API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-07 21:37:02.766593 | 2025-11-07 21:37:35.115927 | 14505050 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-04-30 | 2025-11-10 | M | AE | PT | 4211 | JOSEPH | 623127403 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537866/check_14505050_544edb8c-5a1a-4de3-aa57-4f148363eb29.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537866/check_14505050_defb2d29-6c59-4e1d-b854-f800f10d8ea1.json | N/A | N/A | N/A | N/A | N/A | 623127403 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1977-04-30 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | JOSEPH | N/A | CHRISTOPHER | N/A | 2025-12-31 | 2025-02-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236359975 | 160456 | N/A | 5537866 | 2222 | N/A | 14751197 | N/A | 4210367 | 2025-11-07 21:37:35.115927 | 2025-05-13 04:29:37.224772 |
| 2025-11-07 21:33:54.515881 | 2025-11-07 21:33:58.324573 | 14505018 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-04-30 | 2025-01-13 | M | PT | AE | 4211 | JOSEPH | 623127403 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537866/check_14505018_64da2f73-3dce-4216-aef7-6a7bf70f9168.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537866/check_14505018_fe24d5e7-f1d6-4501-8063-27116e8ad730.json | N/A | N/A | N/A | N/A | N/A | 623127403 | N/A | N/A | MOLINA_CA | N/A | 1977-04-30 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | JOSEPH | N/A | CHRISTOPHER | N/A | 2024-12-31 | 2024-01-01 | INACTIVE COVERAGE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9236335148 | 160456 | N/A | 5537866 | 2222 | N/A | 14751163 | N/A | 4210367 | 2025-11-07 21:33:58.324573 | 2025-05-13 04:29:37.224772 |
| 2025-11-07 20:14:24.416567 | 2025-11-07 20:14:26.316534 | 14503992 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-06-26 | 2025-11-07 | F | AE | PT | 5504 | SAGHIAN | 22679527139 | MITRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/12273966/check_14503992_6359b3ec-9ba8-4522-b36f-85e4c93c1ac0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12273966/check_14503992_0fa5d819-1933-411d-8e08-f4187e6df02d.json | N/A | N/A | N/A | N/A | N/A | 22679527139 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1962-06-26 | N/A | N/A | N/A | N/A | false | SAGHIAN | N/A | MITRA | 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 | 12273966 | 2222 | N/A | 14749924 | N/A | 10461534 | 2025-11-07 20:14:26.316534 | 2025-11-07 23:40:59.645959 |
| 2025-11-07 20:14:21.686853 | 2025-11-07 20:14:24.412197 | 14503991 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-06-26 | 2025-11-07 | F | AE | PT | 5504 | SAGHIAN | 22679527139 | MITRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/12273966/check_14503991_82175a61-d145-42f3-8aa5-6a6e9969a5a8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-07 | N/A | N/A | N/A | N/A | N/A | N/A | 22679527139 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1962-06-26 | N/A | N/A | N/A | N/A | false | SAGHIAN | N/A | MITRA | 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 | 12273966 | 2222 | N/A | N/A | N/A | 10461534 | 2025-11-07 20:14:24.412197 | 2025-11-07 23:40:59.645959 |
| 2025-11-07 18:55:30.597671 | 2025-11-07 18:55:32.674947 | 14503047 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-05-05 | 2025-11-07 | F | AE | PT | 4184 | HOUSTON | TRJNP0019401 | VELINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/12244725/check_14503047_41cb27bb-dd3e-496b-8d22-25ca812e3aa0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12244725/check_14503047_c440a4ed-bc67-45c2-8c6f-d968b245f8d4.json | N/A | N/A | N/A | N/A | N/A | TRJNP0019401 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-05-05 | 040 | 276727M001 | N/A | PR | false | HOUSTON | N/A | VELINA | N/A | 9999-12-31 | 2012-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9235263716 | 9481 | N/A | 12244725 | 2222 | N/A | 14748790 | N/A | 9637804 | 2025-11-07 18:55:32.674947 | 2026-04-24 18:56:42.779565 |
