API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | service_type_codes_3 | service_type_codes_4 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-09 21:54:34.954486 | 2025-06-09 21:54:36.988214 | 8668561 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-06-23 | 2025-06-09 | F | PT | AE | 2630 | USEVITCH | 00000387757 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874444/check_8668561_64503385-c3c1-479f-9028-a3cf346c291f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874444/check_8668561_76c5eb73-b15e-4243-aae8-56505e883bed.json | N/A | N/A | N/A | N/A | N/A | 00000387757 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1958-06-23 | H3815028 | N/A | N/A | HM | false | USEVITCH | N/A | KAREN | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7874388259 | 5831 | N/A | 5874444 | 2222 | N/A | 8380511 | N/A | 4534570 | 2025-06-09 21:54:36.988214 | 2025-06-09 21:54:54.217413 |
| 2025-06-09 21:53:54.875658 | 2025-06-09 21:53:57.819544 | 8668554 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-06-23 | 2025-06-09 | M | PT | AE | 2630 | USEVITCH | 00000387757 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874444/check_8668554_61e0a248-97b4-4c6e-acef-3a8136517206.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874444/check_8668554_c4cae8a5-2eea-48a3-bf22-bd9869344189.json | N/A | N/A | N/A | N/A | N/A | 00000387757 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1958-06-23 | H3815028 | N/A | N/A | HM | false | USEVITCH | N/A | KAREN | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7874385181 | 5831 | N/A | 5874444 | 2222 | N/A | 8380503 | N/A | 4534570 | 2025-06-09 21:53:57.819544 | 2025-06-09 21:54:54.217413 |
| 2025-06-09 21:53:37.600043 | 2025-06-09 21:53:39.387459 | 8668553 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-06-23 | 2025-06-09 | U | PT | AE | 2630 | USEVITCH | 00000387757 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874444/check_8668553_61531443-5cb7-4b46-8c7f-742d7fe68b34.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874444/check_8668553_344b9597-f203-4983-bb2f-fa2039220dc8.json | N/A | N/A | N/A | N/A | N/A | 00000387757 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1958-06-23 | N/A | N/A | N/A | N/A | false | USEVITCH | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5874444 | 2222 | N/A | 8380501 | N/A | 4534570 | 2025-06-09 21:53:39.387459 | 2025-06-09 21:54:54.217413 |
| 2025-06-09 21:53:35.700327 | 2025-06-09 21:53:37.598105 | 8668552 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-06-23 | 2025-06-09 | U | PT | AE | 2630 | USEVITCH | 00000387757 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874444/check_8668552_adfd95e1-5c8e-428d-ad13-bc47907f7945.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 00000387757 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1958-06-23 | N/A | N/A | N/A | N/A | false | USEVITCH | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5874444 | 2222 | N/A | N/A | N/A | 4534570 | 2025-06-09 21:53:37.598105 | 2025-06-09 21:54:54.217413 |
| 2025-06-09 21:46:05.316382 | 2025-06-09 21:46:07.270911 | 8668517 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2025-06-05 | 2025-06-10 | M | PT | N/A | 4184 | REBEAUD | DYZ6283553AB | JUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145860/check_8668517_bb2054c1-d85d-44df-a057-1fea8fb61ecb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145860/check_8668517_12b1d8e7-4eef-41f9-8a1e-13055243c995.json | N/A | N/A | N/A | N/A | N/A | DYZ6283553AB | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2025-06-05 | N/A | N/A | N/A | N/A | false | REBEAUD | N/A | JUSTIN | 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 | 9482 | N/A | 6145860 | 2222 | N/A | 8380442 | N/A | 4786676 | 2025-06-09 21:46:07.270911 | 2025-06-10 23:45:59.927015 |
| 2025-06-09 21:46:03.470130 | 2025-06-09 21:46:05.313893 | 8668516 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2025-06-05 | 2025-06-10 | M | PT | N/A | 4184 | REBEAUD | DYZ6283553AB | JUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145860/check_8668516_c762a784-eb29-46cc-86c0-b91bdd0caf8f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | DYZ6283553AB | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2025-06-05 | N/A | N/A | N/A | N/A | false | REBEAUD | N/A | JUSTIN | 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 | 9482 | N/A | 6145860 | 2222 | N/A | N/A | N/A | 4786676 | 2025-06-09 21:46:05.313893 | 2025-06-10 23:45:59.927015 |
