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 19:56:24.516765 | 2025-06-09 19:56:26.547392 | 8667995 | 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_8667995_a5a633c8-aa11-480a-ae82-c3c88954119a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | N/A | 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 | N/A | N/A | 4816684 | 2025-06-09 19:56:26.547392 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:54:17.103313 | 2025-06-09 19:54:19.059671 | 8667992 | 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_8667992_cd6848af-b106-4719-b9c8-0715c14f71c4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667992_5f81bc40-f6ea-4514-8f4e-324322eb3b92.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 | 8379526 | N/A | 4816684 | 2025-06-09 19:54:19.059671 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:54:12.817097 | 2025-06-09 19:54:17.026293 | 8667991 | 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_8667991_e9fdec5b-7c00-435e-ac35-c5e7ce7d0a71.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667991_9e5e2b86-a06e-45cf-befc-fd5007291066.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 | 8379525 | N/A | 4816684 | 2025-06-09 19:54:17.026293 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:54:12.160955 | 2025-06-09 19:55:54.803094 | 8667990 | 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_8667990_95b91c91-34e7-4066-94b6-dabb15504dee.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 OF CALIFORNIA AND OREGON | 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 19:55:54.803094 | 2025-12-29 21:20:15.158611 |
| 2025-06-09 19:54:09.163874 | 2025-06-09 19:54:12.157972 | 8667989 | 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_8667989_3904c177-65f7-4dd8-a144-bef8e6240b01.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 19:54:12.157972 | 2025-12-29 21:20:15.158611 |
| 2025-06-09 19:54:02.065662 | 2025-06-09 19:54:12.793346 | 8667988 | 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_8667988_a1b90ca6-5743-48f9-8ec6-9a264c4ceb2a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | N/A | 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 | N/A | N/A | 4816684 | 2025-06-09 19:54:12.793346 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:53:55.869165 | 2025-06-09 19:53:57.733144 | 8667987 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-07-11 | 2025-06-10 | M | PT | AE | 23322 | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_8667987_a907bddc-4269-4ec7-ab2c-1744472970f9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_8667987_477d6be7-f624-448b-a364-979cd3fc7010.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | 8379521 | N/A | 4212315 | 2025-06-09 19:53:57.733144 | 2025-12-29 21:20:15.158611 |
| 2025-06-09 19:53:50.833464 | 2025-06-09 19:53:55.866610 | 8667986 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-07-11 | 2025-06-10 | M | PT | AE | 23322 | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_8667986_16166c1d-e729-43ac-8c3f-a957f3d27ab7.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 | LAKESIDE MEDICAL GROUP | 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 19:53:55.866610 | 2025-12-29 21:20:15.158611 |
| 2025-06-09 19:53:50.794116 | 2025-06-09 19:53:52.718065 | 8667985 | 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_8667985_17cfcf70-ef98-4ffb-bb1a-c421d159ee71.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667985_c230f663-bdb8-46cf-945e-3bea3fa0c7d2.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 | 8379519 | N/A | 4816684 | 2025-06-09 19:53:52.718065 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:53:48.786473 | 2025-06-09 19:53:50.754504 | 8667984 | 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_8667984_ee044497-e7a5-4725-ac3e-3e1964093348.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667984_bce32dbe-292c-4226-b92f-2a12bdcd0e96.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 | 8379518 | N/A | 4816684 | 2025-06-09 19:53:50.754504 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:53:43.986729 | 2025-06-09 19:53:48.784914 | 8667983 | 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_8667983_c290b0e8-1605-4ba2-8b64-96d3d46f8df7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | N/A | 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 | N/A | N/A | 4816684 | 2025-06-09 19:53:48.784914 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:53:34.990923 | 2025-06-09 19:53:36.819660 | 8667982 | 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_8667982_dc5b5d78-ad7d-4799-bdc4-2bc9017ef2b3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667982_c7521e3e-63eb-44c4-99b7-33669723a9a5.