| 2025-11-07 18:27:47.221823 | 2025-11-07 18:27:52.420196 | 14502621 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-09-02 | 2025-11-14 | F | AE | PT | 3937 | CHEN | W286265318 | KELLY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543266/check_14502621_326b845e-2f0e-47bd-b912-d8de50da5543.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543266/check_14502621_2db7f24e-a157-451e-9c5a-970dfe33726a.json | N/A | N/A | N/A | N/A | N/A | W286265318 | Point of Service (POS) | ADOBE INC. | AETNA | N/A | 1994-09-02 | 0660819 | 066081901600001 | N/A | PS | false | CHEN | N/A | KELLY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9235005460 | N/A | N/A | 5543266 | 2222 | N/A | 14748322 | N/A | 4215081 | 2025-11-07 18:27:52.420196 | 2025-05-13 04:29:37.229396 |
| 2025-11-07 18:26:20.600097 | 2025-11-07 18:26:25.365901 | 14502612 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-05-19 | 2025-11-07 | M | AE | PT | N/A | MALHOTRA | 42360756 | DAVE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9680809/check_14502612_f21cab85-654c-40c6-82b9-6b97f35e5013.json | UHC | N/A | APPOINTMENT_PII_CHANGE | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9680809/check_14502612_b919e284-3334-4a4b-a253-72699eb146af.json | N/A | N/A | N/A | N/A | N/A | 612027650 | Preferred Provider Organization (PPO) | N/A | OPTUMHEALTH BEHAVIORAL SOLUTIONS | N/A | 1977-05-19 | N/A | 15385 | N/A | PR | false | MALHOTRA | N/A | DAVE | N/A | N/A | N/A | FIDELITY BH UMR HEALTHFLEX PPO 2025 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9680809 | 2222 | N/A | 14748312 | N/A | 8100424 | 2025-11-07 18:26:25.365901 | 2025-10-07 13:46:29.078092 |
| 2025-11-07 17:32:36.423042 | 2025-11-07 17:33:24.532977 | 14501825 | N/A | N/A | SB542 | Blue Shield California | 1205397536 | N/A | override_provider | 1958-09-10 | 2025-07-31 | F | PT | AE | 4191 | Williams | XOJ804442880 | Charlotte | https://storage.googleapis.com/normandy-eligibility-checks/2222/7637654/check_14501825_4b194e61-dba9-4621-9bb2-a63a55889a4e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-31 | N/A | N/A | N/A | N/A | N/A | N/A | XOJ804442880 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1958-09-10 | N/A | N/A | N/A | N/A | false | WILLIAMS | N/A | CHARLOTTE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7637654 | 2222 | N/A | N/A | N/A | 6470621 | 2025-11-07 17:33:24.532977 | 2026-02-27 19:19:43.769938 |
| 2025-11-07 17:31:48.425618 | 2025-11-07 17:32:36.418621 | 14501823 | N/A | N/A | SB542 | Blue Shield California | 1205397536 | N/A | override_provider | 1958-09-10 | 2025-07-31 | F | PT | AE | 4191 | Williams | XOJ804442880 | Charlotte | https://storage.googleapis.com/normandy-eligibility-checks/2222/7637654/check_14501823_40024e5a-62ad-4ae2-a3b5-11685c6c9cab.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-31 | N/A | N/A | N/A | N/A | N/A | N/A | XOJ804442880 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1958-09-10 | N/A | N/A | N/A | N/A | false | WILLIAMS | N/A | CHARLOTTE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7637654 | 2222 | N/A | N/A | N/A | 6470621 | 2025-11-07 17:32:36.418621 | 2026-02-27 19:19:43.769938 |
| 2025-11-07 17:31:36.076617 | 2025-11-07 17:32:24.148528 | 14501822 | N/A | N/A | SB542 | Blue Shield California | 1205397536 | N/A | override_provider | 1958-09-10 | 2025-07-31 | F | PT | AE | 4191 | Williams | XOJ804442880 | Charlotte | https://storage.googleapis.com/normandy-eligibility-checks/2222/7637654/check_14501822_50dd4327-4f59-4be8-8e8b-8f16da8eae67.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-31 | N/A | N/A | N/A | N/A | N/A | N/A | XOJ804442880 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1958-09-10 | N/A | N/A | N/A | N/A | false | WILLIAMS | N/A | CHARLOTTE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7637654 | 2222 | N/A | N/A | N/A | 6470621 | 2025-11-07 17:32:24.148528 | 2026-02-27 19:19:43.769938 |
| 2025-11-07 17:30:47.817155 | 2025-11-07 17:31:36.063532 | 14501810 | N/A | N/A | SB542 | Blue Shield California | 1205397536 | N/A | override_provider | 1958-09-10 | 2025-07-31 | F | PT | AE | 4191 | Williams | XOJ804442880 | Charlotte | https://storage.googleapis.com/normandy-eligibility-checks/2222/7637654/check_14501810_60545ddd-4e62-4ec4-8284-d886d2764bde.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-31 | N/A | N/A | N/A | N/A | N/A | N/A | XOJ804442880 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1958-09-10 | N/A | N/A | N/A | N/A | false | WILLIAMS | N/A | CHARLOTTE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7637654 | 2222 | N/A | N/A | N/A | 6470621 | 2025-11-07 17:31:36.063532 | 2026-02-27 19:19:43.769938 |
