API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-30 09:07:14.786396 | 2025-11-30 09:07:16.916893 | 15347067 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15347067_6c68ef69-426c-4cce-be31-321044b0e343.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15347067_64900ea7-da41-495c-bf30-643e34875c79.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15591465 | N/A | 4215317 | 2025-11-30 09:07:16.916893 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:07:13.446867 | 2025-11-30 09:07:15.265397 | 15347066 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15347066_a037e548-84c3-47d0-9481-afddf19a6005.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-30 09:07:15.265397 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:07:13.040019 | 2025-11-30 09:07:14.779309 | 15347065 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15347065_0e864a3f-21dd-44f7-9ce1-771d35130037.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-30 09:07:14.779309 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:07:11.139704 | 2025-11-30 09:07:13.034707 | 15347064 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_15347064_950f4cad-24e1-4728-915f-820ab58d9c8a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9849187/check_15347064_6eff7a10-f16d-4dfa-9a63-908a76385b9c.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9849187 | 2222 | N/A | 15591462 | N/A | 4215317 | 2025-11-30 09:07:13.034707 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:07:10.589835 | 2025-11-30 09:07:12.526502 | 15347063 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15347063_cee7e14d-92c6-4a07-aad5-5985b1bbc8de.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15347063_4e10ccbc-f9d9-4e31-9a08-f7fbb3ad6d58.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15591461 | N/A | 4215317 | 2025-11-30 09:07:12.526502 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:07:09.355871 | 2025-11-30 09:07:11.133603 | 15347062 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_15347062_6fedef33-25e5-433a-8e92-c1f491685237.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9849187 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-30 09:07:11.133603 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:07:06.483430 | 2025-11-30 09:07:08.367093 | 15347061 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15347061_e125ffe7-497a-4c59-a169-ca2fbbd44c57.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15347061_8c1c95db-14ba-47a9-9f90-456989c39938.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15591458 | N/A | 4215317 | 2025-11-30 09:07:08.367093 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:07:04.513935 | 2025-11-30 09:07:06.479689 | 15347060 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15347060_4e688e5b-b124-4503-883e-358309a0ea90.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-30 09:07:06.479689 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:07:02.532556 | 2025-11-30 09:07:10.580394 | 15347059 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15347059_97c1e851-8ff6-4d26-b0c1-17d1e4a65a05.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-30 09:07:10.580394 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:07:00.846422 | 2025-11-30 09:07:04.071968 | 15347057 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15347057_ef9529c0-a19b-4199-9767-2af0c85ab57b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15347057_36e60a21-0cac-46fb-9587-8b74a0befaf6.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15591456 | N/A | 4215317 | 2025-11-30 09:07:04.071968 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:06:59.122634 | 2025-11-30 09:07:00.844192 | 15347056 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15347056_ac3b4366-271f-48d0-b414-10b6960dab2f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-30 09:07:00.844192 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:06:56.500256 | 2025-11-30 09:06:58.558024 | 15347053 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15347053_8f3b621c-60ba-4c14-bc62-b240d4a2536b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15347053_0479b70b-15ff-409d-84ec-7f2f190f8322.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15591451 | N/A | 4215317 | 2025-11-30 09:06:58.558024 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:06:51.170900 | 2025-11-30 09:06:56.496416 | 15347046 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15347046_b5659928-0b24-4e4a-b0a0-55c571f7e843.