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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | 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 08:03:39.464645 | 2025-11-20 03:35:10.125479 | 14978765 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14978765 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-11-21 | F | PT | WORDEN | ORU910469318 | SARAH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_14978765_850180fa-aeba-432c-a695-c30a2bc25df0.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324024733 | N/A | N/A | 5993479 | 2222 | 4801 | 15262893 | N/A | 4219476 | 2025-11-20 03:35:10.125479 | 2025-05-28 20:18:04.039855 |
| 2025-11-19 08:03:09.909111 | 2025-11-20 01:39:47.911158 | 14977741 | N/A | N/A | SRRGA | Railroad Medicare | 1114042165 | 14977741 | Athletic Physical Therapy Inc | 1977-03-25 | 2025-11-21 | M | AE | BRADBURY | 7HR3VE4QQ94 | ROBERT | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.121127097.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9557582/check_14977741_4f7c4c8c-b09d-49a0-a23f-72d14155ec31.json | N/A | N/A | N/A | N/A | N/A | 7HR3VE4QQ94 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1977-03-25 | S5617 | N/A | N/A | MA | false | BRADBURY | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324043658 | N/A | N/A | 9557582 | 2222 | 4801 | 15253425 | N/A | 7992729 | 2025-11-20 01:39:47.911158 | 2025-10-01 17:15:45.167667 |
| 2025-11-19 08:03:08.205285 | 2025-11-20 03:35:08.719785 | 14977704 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14977704 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-11-21 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_14977704_bc50778a-47ac-4adb-b589-286b9cddd750.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324023870 | N/A | N/A | 5549317 | 2222 | 4801 | 15262881 | N/A | 4219010 | 2025-11-20 03:35:08.719785 | 2026-01-09 18:32:07.618867 |
| 2025-11-19 08:03:07.990304 | 2025-11-20 03:34:53.125310 | 14977700 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14977700 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-11-21 | M | AE | MILIAN GOMEZ | 93331019F | MIGUEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_14977700_e768d257-1bc1-4315-9fdc-0f9bdbffc489.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324023868 | N/A | N/A | 5543555 | 2222 | 4802 | 15262733 | N/A | 4215332 | 2025-11-20 03:34:53.125310 | 2025-08-06 16:15:15.716322 |
| 2025-11-19 08:03:07.866927 | 2025-11-20 03:35:06.993756 | 14977698 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14977698 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-11-21 | F | PT | DAKE | SIF326M90066 | RENEE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_14977698_f9891860-1cd6-42ac-9e4c-051a6394fc22.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324023867 | N/A | N/A | 5543355 | 2222 | 4793 | 15262864 | N/A | 4215158 | 2025-11-20 03:35:06.993756 | 2025-05-13 04:29:37.229475 |
| 2025-11-19 08:03:07.730886 | 2025-11-20 03:31:17.779216 | 14977695 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14977695 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-11-21 | M | AE | MCCOWAN | 93341440D | KEVIN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_14977695_f7d9ad49-0cef-4392-9f69-059e15e8fe75.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324023866 | N/A | N/A | 5543270 | 2222 | 4793 | 15260703 | N/A | 4215086 | 2025-11-20 03:31:17.779216 | 2025-05-13 04:29:37.229401 |
| 2025-11-19 08:03:07.629812 | 2025-11-20 03:32:05.433245 | 14977692 | N/A | N/A | 60054 | Aetna | 1114042165 | 14977692 | Athletic Physical Therapy Inc | 1994-09-02 | 2025-11-21 | F | AE | CHEN | W286265318 | KELLY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543266/check_14977692_4eeb76f1-49eb-46df-b991-c15d59a6b951.json | N/A | N/A | N/A | N/A | N/A | W286265318 | Point of Service (POS) | ADOBE INC. | AETNA | N/A | 1994-09-02 | 0660819 | 066081901600001 | N/A | PS | false | CHEN | N/A | KELLY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324023865 | N/A | N/A | 5543266 | 2222 | 4802 | 15261194 | N/A | 4215081 | 2025-11-20 03:32:05.433245 | 2025-05-13 04:29:37.229396 |
