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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-26 21:20:51.225983 | 2025-11-26 21:21:25.380177 | 15248367 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-11-26 | F | AE | PT | 6338 | YUNG | 00854676304 | MAYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_15248367_df881af8-afbf-4288-b971-847fbf138fa4.json | AVAILITY | N/A | APPOINTMENT_PII_CHANGE | 2025-11-26 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | 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 | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-11-26 21:21:25.380177 | 2025-05-13 04:29:37.229495 |
| 2025-11-26 20:08:46.109226 | 2025-11-26 20:08:47.927850 | 15247528 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1951-12-15 | 2025-11-26 | F | PT | AE | 4197 | STYLES | XVL990311433 | SUSAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/12835425/check_15247528_a2ad059a-4907-4314-a100-1d56388908fa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12835425/check_15247528_66e38775-62cb-4eab-be27-c2627ecfffa6.json | N/A | N/A | N/A | N/A | N/A | XVL990311433 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1951-12-15 | N/A | N/A | N/A | N/A | false | STYLES | N/A | SUSAN | 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 | 5687 | N/A | 12835425 | 2222 | N/A | 15492437 | N/A | 10999467 | 2025-11-26 20:08:47.927850 | 2025-11-14 21:36:13.911423 |
| 2025-11-26 20:08:44.273789 | 2025-11-26 20:08:46.106555 | 15247525 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1951-12-15 | 2025-11-26 | F | PT | AE | 4197 | STYLES | XVL990311433 | SUSAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/12835425/check_15247525_59581ca1-3a7b-4bf6-88ee-c189a9d987c1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | N/A | N/A | N/A | N/A | N/A | N/A | XVL990311433 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1951-12-15 | N/A | N/A | N/A | N/A | false | STYLES | N/A | SUSAN | 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 | 5687 | N/A | 12835425 | 2222 | N/A | N/A | N/A | 10999467 | 2025-11-26 20:08:46.106555 | 2025-11-14 21:36:13.911423 |
| 2025-11-26 18:48:08.419548 | 2025-11-26 18:48:10.460960 | 15246644 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-05-28 | 2025-12-04 | M | PT | N/A | 4184 | EICHACKER JR | ZHQ1291483955001 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/13432149/check_15246644_ee815bf2-a075-4425-b139-03fdea8f2b82.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13432149/check_15246644_afa12df3-7c7a-4889-a285-2df27406b78e.json | N/A | N/A | N/A | N/A | N/A | ZHQ1291483955001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-05-28 | N/A | N/A | N/A | N/A | false | EICHACKER JR | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 13432149 | 2222 | N/A | 15491193 | N/A | 11592379 | 2025-11-26 18:48:10.460960 | 2025-11-26 17:23:15.530735 |
| 2025-11-26 18:48:05.665101 | 2025-11-26 18:48:08.415249 | 15246643 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-05-28 | 2025-12-04 | M | PT | N/A | 4184 | EICHACKER JR | ZHQ1291483955001 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/13432149/check_15246643_96b22233-b726-4d7b-bbe6-d3c7e07b96cd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-04 | N/A | N/A | N/A | N/A | N/A | N/A | ZHQ1291483955001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-05-28 | N/A | N/A | N/A | N/A | false | EICHACKER JR | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 13432149 | 2222 | N/A | N/A | N/A | 11592379 | 2025-11-26 18:48:08.415249 | 2025-11-26 17:23:15.530735 |
| 2025-11-26 18:46:30.431434 | 2025-11-26 18:46:32.206716 | 15246503 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-05-28 | 2025-12-04 | M | PT | N/A | 4184 | EICHACKER JR | ZHQ129148395001 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/13432149/check_15246503_0d3e8fa0-a615-4539-a7eb-5b0ee3449028.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13432149/check_15246503_961ec794-e737-4400-af63-bb2e01bb8301.json | N/A | N/A | N/A | N/A | N/A | ZHQ129148395001 | Preferred Provider Organization (PPO) | H.B. FULLER COMPANY HOME BASED (ROYAL) - $2000 HSA PLAN ACTIVE | ANTHEM BLUE CROSS | FUNDING TYPE = SELF INSURED | 1966-05-28 | 725 | 10430314 | N/A | PR | false | EICHACKER | N/A | CHARLES | N/A | N/A | N/A | MED/SURG - PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9382302242 | N/A | N/A | 13432149 | 2222 | N/A | 15491045 | N/A | 11592379 | 2025-11-26 18:46:32.206716 | 2025-11-26 17:23:15.530735 |
