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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-23 08:02:51.404912 | 2025-11-24 01:38:32.308428 | 15129941 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15129941 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-11-26 | M | AE | PT | ULLMAN | 3A76X26KQ40 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_15129941_c0d4ae04-de17-48a2-9dfd-1a686e131033.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356655825 | N/A | N/A | 5535838 | 2222 | 4801 | 15393918 | N/A | 4208696 | 2025-11-24 01:38:32.308428 | 2025-06-07 16:16:45.844566 |
| 2025-11-22 20:55:20.015557 | 2025-11-22 20:55:23.286683 | 15127525 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-11-19 | F | PT | AE | MAHAARACHCHI | EXHAN7912598 | Nilanthi | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12803582/check_15127525_8782361c-e590-478b-8a13-f3750b73f717.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12803582/check_15127525_696ccb85-87f0-4435-90ed-b1bd5de78188.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | Preferred Provider Organization (PPO) | XEROX CORPORATION | ANTHEM BLUE CROSS | N/A | 1971-05-04 | 060 | 270101M11A | N/A | PR | false | MAHAARACHCHI | N/A | SENAKA | N/A | 9999-12-31 | 2025-01-01 | CDHP CT BC PPO HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9355265071 | 7693 | N/A | 12803582 | 2222 | N/A | 15361465 | N/A | 6798209 | 2025-11-22 20:55:23.286683 | 2025-10-29 15:15:17.952230 |
| 2025-11-22 20:50:40.181332 | 2025-11-22 20:50:43.206204 | 15127524 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-12-01 | 2025-11-19 | F | PT | AE | BECERRA | CZCAN2537305 | BLANCA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10326847/check_15127524_90c46bc9-62b7-464a-849e-f4bdba60b678.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10326847/check_15127524_b5c923b7-7f1f-4e55-9f74-a1470fedf0cb.json | N/A | N/A | N/A | N/A | N/A | CZCAN2537305 | Preferred Provider Organization (PPO) | PPO W/BLUE DISTINCTION W/AIM FTR GOLD | ANTHEM BLUE CROSS | N/A | 1968-12-01 | 060 | 270196M71A | N/A | PR | false | BECERRA | N/A | JAIME | N/A | 9999-12-31 | 2022-01-01 | CT BLUE CARD PREFERRED PPO | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9355259371 | 7693 | N/A | 10326847 | 2222 | N/A | 15361464 | N/A | 7937217 | 2025-11-22 20:50:43.206204 | 2025-09-26 14:34:41.732941 |
| 2025-11-22 19:38:28.060713 | 2025-11-22 19:38:33.436123 | 15127347 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-08-04 | 2025-12-01 | M | PT | N/A | GEFFEN | CFT037A52287 | JASON | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12686965/check_15127347_0ec1cbed-d05a-4677-9a67-846d043c9aee.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12686965/check_15127347_ec198072-692e-4407-93c8-08dda7df0215.json | N/A | N/A | N/A | N/A | N/A | CFT037A52287 | Preferred Provider Organization (PPO) | IMAX CORPORATION | BLUE SHIELD OF CALIFORNIA | N/A | 1975-08-04 | 243 | 300539002S | N/A | PR | false | GEFFEN | N/A | JASON | N/A | 9999-12-31 | 2021-11-26 | BLUE ACCESS PPO NY | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9355145870 | 6189 | N/A | 12686965 | 2222 | N/A | 15361294 | N/A | 10856744 | 2025-11-22 19:38:33.436123 | 2025-12-29 22:47:44.157557 |
| 2025-11-22 19:23:41.361498 | 2025-11-22 19:23:44.490751 | 15127338 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-11-25 | M | AE | PT | BLANCHFIELD | JMV780A55541 | THOMAS | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10346222/check_15127338_07abdcd6-600f-430c-b56d-6ccd6a2a0c92.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10346222/check_15127338_a9ffe001-550d-4e69-94e6-3dcc681b6329.json | N/A | N/A | N/A | N/A | N/A | JMV780A55541 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | MEDICARE B | N/A | 1954-11-24 | 040 | 56677TR000 | N/A | HM | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9355124311 | 6189 | N/A | 10346222 | 2222 | N/A | 15361285 | N/A | 4214447 | 2025-11-22 19:23:44.490751 | 2026-04-23 20:11:34.441054 |
| 2025-11-22 16:38:15.299593 | 2025-11-22 16:38:20.323778 | 15126933 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-10-20 | 2025-11-18 | F | PT | AE | ROHMER | H4W1301747MB | CHRISTY | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12438050/check_15126933_02d9215c-08fe-4def-9526-b3497851fb22.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12438050/check_15126933_9d350b53-c100-4c57-9b6c-e1e7291c9036.json | N/A | N/A | N/A | N/A | N/A | H4W1301747MB | Preferred Provider Organization (PPO) | WHITE CAP LTD | BLUE SHIELD OF CALIFORNIA | N/A | 1965-10-20 | 101 | JNT019M106 | N/A | PR | false | ROHMER | N/A | CHRISTY | N/A | 9999-12-31 | 2024-11-01 | BLUECARD PPO | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9354474124 | 7691 | N/A | 12438050 | 2222 | N/A | 15360895 | N/A | 10618010 | 2025-11-22 16:38:20.323778 | 2026-04-21 18:05:25.486334 |
