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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-19 21:26:40.312386 | 2025-11-19 21:26:42.115758 | 15011093 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-09 | 2025-11-21 | F | AE | PT | 23315 | GILBERT | H746944777 | ELINOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/13040906/check_15011093_963cb16e-498c-4b7f-a23a-42d08261b57a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13040906/check_15011093_731a8f57-360a-4351-9163-f23047bedaac.json | N/A | N/A | N/A | N/A | N/A | H746944777 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-07-09 | N/A | N/A | N/A | N/A | false | GILBERT | N/A | ELINOR | 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 | 13040906 | 2222 | N/A | 15246771 | N/A | 11198096 | 2025-11-19 21:26:42.115758 | 2025-11-19 17:42:16.749935 |
| 2025-11-19 21:26:38.613911 | 2025-11-19 21:26:40.309294 | 15011091 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-09 | 2025-11-21 | F | AE | PT | 23315 | GILBERT | H746944777 | ELINOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/13040906/check_15011091_b33a0f16-2dad-423d-9dc8-741003564b78.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | N/A | N/A | N/A | N/A | N/A | N/A | H746944777 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-07-09 | N/A | N/A | N/A | N/A | false | GILBERT | N/A | ELINOR | 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 | 13040906 | 2222 | N/A | N/A | N/A | 11198096 | 2025-11-19 21:26:40.309294 | 2025-11-19 17:42:16.749935 |
| 2025-11-19 21:23:54.310868 | 2025-11-19 21:23:56.232865 | 15011054 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-09 | 2025-11-21 | F | AE | PT | 23315 | GILBERT | H74694777 | ELINOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/13040906/check_15011054_e07c1882-fca1-4b6a-a288-9ef4ab73bf8e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13040906/check_15011054_ad05263c-695b-45a0-9dbf-b752517d39ff.json | N/A | N/A | N/A | N/A | N/A | H74694777 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-07-09 | N/A | N/A | N/A | N/A | false | GILBERT | N/A | ELINOR | 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 | 13040906 | 2222 | N/A | 15246722 | N/A | 11198096 | 2025-11-19 21:23:56.232865 | 2025-11-19 17:42:16.749935 |
| 2025-11-19 21:23:52.136948 | 2025-11-19 21:23:54.305282 | 15011053 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-09 | 2025-11-21 | F | AE | PT | 23315 | GILBERT | H74694777 | ELINOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/13040906/check_15011053_7de209c9-3c6d-42fc-8287-ae870ffddef5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | N/A | N/A | N/A | N/A | N/A | N/A | H74694777 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-07-09 | N/A | N/A | N/A | N/A | false | GILBERT | N/A | ELINOR | 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 | 13040906 | 2222 | N/A | N/A | N/A | 11198096 | 2025-11-19 21:23:54.305282 | 2025-11-19 17:42:16.749935 |
| 2025-11-19 21:23:46.146378 | 2025-11-19 21:23:48.174423 | 15011050 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-09 | 2025-11-21 | F | AE | PT | 23315 | GILBERT | H74694777 | ELINOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/13040906/check_15011050_51aceb20-4d97-45e9-9685-602a16242e90.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13040906/check_15011050_de061124-7a74-4aa3-abb6-6ae99ccfb649.json | N/A | N/A | N/A | N/A | N/A | H74694777 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-07-09 | N/A | N/A | N/A | N/A | false | GILBERT | N/A | ELINOR | 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 | 13040906 | 2222 | N/A | 15246719 | N/A | 11198096 | 2025-11-19 21:23:48.174423 | 2025-11-19 17:42:16.749935 |
| 2025-11-19 21:23:44.243895 | 2025-11-19 21:23:46.134592 | 15011049 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-09 | 2025-11-21 | F | AE | PT | 23315 | GILBERT | H74694777 | ELINOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/13040906/check_15011049_039a0df8-9eec-4e68-a8a2-1a930704356f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | N/A | N/A | N/A | N/A | N/A | N/A | H74694777 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-07-09 | N/A | N/A | N/A | N/A | false | GILBERT | N/A | ELINOR | 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 | 13040906 | 2222 | N/A | N/A | N/A | 11198096 | 2025-11-19 21:23:46.134592 | 2025-11-19 17:42:16.749935 |