| 2025-11-07 17:30:35.968814 | 2025-11-07 17:31:24.032350 | 14501799 | N/A | N/A | SB542 | Blue Shield California | 1205397536 | N/A | override_provider | 1958-09-10 | 2025-07-31 | F | PT | AE | 4191 | Williams | XOJ804442880 | Charlotte | https://storage.googleapis.com/normandy-eligibility-checks/2222/7637654/check_14501799_6c5d212d-9e72-4dd2-b68b-5007cfe2b16d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-31 | N/A | N/A | N/A | N/A | N/A | N/A | XOJ804442880 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1958-09-10 | N/A | N/A | N/A | N/A | false | WILLIAMS | N/A | CHARLOTTE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7637654 | 2222 | N/A | N/A | N/A | 6470621 | 2025-11-07 17:31:24.032350 | 2026-02-27 19:19:43.769938 |
| 2025-11-07 17:30:19.052499 | 2025-11-07 17:30:24.165367 | 14501784 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-11-19 | 2025-11-07 | F | AE | PT | N/A | Salek | 967262832 | Farnaz | https://storage.googleapis.com/normandy-eligibility-checks/2222/11845005/check_14501784_11656de4-4d8b-49ea-bbc0-4c3962e92bfb.json | UHC | N/A | APPOINTMENT_PII_CHANGE | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11845005/check_14501784_d20b38c9-6175-4da9-a585-9cce993a3506.json | N/A | N/A | N/A | N/A | N/A | 967262832 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1974-04-05 | N/A | 907643 | N/A | C1 | false | GHAHREMANPOUR | N/A | SAM | N/A | N/A | N/A | SELECT PLUS PPO CA 2023 CQI3 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11845005 | 2222 | N/A | 14747417 | N/A | 10076642 | 2025-11-07 17:30:24.165367 | 2025-10-30 00:11:55.270846 |
| 2025-11-07 17:29:47.745838 | 2025-11-07 17:30:35.965173 | 14501780 | N/A | N/A | SB542 | Blue Shield California | 1205397536 | N/A | override_provider | 1958-09-10 | 2025-07-31 | F | PT | AE | 4191 | Williams | XOJ804442880 | Charlotte | https://storage.googleapis.com/normandy-eligibility-checks/2222/7637654/check_14501780_518ac4c1-552b-42bc-80d6-eeeebdb44e2e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-31 | N/A | N/A | N/A | N/A | N/A | N/A | XOJ804442880 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1958-09-10 | N/A | N/A | N/A | N/A | false | WILLIAMS | N/A | CHARLOTTE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7637654 | 2222 | N/A | N/A | N/A | 6470621 | 2025-11-07 17:30:35.965173 | 2026-02-27 19:19:43.769938 |
| 2025-11-07 17:29:36.214254 | 2025-11-07 17:30:24.488004 | 14501777 | N/A | N/A | SB542 | Blue Shield California | 1205397536 | N/A | override_provider | 1958-09-10 | 2025-07-31 | F | PT | AE | 4191 | Williams | XOJ804442880 | Charlotte | https://storage.googleapis.com/normandy-eligibility-checks/2222/7637654/check_14501777_851ed397-45bc-4a94-b8a9-9daae6b6f0b6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-31 | N/A | N/A | N/A | N/A | N/A | N/A | XOJ804442880 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1958-09-10 | N/A | N/A | N/A | N/A | false | WILLIAMS | N/A | CHARLOTTE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7637654 | 2222 | N/A | N/A | N/A | 6470621 | 2025-11-07 17:30:24.488004 | 2026-02-27 19:19:43.769938 |
| 2025-11-07 17:28:48.090593 | 2025-11-07 17:29:36.208525 | 14501774 | N/A | N/A | SB542 | Blue Shield California | 1205397536 | N/A | override_provider | 1958-09-10 | 2025-07-31 | F | PT | AE | 4191 | Williams | XOJ804442880 | Charlotte | https://storage.googleapis.com/normandy-eligibility-checks/2222/7637654/check_14501774_347c97d1-f50c-4b77-ac39-11d4b56fdefa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-31 | N/A | N/A | N/A | N/A | N/A | N/A | XOJ804442880 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1958-09-10 | N/A | N/A | N/A | N/A | false | WILLIAMS | N/A | CHARLOTTE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7637654 | 2222 | N/A | N/A | N/A | 6470621 | 2025-11-07 17:29:36.208525 | 2026-02-27 19:19:43.769938 |
