API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-15 08:08:25.585218 | 2025-12-16 03:32:25.885961 | 15969897 | N/A | N/A | 60054 | Aetna | 1114042165 | 15969897 | Athletic Physical Therapy Inc | 2015-03-25 | 2025-12-17 | M | AE | PT | MOLAVI | W290733985 | MATTHEW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542759/check_15969897_acc9fe3e-91c8-4d88-8766-955e495348f9.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | 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 | 9522217464 | N/A | N/A | 5542759 | 2222 | 4793 | 16260817 | N/A | 4214620 | 2025-12-16 03:32:25.885961 | 2025-08-05 22:41:29.756445 |
| 2025-12-15 08:08:25.491002 | 2025-12-16 03:37:44.994699 | 15969889 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15969889 | Athletic Physical Therapy Inc | 1972-07-22 | 2025-12-18 | M | AE | PT | KOZMA | U9714475101 | JASON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_15969889_d989bfcb-9559-4a48-b28f-0389f13a5fbf.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217463 | N/A | N/A | 5542709 | 2222 | 4802 | 16263633 | N/A | 4214582 | 2025-12-16 03:37:44.994699 | 2025-12-02 00:00:04.433236 |
| 2025-12-15 08:08:25.403474 | 2025-12-16 03:39:15.175852 | 15969881 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15969881 | Athletic Physical Therapy Inc | 1983-10-27 | 2025-12-18 | M | PT | N/A | FEDERER | XEA911365031 | MITCH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542512/check_15969881_0f7ab545-6abe-41b9-9978-16833e7bb7e4.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2022-05-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217462 | N/A | N/A | 5542512 | 2222 | 4793 | 16264152 | N/A | 4214416 | 2025-12-16 03:39:15.175852 | 2025-05-13 04:29:37.228740 |
| 2025-12-15 08:08:25.316287 | 2025-12-16 03:38:55.742310 | 15969875 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15969875 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-12-17 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_15969875_9fb89e60-3d6e-4a83-95b4-c3088ef0ead8.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217461 | N/A | N/A | 5542014 | 2222 | 4793 | 16264040 | N/A | 4213977 | 2025-12-16 03:38:55.742310 | 2025-05-13 04:29:37.228294 |
| 2025-12-15 08:08:25.186363 | 2025-12-16 03:31:48.879872 | 15969865 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15969865 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-12-17 | M | AE | PT | SHRIVER | 90771207E | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_15969865_0d7f448c-1220-4ab7-828c-0ba375e81f12.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217460 | N/A | N/A | 5541984 | 2222 | 4802 | 16260435 | 4211 | 4213934 | 2025-12-16 03:31:48.879872 | 2026-01-27 23:36:44.802366 |
| 2025-12-15 08:08:25.089842 | 2025-12-16 03:32:13.019321 | 15969858 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15969858 | override_provider | 1957-04-11 | 2025-12-17 | M | PT | N/A | ADRIAN | MBL508W11635 | NELSON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541841/check_15969858_63ea0d98-cafa-4070-aaa7-d85c9c1aace7.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 2025-12-31 | 2022-04-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217459 | N/A | N/A | 5541841 | 2222 | 4801 | 16260690 | N/A | 4213826 | 2025-12-16 03:32:13.019321 | 2025-05-13 04:29:37.228146 |
| 2025-12-15 08:08:24.977826 | 2025-12-16 03:37:49.218353 | 15969846 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15969846 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-12-18 | F | AE | PT | SHEPHERD | 93180838F | EMILY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_15969846_10ac2cba-0b5c-49bd-afee-327547644402.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217458 | N/A | N/A | 5541519 | 2222 | 4802 | 16263659 | 4625 | 4213530 | 2025-12-16 03:37:49.218353 | 2025-05-13 04:29:37.227860 |
| 2025-12-15 08:08:24.866698 | 2025-12-16 03:37:47.678387 | 15969836 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15969836 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-12-18 | M | AE | PT | FARAHMAND | 91957675E | ALEX | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_15969836_aaee4538-101b-40ff-a8c8-cd85e3955ada.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217457 | N/A | N/A | 5541163 | 2222 | 4802 | 16263649 | 4625 | 4213207 | 2025-12-16 03:37:47.678387 | 2025-05-13 04:29:37.227536 |
