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 05:49:56.484616 | 2025-11-25 05:49:58.369394 | 15187556 | 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_15187556_eaad182c-9d65-4bf6-bb81-97b7d984b354.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538182/check_15187556_2ec31fa0-4c5d-4806-9113-ed45fe8b1083.json | N/A | N/A | N/A | N/A | N/A | 1NH2KJ7FT00 | Medicare Part B | 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 | MB | 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 | 9368229407 | N/A | N/A | 5538182 | 2222 | N/A | 15440767 | N/A | 4210637 | 2025-11-25 05:49:58.369394 | 2025-05-13 04:29:37.225051 |
| 2025-11-25 02:18:15.975630 | 2025-11-25 02:18:17.958657 | 15186030 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-19 | 2025-12-03 | F | AE | PT | 4497 | LIEBELT | 5CX2R09EP18 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/2222/13140473/check_15186030_b5eefd9b-d857-42a1-9d6c-a152f4f8aaad.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13140473/check_15186030_7a6c5d2d-f43a-489b-92da-d815c089b5ee.json | N/A | N/A | N/A | N/A | N/A | 5CX2R09EP18 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-19 | S4802 | N/A | N/A | MB | false | LIEBELT | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9367530674 | N/A | N/A | 13140473 | 2222 | N/A | 15435266 | N/A | 11291133 | 2025-11-25 02:18:17.958657 | 2025-11-25 01:31:31.833218 |
| 2025-11-25 01:40:52.103437 | 2025-11-25 01:40:54.036653 | 15185950 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-19 | 2025-12-03 | F | AE | PT | 4497 | LIEBELT | 5CX2R09EP18 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/2222/13140473/check_15185950_f7d58833-bf94-461e-80e6-73970423c4b5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13140473/check_15185950_1986faa4-0afb-4f7a-914c-8ef60dad9df0.json | N/A | N/A | N/A | N/A | N/A | 5CX2R09EP18 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-19 | S4802 | N/A | N/A | MA | false | LIEBELT | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9367402899 | N/A | N/A | 13140473 | 2222 | N/A | 15428731 | N/A | 11291133 | 2025-11-25 01:40:54.036653 | 2025-11-25 01:31:31.833218 |
| 2025-11-25 01:40:28.114388 | 2025-11-25 01:40:30.154846 | 15185947 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-19 | 2025-12-03 | F | AE | PT | 4497 | LIEBELT | 5CX2R09EP18 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/2222/13140473/check_15185947_dcca4a4a-58da-45b3-b28a-a348f01e54dd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13140473/check_15185947_bc8716b2-59aa-4bf8-b5d4-84c7075cced0.json | N/A | N/A | N/A | N/A | N/A | 5CX2R09EP18 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-19 | S4802 | N/A | N/A | MA | false | LIEBELT | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9367400405 | N/A | N/A | 13140473 | 2222 | N/A | 15428363 | N/A | 11291133 | 2025-11-25 01:40:30.154846 | 2025-11-25 01:31:31.833218 |
| 2025-11-25 00:58:06.019648 | 2025-11-25 00:58:08.225856 | 15185774 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-14 | 2025-11-26 | F | AE | PT | 4497 | COHENZADEH | 1YM2D25GY27 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541059/check_15185774_d1cc7fd8-16e0-47cc-975f-1b936a8c0a6d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15185774_7822ab5d-ea92-4edf-a797-7518f1b42146.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9367115058 | N/A | N/A | 5541059 | 2222 | N/A | 15420663 | N/A | 4213119 | 2025-11-25 00:58:08.225856 | 2025-11-20 01:13:31.057962 |
| 2025-11-25 00:13:31.700189 | 2025-11-25 00:13:34.539251 | 15185598 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-06-09 | 2025-11-25 | M | PT | N/A | 4184 | Gray | SMD481A55215 | Gary | https://storage.googleapis.com/normandy-eligibility-checks/2222/12962206/check_15185598_3e71b97f-599a-42c2-81ab-3fe6a80e0812.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12962206/check_15185598_0ba3b701-399c-42f2-bf92-194a050776f8.json | N/A | N/A | N/A | N/A | N/A | SMD481A55215 | Preferred Provider Organization (PPO) | SMITHS GROUP SERVICES CORPORATION | ANTHEM BLUE CROSS | N/A | 2008-06-09 | 130 | 213010P15K | N/A | PR | false | MAHONEY | N/A | KIM | N/A | 9999-12-31 | 2019-08-01 | BLUE ACCESS PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9366976384 | N/A | N/A | 12962206 | 2222 | N/A | 15420494 | N/A | 11120601 | 2025-11-25 00:13:34.539251 | 2026-01-06 17:31:01.989894 |