| 2025-06-09 21:30:10.215272 | 2025-06-09 21:30:23.404547 | 8668429 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-15 | 2025-06-09 | M | PT | N/A | 4184 | SPENCE | JQU035W17626 | CHAD | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113357/check_8668429_d9613e8d-5333-4f5c-911e-d12fc60c0b8b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6113357/check_8668429_d9bb0cb1-f701-42ef-a0e0-9cffa9d854ae.json | N/A | N/A | N/A | N/A | N/A | JQU035W17626 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-12-15 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | 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 | 5831 | N/A | 6113357 | 2222 | N/A | 8380323 | N/A | 4214787 | 2025-06-09 21:30:23.404547 | 2025-08-17 21:31:52.380866 |
| 2025-06-09 21:30:08.412838 | 2025-06-09 21:30:10.213495 | 8668428 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-15 | 2025-06-09 | M | PT | N/A | 4184 | SPENCE | JQU035W17626 | CHAD | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113357/check_8668428_4f5af646-3ddf-4f01-8ad2-ea6c234fdedf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | JQU035W17626 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-12-15 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | 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 | 5831 | N/A | 6113357 | 2222 | N/A | N/A | N/A | 4214787 | 2025-06-09 21:30:10.213495 | 2025-08-17 21:31:52.380866 |
| 2025-06-09 21:24:30.657090 | 2025-06-09 21:24:32.412646 | 8668401 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-15 | 2025-06-09 | M | PT | N/A | 4185 | SPENCE | JQU035W17626 | CHAD | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113357/check_8668401_7f3f4185-4684-4eac-9222-61ea87d5b96f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6113357/check_8668401_a06474ab-1171-40a9-a2f1-8238aff90031.json | N/A | N/A | N/A | N/A | N/A | JQU035W17626 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-12-15 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | 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 | 9489 | N/A | 6113357 | 2222 | N/A | 8380254 | N/A | 4214787 | 2025-06-09 21:24:32.412646 | 2025-08-17 21:31:52.380866 |
| 2025-06-09 21:24:28.048280 | 2025-06-09 21:24:30.654096 | 8668400 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-15 | 2025-06-09 | M | PT | N/A | 4185 | SPENCE | JQU035W17626 | CHAD | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113357/check_8668400_a5a7106d-63bb-4fb7-8ea3-a5b78467fb23.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | JQU035W17626 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-12-15 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | 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 | 9489 | N/A | 6113357 | 2222 | N/A | N/A | N/A | 4214787 | 2025-06-09 21:24:30.654096 | 2025-08-17 21:31:52.380866 |
| 2025-06-09 21:15:39.782866 | 2025-06-09 21:15:41.819654 | 8668362 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-15 | 2025-06-09 | F | PT | AE | 5349 | OROZCO | H4811970900 | BETTY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6193347/check_8668362_1d7fed75-cc35-49c0-a5af-b72e422f60aa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193347/check_8668362_52f017e9-3e18-4ad9-a5d2-94e6064fd0aa.json | N/A | N/A | N/A | N/A | N/A | H48119709 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 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 | 1956-11-15 | N/A | 0B635001 | N/A | HN | false | OROZCO | N/A | BETTY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7874209670 | 5831 | N/A | 6193347 | 2222 | N/A | 8380175 | N/A | 4219752 | 2025-06-09 21:15:41.819654 | 2025-05-13 04:29:37.230794 |
