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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-09 15:36:17.384842 | 2025-06-09 15:36:19.442444 | 8666333 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-03-30 | 2025-06-10 | M | PT | AE | 23322 | FARAHMAND | 91957675E | ALEX | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541163/check_8666333_8a236c40-96de-4a20-928f-b60391702404.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_8666333_940a64d3-31d9-41e5-a089-70201266c493.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5541163 | 2222 | N/A | 8377155 | N/A | 4213207 | 2025-06-09 15:36:19.442444 | 2025-05-13 04:29:37.227536 |
| 2025-06-09 15:36:15.198782 | 2025-06-09 15:36:17.383195 | 8666332 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-03-30 | 2025-06-10 | M | PT | AE | 23322 | FARAHMAND | 91957675E | ALEX | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541163/check_8666332_bbc38b5a-d59e-4796-bf65-6f45ab23163d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5541163 | 2222 | N/A | N/A | N/A | 4213207 | 2025-06-09 15:36:17.383195 | 2025-05-13 04:29:37.227536 |
| 2025-06-09 15:35:23.103242 | 2025-06-09 15:35:26.094188 | 8666326 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-02-07 | 2025-06-09 | F | PT | AE | 3939 | MENENDEZ | 101791863000 | INES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542645/check_8666326_d62041fa-91aa-4918-a6b4-a8fa5d7a48ca.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542645/check_8666326_368deb72-cec8-4944-adf2-90ea87307760.json | N/A | N/A | N/A | N/A | N/A | 101791863000 | N/A | N/A | AETNA | N/A | 1953-02-07 | 000003-CA000017 | N/A | N/A | N/A | false | MENENDEZ | N/A | INES | N/A | N/A | N/A | 000003-CA HMO - H4982 PBP 012 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7871109263 | 9483 | N/A | 5542645 | 2222 | N/A | 8377148 | N/A | 4214517 | 2025-06-09 15:35:26.094188 | 2025-06-04 16:24:11.728512 |
| 2025-06-09 15:35:21.699803 | 2025-06-09 15:35:23.826280 | 8666325 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-03-26 | 2025-06-09 | M | PT | AE | 3948 | ORLOV | 23474362 | BORIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543098/check_8666325_74a80330-3f9c-48f0-89ec-41241319705b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543098/check_8666325_3c9bbf86-9a49-4aaf-9565-8ced859ba518.json | N/A | N/A | N/A | N/A | N/A | 23474362 | N/A | N/A | AETNA INC | N/A | 1976-03-26 | N/A | N/A | N/A | N/A | false | ORLOV | N/A | BORIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 5543098 | 2222 | N/A | 8377147 | N/A | 4214932 | 2025-06-09 15:35:23.826280 | 2025-05-13 04:29:37.229254 |
| 2025-06-09 15:35:18.419488 | 2025-06-09 15:35:21.690204 | 8666324 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-03-26 | 2025-06-09 | M | PT | AE | 3948 | ORLOV | 23474362 | BORIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543098/check_8666324_4fd295bb-6ed5-46e0-a8f8-bad09310df3e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 23474362 | N/A | N/A | AETNA INC | N/A | 1976-03-26 | N/A | N/A | N/A | N/A | false | ORLOV | N/A | BORIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 5543098 | 2222 | N/A | N/A | N/A | 4214932 | 2025-06-09 15:35:21.690204 | 2025-05-13 04:29:37.229254 |
| 2025-06-09 15:34:52.175004 | 2025-06-09 15:34:56.156898 | 8666319 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-03-26 | 2025-06-09 | M | PT | AE | 6411 | ORLOV | 23474362 | BORIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543098/check_8666319_90a85661-c78f-4f26-9206-afcc66e3ad17.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543098/check_8666319_1656830e-bd13-49c3-a119-f4e7b5e5881a.json | N/A | N/A | N/A | N/A | N/A | 023474362 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1976-03-26 | N/A | N/A | N/A | N/A | false | ORLOV | N/A | BORIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7871104317 | 9481 | N/A | 5543098 | 2222 | N/A | 8377140 | N/A | 4214932 | 2025-06-09 15:34:56.156898 | 2025-05-13 04:29:37.229254 |
