API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-16 08:09:03.036921 | 2025-12-16 08:09:05.140766 | 16032349 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-05-11 | 2025-12-16 | M | AE | PT | 4497 | A Peters | 1R78CR5JR59 | Dennis | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550025/check_16032349_175bc670-c63d-4189-a8e3-8466eefec331.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550025/check_16032349_6a91121b-0b24-4ffb-a066-796007cdbf55.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | 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 | 5550025 | 2222 | N/A | 16268277 | N/A | 4219449 | 2025-12-16 08:09:05.140766 | 2025-10-07 21:32:27.567534 |
| 2025-12-16 08:09:02.720464 | 2025-12-16 08:09:04.659367 | 16032327 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-27 | 2025-12-16 | F | AE | PT | 4497 | Jaude | 9MG2QE6VF90 | Anne | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124906/check_16032327_4faef5a0-55d4-409a-8afe-66b7d880b42e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124906/check_16032327_9b6fbad3-dc6e-47d4-8ebb-e16cd592c5fc.json | N/A | N/A | N/A | N/A | N/A | 9MG2QE6VF90 | N/A | N/A | CMS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | 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 | 6124906 | 2222 | N/A | 16268274 | N/A | 4767362 | 2025-12-16 08:09:04.659367 | 2025-09-19 16:49:18.601418 |
| 2025-12-16 08:09:02.497983 | 2025-12-16 08:09:05.047187 | 16032306 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-29 | 2025-12-16 | F | AE | PT | 4497 | Wachtel | 8GU2FH7UC95 | Suzette | https://storage.googleapis.com/normandy-eligibility-checks/2222/13636079/check_16032306_3fac173c-6fcc-4715-940f-974df8b7ac44.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13636079/check_16032306_ab700c0c-bf93-44b2-980a-f63f8bc63892.json | N/A | N/A | N/A | N/A | N/A | 8GU2FH7UC95 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-29 | S2468 | N/A | N/A | MA | false | WACHTEL | N/A | SUZETTE | N/A | N/A | N/A | N/A | N/A | 32087 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345203 | N/A | N/A | 13636079 | 2222 | N/A | 16268273 | N/A | 11783912 | 2025-12-16 08:09:05.047187 | 2025-12-12 16:43:29.386846 |
| 2025-12-16 08:09:02.406528 | 2025-12-16 08:09:04.291885 | 16032295 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-07-03 | 2025-12-16 | M | AE | PT | 4497 | BANBROOK | 2JU7EP9NY73 | HAL MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/13538651/check_16032295_48f50c42-2616-423b-b98b-2ebe0934b700.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13538651/check_16032295_3121d6a9-8c65-4602-b13b-a254fa00a041.json | N/A | N/A | N/A | N/A | N/A | 2JU7EP9NY73 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-07-03 | S4802 | N/A | N/A | MA | false | BANBROOK | N/A | HAL | N/A | N/A | N/A | N/A | N/A | 41582 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345171 | N/A | N/A | 13538651 | 2222 | N/A | 16268271 | N/A | 11688569 | 2025-12-16 08:09:04.291885 | 2026-02-25 18:57:49.387834 |
| 2025-12-16 08:09:02.330997 | 2025-12-16 08:09:04.401021 | 16032288 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-07-10 | 2025-12-16 | F | AE | PT | 4497 | KOREY | 1HM0J93JP19 | SHEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/13136123/check_16032288_75a8112f-9d97-45e7-8b2a-f9db7fea5531.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13136123/check_16032288_11a24264-1d0f-4ea4-8370-a1777fd9cdc6.json | N/A | N/A | N/A | N/A | N/A | 1HM0J93JP19 | Medicare Part A | N/A | WELLCARE OF CALIFORNIA, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-07-10 | H5087 | N/A | N/A | MA | false | KOREY | N/A | SHEILA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345169 | N/A | N/A | 13136123 | 2222 | N/A | 16268272 | N/A | 4214919 | 2025-12-16 08:09:04.401021 | 2025-10-15 18:27:18.538651 |
| 2025-12-16 08:09:02.193761 | 2025-12-16 08:09:04.043163 | 16032275 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-19 | 2025-12-16 | F | AE | PT | 4497 | LIEBELT | 5CX2R09EP18 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/2222/13140473/check_16032275_9a857524-e33f-4745-9f68-f6ffd013c9bc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13140473/check_16032275_0aae7200-ac3f-4800-b473-9232516205e6.json | N/A | N/A | N/A | N/A | N/A | 5CX2R09EP18 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-19 | S4802 | N/A | N/A | MA | false | LIEBELT | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | 27677 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345156 | N/A | N/A | 13140473 | 2222 | N/A | 16268270 | N/A | 11291133 | 2025-12-16 08:09:04.043163 | 2025-11-25 01:31:31.833218 |