| 2025-11-25 00:06:44.875919 | 2025-11-25 00:06:46.805423 | 15185391 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-09-14 | 2025-11-25 | M | AE | PT | 4497 | COHENZADEH | 7UJ5QD2DD88 | DAVOOD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540904/check_15185391_010b7f47-a42a-474e-8f9a-f2461a8efeb1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540904/check_15185391_c75cd43f-458e-4acb-baf6-2d04b75fa915.json | N/A | N/A | N/A | N/A | N/A | 7UJ5QD2DD88 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-09-14 | S4802 | N/A | N/A | MB | false | COHENZADEH | N/A | DAVOOD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9366872595 | N/A | N/A | 5540904 | 2222 | N/A | 15420287 | N/A | 4212983 | 2025-11-25 00:06:46.805423 | 2025-11-19 21:27:11.455704 |
| 2025-11-24 23:49:38.264583 | 2025-11-24 23:49:40.051523 | 15185203 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-11 | 2025-12-01 | F | AE | PT | 5504 | Shanti | 0014025277 | Senna | https://storage.googleapis.com/normandy-eligibility-checks/2222/13000772/check_15185203_74d49bb4-c159-4d96-b11a-7f2d1e1299d5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13000772/check_15185203_46ed40a7-808f-45da-b174-54c0b45ce41b.json | N/A | N/A | N/A | N/A | N/A | 0014025277 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1966-12-11 | N/A | N/A | N/A | N/A | false | SHANTI | N/A | SENNA | 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 | 13000772 | 2222 | N/A | 15420075 | N/A | 11158952 | 2025-11-24 23:49:40.051523 | 2025-11-24 23:21:16.746095 |
| 2025-11-24 23:49:35.979414 | 2025-11-24 23:49:38.260942 | 15185202 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-11 | 2025-12-01 | F | AE | PT | 5504 | Shanti | 0014025277 | Senna | https://storage.googleapis.com/normandy-eligibility-checks/2222/13000772/check_15185202_1b645d57-a461-49a7-9038-ce1c753aebca.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-01 | N/A | N/A | N/A | N/A | N/A | N/A | 0014025277 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1966-12-11 | N/A | N/A | N/A | N/A | false | SHANTI | N/A | SENNA | 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 | 13000772 | 2222 | N/A | N/A | N/A | 11158952 | 2025-11-24 23:49:38.260942 | 2025-11-24 23:21:16.746095 |
| 2025-11-24 19:25:25.515431 | 2025-11-24 19:25:27.315289 | 15181841 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-06-15 | 2025-11-24 | M | AE | PT | 6411 | AZAR | 991549217 | NICOLAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/13039449/check_15181841_d6b579e9-750d-472c-88e6-55ca9b30a1fd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13039449/check_15181841_b0717576-ea22-44b3-b060-2e16ce80280e.json | N/A | N/A | N/A | N/A | N/A | 991549217 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1996-06-15 | N/A | N/A | N/A | N/A | false | AZAR | N/A | NICOLAS | 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 | 13039449 | 2222 | N/A | 15416156 | N/A | 11196474 | 2025-11-24 19:25:27.315289 | 2025-11-24 19:19:06.250915 |
| 2025-11-24 19:25:21.410230 | 2025-11-24 19:25:25.511516 | 15181840 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-06-15 | 2025-11-24 | M | AE | PT | 6411 | AZAR | 991549217 | NICOLAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/13039449/check_15181840_cb0f965f-8e8a-48aa-85ed-5c2e635df646.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-24 | N/A | N/A | N/A | N/A | N/A | N/A | 991549217 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1996-06-15 | N/A | N/A | N/A | N/A | false | AZAR | N/A | NICOLAS | 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 | 13039449 | 2222 | N/A | N/A | N/A | 11196474 | 2025-11-24 19:25:25.511516 | 2025-11-24 19:19:06.250915 |