| 2025-06-09 15:32:17.649573 | 2025-06-09 15:32:20.638644 | 8666307 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-20 | 2025-06-09 | M | PT | AE | 3939 | GRANT | W285866811 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542136/check_8666307_db5a5575-0d45-4f43-85bd-72c206dfde8a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542136/check_8666307_bcf96f74-364b-4677-9f87-3d615e4dcd56.json | N/A | N/A | N/A | N/A | N/A | W285866811 | N/A | N/A | AETNA | N/A | 1959-04-20 | 0193038 | 019303801200101 | N/A | N/A | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7871082995 | 7927 | N/A | 5542136 | 2222 | N/A | 8377118 | N/A | 4214087 | 2025-06-09 15:32:20.638644 | 2025-05-13 04:29:37.228402 |
| 2025-06-09 15:28:59.111239 | 2025-06-09 15:29:01.101199 | 8666287 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-01-26 | 2025-06-09 | U | PT | AE | 23298 | VASEF | 98235678800 | IDEAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542264/check_8666287_2534e000-04d4-4fd4-a00c-bc4bfa6ecb98.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542264/check_8666287_386a0a9c-d4ab-4293-8e09-7d95db40383d.json | N/A | N/A | N/A | N/A | N/A | 98235678800 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1985-01-26 | N/A | N/A | N/A | N/A | false | VASEF | N/A | IDEAN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5542264 | 2222 | N/A | 8377088 | N/A | 4214205 | 2025-06-09 15:29:01.101199 | 2025-06-27 18:49:28.826549 |
| 2025-06-09 15:28:57.291279 | 2025-06-09 15:28:59.109564 | 8666285 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-01-26 | 2025-06-09 | U | PT | AE | 23298 | VASEF | 98235678800 | IDEAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542264/check_8666285_6c8aa78a-524e-41d3-b0da-fb55122355f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 98235678800 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1985-01-26 | N/A | N/A | N/A | N/A | false | VASEF | N/A | IDEAN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5542264 | 2222 | N/A | N/A | N/A | 4214205 | 2025-06-09 15:28:59.109564 | 2025-06-27 18:49:28.826549 |
| 2025-06-09 15:25:37.809379 | 2025-06-09 15:25:39.731803 | 8666260 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-01-26 | 2025-06-09 | U | PT | AE | 6411 | VASEF | 98235678800 | IDEAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542264/check_8666260_d17cb88d-7a03-480e-9c3d-d4ce341f56a4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542264/check_8666260_21d54b43-e36e-41fd-baa8-aea173f45e77.json | N/A | N/A | N/A | N/A | N/A | 98235678800 | N/A | N/A | UNITED HEALTHCARE | N/A | 1985-01-26 | N/A | N/A | N/A | N/A | false | VASEF | N/A | IDEAN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5542264 | 2222 | N/A | 8377058 | N/A | 4214205 | 2025-06-09 15:25:39.731803 | 2025-06-27 18:49:28.826549 |
| 2025-06-09 15:25:35.660080 | 2025-06-09 15:25:37.807013 | 8666259 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-01-26 | 2025-06-09 | U | PT | AE | 6411 | VASEF | 98235678800 | IDEAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542264/check_8666259_8e443609-20da-4486-81c4-4e06326785b3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 98235678800 | N/A | N/A | UNITED HEALTHCARE | N/A | 1985-01-26 | N/A | N/A | N/A | N/A | false | VASEF | N/A | IDEAN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5542264 | 2222 | N/A | N/A | N/A | 4214205 | 2025-06-09 15:25:37.807013 | 2025-06-27 18:49:28.826549 |
| 2025-06-09 15:19:22.783340 | 2025-06-09 15:19:24.878411 | 8666231 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-06-10 | M | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_8666231_b6a1019e-572c-454c-a4b7-9a74b71d41e2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550812/check_8666231_181dc93c-44a3-4876-85f5-d085367e82b1.json | N/A | N/A | N/A | N/A | N/A | 15831U29031 | N/A | N/A | MEDI-SHARE | N/A | 1960-10-21 | N/A | N/A | N/A | N/A | false | UPSON | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5550812 | 2222 | N/A | 8377016 | N/A | 4219691 | 2025-06-09 15:19:24.878411 | 2025-05-13 04:29:37.230736 |
| 2025-06-09 15:19:15.840578 | 2025-06-09 15:19:22.781424 | 8666229 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-06-10 | M | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_8666229_8b774526-e8f8-4ea3-bf8e-e71c806161f7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | 15831U29031 | N/A | N/A | MEDI-SHARE | N/A | 1960-10-21 | N/A | N/A | N/A | N/A | false | UPSON | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 8428 | N/A | 5550812 | 2222 | N/A | N/A | N/A | 4219691 | 2025-06-09 15:19:22.781424 | 2025-05-13 04:29:37.230736 |