| 2025-11-22 16:25:00.105472 | 2025-11-22 16:25:04.194165 | 15126924 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-21 | 2025-11-18 | M | PT | AE | TOROS | SAD10359446700 | HALIL | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8389746/check_15126924_79c578b0-d925-450b-b146-d7848e3ea4b6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8389746/check_15126924_17552310-f3d2-4d56-b438-0de38a3143a4.json | N/A | N/A | N/A | N/A | N/A | SAD10359446700 | Preferred Provider Organization (PPO) | SAS INSTITUTE INC. | ANTHEM BLUE CROSS | N/A | 1956-10-21 | FACETS | 14163533 | N/A | PR | false | TOROS | N/A | HALIL | N/A | 2025-12-31 | 2025-01-01 | BLUE OPTIONS | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9354433499 | 5686 | N/A | 8389746 | 2222 | N/A | 15360886 | N/A | 6723602 | 2025-11-22 16:25:04.194165 | 2025-08-12 18:22:41.461515 |
| 2025-11-22 16:23:02.599246 | 2025-11-22 16:23:05.738758 | 15126922 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-11 | 2025-11-18 | M | PT | AE | ADRIAN | MBL508W11635 | NELSON | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12803983/check_15126922_d524fe53-a240-4567-86e2-21457161d4a5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12803983/check_15126922_96488459-6349-42d8-b095-77040b6aed63.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 2025-12-31 | 2022-04-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9354427167 | 5686 | N/A | 12803983 | 2222 | N/A | 15360884 | N/A | 4213826 | 2025-11-22 16:23:05.738758 | 2025-05-13 04:29:37.228146 |
| 2025-11-22 08:23:40.301307 | 2025-11-22 08:23:43.926486 | 15125199 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-05-31 | 2025-11-25 | F | AE | PT | Baxter | 960804480 | Morgan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/12686783/check_15125199_e5c9e883-4ff6-4f68-a2b4-e41efdb6964a.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12686783/check_15125199_d0774299-a68c-4d26-9804-c49f056c2958.json | N/A | N/A | N/A | N/A | N/A | 960804480 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1999-05-31 | N/A | 937646 | N/A | C1 | false | BAXTER | N/A | MORGAN | N/A | N/A | N/A | SELECT PLUS PPO CA 2023 DKGG HRA GARNER | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12686783 | 2222 | N/A | 15359631 | N/A | 10856401 | 2025-11-22 08:23:43.926486 | 2025-11-12 19:29:56.124525 |
| 2025-11-22 08:23:35.251696 | 2025-11-22 08:23:38.827213 | 15125146 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-03-22 | 2025-11-25 | F | AE | PT | STONEBREAKER | 994640706 | KARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/12566898/check_15125146_e8f2c32c-4c1a-4650-a9cc-f34390aba3c0.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12566898/check_15125146_20ac9401-a4bb-4c3c-805c-56fd3c743162.json | N/A | N/A | N/A | N/A | N/A | 994640706 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1982-03-22 | N/A | 168504 | N/A | C1 | false | STONEBREAKER | N/A | KARA | N/A | N/A | N/A | SELECT PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12566898 | 2222 | N/A | 15359584 | N/A | 10738897 | 2025-11-22 08:23:38.827213 | 2025-11-11 17:09:36.999072 |
| 2025-11-22 08:23:12.057734 | 2025-11-22 08:23:16.753348 | 15124900 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-11-19 | 2025-11-24 | F | AE | PT | Salek | 967262832 | Farnaz | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11845005/check_15124900_fcb8aa44-e9e3-4754-a568-43e49fd409b8.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11845005/check_15124900_59cbe204-870e-46a5-a722-df7bb25bd6e6.json | N/A | N/A | N/A | N/A | N/A | 967262832 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1974-04-05 | N/A | 907643 | N/A | C1 | false | GHAHREMANPOUR | N/A | SAM | N/A | N/A | N/A | SELECT PLUS PPO CA 2023 CQI3 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11845005 | 2222 | N/A | 15359386 | N/A | 10076642 | 2025-11-22 08:23:16.753348 | 2025-10-30 00:11:55.270846 |
| 2025-11-22 08:23:11.296122 | 2025-11-22 08:23:15.457697 | 15124890 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-06-29 | 2025-11-24 | F | AE | PT | Ghahremanpour | 967262832 | Nikka | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11805214/check_15124890_f38fb33a-9763-492d-9a9f-9e2670e4e32b.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11805214/check_15124890_8a0e099b-192f-4161-b9ee-2efc6b1ec5a4.json | N/A | N/A | N/A | N/A | N/A | 967262832 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2011-06-29 | N/A | 907643 | N/A | C1 | false | GHAHREMANPOUR | N/A | NIKKA | N/A | N/A | N/A | SELECT PLUS PPO CA 2023 CQI3 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11805214 | 2222 | N/A | 15359377 | N/A | 10038545 | 2025-11-22 08:23:15.457697 | 2025-10-29 17:23:04.303840 |
