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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-13 08:10:45.891768 | 2025-11-13 08:10:47.829465 | 14688428 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-02-25 | 2025-11-13 | F | PT | 4191 | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7994545/check_14688428_d2919e66-78d5-46ff-a778-7a29c89b4961.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_14688428_f1f09712-52a3-4f24-bdb5-2efaedf08dc3.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9275950501 | N/A | N/A | 7994545 | 2222 | N/A | 14924481 | N/A | 6802250 | 2025-11-13 08:10:47.829465 | 2025-08-11 23:58:28.358402 |
| 2025-11-13 08:10:40.301884 | 2025-11-13 08:10:42.738388 | 14687986 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-07 | 2025-11-13 | M | AE | 4497 | WALLACH | 1PD0KF7JH37 | CHARLES | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/7821426/check_14687986_026a5294-f3fd-42ff-98ce-f2056934aa19.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7821426/check_14687986_5ff6623c-ac42-4972-98aa-87c11c29f77e.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MB | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275950138 | N/A | N/A | 7821426 | 2222 | N/A | 14924439 | N/A | 6660003 | 2025-11-13 08:10:42.738388 | 2026-06-01 17:03:48.982724 |
| 2025-11-13 08:10:36.194544 | 2025-11-14 01:46:25.950057 | 14687659 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14687659 | Athletic Physical Therapy Inc | 2010-12-03 | 2025-11-14 | F | PT | N/A | PENG | XEA912821146 | HAILEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.122122860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12585422/check_14687659_994e437e-b394-4f14-b2ff-03a9014bf086.json | N/A | N/A | N/A | N/A | N/A | XEA912821146 | Preferred Provider Organization (PPO) | ALIGN FOOT ANKLE CENTER | BLUE SHIELD CALIFORNIA | N/A | 2010-12-03 | 1000VX000102 | W0128498 | N/A | PR | false | PENG | N/A | HAI-EN | N/A | 2029-12-31 | 2024-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9276009769 | N/A | N/A | 12585422 | 2222 | 4801 | 14972603 | N/A | 10754834 | 2025-11-14 01:46:25.950057 | 2025-11-12 03:06:38.906834 |
| 2025-11-13 08:10:34.902974 | 2025-11-14 01:32:57.041484 | 14687552 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 14687552 | override_provider | 2003-11-16 | 2025-11-14 | F | PT | N/A | HAYASHI | XLXR000032097727 | LAUREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121240581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9066824/check_14687552_253f2f36-0051-48ab-b2aa-be9dcf85abc3.json | N/A | N/A | N/A | N/A | N/A | XLXR000032097727 | Preferred Provider Organization (PPO) | OSF INDIVIDUAL PLATINUM PPO W/ DENTAL HIGH (GOLD) | BLUE SHIELD OF CALIFORNIA | N/A | 2003-11-16 | N/A | 24048 1 | N/A | PR | false | HAYASHI | N/A | NANCY | N/A | 9999-12-31 | 2023-12-01 | PLATINUM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9275957245 | N/A | N/A | 9066824 | 2222 | 4802 | 14960896 | N/A | 7582776 | 2025-11-14 01:32:57.041484 | 2025-09-24 22:06:50.112056 |
| 2025-11-13 08:10:33.543264 | 2025-11-14 01:35:59.393100 | 14687451 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14687451 | Athletic Physical Therapy Inc | 1975-12-13 | 2025-11-14 | F | AE | N/A | ASSENGA | TWA295A70455 | NANCY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121326588.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12129904/check_14687451_91c6e684-c1e8-482b-95ef-b19a1aaf2e65.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | Preferred Provider Organization (PPO) | WILLIS TOWERS WATSON | ANTHEM BLUE CROSS | N/A | 1975-12-13 | 101 | 270127M9A0 | N/A | PR | false | ASSENGA | N/A | NANCY | N/A | 9999-12-31 | 2024-01-01 | CDHP NY NAT GENC HEALTH SAVINGS ACCT (HSA) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275962177 | N/A | N/A | 12129904 | 2222 | 4801 | 14962896 | N/A | 4214504 | 2025-11-14 01:35:59.393100 | 2025-05-13 04:29:37.228820 |
| 2025-11-13 08:10:29.823034 | 2025-11-14 01:46:18.105786 | 14687166 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14687166 | Athletic Physical Therapy Inc | 1959-09-18 | 2025-11-14 | F | AE | N/A | IRWIN | 40067058701 | MARIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.101239754.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11112149/check_14687166_14f8add8-f6d4-40c1-956a-bc0356995035.json | N/A | N/A | N/A | N/A | N/A | 40067058701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1959-09-18 | 2025H5425001 | H5425M | N/A | N/A | false | IRWIN | N/A | MARIE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9276012931 | N/A | N/A | 11112149 | 2222 | 4801 | 14972406 | N/A | 9462330 | 2025-11-14 01:46:18.105786 | 2025-10-17 21:55:41.545505 |