| 2025-11-19 21:23:15.047585 | 2025-11-19 21:23:16.994422 | 15011046 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-09 | 2025-11-21 | F | AE | PT | 23315 | GILBERT | H74694777 | ELINOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/13040906/check_15011046_83418fc8-cf13-4749-ab2e-311029444a55.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13040906/check_15011046_f1e84b0d-0e60-4e62-b419-71a5b1828af3.json | N/A | N/A | N/A | N/A | N/A | H74694777 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-07-09 | N/A | N/A | N/A | N/A | false | GILBERT | N/A | ELINOR | 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 | 13040906 | 2222 | N/A | 15246715 | N/A | 11198096 | 2025-11-19 21:23:16.994422 | 2025-11-19 17:42:16.749935 |
| 2025-11-19 21:23:13.436608 | 2025-11-19 21:23:15.044772 | 15011045 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-09 | 2025-11-21 | F | AE | PT | 23315 | GILBERT | H74694777 | ELINOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/13040906/check_15011045_ba7ed7cf-7128-4813-8ea7-c56290e45208.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | N/A | N/A | N/A | N/A | N/A | N/A | H74694777 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-07-09 | N/A | N/A | N/A | N/A | false | GILBERT | N/A | ELINOR | 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 | 13040906 | 2222 | N/A | N/A | N/A | 11198096 | 2025-11-19 21:23:15.044772 | 2025-11-19 17:42:16.749935 |
| 2025-11-19 21:23:04.036842 | 2025-11-19 21:23:05.925901 | 15011043 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-09 | 2025-11-21 | F | AE | PT | 23315 | GILBERT | H74694777 | ELINOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/13040906/check_15011043_e71f0bee-805a-45f0-ab09-1b06ae380a6d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13040906/check_15011043_a7943f19-5a90-4d20-a0ca-7991c8b82a2f.json | N/A | N/A | N/A | N/A | N/A | H74694777 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-07-09 | N/A | N/A | N/A | N/A | false | GILBERT | N/A | ELINOR | 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 | 13040906 | 2222 | N/A | 15246711 | N/A | 11198096 | 2025-11-19 21:23:05.925901 | 2025-11-19 17:42:16.749935 |
| 2025-11-19 21:23:02.260805 | 2025-11-19 21:23:04.031730 | 15011042 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-09 | 2025-11-21 | F | AE | PT | 23315 | GILBERT | H74694777 | ELINOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/13040906/check_15011042_2afcf028-bfc8-45e7-8e90-c7b3c65cd692.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | N/A | N/A | N/A | N/A | N/A | N/A | H74694777 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-07-09 | N/A | N/A | N/A | N/A | false | GILBERT | N/A | ELINOR | 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 | 13040906 | 2222 | N/A | N/A | N/A | 11198096 | 2025-11-19 21:23:04.031730 | 2025-11-19 17:42:16.749935 |
| 2025-11-19 21:06:23.092248 | 2025-11-19 21:06:27.167711 | 15010780 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-10-25 | 2025-11-19 | F | AE | PT | 6096 | JOHNSTON | H750053601 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6638391/check_15010780_07cc7adc-971f-4393-bba0-d2ed3715b376.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_15010780_a91e3680-acde-446c-a466-84354808e67b.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9330904369 | N/A | N/A | 6638391 | 2222 | N/A | 15246408 | N/A | 5247837 | 2025-11-19 21:06:27.167711 | 2026-02-24 20:36:49.807283 |
| 2025-11-19 21:06:22.062432 | 2025-11-19 21:06:25.177159 | 15010779 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-10-25 | 2025-11-19 | F | AE | PT | 4497 | JOHNSTON | 7KA0H51YU14 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6638066/check_15010779_12848363-c364-4488-ab13-d1073a9b5587.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_15010779_6839c5fe-3d01-415a-ab08-71f0773d1cff.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9330904263 | N/A | N/A | 6638066 | 2222 | N/A | 15246407 | N/A | 5247837 | 2025-11-19 21:06:25.177159 | 2026-02-24 20:36:49.807283 |