| 2025-11-22 08:22:47.223632 | 2025-11-22 08:22:50.756254 | 15124652 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-06-09 | 2025-11-25 | F | AE | PT | DIXON | 98864903900 | JUDIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11013047/check_15124652_503f9224-edee-41c4-b581-d15da2e61b8c.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11013047/check_15124652_d85fcf8e-d4a8-47ae-914c-66529ef3e9a4.json | N/A | N/A | N/A | N/A | N/A | 988649039 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1941-06-09 | N/A | 74134 | N/A | PR | false | DIXON | N/A | JUDIE | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11013047 | 2222 | N/A | 15359175 | N/A | 9378405 | 2025-11-22 08:22:50.756254 | 2025-10-21 21:08:18.331994 |
| 2025-11-22 08:22:43.192301 | 2025-11-22 08:22:47.867065 | 15124616 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-05-21 | 2025-11-25 | M | AE | PT | DAVILA | 99329947600 | RAY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/10365899/check_15124616_762eefb2-a0cb-4672-bb9f-ab3639fcf3fc.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10365899/check_15124616_6abd7ae5-50b5-4937-848e-909af6322151.json | N/A | N/A | N/A | N/A | N/A | 993299476 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1953-05-21 | N/A | 74134 | N/A | PR | false | DAVILA | N/A | RAY | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 10365899 | 2222 | N/A | 15359145 | N/A | 8628911 | 2025-11-22 08:22:47.867065 | 2025-10-13 20:36:48.387301 |
| 2025-11-22 08:21:57.328770 | 2025-11-22 08:22:03.051918 | 15124149 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-05-23 | 2025-11-25 | F | AE | PT | Hanson | 6403111400 | Stasia | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9316600/check_15124149_1cfa5a01-1c08-4a4f-a7f1-8f240441053d.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9316600/check_15124149_73c13d9c-f529-4a83-9963-6f7f2c636ecc.json | N/A | N/A | N/A | N/A | N/A | 640311400 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2005-05-23 | N/A | 215825 | N/A | C1 | false | HANSON | N/A | STASIA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9316600 | 2222 | N/A | 15358756 | N/A | 7815191 | 2025-11-22 08:22:03.051918 | 2025-09-11 15:56:53.475981 |
| 2025-11-22 08:21:54.647872 | 2025-11-22 08:21:58.545082 | 15124119 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-01-07 | 2025-11-25 | F | AE | PT | BUCHLER | 941436830 | Miroslava | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9277476/check_15124119_dd707bc5-b71b-42ef-8904-4898ad97b4d9.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9277476/check_15124119_f1f616f3-64ac-4d23-9d98-8ac9d3c52c1d.json | N/A | N/A | N/A | N/A | N/A | 941436830 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1976-01-07 | N/A | 701444 | N/A | C1 | false | BUCHLER | N/A | MIROSLAVA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9277476 | 2222 | N/A | 15358717 | N/A | 7785772 | 2025-11-22 08:21:58.545082 | 2025-09-16 03:06:31.754909 |
| 2025-11-22 08:21:02.112459 | 2025-11-22 08:21:07.388524 | 15123567 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-03-29 | 2025-11-25 | F | AE | PT | ALVAREZ | 2421008-02 | ROSARIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6996230/check_15123567_5cf2ddf0-3512-4002-a1aa-80b4c02474b7.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6996230/check_15123567_381489e6-05be-4b74-8bb1-062e76875f2f.json | N/A | N/A | N/A | N/A | N/A | 979847724 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1966-03-29 | N/A | 369407 | N/A | C1 | false | ALVAREZ | N/A | ROSARIO | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6996230 | 2222 | N/A | 15358257 | N/A | 6016355 | 2025-11-22 08:21:07.388524 | 2025-10-30 17:36:25.778617 |
| 2025-11-22 08:20:58.583885 | 2025-11-22 08:21:01.872273 | 15123532 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-11 | 2025-11-25 | F | AE | PT | KUMAMOTO MILLIKAEN | 024563900 | LESLIE | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6819187/check_15123532_6c9e836d-be26-4586-90d9-87b7d0b993d4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6819187/check_15123532_8de395e3-59bd-4ae3-8352-da7c2028b3f4.json | N/A | N/A | N/A | N/A | N/A | 024563900 | N/A | DELTA AIR LINES, INC. | UMR | N/A | 1958-08-11 | 767000415637061 | 76415637 | N/A | N/A | false | KUMAMOTO MILLIKEN | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351162330 | N/A | N/A | 6819187 | 2222 | N/A | 15358206 | N/A | 5861394 | 2025-11-22 08:21:01.872273 | 2025-07-13 22:09:56.766500 |