| 2025-11-24 19:25:19.264388 | 2025-11-24 19:25:19.727864 | 15181839 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-06-15 | 2025-11-24 | M | AE | PT | N/A | AZAR | 991549217 | NICOLAS | N/A | UHC | N/A | INSIGHTS | 2025-11-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 13039449 | 2222 | N/A | N/A | N/A | 11196474 | 2025-11-24 19:25:19.727864 | 2025-11-24 19:19:06.250915 |
| 2025-11-24 19:00:41.189423 | 2025-11-24 19:00:43.428719 | 15181554 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-12-29 | 2025-11-25 | F | AE | PT | 4497 | LYGA | 3W97CK7AN48 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/11604276/check_15181554_2c121775-446a-447a-af72-d78f6dc273c6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11604276/check_15181554_141bdef2-1e21-480e-b8d5-5ce3582a310f.json | N/A | N/A | N/A | N/A | N/A | 3W97CK7AN48 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-29 | S5596 | N/A | N/A | MA | false | LYGA | N/A | LISA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9364843543 | N/A | N/A | 11604276 | 2222 | N/A | 15415800 | N/A | 4218962 | 2025-11-24 19:00:43.428719 | 2025-05-13 04:29:37.229978 |
| 2025-11-24 19:00:13.858314 | 2025-11-24 19:00:15.824614 | 15181547 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-12-29 | 2025-11-25 | F | AE | PT | 4497 | LYGA | 3W97CK7AN48 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/11604276/check_15181547_1f6833b5-b092-4381-9228-bb4452a50d73.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11604276/check_15181547_d17cbf89-a185-4a4d-8276-3912a875e30c.json | N/A | N/A | N/A | N/A | N/A | 3W97CK7AN48 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-29 | S5596 | N/A | N/A | MB | false | LYGA | N/A | LISA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9364840017 | N/A | N/A | 11604276 | 2222 | N/A | 15415793 | N/A | 4218962 | 2025-11-24 19:00:15.824614 | 2025-05-13 04:29:37.229978 |
| 2025-11-24 18:59:40.640596 | 2025-11-24 18:59:42.444217 | 15181544 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-12-29 | 2025-11-25 | F | AE | PT | 4497 | LYGA | 3W97CK7AN48 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/11604276/check_15181544_0f920f8f-3015-494b-b173-2ba66367d3b3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11604276/check_15181544_3e8c9ce8-cb2c-4c62-9fed-ab6d9212e510.json | N/A | N/A | N/A | N/A | N/A | 3W97CK7AN48 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-29 | S5596 | N/A | N/A | MB | false | LYGA | N/A | LISA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9364835835 | N/A | N/A | 11604276 | 2222 | N/A | 15415789 | N/A | 4218962 | 2025-11-24 18:59:42.444217 | 2025-05-13 04:29:37.229978 |
| 2025-11-24 18:56:01.870598 | 2025-11-24 18:56:03.702315 | 15181523 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-12-29 | 2025-11-25 | F | AE | PT | 4497 | LYGA | 3W97CK7AN48 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/11604276/check_15181523_e000dd0c-f1b0-46aa-ae1d-c24d3f3efe13.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11604276/check_15181523_56a03509-566e-4843-8c32-9899d0d76896.json | N/A | N/A | N/A | N/A | N/A | 3W97CK7AN48 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-29 | S5596 | N/A | N/A | MA | false | LYGA | N/A | LISA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9364811170 | N/A | N/A | 11604276 | 2222 | N/A | 15415760 | N/A | 4218962 | 2025-11-24 18:56:03.702315 | 2025-05-13 04:29:37.229978 |
| 2025-11-24 18:55:34.102141 | 2025-11-24 18:55:36.019006 | 15181519 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-12-29 | 2025-11-25 | F | AE | PT | 4497 | LYGA | 3W97CK7AN48 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/11604276/check_15181519_6743935d-43d0-4d47-b310-c63f70ac4340.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11604276/check_15181519_55ea9ff6-76bd-4d58-8c59-42f40a1854d4.json | N/A | N/A | N/A | N/A | N/A | 3W97CK7AN48 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-29 | S5596 | N/A | N/A | MB | false | LYGA | N/A | LISA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9364808226 | N/A | N/A | 11604276 | 2222 | N/A | 15415756 | N/A | 4218962 | 2025-11-24 18:55:36.019006 | 2025-05-13 04:29:37.229978 |