| 2025-12-15 08:08:24.764940 | 2025-12-16 03:32:24.796118 | 15969830 | N/A | N/A | 60054 | Aetna | 1114042165 | 15969830 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-12-17 | M | AE | PT | BOKHTIER | W275493875 | GOLAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_15969830_61ee6cef-5853-483b-9a43-b4c28a9b5c52.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217456 | N/A | N/A | 5540723 | 2222 | 4793 | 16260805 | N/A | 4212833 | 2025-12-16 03:32:24.796118 | 2025-05-28 20:46:35.079848 |
| 2025-12-15 08:08:24.672685 | 2025-12-16 03:36:32.013565 | 15969821 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15969821 | Athletic Physical Therapy Inc | 1948-04-26 | 2025-12-18 | M | AE | PT | LODIN | 40064763401 | MOHAMMED | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540259/check_15969821_222a4d04-863f-4d59-bd11-151b0b7a28e6.json | N/A | N/A | N/A | N/A | N/A | 40064763401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1948-04-26 | 2025H5425001 | H5425M | N/A | N/A | false | LODIN | N/A | MOHAMMED | 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 | 9522217455 | N/A | N/A | 5540259 | 2222 | 4793 | 16263060 | 6237 | 4212442 | 2025-12-16 03:36:32.013565 | 2025-05-13 04:29:37.226772 |
| 2025-12-15 08:08:24.579670 | 2025-12-16 03:38:34.772174 | 15969815 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15969815 | Athletic Physical Therapy Inc | 2011-01-19 | 2025-12-18 | M | PT | N/A | CHELIUS | JXN662A51170 | CADEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539929/check_15969815_fbfc065e-da88-4db9-97de-bdac0f0ff3dc.json | N/A | N/A | N/A | N/A | N/A | JXN662A51170 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2011-01-19 | 040 | 174222M9A1 | N/A | PR | false | CHELIUS | N/A | CRAIG | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216779 | N/A | N/A | 5539929 | 2222 | 4793 | 16263922 | N/A | 4212158 | 2025-12-16 03:38:34.772174 | 2025-10-22 16:00:14.919111 |
| 2025-12-15 08:08:24.447257 | 2025-12-16 03:38:38.919566 | 15969803 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15969803 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-12-17 | F | PT | N/A | GINSBERG | JQU469A62630 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539612/check_15969803_2362f710-ace9-4abd-aeb2-7ac68faefb3e.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216778 | N/A | N/A | 5539612 | 2222 | 4793 | 16263945 | N/A | 4211892 | 2025-12-16 03:38:38.919566 | 2025-11-02 22:03:21.557202 |
| 2025-12-15 08:08:24.355172 | 2025-12-16 03:36:29.792057 | 15969797 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15969797 | Athletic Physical Therapy Inc | 1939-12-29 | 2025-12-17 | F | AE | PT | ALESSI | 31019902301 | JEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539133/check_15969797_a854850a-97c3-487d-8118-ac787534e6f8.json | N/A | N/A | N/A | N/A | N/A | 31019902301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1939-12-29 | 2025H5425001 | H5425M | N/A | N/A | false | ALESSI | N/A | JEAN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216776 | N/A | N/A | 5539133 | 2222 | 4793 | 16263043 | N/A | 4211471 | 2025-12-16 03:36:29.792057 | 2025-07-09 03:59:33.308587 |
| 2025-12-15 08:08:24.261774 | 2025-12-16 03:38:41.412780 | 15969788 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15969788 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-12-17 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_15969788_076d13fb-e027-464b-967b-e68ce2dbd186.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216775 | N/A | N/A | 5539085 | 2222 | 4793 | 16263958 | N/A | 4211408 | 2025-12-16 03:38:41.412780 | 2025-09-18 00:42:48.586801 |