| 2025-11-19 20:59:32.184606 | 2025-11-19 20:59:33.986174 | 15010669 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-03-23 | 2025-12-03 | F | AE | PT | 5504 | Wells | 0022370783 | Paula | https://storage.googleapis.com/normandy-eligibility-checks/2222/13050785/check_15010669_69da9640-375a-4d77-8552-a403dc437b8a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13050785/check_15010669_0c346ca3-ce24-459a-a040-67268d9784d9.json | N/A | N/A | N/A | N/A | N/A | 0022370783 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1958-03-23 | N/A | N/A | N/A | N/A | false | WELLS | N/A | PAULA | 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 | 13050785 | 2222 | N/A | 15246283 | N/A | 11208103 | 2025-11-19 20:59:33.986174 | 2025-11-19 20:42:38.719398 |
| 2025-11-19 20:59:30.437459 | 2025-11-19 20:59:32.180298 | 15010668 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-03-23 | 2025-12-03 | F | AE | PT | 5504 | Wells | 0022370783 | Paula | https://storage.googleapis.com/normandy-eligibility-checks/2222/13050785/check_15010668_fc6a223f-0760-4331-a946-8fd4eb17423e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-03 | N/A | N/A | N/A | N/A | N/A | N/A | 0022370783 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1958-03-23 | N/A | N/A | N/A | N/A | false | WELLS | N/A | PAULA | 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 | 13050785 | 2222 | N/A | N/A | N/A | 11208103 | 2025-11-19 20:59:32.180298 | 2025-11-19 20:42:38.719398 |
| 2025-11-19 19:53:59.533367 | 2025-11-19 19:54:02.304382 | 15009805 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-03-19 | 2025-11-25 | F | AE | PT | 4497 | ROSS | 6QX7T41GM46 | MARTHA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536301/check_15009805_fc87f9b0-2f02-48bc-b297-d9f695c81ddd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536301/check_15009805_1ef3cf59-669e-4fb7-b8b9-e0d0988dc878.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MA | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9330389606 | N/A | N/A | 5536301 | 2222 | N/A | 15245281 | N/A | 4209073 | 2025-11-19 19:54:02.304382 | 2025-11-19 19:47:03.642493 |
| 2025-11-19 19:53:44.595596 | 2025-11-19 19:53:46.442053 | 15009802 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-03-19 | 2025-11-25 | F | AE | PT | 4497 | ROSS | 6QX7T41GM46 | MARTHA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536301/check_15009802_97cf3397-fc7c-46bc-8372-3a6032d9c5ac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536301/check_15009802_8dd83c4d-6bbf-40e5-bbb7-6db908393f12.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MA | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9330387765 | N/A | N/A | 5536301 | 2222 | N/A | 15245277 | N/A | 4209073 | 2025-11-19 19:53:46.442053 | 2025-11-19 19:47:03.642493 |
| 2025-11-19 19:53:20.051045 | 2025-11-19 19:53:21.982520 | 15009801 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-03-19 | 2025-11-25 | F | AE | PT | 4497 | ROSS | 6QX7T41GM46 | MARTHA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536301/check_15009801_2b9c21ba-dc86-4c82-8765-575fe3d4a1d9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536301/check_15009801_172f06a9-c594-4e48-a96c-1682f061f0d7.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MB | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9330384719 | N/A | N/A | 5536301 | 2222 | N/A | 15245276 | N/A | 4209073 | 2025-11-19 19:53:21.982520 | 2025-11-19 19:47:03.642493 |
| 2025-11-19 19:53:11.695559 | 2025-11-19 19:53:13.630593 | 15009800 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-03-19 | 2025-11-25 | F | AE | PT | 4497 | ROSS | 6QX7T41GM46 | MARTHA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536301/check_15009800_71aa123c-aa82-426d-90ed-602304101c83.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536301/check_15009800_0412a20d-21ee-494c-8b37-3a8b34adb463.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MB | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9330383284 | N/A | N/A | 5536301 | 2222 | N/A | 15245274 | N/A | 4209073 | 2025-11-19 19:53:13.630593 | 2025-11-19 19:47:03.642493 |
| 2025-11-19 19:53:06.967588 | 2025-11-19 19:53:08.938801 | 15009799 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-03-19 | 2025-11-25 | F | AE | PT | 4497 | ROSS | 6QX7T41GM46 | MARTHA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536301/check_15009799_d921f263-442a-4450-9883-f80d8ce6b4bb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536301/check_15009799_7d171234-f394-49c4-98ac-c565cc48db37.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MB | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9330382423 | N/A | N/A | 5536301 | 2222 | N/A | 15245272 | N/A | 4209073 | 2025-11-19 19:53:08.938801 | 2025-11-19 19:47:03.642493 |