| 2025-11-19 08:03:07.521644 | 2025-11-20 03:35:06.668220 | 14977689 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14977689 | Athletic Physical Therapy Inc | 1955-11-11 | 2025-11-20 | F | PT | CALDERON | JQU450A75837 | DEBBIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540282/check_14977689_54187aeb-fa1a-41e0-bb8d-ccb8486fed00.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 2025-12-01 | 2024-12-01 | ANTHEM GOLD PPO 30/500/20% RXD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324023864 | N/A | N/A | 5540282 | 2222 | 4802 | 15262861 | N/A | 4212465 | 2025-11-20 03:35:06.668220 | 2025-05-13 04:29:37.226801 |
| 2025-11-19 08:03:07.385112 | 2025-11-20 03:35:46.423763 | 14977687 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14977687 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-11-21 | M | PT | FLEMING | SZF839281184 | CHASE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_14977687_3555aa59-91ca-456b-85b6-b93595c40564.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | BLUE SHIELD OF CALIFORNIA | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324023863 | N/A | N/A | 5539901 | 2222 | 4793 | 15263238 | N/A | 4212134 | 2025-11-20 03:35:46.423763 | 2025-08-05 02:56:55.384378 |
| 2025-11-19 08:03:07.195607 | 2025-11-20 03:35:08.395179 | 14977683 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14977683 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-11-21 | M | PT | Hurst | JQY695A75359 | Gregory | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_14977683_d96926c8-4244-45d7-8410-eb6a4dca6143.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 2025-12-01 | 2024-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324023862 | N/A | N/A | 5539085 | 2222 | 4793 | 15262877 | N/A | 4211408 | 2025-11-20 03:35:08.395179 | 2025-09-18 00:42:48.586801 |
| 2025-11-19 08:03:07.083031 | 2025-11-20 03:35:07.703791 | 14977681 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14977681 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-11-21 | M | PT | GINSBERG | JQU469A62630 | STEVEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_14977681_92b8788e-c6e5-49a9-9b3a-2f03ec8f083a.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324023860 | N/A | N/A | 5538693 | 2222 | 4793 | 15262870 | N/A | 4211081 | 2025-11-20 03:35:07.703791 | 2025-05-13 04:29:37.225492 |
| 2025-11-19 08:03:06.996247 | 2025-11-20 03:35:08.017975 | 14977679 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14977679 | Athletic Physical Therapy Inc | 1995-11-17 | 2025-11-21 | M | PT | HAMILTON | KZU14135950E | JAMES | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538409/check_14977679_bea21b98-36a5-42f3-924c-5d4d9dbc5431.json | N/A | N/A | N/A | N/A | N/A | KZU14135950E | Preferred Provider Organization (PPO) | AEROVIRONMENT INC | ANTHEM BLUE CROSS | N/A | 1995-11-17 | 040 | 277825M007 | N/A | PR | false | HAMILTON | N/A | JAMES | N/A | 9999-12-31 | 2022-10-10 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324023858 | N/A | N/A | 5538409 | 2222 | 4801 | 15262873 | N/A | 4210828 | 2025-11-20 03:35:08.017975 | 2025-05-13 04:29:37.225234 |
| 2025-11-19 08:03:06.890324 | 2025-11-20 03:35:09.437420 | 14977676 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14977676 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-11-21 | M | PT | NIELSEN | XDP057A76330 | ROY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_14977676_f59a4aa8-e197-483d-aa23-44938a6cb86b.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC COBRA | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN17 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324023856 | N/A | N/A | 5537188 | 2222 | 4802 | 15262887 | N/A | 4209789 | 2025-11-20 03:35:09.437420 | 2025-05-13 04:29:37.224215 |
| 2025-11-19 08:03:06.778875 | 2025-11-20 03:39:24.959660 | 14977673 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14977673 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-11-21 | M | AE | ULLMAN | 3A76X26KQ40 | DAVID | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_14977673_7ac04a69-a1d4-4cd0-8467-722fc723ccb9.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324023855 | N/A | N/A | 5535838 | 2222 | 4801 | 15265326 | N/A | 4208696 | 2025-11-20 03:39:24.959660 | 2025-06-07 16:16:45.844566 |
| 2025-11-19 08:03:06.638493 | 2025-11-20 03:35:07.312950 | 14977672 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14977672 | Athletic Physical Therapy Inc | 1960-04-27 | 2025-11-21 | M | PT | ENRIGHT | DGA10462968J | HAROLD | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535419/check_14977672_25ec59a5-96a2-4481-b98b-a80870bda577.json | N/A | N/A | N/A | N/A | N/A | DGA10462968J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1960-04-27 | 040 | 276945M001 | N/A | PR | false | ENRIGHT | N/A | HAROLD | N/A | 9999-12-31 | 2017-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324023854 | N/A | N/A | 5535419 | 2222 | 4793 | 15262867 | N/A | 4208347 | 2025-11-20 03:35:07.312950 | 2025-05-13 04:29:37.222769 |
