API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-07 09:03:22.276527 | 2025-06-08 05:21:06.694043 | 8616013 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8616013 | Athletic Physical Therapy Inc | 2000-02-29 | 2025-06-10 | M | PT | AE | MILLER | XDM622A62041 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542028/check_8616013_6ed84d11-532f-48d7-8fca-18e609dc752f.json | N/A | N/A | N/A | N/A | N/A | XDM622A62041 | Health Maintenance Organization (HMO) | MOUNTAINS RECREATION AND CONSERVATION AUTHORITY | ANTHEM BLUE CROSS | N/A | 2000-02-29 | 040 | 166337H004 | N/A | HM | false | MILLER | N/A | TIMOTHY | N/A | 9999-12-31 | 2025-01-01 | PREMIER TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782074 | N/A | N/A | 5542028 | 2222 | 4801 | 8344844 | 4184 | 4213985 | 2025-06-08 05:21:06.694043 | 2025-05-13 04:29:37.228303 |
| 2025-06-07 09:03:22.240540 | 2025-06-08 05:21:07.668551 | 8616010 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8616010 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-06-09 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_8616010_2f095e04-cd30-4015-873e-ec74bf014211.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852782073 | N/A | N/A | 5541917 | 2222 | 4793 | 8344848 | N/A | 4213891 | 2025-06-08 05:21:07.668551 | 2025-05-13 04:29:37.228207 |
| 2025-06-07 09:03:22.203658 | 2025-06-08 05:17:56.723920 | 8616008 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8616008 | Athletic Physical Therapy Inc | 1985-08-14 | 2025-06-10 | F | PT | AE | LIN | 31177093GEHA | JESSICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541550/check_8616008_38476c78-2d7d-43a5-848d-8ec4bdf5844b.json | N/A | N/A | N/A | N/A | N/A | 31177093GEHA | N/A | N/A | UNITEDHEALTHCARE | N/A | 1985-08-14 | N/A | N/A | N/A | N/A | false | LIN | N/A | JESSICA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782072 | N/A | N/A | 5541550 | 2222 | 4802 | 8344438 | N/A | 4213560 | 2025-06-08 05:17:56.723920 | 2025-05-13 04:29:37.227892 |
| 2025-06-07 09:03:22.162648 | 2025-06-08 05:21:07.063319 | 8616005 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8616005 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-06-09 | M | PT | N/A | SALEWSKE | SZR600905624 | TYSON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_8616005_2fc85541-0d5e-44c9-bfbd-d03173f00581.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | ANTHEM BLUE CROSS | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2023-01-01 | SELF-FUNDED EXP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852782071 | N/A | N/A | 5541518 | 2222 | 4793 | 8344845 | N/A | 4213526 | 2025-06-08 05:21:07.063319 | 2025-11-13 19:34:43.197819 |
| 2025-06-07 09:03:22.116057 | 2025-06-08 05:17:54.357716 | 8616002 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8616002 | Athletic Physical Therapy Inc | 1977-05-05 | 2025-06-10 | F | PT | AE | FERRER | 983167284 | AUDEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541310/check_8616002_e6fb37e6-5e39-4ff3-8334-08f15b08612b.json | N/A | N/A | N/A | N/A | N/A | 983167284 | Commercial | KINDEVA DRUG DELIVERY | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1977-05-05 | 0001 0001 | 926994 | N/A | C1 | false | FERRER | N/A | AUDEEN | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782070 | N/A | N/A | 5541310 | 2222 | 4801 | 8344432 | N/A | 4213342 | 2025-06-08 05:17:54.357716 | 2025-06-06 02:19:28.320975 |
| 2025-06-07 09:03:22.061352 | 2025-06-08 05:03:39.196071 | 8615999 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8615999 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-06-10 | M | PT | AE | FARAHMAND | 91957675E | ALEX | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_8615999_2a855ce8-1d76-48bf-b345-0826f4e17dba.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782069 | N/A | N/A | 5541163 | 2222 | 4802 | 8342866 | N/A | 4213207 | 2025-06-08 05:03:39.196071 | 2025-05-13 04:29:37.227536 |