| 2025-12-16 08:09:02.032733 | 2025-12-16 08:09:03.874351 | 16032263 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-07-15 | 2025-12-16 | M | AE | PT | 4497 | Raudonis | 4QT6EC7VG78 | Mark | https://storage.googleapis.com/normandy-eligibility-checks/2222/12493577/check_16032263_66383e4b-013e-4c7d-b4d5-3014b5b92952.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12493577/check_16032263_0d360923-5424-4a24-8661-4ce41a825bfa.json | N/A | N/A | N/A | N/A | N/A | 4QT6EC7VG78 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-07-15 | S4802 | N/A | N/A | MB | false | RAUDONIS | N/A | MARK | N/A | N/A | N/A | N/A | N/A | 85767 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345152 | N/A | N/A | 12493577 | 2222 | N/A | 16268268 | N/A | 10670073 | 2025-12-16 08:09:03.874351 | 2025-11-10 18:20:04.243140 |
| 2025-12-16 08:09:01.986128 | 2025-12-16 08:09:17.152878 | 16032258 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-03-18 | 2025-12-16 | F | AE | PT | 4497 | MEYER | 6AA8T47WQ51 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/11928201/check_16032258_abca473e-2d34-41ab-ae01-ece5d2b8162b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11928201/check_16032258_76a339dd-dbf1-49b8-a7d2-cbaefbe301f2.json | N/A | N/A | N/A | N/A | N/A | 6AA8T47WQ51 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-18 | S5921 | N/A | N/A | MA | false | MEYER | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | 110619 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345146 | N/A | N/A | 11928201 | 2222 | N/A | 16268436 | N/A | 4215335 | 2025-12-16 08:09:17.152878 | 2025-10-30 21:15:07.766449 |
| 2025-12-16 08:09:01.806786 | 2025-12-16 08:09:03.573567 | 16032240 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-11-15 | 2025-12-16 | M | AE | PT | 4497 | REISMAN | 7JW4EK4UR89 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/9868745/check_16032240_f3bb6775-11a8-453d-a662-a2d3060d951c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868745/check_16032240_d0a537e3-2b53-4f11-90b9-3664161541c2.json | N/A | N/A | N/A | N/A | N/A | 7JW4EK4UR89 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-11-15 | N/A | N/A | N/A | MB | false | REISMAN | N/A | MARK | N/A | N/A | N/A | N/A | N/A | 153445 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345139 | N/A | N/A | 9868745 | 2222 | N/A | 16268266 | N/A | 8262262 | 2025-12-16 08:09:03.573567 | 2025-09-30 22:45:25.940454 |
| 2025-12-16 08:09:01.767279 | 2025-12-16 08:09:04.264940 | 16032234 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-04-13 | 2025-12-16 | F | AE | PT | 4497 | NATALI | 2XU8UK4DF50 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8979192/check_16032234_6ed90cf7-2eaf-4286-8fb1-edf243174883.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979192/check_16032234_2b089cb9-577f-440a-a9d5-7c2bbcd47eda.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part A | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MA | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | 82290 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345137 | N/A | N/A | 8979192 | 2222 | N/A | 16268269 | N/A | 7498543 | 2025-12-16 08:09:04.264940 | 2025-10-14 17:13:32.178778 |
| 2025-12-16 08:09:01.663047 | 2025-12-16 08:09:03.444824 | 16032227 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-06-01 | 2025-12-16 | F | AE | PT | 4497 | AMIRI | 5A52N18CA24 | POURAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9399844/check_16032227_7d93f732-9b72-454f-8015-d3da56da2380.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9399844/check_16032227_600b88a9-a56e-43df-81c9-4e21dc5ba572.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-06-01 | S4802 | N/A | N/A | MA | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | 291285 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345123 | N/A | N/A | 9399844 | 2222 | N/A | 16268264 | N/A | 4210607 | 2025-12-16 08:09:03.444824 | 2025-08-01 18:31:38.620742 |
| 2025-12-16 08:09:01.506058 | 2025-12-16 08:09:03.335657 | 16032209 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-08 | 2025-12-16 | F | AE | PT | 4497 | STERINA | 5G17E95JX47 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8632769/check_16032209_c8a97e1b-55af-4adb-9255-fc1dc5810903.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632769/check_16032209_3bb15564-8c90-4f1b-8e23-52c08549cb94.json | N/A | N/A | N/A | N/A | N/A | 5G17E95JX47 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-08 | S4802 | N/A | N/A | MA | false | STERINA | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | 133386 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345117 | N/A | N/A | 8632769 | 2222 | N/A | 16268261 | N/A | 7278220 | 2025-12-16 08:09:03.335657 | 2025-08-26 15:52:58.453727 |