| 2025-06-09 20:50:05.382967 | 2025-06-09 20:50:07.287994 | 8668263 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-11 | F | PT | AE | 4211 | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8668263_3fdf3df6-581e-4455-a401-a6ebbd87d158.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8668263_381d310d-11fb-4d7d-9ff4-760f9ff94eda.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6068063 | 2222 | N/A | 8379990 | N/A | 4713004 | 2025-06-09 20:50:07.287994 | 2025-05-29 21:14:47.925641 |
| 2025-06-09 20:50:00.655002 | 2025-06-09 20:50:05.380782 | 8668262 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-11 | F | PT | AE | 4211 | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8668262_8420227f-dfd6-4f59-a898-dd2e8d5894ce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6068063 | 2222 | N/A | N/A | N/A | 4713004 | 2025-06-09 20:50:05.380782 | 2025-05-29 21:14:47.925641 |
| 2025-06-09 20:49:34.123568 | 2025-06-09 20:49:36.839090 | 8668261 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-09 | F | PT | AE | 4211 | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8668261_17e1ecb6-fe87-4dcf-9b6c-6c0f4aae97fa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8668261_e5b7fc2b-57a9-47b4-bdf4-de867c4638b4.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6068063 | 2222 | N/A | 8379986 | N/A | 4713004 | 2025-06-09 20:49:36.839090 | 2025-05-29 21:14:47.925641 |
| 2025-06-09 20:49:32.300643 | 2025-06-09 20:49:34.121643 | 8668260 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-09 | F | PT | AE | 4211 | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8668260_7363dee5-7e84-4a97-8bf2-7cd13d5db0b1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6068063 | 2222 | N/A | N/A | N/A | 4713004 | 2025-06-09 20:49:34.121643 | 2025-05-29 21:14:47.925641 |
| 2025-06-09 20:49:22.888055 | 2025-06-09 20:49:24.646092 | 8668259 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-09 | F | PT | AE | 23304 | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8668259_6d0f1e9b-03ff-42a6-8d02-af58155ea495.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8668259_eba4c83a-8147-4c42-9b46-0607344c2bf6.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6068063 | 2222 | N/A | 8379983 | N/A | 4713004 | 2025-06-09 20:49:24.646092 | 2025-05-29 21:14:47.925641 |
| 2025-06-09 20:49:21.183304 | 2025-06-09 20:49:22.884481 | 8668258 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-09 | F | PT | AE | 23304 | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8668258_907b08a5-93fb-4add-ae81-42327aadab1e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6068063 | 2222 | N/A | N/A | N/A | 4713004 | 2025-06-09 20:49:22.884481 | 2025-05-29 21:14:47.925641 |
| 2025-06-09 20:31:47.134791 | 2025-06-09 20:31:50.141561 | 8668164 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-02-24 | 2025-06-11 | M | PT | N/A | 4191 | TAKEMOTO | XED906098170 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928752/check_8668164_9ae52e00-a985-41b5-82cc-6cf92e548ac8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_8668164_d2bdca94-7928-41e5-b944-b85bd729f63c.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7873828215 | 8428 | N/A | 5928752 | 2222 | N/A | 8379837 | N/A | 4583701 | 2025-06-09 20:31:50.141561 | 2025-07-24 17:50:11.805587 |
| 2025-06-09 20:31:27.572206 | 2025-06-09 20:31:29.422509 | 8668162 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-02-24 | 2025-06-11 | U | PT | N/A | 4191 | TAKEMOTO | XED906098170 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928752/check_8668162_e863d634-e516-4bb5-b0e0-5af7d2a94276.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_8668162_b84ced93-32ee-4fe9-a60a-a01222b2af0c.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | N/A | N/A | N/A | N/A | false | TAKEMOTO | N/A | NICOLE | 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 | 8428 | N/A | 5928752 | 2222 | N/A | 8379835 | N/A | 4583701 | 2025-06-09 20:31:29.422509 | 2025-07-24 17:50:11.805587 |
| 2025-06-09 20:31:24.945798 | 2025-06-09 20:31:27.569975 | 8668161 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-02-24 | 2025-06-11 | U | PT | N/A | 4191 | TAKEMOTO | XED906098170 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928752/check_8668161_c0f37dde-db39-4aa7-a043-28e713cba1fe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | XED906098170 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | N/A | N/A | N/A | N/A | false | TAKEMOTO | N/A | NICOLE | 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 | 8428 | N/A | 5928752 | 2222 | N/A | N/A | N/A | 4583701 | 2025-06-09 20:31:27.569975 | 2025-07-24 17:50:11.805587 |