| 2025-06-07 09:03:22.022792 | 2025-06-08 05:17:55.609856 | 8615997 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8615997 | Athletic Physical Therapy Inc | 1972-08-02 | 2025-06-10 | F | PT | AE | RAMSEY KANZAWA | 778790241 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541156/check_8615997_1a5d2f0f-67f2-4a4e-96e2-b1c2082a7824.json | N/A | N/A | N/A | N/A | N/A | 77879024100 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1972-08-02 | N/A | 1687339 | N/A | C1 | false | KANZAWA | N/A | JENNIFER | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782067 | N/A | N/A | 5541156 | 2222 | 4802 | 8344435 | N/A | 4213204 | 2025-06-08 05:17:55.609856 | 2025-05-28 20:17:37.873556 |
| 2025-06-07 09:03:21.979785 | 2025-06-08 05:09:10.919542 | 8615996 | N/A | N/A | 60054 | Aetna | 1114042165 | 8615996 | Athletic Physical Therapy Inc | 1959-03-07 | 2025-06-10 | F | PT | AE | AFSHAR | W225594564 | NAZFAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541142/check_8615996_b29ba03e-6b48-4539-90d2-1655e2e8c59c.json | N/A | N/A | N/A | N/A | N/A | W225594564 | N/A | N/A | AETNA | N/A | 1959-03-07 | 0803677 | 080367701200001 | N/A | N/A | false | AFSHAR | N/A | NAZFAR | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782066 | N/A | N/A | 5541142 | 2222 | 4802 | 8343672 | N/A | 4213197 | 2025-06-08 05:09:10.919542 | 2025-06-03 05:25:30.972895 |
| 2025-06-07 09:03:21.940781 | 2025-06-08 05:03:38.109226 | 8615993 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8615993 | Athletic Physical Therapy Inc | 2008-09-18 | 2025-06-10 | F | AE | PT | BENDAVID | 95318118F | TALIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540893/check_8615993_2b85c68f-a38d-40de-8520-0146a680ec56.json | N/A | N/A | N/A | N/A | N/A | 95318118F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2008-09-18 | N/A | N/A | N/A | N/A | false | BENDAVID | N/A | TALIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852782065 | N/A | N/A | 5540893 | 2222 | 4793 | 8342864 | N/A | 4212979 | 2025-06-08 05:03:38.109226 | 2025-06-04 21:11:15.590634 |
| 2025-06-07 09:03:21.906981 | 2025-06-08 05:11:59.181970 | 8615992 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 8615992 | Athletic Physical Therapy Inc | 1941-02-15 | 2025-06-10 | M | PT | AE | LAMANTIA | H79604971 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540865/check_8615992_73d57c03-f949-43c0-987a-59230837e764.json | N/A | N/A | N/A | N/A | N/A | H79604971 | Preferred Provider Organization (PPO) | L3HARRIS TECHNOLOGIES | HUMANA | 079 249 MEDICARE PPO | 1941-02-15 | N/A | 5A763001 | N/A | PR | false | LAMANTIA | N/A | THOMAS | N/A | N/A | N/A | L3 HARRIS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782064 | N/A | N/A | 5540865 | 2222 | 4801 | 8343944 | N/A | 4212955 | 2025-06-08 05:11:59.181970 | 2025-07-08 12:47:00.203499 |
| 2025-06-07 09:03:21.865671 | 2025-06-08 05:04:41.143242 | 8615990 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8615990 | Athletic Physical Therapy Inc | 1963-09-10 | 2025-06-10 | M | PT | AE | DEANS | U5981746801 | PHIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540446/check_8615990_2d91f266-a518-4d0d-9aa3-1f699751426d.json | N/A | N/A | N/A | N/A | N/A | U5981746801 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1963-09-10 | N/A | N/A | N/A | N/A | false | DEANS | N/A | PHIL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782063 | N/A | N/A | 5540446 | 2222 | 4793 | 8342988 | N/A | 4212605 | 2025-06-08 05:04:41.143242 | 2025-05-13 04:29:37.226953 |
| 2025-06-07 09:03:21.826336 | 2025-06-08 05:03:42.032832 | 8615988 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8615988 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-06-10 | M | PT | AE | HERMAN | 95836743G | BRETT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_8615988_c71f382a-c468-4f47-9b37-7db641824d55.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782062 | N/A | N/A | 5540113 | 2222 | 4801 | 8342872 | N/A | 4212315 | 2025-06-08 05:03:42.032832 | 2025-12-29 21:20:15.158611 |
