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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-25 09:39:32.168026 | 2025-11-25 09:39:33.954580 | 15213728 | 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_15213728_a43a1325-70ac-499f-99b8-b7a99752d408.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15213728_226cef4f-47ef-4b00-bdec-9fb3f7f442ae.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 | 15450721 | N/A | 4215317 | 2025-11-25 09:39:33.954580 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:39:31.525367 | 2025-11-25 09:39:33.498306 | 15213726 | 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_15213726_c9ad2eb0-fca8-4725-be6a-d6a41462fd61.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15213726_f064facb-12f9-4ba7-81e7-273722e37a41.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 | 15450719 | N/A | 4215317 | 2025-11-25 09:39:33.498306 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:39:30.266108 | 2025-11-25 09:39:32.164808 | 15213724 | 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_15213724_f6c86bb9-b694-4752-b9d8-4360bf8b84f4.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 | 2025-11-25 09:39:32.164808 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:39:28.761849 | 2025-11-25 09:39:31.521428 | 15213722 | 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_15213722_595ed000-fd37-4eb6-9b7a-85a1493cc7da.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 | 2025-11-25 09:39:31.521428 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:39:27.440990 | 2025-11-25 09:39:29.505669 | 15213720 | 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_15213720_0b33f7c4-2511-4e39-aa7b-692320326f75.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9849187/check_15213720_8e690d8c-3a06-4da5-bc4e-c553322af580.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 | 15450713 | N/A | 4215317 | 2025-11-25 09:39:29.505669 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:39:25.650748 | 2025-11-25 09:39:27.431779 | 15213716 | 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_15213716_da351c33-8cf1-4824-9ae7-56864ad612d6.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 | 2025-11-25 09:39:27.431779 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:39:23.369393 | 2025-11-25 09:39:25.222103 | 15213713 | 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_15213713_c8333a0c-0809-40a2-9caa-35e4f0d221ca.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15213713_7a3f78a4-2ab6-45e1-824b-00ee59f438ec.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 | 15450707 | N/A | 4215317 | 2025-11-25 09:39:25.222103 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:39:21.648031 | 2025-11-25 09:39:23.364930 | 15213710 | 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_15213710_de337f99-23d1-40e8-9b27-e175d0acd14f.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 | 2025-11-25 09:39:23.364930 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:39:19.315412 | 2025-11-25 09:39:21.230711 | 15213707 | 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_15213707_04c4c818-1f79-4965-ada2-f6e2148be7b1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15213707_67c44635-765d-4a25-a824-089503288261.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 | 15450701 | N/A | 4215317 | 2025-11-25 09:39:21.230711 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:39:17.579033 | 2025-11-25 09:39:19.311143 | 15213705 | 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_15213705_9c56e6a2-57ca-4b7b-9ae7-7a8334c037e5.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 | 2025-11-25 09:39:19.311143 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:39:15.291751 | 2025-11-25 09:39:17.228122 | 15213697 | 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_15213697_a04f3e5f-311c-4500-bb10-fe22796deb18.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15213697_5a3040da-4c70-4d24-8b1f-d58572cecce0.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 | 15450691 | N/A | 4215317 | 2025-11-25 09:39:17.228122 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:39:12.481339 | 2025-11-25 09:39:15.287623 | 15213690 | 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_15213690_66cb678a-d1b1-4521-a7b8-261327a605de.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 | 2025-11-25 09:39:15.287623 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:38:51.264068 | 2025-11-25 09:38:53.127753 | 15213675 | 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_15213675_8bc3b09a-b169-44ab-95ac-8d121292ec23.