| 2025-11-22 08:20:56.134760 | 2025-11-22 08:20:56.664508 | 15123508 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-11 | 2025-11-25 | F | AE | PT | KUMAMOTO MILLIKAEN | 024563900 | LESLIE | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-11-25 | 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 | 6819187 | 2222 | N/A | N/A | N/A | 5861394 | 2025-11-22 08:20:56.664508 | 2025-07-13 22:09:56.766500 |
| 2025-11-22 08:20:21.901356 | 2025-11-22 08:20:25.374269 | 15123161 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-31 | 2025-11-25 | F | AE | PT | GUEVARA | G45053839 | DIANE | 21981 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550940/check_15123161_7bfbe0cd-cb50-4f97-ae5a-9f73161715fa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550940/check_15123161_774a1902-8c1c-41bb-9471-34033d50bad6.json | N/A | N/A | N/A | N/A | N/A | G45053839 | N/A | G.E.H.A MEDICAL FEHB/PSHB | UMR | N/A | 1965-07-31 | 767000416933001 | 76416933 | N/A | N/A | false | GUEVARA | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351160142 | N/A | N/A | 5550940 | 2222 | N/A | 15357870 | N/A | 4219779 | 2025-11-22 08:20:25.374269 | 2025-05-13 04:29:37.230820 |
| 2025-11-22 08:20:18.363981 | 2025-11-22 08:20:18.744351 | 15123121 | N/A | N/A | 39026 | United Healthcare Shared Services | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-31 | 2025-11-25 | F | AE | PT | GUEVARA | G45053839 | DIANE | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-11-25 | 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 | 5550940 | 2222 | N/A | N/A | N/A | 4219779 | 2025-11-22 08:20:18.744351 | 2025-05-13 04:29:37.230820 |
| 2025-11-22 08:20:17.726205 | 2025-11-22 08:20:22.088208 | 15123115 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-01-04 | 2025-11-25 | M | AE | PT | GERSHMAN | 987203340 | TYLER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542830/check_15123115_329822d0-2ee5-4810-8405-8db1f4d11d5c.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542830/check_15123115_436adfa3-f39e-4b89-a1ce-ee353502e19d.json | N/A | N/A | N/A | N/A | N/A | 987203340 | Consolidated Omnibus Budget Reconciliation Act (COBRA) | N/A | UNITEDHEALTHCARE | N/A | 1997-01-04 | N/A | 228485 | N/A | CO | false | GERSHMAN | N/A | TYLER | N/A | N/A | N/A | SELECT PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542830 | 2222 | N/A | 15357845 | N/A | 4214699 | 2025-11-22 08:20:22.088208 | 2025-05-13 04:29:37.229016 |
| 2025-11-22 08:20:17.673531 | 2025-11-22 08:20:23.768179 | 15123114 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-08-02 | 2025-11-25 | F | AE | PT | RAMSEY KANZAWA | 77879024100 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541156/check_15123114_338d7ae6-6413-4ac3-a153-f3ddf34f37ac.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541156/check_15123114_1ab6cd96-5173-477b-b2d5-e05c87bcdce3.json | N/A | N/A | N/A | N/A | N/A | 77879024100 | Commercial | N/A | UnitedHealthcare Benefits Plan of California | N/A | 1972-08-02 | N/A | 1687339 | N/A | C1 | false | KANZAWA | N/A | JENNIFER | N/A | N/A | N/A | Select Plus | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541156 | 2222 | N/A | 15357858 | N/A | 4213204 | 2025-11-22 08:20:23.768179 | 2025-05-28 20:17:37.873556 |
| 2025-11-22 08:15:15.118720 | 2025-11-23 01:42:09.388779 | 15121744 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 15121744 | Athletic Physical Therapy Inc | 1959-09-08 | 2025-11-25 | F | AE | PT | BROWN | 905610064000 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101123820.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12894187/check_15121744_b27bb655-76be-405e-aac5-bf32000cf22f.json | N/A | N/A | N/A | N/A | N/A | 905610064000 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1959-09-08 | N/A | N/A | N/A | N/A | false | BROWN | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351143924 | N/A | N/A | 12894187 | 2222 | 4801 | 15368105 | 4191 | 4219157 | 2025-11-23 01:42:09.388779 | 2025-05-13 04:29:37.230174 |
| 2025-11-22 08:15:13.925626 | 2025-11-23 01:40:34.822150 | 15121732 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 15121732 | Athletic Physical Therapy Inc | 1974-04-25 | 2025-11-25 | F | AE | PT | DSOUZA | 032683502 | LOLITA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101123820.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12890318/check_15121732_a2df0325-cba0-4d4f-ab0a-1b114c3d8937.json | N/A | N/A | N/A | N/A | N/A | 032683502 | Commercial | N/A | PACIFICARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1974-04-25 | N/A | 101219 | N/A | C1 | false | DSOUZA | N/A | LOLITA | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351145033 | N/A | N/A | 12890318 | 2222 | 4793 | 15367389 | 6411 | 10843447 | 2025-11-23 01:40:34.822150 | 2025-11-25 16:08:55.540790 |