| 2025-11-13 08:10:29.742243 | 2025-11-14 01:46:17.642348 | 14687158 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14687158 | Athletic Physical Therapy Inc | 1954-02-02 | 2025-11-14 | F | AE | N/A | CORNEL | 40037363901 | GLORIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.101239754.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111720/check_14687158_129958fe-0931-4e45-a921-b335f3ce4616.json | N/A | N/A | N/A | N/A | N/A | 40037363901 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1954-02-02 | 2025H5425001 | H5425M | N/A | N/A | false | CORNEL | N/A | GLORIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9276012930 | N/A | N/A | 11111720 | 2222 | 4801 | 14972398 | N/A | 9461873 | 2025-11-14 01:46:17.642348 | 2025-10-28 18:04:57.630831 |
| 2025-11-13 08:10:26.575675 | 2025-11-14 01:48:56.869496 | 14686911 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14686911 | Athletic Physical Therapy Inc | 1959-12-15 | 2025-11-14 | M | AE | N/A | STROM | XEK906373840 | ROBB | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.112441621.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538250/check_14686911_15bbdc7e-5ca6-4bcd-852f-a272296548dc.json | N/A | N/A | N/A | N/A | N/A | XEK906373840 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1959-12-01 | 2001ZJ002648 | X0001000 | N/A | PR | false | STROM | N/A | ROBB | N/A | 9999-12-31 | 2024-12-02 | IFP EMB PED DPPO JAN15 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275972008 | N/A | N/A | 5538250 | 2222 | 4802 | 14975755 | N/A | 4210692 | 2025-11-14 01:48:56.869496 | 2025-05-13 04:29:37.225106 |
| 2025-11-13 08:10:10.312569 | 2025-11-14 01:36:37.053966 | 14685731 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14685731 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-11-14 | M | AE | N/A | TSING | 00000282272 | KONGHSUNG | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121240581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_14685731_23079a2b-1f26-45e1-af2d-052e3ac3ee32.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275958403 | N/A | N/A | 8978036 | 2222 | 4793 | 14963290 | 2630 | 7492332 | 2025-11-14 01:36:37.053966 | 2025-10-01 21:03:48.525986 |
| 2025-11-13 08:09:45.171402 | 2025-11-14 01:44:14.244444 | 14684298 | N/A | N/A | 60054 | Aetna | 1114042165 | 14684298 | Athletic Physical Therapy Inc | 2011-12-20 | 2025-11-14 | M | AE | N/A | NAQVI | W295996740 | KAZIM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.101130363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_14684298_3a32b598-433b-4e71-9709-ab605a6da552.json | N/A | N/A | N/A | N/A | N/A | W295996740 | Point of Service (POS) | SHI INTERNATIONAL CORP. | AETNA | N/A | 2011-12-20 | 0308616 | 030861601600001 | N/A | PS | false | NAQVI | N/A | SYED | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275994887 | N/A | N/A | 11417253 | 2222 | 4793 | 14969884 | N/A | 9671738 | 2025-11-14 01:44:14.244444 | 2025-10-29 22:32:21.591395 |
| 2025-11-13 08:09:17.603781 | 2025-11-14 01:51:40.048206 | 14683105 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14683105 | Athletic Physical Therapy Inc | 1953-05-21 | 2025-11-14 | M | AE | N/A | DAVILA | 96682470F | RAY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.112517002.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10365901/check_14683105_c8fdca93-326e-4c96-9767-d7cdf4d510c3.json | N/A | N/A | N/A | N/A | N/A | 96682470F | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1953-05-21 | N/A | N/A | N/A | N/A | false | DAVILA | N/A | RAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275975584 | N/A | N/A | 10365901 | 2222 | 4793 | 14978919 | N/A | 8628911 | 2025-11-14 01:51:40.048206 | 2025-10-13 20:36:48.387301 |