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 | 8379514 | N/A | 4816684 | 2025-06-09 19:53:36.819660 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:53:32.259556 | 2025-06-09 19:53:34.906347 | 8667981 | 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_8667981_2e90f5e7-f642-41d6-b0c0-5d808848a265.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667981_83733efc-14ef-4c81-925f-f7d98eb17ff5.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 | 8379513 | N/A | 4816684 | 2025-06-09 19:53:34.906347 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:53:23.492210 | 2025-06-09 19:53:32.256631 | 8667980 | 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_8667980_7b5f5794-9824-48dd-94cc-a48b8114ed2f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | N/A | 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 | N/A | N/A | 4816684 | 2025-06-09 19:53:32.256631 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:53:01.335967 | 2025-06-09 19:53:03.327746 | 8667979 | 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_8667979_a3ee9ac5-48f2-4cab-b46e-b0887e9a6b76.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667979_29ab542f-b9d4-49dd-9116-310aa908b2fa.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 | 8379509 | N/A | 4816684 | 2025-06-09 19:53:03.327746 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:52:59.536374 | 2025-06-09 19:53:01.287252 | 8667978 | 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_8667978_ce6993a4-bbdb-4e56-86e8-59ec6f2d1878.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667978_1e244ef8-c69b-45cb-93ed-0f5321e22a0e.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 | 8379508 | N/A | 4816684 | 2025-06-09 19:53:01.287252 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:52:57.941145 | 2025-06-09 19:52:59.534920 | 8667977 | 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_8667977_ae47b029-d3bf-4c1b-a9bd-541938733440.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | N/A | 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 | N/A | N/A | 4816684 | 2025-06-09 19:52:59.534920 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:52:23.307907 | 2025-06-09 19:52:27.178563 | 8667974 | 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 | 4185 | REBEAUD | DYZ6283553AB | JUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145860/check_8667974_a69bdb03-c11b-429d-8172-ff1fe424f92a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145860/check_8667974_ec737d67-9be2-4bda-b45e-67d54643f892.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 | 8428 | N/A | 6145860 | 2222 | N/A | 8379499 | N/A | 4786676 | 2025-06-09 19:52:27.178563 | 2025-06-10 23:45:59.927015 |
| 2025-06-09 19:52:21.482991 | 2025-06-09 19:52:23.305049 | 8667973 | 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 | 4185 | REBEAUD | DYZ6283553AB | JUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145860/check_8667973_b3806a00-efa2-490c-b83c-7c55d1c1b18c.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 | 8428 | N/A | 6145860 | 2222 | N/A | N/A | N/A | 4786676 | 2025-06-09 19:52:23.305049 | 2025-06-10 23:45:59.927015 |
| 2025-06-09 19:51:15.165335 | 2025-06-09 19:51:17.023459 | 8667967 | 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_8667967_69e2204c-5793-4786-b1dd-fcf1f8424ee0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145860/check_8667967_1a080241-d8fc-4b5b-8f36-f65580b9a800.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 | 8428 | N/A | 6145860 | 2222 | N/A | 8379487 | N/A | 4786676 | 2025-06-09 19:51:17.023459 | 2025-06-10 23:45:59.927015 |
| 2025-06-09 19:51:12.485966 | 2025-06-09 19:51:15.161836 | 8667965 | 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_8667965_7790ac20-ccd7-4241-87fd-4af97e071fc8.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 | 8428 | N/A | 6145860 | 2222 | N/A | N/A | N/A | 4786676 | 2025-06-09 19:51:15.161836 | 2025-06-10 23:45:59.927015 |