| 2025-11-22 08:14:51.757126 | 2025-11-23 01:50:52.098670 | 15121486 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15121486 | Athletic Physical Therapy Inc | 1949-05-18 | 2025-11-24 | F | AE | PT | Burk | 5Y14AG3HK78 | Celine | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101123820.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12839893/check_15121486_b301062f-358c-4252-a16e-b0e401e13d8a.json | N/A | N/A | N/A | N/A | N/A | 5Y14AG3HK78 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-05-18 | S5921 | N/A | N/A | MA | false | BURK | N/A | CELINE | N/A | N/A | N/A | N/A | N/A | 410263 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351145210 | N/A | N/A | 12839893 | 2222 | 4802 | 15372629 | N/A | 11004269 | 2025-11-23 01:50:52.098670 | 2025-11-14 23:42:44.614455 |
| 2025-11-22 08:14:26.499478 | 2025-11-23 01:33:15.239475 | 15121158 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 15121158 | Athletic Physical Therapy Inc | 1953-11-10 | 2025-11-25 | F | AE | PT | Herreres | H6884136600 | Irene | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101031611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10019260/check_15121158_2ea438e9-7758-4acd-82e7-289fc4e56a9c.json | N/A | N/A | N/A | N/A | N/A | H6884136600 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-11-10 | N/A | N/A | N/A | N/A | false | HERRERES | N/A | IRENE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351141542 | N/A | N/A | 10019260 | 2222 | 4801 | 15362291 | N/A | 8386960 | 2025-11-23 01:33:15.239475 | 2025-10-06 18:27:19.967736 |
| 2025-11-22 08:13:27.868332 | 2025-11-23 01:45:36.999487 | 15120474 | N/A | N/A | 60054 | Aetna | 1114042165 | 15120474 | Athletic Physical Therapy Inc | 1992-08-27 | 2025-11-25 | F | AE | PT | FINLEY | W28806254401 | MICHAELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100924023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9081026/check_15120474_1f32f292-6550-4320-ac8e-98b6d5c39489.json | N/A | N/A | N/A | N/A | N/A | W288062544 | Health Maintenance Organization (HMO) | BARRETT BUSINESS SERVICES, INC. | AETNA | N/A | 1992-08-27 | EAC4D303 | 019472903500025 | N/A | HM | false | FINLEY | N/A | MICHAELA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351135905 | N/A | N/A | 9081026 | 2222 | 4801 | 15370044 | N/A | 7597485 | 2025-11-23 01:45:36.999487 | 2025-09-04 15:52:15.446146 |
| 2025-11-22 08:13:14.658116 | 2025-11-23 01:52:02.877553 | 15120304 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15120304 | Athletic Physical Therapy Inc | 1941-12-12 | 2025-11-25 | M | AE | PT | ABARTA | 1KM2G22MJ15 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101031611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9929496/check_15120304_dda78979-c7ee-4a0a-bdd0-5bd3be0780d6.json | N/A | N/A | N/A | N/A | N/A | 1KM2G22MJ15 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-12-12 | S5617 | N/A | N/A | MB | false | ABARTA | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | 121518 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351141789 | N/A | N/A | 9929496 | 2222 | 4801 | 15373264 | N/A | 8313339 | 2025-11-23 01:52:02.877553 | 2025-10-02 18:29:23.013167 |
| 2025-11-22 08:13:08.759072 | 2025-11-23 02:01:58.244922 | 15120234 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15120234 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-11-25 | M | AE | PT | SAWAYA | 3R88YH3MG32 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100924023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033458/check_15120234_601bc8f5-4d58-45b1-b10d-3787b4fb42b8.json | N/A | N/A | N/A | N/A | N/A | 3R88YH3MG32 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-10-02 | S9701 | N/A | N/A | MA | false | SAWAYA | N/A | PETER | N/A | N/A | N/A | N/A | N/A | 168401 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351135132 | N/A | N/A | 9033458 | 2222 | 4802 | 15376704 | N/A | 7553607 | 2025-11-23 02:01:58.244922 | 2025-09-02 22:55:04.873891 |
| 2025-11-22 08:12:53.368241 | 2025-11-23 01:53:29.013386 | 15120063 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15120063 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-11-25 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100924023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_15120063_d014fa49-3b31-4798-856e-1c9dd5925271.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351136048 | N/A | N/A | 8978036 | 2222 | 4793 | 15374044 | 2630 | 7492332 | 2025-11-23 01:53:29.013386 | 2025-10-01 21:03:48.525986 |
