API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-20 09:34:34.438128 | 2025-11-20 09:34:36.339903 | 15037057 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_15037057_4c9a36e2-fc4b-4f50-b580-36ab16703282.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9849187/check_15037057_d7e9bea5-926c-427c-a88d-fc8b7b7cbef3.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9849187 | 2222 | N/A | 15275430 | N/A | 4215317 | 2025-11-20 09:34:36.339903 | 2025-06-24 21:13:18.739779 |
| 2025-11-20 09:34:32.636694 | 2025-11-20 09:34:34.798515 | 15037055 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_15037055_fe2c7e18-3ba7-41bb-bbb8-0e0e11b3e705.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9849187/check_15037055_cca2fcd6-e625-48f1-8e88-d21732440705.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9849187 | 2222 | N/A | 15275429 | N/A | 4215317 | 2025-11-20 09:34:34.798515 | 2025-06-24 21:13:18.739779 |
| 2025-11-20 09:34:32.193967 | 2025-11-20 09:34:34.428650 | 15037054 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_15037054_4130bb2d-493d-468f-b99b-e7bcf430d503.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9849187 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-20 09:34:34.428650 | 2025-06-24 21:13:18.739779 |
| 2025-11-20 09:34:30.701552 | 2025-11-20 09:34:32.631384 | 15037053 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_15037053_e145e508-fe13-4ff5-a6c9-66145d8345a9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9849187 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-20 09:34:32.631384 | 2025-06-24 21:13:18.739779 |
| 2025-11-20 09:34:29.658137 | 2025-11-20 09:34:31.710284 | 15037052 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15037052_a3282b66-e5b8-4ae5-acb2-a1220d5f1fee.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15037052_0f4a268c-53e9-4b5f-8ae7-236071627917.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15275425 | N/A | 4215317 | 2025-11-20 09:34:31.710284 | 2025-06-24 21:13:18.739779 |
| 2025-11-20 09:34:28.432526 | 2025-11-20 09:34:30.300022 | 15037051 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15037051_9c108f17-dec1-450e-968c-65cade9d2b68.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15037051_1da2c4a6-aa41-4e2a-9778-1119b0f42d5a.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15275424 | N/A | 4215317 | 2025-11-20 09:34:30.300022 | 2025-06-24 21:13:18.739779 |
| 2025-11-20 09:34:27.877350 | 2025-11-20 09:34:29.654228 | 15037050 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15037050_db32de3f-b3b6-44bd-9cf5-a4db7593c73f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-20 09:34:29.654228 | 2025-06-24 21:13:18.739779 |
| 2025-11-20 09:34:26.707970 | 2025-11-20 09:34:28.428429 | 15037049 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15037049_09d845d3-612b-474a-a538-d76f963a8b29.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-20 09:34:28.428429 | 2025-06-24 21:13:18.739779 |
| 2025-11-20 09:34:25.629171 | 2025-11-20 09:34:27.456232 | 15037047 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15037047_a11e42f2-a537-45de-8a01-3871cf9bfd24.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15037047_460febeb-c940-4257-bed2-a2f77ee4c1fc.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15275420 | N/A | 4215317 | 2025-11-20 09:34:27.456232 | 2025-06-24 21:13:18.739779 |
| 2025-11-20 09:34:24.410365 | 2025-11-20 09:34:26.297831 | 15037046 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15037046_33666635-cfbe-49be-8711-1c3ddd70cad5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15037046_621ca1fe-14e0-4206-983b-80d899329828.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15275419 | N/A | 4215317 | 2025-11-20 09:34:26.297831 | 2025-06-24 21:13:18.739779 |
| 2025-11-20 09:34:23.812168 | 2025-11-20 09:34:25.625156 | 15037044 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15037044_554b1428-8055-4023-be4e-011258cbfed5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-20 09:34:25.625156 | 2025-06-24 21:13:18.739779 |