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-30 09:06:56.496416 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:05:50.645192 | 2025-11-30 09:05:52.493074 | 15346991 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15346991_d8bd44e5-9370-45c2-ad0f-fc020c6efd98.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15346991_6a736393-c036-40b9-89fb-5fcffd07ef2b.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15591391 | N/A | 4215317 | 2025-11-30 09:05:52.493074 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:05:48.937112 | 2025-11-30 09:05:50.640864 | 15346989 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15346989_1a86c501-be01-4297-a1b6-e1db56c790f5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-30 09:05:50.640864 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:05:46.692374 | 2025-11-30 09:05:48.488849 | 15346986 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15346986_6a3dc893-f758-4935-8ec7-c2c3e916103a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15346986_3c85bb99-5521-46ed-9be6-2e21972348ae.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15591386 | N/A | 4215317 | 2025-11-30 09:05:48.488849 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:05:44.872032 | 2025-11-30 09:05:46.689451 | 15346984 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15346984_4b4bb646-1d4c-4aa1-9873-39bc0570dd88.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-30 09:05:46.689451 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:05:42.659165 | 2025-11-30 09:05:44.460668 | 15346982 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15346982_524ec2b8-8f5d-457b-b487-f72c5e99129f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15346982_3f8014aa-96ef-4177-bc53-2e73a7b1867b.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15591381 | N/A | 4215317 | 2025-11-30 09:05:44.460668 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:05:40.633400 | 2025-11-30 09:05:42.653068 | 15346980 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15346980_43cd4f18-5ada-49da-a885-24193c9b0ccf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-30 09:05:42.653068 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:05:38.292688 | 2025-11-30 09:05:40.184937 | 15346978 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_15346978_9c368195-08c1-49b0-b92f-29b9d3ba3854.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9849187/check_15346978_0b68aa1c-06b5-4729-9e94-7810dd641400.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9849187 | 2222 | N/A | 15591377 | N/A | 4215317 | 2025-11-30 09:05:40.184937 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:05:36.534294 | 2025-11-30 09:05:38.289147 | 15346975 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_15346975_08d2351c-1440-4c11-a9ae-5a927ee59a84.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9849187 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-30 09:05:38.289147 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:05:34.136809 | 2025-11-30 09:05:35.949854 | 15346971 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15346971_93e3f64d-e544-4629-9a01-012d1750fc15.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15346971_666b537e-cca8-48e1-9eeb-c0a2c6c2c4fa.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15591370 | N/A | 4215317 | 2025-11-30 09:05:35.949854 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:05:32.422654 | 2025-11-30 09:05:34.133773 | 15346969 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15346969_ee008af3-67ce-4489-a1fe-5905fbac7ff4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-30 09:05:34.133773 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:05:30.033546 | 2025-11-30 09:05:31.971931 | 15346965 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15346965_0808f873-a92c-4095-8bd1-271f876ae0a4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15346965_262e5499-e915-4a07-b03e-1e64db1d337f.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15591363 | N/A | 4215317 | 2025-11-30 09:05:31.971931 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:05:28.217513 | 2025-11-30 09:05:30.023877 | 15346962 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15346962_81f8c662-4304-4c67-a06c-ef82a163390e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-30 09:05:30.023877 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:05:25.712794 | 2025-11-30 09:05:27.672843 | 15346957 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15346957_a7076cf5-6eb4-474d-8f62-2feb5627ffef.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15346957_d0515bb7-65db-4d31-a78c-2899a1ed983c.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15591356 | N/A | 4215317 | 2025-11-30 09:05:27.672843 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 09:05:20.832761 | 2025-11-30 09:05:25.708820 | 15346949 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15346949_9a9faf13-04cd-4598-8481-14371e5d4b49.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-30 09:05:25.708820 | 2025-06-24 21:13:18.739779 |