| 2025-11-22 08:12:47.833140 | 2025-11-23 02:01:56.954030 | 15120001 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15120001 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-11-25 | F | AE | PT | GOEL | 5RR4M63DR65 | VEENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100924023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_15120001_cb8e4aa4-1f4a-44cf-a512-3dd96ca4d108.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S5596 | N/A | N/A | MA | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | 229451 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351135332 | N/A | N/A | 8969533 | 2222 | 4802 | 15376700 | N/A | 7485064 | 2025-11-23 02:01:56.954030 | 2025-12-29 22:41:16.623495 |
| 2025-11-22 08:12:41.008141 | 2025-11-23 01:52:05.818868 | 15119920 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15119920 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-11-25 | M | AE | PT | UPSON | 6MH7ED3NE57 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101031611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9893712/check_15119920_f4889d27-cb82-42f0-a52f-2f92b9fe6c8a.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-10-21 | S5617 | N/A | N/A | MA | false | UPSON | N/A | MARK | N/A | N/A | N/A | N/A | N/A | 99228 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351142114 | N/A | N/A | 9893712 | 2222 | 4801 | 15373293 | N/A | 4219691 | 2025-11-23 01:52:05.818868 | 2025-05-13 04:29:37.230736 |
| 2025-11-22 08:12:25.533101 | 2025-11-23 01:52:05.161289 | 15119748 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15119748 | Athletic Physical Therapy Inc | 1953-11-15 | 2025-11-25 | M | AE | PT | REISMAN | 7JW4EK4UR89 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101031611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868745/check_15119748_baddc204-ae58-4040-8764-7298ec391785.json | N/A | N/A | N/A | N/A | N/A | 7JW4EK4UR89 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-11-15 | N/A | N/A | N/A | MA | false | REISMAN | N/A | MARK | N/A | N/A | N/A | N/A | N/A | 88587 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351142074 | N/A | N/A | 9868745 | 2222 | 4802 | 15373285 | N/A | 8262262 | 2025-11-23 01:52:05.161289 | 2025-09-30 22:45:25.940454 |
| 2025-11-22 08:12:20.332776 | 2025-11-23 01:52:35.900107 | 15119699 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 15119699 | Athletic Physical Therapy Inc | 1947-05-27 | 2025-11-25 | F | AE | PT | OJEDA DE VALERIO | 40054924601 | MARCELINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100924023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8634171/check_15119699_7e5c626c-ebaf-45cc-94f8-fcafa41aba0b.json | N/A | N/A | N/A | N/A | N/A | 40054924601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1947-05-27 | N/A | N/A | N/A | N/A | false | OJEDA DE VALERIO | N/A | M | N/A | N/A | N/A | 2025H5425001 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351135618 | N/A | N/A | 8634171 | 2222 | 4801 | 15373574 | N/A | 7279268 | 2025-11-23 01:52:35.900107 | 2025-09-01 17:13:14.403136 |
| 2025-11-22 08:12:16.476343 | 2025-11-23 01:35:34.363527 | 15119657 | N/A | N/A | 60054 | Aetna | 1114042165 | 15119657 | Athletic Physical Therapy Inc | 1976-12-17 | 2025-11-25 | M | AE | PT | Ramos | W263196559 | Jerome Petrocelli | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101031611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862743/check_15119657_6380b341-4017-4c16-8caf-3be6475c196a.json | N/A | N/A | N/A | N/A | N/A | W263196559 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1976-12-17 | 0160833 | 016083305000013 | N/A | PR | false | RAMOS | N/A | JEROME | N/A | N/A | N/A | OPEN CHOICE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351140223 | N/A | N/A | 9862743 | 2222 | 4801 | 15363937 | N/A | 8258250 | 2025-11-23 01:35:34.363527 | 2025-09-30 21:47:59.000682 |
| 2025-11-22 08:12:13.177248 | 2025-11-23 02:01:57.597694 | 15119618 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15119618 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-11-25 | F | AE | PT | GRANT | 9JA3JK2TK87 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100924023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493311/check_15119618_a5d38dc5-de74-46ed-a1b9-456387bdd116.json | N/A | N/A | N/A | N/A | N/A | 9JA3JK2TK87 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-13 | S4802 | N/A | N/A | MB | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | 171021 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351135589 | N/A | N/A | 8493311 | 2222 | 4802 | 15376702 | N/A | 7159835 | 2025-11-23 02:01:57.597694 | 2025-08-25 22:38:59.735145 |