| 2025-06-09 15:10:15.112332 | 2025-06-09 15:10:22.425977 | 8666193 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-10-19 | 2025-06-09 | M | PT | AE | 3937 | NIELSEN | W272380860 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537178/check_8666193_10939743-d973-4c3e-9e91-f61b3d9678d7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537178/check_8666193_a31f3df6-d15e-4868-9a6a-88726211ad36.json | N/A | N/A | N/A | N/A | N/A | W272380860 | N/A | N/A | AETNA | N/A | 1964-10-19 | 0176563 | 017656301100058 | N/A | N/A | false | NIELSEN | N/A | ROY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7870822858 | 9481 | N/A | 5537178 | 2222 | N/A | 8376964 | N/A | 4209789 | 2025-06-09 15:10:22.425977 | 2025-05-13 04:29:37.224215 |
| 2025-06-08 09:16:52.438441 | 2025-06-09 02:09:33.536649 | 8657506 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8657506 | Athletic Physical Therapy Inc | 1998-01-13 | 2025-06-11 | F | PT | AE | N/A | HOWE | U9192068101 | LOCHRYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141931887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079410/check_8657506_734deecb-dab6-4b82-ab6e-56331db51306.json | N/A | N/A | N/A | N/A | N/A | U9192068101 | N/A | VVG HOLDINGS, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1999-01-13 | N/A | 3343439 | N/A | N/A | false | HOWE | N/A | LOCHRYN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860573829 | N/A | N/A | 6079410 | 2222 | 4802 | 8352552 | N/A | 4723300 | 2025-06-09 02:09:33.536649 | 2025-06-04 00:42:43.684276 |
| 2025-06-08 09:15:50.110026 | 2025-06-09 02:15:58.301302 | 8657285 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8657285 | Athletic Physical Therapy Inc | 1957-05-22 | 2025-06-11 | F | PT | AE | N/A | Hugh | 8H19UT2PE13 | Debra | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141931887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074786/check_8657285_5ec07909-c5d8-4162-ad17-e790515cd81a.json | N/A | N/A | N/A | N/A | N/A | 8H19UT2PE13 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-22 | S5601 | N/A | N/A | MA | false | HUGH | N/A | DEBRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860574760 | N/A | N/A | 6074786 | 2222 | 4801 | 8354607 | N/A | 4718946 | 2025-06-09 02:15:58.301302 | 2025-06-04 21:27:14.065817 |
| 2025-06-08 09:13:40.311481 | 2025-06-09 05:05:15.687131 | 8656753 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8656753 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-06-11 | M | PT | AE | N/A | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_8656753_fa76153f-2f67-4c79-8278-2a6852c4e6fa.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860562185 | N/A | N/A | 5543425 | 2222 | 4801 | 8358050 | N/A | 4215211 | 2025-06-09 05:05:15.687131 | 2026-04-02 22:30:20.020246 |
| 2025-06-08 09:13:39.958267 | 2025-06-09 05:24:02.530118 | 8656752 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8656752 | Athletic Physical Therapy Inc | 1945-02-14 | 2025-06-11 | M | PT | AE | N/A | SLAUGHTER | 6V77P87YA36 | KAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543377/check_8656752_72590059-d74d-4f27-9dcb-f720c4253542.json | N/A | N/A | N/A | N/A | N/A | 6V77P87YA36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-02-14 | S5601 | N/A | N/A | MA | false | SLAUGHTER | N/A | KAY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860562184 | N/A | N/A | 5543377 | 2222 | 4802 | 8366261 | N/A | 4215177 | 2025-06-09 05:24:02.530118 | 2025-05-13 04:29:37.229493 |
| 2025-06-08 09:13:39.700090 | 2025-06-09 05:20:47.216558 | 8656751 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8656751 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-06-11 | F | PT | AE | N/A | BARAJAS | NCF425A56241 | EMMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_8656751_f37bea83-245a-45fc-9363-92abcc22eb62.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677WR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860562181 | N/A | N/A | 5543324 | 2222 | 4801 | 8364117 | 4184 | 4215131 | 2025-06-09 05:20:47.216558 | 2025-08-11 16:45:52.816842 |