| 2025-06-09 19:50:38.525762 | 2025-06-09 19:50:41.406144 | 8667963 | 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_8667963_8f280af6-19c3-4e5a-a58a-3bb23667375c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667963_19fc8636-b799-467e-9168-0e51523d4a51.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 | 8379481 | N/A | 4816684 | 2025-06-09 19:50:41.406144 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:50:36.495182 | 2025-06-09 19:50:38.465954 | 8667962 | 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_8667962_9ce4a86e-ec57-4edd-b087-dd61e821782e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667962_28dfa2cc-c688-49e5-831e-e24ba14d4c12.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 | 8379480 | N/A | 4816684 | 2025-06-09 19:50:38.465954 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:50:33.691652 | 2025-06-09 19:50:36.493310 | 8667961 | 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_8667961_399459de-fad6-4fb3-825c-8b582001f6fb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | N/A | 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 | N/A | N/A | 4816684 | 2025-06-09 19:50:36.493310 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:50:08.246549 | 2025-06-09 19:50:10.010351 | 8667959 | 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_8667959_a2927ffa-a57b-44d5-83ab-e4c051f11439.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667959_e06aa99a-bdce-4c10-9cd8-fb3e7ab144e7.json | N/A | N/A | N/A | N/A | N/A | 7YG6XQ1KG79 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-23 | S4802 | N/A | N/A | MB | 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 | 7873455801 | N/A | N/A | 6176082 | 2222 | N/A | 8379477 | N/A | 4816684 | 2025-06-09 19:50:10.010351 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:50:01.895194 | 2025-06-09 19:50:03.984259 | 8667957 | 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_8667957_8752dae2-3e50-4bbf-9967-421b609029a1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667957_1bf50b6c-38be-4849-aa37-b2e0666db39f.json | N/A | N/A | N/A | N/A | N/A | 7YG6XQ1KG79 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-23 | S4802 | N/A | N/A | MB | 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 | 7873455041 | N/A | N/A | 6176082 | 2222 | N/A | 8379475 | N/A | 4816684 | 2025-06-09 19:50:03.984259 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:49:55.756088 | 2025-06-09 19:49:57.608366 | 8667955 | 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_8667955_f13d27b6-68d6-42b6-884b-5cf4a106e4c1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667955_31962d35-7dd2-4bd4-8cce-7ed4cc874f37.json | N/A | N/A | N/A | N/A | N/A | 7YG6XQ1KG79 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-23 | S4802 | N/A | N/A | MA | 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 | 7873454110 | N/A | N/A | 6176082 | 2222 | N/A | 8379471 | N/A | 4816684 | 2025-06-09 19:49:57.608366 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:49:47.300360 | 2025-06-09 19:49:49.426577 | 8667953 | 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_8667953_1a384570-efe1-4caf-99ba-828b759ac4df.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667953_1071174b-d36f-452d-bb80-8e562128c59f.json | N/A | N/A | N/A | N/A | N/A | 7YG6XQ1KG79 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-23 | S4802 | N/A | N/A | MB | 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 | 7873452905 | N/A | N/A | 6176082 | 2222 | N/A | 8379470 | N/A | 4816684 | 2025-06-09 19:49:49.426577 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:49:28.873355 | 2025-06-09 19:49:32.027937 | 8667950 | 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_8667950_274d0669-5de0-4a22-b278-406c79fe8a33.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6176082/check_8667950_22fc85a7-587e-42f8-8aca-1bdfe848f690.json | N/A | N/A | N/A | N/A | N/A | 7YG6XQ1KG79 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-23 | S4802 | N/A | N/A | MA | 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 | 7873450138 | N/A | N/A | 6176082 | 2222 | N/A | 8379466 | N/A | 4816684 | 2025-06-09 19:49:32.027937 | 2025-06-06 23:10:33.094911 |
| 2025-06-09 19:49:19.106727 | 2025-06-09 19:49:21.251977 | 8667949 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2025-05-30 | 2025-06-09 | F | PT | N/A | 4185 | LI | XTS845M84428 | ZHANMEI | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085650/check_8667949_da5c8cb1-94c5-4a68-bf18-78751b12a000.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085650/check_8667949_8594d494-d1da-4dbf-899f-82a1948a13b7.json | N/A | N/A | N/A | N/A | N/A | XTS845M84428 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2025-05-30 | N/A | N/A | N/A | N/A | false | LI | N/A | ZHANMEI | 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 | 6085650 | 2222 | N/A | 8379465 | N/A | 4728966 | 2025-06-09 19:49:21.251977 | 2025-06-09 22:35:38.956800 |