| 2025-06-07 09:03:21.787152 | 2025-06-08 05:21:01.695343 | 8615984 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8615984 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-06-10 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_8615984_e4379885-5080-40e6-a32c-8ea44d981b34.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852782060 | N/A | N/A | 5540074 | 2222 | 4802 | 8344832 | N/A | 4212282 | 2025-06-08 05:21:01.695343 | 2025-05-13 04:29:37.226623 |
| 2025-06-07 09:03:21.746434 | 2025-06-08 05:04:42.033195 | 8615982 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8615982 | Athletic Physical Therapy Inc | 1957-04-05 | 2025-06-10 | M | PT | AE | GHAFFARI | XEE980566737 | HAMID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540041/check_8615982_93c598ee-cbbe-4910-b299-dbe0a6a463fd.json | N/A | N/A | N/A | N/A | N/A | XEE980566737 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1957-04-05 | N/A | N/A | N/A | N/A | false | GHAFFARI | N/A | HAMID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782059 | N/A | N/A | 5540041 | 2222 | 4802 | 8342992 | N/A | 4212255 | 2025-06-08 05:04:42.033195 | 2025-05-13 04:29:37.226591 |
| 2025-06-07 09:03:21.706572 | 2025-06-08 05:17:57.445149 | 8615979 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8615979 | Athletic Physical Therapy Inc | 1958-01-24 | 2025-06-09 | M | AE | PT | SAUER | 995746438 | MARCOS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539785/check_8615979_56574e07-1d59-452e-a4b5-3e167ae0fb13.json | N/A | N/A | N/A | N/A | N/A | 995746438 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1958-01-24 | N/A | 74126 | N/A | PR | false | SAUER | N/A | MARCOS | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0029 (PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852782058 | N/A | N/A | 5539785 | 2222 | 4793 | 8344440 | N/A | 4212024 | 2025-06-08 05:17:57.445149 | 2025-05-28 20:17:35.019662 |
| 2025-06-07 09:03:21.668083 | 2025-06-08 05:03:48.746386 | 8615978 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8615978 | Athletic Physical Therapy Inc | 1951-02-23 | 2025-06-10 | F | PT | AE | WENSEL | 40065419401 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539718/check_8615978_b9b374da-7f20-41d0-bb25-235c5e09f6ed.json | N/A | N/A | N/A | N/A | N/A | 40065419401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-02-23 | N/A | N/A | N/A | N/A | false | WENSEL | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782057 | N/A | N/A | 5539718 | 2222 | 4793 | 8342879 | N/A | 4211977 | 2025-06-08 05:03:48.746386 | 2025-05-13 04:29:37.226299 |
| 2025-06-07 09:03:21.627489 | 2025-06-08 05:21:04.518848 | 8615976 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8615976 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-06-10 | M | PT | N/A | FINNLEY | NGO832M81089 | ZEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539664/check_8615976_362b99c2-719a-40f5-9679-c7a74cdbc652.json | N/A | N/A | N/A | N/A | N/A | 474M92023 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852779851 | N/A | N/A | 5539664 | 2222 | 4793 | 8344837 | N/A | 4211935 | 2025-06-08 05:21:04.518848 | 2025-05-13 04:29:37.226259 |
| 2025-06-07 09:03:21.585418 | 2025-06-08 05:25:09.363578 | 8615975 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8615975 | Athletic Physical Therapy Inc | 1956-08-13 | 2025-06-10 | M | PT | AE | GORODENZIK | 3MC1HC7HE13 | AMIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539597/check_8615975_7805c032-964c-4b76-95c6-53b9213ea42a.json | N/A | N/A | N/A | N/A | N/A | 3MC1HC7HE13 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-08-13 | S5601 | N/A | N/A | MA | false | GORODENZIK | N/A | AMIR | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852779848 | N/A | N/A | 5539597 | 2222 | 4793 | 8345493 | N/A | 4211880 | 2025-06-08 05:25:09.363578 | 2025-05-13 04:29:37.226201 |