| 2025-06-08 09:13:39.481664 | 2025-06-09 05:24:01.908505 | 8656750 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8656750 | Athletic Physical Therapy Inc | 1937-05-27 | 2025-06-11 | F | AE | PT | N/A | LANGINGER | 8T45CA9CE85 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543302/check_8656750_18639bd6-a6e8-4bda-8fef-39e372c7a08d.json | N/A | N/A | N/A | N/A | N/A | 8T45CA9CE85 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-27 | S5596 | N/A | N/A | MB | false | LANGINGER | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7860562178 | N/A | N/A | 5543302 | 2222 | 4793 | 8366255 | N/A | 4215107 | 2025-06-09 05:24:01.908505 | 2025-05-13 04:29:37.229419 |
| 2025-06-08 09:13:39.289543 | 2025-06-09 05:24:02.824640 | 8656749 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8656749 | Athletic Physical Therapy Inc | 1938-03-08 | 2025-06-11 | M | PT | AE | N/A | TEAGUE | 1T39QJ8JV30 | LEWIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543292/check_8656749_d1e97302-4a1f-4ea3-83cf-af4c6efe8cc5.json | N/A | N/A | N/A | N/A | N/A | 1T39QJ8JV30 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1938-03-08 | N/A | N/A | N/A | MA | false | TEAGUE | N/A | LEWIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860562175 | N/A | N/A | 5543292 | 2222 | 4802 | 8366265 | N/A | 4215104 | 2025-06-09 05:24:02.824640 | 2025-05-13 04:29:37.229416 |
| 2025-06-08 09:13:39.127628 | 2025-06-09 05:05:20.543780 | 8656748 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8656748 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-06-11 | M | AE | PT | N/A | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_8656748_0b750e66-624e-4b32-96d8-19951802294e.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7860562173 | N/A | N/A | 5543270 | 2222 | 4793 | 8358071 | N/A | 4215086 | 2025-06-09 05:05:20.543780 | 2025-05-13 04:29:37.229401 |
| 2025-06-08 09:13:38.930892 | 2025-06-09 05:05:11.742795 | 8656746 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8656746 | Athletic Physical Therapy Inc | 1962-05-10 | 2025-06-11 | F | AE | PT | N/A | ADHAMI | 95671183F | SOHAILA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543265/check_8656746_f4e8c404-f11b-497c-9cbe-2ef7ef5f5d01.json | N/A | N/A | N/A | N/A | N/A | 95671183F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-05-10 | N/A | N/A | N/A | N/A | false | ADHAMI | N/A | SOHAILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7860562172 | N/A | N/A | 5543265 | 2222 | 4802 | 8358037 | N/A | 4215082 | 2025-06-09 05:05:11.742795 | 2025-05-13 04:29:37.229397 |
| 2025-06-08 09:13:38.734279 | 2025-06-09 05:24:01.590899 | 8656744 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8656744 | Athletic Physical Therapy Inc | 1949-12-17 | 2025-06-11 | M | AE | PT | N/A | GEVURTZ | 3UF3GW6KC04 | IRWIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543260/check_8656744_4bf65277-d22f-4519-90da-5247c1e72a46.json | N/A | N/A | N/A | N/A | N/A | 3UF3GW6KC04 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-17 | N/A | N/A | N/A | MA | false | GEVURTZ | N/A | IRWIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7860562171 | N/A | N/A | 5543260 | 2222 | 4802 | 8366253 | N/A | 4215069 | 2025-06-09 05:24:01.590899 | 2025-05-13 04:29:37.229385 |
| 2025-06-08 09:13:38.582625 | 2025-06-09 05:19:19.225005 | 8656743 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8656743 | Athletic Physical Therapy Inc | 1999-09-11 | 2025-06-11 | M | PT | AE | N/A | PETERSON | 987565290 | CONNOR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543238/check_8656743_17a8e609-40ef-48ca-ae8b-f379f71043b5.json | N/A | N/A | N/A | N/A | N/A | 987565290 | Commercial | ORACLE | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1999-09-11 | 0181 0181 | 228485 | N/A | C1 | false | PETERSON | N/A | CONNOR | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860562170 | N/A | N/A | 5543238 | 2222 | 4802 | 8363151 | N/A | 4215055 | 2025-06-09 05:19:19.225005 | 2025-05-13 04:29:37.229376 |