| 2025-11-26 18:46:11.213792 | 2025-11-26 18:46:14.115822 | 15246478 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-05-28 | 2025-12-04 | M | PT | N/A | 4184 | EICHACKER JR | ZHQ129148395001 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/13432149/check_15246478_3e9f470d-fb57-4f46-a17a-1151b5d695e4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13432149/check_15246478_ee35895b-f459-447e-a16a-45294a4c22d5.json | N/A | N/A | N/A | N/A | N/A | ZHQ129148395001 | Preferred Provider Organization (PPO) | H.B. FULLER COMPANY HOME BASED (ROYAL) - $2000 HSA PLAN ACTIVE | ANTHEM BLUE CROSS | FUNDING TYPE = SELF INSURED | 1966-05-28 | 725 | 10430314 | N/A | PR | false | EICHACKER | N/A | CHARLES | N/A | N/A | N/A | MED/SURG - PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9382300291 | N/A | N/A | 13432149 | 2222 | N/A | 15491025 | N/A | 11592379 | 2025-11-26 18:46:14.115822 | 2025-11-26 17:23:15.530735 |
| 2025-11-26 18:36:39.372934 | 2025-11-26 18:36:41.317092 | 15246375 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 2007-12-03 | 2025-12-01 | U | PT | N/A | 4197 | Sardghassemi | XEK900226280 | Asal | https://storage.googleapis.com/normandy-eligibility-checks/2222/13137680/check_15246375_bfc9d7af-63b3-47d2-aaaf-358f0533305b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13137680/check_15246375_a8890b8a-8f68-4f79-8912-330686b9dd4c.json | N/A | N/A | N/A | N/A | N/A | XEK900226280 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2007-12-03 | N/A | N/A | N/A | N/A | false | SARDGHASSEMI | N/A | ASAL | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 163602 | N/A | 13137680 | 2222 | N/A | 15490909 | N/A | 11288267 | 2025-11-26 18:36:41.317092 | 2025-12-23 22:14:53.766253 |
| 2025-11-26 18:36:37.573700 | 2025-11-26 18:36:39.367907 | 15246374 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 2007-12-03 | 2025-12-01 | U | PT | N/A | 4197 | Sardghassemi | XEK900226280 | Asal | https://storage.googleapis.com/normandy-eligibility-checks/2222/13137680/check_15246374_ff9b9147-74ee-47c5-b8bc-047485ea8775.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-01 | N/A | N/A | N/A | N/A | N/A | N/A | XEK900226280 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2007-12-03 | N/A | N/A | N/A | N/A | false | SARDGHASSEMI | N/A | ASAL | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 163602 | N/A | 13137680 | 2222 | N/A | N/A | N/A | 11288267 | 2025-11-26 18:36:39.367907 | 2025-12-23 22:14:53.766253 |
| 2025-11-26 17:05:18.664949 | 2025-11-26 17:05:20.606276 | 15244797 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-06-02 | 2025-11-26 | F | PT | N/A | 4191 | MCDONALD | 90189112-002 | DYLAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/12770187/check_15244797_11db07df-439c-4251-87d6-c1e248d435b5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12770187/check_15244797_7039dc06-c1bd-4780-8845-a63ee9bebe0f.json | N/A | N/A | N/A | N/A | N/A | 90189112-002 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2009-06-02 | N/A | N/A | N/A | N/A | false | MCDONALD | N/A | DYLAN | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12770187 | 2222 | N/A | 15489226 | N/A | 10925815 | 2025-11-26 17:05:20.606276 | 2025-11-26 16:58:09.174115 |
| 2025-11-26 17:05:16.872451 | 2025-11-26 17:05:18.660471 | 15244796 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-06-02 | 2025-11-26 | F | PT | N/A | 4191 | MCDONALD | 90189112-002 | DYLAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/12770187/check_15244796_f70fbe83-8c41-41d8-a263-bb1e77053a92.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | N/A | N/A | N/A | N/A | N/A | N/A | 90189112-002 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2009-06-02 | N/A | N/A | N/A | N/A | false | MCDONALD | N/A | DYLAN | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12770187 | 2222 | N/A | N/A | N/A | 10925815 | 2025-11-26 17:05:18.660471 | 2025-11-26 16:58:09.174115 |