| 2025-12-15 08:08:24.170313 | 2025-12-16 03:39:24.878411 | 15969782 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15969782 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-12-17 | M | PT | N/A | TOOCH | JPU633M84536 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_15969782_9a342b14-9c89-4b40-9f3d-f285df6bafb4.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216774 | N/A | N/A | 5538874 | 2222 | 4801 | 16264201 | N/A | 4211227 | 2025-12-16 03:39:24.878411 | 2025-05-13 04:29:37.225625 |
| 2025-12-15 08:08:24.085325 | 2025-12-16 03:38:39.654707 | 15969774 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15969774 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-12-17 | M | PT | N/A | GINSBERG | JQU469A62630 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_15969774_5671b713-ffde-457a-bcbd-c6c907b8fbe3.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216773 | N/A | N/A | 5538693 | 2222 | 4793 | 16263948 | N/A | 4211081 | 2025-12-16 03:38:39.654707 | 2025-05-13 04:29:37.225492 |
| 2025-12-15 08:08:23.988059 | 2025-12-16 03:36:30.587607 | 15969767 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15969767 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-12-18 | M | AE | PT | CHADIDA | 40060913601 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_15969767_e121670f-8772-4442-8c50-728477b582ac.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2025H5425001 | H5425M | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216772 | N/A | N/A | 5538674 | 2222 | 4793 | 16263050 | 6237 | 4211039 | 2025-12-16 03:36:30.587607 | 2025-05-13 04:29:37.225444 |
| 2025-12-15 08:08:23.891446 | 2025-12-16 03:32:25.386465 | 15969758 | N/A | N/A | 60054 | Aetna | 1114042165 | 15969758 | Athletic Physical Therapy Inc | 1992-03-04 | 2025-12-18 | M | AE | PT | INCHALIK | W291674431 | BENJAMIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538651/check_15969758_248b2803-c25f-41dd-9053-013972f4db5d.json | N/A | N/A | N/A | N/A | N/A | W291674431 | Point of Service (POS) | FIGS, INC. | AETNA | N/A | 1992-03-04 | 0251488 | 025148801200001 | N/A | PS | false | INCHALIK | N/A | BENJAMIN | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216771 | N/A | N/A | 5538651 | 2222 | 4802 | 16260810 | N/A | 4211040 | 2025-12-16 03:32:25.386465 | 2025-05-13 04:29:37.225445 |
| 2025-12-15 08:08:23.768377 | 2025-12-16 03:37:58.307309 | 15969749 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15969749 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-12-18 | M | AE | PT | GOMES | 00000285293 | NEMESIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_15969749_770c271d-8229-488b-95b7-ebdf2b17fce2.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216770 | N/A | N/A | 5537439 | 2222 | 4801 | 16263719 | 2630 | 4210001 | 2025-12-16 03:37:58.307309 | 2025-05-13 04:29:37.224421 |
| 2025-12-15 08:08:23.643982 | 2025-12-16 03:35:02.349073 | 15969737 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 15969737 | Athletic Physical Therapy Inc | 1960-01-04 | 2025-12-17 | M | AE | PT | CATLIN | U0538312401 | VINCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537309/check_15969737_cd23dfc8-25b2-4de6-a0a9-23007912e2ce.json | N/A | N/A | N/A | N/A | N/A | U0538312401 | Health Maintenance Organization (HMO) | PANAVISION INTERNATIONAL, L.P. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1960-01-04 | N/A | 3345947 | N/A | HM | false | CATLIN | N/A | VINCE | N/A | N/A | N/A | HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216769 | N/A | N/A | 5537309 | 2222 | 4793 | 16262332 | N/A | 4209897 | 2025-12-16 03:35:02.349073 | 2025-11-25 00:42:44.777389 |
| 2025-12-15 08:08:23.492566 | 2025-12-16 03:37:43.731637 | 15969724 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15969724 | Athletic Physical Therapy Inc | 1972-10-15 | 2025-12-18 | F | AE | PT | BAHGAT | R0765902916 | MONA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536335/check_15969724_6e8998f0-b589-4a2d-996f-3339143dd6ec.json | N/A | N/A | N/A | N/A | N/A | R0765902916 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-10-15 | 67138CA0520010-01 | N/A | N/A | N/A | false | BAHGAT | N/A | MONA | N/A | N/A | N/A | GOLD 80 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216768 | N/A | N/A | 5536335 | 2222 | 4802 | 16263625 | N/A | 4209098 | 2025-12-16 03:37:43.731637 | 2025-05-13 04:29:37.223519 |