| 2025-11-19 08:02:57.056511 | 2025-11-20 03:34:58.890503 | 14977463 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14977463 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-11-20 | F | PT | GIANNE | XED910762094 | NATALIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.095633783.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_14977463_ed246fac-d629-465d-878f-37d03402fc9f.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 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324031791 | N/A | N/A | 7994545 | 2222 | 4802 | 15262785 | N/A | 6802250 | 2025-11-20 03:34:58.890503 | 2025-08-11 23:58:28.358402 |
| 2025-11-19 08:02:56.917417 | 2025-11-20 03:34:39.668107 | 14977461 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14977461 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-11-21 | F | PT | MAHAARACHCHI | EXHAN7912598 | Nilanthi | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.095633783.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_14977461_4f3c0e01-96cd-4aed-b07d-8a4ef2de5b9f.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | Preferred Provider Organization (PPO) | XEROX CORPORATION | ANTHEM BLUE CROSS | N/A | 1971-05-04 | 060 | 270101M11A | N/A | PR | false | MAHAARACHCHI | N/A | SENAKA | N/A | 9999-12-31 | 2025-01-01 | CDHP CT BC PPO HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324031790 | N/A | N/A | 7988722 | 2222 | 4793 | 15262603 | 4185 | 6798209 | 2025-11-20 03:34:39.668107 | 2025-10-29 15:15:17.952230 |
| 2025-11-19 05:36:17.721025 | 2025-11-19 05:36:19.768281 | 14977137 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-11-12 | N/A | PT | ULLMAN | 8HC8F35AX50 | DAVID | AE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_14977137_dacc01b1-1409-4dae-9bdf-54ca4ad1d113.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_14977137_e8f03d70-1a9b-4fbd-aae6-c3258810fc83.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MA | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9323467748 | 1275 | N/A | 5543201 | 2222 | N/A | 15229666 | N/A | 4215026 | 2025-11-19 05:36:19.768281 | 2025-06-07 16:16:41.178119 |
| 2025-11-19 03:45:56.837629 | 2025-11-19 03:46:00.989602 | 14974373 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-09-11 | 2025-11-19 | M | AE | Senkan | 952797685-00 | Selim | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/12840493/check_14974373_c8cbddb3-4130-459e-8f58-162f222f5d37.json | UHC | N/A | INSIGHTS | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12840493/check_14974373_e63bdecb-be5b-4695-a116-400f6a8ab7cc.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12840493 | 2222 | N/A | 15226923 | N/A | 11004890 | 2025-11-19 03:46:00.989602 | 2025-11-15 00:05:02.806624 |
| 2025-11-19 01:42:32.141761 | 2025-11-19 01:42:35.463274 | 14974157 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-06-18 | 2025-11-19 | F | AE | REISMAN | WRXA13289369 | GAIL | PT | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10984907/check_14974157_a5ddefd1-8629-4dfa-b757-77e6e99b5c24.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984907/check_14974157_295ff785-72eb-4f10-8afb-73da0994cda6.json | N/A | N/A | N/A | N/A | N/A | WRXA13289369 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | MEDICARE B | N/A | 1953-06-18 | 040 | 277242M003 | N/A | PR | false | REISMAN | N/A | MARK | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9322677203 | N/A | N/A | 10984907 | 2222 | N/A | 15212019 | N/A | 9156222 | 2025-11-19 01:42:35.463274 | 2026-01-08 22:56:20.879547 |
| 2025-11-19 01:42:29.833576 | 2025-11-19 01:42:32.702300 | 14974156 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-06-18 | 2025-11-19 | F | AE | REISMAN | 6C16CN3FM49 | GAIL | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10984906/check_14974156_5e476597-65a6-4f07-a3c8-2dc1daa57f9b.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984906/check_14974156_63f4de91-81ef-4c05-a2b0-9eb6c29481f2.json | N/A | N/A | N/A | N/A | N/A | 6C16CN3FM49 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-18 | N/A | N/A | N/A | MA | false | REISMAN | N/A | GAIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9322677134 | N/A | N/A | 10984906 | 2222 | N/A | 15211971 | N/A | 9156222 | 2025-11-19 01:42:32.702300 | 2026-01-08 22:56:20.879547 |