| 2025-12-16 08:09:01.426950 | 2025-12-16 08:09:03.638650 | 16032200 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-02-09 | 2025-12-16 | F | AE | PT | 4497 | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7204595/check_16032200_cc071ca0-0bcb-4f8b-992a-813eab825788.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204595/check_16032200_51720448-8a77-4560-83c1-1d18a422ca63.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S5884 | N/A | N/A | MA | false | FERTSCHNEIDER | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | 208662 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345118 | N/A | N/A | 7204595 | 2222 | N/A | 16268265 | N/A | 6175435 | 2025-12-16 08:09:03.638650 | 2025-08-05 19:05:08.506352 |
| 2025-12-16 08:09:01.364477 | 2025-12-16 08:09:03.177249 | 16032194 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-13 | 2025-12-16 | F | AE | PT | 4497 | GRANT | 9JA3JK2TK87 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8493311/check_16032194_e105833e-f8f0-4a01-8387-039692dde0b3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493311/check_16032194_89a5093e-b01f-4050-9b65-125ad36ebb58.json | N/A | N/A | N/A | N/A | N/A | 9JA3JK2TK87 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-13 | S4802 | N/A | N/A | MA | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | 216109 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345101 | N/A | N/A | 8493311 | 2222 | N/A | 16268260 | N/A | 7159835 | 2025-12-16 08:09:03.177249 | 2025-08-25 22:38:59.735145 |
| 2025-12-16 08:09:01.356044 | 2025-12-16 08:09:09.540703 | 16032192 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-12-30 | 2025-12-16 | M | AE | PT | 3937 | MCHALE | W27265070 | MATT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173116/check_16032192_2d2383d4-53f0-4057-a375-ecce4880a4fe.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_16032192_c6455ce2-7f5c-44f6-bd21-8bb29537a618.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345104 | N/A | N/A | 8173116 | 2222 | N/A | 16268324 | N/A | 6939617 | 2025-12-16 08:09:09.540703 | 2025-09-16 00:28:24.457071 |
| 2025-12-16 08:09:01.182379 | 2025-12-16 08:09:02.978782 | 16032176 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-14 | 2025-12-16 | F | AE | PT | 4497 | McKinnon | 4Q81VP4NU12 | Dawn | https://storage.googleapis.com/normandy-eligibility-checks/2222/7783105/check_16032176_19ec4c39-9539-4271-b0ec-34ca47981413.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783105/check_16032176_74499179-6412-44d9-81c5-4c832f138547.json | N/A | N/A | N/A | N/A | N/A | 4Q81VP4NU12 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MA | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 121638 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345076 | N/A | N/A | 7783105 | 2222 | N/A | 16268256 | N/A | 6628331 | 2025-12-16 08:09:02.978782 | 2025-08-22 15:16:03.942743 |
| 2025-12-16 08:09:01.037903 | 2025-12-16 08:09:03.071994 | 16032163 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-07 | 2025-12-16 | M | AE | PT | 4497 | CICCIARI | 1AK4JC6NK84 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6752936/check_16032163_04d8f898-f8f9-44fe-a5fa-2c7b2114558a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_16032163_b7f81982-b2b9-48f5-8efc-3e74d346e199.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | 397360 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345086 | N/A | N/A | 6752936 | 2222 | N/A | 16268258 | N/A | 5065602 | 2025-12-16 08:09:03.071994 | 2025-07-01 17:25:13.681724 |
| 2025-12-16 08:09:01.000945 | 2025-12-16 08:09:03.022252 | 16032157 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-05-11 | 2025-12-16 | M | AE | PT | 4497 | A Peters | 1R78CR5JR59 | Dennis | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550025/check_16032157_330548d5-71a6-40ea-b4ab-71ee2016188c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | N/A | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | 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 | 5550025 | 2222 | N/A | N/A | N/A | 4219449 | 2025-12-16 08:09:03.022252 | 2025-10-07 21:32:27.567534 |
| 2025-12-16 08:09:00.902282 | 2025-12-16 08:09:02.678024 | 16032147 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-27 | 2025-12-16 | F | AE | PT | 4497 | Jaude | 9MG2QE6VF90 | Anne | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124906/check_16032147_99b58927-160a-4d3c-8049-7f1b63968b7b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | N/A | N/A | N/A | N/A | N/A | N/A | 9MG2QE6VF90 | N/A | N/A | CMS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | 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 | 6124906 | 2222 | N/A | N/A | N/A | 4767362 | 2025-12-16 08:09:02.678024 | 2025-09-19 16:49:18.601418 |