| 2025-12-15 08:08:23.389386 | 2025-12-16 03:37:46.483705 | 15969716 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15969716 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-17 | F | AE | PT | BAUMAN | R01271027FD1 | ALEXIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536279/check_15969716_c9810112-1e7e-4b8c-9760-4879f7d0be6d.json | N/A | N/A | N/A | N/A | N/A | R01271027FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2008-04-21 | N/A | N/A | N/A | N/A | false | BAUMAN | N/A | ALEXIS | N/A | N/A | N/A | MDV COMHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216767 | N/A | N/A | 5536279 | 2222 | 4793 | 16263643 | N/A | 4209049 | 2025-12-16 03:37:46.483705 | 2025-12-12 22:17:49.863168 |
| 2025-12-15 08:08:23.264465 | 2025-12-16 03:37:56.883751 | 15969705 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15969705 | Athletic Physical Therapy Inc | 1952-10-14 | 2025-12-17 | M | AE | PT | CHISARI | 00000386684 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_15969705_5f3bcb7b-9e60-42e0-a554-368913109c64.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216766 | N/A | N/A | 5536007 | 2222 | 4793 | 16263710 | N/A | 4208829 | 2025-12-16 03:37:56.883751 | 2025-06-03 01:05:45.663969 |
| 2025-12-15 08:08:23.173554 | 2025-12-16 03:36:33.035563 | 15969696 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15969696 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-12-17 | F | AE | PT | PORTER | 40028215401 | SHERIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_15969696_eeeff4c9-8df4-466f-a4cd-4e1ac695690e.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | 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 | 9522216765 | N/A | N/A | 5535434 | 2222 | 4793 | 16263067 | 6237 | 4208356 | 2025-12-16 03:36:33.035563 | 2025-08-25 14:49:27.724897 |
| 2025-12-15 08:08:23.047842 | 2025-12-16 03:38:37.775246 | 15969685 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15969685 | Athletic Physical Therapy Inc | 1960-04-27 | 2025-12-18 | M | PT | N/A | ENRIGHT | DGA10462968J | HAROLD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535419/check_15969685_00a77e3d-4189-4412-a259-3c455cd3bded.json | N/A | N/A | N/A | N/A | N/A | DGA10462968J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1960-04-27 | 040 | 276945M001 | N/A | PR | false | ENRIGHT | N/A | HAROLD | N/A | 9999-12-31 | 2017-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216764 | N/A | N/A | 5535419 | 2222 | 4793 | 16263939 | N/A | 4208347 | 2025-12-16 03:38:37.775246 | 2025-05-13 04:29:37.222769 |
| 2025-12-15 06:43:08.064285 | 2025-12-15 06:43:43.380300 | 15965435 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2025-12-15 | M | AE | PT | HOLGUIN | 1407861520 | VINCENT | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_15965435_cd2f94ff-a3fa-4277-bca2-ead4a1be1d33.json | AVAILITY | N/A | INSIGHTS | 2025-12-15 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | N/A | 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 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2025-12-15 06:43:43.380300 | 2025-11-11 01:01:48.778756 |
| 2025-12-15 04:25:55.565803 | 2025-12-15 04:25:57.330293 | 15964614 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-12-09 | 2025-12-15 | F | AE | PT | Parocua | 00004579227 | Linda | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13888951/check_15964614_bc7d7f92-8bf5-4f76-9e80-d182a2a7f07e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13888951/check_15964614_32d75c5a-9292-405b-a88e-defbdbd0004d.json | N/A | N/A | N/A | N/A | N/A | 00004579227 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1973-12-09 | N/A | N/A | N/A | N/A | false | PAROCUA | N/A | LINDA | 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 | 13888951 | 2222 | N/A | 16210616 | N/A | 12036519 | 2025-12-15 04:25:57.330293 | 2025-12-16 23:00:15.106472 |