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15213675_24760cd6-7d68-48df-a87c-48aef2ebc45e.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 | 15450670 | N/A | 4215317 | 2025-11-25 09:38:53.127753 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:38:49.557064 | 2025-11-25 09:38:51.260653 | 15213674 | 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_15213674_7e0baaf5-a70b-4490-b6de-c6e8ebc27b02.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 | 2025-11-25 09:38:51.260653 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:38:47.175422 | 2025-11-25 09:38:49.061442 | 15213673 | 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_15213673_fa0935bc-6285-4ed1-95cb-8900b71ab494.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15213673_48b487de-47da-48dc-97ee-5738e8f02f9d.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 | 15450667 | N/A | 4215317 | 2025-11-25 09:38:49.061442 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:38:45.522645 | 2025-11-25 09:38:47.172521 | 15213672 | 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_15213672_327ab015-91c2-4830-ac0a-a30f0db15ff6.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 | 2025-11-25 09:38:47.172521 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:38:43.305126 | 2025-11-25 09:38:45.182711 | 15213670 | 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_15213670_a1b5af39-f704-46fb-85b2-68993b7bbab5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15213670_393fb86d-f0bf-419a-b27e-4e67420f5734.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 | 15450664 | N/A | 4215317 | 2025-11-25 09:38:45.182711 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:38:41.641804 | 2025-11-25 09:38:43.302266 | 15213668 | 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_15213668_5c4ed0da-6049-43b1-9087-f6a589737ae5.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 | 2025-11-25 09:38:43.302266 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:38:39.385831 | 2025-11-25 09:38:41.276937 | 15213666 | 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_15213666_a52d2e9c-15cc-441d-a7cd-0f1037815fe4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9849187/check_15213666_3445db58-df57-460e-91eb-d09feb83e9ac.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 | 15450660 | N/A | 4215317 | 2025-11-25 09:38:41.276937 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:38:37.622560 | 2025-11-25 09:38:39.383285 | 15213663 | 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_15213663_b5cfbd31-3dab-4002-b0a2-07f5f6fa07e5.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 | 2025-11-25 09:38:39.383285 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:38:35.381755 | 2025-11-25 09:38:37.282268 | 15213660 | 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/2222/6578550/check_15213660_bf1d7186-f8f7-4491-b660-87e5b9d24433.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6578550/check_15213660_3a9a9662-9fd1-4c14-9709-ad8a8e3b596a.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 | 6578550 | 2222 | N/A | 15450653 | N/A | 5198354 | 2025-11-25 09:38:37.282268 | 2025-06-24 21:09:14.654827 |
| 2025-11-25 09:38:33.711870 | 2025-11-25 09:38:35.377590 | 15213658 | 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_15213658_157226ab-f664-47fa-adb5-4a4f7e460059.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 | 2025-11-25 09:38:35.377590 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:38:31.485271 | 2025-11-25 09:38:33.351888 | 15213656 | 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_15213656_8907c3b7-c326-4276-852b-84ccf52e0dec.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15213656_079af110-1420-4699-991e-5db6ee8f11ea.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 | 15450649 | N/A | 4215317 | 2025-11-25 09:38:33.351888 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:38:29.732740 | 2025-11-25 09:38:31.481197 | 15213653 | 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_15213653_003cc462-8ad2-4c8f-8448-a605160a0dfc.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 | 2025-11-25 09:38:31.481197 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:38:27.398221 | 2025-11-25 09:38:29.302265 | 15213651 | 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_15213651_23279a14-2426-4d24-a64e-b615afff2c0a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15213651_4fd344b6-2727-4f29-bc5c-ec3b5c0b9996.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 | 15450643 | N/A | 4215317 | 2025-11-25 09:38:29.302265 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 09:38:24.563391 | 2025-11-25 09:38:27.395560 | 15213646 | 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_15213646_b7af801a-1aca-43f0-8cdc-4e02a795cf36.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 | 2025-11-25 09:38:27.395560 | 2025-06-24 21:13:18.739779 |