| 2025-06-07 09:03:21.545027 | 2025-06-08 05:15:49.814350 | 8615971 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 8615971 | N/A | 1958-02-11 | 2025-06-10 | F | AE | PT | LEVESQUE | 097A2439020 | JACQUELINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539382/check_8615971_33cc63dc-421e-442e-9a14-b8aefe8f95ca.json | N/A | N/A | N/A | N/A | N/A | 097A2439020 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1958-02-11 | N/A | N/A | N/A | N/A | false | LEVESQUE | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852779846 | N/A | N/A | 5539382 | 2222 | 4793 | 8344264 | N/A | 4211704 | 2025-06-08 05:15:49.814350 | 2025-06-06 23:08:42.876895 |
| 2025-06-07 09:03:21.504582 | 2025-06-08 05:21:02.533458 | 8615968 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8615968 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-06-10 | M | PT | AE | CHADIDA | XEE980517790 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_8615968_9d1a0e00-ef4d-45c4-a01a-b07e3e753228.json | N/A | N/A | N/A | N/A | N/A | XEE980517790 | Health Maintenance Organization (HMO) - Medicare Risk | MEDICARE ADVANTAGE INDIVIDUAL | ANTHEM BLUE CROSS | N/A | 1951-08-02 | 1000DPPOX001 | W0051752 | N/A | HN | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | BLUE SHIELD 65 PLUS OPTIONAL SUPPLEMENTAL DENTAL P | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852779844 | N/A | N/A | 5538674 | 2222 | 4793 | 8344833 | 4184 | 4211039 | 2025-06-08 05:21:02.533458 | 2025-05-13 04:29:37.225444 |
| 2025-06-07 09:03:21.462039 | 2025-06-08 05:24:18.689772 | 8615965 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 8615965 | Athletic Physical Therapy Inc | 1946-06-01 | 2025-06-10 | F | PT | AE | AMIRI | 5A52N18CA24 | POURAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538157/check_8615965_43ce8ebc-7ccd-4752-9df0-46d28f1554a8.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1946-06-01 | N/A | N/A | N/A | N/A | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852779843 | N/A | N/A | 5538157 | 2222 | 4802 | 8345315 | N/A | 4210607 | 2025-06-08 05:24:18.689772 | 2025-08-01 18:31:38.620742 |
| 2025-06-07 09:03:21.412916 | 2025-06-08 05:25:09.054526 | 8615963 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8615963 | Athletic Physical Therapy Inc | 1941-11-29 | 2025-06-09 | F | AE | PT | GODBOLD | 2J64V06CN85 | SHARI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537856/check_8615963_8c9cf169-1c32-4ecf-9585-18ce015f6752.json | N/A | N/A | N/A | N/A | N/A | 2J64V06CN85 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-11-29 | S5921 | N/A | N/A | MA | false | GODBOLD | N/A | SHARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852779842 | N/A | N/A | 5537856 | 2222 | 4802 | 8345492 | N/A | 4210360 | 2025-06-08 05:25:09.054526 | 2025-05-13 04:29:37.224766 |
| 2025-06-07 09:03:21.367776 | 2025-06-08 05:22:14.320761 | 8615962 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8615962 | Athletic Physical Therapy Inc | 1980-08-15 | 2025-06-10 | F | PT | N/A | SNELL | XED912271222 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537740/check_8615962_3101f284-5f92-4d4b-b3d2-38678b4d5a95.json | N/A | N/A | N/A | N/A | N/A | XED912271222 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | SNELL | N/A | NICOLE | N/A | 9999-12-31 | 2023-06-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852779839 | N/A | N/A | 5537740 | 2222 | 4802 | 8344971 | N/A | 4210260 | 2025-06-08 05:22:14.320761 | 2025-05-13 04:29:37.224672 |
| 2025-06-07 09:03:21.331655 | 2025-06-08 05:25:08.136954 | 8615960 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8615960 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-06-10 | F | PT | AE | CHADORCHI | 8MR2X19XD04 | JAFFA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537480/check_8615960_c634827a-c615-428c-a3bd-1b992f50513a.json | N/A | N/A | N/A | N/A | N/A | 8MR2X19XD04 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-30 | S5601 | N/A | N/A | MB | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852779838 | N/A | N/A | 5537480 | 2222 | 4802 | 8345488 | N/A | 4210038 | 2025-06-08 05:25:08.136954 | 2025-06-02 14:57:36.820684 |