| 2025-12-15 04:25:53.837730 | 2025-12-15 04:25:55.561226 | 15964613 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-12-09 | 2025-12-15 | F | AE | PT | Parocua | 00004579227 | Linda | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13888951/check_15964613_9a302a2f-3f72-4358-acee-5db54f35dbcf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-15 | N/A | N/A | N/A | N/A | N/A | N/A | 00004579227 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1973-12-09 | N/A | N/A | N/A | N/A | false | PAROCUA | N/A | LINDA | 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 | 13888951 | 2222 | N/A | N/A | N/A | 12036519 | 2025-12-15 04:25:55.561226 | 2025-12-16 23:00:15.106472 |
| 2025-12-15 04:06:09.554011 | 2025-12-15 04:06:13.557179 | 15964610 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-11-29 | 2025-12-15 | F | AE | PT | RUSCIO | H77607290 | PATRICIA | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12962715/check_15964610_0bf08684-97ec-48fb-bc53-becb01172613.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12962715/check_15964610_69f69c99-cd10-432e-bcb4-ff0b73ef3c5c.json | N/A | N/A | N/A | N/A | N/A | H77607290 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 465 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1941-11-29 | N/A | 0B617001 | N/A | HN | false | RUSCIO | N/A | PATRICIA | N/A | N/A | N/A | HUMANA HONOR | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9521451414 | N/A | N/A | 12962715 | 2222 | N/A | 16210612 | N/A | 11121118 | 2025-12-15 04:06:13.557179 | 2025-12-04 18:56:20.767982 |
| 2025-12-14 20:37:38.742836 | 2025-12-14 20:37:40.537233 | 15963981 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-07-18 | 2025-12-15 | F | AE | PT | Hartman | 16528383 | Pamela | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14050933/check_15963981_8ee8383e-c953-4fc5-b09d-f4cc9a673330.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14050933/check_15963981_f8f66656-2500-4151-8210-b361f145f85f.json | N/A | N/A | N/A | N/A | N/A | 16528383 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1961-07-18 | N/A | N/A | N/A | N/A | false | HARTMAN | N/A | PAMELA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14050933 | 2222 | N/A | 16210002 | N/A | 12196734 | 2025-12-14 20:37:40.537233 | 2025-12-16 19:40:10.416579 |
| 2025-12-14 20:37:36.933990 | 2025-12-14 20:37:38.738767 | 15963980 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-07-18 | 2025-12-15 | F | AE | PT | Hartman | 16528383 | Pamela | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14050933/check_15963980_9424264d-8dbb-41ca-a0e5-704ac86b9412.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-15 | N/A | N/A | N/A | N/A | N/A | N/A | 16528383 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1961-07-18 | N/A | N/A | N/A | N/A | false | HARTMAN | N/A | PAMELA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14050933 | 2222 | N/A | N/A | N/A | 12196734 | 2025-12-14 20:37:38.738767 | 2025-12-16 19:40:10.416579 |
| 2025-12-13 17:43:15.585393 | 2025-12-13 17:43:18.732165 | 15960173 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-08-16 | 2025-12-17 | M | PT | N/A | TAMHANE | VBG913306283 | SHAILESH | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14216912/check_15960173_086c10c2-3bf5-4cc4-a4a4-ca0ebd1f32f5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14216912/check_15960173_2910ca61-7a83-40b9-beba-23637c5bffa6.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1970-08-16 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2025-01-01 | HSA RATED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9517030854 | N/A | N/A | 14216912 | 2222 | N/A | 16188014 | N/A | 12348892 | 2025-12-13 17:43:18.732165 | 2025-12-13 17:39:44.718220 |
| 2025-12-13 08:29:38.842654 | 2025-12-13 08:29:45.692888 | 15953900 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-09-08 | 2025-12-15 | M | AE | PT | Sparks | 436775501000 | Brayden | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13997748/check_15953900_77ab53ed-dd51-42d3-b336-03141a4bca85.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13997748/check_15953900_75a44ad1-3084-44c5-933d-05e3eed19ddf.json | N/A | N/A | N/A | N/A | N/A | 43677501000 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1994-09-08 | N/A | N/A | N/A | N/A | false | SPARKS | N/A | BRAYDEN | 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 | 13997748 | 2222 | N/A | 16183093 | N/A | 12147548 | 2025-12-13 08:29:45.692888 | 2025-12-08 22:30:01.807477 |