| 2025-11-25 08:16:48.956489 | 2025-11-26 01:45:23.728411 | 15207626 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15207626 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-11-26 | F | AE | PT | N/A | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.101050630.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_15207626_00dafa9a-0c0b-47b1-9e7b-2a15a66bc1cf.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9368742553 | N/A | N/A | 5542660 | 2222 | 4802 | 15472894 | 4625 | 4214542 | 2025-11-26 01:45:23.728411 | 2025-05-13 04:29:37.228868 |
| 2025-11-25 08:16:48.806075 | 2025-11-26 01:43:27.092532 | 15207624 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15207624 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-11-26 | F | AE | PT | N/A | HEYES | 95596436F | DARCIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.101050630.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_15207624_974986f5-ef1b-4739-ae9a-6309ec133e1e.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9368742552 | N/A | N/A | 5542233 | 2222 | 4793 | 15470636 | 4211 | 4214178 | 2025-11-26 01:43:27.092532 | 2025-05-13 04:29:37.228506 |
| 2025-11-25 08:16:48.671422 | 2025-11-26 01:45:44.397625 | 15207623 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15207623 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-11-26 | F | PT | N/A | N/A | KURTZ | XED906231353 | NINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.101050630.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541378/check_15207623_f30e6c51-675e-4986-9ce5-ef27a4fe024c.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9368742551 | N/A | N/A | 5541378 | 2222 | 4793 | 15473186 | N/A | 4213405 | 2025-11-26 01:45:44.397625 | 2025-05-13 04:29:37.227726 |
| 2025-11-25 08:16:48.522275 | 2025-11-26 01:43:36.875142 | 15207622 | N/A | N/A | 60054 | Aetna | 1114042165 | 15207622 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-11-26 | M | AE | PT | N/A | BOKHTIER | W275493875 | GOLAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.101050630.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_15207622_343abf63-8d14-4322-83b1-a0784346a13c.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9368742550 | N/A | N/A | 5540723 | 2222 | 4793 | 15470848 | N/A | 4212833 | 2025-11-26 01:43:36.875142 | 2025-05-28 20:46:35.079848 |
| 2025-11-25 08:16:48.333391 | 2025-11-26 01:45:35.088515 | 15207621 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15207621 | Athletic Physical Therapy Inc | 1952-09-29 | 2025-11-26 | F | PT | N/A | N/A | JOHNSON | JQS766M90611 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.101050630.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539188/check_15207621_cecc7e47-0f1e-4446-a304-9f8ed5e1939f.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9368742549 | N/A | N/A | 5539188 | 2222 | 4801 | 15473056 | 4185 | 4211521 | 2025-11-26 01:45:35.088515 | 2025-10-19 23:43:25.603984 |
| 2025-11-25 08:16:48.166489 | 2025-11-26 01:44:40.997215 | 15207620 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 15207620 | Athletic Physical Therapy Inc | 1960-01-04 | 2025-11-26 | M | AE | PT | N/A | CATLIN | U0538312401 | VINCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.101050630.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537309/check_15207620_ae54dc32-92ab-465b-940f-692b91270a49.json | N/A | N/A | N/A | N/A | N/A | U0538312401 | Health Maintenance Organization (HMO) | PANAVISION INTERNATIONAL, L.P. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1960-01-04 | N/A | 3345947 | N/A | HM | false | CATLIN | N/A | VINCE | N/A | N/A | N/A | HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9368742547 | N/A | N/A | 5537309 | 2222 | 4793 | 15472159 | N/A | 4209897 | 2025-11-26 01:44:40.997215 | 2025-11-25 00:42:44.777389 |