| 2025-06-09 20:30:33.895489 | 2025-06-09 20:30:35.670368 | 8668157 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-02-24 | 2025-06-11 | U | PT | N/A | 4191 | TAKAMOTO | XED906098170 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928752/check_8668157_2d899726-d287-4297-8140-02d62ed3bf25.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_8668157_04ec8e85-8ba4-4424-9c81-7215e8f04803.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | N/A | N/A | N/A | N/A | false | TAKAMOTO | N/A | NICOLE | 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 | 8428 | N/A | 5928752 | 2222 | N/A | 8379827 | N/A | 4583701 | 2025-06-09 20:30:35.670368 | 2025-07-24 17:50:11.805587 |
| 2025-06-09 20:30:32.201882 | 2025-06-09 20:30:33.889989 | 8668156 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-02-24 | 2025-06-11 | U | PT | N/A | 4191 | TAKAMOTO | XED906098170 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928752/check_8668156_d9ecfe49-0420-40bf-a7c7-0f0f59ba7df5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | XED906098170 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | N/A | N/A | N/A | N/A | false | TAKAMOTO | N/A | NICOLE | 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 | 8428 | N/A | 5928752 | 2222 | N/A | N/A | N/A | 4583701 | 2025-06-09 20:30:33.889989 | 2025-07-24 17:50:11.805587 |
| 2025-06-09 20:29:08.929478 | 2025-06-09 20:29:10.998347 | 8668145 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-04-30 | 2025-06-09 | U | AE | PT | 6411 | URBACH | 98680315500 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068052/check_8668145_84fc050f-926b-4c95-8150-5d434c546d36.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068052/check_8668145_4cb58a52-b270-4735-b10f-02ade90283ce.json | N/A | N/A | N/A | N/A | N/A | 98680315500 | N/A | N/A | UNITED HEALTHCARE | N/A | 1941-04-30 | N/A | N/A | N/A | N/A | false | URBACH | N/A | MARY | 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 | 8428 | N/A | 6068052 | 2222 | N/A | 8379815 | N/A | 4712993 | 2025-06-09 20:29:10.998347 | 2025-06-12 23:03:47.433557 |
| 2025-06-09 20:29:07.083944 | 2025-06-09 20:29:08.923891 | 8668144 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-04-30 | 2025-06-09 | U | AE | PT | 6411 | URBACH | 98680315500 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068052/check_8668144_ae9f314e-0e07-4818-a37d-f18cf7e5e31c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 98680315500 | N/A | N/A | UNITED HEALTHCARE | N/A | 1941-04-30 | N/A | N/A | N/A | N/A | false | URBACH | N/A | MARY | 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 | 8428 | N/A | 6068052 | 2222 | N/A | N/A | N/A | 4712993 | 2025-06-09 20:29:08.923891 | 2025-06-12 23:03:47.433557 |
| 2025-06-09 20:27:09.358922 | 2025-06-09 20:27:11.162080 | 8668134 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-02-25 | 2025-06-09 | F | AE | PT | 2815 | MUELLER | 00023746903 | KHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858728/check_8668134_49527226-5a56-4a19-be7b-1d98b599d101.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858728/check_8668134_420526f2-74e8-4b6e-85d0-652cfa93048d.json | N/A | N/A | N/A | N/A | N/A | 00023746903 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 1978-02-25 | N/A | N/A | N/A | N/A | false | MUELLER | N/A | KHRISTINA | 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 | 8428 | N/A | 5858728 | 2222 | N/A | 8379792 | N/A | 4214856 | 2025-06-09 20:27:11.162080 | 2025-05-13 04:29:37.229180 |
| 2025-06-09 20:27:07.399443 | 2025-06-09 20:27:09.353090 | 8668133 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-02-25 | 2025-06-09 | F | AE | PT | 2815 | MUELLER | 00023746903 | KHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858728/check_8668133_4a382a66-f268-44e6-8cf3-6567c85e1c9a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 00023746903 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 1978-02-25 | N/A | N/A | N/A | N/A | false | MUELLER | N/A | KHRISTINA | 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 | 8428 | N/A | 5858728 | 2222 | N/A | N/A | N/A | 4214856 | 2025-06-09 20:27:09.353090 | 2025-05-13 04:29:37.229180 |