| 2025-11-20 09:34:22.633277 | 2025-11-20 09:34:24.406579 | 15037043 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6578550/check_15037043_723563c4-745c-4639-ac1a-a9c3a9f0cac7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6578550 | 2222 | N/A | N/A | N/A | 5198354 | 2025-11-20 09:34:24.406579 | 2025-06-24 21:09:14.654827 |
| 2025-11-20 09:34:21.511555 | 2025-11-20 09:34:23.403037 | 15037042 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6578550/check_15037042_fd15da9d-baba-4f5c-a4bf-ed9826742dd0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6578550/check_15037042_852ae427-442b-4f6d-bf1d-a79d4cb1edca.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6578550 | 2222 | N/A | 15275415 | N/A | 5198354 | 2025-11-20 09:34:23.403037 | 2025-06-24 21:09:14.654827 |
| 2025-11-20 09:34:20.322810 | 2025-11-20 09:34:22.214446 | 15037040 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15037040_ba8706f6-b32b-4940-9f0f-8af83b7d37eb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15037040_7a8c63f7-1373-4e66-82e6-a145fb41c15a.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15275413 | N/A | 4215317 | 2025-11-20 09:34:22.214446 | 2025-06-24 21:13:18.739779 |
| 2025-11-20 09:34:18.638360 | 2025-11-20 09:34:21.500326 | 15037038 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15037038_571d922b-5643-4fbd-af85-43138aa09d88.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-20 09:34:21.500326 | 2025-06-24 21:13:18.739779 |
| 2025-11-20 09:34:17.324647 | 2025-11-20 09:34:20.318305 | 15037036 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-05 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15037036_d2c4c0ed-4bd8-4aa4-9652-a5850ef6f700.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-05 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-20 09:34:20.318305 | 2025-06-24 21:13:18.739779 |
| 2025-11-20 08:22:37.933882 | 2025-11-20 08:22:41.168095 | 15035224 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-09-11 | 2025-11-21 | M | AE | PT | N/A | Senkan | 952797685-00 | Selim | https://storage.googleapis.com/normandy-eligibility-checks/2222/12840493/check_15035224_2ed50120-de44-4ebe-9195-1720d644ba34.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12840493/check_15035224_fb83871d-a77d-4d75-aa46-b0cd1d18b9fd.json | N/A | N/A | N/A | N/A | N/A | 952797685 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1950-09-11 | N/A | 15896 | N/A | PR | false | SENKAN | N/A | SELIM | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12840493 | 2222 | N/A | 15274003 | N/A | 11004890 | 2025-11-20 08:22:41.168095 | 2025-11-15 00:05:02.806624 |
| 2025-11-20 08:22:04.639874 | 2025-11-20 08:22:09.618894 | 15034981 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-11-19 | 2025-11-21 | F | AE | PT | N/A | Salek | 967262832 | Farnaz | https://storage.googleapis.com/normandy-eligibility-checks/2222/11845005/check_15034981_e6e63a51-9628-48d0-b3c1-55429563b329.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11845005/check_15034981_b10691be-40ae-45a4-9732-33541da7b374.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 | 15273803 | N/A | 10076642 | 2025-11-20 08:22:09.618894 | 2025-10-30 00:11:55.270846 |
| 2025-11-20 08:22:03.771793 | 2025-11-20 08:22:07.275584 | 15034975 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-06-29 | 2025-11-21 | F | AE | PT | N/A | Ghahremanpour | 967262832 | Nikka | https://storage.googleapis.com/normandy-eligibility-checks/2222/11805214/check_15034975_b9cfeef3-dccf-4647-85c0-1c87f98c82de.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11805214/check_15034975_3a747db3-7873-44fe-8efd-c311b108c873.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 | 15273783 | N/A | 10038545 | 2025-11-20 08:22:07.275584 | 2025-10-29 17:23:04.303840 |