| 2025-06-08 09:13:38.384284 | 2025-06-09 05:21:14.640859 | 8656741 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8656741 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-06-11 | M | PT | N/A | N/A | VIRGIL | XEK905426435 | NICHOLAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_8656741_cbdafeb8-6b8b-45ae-87e1-3cf8715888c3.json | N/A | N/A | N/A | N/A | N/A | XEK905426435 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2002-06-02 | 2001ZK002195 | X0001000 | N/A | PR | false | VIRGIL | N/A | JEFF | N/A | 9999-12-31 | 2021-07-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7860562169 | N/A | N/A | 5543237 | 2222 | 4802 | 8364402 | N/A | 4215054 | 2025-06-09 05:21:14.640859 | 2025-05-13 04:29:37.229375 |
| 2025-06-08 09:13:38.118555 | 2025-06-09 05:12:15.347630 | 8656739 | N/A | N/A | 39026 | UMR | 1114042165 | 8656739 | Athletic Physical Therapy Inc | 1997-01-26 | 2025-06-11 | M | PT | AE | N/A | MESSINGER | 43687468 | BEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543233/check_8656739_c2555bdf-74c0-4b0c-89a9-7849ec8f9692.json | N/A | N/A | N/A | N/A | N/A | 43687468 | N/A | CARVANA, LLC | UMR | N/A | 1997-01-26 | 767000416387002 | 76416387 | N/A | N/A | false | MESSINGER | N/A | BEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860562168 | N/A | N/A | 5543233 | 2222 | 4802 | 8360151 | N/A | 4215051 | 2025-06-09 05:12:15.347630 | 2025-05-13 04:29:37.229373 |
| 2025-06-08 09:13:37.850662 | 2025-06-09 05:20:48.438994 | 8656737 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8656737 | Athletic Physical Therapy Inc | 1971-12-13 | 2025-06-11 | M | PT | N/A | N/A | LEO | NCF949A57364 | SEAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543220/check_8656737_338c6d7e-9d7e-40b7-b11f-effc5d2e8165.json | N/A | N/A | N/A | N/A | N/A | NCF949A57364 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1971-12-13 | 040 | 57AJCA | N/A | HM | false | LEO | N/A | DAYNA | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7860562167 | N/A | N/A | 5543220 | 2222 | 4793 | 8364128 | 4184 | 4215036 | 2025-06-09 05:20:48.438994 | 2025-05-13 04:29:37.229353 |
| 2025-06-08 09:13:37.642559 | 2025-06-09 05:21:13.559210 | 8656735 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8656735 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-06-11 | F | PT | N/A | N/A | PAUL | XEK914147727 | SARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_8656735_94fed972-727e-4fc5-8e81-ac9b75203c96.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7860562166 | N/A | N/A | 5543211 | 2222 | 4801 | 8364389 | N/A | 4215028 | 2025-06-09 05:21:13.559210 | 2025-05-13 04:29:37.229346 |
| 2025-06-08 09:13:37.437483 | 2025-06-09 05:20:48.173522 | 8656734 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8656734 | Athletic Physical Therapy Inc | 1980-10-15 | 2025-06-11 | M | PT | N/A | N/A | JONOVIC | JQU042A71575 | ANDREJ | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543198/check_8656734_f1c2c605-d32f-44d8-85f1-068d6dd8bfd1.json | N/A | N/A | N/A | N/A | N/A | JQU042A71575 | Preferred Provider Organization (PPO) | HANDSON VENTURES LLC | ANTHEM BLUE CROSS | N/A | 1980-10-15 | 040 | 327252 | N/A | PR | false | JONOVIC | N/A | SARAH | N/A | 9999-12-31 | 2024-12-01 | ANTHEM GOLD PPO 30/500/20% RXD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7860562165 | N/A | N/A | 5543198 | 2222 | 4802 | 8364124 | N/A | 4215023 | 2025-06-09 05:20:48.173522 | 2025-05-13 04:29:37.229341 |
| 2025-06-08 09:13:37.204988 | 2025-06-09 05:20:48.988033 | 8656731 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8656731 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-06-11 | F | PT | N/A | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_8656731_e772ab05-d902-44f7-aa26-3b8db8d4ea54.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7860562164 | N/A | N/A | 5543178 | 2222 | 4802 | 8364131 | N/A | 4215006 | 2025-06-09 05:20:48.988033 | 2025-05-13 04:29:37.229325 |
| 2025-06-08 09:13:36.985945 | 2025-06-09 05:21:12.407600 | 8656730 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8656730 | Athletic Physical Therapy Inc | 2003-07-09 | 2025-06-11 | M | PT | N/A | N/A | FEY | XED912890874 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543173/check_8656730_611c9084-4b64-4202-82c7-ee3ad154cdca.json | N/A | N/A | N/A | N/A | N/A | XED912890874 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2003-07-09 | 2001ZK002185 | X0001004 | N/A | PR | false | FEY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7860562163 | N/A | N/A | 5543173 | 2222 | 4793 | 8364376 | N/A | 4215000 | 2025-06-09 05:21:12.407600 | 2025-05-13 04:29:37.229320 |