| 2025-12-13 08:29:37.340420 | 2025-12-13 08:29:44.438343 | 15953887 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-11-18 | 2025-12-16 | F | AE | PT | Liberto | 229149130300 | Virginia | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9487561/check_15953887_865e4f20-75a0-42b7-be92-4604a37dd0db.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9487561/check_15953887_9ec8f377-9585-4c18-9988-1c175458f525.json | N/A | N/A | N/A | N/A | N/A | 22914913000 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1996-11-18 | N/A | N/A | N/A | N/A | false | LIBERTO | N/A | VIRGINIA | 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 | 9487561 | 2222 | N/A | 16183085 | N/A | 7937193 | 2025-12-13 08:29:44.438343 | 2025-09-17 23:48:53.744310 |
| 2025-12-13 08:29:32.750192 | 2025-12-13 08:29:35.458647 | 15953833 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-12-16 | M | AE | PT | DEANGELO | 985145456 | DAN | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542953/check_15953833_b93fd3d8-68ca-4cae-8573-a785d77a925e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542953/check_15953833_baf64f62-7b9b-40fc-8fc1-60d8ea0a3b3c.json | N/A | N/A | N/A | N/A | N/A | 985145456 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1961-08-04 | N/A | N/A | N/A | N/A | false | DEANGELO | N/A | DAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542953 | 2222 | N/A | 16183007 | N/A | 4214807 | 2025-12-13 08:29:35.458647 | 2025-12-24 19:51:54.688309 |
| 2025-12-13 08:29:32.036737 | 2025-12-13 08:29:38.836176 | 15953819 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-09-08 | 2025-12-15 | M | AE | PT | Sparks | 436775501000 | Brayden | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13997748/check_15953819_f2ff343c-b78d-4cc7-924d-f598c24873a2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-15 | N/A | N/A | N/A | N/A | N/A | N/A | 43677501000 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1994-09-08 | N/A | N/A | N/A | N/A | false | SPARKS | N/A | BRAYDEN | 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 | 13997748 | 2222 | N/A | N/A | N/A | 12147548 | 2025-12-13 08:29:38.836176 | 2025-12-08 22:30:01.807477 |
| 2025-12-13 08:29:31.854681 | 2025-12-13 08:29:35.837833 | 15953816 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-03-06 | 2025-12-16 | M | AE | PT | BASSI | D90851474 | MASSIMO | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13546143/check_15953816_b5c3a331-b3dd-407c-8fb5-183ce9494d3b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13546143/check_15953816_f391a317-456d-41cc-9b97-1f8748701cb5.json | N/A | N/A | N/A | N/A | N/A | D90851474 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2000-03-06 | N/A | N/A | N/A | N/A | false | BASSI | N/A | MASSIMO | 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 | 13546143 | 2222 | N/A | 16183015 | N/A | 11695567 | 2025-12-13 08:29:35.837833 | 2025-12-03 17:26:05.311576 |
| 2025-12-13 08:29:31.438146 | 2025-12-13 08:29:35.184648 | 15953811 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-01-06 | 2025-12-15 | M | AE | PT | Glaswand | 910084286 | Matthew | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11364623/check_15953811_7d571a9b-94ef-4e60-9dc2-76251f129d86.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364623/check_15953811_8c718544-7858-4345-895f-2ade7a2bb67c.json | N/A | N/A | N/A | N/A | N/A | 910084286 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1993-01-06 | N/A | N/A | N/A | N/A | false | GLASWAND | N/A | MATTHEW | 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 | 11364623 | 2222 | N/A | 16183008 | N/A | 9633386 | 2025-12-13 08:29:35.184648 | 2025-10-22 18:27:33.120022 |