| 2025-12-16 08:09:00.717599 | 2025-12-16 08:09:03.659407 | 16032129 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-05-23 | 2025-12-16 | F | AE | PT | 4497 | CEASAR | 6XR6JY3MJ89 | DEBBIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543553/check_16032129_bde465ee-b26b-4ef8-8478-bad6e660f6da.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543553/check_16032129_a4809548-b77f-4e69-8894-041a7eba587d.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MA | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | 100562 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345045 | N/A | N/A | 5543553 | 2222 | N/A | 16268267 | N/A | 4215327 | 2025-12-16 08:09:03.659407 | 2025-05-13 04:29:37.229651 |
| 2025-12-16 08:09:00.695726 | 2025-12-16 08:09:02.446371 | 16032127 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-12-26 | 2025-12-16 | M | AE | PT | 4497 | FINEBERG | 9FX3D52YD09 | MARTIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549980/check_16032127_081d534b-c86b-4ad7-879e-837e2b4a6bc9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549980/check_16032127_02e650b5-87c7-445d-ac89-3507d9a827de.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MB | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | 278366 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345036 | N/A | N/A | 5549980 | 2222 | N/A | 16268252 | N/A | 4219436 | 2025-12-16 08:09:02.446371 | 2025-05-13 04:29:37.230471 |
| 2025-12-16 08:09:00.496049 | 2025-12-16 08:09:03.333364 | 16032106 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-10-03 | 2025-12-16 | F | AE | PT | 4497 | REED | 2YY5KV0WP59 | SONIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542497/check_16032106_b81c8ef3-b8b7-437a-845e-04c457ed1d3b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542497/check_16032106_821a2fe9-2560-4fb6-a30f-8f47df94271e.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MB | false | REED | N/A | SONIA | N/A | N/A | N/A | N/A | N/A | 216459 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345024 | N/A | N/A | 5542497 | 2222 | N/A | 16268262 | N/A | 4214397 | 2025-12-16 08:09:03.333364 | 2025-05-13 04:29:37.228723 |
| 2025-12-16 08:09:00.382821 | 2025-12-16 08:09:02.318248 | 16032094 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-12-16 | M | AE | PT | 4497 | JAUDE | 8D38EF9GV30 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542251/check_16032094_c625a574-ab81-4fbf-b6c4-dfb79b743614.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_16032094_9a34c55d-ca8e-484e-b74b-79b334792752.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 | 9531345012 | N/A | N/A | 5542251 | 2222 | N/A | 16268250 | N/A | 4214191 | 2025-12-16 08:09:02.318248 | 2025-05-13 04:29:37.228525 |
| 2025-12-16 08:09:00.329766 | 2025-12-16 08:09:02.082013 | 16032089 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-12-02 | 2025-12-16 | F | AE | PT | 4497 | LADEN | 6GY2TG9HX06 | CANDACE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540768/check_16032089_6b96f895-aa6e-4efb-bfb1-87b2d6653070.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540768/check_16032089_933ffdd7-1183-4df0-b008-065e171911d2.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MB | 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 | 9531345008 | N/A | N/A | 5540768 | 2222 | N/A | 16268248 | N/A | 4212856 | 2025-12-16 08:09:02.082013 | 2025-08-04 18:33:35.319989 |
| 2025-12-16 08:09:00.304028 | 2025-12-16 08:09:02.067990 | 16032085 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-05-13 | 2025-12-16 | F | AE | PT | 4497 | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540531/check_16032085_f18656f7-4035-44be-978d-6c1c69ab5562.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540531/check_16032085_4aaaa065-7c57-4a80-91df-40ba997620e7.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MB | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | 306292 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531345007 | N/A | N/A | 5540531 | 2222 | N/A | 16268249 | N/A | 4212676 | 2025-12-16 08:09:02.067990 | 2025-07-03 21:09:02.193065 |
| 2025-12-16 08:09:00.152536 | 2025-12-16 08:09:02.078180 | 16032070 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-08-26 | 2025-12-16 | M | AE | PT | 4497 | ROTHMAN | 6H65JC7UD67 | MIKE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536194/check_16032070_28f12b5b-8c24-4a37-9de2-3575bb1fa8b3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536194/check_16032070_ed642b94-0be6-46f4-bb37-5a97d86797d3.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 | 9531344999 | N/A | N/A | 5536194 | 2222 | N/A | 16268247 | N/A | 4208978 | 2025-12-16 08:09:02.078180 | 2025-05-13 04:29:37.223404 |