| 2025-06-08 09:13:36.727062 | 2025-06-09 05:21:13.278483 | 8656729 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8656729 | Athletic Physical Therapy Inc | 1991-10-03 | 2025-06-11 | M | PT | N/A | N/A | PANTOSKEY | XED914113497 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543146/check_8656729_914d4e76-2129-43df-9aca-ba50a609c7ad.json | N/A | N/A | N/A | N/A | N/A | XED914113497 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-03 | 2001ZK002184 | X0001004 | N/A | PR | false | PANTOSKEY | N/A | SCOTT | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7860562162 | N/A | N/A | 5543146 | 2222 | 4802 | 8364386 | N/A | 4214969 | 2025-06-09 05:21:13.278483 | 2025-06-06 17:35:27.697291 |
| 2025-06-08 09:13:36.498434 | 2025-06-09 05:21:14.374388 | 8656726 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8656726 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-06-11 | F | PT | AE | N/A | STOLZ | MISSINGPOLICYNUMBER | ARDENN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543118/check_8656726_6165bd91-c0f3-4e9e-b1c2-be5b07fdf8bf.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1996-07-04 | N/A | N/A | N/A | N/A | false | STOLZ | N/A | ARDENN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860562161 | N/A | N/A | 5543118 | 2222 | 4802 | 8364399 | N/A | 4214948 | 2025-06-09 05:21:14.374388 | 2025-06-26 01:28:07.741882 |
| 2025-06-08 09:13:36.265057 | 2025-06-09 05:20:47.517580 | 8656724 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8656724 | Athletic Physical Therapy Inc | 1963-02-12 | 2025-06-11 | M | PT | N/A | N/A | FRENCH | XDP573A61655 | JONATHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543105/check_8656724_7623a7af-927f-4706-bdc4-a87b149f25bc.json | N/A | N/A | N/A | N/A | N/A | XDP573A61655 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-02-12 | N/A | N/A | N/A | N/A | false | FRENCH | N/A | JONATHAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7860562159 | N/A | N/A | 5543105 | 2222 | 4793 | 8364119 | N/A | 4214943 | 2025-06-09 05:20:47.517580 | 2025-05-29 02:21:31.646077 |
| 2025-06-08 09:13:35.999905 | 2025-06-09 05:20:48.709392 | 8656721 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8656721 | Athletic Physical Therapy Inc | 1994-02-19 | 2025-06-11 | M | PT | N/A | N/A | LIEBLEIN | MSJ60221038001 | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543099/check_8656721_1d66aee1-0855-4775-bf4f-3894d1a0303a.json | N/A | N/A | N/A | N/A | N/A | MSJ60221038001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1994-02-19 | N/A | N/A | N/A | N/A | false | LIEBLEIN | N/A | RYAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7860562156 | N/A | N/A | 5543099 | 2222 | 4802 | 8364129 | N/A | 4214934 | 2025-06-09 05:20:48.709392 | 2025-05-13 04:29:37.229256 |
| 2025-06-08 09:13:35.765333 | 2025-06-09 05:19:18.903275 | 8656719 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8656719 | Athletic Physical Therapy Inc | 1976-03-26 | 2025-06-11 | M | PT | AE | N/A | ORLOV | 23474362 | BORIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543098/check_8656719_eec944be-286c-437a-b636-b5de81b44b74.json | N/A | N/A | N/A | N/A | N/A | 023474362 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1976-03-26 | N/A | N/A | N/A | N/A | false | ORLOV | N/A | BORIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860562155 | N/A | N/A | 5543098 | 2222 | 4802 | 8363147 | N/A | 4214932 | 2025-06-09 05:19:18.903275 | 2025-05-13 04:29:37.229254 |
| 2025-06-08 09:13:35.540333 | 2025-06-09 05:05:22.980553 | 8656717 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8656717 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-06-11 | M | PT | AE | N/A | SHADDY | 40064865601 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_8656717_16d8cc76-1c92-4e5a-aa86-faccb984c053.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-01-21 | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860562154 | N/A | N/A | 5543011 | 2222 | 4801 | 8358076 | N/A | 4214861 | 2025-06-09 05:05:22.980553 | 2026-02-04 19:10:58.526441 |