| 2025-11-20 08:20:57.857920 | 2025-11-20 08:21:01.199445 | 15034448 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-09-14 | 2025-11-21 | M | AE | PT | N/A | Luthra | 70548686400 | Rahil | https://storage.googleapis.com/normandy-eligibility-checks/2222/9415757/check_15034448_47e74c8a-21cc-48bb-8066-18bcc49c3286.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415757/check_15034448_43d905e9-d47a-4156-bf93-65a71469e2dd.json | N/A | N/A | N/A | N/A | N/A | 70548686400 | Commercial | N/A | UnitedHealthcare Benefits Plan of California | N/A | 2005-09-14 | N/A | 1727199 | N/A | C1 | false | LUTHRA | N/A | RAHIL | 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 | 9415757 | 2222 | N/A | 15273307 | N/A | 7884645 | 2025-11-20 08:21:01.199445 | 2025-09-23 18:47:24.441583 |
| 2025-11-20 08:19:08.713023 | 2025-11-20 08:19:12.252398 | 15033422 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-03 | 2025-11-20 | F | AE | PT | N/A | BUSH | 914098310 | YVONNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535687/check_15033422_4322a65b-5c03-45dd-8eec-aa4eb1f2bcb9.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535687/check_15033422_7647367f-26c1-4263-8e69-b95d03378902.json | N/A | N/A | N/A | N/A | N/A | 914098310 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1948-07-03 | N/A | 15937 | N/A | PR | false | BUSH | N/A | YVONNE | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535687 | 2222 | N/A | 15272418 | N/A | 4208566 | 2025-11-20 08:19:12.252398 | 2025-11-20 20:20:17.790934 |
| 2025-11-20 08:12:28.049138 | 2025-11-20 08:13:01.648040 | 15030840 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2025-11-21 | M | AE | PT | 6341 | HOLGUIN | 1407861520 | VINCENT | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_15030840_910b58e2-588a-4904-a73e-c6989beb6482.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-11-21 | 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 | 2025-11-20 08:13:01.648040 | 2025-11-11 01:01:48.778756 |
| 2025-11-20 08:12:22.033161 | 2025-11-21 01:51:07.798315 | 15030757 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15030757 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-11-21 | F | AE | PT | N/A | JOHNSTON | 7KA0H51YU14 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251120.102223938.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_15030757_de007ce9-e06d-407b-b4b7-6ded4d934286.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MA | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | 191067 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9333478177 | N/A | N/A | 6638066 | 2222 | 4793 | 15295292 | N/A | 5247837 | 2025-11-21 01:51:07.798315 | 2026-02-24 20:36:49.807283 |
| 2025-11-20 08:10:19.650545 | 2025-11-20 08:10:53.492746 | 15027750 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-11-21 | F | AE | PT | 6338 | YUNG | 00854676304 | MAYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_15027750_b7c56321-ea25-4fa0-ab65-f299cce30150.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-11-21 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-11-20 08:10:53.492746 | 2025-05-13 04:29:37.229495 |
| 2025-11-20 08:09:48.711498 | 2025-11-21 01:46:03.281844 | 15026595 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 15026595 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-11-21 | F | AE | PT | N/A | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251120.102223938.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_15026595_0989b836-447d-480e-a692-a08bec6f8c6f.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9333478337 | N/A | N/A | 5568076 | 2222 | 4802 | 15293310 | N/A | 4209480 | 2025-11-21 01:46:03.281844 | 2026-04-10 02:05:15.976484 |
| 2025-11-20 08:06:33.365176 | 2025-11-20 08:06:36.542135 | 15020155 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-01-14 | 2025-11-20 | F | PT | N/A | 4185 | OBACZ | JQV897A63197 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9102655/check_15020155_3eeb078d-aa5a-4cf4-ad08-5d1133d4b522.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_15020155_fc6b77e6-1ca6-4839-93cf-8fd80618729c.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 2026-01-01 | 2025-01-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9333398472 | N/A | N/A | 9102655 | 2222 | N/A | 15269244 | N/A | 7621062 | 2025-11-20 08:06:36.542135 | 2025-09-12 19:10:20.936695 |