| 2025-06-09 20:10:59.551207 | 2025-06-09 20:11:01.325397 | 8668069 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-11-16 | 2025-06-09 | M | AE | PT | 2815 | MUELLER | 00023746903 | AIDEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858728/check_8668069_f38954b0-f455-4223-93db-af8c3182dab3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858728/check_8668069_7937ea86-7847-4f9d-baae-54b436f559a1.json | N/A | N/A | N/A | N/A | N/A | 00023746903 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 2007-11-16 | N/A | N/A | N/A | N/A | false | MUELLER | N/A | AIDEN | 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 | 8428 | N/A | 5858728 | 2222 | N/A | 8379666 | N/A | 4214856 | 2025-06-09 20:11:01.325397 | 2025-05-13 04:29:37.229180 |
| 2025-06-09 20:10:57.602658 | 2025-06-09 20:10:59.548352 | 8668068 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-11-16 | 2025-06-09 | M | AE | PT | 2815 | MUELLER | 00023746903 | AIDEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858728/check_8668068_def966d1-44c0-4489-b6fc-e51ce25196eb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 00023746903 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 2007-11-16 | N/A | N/A | N/A | N/A | false | MUELLER | N/A | AIDEN | 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 | 8428 | N/A | 5858728 | 2222 | N/A | N/A | N/A | 4214856 | 2025-06-09 20:10:59.548352 | 2025-05-13 04:29:37.229180 |
| 2025-06-09 20:08:32.368236 | 2025-06-09 20:08:34.390841 | 8668062 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-11-16 | 2025-06-09 | M | AE | PT | 2815 | MUELLER | 23746903 | AIDEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858728/check_8668062_99ab192e-bb87-4fcd-babe-94d04b030247.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858728/check_8668062_977981be-a3db-4dcb-ad2a-ce9543fc05e6.json | N/A | N/A | N/A | N/A | N/A | 23746903 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 2007-11-16 | N/A | N/A | N/A | N/A | false | MUELLER | N/A | AIDEN | 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 | 8428 | N/A | 5858728 | 2222 | N/A | 8379651 | N/A | 4214856 | 2025-06-09 20:08:34.390841 | 2025-05-13 04:29:37.229180 |
| 2025-06-09 20:08:30.545186 | 2025-06-09 20:08:32.365027 | 8668061 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-11-16 | 2025-06-09 | M | AE | PT | 2815 | MUELLER | 23746903 | AIDEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858728/check_8668061_a1955745-a3a2-4b1c-bfd5-a11c1e9bae02.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 23746903 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 2007-11-16 | N/A | N/A | N/A | N/A | false | MUELLER | N/A | AIDEN | 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 | 8428 | N/A | 5858728 | 2222 | N/A | N/A | N/A | 4214856 | 2025-06-09 20:08:32.365027 | 2025-05-13 04:29:37.229180 |
| 2025-06-09 20:07:04.620186 | 2025-06-09 20:07:07.644440 | 8668053 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-07-04 | 2025-06-10 | M | PT | N/A | 4185 | Seminario | JQQ442W10818 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124845/check_8668053_808f5365-ff81-4325-8cc9-886628ca375a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_8668053_69b8f444-b4bd-4e8c-9307-6374323a419b.json | N/A | N/A | N/A | N/A | N/A | JQQ442W10818 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1945-07-04 | 040 | CAMCRWP0 | N/A | MP | false | SEMINARIO SA | N/A | GUSTAVO | N/A | 9999-12-31 | 2025-01-01 | CA H0544-058-000 ANTHEM SELECT (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7873626037 | 8428 | N/A | 6124845 | 2222 | N/A | 8379637 | N/A | 4767293 | 2025-06-09 20:07:07.644440 | 2025-06-06 15:11:48.015692 |