| 2025-12-13 08:29:31.112826 | 2025-12-13 08:29:36.135755 | 15953809 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-01-16 | 2025-12-16 | F | AE | PT | Wesel | 953212552 | Ellen | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9795146/check_15953809_c87af00c-8f46-40ce-8ca8-79d006cd777d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9795146/check_15953809_00532e63-914c-4225-9579-c175d1cf5673.json | N/A | N/A | N/A | N/A | N/A | 953212552 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1967-01-16 | N/A | N/A | N/A | N/A | false | WESEL | N/A | ELLEN | 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 | 9795146 | 2222 | N/A | 16183020 | N/A | 8205288 | 2025-12-13 08:29:36.135755 | 2025-09-30 16:15:04.552446 |
| 2025-12-13 08:29:30.563374 | 2025-12-13 08:29:34.375702 | 15953804 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-09-16 | 2025-12-16 | F | AE | PT | MAHMOUDI | 958357322 | NADIA | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9766105/check_15953804_7cebcfd6-80aa-453f-ad33-7c6c294d2e02.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9766105/check_15953804_2e75b109-dbdb-4376-9c77-2e4d395ef9d1.json | N/A | N/A | N/A | N/A | N/A | 958357322 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1970-09-16 | N/A | N/A | N/A | N/A | false | MAHMOUDI | N/A | NADIA | 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 | 9766105 | 2222 | N/A | 16183003 | N/A | 8177370 | 2025-12-13 08:29:34.375702 | 2025-10-08 20:03:15.501124 |
| 2025-12-13 08:29:30.560862 | 2025-12-13 08:29:37.336538 | 15953803 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-11-18 | 2025-12-16 | F | AE | PT | Liberto | 229149130300 | Virginia | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9487561/check_15953803_bbf03c0c-db4d-4002-8781-02d37de75f1a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | N/A | N/A | N/A | N/A | N/A | N/A | 22914913000 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1996-11-18 | N/A | N/A | N/A | N/A | false | LIBERTO | N/A | VIRGINIA | 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 | 9487561 | 2222 | N/A | N/A | N/A | 7937193 | 2025-12-13 08:29:37.336538 | 2025-09-17 23:48:53.744310 |
| 2025-12-13 08:29:30.335235 | 2025-12-13 08:29:32.375973 | 15953800 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-05-09 | 2025-12-16 | U | AE | PT | GIDWANI | 975511638 | RANA | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12440173/check_15953800_d95f25f4-63b1-4d62-af81-d1f7f2220e88.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12440173/check_15953800_95a07a04-fca1-4c56-9e63-74197e4ec493.json | N/A | N/A | N/A | N/A | N/A | 975511638 | N/A | N/A | UNITED HEALTHCARE | N/A | 1993-05-09 | N/A | N/A | N/A | N/A | false | GIDWANI | N/A | RANA | 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 | 12440173 | 2222 | N/A | 16182990 | N/A | 10619717 | 2025-12-13 08:29:32.375973 | 2026-01-06 20:33:51.589444 |
| 2025-12-13 08:29:30.296671 | 2025-12-13 08:29:34.146002 | 15953798 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-05-23 | 2025-12-16 | F | AE | PT | Hanson | 6403111400 | Stasia | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9316600/check_15953798_ed9f1740-5816-405a-9be4-be1ea4ab0dca.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9316600/check_15953798_9af34b4c-12ff-4441-9c90-9f502c557220.json | N/A | N/A | N/A | N/A | N/A | 6403111400 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2005-05-23 | N/A | N/A | N/A | N/A | false | HANSON | N/A | STASIA | 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 | 9316600 | 2222 | N/A | 16183002 | N/A | 7815191 | 2025-12-13 08:29:34.146002 | 2025-09-11 15:56:53.475981 |
| 2025-12-13 08:29:29.378111 | 2025-12-13 08:29:31.138627 | 15953788 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-06-15 | 2025-12-15 | M | AE | PT | AZAR | 991549217 | NICOLAS | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13039449/check_15953788_a33912e0-196b-47ef-bb29-6e50602c07cb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13039449/check_15953788_02e34833-7daf-4b20-ad3d-90984ec2310e.json | N/A | N/A | N/A | N/A | N/A | 991549217 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1996-06-15 | N/A | N/A | N/A | N/A | false | AZAR | N/A | NICOLAS | 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 | 13039449 | 2222 | N/A | 16182977 | N/A | 11196474 | 2025-12-13 08:29:31.138627 | 2025-11-24 19:19:06.250915 |