| 2025-11-24 18:41:14.857203 | 2025-11-24 18:41:17.108717 | 15181269 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-06-22 | 2025-11-25 | M | PT | N/A | 4191 | MOSS | XA910317218 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/13047676/check_15181269_9ef8f03e-545e-46af-8cfa-81dc2c65f54e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13047676/check_15181269_e5222246-b856-4324-9054-dc17f284392e.json | N/A | N/A | N/A | N/A | N/A | XA910317218 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1963-06-22 | N/A | N/A | N/A | N/A | false | MOSS | N/A | KENNETH | 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 | 13047676 | 2222 | N/A | 15415474 | N/A | 11205149 | 2025-11-24 18:41:17.108717 | 2025-11-24 18:32:22.314223 |
| 2025-11-24 18:41:13.166088 | 2025-11-24 18:41:14.842836 | 15181268 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-06-22 | 2025-11-25 | M | PT | N/A | 4191 | MOSS | XA910317218 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/13047676/check_15181268_5af46dc7-74f6-44dc-967c-df1c41df98c6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | N/A | N/A | N/A | N/A | N/A | N/A | XA910317218 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1963-06-22 | N/A | N/A | N/A | N/A | false | MOSS | N/A | KENNETH | 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 | 13047676 | 2222 | N/A | N/A | N/A | 11205149 | 2025-11-24 18:41:14.842836 | 2025-11-24 18:32:22.314223 |
| 2025-11-24 17:14:55.981144 | 2025-11-24 17:14:58.849489 | 15179321 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-07-12 | 2025-11-24 | F | PT | N/A | 4185 | MITCHELL | NCF844W18513 | HOLLY | https://storage.googleapis.com/normandy-eligibility-checks/2222/12989755/check_15179321_3dbc1dd3-45fe-409b-87eb-5d324e8d19b2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12989755/check_15179321_f9442a80-9767-476f-a9d2-7bf8c6d6e557.json | N/A | N/A | N/A | N/A | N/A | NCF844W18513 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | 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 | 9364064019 | N/A | N/A | 12989755 | 2222 | N/A | 15413492 | N/A | 11147858 | 2025-11-24 17:14:58.849489 | 2025-11-24 17:02:55.426297 |
| 2025-11-24 17:06:57.976878 | 2025-11-24 17:06:59.737140 | 15179235 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-03-01 | 2025-11-24 | M | AE | PT | 4191 | KLINGE | XEM912398996 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539487/check_15179235_2b7e810b-fb04-4f91-b715-a65d2c12f1c7.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539487/check_15179235_2c898ba7-f0b7-4fe6-91bb-5c90f3efc266.json | N/A | N/A | N/A | N/A | N/A | XEM912398996 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1956-03-01 | 2004SE000030 | X0001002 | N/A | OT | false | KLINGE | N/A | JOHN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9363905315 | N/A | N/A | 5539487 | 2222 | N/A | 15413400 | N/A | 4211780 | 2025-11-24 17:06:59.737140 | 2025-10-27 16:53:51.769426 |
| 2025-11-24 17:06:57.052265 | 2025-11-24 17:06:59.886073 | 15179234 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-03-01 | 2025-11-24 | M | AE | PT | 4497 | KLINGE | 9JP2FT7FX98 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539484/check_15179234_3d6e9ab5-27c3-43c3-ae3d-1e75391ef5c0.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539484/check_15179234_80655e86-542a-410d-9905-aed18f1f5ad8.json | N/A | N/A | N/A | N/A | N/A | 9JP2FT7FX98 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-03-01 | S4802 | N/A | N/A | MA | false | KLINGE | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | 50277 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9363905046 | N/A | N/A | 5539484 | 2222 | N/A | 15413401 | N/A | 4211780 | 2025-11-24 17:06:59.886073 | 2025-10-27 16:53:51.769426 |