| 2025-11-26 16:25:09.727484 | 2025-11-26 16:25:11.664686 | 15244327 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-03-18 | 2025-11-26 | M | PT | AE | 4199 | CHAINGAN | 96631024E | CARLO | https://storage.googleapis.com/normandy-eligibility-checks/2222/12740431/check_15244327_ca83d403-4099-48c5-939a-e56a4152d87e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12740431/check_15244327_998241a8-e1d1-426d-be15-76db7ed7cbd6.json | N/A | N/A | N/A | N/A | N/A | 96631024E | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1996-03-18 | N/A | N/A | N/A | N/A | false | CHAINGAN | N/A | CARLO | 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 | 5697 | N/A | 12740431 | 2222 | N/A | 15488695 | N/A | 9629336 | 2025-11-26 16:25:11.664686 | 2025-10-28 16:50:31.547791 |
| 2025-11-26 16:25:07.979351 | 2025-11-26 16:25:09.723576 | 15244326 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-03-18 | 2025-11-26 | M | PT | AE | 4199 | CHAINGAN | 96631024E | CARLO | https://storage.googleapis.com/normandy-eligibility-checks/2222/12740431/check_15244326_9c94735e-bcbc-46ba-a8ad-ba5436eb5b81.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | N/A | N/A | N/A | N/A | N/A | N/A | 96631024E | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1996-03-18 | N/A | N/A | N/A | N/A | false | CHAINGAN | N/A | CARLO | 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 | 5697 | N/A | 12740431 | 2222 | N/A | N/A | N/A | 9629336 | 2025-11-26 16:25:09.723576 | 2025-10-28 16:50:31.547791 |
| 2025-11-26 15:10:34.220670 | 2025-11-26 15:10:36.210759 | 15243297 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1951-12-15 | 2025-11-26 | F | PT | AE | 4197 | STYLES | XVL990311433 | SUSAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/12835425/check_15243297_32086d16-c60b-44dc-8192-643b016b6eda.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12835425/check_15243297_19319c8a-070d-4670-b7d1-03d15d3d15f9.json | N/A | N/A | N/A | N/A | N/A | XVL990311433 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1951-12-15 | N/A | N/A | N/A | N/A | false | STYLES | N/A | SUSAN | 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 | 5687 | N/A | 12835425 | 2222 | N/A | 15487492 | N/A | 10999467 | 2025-11-26 15:10:36.210759 | 2025-11-14 21:36:13.911423 |
| 2025-11-26 15:10:21.848308 | 2025-11-26 15:10:34.165893 | 15243294 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1951-12-15 | 2025-11-26 | F | PT | AE | 4197 | STYLES | XVL990311433 | SUSAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/12835425/check_15243294_71a36ade-38b7-407e-a0c9-b7bfcc4f37d0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | N/A | N/A | N/A | N/A | N/A | N/A | XVL990311433 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1951-12-15 | N/A | N/A | N/A | N/A | false | STYLES | N/A | SUSAN | 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 | 5687 | N/A | 12835425 | 2222 | N/A | N/A | N/A | 10999467 | 2025-11-26 15:10:34.165893 | 2025-11-14 21:36:13.911423 |
| 2025-11-26 15:07:01.384704 | 2025-11-26 15:07:06.467544 | 15243251 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1993-03-10 | 2025-11-26 | F | PT | AE | 4197 | Campbell | R61671639 | Erin | https://storage.googleapis.com/normandy-eligibility-checks/2222/12768766/check_15243251_57dfa708-aabe-4b1e-9dd9-20bca30af6ef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12768766/check_15243251_f48b6e27-461e-49fe-a547-856a3f411268.json | N/A | N/A | N/A | N/A | N/A | R61671639 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1993-03-10 | N/A | 131 | N/A | PR | false | CAMPBELL | N/A | ERIN | N/A | 9999-12-31 | 2024-01-14 | FEP BLUE FOCUS | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9380776352 | 5687 | N/A | 12768766 | 2222 | N/A | 15487450 | N/A | 10924676 | 2025-11-26 15:07:06.467544 | 2025-11-13 18:50:04.008897 |
| 2025-11-26 15:01:09.765967 | 2025-11-26 15:01:11.668902 | 15243153 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-01 | 2025-11-05 | M | PT | AE | 4191 | MOYER | XAN913717930 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/12872970/check_15243153_95d646c0-1a2a-4cee-b396-0b41445ac4c0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12872970/check_15243153_576d7106-3871-4677-a332-03c2feb28c19.json | N/A | N/A | N/A | N/A | N/A | XAN913717930 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE CROSS ANTHEM | N/A | 1959-04-01 | 1477PPOX0002 | W0051411 | N/A | PR | false | MOYER | N/A | WANDA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9380724069 | 7694 | N/A | 12872970 | 2222 | N/A | 15487350 | N/A | 9581032 | 2025-11-26 15:01:11.668902 | 2025-10-21 22:24:54.464325 |