| 2025-11-19 01:24:10.734803 | 2025-11-19 01:24:14.954885 | 14974138 | N/A | N/A | CHCPI | Central Health Medicare Plan | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-05-27 | 2025-09-30 | M | AE | SANDERS | 8300000051834 | MARK | PT | 2094 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9560285/check_14974138_0ebff236-92cc-4f89-a9c5-6d36a8f89cfc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9560285/check_14974138_4d1782b4-ea12-4680-8fea-b098a199f9b1.json | N/A | N/A | N/A | N/A | N/A | 8300000051834 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1949-05-27 | QMXBPREG020026 | QMXEM01912 | N/A | N/A | false | SANDERS | N/A | MARK | N/A | 2025-12-31 | 2025-02-01 | CA CHP PART B SAVINGS MAPD 029 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9322601630 | 160549 | N/A | 9560285 | 2222 | N/A | 15196752 | N/A | 7995648 | 2025-11-19 01:24:14.954885 | 2025-09-24 14:50:57.950474 |
| 2025-11-19 00:17:35.097172 | 2025-11-19 00:17:36.887708 | 14973927 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-06-10 | 2025-12-01 | F | AE | Boutayeb | 00 0007973321 | Jessie | PT | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13010938/check_14973927_e5d57c7d-b600-4c2e-8b1e-1af1baa30960.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13010938/check_14973927_2bb3db88-69fd-4291-a713-cec5d79efb63.json | N/A | N/A | N/A | N/A | N/A | 00 0007973321 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1961-06-10 | N/A | N/A | N/A | N/A | false | BOUTAYEB | N/A | JESSIE | 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 | 13010938 | 2222 | N/A | 15196547 | N/A | 11169586 | 2025-11-19 00:17:36.887708 | 2025-12-01 17:33:57.898247 |
| 2025-11-19 00:17:33.445495 | 2025-11-19 00:17:35.094018 | 14973925 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-06-10 | 2025-12-01 | F | AE | Boutayeb | 00 0007973321 | Jessie | PT | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13010938/check_14973925_50b25421-29ce-476e-b342-741ef7bc4a01.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-01 | N/A | N/A | N/A | N/A | N/A | N/A | 00 0007973321 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1961-06-10 | N/A | N/A | N/A | N/A | false | BOUTAYEB | N/A | JESSIE | 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 | 13010938 | 2222 | N/A | N/A | N/A | 11169586 | 2025-11-19 00:17:35.094018 | 2025-12-01 17:33:57.898247 |
| 2025-11-18 22:29:50.044275 | 2025-11-18 22:29:54.282966 | 14972758 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-06-06 | 2025-12-15 | F | AE | Benzaquen | 000007108227 | Yafa | PT | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13007520/check_14972758_b573a664-97e1-4de8-a3d9-8d381bf9bccd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13007520/check_14972758_fe1b0fc1-fa10-4dd2-8933-b3a6966ee543.json | N/A | N/A | N/A | N/A | N/A | 000007108227 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1959-06-06 | 4332645 | 1650095001 | N/A | N/A | false | BENZAQUEN | N/A | YAFA | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9321787302 | N/A | N/A | 13007520 | 2222 | N/A | 15195131 | N/A | 11166074 | 2025-11-18 22:29:54.282966 | 2025-11-18 22:12:26.920696 |
| 2025-11-18 22:01:00.059737 | 2025-11-18 22:01:02.303933 | 14972403 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-07-22 | 2025-11-18 | M | AE | BUDIG | 4GX0-DV0-TW14 | FREDERICK | PT | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11916686/check_14972403_f7ff2369-bdd1-4102-9138-797390a6252f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11916686/check_14972403_0a6beeb5-71f7-4d9a-9a6c-48e04fcb0bdf.json | N/A | N/A | N/A | N/A | N/A | 4GX0-DV0-TW14 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-07-22 | N/A | N/A | N/A | N/A | false | BUDIG | N/A | FREDERICK | 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 | 11916686 | 2222 | N/A | 15194674 | N/A | 10144604 | 2025-11-18 22:01:02.303933 | 2025-11-18 17:17:05.039116 |