| 2025-11-20 08:05:50.774894 | 2025-11-20 08:05:52.626818 | 15018911 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-07-02 | 2025-11-20 | M | PT | N/A | 4191 | DRISCOLL | XED912182768 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104970/check_15018911_10751d29-431f-4e49-bd12-9d6424afc3a2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104970/check_15018911_bdbf712a-be9d-4c36-8870-438ec5c8885b.json | N/A | N/A | N/A | N/A | N/A | XED912182768 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-07-02 | 2001ZK002184 | X0001004 | N/A | PR | false | DRISCOLL | N/A | JAMES | N/A | 9999-12-31 | 2023-04-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9333394688 | N/A | N/A | 6104970 | 2222 | N/A | 15268923 | N/A | 4749447 | 2025-11-20 08:05:52.626818 | 2025-06-06 23:16:09.869339 |
| 2025-11-20 08:05:50.134736 | 2025-11-21 03:34:56.514167 | 15018893 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15018893 | Athletic Physical Therapy Inc | 1952-07-09 | 2025-11-21 | F | AE | PT | N/A | GILBERT | H746944777 | ELINOR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251120.100321500.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13040906/check_15018893_6291a00c-6dd6-4969-8559-909404c4854b.json | N/A | N/A | N/A | N/A | N/A | H746944777 | N/A | N/A | HUMANA | N/A | N/A | N/A | N/A | N/A | N/A | false | GILBERT | N/A | ELINOR | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9333432676 | N/A | N/A | 13040906 | 2222 | 4802 | 15297689 | N/A | 11198096 | 2025-11-21 03:34:56.514167 | 2025-11-19 17:42:16.749935 |
| 2025-11-20 08:03:44.985570 | 2025-11-21 01:36:29.464394 | 15015763 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 15015763 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-11-21 | F | AE | PT | N/A | JOHNSTON | H750053601 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251120.100219452.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_15015763_72ff3dff-5af5-438f-b13c-e8af72412695.json | N/A | N/A | N/A | N/A | N/A | H750053601 | N/A | N/A | PHYSICIANS MUTUAL | PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL | 1952-10-25 | N/A | N/A | N/A | N/A | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | MEDICARE SUPPLEMENT 2023 PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9333415227 | N/A | N/A | 6638391 | 2222 | 4793 | 15288577 | N/A | 5247837 | 2025-11-21 01:36:29.464394 | 2026-02-24 20:36:49.807283 |
| 2025-11-20 08:03:36.087477 | 2025-11-21 01:36:14.139484 | 15015568 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15015568 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-11-21 | F | PT | N/A | N/A | GIANNE | XED910762094 | NATALIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251120.112547980.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_15015568_9d8295ba-ff61-496f-90d7-98bca5e717a4.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9333727049 | N/A | N/A | 7994545 | 2222 | 4802 | 15288413 | N/A | 6802250 | 2025-11-21 01:36:14.139484 | 2025-08-11 23:58:28.358402 |
| 2025-11-20 08:03:31.040774 | 2025-11-21 01:33:58.502444 | 15015473 | N/A | N/A | 60054 | Aetna | 1114042165 | 15015473 | Athletic Physical Therapy Inc | 1969-06-19 | 2025-11-21 | F | AE | PT | N/A | SIMSON FRANK | JQU217M93319 | GABRIELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251120.100248853.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11508035/check_15015473_aaf697c0-79f9-4187-a8a4-8b9c5b8856ad.json | N/A | N/A | N/A | N/A | N/A | JQU217M93319 | N/A | N/A | AETNA INC | N/A | 1969-06-19 | N/A | N/A | N/A | N/A | false | SIMSON FRANK | N/A | GABRIELLE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9333424872 | N/A | N/A | 11508035 | 2222 | 4793 | 15287219 | N/A | 9748796 | 2025-11-21 01:33:58.502444 | 2025-10-30 15:58:51.268962 |
