N/A | N/A | N/A | N/A | 2404315-03 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | 9556174 | N/A | 5863588 | 2025-07-14 15:46:37.416650 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 15:46:33.928126 | 2025-07-14 15:46:35.591646 | 9837980 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 23298 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9837980_a50dab47-f72e-424f-a928-7525fc843cd3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | 2404315-03 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | N/A | N/A | 5863588 | 2025-07-14 15:46:35.591646 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 15:46:27.152304 | 2025-07-14 15:46:28.936628 | 9837979 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 23298 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9837979_3da61d76-fbf2-4faf-83e5-a9398555afd0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821324/check_9837979_ed4caa19-90ee-4b9a-bfe1-09ec324970cd.json | N/A | N/A | N/A | N/A | N/A | 2404315-03 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | 9556172 | N/A | 5863588 | 2025-07-14 15:46:28.936628 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 15:46:25.606277 | 2025-07-14 15:46:27.150482 | 9837977 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 23298 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9837977_1d2140df-e80e-4a38-bcf0-abaff43e0250.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | 2404315-03 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | N/A | N/A | 5863588 | 2025-07-14 15:46:27.150482 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 15:45:54.805377 | 2025-07-14 15:45:56.667082 | 9837964 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 23298 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9837964_a8199d19-1502-4f51-83db-3b1b6bc938b4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821324/check_9837964_1246c436-3c46-448e-88b5-90b0f3e3dda0.json | N/A | N/A | N/A | N/A | N/A | 2404315-03 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | 9556157 | N/A | 5863588 | 2025-07-14 15:45:56.667082 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 15:45:53.052317 | 2025-07-14 15:45:54.802122 | 9837963 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 23298 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9837963_97ac0c1b-7690-43ef-ad93-7f3cca071042.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | 2404315-03 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | N/A | N/A | 5863588 | 2025-07-14 15:45:54.802122 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 15:45:44.289951 | 2025-07-14 15:45:46.226755 | 9837958 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 23298 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9837958_12edb540-34fe-4054-adf8-27fb0d07c33d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821324/check_9837958_ad5cb27b-ca79-4862-9837-9322f73a8147.json | N/A | N/A | N/A | N/A | N/A | 2404315-03 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | 9556151 | N/A | 5863588 | 2025-07-14 15:45:46.226755 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 15:45:42.484107 | 2025-07-14 15:45:44.284835 | 9837957 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-03-11 | 2025-07-14 | M | AE | PT | 23298 | GOODIN IV | 2404315-03 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821324/check_9837957_a02eea5e-48a3-419d-aadd-61468da27a60.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | 2404315-03 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-03-11 | N/A | N/A | N/A | N/A | false | GOODIN IV | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6821324 | 2222 | N/A | N/A | N/A | 5863588 | 2025-07-14 15:45:44.284835 | 2025-07-14 15:42:23.336140 |
| 2025-07-14 15:17:47.817314 | 2025-07-14 15:17:49.601185 | 9837764 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-07 | 2025-07-15 | M | AE | PT | 4497 | CICCIARI | 1AK4JC6NK84 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6752936/check_9837764_7dc2c0bb-851e-4e20-a4a2-2fdc0a0d5a3e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_9837764_971a7c69-87dc-4db4-b6b0-d3dd504546e4.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MB | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8257687488 | N/A | N/A | 6752936 | 2222 | N/A | 9555956 | N/A | 5065602 | 2025-07-14 15:17:49.601185 | 2025-07-01 17:25:13.681724 |
| 2025-07-14 12:17:25.773640 | 2025-07-14 12:17:31.966150 | 9836418 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-11-18 | 2025-07-07 | N/A | PT | AE | 4191 | PELLEGRINI | XEA913808278 | REY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539457/check_9836418_4a1954cd-935b-4b3a-97af-f4ca595cbf71.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539457/check_9836418_42a2ecb4-3b23-45b2-9941-4efb9c680c73.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2007-11-18 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8256012815 | 1275 | N/A | 5539457 | 2222 | N/A | 9554445 | N/A | 4211757 | 2025-07-14 12:17:31.966150 | 2025-06-05 23:05:44.239427 |
| 2025-07-14 12:16:53.652014 | 2025-07-14 12:16:56.604330 | 9836368 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-11-18 | 2025-06-30 | N/A | PT | AE | 4191 | PELLEGRINI | XEA913808278 | REY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539457/check_9836368_13cbfb8c-89e1-4126-9203-0200bad0690f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539457/check_9836368_5102cb23-9e1d-49c6-b1e5-91a9830be039.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2007-11-18 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8256009377 | 1275 | N/A | 5539457 | 2222 | N/A | 9554388 | N/A | 4211757 | 2025-07-14 12:16:56.604330 | 2025-06-05 23:05:44.239427 |
| 2025-07-14 12:16:37.203981 | 2025-07-14 12:16:39.075366 | 9836349 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-11-18 | 2025-07-03 | N/A | PT | AE | 4191 | PELLEGRINI | XEA913808278 | REY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539457/check_9836349_0ec68e06-96a9-4a5f-aada-d9ed0b6382aa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539457/check_9836349_45faf322-de9c-4d5b-9781-01812e1f1f44.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2007-11-18 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8256007334 | 1275 | N/A | 5539457 | 2222 | N/A | 9554371 | N/A | 4211757 | 2025-07-14 12:16:39.075366 | 2025-06-05 23:05:44.239427 |