| 2025-11-18 22:00:56.247236 | 2025-11-18 22:01:00.050480 | 14972401 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-07-22 | 2025-11-18 | M | AE | BUDIG | 4GX0-DV0-TW14 | FREDERICK | PT | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11916686/check_14972401_b52fabd5-aa7f-4f05-94b5-d4a0f9727045.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | N/A | N/A | N/A | N/A | N/A | N/A | 4GX0-DV0-TW14 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-07-22 | N/A | N/A | N/A | N/A | false | BUDIG | N/A | FREDERICK | 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 | 11916686 | 2222 | N/A | N/A | N/A | 10144604 | 2025-11-18 22:01:00.050480 | 2025-11-18 17:17:05.039116 |
| 2025-11-18 21:33:49.309165 | 2025-11-18 21:33:58.256071 | 14972195 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-07-21 | 2025-11-18 | F | AE | MCALISTER | SFZ846186424 | BONNIE | PT | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7024102/check_14972195_afcec940-3b13-4582-8484-e098def8026a.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024102/check_14972195_8709c194-33c6-4cd4-8d49-41eed008b8bd.json | N/A | N/A | N/A | N/A | N/A | SFZ846186424 | Preferred Provider Organization (PPO) | RETIREE 50 AS OF 1112 HIRED 1107 | MEDICARE | HEALTH CARE ACCOUNT BALANCE PLEASE DO NOT BILL THE PATIENT. THIS POLICY HAS AN EMPLOYER-FUNDED HEALTH CARE ACCOUNT. THIS TYPE OF HRA WILL BE USED TO PAY FOR QUALIFIED MEDICAL EXPENSES, INCLUDING, BUT NOT LIMITED TO DEDUCTIBLE. | 1968-07-21 | N/A | 021104 | N/A | PR | false | MCALISTER | N/A | BONNIE | N/A | 9999-12-31 | 2013-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9321318811 | N/A | N/A | 7024102 | 2222 | N/A | 15194392 | N/A | 6038562 | 2025-11-18 21:33:58.256071 | 2025-07-30 21:46:09.369299 |
| 2025-11-18 21:33:47.529273 | 2025-11-18 21:33:50.342952 | 14972192 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-07-21 | 2025-11-18 | F | AE | MCALISTER | 4TU6H11QQ85 | BONNIE | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7024101/check_14972192_9ae0982b-aedf-4edd-b232-c5ce8121da6c.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024101/check_14972192_224b1571-f91d-49b9-93a9-0d6b35aae5bb.json | N/A | N/A | N/A | N/A | N/A | 4TU6H11QQ85 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-07-21 | N/A | N/A | N/A | MA | false | MCALISTER | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9321318612 | N/A | N/A | 7024101 | 2222 | N/A | 15194389 | N/A | 6038562 | 2025-11-18 21:33:50.342952 | 2025-07-30 21:46:09.369299 |
| 2025-11-18 20:00:32.428341 | 2025-11-18 20:00:36.405141 | 14970858 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-06-12 | 2025-11-19 | M | AE | Rosell | 000023922241 | Steven | PT | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12786540/check_14970858_d68de86e-6cec-4392-b6d8-94349457e28e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12786540/check_14970858_513378cd-a03c-41b5-82a7-8e0af49e7401.json | N/A | N/A | N/A | N/A | N/A | 000023922241 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1970-06-12 | 4308534 | 1650095001 | N/A | N/A | false | ROSELL | N/A | STEVEN | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 94 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9320668165 | N/A | N/A | 12786540 | 2222 | N/A | 15192691 | N/A | 10953465 | 2025-11-18 20:00:36.405141 | 2025-12-17 20:07:45.135929 |
| 2025-11-18 19:58:10.006472 | 2025-11-18 19:58:14.217543 | 14970845 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-11-05 | 2025-11-21 | F | AE | AGHASSI | 2422751-01 | SHANNON | PT | 23298 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12828829/check_14970845_f4345bf7-0f16-478b-bfab-d824f6e98c07.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12828829/check_14970845_50df7ad8-a6fb-48a5-9bcf-bf8c02b5bd5a.json | N/A | N/A | N/A | N/A | N/A | 242275101 | Commercial | ALBERT & MACKENZIE | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1976-11-05 | N/A | 369693 | N/A | C1 | false | AGHASSI | N/A | SHANNON | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9320649769 | N/A | N/A | 12828829 | 2222 | N/A | 15192670 | N/A | 10844166 | 2025-11-18 19:58:14.217543 | 2025-11-18 19:48:09.457626 |
| 2025-11-18 19:43:07.996277 | 2025-11-18 19:43:10.718526 | 14970722 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-10-20 | 2025-11-18 | U | PT | ROHMER | H4W1301747MB | CHRISTY | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12438050/check_14970722_1dccb4ed-6a6f-4140-9b6b-264065ee9764.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12438050/check_14970722_f51bccac-c9b3-4c1d-8e92-af4997dc0c1f.json | N/A | N/A | N/A | N/A | N/A | H4W1301747MB | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1965-10-20 | N/A | N/A | N/A | N/A | false | ROHMER | N/A | CHRISTY | N/A | 2025-12-31 | 2025-08-01 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 163852 | N/A | 12438050 | 2222 | N/A | 15192474 | N/A | 10618010 | 2025-11-18 19:43:10.718526 | 2026-04-21 18:05:25.486334 |