| 2025-06-07 09:03:21.291025 | 2025-06-08 05:21:06.385112 | 8615958 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8615958 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-06-10 | M | PT | N/A | MILES | MBL835W05431 | KEITH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_8615958_e5acc416-d164-4fa9-b410-702afd4e393b.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852779836 | N/A | N/A | 5536896 | 2222 | 4793 | 8344843 | N/A | 4209567 | 2025-06-08 05:21:06.385112 | 2025-05-13 04:29:37.223990 |
| 2025-06-07 09:03:21.243297 | 2025-06-08 05:21:07.998425 | 8615956 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8615956 | Athletic Physical Therapy Inc | 1960-10-26 | 2025-06-10 | M | PT | N/A | SUCHER | NCF577A55433 | JAY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536746/check_8615956_356d7301-25e7-4c0a-ba5f-5f871ce99d83.json | N/A | N/A | N/A | N/A | N/A | NCF577A55433 | Health Maintenance Organization (HMO) | CALTECH JPL HMO ADVANTAGE | ANTHEM BLUE CROSS | N/A | 1960-10-26 | 040 | 175104H220 | N/A | HM | false | SUCHER | N/A | JAY | N/A | 9999-12-31 | 2020-01-01 | BLUE CROSS ADVANTAGE HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852779835 | N/A | N/A | 5536746 | 2222 | 4801 | 8344849 | N/A | 4209436 | 2025-06-08 05:21:07.998425 | 2025-06-27 22:58:27.733010 |
| 2025-06-07 09:03:21.114938 | 2025-06-08 05:21:00.516092 | 8615953 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8615953 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-06-10 | F | PT | N/A | BELL | MNL880M78427 | JACQUELYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_8615953_dd35c843-ffb8-486e-812f-a7d369b99b86.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 9999-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852779834 | N/A | N/A | 5536041 | 2222 | 4802 | 8344828 | N/A | 4208856 | 2025-06-08 05:21:00.516092 | 2025-05-13 04:29:37.223284 |
| 2025-06-07 09:03:20.952237 | 2025-06-08 05:17:55.078153 | 8615945 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8615945 | Athletic Physical Therapy Inc | 1935-06-20 | 2025-06-10 | F | AE | PT | GOLDMAN | 949158511 | MARALYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535982/check_8615945_91e9f4c2-1405-48ce-86f3-4d7b4670f10a.json | N/A | N/A | N/A | N/A | N/A | 949158511 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1935-06-20 | N/A | 15306 | N/A | PR | false | GOLDMAN | N/A | MARALYN | 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 | 7852779833 | N/A | N/A | 5535982 | 2222 | 4802 | 8344434 | N/A | 4208807 | 2025-06-08 05:17:55.078153 | 2025-05-13 04:29:37.223234 |
| 2025-06-07 09:03:20.798283 | 2025-06-08 05:22:41.052248 | 8615941 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8615941 | Athletic Physical Therapy Inc | 1962-08-19 | 2025-06-10 | F | PT | N/A | FOREST | UAG827985788 | VERONICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535501/check_8615941_0db76476-adc7-4702-a380-eba1e2488e01.json | N/A | N/A | N/A | N/A | N/A | UAG827985788 | Preferred Provider Organization (PPO) | USI INSURANCE SERVICES | BLUE SHIELD OF CALIFORNIA | N/A | 1962-08-19 | N/A | 372213 | N/A | PR | false | FOREST | N/A | VERONICA | N/A | 9999-12-31 | 2025-02-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852779829 | N/A | N/A | 5535501 | 2222 | 4802 | 8345011 | N/A | 4208423 | 2025-06-08 05:22:41.052248 | 2025-05-13 04:29:37.222838 |
| 2025-06-07 09:01:43.896598 | 2025-06-08 02:13:00.985224 | 8612859 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8612859 | Athletic Physical Therapy Inc | 1978-12-03 | 2025-06-10 | F | PT | N/A | MADERA | XDM680A73561 | ELISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115526022.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676409/check_8612859_09df8d28-f29b-4d04-b14f-583fa89cc83c.json | N/A | N/A | N/A | N/A | N/A | XDM680A73561 | Health Maintenance Organization (HMO) | ENGEN ENTERPRISES INC | ANTHEM BLUE CROSS | N/A | 1978-12-03 | 040 | 277154H001 | N/A | HM | false | MADERA | N/A | ELISA | N/A | 9999-12-31 | 2025-03-01 | DEDUCTIBLE HMO SELECT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852801458 | N/A | N/A | 5676409 | 2222 | 4793 | 8335323 | 4184 | 4343465 | 2025-06-08 02:13:00.985224 | 2025-05-14 09:08:09.701399 |