| 2025-11-25 08:12:39.485297 | 2025-11-26 01:40:01.736562 | 15206236 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15206236 | Athletic Physical Therapy Inc | 2003-05-02 | 2025-11-26 | M | PT | N/A | N/A | MUHAMMAD | XOF828514693 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.095944840.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8675672/check_15206236_5e46e857-a28d-49c0-a446-2b6097f2ab38.json | N/A | N/A | N/A | N/A | N/A | XOF828514693 | Preferred Provider Organization (PPO) | IBJI - BRADLEY ACTIVES | HUMANA | N/A | 2003-05-02 | N/A | PK4933 | N/A | PR | false | MUHAMMAD | N/A | KERMIT | N/A | 2026-01-01 | 2022-02-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9368723056 | N/A | N/A | 8675672 | 2222 | 4793 | 15467017 | N/A | 7310369 | 2025-11-26 01:40:01.736562 | 2026-02-03 01:46:10.334485 |
| 2025-11-25 08:11:36.035224 | 2025-11-25 08:11:38.964495 | 15205521 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-12 | 2025-11-25 | F | AE | PT | 4184 | JUVONEN | VUC230M87193 | JAANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/13358117/check_15205521_8ffd6842-e512-49c3-966e-6576264f1581.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13358117/check_15205521_bc7d2908-32b3-43d4-a375-eea6dd450996.json | N/A | N/A | N/A | N/A | N/A | U5X230M87193 | Indemnity | UNIVERSITY OF CALIFORNIA | MEDICARE D | N/A | 1959-08-12 | 040 | 280509C475 | N/A | IN | false | JUVONEN | N/A | JAANA | N/A | 9999-12-31 | 2025-08-01 | UC MEDICARE PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9368703839 | N/A | N/A | 13358117 | 2222 | N/A | 15444806 | N/A | 11503717 | 2025-11-25 08:11:38.964495 | 2026-03-30 23:12:27.831360 |
| 2025-11-25 08:10:45.169580 | 2025-11-26 01:40:23.600532 | 15204370 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15204370 | Athletic Physical Therapy Inc | 1956-10-11 | 2025-11-26 | M | PT | N/A | N/A | Bou Chacra | XED912823926 | Akram | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.100527176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11201492/check_15204370_53f47c33-1cd9-4c6f-89c7-734df2f54498.json | N/A | N/A | N/A | N/A | N/A | XED912823926 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1956-10-11 | 2001ZK002185 | X0001004 | N/A | PR | false | BOU CHACRA | N/A | AKRAM | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9368704268 | N/A | N/A | 11201492 | 2222 | 4793 | 15467366 | N/A | 9540458 | 2025-11-26 01:40:23.600532 | 2025-10-26 04:16:16.050614 |
| 2025-11-25 08:10:04.520708 | 2025-11-26 01:40:43.468247 | 15203317 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15203317 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-11-26 | F | PT | N/A | N/A | GIANNE | XED910762094 | NATALIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.095944840.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_15203317_280325a0-7b52-40ee-8a63-258fb78baa7d.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9368720941 | N/A | N/A | 7994545 | 2222 | 4802 | 15467679 | N/A | 6802250 | 2025-11-26 01:40:43.468247 | 2025-08-11 23:58:28.358402 |
| 2025-11-25 08:07:35.842709 | 2025-11-26 01:41:27.273831 | 15197960 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15197960 | Athletic Physical Therapy Inc | 1963-07-12 | 2025-11-26 | F | PT | N/A | N/A | MITCHELL | NCF844W18513 | HOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.121025158.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12989755/check_15197960_61292ecc-d359-489d-82b5-f559152fe139.json | N/A | N/A | N/A | N/A | N/A | NCF844W18513 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1963-07-12 | 040 | 57AJCA | N/A | HM | false | MITCHELL | N/A | HOLLY | N/A | 9999-12-31 | 2024-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9368695373 | N/A | N/A | 12989755 | 2222 | 4801 | 15468367 | N/A | 11147858 | 2025-11-26 01:41:27.273831 | 2025-11-24 17:02:55.426297 |
| 2025-11-25 08:07:35.213167 | 2025-11-26 01:41:38.213443 | 15197917 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15197917 | Athletic Physical Therapy Inc | 2009-10-25 | 2025-11-26 | F | PT | N/A | N/A | TAITE | JQU200A62919 | SERAPHINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.095859187.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9610001/check_15197917_db50584d-d785-480d-8715-77129bb3b94d.json | N/A | N/A | N/A | N/A | N/A | JQU200A62919 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-10-25 | 040 | U26732 | N/A | PR | false | TAITE | N/A | RICHARD | N/A | 2026-01-01 | 2025-05-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9368701756 | N/A | N/A | 9610001 | 2222 | 4802 | 15468552 | N/A | 8040917 | 2025-11-26 01:41:38.213443 | 2025-09-22 14:19:04.386066 |