| 2025-11-18 19:43:05.951499 | 2025-11-18 19:43:07.992219 | 14970721 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-10-20 | 2025-11-18 | U | PT | ROHMER | H4W1301747MB | CHRISTY | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12438050/check_14970721_b25c616b-fcbf-451b-9664-7b28083d395a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | N/A | N/A | N/A | N/A | N/A | N/A | H4W1301747MB | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1965-10-20 | N/A | N/A | N/A | N/A | false | ROHMER | N/A | CHRISTY | N/A | 2025-12-31 | 2025-08-01 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 163852 | N/A | 12438050 | 2222 | N/A | N/A | N/A | 10618010 | 2025-11-18 19:43:07.992219 | 2026-04-21 18:05:25.486334 |
| 2025-11-18 19:35:48.846311 | 2025-11-18 19:35:51.106202 | 14970680 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-10-20 | 2025-11-18 | U | PT | ROHMER | H4W1301747MB | CHRISTY | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12438050/check_14970680_f57fe8bb-b973-416c-b48f-236084f83e23.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12438050/check_14970680_c4efb7fa-abe1-4215-95e5-017150cb2d5c.json | N/A | N/A | N/A | N/A | N/A | H4W1301747MB | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1965-10-20 | N/A | N/A | N/A | N/A | false | ROHMER | N/A | CHRISTY | N/A | 2025-12-31 | 2025-08-01 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 163852 | N/A | 12438050 | 2222 | N/A | 15192398 | N/A | 10618010 | 2025-11-18 19:35:51.106202 | 2026-04-21 18:05:25.486334 |
| 2025-11-18 19:35:46.970313 | 2025-11-18 19:35:48.832916 | 14970679 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-10-20 | 2025-11-18 | U | PT | ROHMER | H4W1301747MB | CHRISTY | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12438050/check_14970679_55e2552a-eaf7-4b1e-9a32-8f4d294051a5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | N/A | N/A | N/A | N/A | N/A | N/A | H4W1301747MB | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1965-10-20 | N/A | N/A | N/A | N/A | false | ROHMER | N/A | CHRISTY | N/A | 2025-12-31 | 2025-08-01 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 163852 | N/A | 12438050 | 2222 | N/A | N/A | N/A | 10618010 | 2025-11-18 19:35:48.832916 | 2026-04-21 18:05:25.486334 |
| 2025-11-18 18:50:40.878702 | 2025-11-18 18:50:42.992928 | 14970139 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-06-12 | 2025-11-24 | M | AE | RAY | 00000282226 | WALTER | PT | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12962194/check_14970139_d2839a31-3e79-4679-b4bf-bae137956332.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12962194/check_14970139_ae40ec8e-ed4f-4232-a335-eed5d5826742.json | N/A | N/A | N/A | N/A | N/A | 00000282226 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1960-06-12 | N/A | N/A | N/A | N/A | false | RAY | N/A | WALTER | 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 | 12962194 | 2222 | N/A | 15191706 | N/A | 4219006 | 2025-11-18 18:50:42.992928 | 2025-05-13 04:29:37.230023 |
| 2025-11-18 18:50:38.050231 | 2025-11-18 18:50:40.869330 | 14970138 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-06-12 | 2025-11-24 | M | AE | RAY | 00000282226 | WALTER | PT | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12962194/check_14970138_883c9d90-030e-4789-92b4-04a070f3dd45.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-24 | N/A | N/A | N/A | N/A | N/A | N/A | 00000282226 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1960-06-12 | N/A | N/A | N/A | N/A | false | RAY | N/A | WALTER | 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 | 12962194 | 2222 | N/A | N/A | N/A | 4219006 | 2025-11-18 18:50:40.869330 | 2025-05-13 04:29:37.230023 |