| 2025-06-07 09:01:43.639568 | 2025-06-08 02:13:00.646505 | 8612850 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8612850 | Athletic Physical Therapy Inc | 1990-06-23 | 2025-06-09 | F | PT | N/A | HSIEH | VUC433W09917 | VICKY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115526022.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676402/check_8612850_f4de46d1-1e52-43af-ac52-c523706d4f84.json | N/A | N/A | N/A | N/A | N/A | VUC433W09917 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1990-06-23 | 040 | 280509A400 | N/A | PR | false | HSIEH | N/A | VICKY | N/A | 9999-12-31 | 2023-01-01 | UC CARE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852801457 | N/A | N/A | 5676402 | 2222 | 4802 | 8335317 | N/A | 4343459 | 2025-06-08 02:13:00.646505 | 2025-05-13 04:29:37.230937 |
| 2025-06-07 09:01:39.912802 | 2025-06-08 02:13:01.296477 | 8612759 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8612759 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-06-10 | F | PT | AE | OBLINGER | JQS491M78254 | MARIA DEL CARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115526022.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_8612759_cbeee8f4-f4be-4e50-af87-4fa65d86b792.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852801455 | N/A | N/A | 5676340 | 2222 | 4793 | 8335329 | 4184 | 4210531 | 2025-06-08 02:13:01.296477 | 2025-12-09 17:09:13.960610 |
| 2025-06-07 00:48:35.419278 | 2025-06-07 00:48:38.208029 | 8610329 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-06-30 | 2025-06-11 | M | AE | PT | HASSEL | 109334341 | AARON | 4437 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6173580/check_8610329_a7a2794f-67a1-4abc-b7cd-9dff1716109b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6173580/check_8610329_723f3cc4-8518-475b-9cae-e6fd0e880397.json | N/A | N/A | N/A | N/A | N/A | 10933434100 | N/A | RAWLINGS SPORTING GOODS COMPANY, INC | CHLIC | COMPLETE CARE MANAGEMENT | 1989-06-30 | N/A | 00623156 | N/A | N/A | false | HASSEL | N/A | AARON | N/A | N/A | N/A | HRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7848134016 | N/A | N/A | 6173580 | 2222 | N/A | 8306863 | N/A | 4814860 | 2025-06-07 00:48:38.208029 | 2026-03-05 17:32:00.360896 |
| 2025-06-07 00:04:14.257104 | 2025-06-07 00:04:16.136900 | 8610308 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-02-14 | 2025-06-06 | F | PT | AE | GOLDSTEIN | 000603457 | SHARON | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077490/check_8610308_1c94269f-caf3-44ed-ad34-bc3f95ae5c52.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077490/check_8610308_238cb94b-a16d-48ec-8107-84d520641af1.json | N/A | N/A | N/A | N/A | N/A | 000603457 | Commercial | US BANK | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1965-02-14 | 0162 0162 | 186359 | N/A | C1 | false | GOLDSTEIN | N/A | SHARON | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7847740710 | 9482 | N/A | 6077490 | 2222 | N/A | 8306842 | N/A | 4721602 | 2025-06-07 00:04:16.136900 | 2025-06-03 23:36:44.592003 |
| 2025-06-06 23:23:49.849840 | 2025-06-06 23:23:50.785364 | 8610272 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-06 | F | PT | AE | OROZCO | 22483267 | ODILIA | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8610272_9906f17e-0af6-4187-b0ad-407756d11ba3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8610272_48485735-5b32-4075-81de-ff7a4b127c5a.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6068063 | 2222 | N/A | 8306723 | N/A | 4713004 | 2025-06-06 23:23:50.785364 | 2025-05-29 21:14:47.925641 |
| 2025-06-06 23:23:47.164499 | 2025-06-06 23:23:49.847523 | 8610271 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-06 | F | PT | AE | OROZCO | 22483267 | ODILIA | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8610271_c800eb79-e662-41c7-aeb0-d70e5b8bb000.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6068063 | 2222 | N/A | N/A | N/A | 4713004 | 2025-06-06 23:23:49.847523 | 2025-05-29 21:14:47.925641 |