| 2025-11-30 08:23:58.083467 | 2025-11-30 08:24:01.412151 | 15346151 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-28 | 2025-12-03 | M | AE | PT | 6411 | WALROTH | 342501887-11 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7785551/check_15346151_2fdd4c83-f0fa-4bbf-ba89-c12884f39d3a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7785551/check_15346151_3c361950-4081-423c-bcac-6378edda3661.json | N/A | N/A | N/A | N/A | N/A | 342501887 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1949-10-28 | N/A | N/A | N/A | N/A | false | WALROTH | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7785551 | 2222 | N/A | 15590717 | N/A | 6629682 | 2025-11-30 08:24:01.412151 | 2025-08-05 17:28:10.392410 |
| 2025-11-30 08:23:55.312310 | 2025-11-30 08:23:58.079150 | 15346124 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-28 | 2025-12-03 | M | AE | PT | 6411 | WALROTH | 342501887-11 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7785551/check_15346124_fe6ccbda-f2d4-4f68-a2d2-40551dba00ed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-03 | N/A | N/A | N/A | N/A | N/A | N/A | 342501887 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1949-10-28 | N/A | N/A | N/A | N/A | false | WALROTH | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7785551 | 2222 | N/A | N/A | N/A | 6629682 | 2025-11-30 08:23:58.079150 | 2025-08-05 17:28:10.392410 |
| 2025-11-30 08:23:11.666169 | 2025-11-30 08:23:14.769557 | 15345692 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-06-06 | 2025-12-03 | F | AE | PT | N/A | LOPEZ | 995772640-00 | DENI | https://storage.googleapis.com/normandy-eligibility-checks/2222/13124059/check_15345692_fc3a928d-fde6-489f-96e2-a78e207c133b.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13124059/check_15345692_9677654d-62cf-4a19-a834-5542991a28f1.json | N/A | N/A | N/A | N/A | N/A | 995772640 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1958-06-06 | N/A | 15458 | N/A | PR | false | LOPEZ | N/A | DENI | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 13124059 | 2222 | N/A | 15590339 | N/A | 4219066 | 2025-11-30 08:23:14.769557 | 2025-11-20 19:15:16.075292 |
| 2025-11-30 08:22:41.279705 | 2025-11-30 08:22:46.275143 | 15345427 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-09-09 | 2025-12-03 | M | AE | PT | N/A | SCOPELLITI | 75253689800 | MATTEO GIUSEPPE | https://storage.googleapis.com/normandy-eligibility-checks/2222/12307814/check_15345427_b1b580ca-a2fb-4e0b-88dc-4c4f36c7c883.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12307814/check_15345427_d67be916-2768-411b-91a1-ce8d0828bf4b.json | N/A | N/A | N/A | N/A | N/A | 75253689800 | Commercial | N/A | UnitedHealthcare Benefits Plan of California | N/A | 1989-09-09 | N/A | 1650292 | N/A | C1 | false | SCOPELLITI | N/A | MATTEOGIUSEPPE | N/A | N/A | N/A | Select Plus | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12307814 | 2222 | N/A | 15590140 | N/A | 4212710 | 2025-11-30 08:22:46.275143 | 2025-11-05 23:04:21.559950 |
| 2025-11-30 08:22:18.069603 | 2025-11-30 08:22:21.524699 | 15345216 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-06-09 | 2025-12-03 | F | AE | PT | N/A | DIXON | 98864903900 | JUDIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/11013047/check_15345216_edb9fbce-bb05-41f9-93c6-380d21350a26.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11013047/check_15345216_83011080-f54f-4641-a3aa-4efe49ae20dd.json | N/A | N/A | N/A | N/A | N/A | 988649039 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1941-06-09 | N/A | 74134 | N/A | PR | false | DIXON | N/A | JUDIE | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11013047 | 2222 | N/A | 15589947 | N/A | 9378405 | 2025-11-30 08:22:21.524699 | 2025-10-21 21:08:18.331994 |