| 2025-11-19 19:53:01.334902 | 2025-11-19 19:53:03.253869 | 15009797 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-03-19 | 2025-11-25 | F | AE | PT | 4497 | ROSS | 6QX7T41GM46 | MARTHA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536301/check_15009797_57225a0f-1641-4163-bf33-61336e36764a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536301/check_15009797_d196394c-51c5-4c21-85e3-2c65ac1d2a57.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MA | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9330381608 | N/A | N/A | 5536301 | 2222 | N/A | 15245271 | N/A | 4209073 | 2025-11-19 19:53:03.253869 | 2025-11-19 19:47:03.642493 |
| 2025-11-19 19:50:54.047040 | 2025-11-19 19:50:57.091256 | 15009787 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-05-26 | 2025-11-19 | M | PT | N/A | 4184 | PARRA | R58564504 | GREGORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/12566263/check_15009787_68edb975-ec2c-4eef-b691-3e32fa96c999.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12566263/check_15009787_120e5dc5-7097-4113-a5b2-2c163c4280d2.json | N/A | N/A | N/A | N/A | N/A | R58564504 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1965-05-26 | N/A | 112 | N/A | PR | false | PARRA | N/A | GREGORY | N/A | 9999-12-31 | 2007-01-07 | BASIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9330358887 | N/A | N/A | 12566263 | 2222 | N/A | 15245250 | N/A | 10738342 | 2025-11-19 19:50:57.091256 | 2025-11-17 17:10:15.206525 |
| 2025-11-19 19:33:01.067692 | 2025-11-19 19:33:03.192442 | 15009605 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-06-16 | 2025-12-01 | M | AE | PT | 5504 | Grant | 0009933199 | Mark-Antonio | https://storage.googleapis.com/normandy-eligibility-checks/2222/13045814/check_15009605_25e6c04d-abc0-4c19-ae1d-674a476117ac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13045814/check_15009605_3b65cbf9-e47b-49d5-a9a1-10dcab6939c4.json | N/A | N/A | N/A | N/A | N/A | 0009933199 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1954-06-16 | N/A | N/A | N/A | N/A | false | GRANT | N/A | MARK-ANTONIO | 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 | 13045814 | 2222 | N/A | 15245002 | N/A | 11203117 | 2025-11-19 19:33:03.192442 | 2026-01-05 17:22:32.137960 |
| 2025-11-19 19:32:59.327893 | 2025-11-19 19:33:01.061099 | 15009604 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-06-16 | 2025-12-01 | M | AE | PT | 5504 | Grant | 0009933199 | Mark Antonio | https://storage.googleapis.com/normandy-eligibility-checks/2222/13045814/check_15009604_b3109079-1618-4df2-95cc-649c2691a66a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-01 | N/A | N/A | N/A | N/A | N/A | N/A | 0009933199 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1954-06-16 | N/A | N/A | N/A | N/A | false | GRANT | N/A | MARK ANTONIO | 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 | 13045814 | 2222 | N/A | N/A | N/A | 11203117 | 2025-11-19 19:33:01.061099 | 2026-01-05 17:22:32.137960 |
| 2025-11-19 19:09:57.115510 | 2025-11-19 19:09:58.951653 | 15009273 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-06-21 | 2025-12-01 | M | AE | PT | 176742 | RAFIEI | 92836714F | SAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173002/check_15009273_637c754c-f949-4477-804c-9159c13c8d6c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_15009273_dfb83f45-9d54-4cd0-af6c-a597a06f3285.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2001-06-21 | N/A | N/A | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 162908 | N/A | 8173002 | 2222 | N/A | 15244604 | N/A | 6939518 | 2025-11-19 19:09:58.951653 | 2025-08-18 21:40:08.349494 |
| 2025-11-19 19:09:55.394881 | 2025-11-19 19:09:57.110926 | 15009270 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-06-21 | 2025-12-01 | M | AE | PT | 176742 | RAFIEI | 92836714F | SAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173002/check_15009270_643da950-d679-4d39-a515-8c9b848adc01.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-01 | N/A | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2001-06-21 | N/A | N/A | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 162908 | N/A | 8173002 | 2222 | N/A | N/A | N/A | 6939518 | 2025-11-19 19:09:57.110926 | 2025-08-18 21:40:08.349494 |