| 2025-11-18 18:10:37.911502 | 2025-11-18 18:10:41.921300 | 14969139 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-09-11 | 2025-11-26 | F | AE | Ford | 000024065304 | Ashley | PT | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12992114/check_14969139_7192d819-f572-4c33-8f39-61278d8bab68.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12992114/check_14969139_312aa326-8f80-4447-a2c4-8e17b9f36a75.json | N/A | N/A | N/A | N/A | N/A | 000024065304 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1997-09-11 | 4299563 | 101872 | N/A | N/A | false | FORD | N/A | ASHLEY | N/A | N/A | N/A | WELLS FARGO & COMPANY TERMED EFF 12/31/23 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9319855811 | N/A | N/A | 12992114 | 2222 | N/A | 15190593 | N/A | 11150071 | 2025-11-18 18:10:41.921300 | 2025-11-18 17:27:36.154703 |
| 2025-11-18 17:49:52.760541 | 2025-11-18 17:49:54.641803 | 14968820 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-23 | 2025-11-18 | M | AE | Thur | 95641377F | Pyi | PT | 176742 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7449843/check_14968820_e5c22f2f-6eaa-4c2c-853f-aa0aac9e67e3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_14968820_649baae0-0452-4230-80de-d0c636e3b817.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1962-09-23 | N/A | N/A | N/A | N/A | false | THUR | N/A | PYI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 7449843 | 2222 | N/A | 15190234 | N/A | 6399635 | 2025-11-18 17:49:54.641803 | 2025-07-29 18:42:47.970149 |
| 2025-11-18 17:49:51.013803 | 2025-11-18 17:49:52.756895 | 14968819 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-23 | 2025-11-18 | M | AE | Thur | 95641377F | Pyi | PT | 176742 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7449843/check_14968819_d646f235-3da2-45e5-87fe-827f187541de.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | N/A | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1962-09-23 | N/A | N/A | N/A | N/A | false | THUR | N/A | PYI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 7449843 | 2222 | N/A | N/A | N/A | 6399635 | 2025-11-18 17:49:52.756895 | 2025-07-29 18:42:47.970149 |
| 2025-11-18 17:39:06.244701 | 2025-11-18 17:39:09.116911 | 14968651 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-20 | 2025-11-24 | F | PT | Gray | JHT641W16198 | Darlene | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12831349/check_14968651_91b3930f-09a5-44d6-9770-8f0b666c26f6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12831349/check_14968651_b2639c49-1261-409e-9b35-67c05be2be61.json | N/A | N/A | N/A | N/A | N/A | JHT641W16198 | Preferred Provider Organization (PPO) | TOYO TIRE USA CORP | ANTHEM BLUE CROSS | N/A | 1960-10-20 | 040 | 281954M010 | N/A | PR | false | GRAY | N/A | DARLENE | N/A | 9999-12-31 | 2024-01-08 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9319617050 | N/A | N/A | 12831349 | 2222 | N/A | 15190045 | N/A | 10995039 | 2025-11-18 17:39:09.116911 | 2025-11-18 17:27:38.722240 |
| 2025-11-18 16:54:14.597676 | 2025-11-18 16:54:16.515975 | 14968068 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-06-05 | 2025-11-18 | F | AE | Roberts | 8J26AQ7EV76 | Mary Bryan | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542843/check_14968068_87a6227b-80db-4ac9-8ace-f8a941bfec51.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542843/check_14968068_f47af6c0-452c-4c85-bb83-baa22330e86b.json | N/A | N/A | N/A | N/A | N/A | 8J26AQ7EV76 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-05 | S5601 | N/A | N/A | MA | false | ROBERTS | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9319147627 | N/A | N/A | 5542843 | 2222 | N/A | 15189409 | N/A | 4214712 | 2025-11-18 16:54:16.515975 | 2025-11-12 19:26:06.663656 |
| 2025-11-18 16:54:07.760044 | 2025-11-18 16:54:09.739030 | 14968064 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-06-05 | 2025-11-18 | F | AE | Roberts | 8J26AQ7EV76 | Mary Bryan | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542843/check_14968064_9f2c9895-fc16-4e78-a9b7-0abdac92123e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542843/check_14968064_cacc5cff-d712-42f4-bf6f-d243cf0c8fdb.json | N/A | N/A | N/A | N/A | N/A | 8J26AQ7EV76 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-05 | S5601 | N/A | N/A | MA | false | ROBERTS | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9319146789 | N/A | N/A | 5542843 | 2222 | N/A | 15189406 | N/A | 4214712 | 2025-11-18 16:54:09.739030 | 2025-11-12 19:26:06.663656 |