| 2025-11-30 08:22:15.556507 | 2025-11-30 08:22:19.766315 | 15345190 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-06-11 | 2025-12-03 | M | AE | PT | N/A | ROJAS | 9456137-01 | CHRISTIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/10346172/check_15345190_b160e6eb-f9b1-437a-adec-d03e1ac4576f.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10346172/check_15345190_8d7dbf0a-ab4a-472f-b4af-0196e244e3db.json | N/A | N/A | N/A | N/A | N/A | 945613701 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1975-06-11 | N/A | 369377 | N/A | C1 | false | ROJAS | N/A | CHRISTIAN | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 10346172 | 2222 | N/A | 15589932 | N/A | 8612520 | 2025-11-30 08:22:19.766315 | 2025-10-27 19:22:55.905933 |
| 2025-11-30 08:22:11.300381 | 2025-11-30 08:22:14.536444 | 15345145 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2010-10-23 | 2025-12-03 | F | AE | PT | N/A | Hall | 981219560 | Naomi | https://storage.googleapis.com/normandy-eligibility-checks/2222/10171909/check_15345145_70238a21-ecf6-4e26-84b0-ff7cdbb03cf4.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10171909/check_15345145_8bc4204e-ef92-4f13-acaf-f3a6844d11f6.json | N/A | N/A | N/A | N/A | N/A | 981219560 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2010-10-23 | N/A | 928305 | N/A | C1 | false | HALL | N/A | NAOMI | N/A | N/A | N/A | SELECT PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 10171909 | 2222 | N/A | 15589885 | N/A | 8473167 | 2025-11-30 08:22:14.536444 | 2025-10-08 15:28:08.515644 |
| 2025-11-30 08:20:22.639420 | 2025-11-30 08:20:26.795544 | 15344138 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-01-04 | 2025-12-03 | M | AE | PT | N/A | GERSHMAN | 987203340 | TYLER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542830/check_15344138_896c2cf8-9f46-4120-bc13-5359b90e69ab.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542830/check_15344138_bd24ceef-4814-41b2-9238-fbb6f129ace4.json | N/A | N/A | N/A | N/A | N/A | 987203340 | Consolidated Omnibus Budget Reconciliation Act (COBRA) | N/A | UNITEDHEALTHCARE | N/A | 1997-01-04 | N/A | 228485 | N/A | CO | false | GERSHMAN | N/A | TYLER | N/A | N/A | N/A | SELECT PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542830 | 2222 | N/A | 15589036 | N/A | 4214699 | 2025-11-30 08:20:26.795544 | 2025-05-13 04:29:37.229016 |
| 2025-11-30 08:20:22.594131 | 2025-11-30 08:20:26.080985 | 15344137 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-08-26 | 2025-12-03 | F | AE | PT | N/A | RECINTO | 2025740-01 | VICTORIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543181/check_15344137_143affac-889d-4152-b731-cdbfcde37f2b.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543181/check_15344137_45f343bd-256f-4d56-bb66-ccc9ac62329e.json | N/A | N/A | N/A | N/A | N/A | 202574001 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | N/A | 1956-08-26 | N/A | HCFA21 | N/A | HN | false | RECINTO | N/A | VICTORIA | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543181 | 2222 | N/A | 15589028 | N/A | 4215008 | 2025-11-30 08:20:26.080985 | 2025-05-13 04:29:37.229327 |
| 2025-11-30 08:16:08.123418 | 2025-12-01 01:44:11.120251 | 15343063 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15343063 | override_provider | 1963-04-03 | 2025-12-03 | F | PT | N/A | N/A | Protsenko | AJC912998623 | Tetiana | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.101031862.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9958584/check_15343063_993c5e3c-cd7f-4252-b5e2-b5b1108123e9.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401087081 | N/A | N/A | 9958584 | 2222 | 4802 | 15596635 | N/A | 7994720 | 2025-12-01 01:44:11.120251 | 2025-09-24 04:33:28.125297 |
| 2025-11-30 08:16:03.438459 | 2025-12-01 01:50:22.537330 | 15343036 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15343036 | Athletic Physical Therapy Inc | 1961-05-13 | 2025-12-03 | F | PT | N/A | N/A | HOUSEMAN | JAC912275311 | REBECCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.101031862.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9937308/check_15343036_1c7b7d85-069c-4416-b762-c6a4bc794638.json | N/A | N/A | N/A | N/A | N/A | JAC912275311 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-05-13 | 2001ZK002198 | X0001004 | N/A | PR | false | HOUSEMAN | N/A | REBECCA | N/A | 9999-12-31 | 2023-05-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401086282 | N/A | N/A | 9937308 | 2222 | 4793 | 15599438 | N/A | 8318674 | 2025-12-01 01:50:22.537330 | 2025-10-03 16:07:07.538918 |
| 2025-11-30 08:15:58.974374 | 2025-12-01 01:46:53.410930 | 15343011 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 15343011 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-12-03 | F | AE | PT | N/A | SAGMAN | U9205101701 | SYDNEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.101031862.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9924959/check_15343011_030eed57-39e3-4645-b41d-1dc7fe876e5e.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401086266 | N/A | N/A | 9924959 | 2222 | 4802 | 15597736 | 4437 | 4722569 | 2025-12-01 01:46:53.410930 | 2025-08-26 00:16:35.895658 |