| 2025-11-20 05:01:41.274663 | 2025-11-20 05:01:45.304416 | 15013741 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2006-06-07 | 2025-11-20 | M | PT | N/A | 4184 | BROWN | PWF566A67898 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/2222/12756456/check_15013741_7dafe63b-109a-459f-92ce-ffa2a344a2ef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12756456/check_15013741_c432c6a6-ad87-4a16-a2a9-9b81f8b94f7a.json | N/A | N/A | N/A | N/A | N/A | PWF7431690PT | Preferred Provider Organization (PPO) | PUBLIC-ALL REGIONS-ACTIVE/RETIREE | ANTHEM BLUE CROSS | N/A | 2006-06-07 | 040 | L02978M001 | N/A | PR | false | BROWN | N/A | ROY | N/A | 9999-12-31 | 2022-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9332812366 | N/A | N/A | 12756456 | 2222 | N/A | 15267125 | N/A | 10914431 | 2025-11-20 05:01:45.304416 | 2025-11-16 20:25:40.530209 |
| 2025-11-20 01:42:12.021328 | 2025-11-20 01:42:13.848075 | 15012990 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-14 | 2025-11-26 | F | AE | PT | 4497 | COHENZADEH | 1YM2D25GY27 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541059/check_15012990_4c8621d7-3504-4e5e-9890-fc298d688ccd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15012990_036d38f1-4e1c-41a8-a8aa-08e65504b009.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9332048636 | N/A | N/A | 5541059 | 2222 | N/A | 15254914 | N/A | 4213119 | 2025-11-20 01:42:13.848075 | 2025-11-20 01:13:31.057962 |
| 2025-11-20 01:42:02.885391 | 2025-11-20 01:42:04.670847 | 15012989 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-14 | 2025-11-26 | F | AE | PT | 4497 | COHENZADEH | 1YM2D25GY27 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541059/check_15012989_02051ae8-3722-4dd1-bfd2-59502d9b49f3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15012989_61745d1a-8d99-4668-a318-5f87ee6f7341.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9332048317 | N/A | N/A | 5541059 | 2222 | N/A | 15254810 | N/A | 4213119 | 2025-11-20 01:42:04.670847 | 2025-11-20 01:13:31.057962 |
| 2025-11-20 01:41:02.162696 | 2025-11-20 01:41:03.928633 | 15012988 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-14 | 2025-11-26 | F | AE | PT | 4497 | COHENZADEH | 1YM2D25GY27 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541059/check_15012988_3537da16-b415-4f83-8f55-af52388b6d61.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15012988_d2094b34-993b-4da3-a230-b2bfcd9c249a.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9332046261 | N/A | N/A | 5541059 | 2222 | N/A | 15253917 | N/A | 4213119 | 2025-11-20 01:41:03.928633 | 2025-11-20 01:13:31.057962 |
| 2025-11-20 01:39:34.990197 | 2025-11-20 01:39:36.829392 | 15012984 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-14 | 2025-11-26 | F | AE | PT | 4497 | COHENZADEH | 1YM2D25GY27 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541059/check_15012984_22dfa9dd-1c58-467b-8068-267bbc146391.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15012984_259c87e9-332e-4bd1-8b25-91452bb103d7.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9332043120 | N/A | N/A | 5541059 | 2222 | N/A | 15253352 | N/A | 4213119 | 2025-11-20 01:39:36.829392 | 2025-11-20 01:13:31.057962 |
| 2025-11-20 01:39:19.202882 | 2025-11-20 01:39:20.978336 | 15012983 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-14 | 2025-11-26 | F | AE | PT | 4497 | COHENZADEH | 1YM2D25GY27 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541059/check_15012983_1e5c0db1-4186-47bc-851b-61fde03536cb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15012983_949889e4-5263-40f7-a71b-cf17a97d112a.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MB | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9332042354 | N/A | N/A | 5541059 | 2222 | N/A | 15253245 | N/A | 4213119 | 2025-11-20 01:39:20.978336 | 2025-11-20 01:13:31.057962 |
| 2025-11-20 01:39:11.416417 | 2025-11-20 01:39:13.233851 | 15012982 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-14 | 2025-11-26 | F | AE | PT | 4497 | COHENZADEH | 1YM2D25GY27 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541059/check_15012982_456467c1-29e7-45f2-8e73-fcc731eabf5c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15012982_a0668f05-a6e0-477f-8e97-1be7236fc3eb.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9332042176 | N/A | N/A | 5541059 | 2222 | N/A | 15253191 | N/A | 4213119 | 2025-11-20 01:39:13.233851 | 2025-11-20 01:13:31.057962 |