| 2025-11-25 08:07:16.138441 | 2025-11-26 03:39:27.167570 | 15196803 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15196803 | Athletic Physical Therapy Inc | 1956-07-15 | 2025-11-26 | M | AE | PT | N/A | Raudonis | 4QT6EC7VG78 | Mark | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.100043809.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12493577/check_15196803_9e344417-b605-47c0-b5fd-fb3be27a57e5.json | N/A | N/A | N/A | N/A | N/A | 4QT6EC7VG78 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-07-15 | S4802 | N/A | N/A | MB | false | RAUDONIS | N/A | MARK | N/A | N/A | N/A | N/A | N/A | 25425 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9368686020 | N/A | N/A | 12493577 | 2222 | 4793 | 15477002 | N/A | 10670073 | 2025-11-26 03:39:27.167570 | 2025-11-10 18:20:04.243140 |
| 2025-11-25 08:07:03.391607 | 2025-11-26 01:33:48.015943 | 15196166 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15196166 | Athletic Physical Therapy Inc | 1976-02-07 | 2025-11-26 | F | AE | PT | N/A | MALTSEVA | 94237973H65017 | YEVHENIIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.095944840.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7253095/check_15196166_8e848454-c5da-4296-9158-67bce3b9ed25.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9368721578 | N/A | N/A | 7253095 | 2222 | 4802 | 15462556 | 4211 | 6219145 | 2025-11-26 01:33:48.015943 | 2025-07-21 16:40:35.276086 |
| 2025-11-25 08:06:49.149338 | 2025-11-26 01:33:27.521347 | 15195417 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15195417 | Athletic Physical Therapy Inc | 1956-07-15 | 2025-11-26 | M | AE | PT | N/A | Raudonis | 34838892911 | Mark | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.095931207.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12493578/check_15195417_70899927-b703-405e-977c-0c0f58b14f4d.json | N/A | N/A | N/A | N/A | N/A | 34838892911 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1956-07-15 | N/A | N/A | N/A | SP | false | RAUDONIS | N/A | MARK | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9368690024 | N/A | N/A | 12493578 | 2222 | 4793 | 15462334 | N/A | 10670073 | 2025-11-26 01:33:27.521347 | 2025-11-10 18:20:04.243140 |
| 2025-11-25 08:06:40.241864 | 2025-11-26 03:33:46.753615 | 15194962 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 15194962 | Athletic Physical Therapy Inc | 1997-12-08 | 2025-11-26 | M | AE | PT | N/A | Bhatia | R14184408MM1 | Neil | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.100043809.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12295640/check_15194962_c27df7df-88d9-4f0c-a4d1-3a6e7a0c8a3a.json | N/A | N/A | N/A | N/A | N/A | R14184408MM100 | N/A | N/A | HEALTH NET OF CALIFORNIA, INC. | PATIENT HAS ACTIVE COVERAGE BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1997-12-08 | N/A | N/A | N/A | N/A | false | BHATIA | N/A | NEIL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9368684259 | N/A | N/A | 12295640 | 2222 | 4802 | 15475915 | N/A | 10481513 | 2025-11-26 03:33:46.753615 | 2025-11-05 21:13:54.008259 |
| 2025-11-25 08:06:39.476083 | 2025-11-25 08:06:41.611759 | 15194929 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-02-07 | 2025-11-25 | F | AE | PT | 4211 | MALTSEVA | 94237973H65017 | YEVHENIIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7253095/check_15194929_fec33418-ced9-43d8-a3c7-95ec9c7ebf7e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7253095/check_15194929_7c166892-d78f-427b-973c-cb75967eb2e0.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | 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 | 7253095 | 2222 | N/A | 15441868 | N/A | 6219145 | 2025-11-25 08:06:41.611759 | 2025-07-21 16:40:35.276086 |
| 2025-11-25 08:06:35.249039 | 2025-11-25 08:06:39.462976 | 15194747 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-02-07 | 2025-11-25 | F | AE | PT | 4211 | MALTSEVA | 94237973H65017 | YEVHENIIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7253095/check_15194747_496d9db4-5c89-4310-bc8f-dfe235cd4fb7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-25 | N/A | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | 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 | 7253095 | 2222 | N/A | N/A | N/A | 6219145 | 2025-11-25 08:06:39.462976 | 2025-07-21 16:40:35.276086 |