| 2025-06-09 20:05:45.608025 | 2025-06-09 20:05:47.592714 | 8668045 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-07-04 | 2025-06-10 | M | PT | N/A | 4185 | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124845/check_8668045_969879bd-899f-4c8c-8b5f-b63e49422e51.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_8668045_f2899552-dcfd-46e5-9c29-281ab91f3da4.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | 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 | 8428 | N/A | 6124845 | 2222 | N/A | 8379619 | N/A | 4767293 | 2025-06-09 20:05:47.592714 | 2025-06-06 15:11:48.015692 |
| 2025-06-09 20:05:37.677943 | 2025-06-09 20:05:45.606056 | 8668043 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-07-04 | 2025-06-10 | M | PT | N/A | 4185 | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124845/check_8668043_3ce17c7b-6d3f-4af2-86ef-106b40293f5e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | 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 | 8428 | N/A | 6124845 | 2222 | N/A | N/A | N/A | 4767293 | 2025-06-09 20:05:45.606056 | 2025-06-06 15:11:48.015692 |
| 2025-06-09 20:05:28.019682 | 2025-06-09 20:05:30.029642 | 8668041 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-07-04 | 2025-06-10 | M | PT | N/A | 23277 | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124845/check_8668041_02e25953-af00-41ea-ae72-7faf6ee8047f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_8668041_f37e23e4-3b76-4a56-af68-908fb30db5db.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | 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 | 8428 | N/A | 6124845 | 2222 | N/A | 8379614 | N/A | 4767293 | 2025-06-09 20:05:30.029642 | 2025-06-06 15:11:48.015692 |
| 2025-06-09 20:05:26.110308 | 2025-06-09 20:05:28.017222 | 8668040 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-07-04 | 2025-06-10 | M | PT | N/A | 23277 | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124845/check_8668040_16e6dad6-ab89-42c5-802b-237052120d40.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | 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 | 8428 | N/A | 6124845 | 2222 | N/A | N/A | N/A | 4767293 | 2025-06-09 20:05:28.017222 | 2025-06-06 15:11:48.015692 |
| 2025-06-09 20:03:16.057064 | 2025-06-09 20:03:19.104516 | 8668031 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-02 | 2025-06-11 | F | PT | N/A | 4185 | D Ambrossi | JQS962M77844 | Jody | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113592/check_8668031_8ab4cee3-00e3-4926-8749-ab8786167a30.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6113592/check_8668031_f313302a-71c7-4a0a-a1e8-b1f479c39596.json | N/A | N/A | N/A | N/A | N/A | JQS962M77844 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1948-03-02 | 040 | CAMCRWP0 | N/A | MP | false | D AMBROSSI | N/A | JODY | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7873589208 | 8428 | N/A | 6113592 | 2222 | N/A | 8379600 | N/A | 4756295 | 2025-06-09 20:03:19.104516 | 2025-06-03 00:56:20.307313 |
| 2025-06-09 20:02:54.242076 | 2025-06-09 20:02:56.224806 | 8668030 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-02 | 2025-06-11 | F | PT | N/A | 4185 | Ambrossi | JQS962M77844 | Jody | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113592/check_8668030_6c1879db-6b29-474f-a0d6-493dd6c28aa2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6113592/check_8668030_445b0066-f81d-466a-a50e-89b99ef03259.json | N/A | N/A | N/A | N/A | N/A | JQS962M77844 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1948-03-02 | N/A | N/A | N/A | N/A | false | AMBROSSI | N/A | JODY | 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 | 8428 | N/A | 6113592 | 2222 | N/A | 8379597 | N/A | 4756295 | 2025-06-09 20:02:56.224806 | 2025-06-03 00:56:20.307313 |
| 2025-06-09 20:02:51.443079 | 2025-06-09 20:02:54.240184 | 8668029 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-02 | 2025-06-11 | F | PT | N/A | 4185 | Ambrossi | JQS962M77844 | Jody | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113592/check_8668029_c8ab1fc8-6af5-457a-af8c-25ba76f9ef08.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | JQS962M77844 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1948-03-02 | N/A | N/A | N/A | N/A | false | AMBROSSI | N/A | JODY | 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 | 8428 | N/A | 6113592 | 2222 | N/A | N/A | N/A | 4756295 | 2025-06-09 20:02:54.240184 | 2025-06-03 00:56:20.307313 |