| 2025-12-16 08:09:00.146648 | 2025-12-16 08:09:02.879765 | 16032069 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-04-13 | 2025-12-16 | F | AE | PT | 4497 | BLUM | 4TT3J24RG08 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539301/check_16032069_3e389be9-b596-40c5-b6cf-8dc955d9fd9f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539301/check_16032069_f39baff8-ffba-481d-9a57-d430eefeea19.json | N/A | N/A | N/A | N/A | N/A | 4TT3J24RG08 | Medicare Part A | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-04-13 | S5820 | N/A | N/A | MA | false | BLUM | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | 20565 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531344992 | N/A | N/A | 5539301 | 2222 | N/A | 16268255 | N/A | 4211624 | 2025-12-16 08:09:02.879765 | 2025-05-13 04:29:37.225953 |
| 2025-12-16 07:25:55.485967 | 2025-12-16 07:25:59.529633 | 16023398 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-05-09 | 2025-12-16 | M | AE | PT | N/A | GIDWANI | 975511638 | RANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/12440173/check_16023398_83abd186-8bcc-4174-a2ce-3dfb2ec79e0d.json | UHC | N/A | INSIGHTS | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12440173/check_16023398_850a49cd-07b4-4c6e-9d42-7aff9c426e58.json | N/A | N/A | N/A | N/A | N/A | 975511638 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1993-05-09 | N/A | 752713 | N/A | C1 | false | GIDWANI | N/A | RANA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12440173 | 2222 | N/A | 16267123 | N/A | 10619717 | 2025-12-16 07:25:59.529633 | 2026-01-06 20:33:51.589444 |
| 2025-12-16 03:00:27.828444 | 2025-12-16 03:00:30.765056 | 16022489 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-18 | 2025-12-17 | F | PT | N/A | 4184 | Fardad- Finn | JQU683A20101 | Farnaz | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187202/check_16022489_2403b2fb-ab21-4911-a511-5e35fec824f7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14187202/check_16022489_b56a590d-1ce1-4cb9-9de6-e52da2ac9f68.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1970-03-18 | N/A | N/A | N/A | N/A | false | FARDAD- FINN | N/A | FARNAZ | 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 | 14187202 | 2222 | N/A | 16260099 | N/A | 12318785 | 2025-12-16 03:00:30.765056 | 2026-03-02 22:19:42.373924 |
| 2025-12-16 03:00:15.826387 | 2025-12-16 03:00:27.819735 | 16022488 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-18 | 2025-12-17 | F | PT | N/A | 4184 | Fardad Finn | JQU683A20101 | Farnaz | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187202/check_16022488_24ee8384-d9df-4656-a303-93990bcc9295.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-17 | N/A | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1970-03-18 | N/A | N/A | N/A | N/A | false | FARDAD FINN | N/A | FARNAZ | 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 | 14187202 | 2222 | N/A | N/A | N/A | 12318785 | 2025-12-16 03:00:27.819735 | 2026-03-02 22:19:42.373924 |
| 2025-12-16 02:08:53.413389 | 2025-12-16 02:08:56.677592 | 16022437 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-12-17 | 2025-12-15 | M | PT | N/A | 23320 | GORMAN | 903705025-00 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9898664/check_16022437_6b61a6ea-2713-4714-bc5e-b91685668a64.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9898664/check_16022437_921b1d7d-010e-42fd-af41-6ebe6e3b60f7.json | N/A | N/A | N/A | N/A | N/A | XEP903705025 | Point of Service (POS) | CAPE | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1977-12-17 | 1000POSX0002 | W0052320 | N/A | PS | false | GORMAN | N/A | JOHN | N/A | 9999-12-31 | 2022-01-01 | GROUP LIFE 20 000 70 65 75 50 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9530146458 | N/A | N/A | 9898664 | 2222 | N/A | 16260049 | N/A | 8287160 | 2025-12-16 02:08:56.677592 | 2025-10-01 22:48:13.212843 |
| 2025-12-16 01:06:51.410308 | 2025-12-16 01:06:53.275026 | 16022329 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-07-10 | 2025-12-16 | U | PT | N/A | 4185 | Gadde | X8B467M70158 | Lavanya | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543090/check_16022329_98e41344-b206-4a1b-846a-1e198228f903.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543090/check_16022329_638a9c07-4d6a-49be-826e-0da338c96df3.json | N/A | N/A | N/A | N/A | N/A | X8B467M70158 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1990-07-10 | N/A | N/A | N/A | N/A | false | GADDE | N/A | LAVANYA | 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 | 5543090 | 2222 | N/A | 16239955 | N/A | 4214925 | 2025-12-16 01:06:53.275026 | 2025-12-17 00:54:52.714750 |