| 2025-06-09 19:49:14.305014 | 2025-06-09 19:49:19.102734 | 8667948 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2025-05-30 | 2025-06-09 | F | PT | N/A | 4185 | LI | XTS845M84428 | ZHANMEI | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085650/check_8667948_0d0e9184-d161-4cc9-b7e8-f0ab98e44d0a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | XTS845M84428 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2025-05-30 | N/A | N/A | N/A | N/A | false | LI | N/A | ZHANMEI | 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 | 6085650 | 2222 | N/A | N/A | N/A | 4728966 | 2025-06-09 19:49:19.102734 | 2025-06-09 22:35:38.956800 |
| 2025-06-09 19:48:36.500844 | 2025-06-09 19:48:38.391344 | 8667946 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2025-05-30 | 2025-06-09 | F | PT | N/A | 4184 | LI | XTS845M84428 | ZHANMEI | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085650/check_8667946_8cbe012b-86c2-4536-84ce-132b1215da78.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085650/check_8667946_bda2a819-f773-42a8-9873-32f197d3cb63.json | N/A | N/A | N/A | N/A | N/A | XTS845M84428 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2025-05-30 | N/A | N/A | N/A | N/A | false | LI | N/A | ZHANMEI | 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 | 6085650 | 2222 | N/A | 8379461 | N/A | 4728966 | 2025-06-09 19:48:38.391344 | 2025-06-09 22:35:38.956800 |
| 2025-06-09 19:48:31.498202 | 2025-06-09 19:48:36.498633 | 8667945 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2025-05-30 | 2025-06-09 | F | PT | N/A | 4184 | LI | XTS845M84428 | ZHANMEI | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085650/check_8667945_04e4e4d8-84f1-4537-9d82-abf49caff397.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | XTS845M84428 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2025-05-30 | N/A | N/A | N/A | N/A | false | LI | N/A | ZHANMEI | 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 | 6085650 | 2222 | N/A | N/A | N/A | 4728966 | 2025-06-09 19:48:36.498633 | 2025-06-09 22:35:38.956800 |
| 2025-06-09 19:45:37.965328 | 2025-06-09 19:45:41.853678 | 8667921 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-01 | 2025-06-10 | M | PT | N/A | 4185 | VARON | MPI01422173Q | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550992/check_8667921_adb3a77c-dd01-4051-90c5-609bff78ed49.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550992/check_8667921_86828e49-d42f-42d7-b0b1-ac2843bbde77.json | N/A | N/A | N/A | N/A | N/A | MPI01422173Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1966-02-01 | 040 | 277163M401 | N/A | PR | false | VARON | N/A | BRETT | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7873410988 | 8428 | N/A | 5550992 | 2222 | N/A | 8379426 | N/A | 4219816 | 2025-06-09 19:45:41.853678 | 2025-05-13 04:29:37.230863 |
| 2025-06-09 19:44:27.343571 | 2025-06-09 19:44:32.390026 | 8667918 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-01 | 2025-06-10 | M | PT | N/A | 4185 | VARON | MPI101422173Q | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550992/check_8667918_cbe6ca2c-5461-49bb-9d7f-fbafae255ffa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550992/check_8667918_697c9d5c-5e99-4e57-9598-c348b57b6023.json | N/A | N/A | N/A | N/A | N/A | MPI101422173Q | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-02-01 | N/A | N/A | N/A | N/A | false | VARON | N/A | BRETT | 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 | 5550992 | 2222 | N/A | 8379413 | N/A | 4219816 | 2025-06-09 19:44:32.390026 | 2025-05-13 04:29:37.230863 |
| 2025-06-09 19:44:24.678628 | 2025-06-09 19:44:27.339839 | 8667917 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-01 | 2025-06-10 | M | PT | N/A | 4185 | VARON | MPI101422173Q | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550992/check_8667917_fb5ed853-9876-42b6-bf2e-1ccea1776291.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | MPI101422173Q | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-02-01 | N/A | N/A | N/A | N/A | false | VARON | N/A | BRETT | 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 | 5550992 | 2222 | N/A | N/A | N/A | 4219816 | 2025-06-09 19:44:27.339839 | 2025-05-13 04:29:37.230863 |
| 2025-06-09 19:43:22.477693 | 2025-06-09 19:43:26.735005 | 8667913 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-19 | 2025-06-09 | F | PT | N/A | 4497 | VALDIVIA | 5YW9MP7AV42 | CRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6189393/check_8667913_2e2f1dfc-8a3e-48d4-b5ab-d32a763598d4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6189393/check_8667913_0a867f70-1ebe-4899-8ce4-e199c4fe941a.json | N/A | N/A | N/A | N/A | N/A | 5YW9MP7AV42 | Medicare Part B | N/A | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-04-19 | H4471 | N/A | N/A | MB | false | VALDIVIA | N/A | CRISTINA | 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 | 7873391944 | 8428 | N/A | 6189393 | 2222 | N/A | 8379400 | N/A | 4219064 | 2025-06-09 19:43:26.735005 | 2025-06-06 15:26:44.406275 |