| 2025-11-30 08:15:34.662209 | 2025-12-01 01:45:19.424846 | 15342875 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15342875 | Athletic Physical Therapy Inc | 1956-12-09 | 2025-12-03 | F | AE | PT | N/A | MAHBOOB | H6086019300 | MEENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.101031862.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9857387/check_15342875_b07abeea-ae0e-47c6-83d7-1c6f4cd0c90b.json | N/A | N/A | N/A | N/A | N/A | H60860193 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP 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 | 1956-12-09 | N/A | 0B666001 | N/A | HN | false | MAHBOOB | N/A | MEENA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401087324 | N/A | N/A | 9857387 | 2222 | 4801 | 15597239 | 5349 | 8253020 | 2025-12-01 01:45:19.424846 | 2025-11-24 19:48:59.871982 |
| 2025-11-30 08:15:31.549725 | 2025-12-01 01:50:04.400818 | 15342843 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15342843 | Athletic Physical Therapy Inc | 1959-09-02 | 2025-12-03 | F | AE | PT | N/A | GODOY | 00000362350 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100836888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12928818/check_15342843_0875eac7-006c-46d3-a0b4-6517b98a41ad.json | N/A | N/A | N/A | N/A | N/A | 00000362350 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-09-02 | H3815028 | N/A | N/A | HM | false | GODOY | N/A | KAREN | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401084560 | N/A | N/A | 12928818 | 2222 | 4801 | 15599216 | 2630 | 11089825 | 2025-12-01 01:50:04.400818 | 2025-12-02 22:46:13.601961 |
| 2025-11-30 08:14:25.611259 | 2025-12-01 01:49:46.816489 | 15342214 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15342214 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-12-03 | F | AE | PT | N/A | GOMEZ | 00000401101 | ALICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.101031862.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9555104/check_15342214_75887763-2be3-4455-8d74-8aa13652583f.json | N/A | N/A | N/A | N/A | N/A | 00000401101 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-11-29 | H3815007 | N/A | N/A | HM | false | GOMEZ | N/A | ALICIA | N/A | 2025-12-31 | 2025-06-01 | ALIGNMENT HEALTH MY CHOICE CALPLUS (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401087277 | N/A | N/A | 9555104 | 2222 | 4801 | 15599005 | 2630 | 7990617 | 2025-12-01 01:49:46.816489 | 2025-09-29 20:34:47.088032 |
| 2025-11-30 08:14:24.316899 | 2025-12-01 01:50:17.374817 | 15342200 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15342200 | Athletic Physical Therapy Inc | 1953-10-24 | 2025-12-03 | F | PT | N/A | N/A | MENCHACA | JQW272W06388 | RAFAELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100836888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12715192/check_15342200_7b671b6a-5203-42bf-b8a8-e9733ecab0d6.json | N/A | N/A | N/A | N/A | N/A | JQW272W06388 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1953-10-24 | 040 | CAMCRWP0 | N/A | MP | false | MENCHACA | N/A | RAFAELA | N/A | 2025-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401084555 | N/A | N/A | 12715192 | 2222 | 4793 | 15599376 | 4185 | 10878724 | 2025-12-01 01:50:17.374817 | 2025-11-19 21:36:29.611919 |
| 2025-11-30 08:13:52.617328 | 2025-12-01 01:44:15.594216 | 15341955 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 15341955 | Athletic Physical Therapy Inc | 1940-05-16 | 2025-12-03 | M | AE | PT | N/A | HOPE | 101144710900 | LYNN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.101031862.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9477069/check_15341955_897a7541-9482-4283-99cd-a858de17a10e.json | N/A | N/A | N/A | N/A | N/A | 101144710900 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-05-16 | 000003-CA000074 | 000003-CA | N/A | PS | false | HOPE | N/A | LYNN | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401087556 | N/A | N/A | 9477069 | 2222 | 4802 | 15596680 | 3948 | 7927787 | 2025-12-01 01:44:15.594216 | 2025-09-17 17:11:58.574244 |