| 2025-12-16 01:06:49.624915 | 2025-12-16 01:06:51.405579 | 16022328 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-07-10 | 2025-12-16 | U | PT | N/A | 4185 | Gadde | X8B467M70158 | Lavanya | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543090/check_16022328_31e0068a-6f22-4fb0-9a78-3ff2824ce7bc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-16 | N/A | N/A | N/A | N/A | N/A | N/A | X8B467M70158 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1990-07-10 | N/A | N/A | N/A | N/A | false | GADDE | N/A | LAVANYA | 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 | 5543090 | 2222 | N/A | N/A | N/A | 4214925 | 2025-12-16 01:06:51.405579 | 2025-12-17 00:54:52.714750 |
| 2025-12-16 00:01:55.159481 | 2025-12-16 00:01:59.162654 | 16021747 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-06 | 2025-12-15 | M | AE | PT | 6237 | Sack | 40039393001 | Robert | https://storage.googleapis.com/normandy-eligibility-checks/2222/12096570/check_16021747_27ef6b29-e7dd-4a22-830d-6fa59f0c9061.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12096570/check_16021747_1d32b4f0-3e26-49ed-85e7-c47f168c91b1.json | N/A | N/A | N/A | N/A | N/A | 40039393001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-03-06 | 2025H5425001 | H5425M | N/A | N/A | false | SACK JR | N/A | ROBERT | 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 | 9529530174 | 160458 | N/A | 12096570 | 2222 | N/A | 16239388 | N/A | 10314571 | 2025-12-16 00:01:59.162654 | 2026-01-04 16:54:02.110823 |
| 2025-12-15 20:50:44.267502 | 2025-12-15 20:50:46.164103 | 16019528 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-12-07 | 2025-12-23 | F | AE | PT | 4497 | MOONVES | 9VC3KJ4XU95 | NANCY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536069/check_16019528_d312ce75-36d8-4399-b160-79491b1f4d62.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536069/check_16019528_437e2b86-06a7-4a5f-91f6-c4b2f5f13b94.json | N/A | N/A | N/A | N/A | N/A | 9VC3KJ4XU95 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-12-07 | S5596 | N/A | N/A | MA | false | MOONVES | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | 140845 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9528586359 | N/A | N/A | 5536069 | 2222 | N/A | 16236772 | N/A | 4208883 | 2025-12-15 20:50:46.164103 | 2025-05-13 04:29:37.223310 |
| 2025-12-15 20:49:43.258101 | 2025-12-15 20:49:50.242020 | 16019517 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1962-09-10 | 2025-12-11 | M | PT | AE | 4197 | M Johnson | KWS141015355001 | David | https://storage.googleapis.com/normandy-eligibility-checks/2222/14108628/check_16019517_6526f29b-aeaa-4c7c-9886-6b5b7179dacc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14108628/check_16019517_951cf1ac-43f9-4171-a1f5-ed5ef162665a.json | N/A | N/A | N/A | N/A | N/A | KWS141015355001 | Preferred Provider Organization (PPO) | BOIRON, INC. ACTIVE | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = FULLY INSURED | 1962-09-10 | 376 | 10897275 | N/A | PR | false | JOHNSON | N/A | DAVID | N/A | 9999-12-31 | 2025-07-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9528561962 | 7686 | N/A | 14108628 | 2222 | N/A | 16236760 | N/A | 12247347 | 2025-12-15 20:49:50.242020 | 2025-12-10 23:35:09.824882 |
| 2025-12-15 18:50:31.549324 | 2025-12-15 18:50:47.827538 | 16017551 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-05-26 | 2025-12-15 | M | PT | AE | 4191 | PARRA | R58564504 | GREGORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/13453284/check_16017551_95453c10-a78f-4a5d-9c6a-d52b87a9bf48.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13453284/check_16017551_b7bc3e9e-6786-473d-837e-7c5cd5c348b1.json | N/A | N/A | N/A | N/A | N/A | R58564504 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1965-05-26 | N/A | 112 | N/A | PR | false | PARRA | N/A | GREGORY | N/A | 9999-12-31 | 2007-01-07 | BASIC | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9527133902 | 5686 | N/A | 13453284 | 2222 | N/A | 16234449 | N/A | 10738342 | 2025-12-15 18:50:47.827538 | 2025-11-17 17:10:15.206525 |
| 2025-12-15 17:40:16.998958 | 2025-12-15 17:40:19.892324 | 16015954 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-11-21 | 2025-12-19 | M | PT | N/A | 4184 | Toobi | XDL045A69958 | Sean | https://storage.googleapis.com/normandy-eligibility-checks/2222/14226250/check_16015954_50199dae-09c6-469f-9472-bbeec317cb88.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14226250/check_16015954_0d406eb1-8b4a-407b-b232-0a8a7160dced.json | N/A | N/A | N/A | N/A | N/A | XDL045A69958 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 2000-11-21 | 040 | PE4800 | N/A | PR | false | TOOBI | N/A | SEAN | N/A | 9999-12-31 | 2009-03-01 | RIGHTPLAN | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9526611168 | N/A | N/A | 14226250 | 2222 | N/A | 16232723 | N/A | 12357271 | 2025-12-15 17:40:19.892324 | 2025-12-12 23:21:42.214124 |