| 2025-11-19 19:03:04.098188 | 2025-11-19 19:03:06.246830 | 15009126 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-06-21 | 2025-10-29 | M | AE | PT | 176742 | RAFIEI | 92836714F | SAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173002/check_15009126_4e03725a-581b-4b40-8c01-8e9949d9f029.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_15009126_fe70abcc-d6db-4bec-9f1a-9d19d7498b46.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2001-06-21 | N/A | N/A | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 162908 | N/A | 8173002 | 2222 | N/A | 15244441 | N/A | 6939518 | 2025-11-19 19:03:06.246830 | 2025-08-18 21:40:08.349494 |
| 2025-11-19 19:03:02.208630 | 2025-11-19 19:03:04.092428 | 15009124 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-06-21 | 2025-10-29 | M | AE | PT | 176742 | RAFIEI | 92836714F | SAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173002/check_15009124_5a5cad65-2e45-44fa-8ac3-7f43df390e14.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-29 | N/A | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2001-06-21 | N/A | N/A | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 162908 | N/A | 8173002 | 2222 | N/A | N/A | N/A | 6939518 | 2025-11-19 19:03:04.092428 | 2025-08-18 21:40:08.349494 |
| 2025-11-19 19:01:40.435817 | 2025-11-19 19:01:42.423343 | 15009100 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-06-21 | 2025-10-29 | M | AE | PT | 176742 | RAFIEI | 92836714F | SAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173002/check_15009100_b5e83fd9-a7ed-471e-b5bb-2214a307c033.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_15009100_bb5d6db8-2eb0-4d99-aced-7256cf46e797.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2001-06-21 | N/A | N/A | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 162908 | N/A | 8173002 | 2222 | N/A | 15244409 | N/A | 6939518 | 2025-11-19 19:01:42.423343 | 2025-08-18 21:40:08.349494 |
| 2025-11-19 19:01:38.559445 | 2025-11-19 19:01:40.432963 | 15009099 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-06-21 | 2025-10-29 | M | AE | PT | 176742 | RAFIEI | 92836714F | SAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173002/check_15009099_29dc2f81-e7aa-4681-a216-e395e3c72adf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-29 | N/A | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2001-06-21 | N/A | N/A | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 162908 | N/A | 8173002 | 2222 | N/A | N/A | N/A | 6939518 | 2025-11-19 19:01:40.432963 | 2025-08-18 21:40:08.349494 |
| 2025-11-19 18:07:00.277599 | 2025-11-19 18:07:03.712725 | 15008015 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-07-03 | 2025-11-19 | F | AE | PT | 4497 | CAMOU | 8V27MR5GC32 | CECILIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/13042025/check_15008015_fc328135-07a4-4f69-96de-0a8b729c5b5a.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13042025/check_15008015_8f3d5921-6241-4d59-81d6-5908741dd0b6.json | N/A | N/A | N/A | N/A | N/A | 8V27MR5GC32 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-07-03 | S5884 | N/A | N/A | MB | false | CAMOU | N/A | CECILIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9329521997 | N/A | N/A | 13042025 | 2222 | N/A | 15243263 | N/A | 11199300 | 2025-11-19 18:07:03.712725 | 2025-11-19 18:06:00.743602 |
| 2025-11-19 17:51:31.064505 | 2025-11-19 17:51:32.946605 | 15007747 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-11 | 2025-11-25 | M | AE | PT | 4497 | CRAIG | 5GR8W08TR55 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549237/check_15007747_ae58836e-71a8-4345-9260-d1ab341d0a3c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549237/check_15007747_fbca38a9-d1a9-49af-b759-e95bce6f903e.json | N/A | N/A | N/A | N/A | N/A | 5GR8W08TR55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-11 | N/A | N/A | N/A | MB | false | CRAIG | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9329382821 | N/A | N/A | 5549237 | 2222 | N/A | 15242972 | N/A | 4218948 | 2025-11-19 17:51:32.946605 | 2025-05-13 04:29:37.229964 |