| 2025-06-09 20:02:28.580218 | 2025-06-09 20:02:39.358328 | 8668028 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-02 | 2025-06-11 | F | PT | N/A | 23277 | Ambrossi | JQS962M77844 | Jody | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113592/check_8668028_89ccfeab-3113-4ed7-a9dc-efd04ecf342d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6113592/check_8668028_f19b693d-3852-4a3a-be82-93a30eef95a9.json | N/A | N/A | N/A | N/A | N/A | JQS962M77844 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-03-02 | N/A | N/A | N/A | N/A | false | AMBROSSI | N/A | JODY | 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 | 8428 | N/A | 6113592 | 2222 | N/A | 8379593 | N/A | 4756295 | 2025-06-09 20:02:39.358328 | 2025-06-03 00:56:20.307313 |
| 2025-06-09 20:02:23.967880 | 2025-06-09 20:02:28.577072 | 8668027 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-02 | 2025-06-11 | F | PT | N/A | 23277 | Ambrossi | JQS962M77844 | Jody | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113592/check_8668027_d49c4c86-bf95-4e1a-a605-3d59991cc1ef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | JQS962M77844 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-03-02 | N/A | N/A | N/A | N/A | false | AMBROSSI | N/A | JODY | 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 | 8428 | N/A | 6113592 | 2222 | N/A | N/A | N/A | 4756295 | 2025-06-09 20:02:28.577072 | 2025-06-03 00:56:20.307313 |
| 2025-06-09 20:02:12.982671 | 2025-06-09 20:02:16.869382 | 8668024 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-02 | 2025-06-11 | F | PT | N/A | 4185 | DAmbrossi | JQS962M77844 | Jody | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113592/check_8668024_da83d821-797f-43ce-b1ac-e74c44f02bb5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6113592/check_8668024_5547977c-7d72-454f-86b8-a054c5b361a5.json | N/A | N/A | N/A | N/A | N/A | JQS962M77844 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1948-03-02 | N/A | N/A | N/A | N/A | false | DAMBROSSI | N/A | JODY | 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 | 8428 | N/A | 6113592 | 2222 | N/A | 8379588 | N/A | 4756295 | 2025-06-09 20:02:16.869382 | 2025-06-03 00:56:20.307313 |
| 2025-06-09 20:02:05.051157 | 2025-06-09 20:02:12.975028 | 8668023 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-02 | 2025-06-11 | F | PT | N/A | 4185 | DAmbrossi | JQS962M77844 | Jody | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113592/check_8668023_a5a67c62-5ef3-4842-a318-c8abd8cf38ab.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | JQS962M77844 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1948-03-02 | N/A | N/A | N/A | N/A | false | DAMBROSSI | N/A | JODY | 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 | 8428 | N/A | 6113592 | 2222 | N/A | N/A | N/A | 4756295 | 2025-06-09 20:02:12.975028 | 2025-06-03 00:56:20.307313 |
| 2025-06-09 20:01:48.882573 | 2025-06-09 20:01:51.001440 | 8668022 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-02 | 2025-06-11 | F | PT | N/A | 23277 | DAmbrossi | JQS962M77844 | Jody | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113592/check_8668022_2ac9241a-c3c6-4752-81e8-6cb710db8f3f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6113592/check_8668022_6582f645-91b3-4759-8762-5f5832f0e086.json | N/A | N/A | N/A | N/A | N/A | JQS962M77844 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-03-02 | N/A | N/A | N/A | N/A | false | DAMBROSSI | N/A | JODY | 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 | 8428 | N/A | 6113592 | 2222 | N/A | 8379584 | N/A | 4756295 | 2025-06-09 20:01:51.001440 | 2025-06-03 00:56:20.307313 |
| 2025-06-09 20:01:47.086433 | 2025-06-09 20:01:48.879622 | 8668021 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-02 | 2025-06-11 | F | PT | N/A | 23277 | DAmbrossi | JQS962M77844 | Jody | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113592/check_8668021_07ccd1c3-cef9-44ed-90d7-cb84ec27b91a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | JQS962M77844 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-03-02 | N/A | N/A | N/A | N/A | false | DAMBROSSI | N/A | JODY | 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 | 8428 | N/A | 6113592 | 2222 | N/A | N/A | N/A | 4756295 | 2025-06-09 20:01:48.879622 | 2025-06-03 00:56:20.307313 |