| 2025-11-07 17:28:35.732018 | 2025-11-07 17:29:00.834068 | 14501772 | N/A | N/A | SB542 | Blue Shield California | 1205397536 | N/A | override_provider | 1958-09-10 | 2025-07-31 | F | PT | AE | 4191 | Williams | XOJ804442880 | Charlotte | https://storage.googleapis.com/normandy-eligibility-checks/2222/7637654/check_14501772_be411279-c65f-42d8-ae5b-ea437bb48c9e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7637654/check_14501772_880911ce-9615-4cd4-b598-0ae96b5b70ee.json | N/A | N/A | N/A | N/A | N/A | XOJ804442880 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1958-09-10 | N/A | N/A | N/A | N/A | false | WILLIAMS | N/A | CHARLOTTE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7637654 | 2222 | N/A | 14747403 | N/A | 6470621 | 2025-11-07 17:29:00.834068 | 2026-02-27 19:19:43.769938 |
| 2025-11-07 17:27:47.713437 | 2025-11-07 17:28:35.726802 | 14501761 | N/A | N/A | SB542 | Blue Shield California | 1205397536 | N/A | override_provider | 1958-09-10 | 2025-07-31 | F | PT | AE | 4191 | Williams | XOJ804442880 | Charlotte | https://storage.googleapis.com/normandy-eligibility-checks/2222/7637654/check_14501761_c8a861f0-6ed4-4d0e-9b32-4427d91a68fd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-31 | N/A | N/A | N/A | N/A | N/A | N/A | XOJ804442880 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1958-09-10 | N/A | N/A | N/A | N/A | false | WILLIAMS | N/A | CHARLOTTE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7637654 | 2222 | N/A | N/A | N/A | 6470621 | 2025-11-07 17:28:35.726802 | 2026-02-27 19:19:43.769938 |
| 2025-11-07 17:27:35.722101 | 2025-11-07 17:28:24.864906 | 14501760 | N/A | N/A | SB542 | Blue Shield California | 1205397536 | N/A | override_provider | 1958-09-10 | 2025-07-31 | F | PT | AE | 4191 | Williams | XOJ804442880 | Charlotte | https://storage.googleapis.com/normandy-eligibility-checks/2222/7637654/check_14501760_9999f730-637e-4979-9feb-d7b06c64084f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-31 | N/A | N/A | N/A | N/A | N/A | N/A | XOJ804442880 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1958-09-10 | N/A | N/A | N/A | N/A | false | WILLIAMS | N/A | CHARLOTTE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7637654 | 2222 | N/A | N/A | N/A | 6470621 | 2025-11-07 17:28:24.864906 | 2026-02-27 19:19:43.769938 |
| 2025-11-07 17:26:47.669384 | 2025-11-07 17:27:35.705786 | 14501754 | N/A | N/A | SB542 | Blue Shield California | 1205397536 | N/A | override_provider | 1958-09-10 | 2025-07-31 | F | PT | AE | 4191 | Williams | XOJ804442880 | Charlotte | https://storage.googleapis.com/normandy-eligibility-checks/2222/7637654/check_14501754_b9fd2122-a7fe-4bc5-b39a-a409c6f650b8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-31 | N/A | N/A | N/A | N/A | N/A | N/A | XOJ804442880 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1958-09-10 | N/A | N/A | N/A | N/A | false | WILLIAMS | N/A | CHARLOTTE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7637654 | 2222 | N/A | N/A | N/A | 6470621 | 2025-11-07 17:27:35.705786 | 2026-02-27 19:19:43.769938 |
| 2025-11-07 09:54:40.118830 | 2025-11-07 09:54:43.205522 | 14492080 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-09-12 | 2025-11-05 | N/A | PT | AE | 4185 | Guzzo | JQU895W23533 | Aaron | https://storage.googleapis.com/normandy-eligibility-checks/2222/9274785/check_14492080_788484cc-1319-484d-b586-4da06a413bfb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9274785/check_14492080_6138c4d0-4d2f-4791-a04a-28ea98104505.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | ANTHEM BLUE CROSS | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9230047722 | 1275 | N/A | 9274785 | 2222 | N/A | 14737147 | N/A | 6451061 | 2025-11-07 09:54:43.205522 | 2025-07-28 22:43:26.605856 |