| 2025-11-30 08:13:45.694930 | 2025-12-01 01:43:39.062412 | 15341898 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15341898 | override_provider | 1965-05-26 | 2025-12-03 | M | PT | N/A | N/A | PARRA | R58564504 | GREGORY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100836888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12566263/check_15341898_9be0bca6-8b68-4476-bdff-a426fa54db31.json | N/A | N/A | N/A | N/A | N/A | R58564504 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1965-05-26 | N/A | 112 | N/A | PR | false | PARRA | N/A | GREGORY | N/A | 9999-12-31 | 2007-01-07 | BASIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401082772 | N/A | N/A | 12566263 | 2222 | 4801 | 15596283 | N/A | 10738342 | 2025-12-01 01:43:39.062412 | 2025-11-17 17:10:15.206525 |
| 2025-11-30 08:13:35.601323 | 2025-12-01 01:49:42.464090 | 15341813 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15341813 | Athletic Physical Therapy Inc | 2010-06-29 | 2025-12-03 | F | AE | PT | N/A | Gross | 0021438559 | Hanako | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100836888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12533089/check_15341813_ffd9131f-52bb-48b2-a3f7-22cc7ad7c7a0.json | N/A | N/A | N/A | N/A | N/A | 0021438559 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2010-06-29 | N/A | N/A | N/A | N/A | false | GROSS | N/A | HANAKO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401082736 | N/A | N/A | 12533089 | 2222 | 4802 | 15598952 | N/A | 10704924 | 2025-12-01 01:49:42.464090 | 2025-11-11 04:56:19.809881 |
| 2025-11-30 08:13:31.700865 | 2025-12-01 01:48:59.887894 | 15341789 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15341789 | Athletic Physical Therapy Inc | 1947-03-13 | 2025-12-03 | F | AE | PT | N/A | MAGALLANES | 40037328501 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100836888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12525314/check_15341789_32de4d91-d8d4-4a79-ae6f-0a334cab9405.json | N/A | N/A | N/A | N/A | N/A | 40037328501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1947-03-13 | 2025H5425001 | H5425M | N/A | N/A | false | MAGALLANES | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401084032 | N/A | N/A | 12525314 | 2222 | 4801 | 15598477 | 6237 | 10697993 | 2025-12-01 01:48:59.887894 | 2025-11-10 22:12:47.645053 |
| 2025-11-30 08:13:22.168217 | 2025-12-01 01:49:55.538024 | 15341718 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15341718 | Athletic Physical Therapy Inc | 2005-12-13 | 2025-12-03 | F | PT | N/A | N/A | Varivoda | ZTQ335M98588 | Alex | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.101031862.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9338185/check_15341718_0543f848-b494-4cef-a39b-f459c2a736c0.json | N/A | N/A | N/A | N/A | N/A | ZTQ335M98588 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC LECROY | ANTHEM BLUE CROSS | N/A | 2005-12-13 | 040 | 174249M3AW | N/A | PR | false | VARIVODA | N/A | ALEXEY | N/A | 9999-12-31 | 2020-03-19 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401086433 | N/A | N/A | 9338185 | 2222 | 4802 | 15599110 | N/A | 7837035 | 2025-12-01 01:49:55.538024 | 2025-09-17 13:44:26.939662 |
| 2025-11-30 08:13:19.445170 | 2025-12-01 01:50:17.742019 | 15341696 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15341696 | Athletic Physical Therapy Inc | 1951-09-10 | 2025-12-03 | F | PT | N/A | N/A | WOLF | 3446GALVESTONAVE | MIRIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100836888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12502735/check_15341696_e4f099a9-f591-4263-8931-454313142695.json | N/A | N/A | N/A | N/A | N/A | 3446GALVESTONAVE | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1951-09-10 | N/A | N/A | N/A | N/A | false | WOLF | N/A | MIRIAM | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401084001 | N/A | N/A | 12502735 | 2222 | 4801 | 15599381 | 4185 | 10678938 | 2025-12-01 01:50:17.742019 | 2025-11-17 15:34:42.266218 |
| 2025-11-30 08:13:14.989353 | 2025-12-01 01:49:38.537380 | 15341665 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15341665 | Athletic Physical Therapy Inc | 1990-12-22 | 2025-12-03 | M | AE | PT | N/A | PRABHALA | R13572760MM1 | SAI RAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.101031862.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321575/check_15341665_ad3509dc-8445-4a9f-b490-76aec80c7ad3.json | N/A | N/A | N/A | N/A | N/A | R13572760MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1990-12-22 | N/A | N/A | N/A | N/A | false | PRABHALA | N/A | SAI RAM PAVAN PRASAD | N/A | 2025-11-30 | 2024-12-01 | KAI SBP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401087506 | N/A | N/A | 9321575 | 2222 | 4801 | 15598903 | 4625 | 7820903 | 2025-12-01 01:49:38.537380 | 2025-09-22 20:31:02.620835 |