| 2025-06-09 19:43:02.261678 | 2025-06-09 19:43:04.300687 | 8667912 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-19 | 2025-06-09 | F | PT | N/A | 4184 | VALDIVIA | JQW088W14517 | CRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549398/check_8667912_2d07edb7-2a5a-4ac1-af30-f4a50f89cd06.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549398/check_8667912_1d9a5acf-94c8-406c-9ea2-98b99775da8c.json | N/A | N/A | N/A | N/A | N/A | JQW088W14517 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-19 | 040 | CAMCRWP0 | N/A | MP | false | VALDIVIA | N/A | CRISTINA | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7873387635 | 8428 | N/A | 5549398 | 2222 | N/A | 8379397 | N/A | 4219064 | 2025-06-09 19:43:04.300687 | 2025-06-06 15:26:44.406275 |
| 2025-06-09 19:41:56.443668 | 2025-06-09 19:41:58.224909 | 8667905 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-03-15 | 2025-06-10 | M | PT | AE | 4437 | Nishimoto | 8NK7JC7CQ39 | Richard | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104726/check_8667905_22aee26e-51dd-4437-8faf-089186089cd1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104726/check_8667905_67dd0b75-4bc9-41c5-80d2-114fcf2f4cff.json | N/A | N/A | N/A | N/A | N/A | 8NK7JC7CQ39 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1940-03-15 | N/A | N/A | N/A | N/A | false | NISHIMOTO | N/A | RICHARD | 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 | 6104726 | 2222 | N/A | 8379376 | N/A | 4749110 | 2025-06-09 19:41:58.224909 | 2025-06-02 15:44:17.236968 |
| 2025-06-09 19:41:54.455467 | 2025-06-09 19:41:56.440974 | 8667903 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-03-15 | 2025-06-10 | M | PT | AE | 4437 | Nishimoto | 8NK7JC7CQ39 | Richard | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104726/check_8667903_67d1f9b8-dfee-4344-844a-51dfda02a652.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | 8NK7JC7CQ39 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1940-03-15 | N/A | N/A | N/A | N/A | false | NISHIMOTO | N/A | RICHARD | 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 | 6104726 | 2222 | N/A | N/A | N/A | 4749110 | 2025-06-09 19:41:56.440974 | 2025-06-02 15:44:17.236968 |
| 2025-06-09 19:41:45.361533 | 2025-06-09 19:41:47.389470 | 8667895 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-03-15 | 2025-06-10 | M | PT | AE | 23295 | Nishimoto | 8NK7JC7CQ39 | Richard | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104726/check_8667895_fb32afa8-0f84-4d10-8b95-91647de9ddab.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104726/check_8667895_a425ad5f-510c-4258-9cb1-54770e771341.json | N/A | N/A | N/A | N/A | N/A | 8NK7JC7CQ39 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-03-15 | N/A | N/A | N/A | N/A | false | NISHIMOTO | N/A | RICHARD | 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 | 6104726 | 2222 | N/A | 8379369 | N/A | 4749110 | 2025-06-09 19:41:47.389470 | 2025-06-02 15:44:17.236968 |
| 2025-06-09 19:41:43.350726 | 2025-06-09 19:41:45.356518 | 8667894 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-03-15 | 2025-06-10 | M | PT | AE | 23295 | Nishimoto | 8NK7JC7CQ39 | Richard | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104726/check_8667894_d98c6167-50e3-402f-97af-b3ee1dc8bed4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | 8NK7JC7CQ39 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-03-15 | N/A | N/A | N/A | N/A | false | NISHIMOTO | N/A | RICHARD | 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 | 6104726 | 2222 | N/A | N/A | N/A | 4749110 | 2025-06-09 19:41:45.356518 | 2025-06-02 15:44:17.236968 |
| 2025-06-09 19:40:47.000462 | 2025-06-09 19:40:51.850659 | 8667893 | N/A | N/A | 52192 | Bravo Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-03-15 | 2025-06-10 | M | PT | AE | 5323 | Nishimoto | 8NK7JC7CQ39 | Richard | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104726/check_8667893_e90ab87e-9926-4cf0-816a-840fedea43c2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104726/check_8667893_86c90695-4717-4621-b7d0-f1b54d31688b.json | N/A | N/A | N/A | N/A | N/A | 8NK7JC7CQ39 | N/A | N/A | BRAVO HEALTH | N/A | 1940-03-15 | N/A | N/A | N/A | N/A | false | NISHIMOTO | N/A | RICHARD | 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 | 6104726 | 2222 | N/A | 8379367 | N/A | 4749110 | 2025-06-09 19:40:51.850659 | 2025-06-02 15:44:17.236968 |