| 2025-06-06 23:21:25.667505 | 2025-06-06 23:21:27.461234 | 8610269 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-06 | F | PT | AE | OROZCO | 22483267 | ODILIA | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8610269_8f28c244-733b-434c-94a1-cf757aba17b7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8610269_64cf9b9e-efbd-4849-817d-4112cfa79a26.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6068063 | 2222 | N/A | 8306712 | N/A | 4713004 | 2025-06-06 23:21:27.461234 | 2025-05-29 21:14:47.925641 |
| 2025-06-06 23:21:23.950032 | 2025-06-06 23:21:25.663178 | 8610268 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-06 | F | PT | AE | OROZCO | 22483267 | ODILIA | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8610268_cbd76ce4-c74a-479b-80d6-e1a8d50dcb0f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6068063 | 2222 | N/A | N/A | N/A | 4713004 | 2025-06-06 23:21:25.663178 | 2025-05-29 21:14:47.925641 |
| 2025-06-06 23:18:01.238972 | 2025-06-06 23:18:05.050365 | 8610267 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-06 | F | PT | AE | OROZCO | 22483267 | ODILIA | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8610267_d0d9e0aa-dbad-4333-86d5-0fdb2efbc5c2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8610267_2a8e80ab-e00b-4d10-9798-97124e3c7471.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6068063 | 2222 | N/A | 8306695 | N/A | 4713004 | 2025-06-06 23:18:05.050365 | 2025-05-29 21:14:47.925641 |
| 2025-06-06 23:17:56.540463 | 2025-06-06 23:18:01.235205 | 8610266 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-06 | F | PT | AE | OROZCO | 22483267 | ODILIA | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8610266_01b5cf9a-9c7f-462b-bff8-b0a805cbc1f0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6068063 | 2222 | N/A | N/A | N/A | 4713004 | 2025-06-06 23:18:01.235205 | 2025-05-29 21:14:47.925641 |
| 2025-06-06 22:59:08.368419 | 2025-06-06 22:59:10.242798 | 8610243 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-02-14 | 2025-06-06 | F | PT | AE | GOLDSTEIN | 000603457 | SHARON | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077490/check_8610243_e5c376ae-4034-4dcc-85d6-b2e63c27a3f1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077490/check_8610243_86cac03a-ce84-4378-b57c-92824a160803.json | N/A | N/A | N/A | N/A | N/A | 000603457 | Commercial | US BANK | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1965-02-14 | 0162 0162 | 186359 | N/A | C1 | false | GOLDSTEIN | N/A | SHARON | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7847434635 | 9482 | N/A | 6077490 | 2222 | N/A | 8306594 | N/A | 4721602 | 2025-06-06 22:59:10.242798 | 2025-06-03 23:36:44.592003 |
| 2025-06-06 22:25:33.053668 | 2025-06-06 22:25:36.022171 | 8609929 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-03-09 | 2025-06-05 | M | PT | N/A | GILLETTE | M9Y896662066 | GRADY | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539749/check_8609929_747da31f-8c28-4b45-9b14-b08bbb2e0049.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539749/check_8609929_de8207a2-df47-4b4c-9a48-160146650782.json | N/A | N/A | N/A | N/A | N/A | M9Y896662066 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1963-03-09 | N/A | 91519 | N/A | PR | false | GILLETTE | N/A | VICTORIA | N/A | N/A | N/A | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7847307816 | 7927 | N/A | 5539749 | 2222 | N/A | 8306134 | N/A | 4212009 | 2025-06-06 22:25:36.022171 | 2025-05-13 04:29:37.226332 |
| 2025-06-06 22:10:37.598306 | 2025-06-06 22:10:44.394359 | 8609731 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-05 | M | PT | AE | LANE | 32856385711 | STEVEN | 3842 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_8609731_2179ee7d-43a4-4944-ba0a-600a1d49c8ba.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928917/check_8609731_8737ee45-e34c-483b-ba49-385050bf76b1.json | N/A | N/A | N/A | N/A | N/A | 32856385711 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1952-07-25 | N/A | N/A | N/A | SP | false | LANE | N/A | STEVEN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7847244459 | 7927 | N/A | 5928917 | 2222 | N/A | 8305863 | N/A | 4219832 | 2025-06-06 22:10:44.394359 | 2025-05-13 04:29:37.230877 |