| 2025-11-13 08:08:21.900465 | 2025-11-14 01:44:25.295379 | 14680555 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14680555 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-11-14 | F | AE | N/A | SHAKIB | 95751543E35181 | PARI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.120907254.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7561654/check_14680555_5a7c7180-50b8-4f5b-a357-41acf8cac645.json | N/A | N/A | N/A | N/A | N/A | 95751543E35181 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1952-05-04 | N/A | N/A | N/A | N/A | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275940714 | N/A | N/A | 7561654 | 2222 | 4802 | 14970100 | N/A | 6395498 | 2025-11-14 01:44:25.295379 | 2026-02-18 02:38:35.073779 |
| 2025-11-13 08:08:16.738472 | 2025-11-13 08:08:20.001110 | 14680295 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-02-06 | 2025-11-13 | M | AE | 23322 | FORTIN | R14644640MS1 | NATHANIEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543425/check_14680295_e50b2e21-6086-4413-8d78-c1248fc92ded.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_14680295_a0935c9d-3d9c-4a58-bdbc-1db54267afde.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275936905 | N/A | N/A | 5543425 | 2222 | N/A | 14923398 | N/A | 4215211 | 2025-11-13 08:08:20.001110 | 2026-04-02 22:30:20.020246 |
| 2025-11-13 08:08:16.623280 | 2025-11-13 08:08:18.594253 | 14680291 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-11-13 | M | AE | 4497 | JAUDE | 8D38EF9GV30 | KARIM | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542251/check_14680291_3ae18b2b-b731-45f9-b56a-9ad44df17e4f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_14680291_12ec9ec4-0381-4a24-bb08-d87cad1408bf.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MB | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275936882 | N/A | N/A | 5542251 | 2222 | N/A | 14923387 | N/A | 4214191 | 2025-11-13 08:08:18.594253 | 2025-05-13 04:29:37.228525 |
| 2025-11-13 08:08:16.188526 | 2025-11-13 08:08:17.946994 | 14680270 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-08-31 | 2025-11-13 | M | AE | 4497 | NADRICH | 1NJ2V04GK04 | JEFFREY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538990/check_14680270_8ea65176-4cf9-41b1-8a54-029af788b89c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538990/check_14680270_d97336d1-cb4c-4a03-aac6-21a733188f09.json | N/A | N/A | N/A | N/A | N/A | 1NJ2V04GK04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-08-31 | S5601 | N/A | N/A | MA | false | NADRICH | N/A | JEFF | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275936837 | N/A | N/A | 5538990 | 2222 | N/A | 14923382 | N/A | 4211316 | 2025-11-13 08:08:17.946994 | 2025-05-13 04:29:37.225679 |
| 2025-11-13 08:06:15.700780 | 2025-11-14 01:42:05.502411 | 14675038 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14675038 | Athletic Physical Therapy Inc | 1987-06-04 | 2025-11-14 | F | AE | N/A | Kramer | W25290479102 | Aleah | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.101130363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11314808/check_14675038_c1c673ab-4e62-4137-9b7e-7bc48cfc0b6d.json | N/A | N/A | N/A | N/A | N/A | W25290479102 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1987-06-04 | N/A | N/A | N/A | N/A | false | KRAMER | N/A | ALEAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275994515 | N/A | N/A | 11314808 | 2222 | 4802 | 14966999 | N/A | 9379901 | 2025-11-14 01:42:05.502411 | 2025-10-21 18:31:35.446245 |
| 2025-11-13 08:06:15.695373 | 2025-11-14 03:36:56.815144 | 14675037 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14675037 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-11-14 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.095326746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_14675037_92bca9a9-5371-4fae-a4f0-869e2f81a142.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9275927316 | N/A | N/A | 7994545 | 2222 | 4802 | 14982751 | N/A | 6802250 | 2025-11-14 03:36:56.815144 | 2025-08-11 23:58:28.358402 |
| 2025-11-13 08:06:15.523199 | 2025-11-14 03:35:59.158750 | 14675029 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14675029 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-11-14 | F | PT | N/A | MAHAARACHCHI | EXHAN7912598 | Nilanthi | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.095326746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_14675029_3e50c60c-cc9e-4ec3-823c-77905dcf069e.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 | 9275927312 | N/A | N/A | 7988722 | 2222 | 4793 | 14982457 | 4185 | 6798209 | 2025-11-14 03:35:59.158750 | 2025-10-29 15:15:17.952230 |