| 2025-06-09 19:40:40.148429 | 2025-06-09 19:40:46.994927 | 8667892 | N/A | N/A | 52192 | Bravo Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-03-15 | 2025-06-10 | M | PT | AE | 5323 | Nishimoto | 8NK7JC7CQ39 | Richard | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104726/check_8667892_d3ccdb0a-aae8-48bc-a518-1305dbe466f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | 8NK7JC7CQ39 | N/A | N/A | BRAVO HEALTH | N/A | 1940-03-15 | N/A | N/A | N/A | N/A | false | NISHIMOTO | N/A | RICHARD | 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 | 6104726 | 2222 | N/A | N/A | N/A | 4749110 | 2025-06-09 19:40:46.994927 | 2025-06-02 15:44:17.236968 |
| 2025-06-09 19:40:26.447988 | 2025-06-09 19:40:31.634622 | 8667889 | N/A | N/A | 52192 | Bravo Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-03-15 | 2025-06-10 | M | PT | AE | 5323 | Nishimoto | 8NK7-JC7-CQ39 | Richard | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104726/check_8667889_03bc03ec-9f66-4e07-96c9-f4fdb4dffbb2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104726/check_8667889_5fad79d7-ba54-4ec9-b27c-2ea9b12b1d75.json | N/A | N/A | N/A | N/A | N/A | 8NK7-JC7-CQ39 | N/A | N/A | BRAVO HEALTH | N/A | 1940-03-15 | N/A | N/A | N/A | N/A | false | NISHIMOTO | N/A | RICHARD | 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 | 6104726 | 2222 | N/A | 8379362 | N/A | 4749110 | 2025-06-09 19:40:31.634622 | 2025-06-02 15:44:17.236968 |
| 2025-06-09 19:40:22.529994 | 2025-06-09 19:40:26.444600 | 8667888 | N/A | N/A | 52192 | Bravo Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-03-15 | 2025-06-10 | M | PT | AE | 5323 | Nishimoto | 8NK7-JC7-CQ39 | Richard | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104726/check_8667888_e4a65aaa-9b2c-4968-82d6-82ebe9227241.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | 8NK7-JC7-CQ39 | N/A | N/A | BRAVO HEALTH | N/A | 1940-03-15 | N/A | N/A | N/A | N/A | false | NISHIMOTO | N/A | RICHARD | 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 | 6104726 | 2222 | N/A | N/A | N/A | 4749110 | 2025-06-09 19:40:26.444600 | 2025-06-02 15:44:17.236968 |
| 2025-06-09 19:39:30.407244 | 2025-06-09 19:39:33.541684 | 8667882 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-02-11 | 2025-06-10 | F | AE | PT | 6237 | LEVESQUE | 097A24390-20 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539382/check_8667882_47c8ddf9-dec9-4157-b715-44841b25e5c7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539382/check_8667882_58a2fc08-bc6b-4f04-975d-5ed6d1490fa4.json | N/A | N/A | N/A | N/A | N/A | 40062637201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1958-02-11 | 2025H5425001 | H5425M | N/A | N/A | false | LEVESQUE | N/A | JACQUELINE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7873337811 | 8428 | N/A | 5539382 | 2222 | N/A | 8379353 | N/A | 4211704 | 2025-06-09 19:39:33.541684 | 2025-06-06 23:08:42.876895 |
| 2025-06-09 19:38:13.268774 | 2025-06-09 19:38:17.335970 | 8667875 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-09 | F | AE | PT | 4497 | FLORES BRENNER | 8F12ED9EE92 | ROCIO | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550896/check_8667875_947e87fb-e378-4525-8b56-6ac8092a67a8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550896/check_8667875_867a1ddc-b6a3-4879-adcb-71664839d5f9.json | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-20 | S5617 | N/A | N/A | MB | false | FLORES BRENNER | N/A | ROCIO | 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 | 7873321659 | 8428 | N/A | 5550896 | 2222 | N/A | 8379343 | N/A | 4219750 | 2025-06-09 19:38:17.335970 | 2025-06-06 02:15:39.377685 |
| 2025-06-09 19:37:18.821782 | 2025-06-09 19:37:20.787918 | 8667863 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-09 | F | AE | PT | 4497 | BRENNER | 8F12ED9EE92 | ROCIO | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550896/check_8667863_3328f760-f135-4cea-97d0-bae6afcaa781.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550896/check_8667863_96d8795a-39f0-4bca-a942-756fbe85136b.json | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO | 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 | 5550896 | 2222 | N/A | 8379317 | N/A | 4219750 | 2025-06-09 19:37:20.787918 | 2025-06-06 02:15:39.377685 |
| 2025-06-09 19:37:15.981814 | 2025-06-09 19:37:18.818615 | 8667862 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-09 | F | AE | PT | 4497 | BRENNER | 8F12ED9EE92 | ROCIO | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550896/check_8667862_2d95b655-3cc2-439e-be60-adda8573fbe9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO | 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 | 5550896 | 2222 | N/A | N/A | N/A | 4219750 | 2025-06-09 19:37:18.818615 | 2025-06-06 02:15:39.377685 |