| 2025-11-22 08:12:10.164039 | 2025-11-23 01:44:28.515908 | 15119585 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15119585 | Athletic Physical Therapy Inc | 1973-10-11 | 2025-11-25 | F | PT | N/A | GAIKI | WZA401W18564 | ASHWINI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101031611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9858377/check_15119585_5191b9f2-2fd1-47d5-b629-f5c3b899f0b5.json | N/A | N/A | N/A | N/A | N/A | WZA401W18564 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1973-10-11 | 130 | 270240M35A | N/A | PR | false | GAIKI | N/A | AKASH | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351140201 | N/A | N/A | 9858377 | 2222 | 4801 | 15369327 | N/A | 8253977 | 2025-11-23 01:44:28.515908 | 2025-10-08 15:49:07.618378 |
| 2025-11-22 08:12:09.191907 | 2025-11-23 01:53:44.118273 | 15119575 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15119575 | Athletic Physical Therapy Inc | 1961-03-04 | 2025-11-25 | M | PT | N/A | AVEDISSIAN | JQU233A54125 | ARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100924023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472241/check_15119575_acf08276-8b94-475b-b9de-1944c5f4f94b.json | N/A | N/A | N/A | N/A | N/A | JQU233A54125 | Preferred Provider Organization (PPO) | BRAND PRODUCE INC | MEDICARE A | N/A | 1961-03-04 | 040 | J35185 | N/A | PR | false | AVEDISSIAN | N/A | ARMEN | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351135573 | N/A | N/A | 8472241 | 2222 | 4801 | 15374183 | N/A | 7143064 | 2025-11-23 01:53:44.118273 | 2025-10-10 06:06:58.213429 |
| 2025-11-22 08:12:08.121503 | 2025-11-23 01:50:55.463314 | 15119566 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 15119566 | Athletic Physical Therapy Inc | 1971-12-09 | 2025-11-25 | F | AE | PT | OSTERHOUDT | U2156506701 | TRACY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100924023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471577/check_15119566_94df06d0-7ff9-4acf-9887-ffd637465458.json | N/A | N/A | N/A | N/A | N/A | U2156506701 | Health Maintenance Organization (HMO) | CAPITAL GROUP | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1971-12-09 | N/A | 3173816 | N/A | HM | false | OSTERHOUDT | N/A | TRACY | N/A | N/A | N/A | NETWORK | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351135570 | N/A | N/A | 8471577 | 2222 | 4801 | 15372658 | N/A | 7142472 | 2025-11-23 01:50:55.463314 | 2025-09-06 16:19:59.701160 |
| 2025-11-22 08:11:47.895058 | 2025-11-23 01:41:26.081687 | 15119345 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15119345 | Athletic Physical Therapy Inc | 1951-09-10 | 2025-11-25 | F | PT | N/A | WOLF | 3446GALVESTONAVE | MIRIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101123820.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12502735/check_15119345_75b0a825-8025-45c8-9fd2-d340c2f9e1df.json | N/A | N/A | N/A | N/A | N/A | 3446GALVESTONAVE | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1951-09-10 | N/A | N/A | N/A | N/A | false | WOLF | N/A | MIRIAM | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351145477 | N/A | N/A | 12502735 | 2222 | 4801 | 15367771 | 4185 | 10678938 | 2025-11-23 01:41:26.081687 | 2025-11-17 15:34:42.266218 |
| 2025-11-22 08:11:41.152610 | 2025-11-22 08:12:14.567492 | 15119260 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2025-11-24 | M | AE | PT | HOLGUIN | 1407861520 | VINCENT | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_15119260_d348f571-d88c-4cf5-bf30-809bae80ef02.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-11-24 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | 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 | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2025-11-22 08:12:14.567492 | 2025-11-11 01:01:48.778756 |
| 2025-11-22 08:11:37.867922 | 2025-11-23 01:54:31.180561 | 15119219 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15119219 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-11-25 | F | PT | N/A | MENDELSON | XEK913483846 | SHARON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100924023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_15119219_24e915e6-1adf-4545-ad56-8ddc92379ba5.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2024-10-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351135099 | N/A | N/A | 8224045 | 2222 | 4802 | 15374602 | N/A | 6981160 | 2025-11-23 01:54:31.180561 | 2025-08-26 21:16:15.557856 |
| 2025-11-22 08:11:32.906805 | 2025-11-23 01:50:54.203451 | 15119164 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15119164 | Athletic Physical Therapy Inc | 1956-07-15 | 2025-11-25 | M | AE | PT | Raudonis | 4QT6EC7VG78 | Mark | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101123820.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12493577/check_15119164_4c1fea74-30ad-40b7-ad16-77bdac5f8e16.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 | 9351145444 | N/A | N/A | 12493577 | 2222 | 4793 | 15372645 | N/A | 10670073 | 2025-11-23 01:50:54.203451 | 2025-11-10 18:20:04.243140 |