| 2025-11-20 01:37:08.290900 | 2025-11-20 01:37:10.172482 | 15012930 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-14 | 2025-11-26 | F | AE | PT | 4497 | COHENZADEH | 1YM2D25GY27 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541059/check_15012930_65451d28-9d20-4997-b80a-b4359170c836.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15012930_aae58866-91bd-4859-b04c-e5f9d57bbffc.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9332036572 | N/A | N/A | 5541059 | 2222 | N/A | 15252023 | N/A | 4213119 | 2025-11-20 01:37:10.172482 | 2025-11-20 01:13:31.057962 |
| 2025-11-20 01:36:47.123040 | 2025-11-20 01:36:48.935433 | 15012921 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-14 | 2025-11-26 | F | AE | PT | 4497 | COHENZADEH | 1YM2D25GY27 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541059/check_15012921_564c0791-7827-4033-9c6f-7ee4338c9208.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15012921_25fa73a5-d2ae-4329-8110-cdeacdce5718.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9332036047 | N/A | N/A | 5541059 | 2222 | N/A | 15251806 | N/A | 4213119 | 2025-11-20 01:36:48.935433 | 2025-11-20 01:13:31.057962 |
| 2025-11-20 01:36:24.199600 | 2025-11-20 01:36:26.338412 | 15012919 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-14 | 2025-11-26 | F | AE | PT | 4497 | COHENZADEH | 1YM2D25GY27 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541059/check_15012919_8c5c686e-91fd-4e42-906f-73f024d3ac63.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15012919_18382278-ddc8-4bc6-9af8-b8dd688f9509.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MB | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9332035092 | N/A | N/A | 5541059 | 2222 | N/A | 15251572 | N/A | 4213119 | 2025-11-20 01:36:26.338412 | 2025-11-20 01:13:31.057962 |
| 2025-11-20 01:36:17.892368 | 2025-11-20 01:36:19.858292 | 15012917 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-14 | 2025-11-26 | F | AE | PT | 4497 | COHENZADEH | 1YM2D25GY27 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541059/check_15012917_188bd650-48f5-4900-8be1-d623ead48c23.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15012917_3184e54e-bc48-4744-ae71-ce01781c4903.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9332034956 | N/A | N/A | 5541059 | 2222 | N/A | 15251506 | N/A | 4213119 | 2025-11-20 01:36:19.858292 | 2025-11-20 01:13:31.057962 |
| 2025-11-20 01:36:07.415028 | 2025-11-20 01:36:09.306222 | 15012915 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-14 | 2025-11-26 | F | AE | PT | 4497 | COHENZADEH | 1YM2D25GY27 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541059/check_15012915_7202c7ab-e1bb-43bf-90ed-21832dfa019f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15012915_8608fa5a-30e3-4335-8e90-c0fc5cafb5ce.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9332033137 | N/A | N/A | 5541059 | 2222 | N/A | 15251393 | N/A | 4213119 | 2025-11-20 01:36:09.306222 | 2025-11-20 01:13:31.057962 |
| 2025-11-20 01:36:00.027411 | 2025-11-20 01:36:01.976537 | 15012914 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-14 | 2025-11-26 | F | AE | PT | 4497 | COHENZADEH | 1YM2D25GY27 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541059/check_15012914_4935d028-5ecf-41d6-96b3-9ff80084e798.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15012914_ceee96ac-67cd-4aa3-901c-0d20ec5f0412.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9332031364 | N/A | N/A | 5541059 | 2222 | N/A | 15251319 | N/A | 4213119 | 2025-11-20 01:36:01.976537 | 2025-11-20 01:13:31.057962 |
| 2025-11-20 01:35:28.973863 | 2025-11-20 01:35:32.877325 | 15012913 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-14 | 2025-11-26 | F | AE | PT | 4497 | COHENZADEH | 1YM2D25GY27 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541059/check_15012913_cafeb782-2620-449f-a444-3c413633437e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15012913_11a9ab18-6cac-4ad1-9f3f-55447a6604f5.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MB | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9332030438 | N/A | N/A | 5541059 | 2222 | N/A | 15251010 | N/A | 4213119 | 2025-11-20 01:35:32.877325 | 2025-11-20 01:13:31.057962 |