| 2025-11-13 08:05:52.138062 | 2025-11-14 01:40:48.918817 | 14673849 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14673849 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-11-14 | F | AE | N/A | GUASTELLA | 5V49H98DH38 | ROSE ANN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121240581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167484/check_14673849_d1c8433a-1793-4b6d-bc38-8e0d89c50280.json | N/A | N/A | N/A | N/A | N/A | 5V49H98DH38 | Medicare Part A | N/A | BLUE CROSS OF CALIFORNIA | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-29 | H0544 | N/A | N/A | MA | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275958024 | N/A | N/A | 8167484 | 2222 | 4801 | 14965800 | N/A | 6407685 | 2025-11-14 01:40:48.918817 | 2025-08-12 18:01:47.141909 |
| 2025-11-13 08:05:48.738004 | 2025-11-14 01:47:49.017680 | 14673674 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14673674 | Athletic Physical Therapy Inc | 1989-08-21 | 2025-11-14 | F | AE | N/A | VANSICKLE | R14610782FS1 | KYLIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.101130363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11190514/check_14673674_c064e71f-f18d-41a1-91eb-56f01907f537.json | N/A | N/A | N/A | N/A | N/A | R14610782FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1989-08-21 | N/A | N/A | N/A | N/A | false | VANSICKLE | N/A | KYLIE | N/A | 2025-11-02 | 2025-09-01 | KX6 PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275994173 | N/A | N/A | 11190514 | 2222 | 4793 | 14974589 | N/A | 9532194 | 2025-11-14 01:47:49.017680 | 2026-04-13 16:03:49.854711 |
| 2025-11-13 08:05:22.558105 | 2025-11-14 01:39:34.891803 | 14672441 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14672441 | Athletic Physical Therapy Inc | 1944-03-27 | 2025-11-14 | F | AE | N/A | Verratti | 1E21E50VR34 | Kathleen | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121326588.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11936768/check_14672441_cbec26ba-3e3c-4e49-b60a-2b8a35631c7a.json | N/A | N/A | N/A | N/A | N/A | 1E21E50VR34 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-03-27 | S4802 | N/A | N/A | MA | false | VERRATTI | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275962615 | N/A | N/A | 11936768 | 2222 | 4802 | 14965125 | N/A | 10163894 | 2025-11-14 01:39:34.891803 | 2025-10-30 22:58:10.977312 |
| 2025-11-13 08:05:10.590448 | 2025-11-14 03:50:13.812765 | 14671915 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14671915 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-11-14 | F | AE | N/A | SMITS | 9TF8JW2XU20 | HEIDI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.101035964.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681583/check_14671915_f44cad4e-3a5c-4771-8913-aebebec896d8.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MB | false | SMITS | N/A | HEIDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9276005960 | N/A | N/A | 9681583 | 2222 | 4793 | 14986392 | N/A | 8101289 | 2025-11-14 03:50:13.812765 | 2025-09-24 17:05:46.431721 |
| 2025-11-13 08:04:59.206480 | 2025-11-14 03:40:23.889132 | 14671464 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14671464 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-11-14 | F | AE | N/A | SHAKIB | 1MR6XC7NU77 | PARI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.095326746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444722/check_14671464_dc79bdbd-a388-4acf-a160-319c7081420d.json | N/A | N/A | N/A | N/A | N/A | 1MR6XC7NU77 | Medicare Part B | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-04 | H5521 | N/A | N/A | MB | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275926977 | N/A | N/A | 7444722 | 2222 | 4802 | 14983937 | N/A | 6395498 | 2025-11-14 03:40:23.889132 | 2026-02-18 02:38:35.073779 |
| 2025-11-13 08:04:57.032617 | 2025-11-14 03:35:18.235443 | 14671381 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14671381 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-11-14 | M | AE | N/A | Cohn | R06589895MM1 | David | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.095326746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_14671381_ae2beb26-301b-40b8-9943-8c3d4462f50b.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275926032 | N/A | N/A | 7315101 | 2222 | 4802 | 14982191 | N/A | 6152454 | 2025-11-14 03:35:18.235443 | 2025-07-17 21:44:04.596080 |