| 2025-11-22 08:11:28.349763 | 2025-11-23 01:54:29.253155 | 15119107 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15119107 | Athletic Physical Therapy Inc | 1980-12-02 | 2025-11-25 | M | PT | N/A | GODINEZ | XEK907039926 | RICHARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100924023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202901/check_15119107_0b426c1b-0d3d-44f7-af66-9f2c3e6490e9.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 2025-12-31 | 2025-01-01 | SPECIALTY DUO SM | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351135056 | N/A | N/A | 8202901 | 2222 | 4793 | 15374586 | N/A | 6965521 | 2025-11-23 01:54:29.253155 | 2025-09-10 21:42:23.177790 |
| 2025-11-22 08:11:28.070271 | 2025-11-23 01:54:49.511653 | 15119104 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15119104 | Athletic Physical Therapy Inc | 1985-01-29 | 2025-11-25 | F | PT | N/A | MURPHY | NGO398A23229 | DARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100924023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202094/check_15119104_30d7e7a8-7826-44fe-bb5f-f94257f021bb.json | N/A | N/A | N/A | N/A | N/A | NGO398A23229 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORPORATION | BLUE SHIELD OF CALIFORNIA | N/A | 1985-01-29 | 040 | 174022MJAD | N/A | PR | false | MURPHY | N/A | SCOTT | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351135055 | N/A | N/A | 8202094 | 2222 | 4793 | 15374767 | N/A | 6964828 | 2025-11-23 01:54:49.511653 | 2025-08-21 15:20:41.432970 |
| 2025-11-22 08:11:22.884226 | 2025-11-23 01:47:05.581698 | 15119034 | N/A | N/A | 60054 | Aetna | 1114042165 | 15119034 | Athletic Physical Therapy Inc | 1952-08-04 | 2025-11-25 | F | AE | PT | Dunkerley | AHC2057583 | Elizabeth | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100318579.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9665220/check_15119034_5e305411-5fd2-4468-a375-e1e2abf9607c.json | N/A | N/A | N/A | N/A | N/A | AHC2057583 | N/A | N/A | AETNA INC | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | 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 | 9351121774 | N/A | N/A | 9665220 | 2222 | 4802 | 15370875 | N/A | 8086688 | 2025-11-23 01:47:05.581698 | 2026-01-15 18:07:39.869679 |
| 2025-11-22 08:11:16.781945 | 2025-11-23 03:37:03.558510 | 15118918 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 15118918 | Athletic Physical Therapy Inc | 1945-12-27 | 2025-11-25 | F | AE | PT | SANDERS | 8300000009139 | ELIZA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100646299.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11616313/check_15118918_e04a6894-0e09-4ccd-8e12-da6e33867fc5.json | N/A | N/A | N/A | N/A | N/A | 8300000009139 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1945-12-27 | N/A | N/A | N/A | N/A | false | SANDERS | N/A | ELIZA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351118763 | N/A | N/A | 11616313 | 2222 | 4802 | 15379137 | N/A | 9854001 | 2025-11-23 03:37:03.558510 | 2025-10-28 23:10:42.487962 |
| 2025-11-22 08:11:15.486919 | 2025-11-23 03:35:56.651664 | 15118890 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15118890 | Athletic Physical Therapy Inc | 1949-06-08 | 2025-11-25 | F | AE | PT | VASQUEZ | 40065054801 | LUZ | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100646299.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11612656/check_15118890_ac1a6587-1c69-4f5c-966f-eeec7cfdc7da.json | N/A | N/A | N/A | N/A | N/A | 40065054801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-06-08 | N/A | N/A | N/A | N/A | false | VASQUEZ | N/A | LUZ | N/A | N/A | N/A | 2025H5425001 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351118754 | N/A | N/A | 11612656 | 2222 | 4801 | 15378913 | 6237 | 9850421 | 2025-11-23 03:35:56.651664 | 2025-10-28 20:49:35.276132 |
| 2025-11-22 08:11:12.892444 | 2025-11-23 03:40:54.042904 | 15118828 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15118828 | Athletic Physical Therapy Inc | 1959-12-29 | 2025-11-25 | F | AE | PT | LYGA | 3W97CK7AN48 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100646299.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11604276/check_15118828_8a5f0ced-bd15-48e9-9c3d-ef0f613c39d3.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 | 9351118738 | N/A | N/A | 11604276 | 2222 | 4801 | 15380494 | N/A | 4218962 | 2025-11-23 03:40:54.042904 | 2025-05-13 04:29:37.229978 |