| 2025-11-24 17:01:35.914645 | 2025-11-24 17:01:40.005886 | 15179138 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-06-21 | 2025-10-29 | M | AE | PT | 4211 | RAFIEI | 92836714F | SAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173002/check_15179138_fc8226a8-7a6a-4daf-aeb0-ebca59607383.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_15179138_6eab8984-cc42-4f67-9834-3c0da202ac6b.json | N/A | N/A | N/A | N/A | N/A | 92836714F | 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) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9363779847 | 162908 | N/A | 8173002 | 2222 | N/A | 15413296 | N/A | 6939518 | 2025-11-24 17:01:40.005886 | 2025-08-18 21:40:08.349494 |
| 2025-11-24 16:41:18.798447 | 2025-11-24 16:41:20.680704 | 15178967 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-04-15 | 2025-11-24 | F | AE | PT | 4709 | MCCRAY | C40035244-01 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583817/check_15178967_d053f45d-2ee6-4754-97b2-8c43b62beed7.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583817/check_15178967_ab5f7722-18eb-4767-a99d-7c3e80c678a7.json | N/A | N/A | N/A | N/A | N/A | C40035244-01 | N/A | N/A | CENTENE CORPORATION | N/A | 1936-04-15 | N/A | N/A | N/A | N/A | false | MCCRAY | N/A | ELIZABETH | 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 | 6583817 | 2222 | N/A | 15413101 | N/A | 5202575 | 2025-11-24 16:41:20.680704 | 2025-09-17 19:56:42.576499 |
| 2025-11-24 16:41:16.141205 | 2025-11-24 16:41:18.794321 | 15178966 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-04-15 | 2025-11-24 | F | AE | PT | 4709 | MCCRAY | C40035244-01 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583817/check_15178966_6ee7a25a-3180-44e6-ac66-e6d4219a9c55.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-24 | N/A | N/A | N/A | N/A | N/A | N/A | C40035244-01 | N/A | N/A | CENTENE CORPORATION | N/A | 1936-04-15 | N/A | N/A | N/A | N/A | false | MCCRAY | N/A | ELIZABETH | 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 | 6583817 | 2222 | N/A | N/A | N/A | 5202575 | 2025-11-24 16:41:18.794321 | 2025-09-17 19:56:42.576499 |
| 2025-11-24 16:27:41.528842 | 2025-11-24 16:27:43.289331 | 15178805 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-04-26 | 2025-11-24 | F | AE | PT | 5504 | Plunkett | 00 0023691204 | Sharon | https://storage.googleapis.com/normandy-eligibility-checks/2222/12897768/check_15178805_d0f3abe1-78c9-478e-b548-916060096f17.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12897768/check_15178805_e342daf7-a961-4d40-9d9d-32788f6182e1.json | N/A | N/A | N/A | N/A | N/A | 00 0023691204 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1973-04-26 | N/A | N/A | N/A | N/A | false | PLUNKETT | N/A | SHARON | 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 | 12897768 | 2222 | N/A | 15412917 | N/A | 11060552 | 2025-11-24 16:27:43.289331 | 2025-11-17 17:43:31.971001 |
| 2025-11-24 16:27:39.781210 | 2025-11-24 16:27:41.523754 | 15178804 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-04-26 | 2025-11-24 | F | AE | PT | 5504 | Plunkett | 00 0023691204 | Sharon | https://storage.googleapis.com/normandy-eligibility-checks/2222/12897768/check_15178804_eca5b512-921a-48d7-af07-8442eaad177b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-24 | N/A | N/A | N/A | N/A | N/A | N/A | 00 0023691204 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1973-04-26 | N/A | N/A | N/A | N/A | false | PLUNKETT | N/A | SHARON | 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 | 12897768 | 2222 | N/A | N/A | N/A | 11060552 | 2025-11-24 16:27:41.523754 | 2025-11-17 17:43:31.971001 |
| 2025-11-24 09:33:10.536417 | 2025-11-24 09:33:12.363051 | 15174573 | 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_15174573_39fd567f-5bf2-49a7-b36f-d520e8e1e793.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15174573_a6ba2f8c-2c02-4181-8b29-07440a8ab931.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 | 15408068 | N/A | 4215317 | 2025-11-24 09:33:12.363051 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:33:08.560647 | 2025-11-24 09:33:10.530893 | 15174570 | 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/2222/6578550/check_15174570_898837fd-8d23-4ae3-8804-864a6b4c2166.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 | 6578550 | 2222 | N/A | N/A | N/A | 5198354 | 2025-11-24 09:33:10.530893 | 2025-06-24 21:09:14.654827 |