| 2025-11-13 08:04:53.824764 | 2025-11-14 03:36:56.212036 | 14671273 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14671273 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-11-14 | F | PT | N/A | BOYM | XEK903045570 | DANIELLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.095326746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7281036/check_14671273_2c327acb-2a56-4cb0-9bf0-5d8a8c547aca.json | N/A | N/A | N/A | N/A | N/A | XEK903045570 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-07 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOYM | N/A | DIMITRY | N/A | 9999-12-31 | 2024-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9275925991 | N/A | N/A | 7281036 | 2222 | 4793 | 14982750 | N/A | 6245462 | 2025-11-14 03:36:56.212036 | 2025-07-24 01:23:15.134681 |
| 2025-11-13 08:04:51.647009 | 2025-11-14 03:36:57.361294 | 14671185 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14671185 | Athletic Physical Therapy Inc | 1979-04-20 | 2025-11-14 | F | PT | N/A | NOSRAT | XEK904721388 | CAROLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.095326746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7252533/check_14671185_b2d2071e-0bce-43a8-8571-afbb33af00c5.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9275926809 | N/A | N/A | 7252533 | 2222 | 4802 | 14982753 | N/A | 4214065 | 2025-11-14 03:36:57.361294 | 2025-05-13 04:29:37.228379 |
| 2025-11-13 08:04:32.911765 | 2025-11-14 03:31:47.105704 | 14670542 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 14670542 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-11-14 | M | PT | N/A | MARTIN | XEH906532391003 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.095326746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967909/check_14670542_7730426f-1f05-4a1c-9b0c-a474b96a1d0d.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2036-03-31 | 2025-06-01 | PLATINUM ACCESS HMO R 0 20 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9275926445 | N/A | N/A | 6967909 | 2222 | 4793 | 14980969 | N/A | 5990447 | 2025-11-14 03:31:47.105704 | 2025-07-21 18:40:33.917911 |
| 2025-11-13 08:04:08.588345 | 2025-11-14 03:31:54.429793 | 14669874 | N/A | N/A | 60054 | Aetna | 1114042165 | 14669874 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-11-14 | M | AE | N/A | RAMIREZ | 9537353099 | ROY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.095326746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6865171/check_14669874_7312a354-47ae-40cb-aeca-8715a6b21533.json | N/A | N/A | N/A | N/A | N/A | 9537353099 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE INFORMATION | 1976-05-10 | A01 | 20086 | N/A | GP | false | RAMIREZ | N/A | ROY | N/A | N/A | N/A | WORKDAY INC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275927668 | N/A | N/A | 6865171 | 2222 | 4801 | 14981016 | N/A | 5902840 | 2025-11-14 03:31:54.429793 | 2025-07-28 18:58:27.354873 |
| 2025-11-13 08:04:04.195365 | 2025-11-14 03:36:55.825072 | 14669775 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14669775 | Athletic Physical Therapy Inc | 1976-09-20 | 2025-11-14 | M | PT | N/A | Bolton | XEK910377236 | Stephen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.095326746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_14669775_00a462df-63a9-4002-b0bc-291630f76c94.json | N/A | N/A | N/A | N/A | N/A | XEK910377236 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOLTON | N/A | STEPHEN | N/A | 9999-12-31 | 2021-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9275927509 | N/A | N/A | 6814151 | 2222 | 4793 | 14982748 | N/A | 5856522 | 2025-11-14 03:36:55.825072 | 2025-07-10 02:16:48.328344 |
| 2025-11-13 08:03:58.900298 | 2025-11-14 03:35:39.521203 | 14669665 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14669665 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-11-14 | M | AE | N/A | BERMUDEZ | 000019836525 | RAFAEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.095326746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_14669665_7d654d98-4770-491b-9505-adb56caafb77.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN ADULT AND FAMILY LTSS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275926876 | N/A | N/A | 6721942 | 2222 | 4793 | 14982331 | N/A | 5322280 | 2025-11-14 03:35:39.521203 | 2025-07-01 21:45:15.878047 |