| 2025-12-15 16:36:03.532214 | 2025-12-15 16:36:08.491548 | 16014951 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-11-20 | 2025-12-09 | M | PT | AE | 4191 | HEDRICK | HFD100011207755 | MICHEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/12985332/check_16014951_e6a43649-259f-4cef-bf04-bc3b230299d0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12985332/check_16014951_6a006dd3-8eaf-4c02-a381-aa23c160bf26.json | N/A | N/A | N/A | N/A | N/A | HFD100011207755 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. | 1962-11-20 | N/A | N/A | N/A | PR | false | HEDRICK | N/A | MICHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9526051717 | 7691 | N/A | 12985332 | 2222 | N/A | 16231565 | N/A | 4210286 | 2025-12-15 16:36:08.491548 | 2025-11-14 03:16:19.994419 |
| 2025-12-15 16:35:21.043406 | 2025-12-15 16:35:24.944166 | 16014941 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1962-11-20 | 2025-12-09 | M | PT | AE | 4197 | HEDRICK | HFD100011207755 | MICHEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/12015999/check_16014941_6051954b-32e4-43c1-8070-093d5ae02b4f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12015999/check_16014941_51d3aa05-549a-4a40-b747-3ea49c95f1bb.json | N/A | N/A | N/A | N/A | N/A | HFD100011207755 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | RESPONSES TO ALL FUTURE DATED INQUIRIES ARE BASED ON THE PATIENT'S CURRENT BENEFITS AND ARE SUBJECT TO CHANGE. FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. | 1962-11-20 | N/A | N/A | N/A | PR | false | HEDRICK | N/A | MICHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9526045886 | 7691 | N/A | 12015999 | 2222 | N/A | 16231554 | N/A | 4210286 | 2025-12-15 16:35:24.944166 | 2025-11-14 03:16:19.994419 |
| 2025-12-15 15:24:27.014205 | 2025-12-15 15:24:30.350214 | 16013730 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2010-03-12 | 2025-12-15 | F | PT | AE | 4191 | MARASHLIAN | XED913752380 | SOPHIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9753876/check_16013730_f9d0b6c9-bbae-43e7-b877-8bdf3c066dbc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9753876/check_16013730_081c7f6c-6c5b-424b-ae8a-d3268799be00.json | N/A | N/A | N/A | N/A | N/A | XED913752380 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2010-03-12 | 2001ZK002187 | X0001004 | N/A | PR | false | MARASHLIAN | N/A | EVALYN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9525455179 | 5687 | N/A | 9753876 | 2222 | N/A | 16230139 | N/A | 7925405 | 2025-12-15 15:24:30.350214 | 2025-09-17 15:25:05.446530 |
| 2025-12-15 15:12:36.367318 | 2025-12-15 15:12:41.364961 | 16013430 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-11-23 | 2025-12-03 | F | PT | AE | 3939 | FERRELL | W285064666 | AMELIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542678/check_16013430_65b11a0d-7189-4cd4-8805-3920b3b7e198.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_16013430_581a1ced-0692-4b54-97dc-61069f26201e.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000067 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9525274698 | 7691 | N/A | 5542678 | 2222 | N/A | 16229838 | N/A | 4214560 | 2025-12-15 15:12:41.364961 | 2025-05-13 04:29:37.228883 |
| 2025-12-15 09:16:47.187971 | 2025-12-15 09:16:50.049040 | 16010979 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-05-28 | 2025-12-12 | N/A | PT | AE | 4191 | BALCAZAR | CPZ914427238 | MARILU | https://storage.googleapis.com/normandy-eligibility-checks/2222/13430068/check_16010979_06e3e67d-c8c9-48f1-929c-c6b0bc3878f1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13430068/check_16010979_43f7f2e8-d27f-4af4-b640-7ed161e03762.json | N/A | N/A | N/A | N/A | N/A | CPZ914427238 | Preferred Provider Organization (PPO) | CHATSWORTH PRODUCTS INC | BLUE SHIELD CALIFORNIA | N/A | 1964-05-28 | 1000PPOX0002 | W3000981 | N/A | PR | false | CANDELA LOPEZ | N/A | JOSE | N/A | N/A | N/A | CHATSWORTH PRODUCTS INC ASO EPO | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9522487786 | 1275 | N/A | 13430068 | 2222 | N/A | 16226917 | N/A | 4213880 | 2025-12-15 09:16:50.049040 | 2025-05-13 04:29:37.228195 |