| 2025-11-20 00:44:59.425788 | 2025-11-20 00:45:03.380335 | 15012499 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-11-25 | 2025-11-20 | F | PT | N/A | 4191 | LEE | XEK914494143 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7791429/check_15012499_ce923ba2-a5ea-490e-883f-93e7979d3175.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7791429/check_15012499_929ea28e-30dc-423b-8a70-c1f51cc446bf.json | N/A | N/A | N/A | N/A | N/A | XEK914494143 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1960-11-25 | 2001ZK002189 | X0001000 | N/A | PR | false | LEE | N/A | BARBARA | N/A | 9999-12-31 | 2025-07-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9331790794 | N/A | N/A | 7791429 | 2222 | N/A | 15248559 | N/A | 6634957 | 2025-11-20 00:45:03.380335 | 2025-08-18 18:53:04.814231 |
| 2025-11-20 00:29:33.360632 | 2025-11-20 00:29:36.425300 | 15012480 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-07 | 2025-11-20 | M | PT | N/A | 4185 | BAHR | FZX638A69335 | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/10371931/check_15012480_76f02e44-ea09-4472-bfe8-728b36b0bd15.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_15012480_c7e842db-e3b4-4470-9a42-63ec5ebfa31b.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9331755165 | N/A | N/A | 10371931 | 2222 | N/A | 15248541 | N/A | 8634062 | 2025-11-20 00:29:36.425300 | 2025-10-16 21:25:25.746427 |
| 2025-11-20 00:11:38.451532 | 2025-11-20 00:11:42.328803 | 15012439 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-08-09 | 2025-11-20 | M | AE | PT | 5504 | Finkelstein | 000006735240 | Adam | https://storage.googleapis.com/normandy-eligibility-checks/2222/12791955/check_15012439_28b538d8-9e41-49ac-856f-15c8a2a9e1c9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12791955/check_15012439_71cf2e09-be92-480d-80de-6a5897572969.json | N/A | N/A | N/A | N/A | N/A | 000006735240 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1984-08-09 | 4361630 | 1650095001 | N/A | N/A | false | FINKELSTEIN | N/A | ADAM | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9331708122 | N/A | N/A | 12791955 | 2222 | N/A | 15248499 | N/A | 10957668 | 2025-11-20 00:11:42.328803 | 2025-11-14 00:05:49.078317 |
| 2025-11-20 00:09:42.096295 | 2025-11-20 00:09:48.210373 | 15012434 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-06-06 | 2025-11-20 | U | AE | PT | N/A | LOPEZ | 910168740 | DENI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549402/check_15012434_4775ddea-de02-428c-b804-c8ad6b010964.json | UHC | N/A | INSIGHTS | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549402/check_15012434_f9b07ae6-c7c1-4ef1-8cc9-fa2251cf2d39.json | N/A | N/A | N/A | N/A | N/A | 910168740 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-06-06 | N/A | 742149 | N/A | N/A | false | LOPEZ | N/A | DENI | 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 | 163852 | N/A | 5549402 | 2222 | N/A | 15248494 | N/A | 4219066 | 2025-11-20 00:09:48.210373 | 2025-11-20 19:15:16.075292 |
| 2025-11-19 21:28:19.887287 | 2025-11-19 21:28:24.685064 | 15011106 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1750106241 | N/A | override_provider | 1955-02-17 | 2025-08-07 | F | PT | AE | N/A | WARNER | 986943779 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9087770/check_15011106_bbded8c9-05b4-4b0d-b7a2-33171484c92e.json | UHC | N/A | INSIGHTS | 2025-08-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9087770/check_15011106_c1ecc43e-4e8d-4b4c-9883-d30467aa6b4e.json | N/A | N/A | N/A | N/A | N/A | 986943779 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1955-02-17 | N/A | 74134 | N/A | N/A | false | WARNER | N/A | DEBRA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9087770 | 2222 | N/A | 15246785 | N/A | 6542579 | 2025-11-19 21:28:24.685064 | 2025-08-03 21:06:50.030047 |