| 2025-11-13 01:01:19.566691 | 2025-11-13 01:01:23.647020 | 14668935 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-03-25 | 2025-11-12 | M | AE | N/A | EVANS | 988606423 | CHARLES | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9443614/check_14668935_716efe87-0e7f-4dc8-8941-5396db2c1ef4.json | UHC | N/A | INSIGHTS | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9443614/check_14668935_5a91e52a-8e52-4f14-a651-2a00cda53e30.json | N/A | N/A | N/A | N/A | N/A | 988606423 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1997-03-25 | N/A | 184514 | N/A | C1 | false | EVANS | N/A | CHARLES | 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 | 9481 | N/A | 9443614 | 2222 | N/A | 14921272 | N/A | 7900097 | 2025-11-13 01:01:23.647020 | 2025-09-17 21:31:32.005189 |
| 2025-11-12 23:43:00.570912 | 2025-11-12 23:43:03.852033 | 14668266 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-02-11 | 2025-11-19 | M | PT | 4184 | Moore | LNC507A74754v | Errol | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/12709721/check_14668266_7248478a-871e-4e0e-98b2-0ee1eb730f58.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12709721/check_14668266_9a9d0f85-f413-4d3c-baf8-b0d865d590c6.json | N/A | N/A | N/A | N/A | N/A | LNC507A74754 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1988-02-11 | 040 | Z15900 | N/A | N/A | false | MOORE | N/A | ERROL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9274195574 | 9481 | N/A | 12709721 | 2222 | N/A | 14920590 | N/A | 10875304 | 2025-11-12 23:43:03.852033 | 2025-11-12 23:41:56.064466 |
| 2025-11-12 20:52:59.334545 | 2025-11-12 20:53:02.508444 | 14666347 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-29 | 2025-11-24 | F | AE | 2630 | GOMEZ | 00000401101 | ALICIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9555104/check_14666347_c916d691-3ec8-48c7-a448-23a7dc42cf81.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9555104/check_14666347_7e23d4ff-5014-434c-9559-0c0e9d725a57.json | N/A | N/A | N/A | N/A | N/A | 00000401101 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-29 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | ALICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7699 | N/A | 9555104 | 2222 | N/A | 14918152 | N/A | 7990617 | 2025-11-12 20:53:02.508444 | 2025-09-29 20:34:47.088032 |
| 2025-11-12 20:52:57.580820 | 2025-11-12 20:52:59.330408 | 14666346 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-29 | 2025-11-24 | F | AE | 2630 | GOMEZ | 00000401101 | ALICIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9555104/check_14666346_e551b39f-7c27-4d32-bd50-a2d5046abf2b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-24 | N/A | N/A | N/A | N/A | N/A | N/A | 00000401101 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-29 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | ALICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7699 | N/A | 9555104 | 2222 | N/A | N/A | N/A | 7990617 | 2025-11-12 20:52:59.330408 | 2025-09-29 20:34:47.088032 |
| 2025-11-12 19:47:21.286951 | 2025-11-12 19:47:26.769679 | 14665287 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-02-06 | 2025-11-12 | F | AE | 6411 | SHIN | Y19071902 | YOUNGJEE | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253623/check_14665287_6546e260-87cf-4f4b-919b-02930c605dd4.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253623/check_14665287_6d51d82e-df1b-4ab3-bc16-89abc636da49.json | N/A | N/A | N/A | N/A | N/A | Y19071902 | N/A | AMERICAN HONDA MOTOR CO., INC. | UMR | N/A | 1984-02-06 | 767008412885004 | 76412885 | N/A | N/A | false | SHIN | N/A | YOUNGJEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9272816100 | N/A | N/A | 9253623 | 2222 | N/A | 14916911 | N/A | 7764420 | 2025-11-12 19:47:26.769679 | 2025-09-10 00:08:26.272793 |
| 2025-11-12 19:47:18.542861 | 2025-11-12 19:47:19.165604 | 14665286 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-02-06 | 2025-11-12 | F | AE | N/A | SHIN | Y19071902 | YOUNGJEE | PT | N/A | UHC | N/A | APPOINTMENT_PII_CHANGE | 2025-11-12 | 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 | 9253623 | 2222 | N/A | N/A | N/A | 7764420 | 2025-11-12 19:47:19.165604 | 2025-09-10 00:08:26.272793 |