| 2025-12-15 08:49:47.172566 | 2025-12-15 08:49:50.227704 | 16009226 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-28 | 2025-12-18 | M | AE | PT | 6411 | WALROTH | 342501887-11 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7785551/check_16009226_a17f9ddb-9755-4dbf-afde-70a98798a3ed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7785551/check_16009226_f25758bb-28de-4d0f-b485-845d115aa2c7.json | N/A | N/A | N/A | N/A | N/A | 342501887 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1949-10-28 | N/A | N/A | N/A | N/A | false | WALROTH | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7785551 | 2222 | N/A | 16225529 | N/A | 6629682 | 2025-12-15 08:49:50.227704 | 2025-08-05 17:28:10.392410 |
| 2025-12-15 08:49:44.541571 | 2025-12-15 08:49:47.169338 | 16009190 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-28 | 2025-12-18 | M | AE | PT | 6411 | WALROTH | 342501887-11 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7785551/check_16009190_fb9752cb-c708-421a-980a-1bbe5e908665.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-18 | N/A | N/A | N/A | N/A | N/A | N/A | 342501887 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1949-10-28 | N/A | N/A | N/A | N/A | false | WALROTH | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7785551 | 2222 | N/A | N/A | N/A | 6629682 | 2025-12-15 08:49:47.169338 | 2025-08-05 17:28:10.392410 |
| 2025-12-15 08:39:25.649788 | 2025-12-15 08:39:35.735921 | 16003138 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-06-26 | 2025-12-17 | M | AE | PT | 6411 | SLACK | 41275875 | COREY | https://storage.googleapis.com/normandy-eligibility-checks/2222/13300394/check_16003138_e5e3dd0a-e83d-4c9f-901e-2f8e3fe26fc9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13300394/check_16003138_c8460c7a-8eb9-41f0-89c2-49141e7842bd.json | N/A | N/A | N/A | N/A | N/A | 41275875 | N/A | ZAYO GROUP, LLC | UMR | N/A | 1990-06-26 | 767000416376001 | 76416376 | N/A | N/A | false | SLACK | N/A | COREY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522318310 | N/A | N/A | 13300394 | 2222 | N/A | 16220239 | N/A | 11448114 | 2025-12-15 08:39:35.735921 | 2025-12-01 21:57:42.015222 |
| 2025-12-15 08:39:25.613800 | 2025-12-15 08:39:29.410569 | 16003137 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-10-30 | 2025-12-18 | F | AE | PT | 6411 | Levenson | 46816461 | Kyra | https://storage.googleapis.com/normandy-eligibility-checks/2222/12841638/check_16003137_efcd0be1-635a-4094-b76b-06790657bf45.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12841638/check_16003137_f420ef5e-0b30-4b9e-b78c-c15875e3760e.json | N/A | N/A | N/A | N/A | N/A | 46816461 | N/A | COMCAST CORPORATION | UMR | N/A | 1997-10-30 | 767000416942004 | 76416942 | N/A | N/A | false | LEVENSON | N/A | KYRA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522318307 | N/A | N/A | 12841638 | 2222 | N/A | 16220186 | N/A | 11005795 | 2025-12-15 08:39:29.410569 | 2025-11-15 00:37:20.611855 |
| 2025-12-15 08:39:23.784640 | 2025-12-15 08:39:28.980941 | 16003124 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-03-06 | 2025-12-16 | M | AE | PT | N/A | BASSI | D90851474 | MASSIMO | https://storage.googleapis.com/normandy-eligibility-checks/2222/13546143/check_16003124_1f7b97c4-fe36-46b7-bcac-efcb3cc8a420.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13546143/check_16003124_057f699b-b912-4b48-9d74-d08e300ef3e8.json | N/A | N/A | N/A | N/A | N/A | 909851474 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2000-03-06 | N/A | 709876 | N/A | C1 | false | BASSI | N/A | MASSIMO | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 13546143 | 2222 | N/A | 16220181 | N/A | 11695567 | 2025-12-15 08:39:28.980941 | 2025-12-03 17:26:05.311576 |
| 2025-12-15 08:39:23.513412 | 2025-12-15 08:39:23.818000 | 16003120 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-06-26 | 2025-12-17 | M | AE | PT | N/A | SLACK | 41275875 | COREY | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-12-17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 13300394 | 2222 | N/A | N/A | N/A | 11448114 | 2025-12-15 08:39:23.818000 | 2025-12-01 21:57:42.015222 |
| 2025-12-15 08:39:23.308767 | 2025-12-15 08:39:27.103754 | 16003119 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-06-09 | 2025-12-18 | F | AE | PT | N/A | DIXON | 98864903900 | JUDIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/11013047/check_16003119_5faf084e-5fc0-4f20-8974-0747ffcd775f.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11013047/check_16003119_f315d349-dd81-48b9-ad34-3a92b4ae3e20.json | N/A | N/A | N/A | N/A | N/A | 988649039 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1941-06-09 | N/A | 74134 | N/A | PR | false | DIXON | N/A | JUDIE | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11013047 | 2222 | N/A | 16220166 | N/A | 9378405 | 2025-12-15 08:39:27.103754 | 2025-10-21 21:08:18.331994 |