| 2025-06-08 09:13:35.340905 | 2025-06-09 05:06:42.734685 | 8656716 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8656716 | Athletic Physical Therapy Inc | 1963-02-19 | 2025-06-11 | F | PT | AE | N/A | DIAZ | 668946201 | CATHERINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542939/check_8656716_58235831-78a8-4a14-a2a8-b6e171ec1289.json | N/A | N/A | N/A | N/A | N/A | 668946201 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1963-02-19 | N/A | N/A | N/A | N/A | false | DIAZ | N/A | CATHERINE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860562153 | N/A | N/A | 5542939 | 2222 | 4801 | 8358408 | N/A | 4214786 | 2025-06-09 05:06:42.734685 | 2025-05-13 04:29:37.229111 |
| 2025-06-08 09:13:35.163874 | 2025-06-09 05:20:49.344822 | 8656713 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8656713 | Athletic Physical Therapy Inc | 2005-12-20 | 2025-06-11 | M | PT | N/A | N/A | SPENCE | HEAHC0119474 | CHAD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542930/check_8656713_c8328705-5c18-40a9-969d-c9f65d49ccaf.json | N/A | N/A | N/A | N/A | N/A | HEAHC0119474 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-12-20 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7860562152 | N/A | N/A | 5542930 | 2222 | 4802 | 8364134 | N/A | 4214787 | 2025-06-09 05:20:49.344822 | 2025-08-17 21:31:52.380866 |
| 2025-06-08 09:13:34.911499 | 2025-06-09 05:21:12.971778 | 8656711 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8656711 | Athletic Physical Therapy Inc | 2000-07-25 | 2025-06-11 | F | PT | N/A | N/A | MAGHSOUDLOO | XEA913772161 | SAHAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542822/check_8656711_4d3987a1-d9c3-420e-a0ef-d4e5dd7e22ad.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2000-07-25 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7860562151 | N/A | N/A | 5542822 | 2222 | 4793 | 8364383 | N/A | 4214688 | 2025-06-09 05:21:12.971778 | 2025-06-25 17:57:14.838266 |
| 2025-06-08 09:13:34.710188 | 2025-06-09 05:14:54.276760 | 8656709 | N/A | N/A | 60054 | AETNA | 1114042165 | 8656709 | Athletic Physical Therapy Inc | 1953-02-07 | 2025-06-11 | F | PT | AE | N/A | MENENDEZ | 101791863000 | INES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542645/check_8656709_d08243a7-6237-471b-8489-f40f922f010a.json | N/A | N/A | N/A | N/A | N/A | 101791863000 | N/A | N/A | AETNA | N/A | 1953-02-07 | 000003-CA000017 | N/A | N/A | N/A | false | MENENDEZ | N/A | INES | N/A | N/A | N/A | 000003-CA HMO - H4982 PBP 012 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860562150 | N/A | N/A | 5542645 | 2222 | 4801 | 8361034 | 3939 | 4214517 | 2025-06-09 05:14:54.276760 | 2025-06-04 16:24:11.728512 |
| 2025-06-08 09:13:34.518295 | 2025-06-09 05:20:50.042107 | 8656706 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8656706 | Athletic Physical Therapy Inc | 2009-08-14 | 2025-06-11 | F | PT | N/A | N/A | WEBER | JQU141A54789 | MADELINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542628/check_8656706_fafb28ed-8b5c-4108-a3a1-e32719991079.json | N/A | N/A | N/A | N/A | N/A | JQU141A54789 | Preferred Provider Organization (PPO) | MARK H. WEBER, CPA AN ACCT CORP | ANTHEM BLUE CROSS | N/A | 2009-08-14 | 040 | F18235 | N/A | PR | false | WEBER | N/A | MARK | N/A | 9999-12-31 | 2024-08-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7860562149 | N/A | N/A | 5542628 | 2222 | 4793 | 8364142 | N/A | 4214508 | 2025-06-09 05:20:50.042107 | 2025-06-04 00:05:22.392827 |
| 2025-06-08 09:13:34.327942 | 2025-06-09 05:14:56.623702 | 8656704 | N/A | N/A | 60054 | Aetna | 1114042165 | 8656704 | Athletic Physical Therapy Inc | 1989-10-20 | 2025-06-11 | M | PT | AE | N/A | SAMUELS | W289332071 | ZACHARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542467/check_8656704_4e6ca216-6453-4570-8a0f-20622c66bfba.json | N/A | N/A | N/A | N/A | N/A | W289332071 | Point of Service (POS) | CACI INTERNATIONAL INC. | AETNA | N/A | 1989-10-20 | 0169496 | 016949601000001 | N/A | PS | false | SAMUELS | N/A | ZACHARY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860562148 | N/A | N/A | 5542467 | 2222 | 4802 | 8361062 | N/A | 4214379 | 2025-06-09 05:14:56.623702 | 2025-05-13 04:29:37.228706 |