| 2025-11-25 08:06:27.285810 | 2025-11-25 08:06:29.689660 | 15194358 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-09-20 | 2025-11-25 | M | PT | N/A | 4191 | Bolton | XEK910377236 | Stephen | https://storage.googleapis.com/normandy-eligibility-checks/2222/6814151/check_15194358_93733cd8-5984-4f87-b2c4-456e0bfefeb8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_15194358_a68270c8-6eb8-441d-8f9b-81d89c10647d.json | N/A | N/A | N/A | N/A | N/A | XEK910377236 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOLTON | N/A | STEPHEN | N/A | 9999-12-31 | 2021-02-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9368676512 | N/A | N/A | 6814151 | 2222 | N/A | 15441775 | N/A | 5856522 | 2025-11-25 08:06:29.689660 | 2025-07-10 02:16:48.328344 |
| 2025-11-25 08:05:50.510515 | 2025-11-25 08:05:55.671397 | 15192773 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2015-03-25 | 2025-11-25 | M | AE | PT | 3937 | MOLAVI | W290733985 | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542759/check_15192773_d0f6eb88-bef8-47a8-a760-85332855518a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542759/check_15192773_ca739303-dc16-40cd-a65b-f23643502ca0.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9368674460 | N/A | N/A | 5542759 | 2222 | N/A | 15441582 | N/A | 4214620 | 2025-11-25 08:05:55.671397 | 2025-08-05 22:41:29.756445 |
| 2025-11-25 08:05:20.880574 | 2025-11-26 01:40:42.713688 | 15191709 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15191709 | Athletic Physical Therapy Inc | 1976-09-20 | 2025-11-26 | M | PT | N/A | N/A | Bolton | XEK910377236 | Stephen | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.095944840.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_15191709_dae5eef2-6cd2-487f-beb4-48dac975bcbc.json | N/A | N/A | N/A | N/A | N/A | XEK910377236 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOLTON | N/A | STEPHEN | N/A | 9999-12-31 | 2021-02-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9368722903 | N/A | N/A | 6814151 | 2222 | 4793 | 15467671 | N/A | 5856522 | 2025-11-26 01:40:42.713688 | 2025-07-10 02:16:48.328344 |
| 2025-11-25 08:05:19.569149 | 2025-11-26 01:41:34.414315 | 15191672 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 15191672 | Athletic Physical Therapy Inc | 1943-02-06 | 2025-11-26 | F | AE | PT | N/A | TIPPITT | 99943464H65253 | SHIRLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.095931207.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11372620/check_15191672_0b6f51c4-891f-4ccc-ac67-4dd2217fe366.json | N/A | N/A | N/A | N/A | N/A | 99943464H65253 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1943-02-06 | N/A | N/A | N/A | N/A | false | TIPPITT | N/A | SHIRLEY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9368691095 | N/A | N/A | 11372620 | 2222 | 4793 | 15468494 | N/A | 8574477 | 2025-11-26 01:41:34.414315 | 2025-10-22 02:47:47.756973 |
| 2025-11-25 08:03:48.245606 | 2025-11-26 03:35:07.212311 | 15188348 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15188348 | Athletic Physical Therapy Inc | 1957-11-01 | 2025-11-26 | F | PT | N/A | N/A | Hennes | JEXNP2009208 | Valerie | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251125.100043809.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11463855/check_15188348_8e23c26e-1fc0-42f0-8c5e-aa0a46b8a0b9.json | N/A | N/A | N/A | N/A | N/A | JEXNP2009208 | Exclusive Provider Organization | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-11-01 | 040 | 276727M003 | N/A | EP | false | HENNES | N/A | VALERIE | N/A | 9999-12-31 | 2021-09-01 | USC EPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9368684667 | N/A | N/A | 11463855 | 2222 | 4801 | 15476183 | N/A | 9713608 | 2025-11-26 03:35:07.212311 | 2025-11-13 07:29:15.484206 |
| 2025-11-25 05:50:04.909307 | 2025-11-25 05:50:17.274902 | 15187557 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-01-11 | 2025-11-25 | F | AE | PT | 4497 | STROM | 1NH2KJ7FT00 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538182/check_15187557_cbeadb06-fbf2-4d15-86f4-254abca10dbd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538182/check_15187557_ab370d90-2ffc-4d3b-8fab-30a6e7a1efd1.json | N/A | N/A | N/A | N/A | N/A | 1NH2KJ7FT00 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-01-11 | S5921 | N/A | N/A | MA | false | STROM | N/A | YOLANDA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9368230103 | N/A | N/A | 5538182 | 2222 | N/A | 15440768 | N/A | 4210637 | 2025-11-25 05:50:17.274902 | 2025-05-13 04:29:37.225051 |