| 2025-11-12 19:34:01.751293 | 2025-11-12 19:34:03.690847 | 14664992 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-06-05 | 2025-11-18 | F | AE | 4497 | Roberts | 8J26AQ7EV76 | Mary Bryan | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542843/check_14664992_ba3699ed-f201-4f07-9e3f-9608a92eeb8d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542843/check_14664992_34692b83-f555-42b3-bdd0-42a1b0920b14.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 | 9272730532 | N/A | N/A | 5542843 | 2222 | N/A | 14916576 | N/A | 4214712 | 2025-11-12 19:34:03.690847 | 2025-11-12 19:26:06.663656 |
| 2025-11-12 19:33:52.578415 | 2025-11-12 19:33:54.496725 | 14664990 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-06-05 | 2025-11-18 | F | AE | 4497 | Roberts | 8J26AQ7EV76 | Mary Bryan | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542843/check_14664990_a1fb04fb-efc1-4e5c-8215-83f74a104812.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542843/check_14664990_7f171232-5178-4e6a-a4f3-e6abdac22c4d.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 | 9272729476 | N/A | N/A | 5542843 | 2222 | N/A | 14916573 | N/A | 4214712 | 2025-11-12 19:33:54.496725 | 2025-11-12 19:26:06.663656 |
| 2025-11-12 19:33:29.407107 | 2025-11-12 19:33:31.665171 | 14664984 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-06-05 | 2025-11-18 | F | AE | 4497 | Roberts | 8J26AQ7EV76 | Mary Bryan | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542843/check_14664984_f36758ab-9611-4630-9b8f-82e621022967.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542843/check_14664984_2767a5e9-cf5a-486a-8da2-895d97d679b1.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 | 9272727117 | N/A | N/A | 5542843 | 2222 | N/A | 14916566 | N/A | 4214712 | 2025-11-12 19:33:31.665171 | 2025-11-12 19:26:06.663656 |
| 2025-11-12 19:29:50.669713 | 2025-11-12 19:29:52.516868 | 14664948 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-06-05 | 2025-11-18 | F | AE | 4497 | Roberts | 8J26AQ7EV76 | Mary Bryan | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542843/check_14664948_d5030906-1eea-424a-ab31-7a7edf9fec43.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542843/check_14664948_88359754-e270-4a31-a8d8-13a177903bb8.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 | 9272697372 | N/A | N/A | 5542843 | 2222 | N/A | 14916522 | N/A | 4214712 | 2025-11-12 19:29:52.516868 | 2025-11-12 19:26:06.663656 |
| 2025-11-12 19:29:43.803673 | 2025-11-12 19:29:45.774514 | 14664947 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-06-05 | 2025-11-18 | F | AE | 4497 | Roberts | 8J26AQ7EV76 | Mary Bryan | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542843/check_14664947_8f3a92c0-4b88-4148-934c-e190f1165a26.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542843/check_14664947_86205086-157f-4ffd-afa0-15e06ac6302a.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 | 9272696632 | N/A | N/A | 5542843 | 2222 | N/A | 14916521 | N/A | 4214712 | 2025-11-12 19:29:45.774514 | 2025-11-12 19:26:06.663656 |
| 2025-11-12 19:29:37.699732 | 2025-11-12 19:29:39.515620 | 14664946 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-06-05 | 2025-11-18 | F | AE | 4497 | Roberts | 8J26AQ7EV76 | Mary Bryan | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542843/check_14664946_2beacf85-db6b-415e-aec3-bb8adec38437.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542843/check_14664946_d213372f-368c-4b5c-9f70-43624ea43361.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 | 9272696003 | N/A | N/A | 5542843 | 2222 | N/A | 14916520 | N/A | 4214712 | 2025-11-12 19:29:39.515620 | 2025-11-12 19:26:06.663656 |
| 2025-11-12 18:42:56.350077 | 2025-11-12 18:43:02.048825 | 14664337 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-08-17 | 2025-11-12 | F | PT | N/A | RUEMMELE | 17940949900 | MAKENA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874412/check_14664337_2c876d7b-7f86-4ad7-96ad-c28f2704a884.json | UHC | N/A | INSIGHTS | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874412/check_14664337_16775912-adc3-492c-a4e3-c42a16556aac.json | N/A | N/A | N/A | N/A | N/A | 17940949902 | Commercial | N/A | UnitedHealthcare Insurance Company | N/A | 2013-08-17 | N/A | 1685837 | N/A | C1 | false | Ruemmele | N/A | Makena | N/A | N/A | N/A | Choice Plus | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7523 | N/A | 5874412 | 2222 | N/A | 14915758 | N/A | 4534546 | 2025-11-12 18:43:02.048825 | 2025-12-03 00:06:29.870228 |