| 2025-11-07 09:52:32.744998 | 2025-11-07 09:52:34.697590 | 14491926 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-07-16 | 2025-10-24 | N/A | PT | AE | 23312 | RUIZ | JMV895A77221 | MIGUEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/11959594/check_14491926_7f935668-6b07-4d65-9cb1-8246e5c44f00.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11959594/check_14491926_0eb614ea-98bb-4a70-9446-e6de0be272d9.json | N/A | N/A | N/A | N/A | N/A | JMV895A77221 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1980-07-16 | N/A | N/A | N/A | N/A | false | RUIZ | N/A | MIGUEL | 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 | 11959594 | 2222 | N/A | 14736990 | N/A | 8422749 | 2025-11-07 09:52:34.697590 | 2025-10-09 18:37:11.515124 |
| 2025-11-07 09:52:30.871073 | 2025-11-07 09:52:32.737624 | 14491920 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-07-16 | 2025-10-24 | N/A | PT | AE | 23312 | RUIZ | JMV895A77221 | MIGUEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/11959594/check_14491920_a6fbcaa7-1485-4cec-9083-7d2f32f944a5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-24 | N/A | N/A | N/A | N/A | N/A | N/A | JMV895A77221 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1980-07-16 | N/A | N/A | N/A | N/A | false | RUIZ | N/A | MIGUEL | 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 | 11959594 | 2222 | N/A | N/A | N/A | 8422749 | 2025-11-07 09:52:32.737624 | 2025-10-09 18:37:11.515124 |
| 2025-11-07 09:52:26.053002 | 2025-11-07 09:52:27.889318 | 14491912 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-06-19 | 2025-10-30 | N/A | PT | AE | 3948 | SIMSON- FRANK | JQU217M93319 | GABRIELLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/11508035/check_14491912_287bdff7-1d27-4f7f-9a53-c99350986fc3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11508035/check_14491912_1f15b7e1-7b22-4ff5-ae62-8b16e1d6f80f.json | N/A | N/A | N/A | N/A | N/A | JQU217M93319 | N/A | N/A | AETNA INC | N/A | 1969-06-19 | N/A | N/A | N/A | N/A | false | SIMSON- FRANK | N/A | GABRIELLE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 11508035 | 2222 | N/A | 14736978 | N/A | 9748796 | 2025-11-07 09:52:27.889318 | 2025-10-30 15:58:51.268962 |
| 2025-11-07 09:52:24.246642 | 2025-11-07 09:52:26.051056 | 14491910 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-06-19 | 2025-10-30 | N/A | PT | AE | 3948 | SIMSON FRANK | JQU217M93319 | GABRIELLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/11508035/check_14491910_0cc08ecc-3c9a-4c18-a416-81c355e7a664.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-30 | N/A | N/A | N/A | N/A | N/A | N/A | JQU217M93319 | N/A | N/A | AETNA INC | N/A | 1969-06-19 | N/A | N/A | N/A | N/A | false | SIMSON FRANK | N/A | GABRIELLE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 11508035 | 2222 | N/A | N/A | N/A | 9748796 | 2025-11-07 09:52:26.051056 | 2025-10-30 15:58:51.268962 |
| 2025-11-07 09:47:46.835498 | 2025-11-07 09:47:48.911665 | 14491654 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491654_acd27641-0887-447e-891d-659e26e39e81.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_14491654_1f54a644-ae66-459e-b8aa-2273b2c314e5.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 | 14736725 | N/A | 4215317 | 2025-11-07 09:47:48.911665 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:45.047232 | 2025-11-07 09:47:46.831774 | 14491650 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491650_f818297f-ea7e-40fc-b69c-73ad7f5f7b4f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | 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 | 2025-11-07 09:47:46.831774 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:42.723684 | 2025-11-07 09:47:44.614299 | 14491646 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491646_c743a948-add5-475c-9e6d-eb0f631166b3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_14491646_692afda0-d621-4435-ae57-113f3391825f.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 | 14736715 | N/A | 4215317 | 2025-11-07 09:47:44.614299 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:40.984103 | 2025-11-07 09:47:42.720305 | 14491644 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491644_978d8a8b-2270-457e-9536-beaf21088b5d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | 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 | 2025-11-07 09:47:42.720305 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:38.750044 | 2025-11-07 09:47:40.605769 | 14491639 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491639_12ebc5f1-9ebd-4550-b97e-f7440050661c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_14491639_ce2cc268-cfa4-40e4-b95c-93ea51519912.