| 2025-07-14 12:13:56.508499 | 2025-07-14 12:14:03.419084 | 9835866 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-11-18 | 2025-06-27 | N/A | PT | AE | 4191 | PELLEGRINI | XEA913808278 | REY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539457/check_9835866_73922009-0560-4f7e-b407-060706221797.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539457/check_9835866_af16f0ef-07d9-4748-bce3-6b0404d104a5.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2007-11-18 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8255988493 | 1275 | N/A | 5539457 | 2222 | N/A | 9553895 | N/A | 4211757 | 2025-07-14 12:14:03.419084 | 2025-06-05 23:05:44.239427 |
| 2025-07-14 09:48:10.841659 | 2025-07-14 09:48:13.676159 | 9832240 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-07-17 | F | AE | PT | 6411 | FABER | 331524986-11 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9832240_2db226b5-a9fb-4829-8d7e-e12c5b6a2a48.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9832240_345c6ea5-1891-4254-af5a-c8c95136dbc8.json | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | 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 | 6522947 | 2222 | N/A | 9550122 | N/A | 5146127 | 2025-07-14 09:48:13.676159 | 2025-06-20 17:58:23.371130 |
| 2025-07-14 09:48:03.055606 | 2025-07-14 09:48:10.834870 | 9832210 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-07-17 | F | AE | PT | 6411 | FABER | 331524986-11 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9832210_91d2233a-2da6-4b03-be5b-aa1e5825d1fe.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | N/A | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | 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 | 6522947 | 2222 | N/A | N/A | N/A | 5146127 | 2025-07-14 09:48:10.834870 | 2025-06-20 17:58:23.371130 |
| 2025-07-14 09:47:50.973133 | 2025-07-14 09:47:53.645470 | 9832161 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-07-16 | M | AE | PT | 6411 | SCOTT | 076810624-11 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9832161_edb5ded1-510d-4cdb-8230-d4e11d39d5dc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9832161_c69bf891-2d36-4da8-b98a-975655f1deaf.json | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | 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 | 6105989 | 2222 | N/A | 9550043 | N/A | 4750274 | 2025-07-14 09:47:53.645470 | 2025-06-12 22:26:37.845238 |
| 2025-07-14 09:47:48.383039 | 2025-07-14 09:47:50.968768 | 9832148 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-07-16 | M | AE | PT | 6411 | SCOTT | 076810624-11 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9832148_3ddaaa95-338e-4b82-ad88-76c3a98ea753.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-16 | N/A | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | 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 | 6105989 | 2222 | N/A | N/A | N/A | 4750274 | 2025-07-14 09:47:50.968768 | 2025-06-12 22:26:37.845238 |
| 2025-07-14 09:47:39.681534 | 2025-07-14 09:47:48.475022 | 9832118 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-02 | 2025-07-17 | M | AE | PT | 6397 | BALLETTA | 331479122-11 | EDWARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_9832118_114789c7-b77c-4c19-ba34-8cab65497ebf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993962/check_9832118_34fdc529-3625-441d-83f4-890470ee28a9.json | N/A | N/A | N/A | N/A | N/A | 331479122 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1959-07-02 | N/A | N/A | N/A | N/A | false | BALLETTA | N/A | EDWARD | 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 | 5993962 | 2222 | N/A | 9550018 | N/A | 4642893 | 2025-07-14 09:47:48.475022 | 2025-05-28 20:58:29.913655 |
| 2025-07-14 09:47:37.055538 | 2025-07-14 09:47:39.671043 | 9832104 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-02 | 2025-07-17 | M | AE | PT | 6397 | BALLETTA | 331479122-11 | EDWARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_9832104_c48405ca-084e-4d8f-9f2d-ef2f6a9e917e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | N/A | N/A | N/A | N/A | N/A | N/A | 331479122 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1959-07-02 | N/A | N/A | N/A | N/A | false | BALLETTA | N/A | EDWARD | 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 | 5993962 | 2222 | N/A | N/A | N/A | 4642893 | 2025-07-14 09:47:39.671043 | 2025-05-28 20:58:29.913655 |
| 2025-07-14 09:47:36.281054 | 2025-07-14 09:47:39.943792 | 9832102 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-07-17 | M | AE | PT | 6411 | LANE | MISSINGPOLICYNUMBER | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_9832102_21530437-ab3e-420a-a5ad-610d87a4bacb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928917/check_9832102_73cff0bc-1fed-4d59-8605-509e8235dd0f.json | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | 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 | 5928917 | 2222 | N/A | 9549987 | N/A | 4219832 | 2025-07-14 09:47:39.943792 | 2025-05-13 04:29:37.230877 |
| 2025-07-14 09:47:33.745090 | 2025-07-14 09:47:36.277840 | 9832092 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-07-17 | M | AE | PT | 6411 | LANE | MISSINGPOLICYNUMBER | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_9832092_0afea7c7-910c-4876-a18b-a8b3fb703472.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | N/A | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | 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 | 5928917 | 2222 | N/A | N/A | N/A | 4219832 | 2025-07-14 09:47:36.277840 | 2025-05-13 04:29:37.230877 |
| 2025-07-14 09:46:19.284865 | 2025-07-14 09:46:27.332170 | 9831838 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-07-14 | M | AE | PT | 6411 | SCOTT | 076810624-11 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9831838_b3ab5b7f-5aa6-4e93-972c-826078ec2d28.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9831838_2521034a-f151-4d42-935b-00836f873ac5.json | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | 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 | 6105989 | 2222 | N/A | 9549743 | N/A | 4750274 | 2025-07-14 09:46:27.332170 | 2025-06-12 22:26:37.845238 |
| 2025-07-14 09:46:13.481387 | 2025-07-14 09:46:19.273512 | 9831820 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-07-14 | M | AE | PT | 6411 | SCOTT | 076810624-11 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9831820_e12fe754-d073-4a0b-b868-367d814f5768.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | 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 | 6105989 | 2222 | N/A | N/A | N/A | 4750274 | 2025-07-14 09:46:19.273512 | 2025-06-12 22:26:37.845238 |