| 2025-11-19 17:49:08.052210 | 2025-11-19 17:49:09.858134 | 15007734 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-11 | 2025-11-25 | M | AE | PT | 4497 | CRAIG | 5GR8W08TR55 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549237/check_15007734_8f3f2469-d26d-4ab8-a12d-f38fd5689a53.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549237/check_15007734_3a0a73d6-b602-48ee-baa7-2b51014dc3ad.json | N/A | N/A | N/A | N/A | N/A | 5GR8W08TR55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-11 | N/A | N/A | N/A | MB | false | CRAIG | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9329360041 | N/A | N/A | 5549237 | 2222 | N/A | 15242953 | N/A | 4218948 | 2025-11-19 17:49:09.858134 | 2025-05-13 04:29:37.229964 |
| 2025-11-19 17:46:35.012662 | 2025-11-19 17:46:36.902304 | 15007697 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-11 | 2025-11-25 | M | AE | PT | 4497 | CRAIG | 5GR8W08TR55 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549237/check_15007697_6328d627-62e7-4837-a338-bf66df161836.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549237/check_15007697_2a36bf42-9f03-4fc3-91ea-acc3c57ae8c0.json | N/A | N/A | N/A | N/A | N/A | 5GR8W08TR55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-11 | N/A | N/A | N/A | MA | false | CRAIG | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9329335633 | N/A | N/A | 5549237 | 2222 | N/A | 15242915 | N/A | 4218948 | 2025-11-19 17:46:36.902304 | 2025-05-13 04:29:37.229964 |
| 2025-11-19 17:45:49.161041 | 2025-11-19 17:45:51.026165 | 15007693 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-11 | 2025-11-25 | M | AE | PT | 4497 | CRAIG | 5GR8W08TR55 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549237/check_15007693_d7503939-5895-4f57-b1f5-3ad3ac4fb9d0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549237/check_15007693_90bbd080-04d4-4eae-af25-e80635c49146.json | N/A | N/A | N/A | N/A | N/A | 5GR8W08TR55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-11 | N/A | N/A | N/A | MB | false | CRAIG | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9329328277 | N/A | N/A | 5549237 | 2222 | N/A | 15242908 | N/A | 4218948 | 2025-11-19 17:45:51.026165 | 2025-05-13 04:29:37.229964 |
| 2025-11-19 17:44:41.461228 | 2025-11-19 17:44:43.445966 | 15007678 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-11 | 2025-11-25 | M | AE | PT | 4497 | CRAIG | 5GR8W08TR55 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549237/check_15007678_b9e424dc-0111-4127-930b-4750b10e33ed.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549237/check_15007678_b72c4f84-bfcd-4db8-bbe6-0e5069dbe5b6.json | N/A | N/A | N/A | N/A | N/A | 5GR8W08TR55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-11 | N/A | N/A | N/A | MA | false | CRAIG | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9329318535 | N/A | N/A | 5549237 | 2222 | N/A | 15242895 | N/A | 4218948 | 2025-11-19 17:44:43.445966 | 2025-05-13 04:29:37.229964 |
| 2025-11-19 17:44:19.926389 | 2025-11-19 17:44:22.743411 | 15007673 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-11 | 2025-11-25 | M | AE | PT | 4497 | CRAIG | 5GR8W08TR55 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549237/check_15007673_f5604cd1-8bbe-4393-a0c1-cfe8b1b6fc48.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549237/check_15007673_5fd5f922-bf17-4a20-af94-731f15c03217.json | N/A | N/A | N/A | N/A | N/A | 5GR8W08TR55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-11 | N/A | N/A | N/A | MB | false | CRAIG | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9329315369 | N/A | N/A | 5549237 | 2222 | N/A | 15242891 | N/A | 4218948 | 2025-11-19 17:44:22.743411 | 2025-05-13 04:29:37.229964 |
| 2025-11-19 16:33:00.937512 | 2025-11-19 16:33:04.779901 | 15006861 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-29 | 2025-11-19 | M | AE | PT | 4184 | LYGA | LPZ819A58009 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/9812143/check_15006861_c12a51fc-eba9-4454-abbd-47139c0b69d3.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9812143/check_15006861_9f275b97-0763-469b-9ba8-6d1b47d0b93a.json | N/A | N/A | N/A | N/A | N/A | LPZ819A58009 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | MEDICARE D | N/A | 1956-11-29 | 040 | 1841UV | N/A | PR | false | LYGA | N/A | FRANK | N/A | 9999-12-31 | 2024-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9328625449 | N/A | N/A | 9812143 | 2222 | N/A | 15241996 | N/A | 4219584 | 2025-11-19 16:33:04.779901 | 2025-09-29 18:19:47.145731 |