| 2025-11-12 18:41:43.043120 | 2025-11-12 18:41:51.877997 | 14664315 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-01-26 | 2025-11-12 | M | PT | N/A | VASEF | 98235678800 | IDEAN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542264/check_14664315_de2c07a5-126f-4a21-b624-84cf896b8631.json | UHC | N/A | INSIGHTS | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542264/check_14664315_6835d36a-feef-4bcf-b33d-e4d3cd405486.json | N/A | N/A | N/A | N/A | N/A | 98235678800 | Commercial | N/A | UnitedHealthcare Insurance Company | N/A | 1985-01-26 | N/A | 1490012 | N/A | C1 | false | VASEF | N/A | IDEAN | N/A | N/A | N/A | Choice Plus | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7523 | N/A | 5542264 | 2222 | N/A | 14915739 | N/A | 4214205 | 2025-11-12 18:41:51.877997 | 2025-06-27 18:49:28.826549 |
| 2025-11-12 18:10:05.352152 | 2025-11-12 18:10:10.821029 | 14663584 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-05-15 | 2025-11-12 | M | AE | 3948 | BAIRD | W295329957 | WILLIAM | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8391594/check_14663584_227a00b0-9b55-464a-ac53-83c5a254fe07.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8391594/check_14663584_4ba7ddab-e0f6-4587-a5c4-198fcca4e1d4.json | N/A | N/A | N/A | N/A | N/A | W295329957 | Point of Service (POS) | PEPPERDINE UNIVERSITY | AETNA | N/A | 2007-05-15 | 0232487 | 023248701200001 | N/A | PS | false | BAIRD | N/A | SHAYA | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9272101571 | N/A | N/A | 8391594 | 2222 | N/A | 14914960 | N/A | 4214747 | 2025-11-12 18:10:10.821029 | 2025-05-13 04:29:37.229066 |
| 2025-11-12 16:03:54.070893 | 2025-11-12 16:03:58.028996 | 14661256 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1938-06-16 | 2025-11-12 | F | PT | 5349 | PICTAGGI | H55396193 | CATHERINE | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9857449/check_14661256_a8b872da-b32e-40ab-b3c9-a0fbd4689d29.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9857449/check_14661256_14358c22-51d1-4417-a3ea-2cc37da65580.json | N/A | N/A | N/A | N/A | N/A | H55396193 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1938-06-16 | N/A | 0B515001 | N/A | HN | false | PICTAGGI | N/A | CATHERINE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9271129242 | 5399 | N/A | 9857449 | 2222 | N/A | 14912366 | N/A | 8253075 | 2025-11-12 16:03:58.028996 | 2025-10-15 20:09:42.730489 |
| 2025-11-12 09:26:57.609398 | 2025-11-12 09:26:59.824593 | 14658183 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | 2630 | LOPEZ | 00000393852 | ALITA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6578550/check_14658183_04619071-049d-4315-bf8c-dfb1f1cecad5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6578550/check_14658183_4e5da9a7-2fe5-49c9-8c03-79de41622710.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6578550 | 2222 | N/A | 14908101 | N/A | 5198354 | 2025-11-12 09:26:59.824593 | 2025-06-24 21:09:14.654827 |
| 2025-11-12 09:26:55.601816 | 2025-11-12 09:26:57.604890 | 14658181 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | 2630 | LOPEZ | 00000393852 | ALITA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14658181_63a3347a-9475-4e29-b511-5040de21bc71.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-12 09:26:57.604890 | 2025-06-24 21:13:18.739779 |
| 2025-11-12 09:26:53.300438 | 2025-11-12 09:26:55.231697 | 14658179 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | 2630 | LOPEZ | 00000393852 | ALITA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14658179_84dc8323-b7ec-4701-9034-439116faf2d7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_14658179_9b859eb7-6438-4725-b3bc-166934f3ac6c.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 14908097 | N/A | 4215317 | 2025-11-12 09:26:55.231697 | 2025-06-24 21:13:18.739779 |
| 2025-11-12 09:26:51.322851 | 2025-11-12 09:26:53.294764 | 14658176 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | 2630 | LOPEZ | 00000393852 | ALITA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6578550/check_14658176_c7a6ca83-86e5-4aaa-ae1e-ebb3b4315336.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6578550 | 2222 | N/A | N/A | N/A | 5198354 | 2025-11-12 09:26:53.294764 | 2025-06-24 21:09:14.654827 |