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 | 14736709 | N/A | 4215317 | 2025-11-07 09:47:40.605769 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:37.012091 | 2025-11-07 09:47:38.746075 | 14491637 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491637_05afd73b-21e0-4105-8312-0b9e8a28ba24.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | 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 | 2025-11-07 09:47:38.746075 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:34.790516 | 2025-11-07 09:47:36.631492 | 14491635 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_14491635_558ec140-a307-4135-b082-72f2e724370f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9849187/check_14491635_82464158-f033-4c10-9c4f-51e5093bb8c3.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 | 9849187 | 2222 | N/A | 14736704 | N/A | 4215317 | 2025-11-07 09:47:36.631492 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:33.095004 | 2025-11-07 09:47:34.786917 | 14491634 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_14491634_d4ddc605-ade0-4db2-ace9-bb155e359cee.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | 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 | 9849187 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-07 09:47:34.786917 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:30.857678 | 2025-11-07 09:47:32.727087 | 14491630 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491630_340c47b9-f106-457c-8ccb-8da263b51473.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_14491630_e503e802-d183-4fcf-967e-cfd937feef67.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 | 14736698 | N/A | 4215317 | 2025-11-07 09:47:32.727087 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:29.099285 | 2025-11-07 09:47:30.853893 | 14491627 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491627_d87aaf85-b2d1-4bdc-af1e-6b18c648dcf2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | 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 | 2025-11-07 09:47:30.853893 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:27.547998 | 2025-11-07 09:47:29.394122 | 14491624 | 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 | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491624_77a62442-fc7f-49b5-9ad2-62dcaa3cd543.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_14491624_bc227497-7b0e-4b9a-9a8f-d93933c2009e.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 | 14736691 | N/A | 4215317 | 2025-11-07 09:47:29.394122 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:26.792813 | 2025-11-07 09:47:28.706804 | 14491623 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491623_8ba34f22-ad57-4e4b-832e-e73d92c18a5f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_14491623_d29165d2-6206-4616-8c80-9567ca585d77.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 | 14736690 | N/A | 4215317 | 2025-11-07 09:47:28.706804 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:25.737884 | 2025-11-07 09:47:27.542191 | 14491619 | 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 | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491619_2927babd-c553-4836-b7d2-91d7c2bb506c.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 | 2025-11-07 09:47:27.542191 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:24.897698 | 2025-11-07 09:47:26.784660 | 14491617 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491617_eb878ac1-3ca9-4691-9ec0-3de937b96214.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | 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 | 2025-11-07 09:47:26.784660 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:23.423378 | 2025-11-07 09:47:25.297437 | 14491615 | 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 | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491615_5aadc841-ad70-4471-a9fc-e206085c1103.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_14491615_3ccf118c-95c7-44ce-a481-eeab33871d96.