| 2025-11-24 09:33:06.359748 | 2025-11-24 09:33:08.168272 | 15174567 | 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_15174567_7993f860-916b-4f19-bf6c-67d7d16d2395.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15174567_1d77acc7-6fe2-4cdb-805a-feb4c8ebfc96.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 | 15408062 | N/A | 4215317 | 2025-11-24 09:33:08.168272 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:33:04.624978 | 2025-11-24 09:33:06.356191 | 15174564 | 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_15174564_75cfa645-ef5a-4293-ac29-9d8bd25eae32.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 | 2025-11-24 09:33:06.356191 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:33:02.470264 | 2025-11-24 09:33:04.244893 | 15174563 | 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_15174563_8a30100b-c445-4070-82f2-9c404518fcc4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15174563_cedec6c4-1d81-497f-b3aa-be1f473f0804.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 | 15408058 | N/A | 4215317 | 2025-11-24 09:33:04.244893 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:33:00.826362 | 2025-11-24 09:33:02.466999 | 15174561 | 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_15174561_0c806947-1d16-444c-b3d9-3978f7dd0d13.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 | 2025-11-24 09:33:02.466999 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:32:58.693711 | 2025-11-24 09:33:00.459159 | 15174558 | 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_15174558_2db86f3f-55e3-4600-9da3-30fe598d6c14.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9849187/check_15174558_f65c744a-dbee-4068-a279-5414289a9a81.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 | 15408053 | N/A | 4215317 | 2025-11-24 09:33:00.459159 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:32:56.917155 | 2025-11-24 09:32:58.690162 | 15174556 | 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_15174556_5f6299ee-9633-4599-82fc-3762ee1fa943.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 | 2025-11-24 09:32:58.690162 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:32:54.687683 | 2025-11-24 09:32:56.532756 | 15174554 | 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_15174554_2ce9673d-fab6-48a8-a5b0-292a7f1753d9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15174554_de30192d-8134-4899-81f6-74d47ffea2d2.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 | 15408047 | N/A | 4215317 | 2025-11-24 09:32:56.532756 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:32:52.923819 | 2025-11-24 09:32:54.682617 | 15174552 | 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_15174552_9fbbdf4c-ffee-4b45-bc3a-88ecce121199.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 | 2025-11-24 09:32:54.682617 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:32:50.635489 | 2025-11-24 09:32:52.565967 | 15174548 | 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_15174548_f3a13331-51a9-4a18-9c2d-295ff01eb994.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15174548_62ad2ec8-46f7-46cd-9fc1-a08dc7365d59.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 | 15408043 | N/A | 4215317 | 2025-11-24 09:32:52.565967 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:32:48.935035 | 2025-11-24 09:32:50.632675 | 15174545 | 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_15174545_bce84ce5-57ec-4322-a1e4-0cf0ebc173e4.