| 2025-12-13 08:29:28.859150 | 2025-12-13 08:29:32.733085 | 15953783 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-12-16 | M | AE | PT | DEANGELO | 985145456 | DAN | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542953/check_15953783_2c3ad266-0e31-4207-aa19-1a2fb47fdb3e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | N/A | N/A | N/A | N/A | N/A | N/A | 985145456 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1961-08-04 | N/A | N/A | N/A | N/A | false | DEANGELO | N/A | DAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542953 | 2222 | N/A | N/A | N/A | 4214807 | 2025-12-13 08:29:32.733085 | 2025-12-24 19:51:54.688309 |
| 2025-12-13 08:29:28.445354 | 2025-12-13 08:29:30.306128 | 15953778 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-05-09 | 2025-12-16 | U | AE | PT | GIDWANI | 975511638 | RANA | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12440173/check_15953778_cc4fc776-e5bf-4a7b-a60f-2d5c26e15d3d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | N/A | N/A | N/A | N/A | N/A | N/A | 975511638 | N/A | N/A | UNITED HEALTHCARE | N/A | 1993-05-09 | N/A | N/A | N/A | N/A | false | GIDWANI | N/A | RANA | 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 | 12440173 | 2222 | N/A | N/A | N/A | 10619717 | 2025-12-13 08:29:30.306128 | 2026-01-06 20:33:51.589444 |
| 2025-12-13 08:29:28.236749 | 2025-12-13 08:29:31.104016 | 15953774 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-01-16 | 2025-12-16 | F | AE | PT | Wesel | 953212552 | Ellen | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9795146/check_15953774_171b6e9d-aff9-4ddc-8580-16f9cbffc595.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | N/A | N/A | N/A | N/A | N/A | N/A | 953212552 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1967-01-16 | N/A | N/A | N/A | N/A | false | WESEL | N/A | ELLEN | 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 | 9795146 | 2222 | N/A | N/A | N/A | 8205288 | 2025-12-13 08:29:31.104016 | 2025-09-30 16:15:04.552446 |
| 2025-12-13 08:29:28.020015 | 2025-12-13 08:29:31.847804 | 15953770 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-03-06 | 2025-12-16 | M | AE | PT | BASSI | D90851474 | MASSIMO | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13546143/check_15953770_e3a301f6-2185-4c43-ba53-3abc202aff92.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | N/A | N/A | N/A | N/A | N/A | N/A | D90851474 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2000-03-06 | N/A | N/A | N/A | N/A | false | BASSI | N/A | MASSIMO | 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 | 13546143 | 2222 | N/A | N/A | N/A | 11695567 | 2025-12-13 08:29:31.847804 | 2025-12-03 17:26:05.311576 |
| 2025-12-13 08:29:27.825775 | 2025-12-13 08:29:31.435069 | 15953767 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-01-06 | 2025-12-15 | M | AE | PT | Glaswand | 910084286 | Matthew | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11364623/check_15953767_8d682fa5-436d-45a7-9e5a-7115a50fc3c3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-15 | N/A | N/A | N/A | N/A | N/A | N/A | 910084286 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1993-01-06 | N/A | N/A | N/A | N/A | false | GLASWAND | N/A | MATTHEW | 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 | 11364623 | 2222 | N/A | N/A | N/A | 9633386 | 2025-12-13 08:29:31.435069 | 2025-10-22 18:27:33.120022 |
| 2025-12-13 08:29:27.752547 | 2025-12-13 08:29:30.560183 | 15953766 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-09-16 | 2025-12-16 | F | AE | PT | MAHMOUDI | 958357322 | NADIA | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9766105/check_15953766_2b216505-12ef-4c96-8999-f4582cb8e984.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-16 | N/A | N/A | N/A | N/A | N/A | N/A | 958357322 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1970-09-16 | N/A | N/A | N/A | N/A | false | MAHMOUDI | N/A | NADIA | 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 | 9766105 | 2222 | N/A | N/A | N/A | 8177370 | 2025-12-13 08:29:30.560183 | 2025-10-08 20:03:15.501124 |