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 | 14736679 | N/A | 4215317 | 2025-11-07 09:47:25.297437 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:22.624762 | 2025-11-07 09:47:24.472713 | 14491613 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491613_68cebb79-6764-46e2-9393-7a8f814f4e82.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_14491613_5314306c-f61e-4523-91ba-3904c3ee317c.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 | 14736678 | N/A | 4215317 | 2025-11-07 09:47:24.472713 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:21.628330 | 2025-11-07 09:47:23.419315 | 14491609 | 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 | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491609_70db147e-2640-4812-9816-b121695f6703.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 | 2025-11-07 09:47:23.419315 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:19.753798 | 2025-11-07 09:47:22.621047 | 14491608 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491608_f04c0a37-762e-468d-8777-f5b76d0b6ce4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | 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 | 2025-11-07 09:47:22.621047 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:18.868166 | 2025-11-07 09:47:20.867988 | 14491605 | 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 | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491605_93d303b9-7a75-4c89-872d-d0d39b96afff.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_14491605_2c1ff518-f435-4d97-9fa3-3a58cc2ad7c2.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 | 14736672 | N/A | 4215317 | 2025-11-07 09:47:20.867988 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:17.772732 | 2025-11-07 09:47:19.843548 | 14491604 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491604_a63e84e8-0b11-463a-8942-8c5063619056.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_14491604_6c0a5111-32e4-4677-9c87-314a357ab0e9.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 | 14736671 | N/A | 4215317 | 2025-11-07 09:47:19.843548 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:17.039407 | 2025-11-07 09:47:18.863463 | 14491602 | 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 | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491602_a8c1a339-71c0-4009-b404-74fc8d031250.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 | 2025-11-07 09:47:18.863463 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:15.563700 | 2025-11-07 09:47:17.765991 | 14491600 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491600_99bf5d07-533b-4fcf-ab88-c5875aae648d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | 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 | 2025-11-07 09:47:17.765991 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:13.861643 | 2025-11-07 09:47:16.010937 | 14491598 | 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 | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_14491598_5e6d30a1-4774-42c4-8821-7b3638c67230.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9849187/check_14491598_ca49ff71-85dd-4ae4-8c23-9981729b07fa.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 | 9849187 | 2222 | N/A | 14736665 | N/A | 4215317 | 2025-11-07 09:47:16.010937 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:13.107421 | 2025-11-07 09:47:14.980413 | 14491596 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_14491596_c1413d55-e95a-463e-a439-c53d94970ab3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_14491596_5d6b474a-fd4f-4861-a90a-55ca00b3c21d.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 | 14736662 | N/A | 4215317 | 2025-11-07 09:47:14.980413 | 2025-06-24 21:13:18.739779 |
| 2025-11-07 09:47:11.879850 | 2025-11-07 09:47:13.857683 | 14491593 | 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 | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9849187/check_14491593_ed0d9475-3d72-428c-b4f1-075009814244.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 | 9849187 | 2222 | N/A | N/A | N/A | 4215317 | 2025-11-07 09:47:13.857683 | 2025-06-24 21:13:18.739779 |