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 | 2025-11-24 09:32:50.632675 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:32:46.265635 | 2025-11-24 09:32:48.349377 | 15174543 | 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_15174543_78ab97f2-aebf-4bf3-a337-2fb5c54ca02f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15174543_29e9f7f2-ccb4-442f-969d-73606fa72423.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 | 15408039 | N/A | 4215317 | 2025-11-24 09:32:48.349377 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:32:43.460777 | 2025-11-24 09:32:46.261829 | 15174542 | 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_15174542_1f014d23-d6e6-44cf-bf15-1f185fc5dd89.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 | 2025-11-24 09:32:46.261829 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:32:34.681994 | 2025-11-24 09:32:36.652991 | 15174536 | 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_15174536_23a01328-1474-4d01-83c5-c9cb603cddf9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15174536_b5211a1a-7fe9-49ab-a772-d241aeeb09b8.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 | 15408033 | N/A | 4215317 | 2025-11-24 09:32:36.652991 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:32:32.775103 | 2025-11-24 09:32:34.674801 | 15174534 | 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_15174534_739d963f-aada-4798-bb01-7378c2630f28.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 | 2025-11-24 09:32:34.674801 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:32:29.458146 | 2025-11-24 09:32:32.389546 | 15174532 | 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_15174532_4049373a-dd5e-4c7f-9d90-9695e5f45825.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15174532_b86256eb-9da0-43cf-9931-1417ab43ada7.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 | 15408031 | N/A | 4215317 | 2025-11-24 09:32:32.389546 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:32:27.629735 | 2025-11-24 09:32:29.443496 | 15174531 | 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/2222/6578550/check_15174531_50452e27-e1cf-4633-b132-b57ced39c248.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 | 6578550 | 2222 | N/A | N/A | N/A | 5198354 | 2025-11-24 09:32:29.443496 | 2025-06-24 21:09:14.654827 |
| 2025-11-24 09:32:25.109740 | 2025-11-24 09:32:27.132970 | 15174530 | 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_15174530_fe49f674-45f6-48ee-8c19-e418a5f262f0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15174530_c4143316-b71c-45bb-bee2-220f725b9a45.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 | 15408027 | N/A | 4215317 | 2025-11-24 09:32:27.132970 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:32:23.354901 | 2025-11-24 09:32:25.106305 | 15174529 | 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_15174529_8a326bc3-136a-4952-8a1e-3e7544e3478f.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 | 2025-11-24 09:32:25.106305 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:32:20.032294 | 2025-11-24 09:32:23.007688 | 15174528 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_15174528_f5a4da9d-8df1-413b-9beb-e59a123533a1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9849187/check_15174528_9e92793c-8462-405d-b0c4-072be206af70.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 | 15408025 | N/A | 4215317 | 2025-11-24 09:32:23.007688 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:32:18.254394 | 2025-11-24 09:32:20.028473 | 15174527 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_15174527_038a6d53-3562-4bb4-9489-ec3dd151faf8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9849187 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-24 09:32:20.028473 | 2025-06-24 21:13:18.739779 |
| 2025-11-24 09:32:15.494846 | 2025-11-24 09:32:17.877968 | 15174526 | 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_15174526_c3883c14-5a09-4e64-ab22-72f9a1d91876.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15174526_39cd8a0f-a55d-492f-9dd2-b9c75251642f.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 | 15408023 | N/A | 4215317 | 2025-11-24 09:32:17.877968 | 2025-06-24 21:13:18.739779 |