| 2025-06-08 09:13:34.138800 | 2025-06-09 05:06:46.408528 | 8656702 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8656702 | Athletic Physical Therapy Inc | 1981-08-30 | 2025-06-11 | F | PT | AE | N/A | SUMBY | XEH905944609 | ANNIKA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542158/check_8656702_05d950e3-015c-4309-b5d4-16e2462fde20.json | N/A | N/A | N/A | N/A | N/A | XEH905944609 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1981-08-30 | N/A | N/A | N/A | N/A | false | SUMBY | N/A | ANNIKA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860562147 | N/A | N/A | 5542158 | 2222 | 4801 | 8358424 | N/A | 4214108 | 2025-06-09 05:06:46.408528 | 2025-05-13 04:29:37.228423 |
| 2025-06-08 09:13:32.862086 | 2025-06-09 02:06:34.686378 | 8656691 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8656691 | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-11 | F | PT | AE | N/A | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141931887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8656691_efcd6d50-6bb2-4316-b374-2d72ffb529a6.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860574585 | N/A | N/A | 6068063 | 2222 | 4802 | 8351616 | N/A | 4713004 | 2025-06-09 02:06:34.686378 | 2025-05-29 21:14:47.925641 |
| 2025-06-08 09:13:32.584658 | 2025-06-09 02:10:52.269331 | 8656689 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8656689 | Athletic Physical Therapy Inc | 1991-12-02 | 2025-06-11 | F | AE | PT | N/A | ESTRADA | 981191987 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141931887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068057/check_8656689_40697557-c915-41c5-9062-cc8d580dc025.json | N/A | N/A | N/A | N/A | N/A | 981191987 | Commercial | DIMERCO EXPRESS USA | UNITEDHEALTHCARE | PROVIDER IS OUT NETWORK FOR MEMBER FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1991-12-02 | 0003 0003 | 934612 | N/A | C1 | false | ESTRADA | N/A | MARIA | N/A | N/A | N/A | UNITEDHEALTHCARE NEXUSACO OAP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7860574584 | N/A | N/A | 6068057 | 2222 | 4802 | 8353042 | N/A | 4712999 | 2025-06-09 02:10:52.269331 | 2025-06-04 23:08:46.086169 |
| 2025-06-08 09:13:32.230677 | 2025-06-09 02:10:51.915774 | 8656686 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8656686 | Athletic Physical Therapy Inc | 1945-06-27 | 2025-06-11 | M | AE | PT | N/A | BROOK | 202232501 | NATASHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141931887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068053/check_8656686_56a1fb37-c82d-4825-ab88-c65adab399d4.json | N/A | N/A | N/A | N/A | N/A | 002022325 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1945-06-27 | N/A | HCFA21 | N/A | HN | false | N/A | N/A | N/A | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7860574583 | N/A | N/A | 6068053 | 2222 | 4793 | 8353040 | N/A | 4712995 | 2025-06-09 02:10:51.915774 | 2025-05-28 21:04:24.752114 |
| 2025-06-08 09:13:31.140976 | 2025-06-09 05:14:49.147006 | 8656680 | N/A | N/A | 60054 | Aetna | 1114042165 | 8656680 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-06-11 | M | PT | AE | N/A | GRANT | W285866811 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542136/check_8656680_a1388141-f254-4846-84ad-85e24c1ada66.json | N/A | N/A | N/A | N/A | N/A | W285866811 | N/A | N/A | AETNA | N/A | 1959-04-20 | 0193038 | 019303801200101 | N/A | N/A | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7860561677 | N/A | N/A | 5542136 | 2222 | 4793 | 8361017 | N/A | 4214087 | 2025-06-09 05:14:49.147006 | 2025-05-13 04:29:37.228402 |
| 2025-06-08 09:13:30.957498 | 2025-06-09 05:20:49.683362 | 8656679 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8656679 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-06-11 | M | PT | N/A | N/A | STEINBERG | MBL875M98441 | HARRIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250608.141520665.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_8656679_baeacc86-3f4c-4180-b4b5-1ff2adad0cb3.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7860561676 | N/A | N/A | 5541917 | 2222 | 4793 | 8364137 | N/A | 4213891 | 2025-06-09 05:20:49.683362 | 2025-05-13 04:29:37.228207 |