| 2025-11-26 13:27:06.245887 | 2025-11-26 13:27:09.103698 | 15242038 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-11-21 | 2025-11-26 | F | PT | N/A | 4184 | MARTINEZ | XDP851A67877 | LETICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/13122920/check_15242038_42e504a9-b2f8-47ba-8adb-a97f27be92fa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13122920/check_15242038_b491528d-90ab-41eb-a020-391c638e5049.json | N/A | N/A | N/A | N/A | N/A | XDP851A67877 | Preferred Provider Organization (PPO) | SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE CA/OOS | ANTHEM BLUE CROSS | N/A | 1971-11-21 | 040 | L00817M001 | N/A | PR | false | MARTINEZ | N/A | LETICIA | N/A | 9999-12-31 | 2023-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9379136302 | N/A | N/A | 13122920 | 2222 | N/A | 15486208 | N/A | 11273967 | 2025-11-26 13:27:09.103698 | 2025-12-31 00:35:32.240284 |
| 2025-11-26 09:03:01.754585 | 2025-11-26 09:03:03.700756 | 15241454 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241454_686d79b6-7ecb-4fc1-a9d1-614cfec42a7f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15241454_54ae29dc-2f3f-4efb-b582-816ccc562267.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 | 15484991 | N/A | 4215317 | 2025-11-26 09:03:03.700756 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:03:00.005711 | 2025-11-26 09:03:01.751535 | 15241451 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241451_50d9e639-bc40-40fb-89c8-2a8f5be8e705.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | 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 | 2025-11-26 09:03:01.751535 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:57.715111 | 2025-11-26 09:02:59.648198 | 15241447 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241447_25e94c4d-f400-4128-b16b-23943410c264.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15241447_4ae9f9b4-5e81-4483-ae08-e04a12ad7965.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 | 15484986 | N/A | 4215317 | 2025-11-26 09:02:59.648198 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:55.807084 | 2025-11-26 09:02:57.707178 | 15241444 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241444_4bc14949-ac23-4fed-9eaf-889371ac914f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | 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 | 2025-11-26 09:02:57.707178 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:53.456131 | 2025-11-26 09:02:55.353199 | 15241441 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241441_b4bf7ff0-8564-4bdc-af9d-1459d8a4e3f3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15241441_b5122177-9d34-4ef3-b4de-cf9f2bcbc489.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 | 15484980 | N/A | 4215317 | 2025-11-26 09:02:55.353199 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:51.592868 | 2025-11-26 09:02:53.452610 | 15241437 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241437_3258a46e-f78e-4143-b891-00b70f6cd3e0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | 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 | 2025-11-26 09:02:53.452610 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:49.249672 | 2025-11-26 09:02:51.139540 | 15241434 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_15241434_c1789de0-38e9-4afe-827f-ce3c44c636c4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9849187/check_15241434_6077024f-af42-4a65-aca4-3ade8dfe40dd.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 | 15484973 | N/A | 4215317 | 2025-11-26 09:02:51.139540 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:47.501974 | 2025-11-26 09:02:49.245881 | 15241431 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_15241431_902e9d2d-17fb-40bb-94a6-d43b23c0623b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | 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 | 2025-11-26 09:02:49.245881 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:45.095863 | 2025-11-26 09:02:47.011289 | 15241429 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241429_1167f458-9272-4d12-af87-63e24b218cc3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15241429_a71965e6-cb71-4104-ab7b-4204591b56a6.