| 2025-06-09 20:00:41.251388 | 2025-06-09 20:00:43.086796 | 8668018 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-02 | 2025-06-11 | F | PT | N/A | 4185 | DAmbrossi | 962M7784420 | Jody | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113592/check_8668018_ea8c14ca-ee8f-4109-b034-68a35279dc1b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6113592/check_8668018_80a2def6-0f6b-491b-9323-1e06b66ce368.json | N/A | N/A | N/A | N/A | N/A | 962M7784420 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1948-03-02 | N/A | N/A | N/A | N/A | false | DAMBROSSI | N/A | JODY | 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 | 8428 | N/A | 6113592 | 2222 | N/A | 8379576 | N/A | 4756295 | 2025-06-09 20:00:43.086796 | 2025-06-03 00:56:20.307313 |
| 2025-06-09 20:00:35.534792 | 2025-06-09 20:00:41.248431 | 8668017 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-02 | 2025-06-11 | F | PT | N/A | 4185 | DAmbrossi | 962M7784420 | Jody | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113592/check_8668017_114b695d-cf15-4f6d-a733-2b6449c2e4a0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | N/A | N/A | N/A | N/A | N/A | N/A | 962M7784420 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1948-03-02 | N/A | N/A | N/A | N/A | false | DAMBROSSI | N/A | JODY | 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 | 8428 | N/A | 6113592 | 2222 | N/A | N/A | N/A | 4756295 | 2025-06-09 20:00:41.248431 | 2025-06-03 00:56:20.307313 |
| 2025-06-09 19:58:10.848960 | 2025-06-09 19:58:13.948176 | 8668004 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-07-11 | 2025-06-10 | M | PT | AE | 4625 | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_8668004_667db853-3af4-4f69-b63d-fb1c39c00f1f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_8668004_7a4a8101-3441-4479-bcb7-aab887861b40.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5540113 | 2222 | N/A | 8379555 | N/A | 4212315 | 2025-06-09 19:58:13.948176 | 2025-12-29 21:20:15.158611 |
| 2025-06-09 19:58:05.839397 | 2025-06-09 19:58:10.843845 | 8668003 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-07-11 | 2025-06-10 | M | PT | AE | 4625 | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_8668003_7719cc96-b50e-4cbf-bc9e-6b0e3bfcc7ca.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5540113 | 2222 | N/A | N/A | N/A | 4212315 | 2025-06-09 19:58:10.843845 | 2025-12-29 21:20:15.158611 |
| 2025-06-09 19:56:28.633403 | 2025-06-09 19:56:35.154927 | 8667997 | N/A | N/A | Z1073 | Medicare B California Southern | 1407668064 | N/A | Jacklyn Kokuashvili | 1950-09-23 | 2025-07-24 | F | AE | PT | 4497 | CHESTER | 7YG6XQ1KG79 | ELLEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6176082/check_8667997_037f72e8-925c-4013-8f6f-c0f8ba97fc7f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667997_61d1c266-c488-49c5-8488-41c320799ad3.json | N/A | N/A | N/A | N/A | N/A | 7YG6XQ1KG79 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1950-09-23 | N/A | N/A | N/A | N/A | false | CHESTER | N/A | ELLEN | N/A | N/A | N/A | N/A | N/A | AE | PT | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6176082 | 2222 | N/A | 8379540 | N/A | 4816684 | 2025-06-09 19:56:35.154927 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:56:26.556131 | 2025-06-09 19:56:28.508870 | 8667996 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-09-23 | 2025-07-24 | F | AE | PT | 4497 | CHESTER | 7YG6XQ1KG79 | ELLEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6176082/check_8667996_ca5285c0-d8a9-4935-9aff-df7b8432c9f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667996_99dbaa4a-ed2d-4e44-ab03-74277d7c4664.json | N/A | N/A | N/A | N/A | N/A | 7YG6XQ1KG79 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1950-09-23 | N/A | N/A | N/A | N/A | false | CHESTER | N/A | ELLEN | 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 | N/A | N/A | 6176082 | 2222 | N/A | 8379539 | N/A | 4816684 | 2025-06-09 19:56:28.508870 | 2025-06-06 23:10:33.094911 |