| 2025-11-18 16:54:01.947698 | 2025-11-18 16:54:03.916016 | 14968063 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-06-05 | 2025-11-18 | F | AE | Roberts | 8J26AQ7EV76 | Mary Bryan | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542843/check_14968063_3c462922-3b0a-4ed3-b457-57b89092312e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542843/check_14968063_cad74ca9-e39c-4c60-95d2-cf54c54b6088.json | N/A | N/A | N/A | N/A | N/A | 8J26AQ7EV76 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-05 | S5601 | N/A | N/A | MA | false | ROBERTS | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9319146088 | N/A | N/A | 5542843 | 2222 | N/A | 15189405 | N/A | 4214712 | 2025-11-18 16:54:03.916016 | 2025-11-12 19:26:06.663656 |
| 2025-11-18 16:26:47.238327 | 2025-11-18 16:26:49.171093 | 14967696 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-09-02 | 2025-11-26 | F | AE | Frank | 0017215132 | Carolyn | PT | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12895085/check_14967696_8d3f8a56-5d1d-455c-904b-c61cf61b008b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12895085/check_14967696_1d57b5b8-ffda-4793-8068-37e55ef59590.json | N/A | N/A | N/A | N/A | N/A | 0017215132 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1943-09-02 | N/A | N/A | N/A | N/A | false | FRANK | N/A | CAROLYN | 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 | 12895085 | 2222 | N/A | 15188986 | N/A | 11057875 | 2025-11-18 16:26:49.171093 | 2025-11-17 17:09:13.974870 |
| 2025-11-18 16:26:45.437938 | 2025-11-18 16:26:47.234299 | 14967694 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-09-02 | 2025-11-26 | F | AE | Frank | 0017215132 | Carolyn | PT | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12895085/check_14967694_a04ffd11-0176-4e81-b540-ef075f61c208.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-26 | N/A | N/A | N/A | N/A | N/A | N/A | 0017215132 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1943-09-02 | N/A | N/A | N/A | N/A | false | FRANK | N/A | CAROLYN | 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 | 12895085 | 2222 | N/A | N/A | N/A | 11057875 | 2025-11-18 16:26:47.234299 | 2025-11-17 17:09:13.974870 |
| 2025-11-18 15:57:47.484829 | 2025-11-18 15:58:36.607005 | 14966902 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1957-04-11 | 2025-11-13 | M | PT | ADRIAN | MBL508W11635 | NELSON | AE | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541841/check_14966902_6afbecae-7721-4a0f-ab5b-0071d7f71ef7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-13 | N/A | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1957-04-11 | N/A | N/A | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5688 | N/A | 5541841 | 2222 | N/A | N/A | N/A | 4213826 | 2025-11-18 15:58:36.607005 | 2025-05-13 04:29:37.228146 |
| 2025-11-18 15:56:59.323507 | 2025-11-18 15:57:47.482382 | 14966897 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1957-04-11 | 2025-11-13 | M | PT | ADRIAN | MBL508W11635 | NELSON | AE | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541841/check_14966897_57e9cc60-dbe2-4bbb-aa1a-90b5b0b82fea.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-13 | N/A | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1957-04-11 | N/A | N/A | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5688 | N/A | 5541841 | 2222 | N/A | N/A | N/A | 4213826 | 2025-11-18 15:57:47.482382 | 2025-05-13 04:29:37.228146 |
| 2025-11-18 15:54:56.071442 | 2025-11-18 15:55:05.066901 | 14966876 | N/A | N/A | SB040 | Blue Cross California | 1194038919 | N/A | override_provider | 1957-04-11 | 2025-11-10 | M | PT | ADRIAN | MBL508W11635 | NELSON | AE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12803983/check_14966876_6d274ddc-22ae-462e-8655-15fbf0a8d2ac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12803983/check_14966876_e2c289a3-7116-4825-9a3b-78d4f39f6613.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 2025-12-31 | 2022-04-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9318628080 | N/A | N/A | 12803983 | 2222 | N/A | 15188100 | N/A | 4213826 | 2025-11-18 15:55:05.066901 | 2025-05-13 04:29:37.228146 |
| 2025-11-18 15:49:17.528762 | 2025-11-18 15:49:22.888033 | 14966813 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-06 | 2025-11-18 | F | AE | IRIZARRY | 950883047 | BERNADETTE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541827/check_14966813_a419e6fd-b82c-41d8-9511-c166c0066a19.json | UHC | N/A | APPOINTMENT_PII_CHANGE | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541827/check_14966813_4ae84ed4-0006-4004-a33d-c33cabc9689a.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 | 15188001 | N/A | 4213806 | 2025-11-18 15:49:22.888033 | 2025-05-13 04:29:37.228124 |