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 | 15484968 | N/A | 4215317 | 2025-11-26 09:02:47.011289 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:43.280348 | 2025-11-26 09:02:45.092245 | 15241426 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241426_a875a069-d6e7-4dc5-b509-aeefc892e536.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | 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 | 2025-11-26 09:02:45.092245 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:42.041582 | 2025-11-26 09:02:44.332504 | 15241423 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241423_728cf387-dab1-409c-8019-ba49f913fe7b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15241423_785be199-7ef9-4cd8-9998-9811dd2e3459.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 | 15484962 | N/A | 4215317 | 2025-11-26 09:02:44.332504 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:41.027903 | 2025-11-26 09:02:42.889808 | 15241422 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241422_d400ee6f-d49c-4fe3-8908-5b2162a98d77.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15241422_54019ed1-e9b8-415b-a773-c91414b90f4b.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 | 15484961 | N/A | 4215317 | 2025-11-26 09:02:42.889808 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:40.257314 | 2025-11-26 09:02:42.037139 | 15241420 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241420_0e1330d0-0690-4ae2-9965-d2637dd8926b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | 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 | 2025-11-26 09:02:42.037139 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:39.167144 | 2025-11-26 09:02:41.018910 | 15241418 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241418_68fdd369-2b8a-48ce-988f-88fbe78e2f1e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | 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 | 2025-11-26 09:02:41.018910 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:37.569753 | 2025-11-26 09:02:39.623771 | 15241416 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241416_80c0a877-7676-4f2d-9d95-ef9d81b1de96.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15241416_a0b77cb8-9e70-4bde-b14d-b45dff710911.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 | 15484955 | N/A | 4215317 | 2025-11-26 09:02:39.623771 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:36.359414 | 2025-11-26 09:02:38.379087 | 15241414 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241414_29e60083-52fa-43b9-9675-c8f51e23c8c3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15241414_d68a5485-b426-40ae-a76c-6640d475f19f.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 | 15484953 | N/A | 4215317 | 2025-11-26 09:02:38.379087 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:36.034809 | 2025-11-26 09:02:37.988259 | 15241413 | 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_15241413_534219b3-f6bf-4ee5-881e-f5b5adf6656e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15241413_d17f339a-e8d3-4a50-ab9d-66e48813bddb.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 | 15484952 | N/A | 4215317 | 2025-11-26 09:02:37.988259 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:35.677270 | 2025-11-26 09:02:37.559696 | 15241411 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241411_212b270a-ee63-4d79-a1c9-679e98a78ad2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | 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 | 2025-11-26 09:02:37.559696 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:34.299617 | 2025-11-26 09:02:36.031085 | 15241409 | 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_15241409_e16ec011-9de1-4be1-90a7-447118eef9a0.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 | 2025-11-26 09:02:36.031085 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:33.457987 | 2025-11-26 09:02:35.282668 | 15241407 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241407_e2bf0090-de4f-4397-8bf6-32a253c2541f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15241407_7fa51b6e-dc8b-4dbc-b699-ae33f21a71a8.