| 2025-11-19 16:32:59.985528 | 2025-11-19 16:33:02.789847 | 15006860 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-29 | 2025-11-19 | M | AE | PT | 4497 | LYGA | 9E33A44VQ74 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550634/check_15006860_1629c9c4-42fb-4547-b569-d98ef6354169.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550634/check_15006860_98b18729-8c6d-48f4-bdf1-c70ad75f5176.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MA | false | LYGA | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9328625313 | N/A | N/A | 5550634 | 2222 | N/A | 15241995 | N/A | 4219584 | 2025-11-19 16:33:02.789847 | 2025-09-29 18:19:47.145731 |
| 2025-11-19 08:24:50.752836 | 2025-11-19 08:24:55.941137 | 15001559 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-06-09 | 2025-11-21 | F | AE | PT | N/A | DIXON | 98864903900 | JUDIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/11013047/check_15001559_1e325827-3b26-4d40-b1d1-3aa241aa40df.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11013047/check_15001559_6324c8b3-b128-434a-980b-82d27378afb2.json | N/A | N/A | N/A | N/A | N/A | 988649039 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1941-06-09 | N/A | 74134 | N/A | PR | false | DIXON | N/A | JUDIE | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11013047 | 2222 | N/A | 15236325 | N/A | 9378405 | 2025-11-19 08:24:55.941137 | 2025-10-21 21:08:18.331994 |
| 2025-11-19 08:24:36.964394 | 2025-11-19 08:24:41.076102 | 15001403 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2010-10-23 | 2025-11-21 | F | AE | PT | N/A | Hall | 981219560 | Naomi | https://storage.googleapis.com/normandy-eligibility-checks/2222/10171909/check_15001403_cdffe62c-4f8d-49e5-93a2-6cb700bc1c29.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10171909/check_15001403_c0352596-f692-41af-98fe-f6f38b8a7090.json | N/A | N/A | N/A | N/A | N/A | 981219560 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2010-10-23 | N/A | 928305 | N/A | C1 | false | HALL | N/A | NAOMI | N/A | N/A | N/A | SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 10171909 | 2222 | N/A | 15236178 | N/A | 8473167 | 2025-11-19 08:24:41.076102 | 2025-10-08 15:28:08.515644 |
| 2025-11-19 08:24:04.344744 | 2025-11-19 08:24:10.110833 | 15001023 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-09-14 | 2025-11-20 | M | AE | PT | N/A | Luthra | 70548686400 | Rahil | https://storage.googleapis.com/normandy-eligibility-checks/2222/9415757/check_15001023_7f9817ac-7d3c-423a-8eb3-a986fc7b70b2.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415757/check_15001023_d41c5e3e-b5e1-45ba-ae56-d1c1ec742a68.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9415757 | 2222 | N/A | 15235869 | N/A | 7884645 | 2025-11-19 08:24:10.110833 | 2025-09-23 18:47:24.441583 |
| 2025-11-19 08:23:58.915874 | 2025-11-19 08:24:03.346908 | 15000966 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-01-07 | 2025-11-21 | F | AE | PT | N/A | BUCHLER | 941436830 | Miroslava | https://storage.googleapis.com/normandy-eligibility-checks/2222/9277476/check_15000966_ced9ea48-2a10-49fc-bee4-4126d7cb5836.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9277476/check_15000966_b0e5afb1-9245-4abb-a55c-d39ac6bd74ca.json | N/A | N/A | N/A | N/A | N/A | 941436830 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1976-01-07 | N/A | 701444 | N/A | C1 | false | BUCHLER | N/A | MIROSLAVA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9277476 | 2222 | N/A | 15235796 | N/A | 7785772 | 2025-11-19 08:24:03.346908 | 2025-09-16 03:06:31.754909 |
| 2025-11-19 08:23:25.615388 | 2025-11-19 08:23:31.234904 | 15000589 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-03-29 | 2025-11-21 | F | AE | PT | N/A | ALVAREZ | 2421008-02 | ROSARIO | https://storage.googleapis.com/normandy-eligibility-checks/2222/6996230/check_15000589_d5c10d21-182e-4766-9081-00be70ef057e.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6996230/check_15000589_6bf2a272-3752-4013-b871-98b637d1d766.json | N/A | N/A | N/A | N/A | N/A | 979847724 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1966-03-29 | N/A | 369407 | N/A | C1 | false | ALVAREZ | N/A | ROSARIO | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6996230 | 2222 | N/A | 15235448 | N/A | 6016355 | 2025-11-19 08:23:31.234904 | 2025-10-30 17:36:25.778617 |