| 2025-06-06 22:10:19.554733 | 2025-06-06 22:10:23.343150 | 8609729 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-05 | M | PT | AE | LANE | 328563857-11 | STEVEN | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_8609729_6e8f371a-47c6-4b00-82a9-ffb474cdaa1a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928917/check_8609729_f7344127-2f23-4083-bf94-d3bd3edd0beb.json | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5928917 | 2222 | N/A | 8305856 | N/A | 4219832 | 2025-06-06 22:10:23.343150 | 2025-05-13 04:29:37.230877 |
| 2025-06-06 22:10:11.849602 | 2025-06-06 22:10:19.552701 | 8609690 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-05 | M | PT | AE | LANE | 328563857-11 | STEVEN | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_8609690_9ef2bb09-3cc3-4596-9c8b-3d73ef59b518.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5928917 | 2222 | N/A | N/A | N/A | 4219832 | 2025-06-06 22:10:19.552701 | 2025-05-13 04:29:37.230877 |
| 2025-06-06 22:08:36.471094 | 2025-06-06 22:08:41.293435 | 8609686 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-09 | M | PT | AE | LANE | 328563857-11 | STEVEN | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_8609686_1ad39e68-9a67-4b82-9f9f-be3edba3c077.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928917/check_8609686_76272d91-9a64-4708-af51-063bc0f77335.json | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5928917 | 2222 | N/A | 8305813 | N/A | 4219832 | 2025-06-06 22:08:41.293435 | 2025-05-13 04:29:37.230877 |
| 2025-06-06 22:08:33.819466 | 2025-06-06 22:08:36.469320 | 8609685 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-09 | M | PT | AE | LANE | 328563857-11 | STEVEN | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_8609685_bcdf95c6-b474-449e-af75-5dcc99503c92.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5928917 | 2222 | N/A | N/A | N/A | 4219832 | 2025-06-06 22:08:36.469320 | 2025-05-13 04:29:37.230877 |
| 2025-06-06 21:51:29.370097 | 2025-06-06 21:51:31.122617 | 8609542 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-06 | F | PT | AE | OROZCO | 22483267 | ODILIA | 23324 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8609542_7a0b952f-38ce-407f-9706-95010d856c6a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8609542_467062d2-06f1-41aa-ba6b-e60c961215e1.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6068063 | 2222 | N/A | 8305591 | N/A | 4713004 | 2025-06-06 21:51:31.122617 | 2025-05-29 21:14:47.925641 |
| 2025-06-06 21:51:23.695862 | 2025-06-06 21:51:29.367260 | 8609541 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-06 | F | PT | AE | OROZCO | 22483267 | ODILIA | 23324 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8609541_8b10a0ec-76ff-493f-b41c-713b11bdb4b8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6068063 | 2222 | N/A | N/A | N/A | 4713004 | 2025-06-06 21:51:29.367260 | 2025-05-29 21:14:47.925641 |
| 2025-06-06 21:30:25.745639 | 2025-06-06 21:30:29.538953 | 8609484 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-06 | M | PT | AE | LANE | 32856385711 | STEVEN | 3842 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6175578/check_8609484_c007ef5d-815c-41f8-ab87-8a29bdecbfca.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6175578/check_8609484_cf458dd4-0e4b-4f0a-9165-497e64e6a7e1.json | N/A | N/A | N/A | N/A | N/A | 32856385711 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1952-07-25 | N/A | N/A | N/A | SP | false | LANE | N/A | STEVEN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7847073888 | 9489 | N/A | 6175578 | 2222 | N/A | 8305460 | N/A | 4219832 | 2025-06-06 21:30:29.538953 | 2025-05-13 04:29:37.230877 |