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 | 15484945 | N/A | 4215317 | 2025-11-26 09:02:35.282668 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:33.256835 | 2025-11-26 09:02:36.354987 | 15241406 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241406_48302fa9-0c50-4db2-88a5-60aa6aeb31d9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | 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 | 2025-11-26 09:02:36.354987 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:32.103806 | 2025-11-26 09:02:33.909075 | 15241405 | 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_15241405_c0389d51-e1eb-475c-b678-77244122285f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15241405_96b004e8-a624-4694-90a2-bd1151153ace.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 | 15484944 | N/A | 4215317 | 2025-11-26 09:02:33.909075 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:31.683938 | 2025-11-26 09:02:33.452537 | 15241404 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241404_9ea77dfd-88b4-4c13-a453-ffa97c20d789.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | 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 | 2025-11-26 09:02:33.452537 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:30.197512 | 2025-11-26 09:02:32.099320 | 15241402 | 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_15241402_55a54331-e188-4013-bb08-7c56a203a1a3.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 | 2025-11-26 09:02:32.099320 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:29.348617 | 2025-11-26 09:02:31.216377 | 15241401 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_15241401_66a4d2d8-16e1-427d-a87a-f83f4a562e8d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9849187/check_15241401_b7f1c2c1-7dcd-4a3b-8ad6-ae619aa85c72.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 | 15484939 | N/A | 4215317 | 2025-11-26 09:02:31.216377 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:27.568695 | 2025-11-26 09:02:29.344494 | 15241399 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_15241399_28a495c2-ece6-404e-8304-49ef9492f5bb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | 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 | 2025-11-26 09:02:29.344494 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:26.893957 | 2025-11-26 09:02:29.804189 | 15241397 | 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_15241397_2e0350a8-12a8-4bed-94c3-79f1ff75c87e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15241397_69059a5d-efb7-481d-9142-04a685157e5d.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 | 15484938 | N/A | 4215317 | 2025-11-26 09:02:29.804189 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:25.145299 | 2025-11-26 09:02:26.889882 | 15241395 | 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_15241395_d626dd22-1095-49b2-ab72-4f8380872d75.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 | 2025-11-26 09:02:26.889882 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:22.504409 | 2025-11-26 09:02:24.554863 | 15241392 | 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/2222/9849187/check_15241392_7cfe174a-32e3-4b67-83cd-943b14f34079.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9849187/check_15241392_554bc0b5-bda5-4e27-aaac-49fb32dfc537.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 | 15484930 | N/A | 4215317 | 2025-11-26 09:02:24.554863 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:22.283435 | 2025-11-26 09:02:27.178809 | 15241390 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241390_2497a6cb-0562-4dd7-8e8d-d0553a9df046.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15241390_23a2204a-be3e-4b12-8a3c-fb010d36fb47.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 | 15484934 | N/A | 4215317 | 2025-11-26 09:02:27.178809 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:20.557876 | 2025-11-26 09:02:22.500614 | 15241389 | 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/2222/9849187/check_15241389_082547f6-8dfc-4356-8d6b-35617f9ffa17.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 | 9849187 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-26 09:02:22.500614 | 2025-06-24 21:13:18.739779 |
| 2025-11-26 09:02:20.078006 | 2025-11-26 09:02:22.277913 | 15241387 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15241387_4f711691-d86a-4827-8850-8c2f25b2cb99.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | 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 | 2025-11-26 09:02:22.277913 | 2025-06-24 21:13:18.739779 |