| 2025-11-19 08:23:12.354153 | 2025-11-19 08:23:14.112030 | 15000438 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-11-21 | M | AE | PT | 6411 | DEANGELO | 985145456 | DAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542953/check_15000438_bf949f8a-02a1-4ccd-9071-20e86efcd5f5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542953/check_15000438_73045eca-4628-42fa-b585-d3d882ae6a4e.json | N/A | N/A | N/A | N/A | N/A | 985145456 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1961-08-04 | N/A | N/A | N/A | N/A | false | DEANGELO | N/A | DAN | 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 | 5542953 | 2222 | N/A | 15235297 | N/A | 4214807 | 2025-11-19 08:23:14.112030 | 2025-12-24 19:51:54.688309 |
| 2025-11-19 08:23:09.691746 | 2025-11-19 08:23:12.352142 | 15000404 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-11-21 | M | AE | PT | 6411 | DEANGELO | 985145456 | DAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542953/check_15000404_9496f216-38ab-44ee-98f0-677e91c06602.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-21 | N/A | N/A | N/A | N/A | N/A | N/A | 985145456 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1961-08-04 | N/A | N/A | N/A | N/A | false | DEANGELO | N/A | DAN | 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 | 5542953 | 2222 | N/A | N/A | N/A | 4214807 | 2025-11-19 08:23:12.352142 | 2025-12-24 19:51:54.688309 |
| 2025-11-19 08:23:08.064937 | 2025-11-19 08:23:10.830270 | 15000384 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-06 | 2025-11-20 | F | AE | PT | N/A | IRIZARRY | 950883047 | BERNADETTE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541827/check_15000384_20501d1e-17c4-47de-906a-ccc05e4c42d2.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541827/check_15000384_f7af085c-c900-4920-81fd-61b7d906ae73.json | N/A | N/A | N/A | N/A | N/A | 950883047 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1969-05-06 | N/A | 905224 | N/A | C1 | false | IRIZARRY | N/A | BERNADETTE | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541827 | 2222 | N/A | 15235257 | N/A | 4213806 | 2025-11-19 08:23:10.830270 | 2025-05-13 04:29:37.228124 |
| 2025-11-19 08:23:08.022751 | 2025-11-19 08:23:08.325176 | 15000383 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-11-21 | M | AE | PT | N/A | DEANGELO | 985145456 | DAN | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-11-21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542953 | 2222 | N/A | N/A | N/A | 4214807 | 2025-11-19 08:23:08.325176 | 2025-12-24 19:51:54.688309 |
| 2025-11-19 08:23:07.991114 | 2025-11-19 08:23:12.638868 | 15000381 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-04-03 | 2025-11-21 | M | AE | PT | N/A | IASCONE | 960990032400 | CRAIG | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539761/check_15000381_4aa830ac-e7bd-4144-994f-5782119297fb.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539761/check_15000381_7cdb8ed1-c80c-4a78-8fbe-4a2cde8db70f.json | N/A | N/A | N/A | N/A | N/A | 960990324 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1956-04-03 | N/A | 74134 | N/A | PR | false | IASCONE | N/A | CRAIG | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539761 | 2222 | N/A | 15235279 | N/A | 4212022 | 2025-11-19 08:23:12.638868 | 2025-05-13 04:29:37.226346 |
| 2025-11-19 08:23:07.883194 | 2025-11-19 08:23:10.913267 | 15000380 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-10 | 2025-11-21 | M | AE | PT | N/A | BRUNSKILL | 9853463-01 | NATHAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538359/check_15000380_565e1555-bcfb-411a-bc95-8061474a273d.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538359/check_15000380_32a3e66a-4df9-4bb7-aeea-baaf7b35e293.json | N/A | N/A | N/A | N/A | N/A | 985346301 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1980-09-10 | N/A | 147417 | N/A | C1 | false | BRUNSKILL | N/A | NATHAN | N/A | N/A | N/A | SIGNATUREVALUE ADVANTAGE HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538359 | 2222 | N/A | 15235258 | N/A | 4210784 | 2025-11-19 08:23:10.913267 | 2025-05-13 04:29:37.225193 |
| 2025-11-19 08:13:20.709631 | 2025-11-19 08:13:54.384394 | 14998201 | 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_14998201_731e6ee3-bf18-4e76-8e06-9c28d895769e.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 | 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 | 2025-11-19 08:13:54.384394 | 2025-11-11 01:01:48.778756 |