API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-05 21:27:23.429764 | 2025-06-05 21:27:25.287328 | 8575692 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-20 | 2025-06-09 | M | PT | 4437 | SPENCE | 111502776 | CHAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542930/check_8575692_622b2ca3-4d67-4f7f-856d-3f6eac8bd848.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542930/check_8575692_d9bac3ff-fdd4-44ac-a20a-eac2c4349d17.json | N/A | N/A | N/A | N/A | N/A | 111502776 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2005-12-20 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 5542930 | 2222 | N/A | 8270442 | N/A | 4214787 | 2025-06-05 21:27:25.287328 | 2025-08-17 21:31:52.380866 |
| 2025-06-05 21:27:19.750932 | 2025-06-05 21:27:23.426351 | 8575691 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-20 | 2025-06-09 | M | PT | 4437 | SPENCE | 111502776 | CHAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542930/check_8575691_46730ac1-988a-4d5d-bd32-46332829134b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 111502776 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2005-12-20 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 5542930 | 2222 | N/A | N/A | N/A | 4214787 | 2025-06-05 21:27:23.426351 | 2025-08-17 21:31:52.380866 |
| 2025-06-05 20:37:49.333794 | 2025-06-05 20:37:51.116176 | 8575450 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-04-27 | 2025-06-05 | M | PT | 2630 | TEDDER | 00000390480 | CHARLES | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676415/check_8575450_6463b361-985c-4a3b-9cbd-f254b7697dd0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_8575450_59410575-e269-484d-bdc5-7799ff246c46.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5676415 | 2222 | N/A | 8270012 | N/A | 4343470 | 2025-06-05 20:37:51.116176 | 2025-05-13 04:29:37.230947 |
| 2025-06-05 20:37:42.747528 | 2025-06-05 20:37:49.331489 | 8575449 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-04-27 | 2025-06-05 | M | PT | 2630 | TEDDER | 00000390480 | CHARLES | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676415/check_8575449_20efd381-1622-40c9-977f-9aae74a2a8f5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5676415 | 2222 | N/A | N/A | N/A | 4343470 | 2025-06-05 20:37:49.331489 | 2025-05-13 04:29:37.230947 |
| 2025-06-05 20:36:51.880760 | 2025-06-05 20:36:53.623090 | 8575444 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-07-04 | 2025-06-06 | M | PT | 4185 | Seminario | 442W1081810 | Gustavo | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124845/check_8575444_62d0e56b-0967-402f-971c-b00895f1efca.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_8575444_5ca88dcb-1bde-4fd3-bae3-53a94281bd81.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6124845 | 2222 | N/A | 8270006 | N/A | 4767293 | 2025-06-05 20:36:53.623090 | 2025-06-06 15:11:48.015692 |
| 2025-06-05 20:36:50.212642 | 2025-06-05 20:36:51.879188 | 8575443 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-07-04 | 2025-06-06 | M | PT | 4185 | Seminario | 442W1081810 | Gustavo | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124845/check_8575443_6cba6b74-89f8-4206-9a6e-f9933bd8471e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6124845 | 2222 | N/A | N/A | N/A | 4767293 | 2025-06-05 20:36:51.879188 | 2025-06-06 15:11:48.015692 |
| 2025-06-05 20:36:31.050815 | 2025-06-05 20:36:33.519242 | 8575441 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-07-04 | 2025-06-06 | M | PT | 4185 | Seminario | 442W1081810 | Gustavo | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124845/check_8575441_dccad70f-5938-42d5-9d78-ec5f61e3af82.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_8575441_08960635-c427-4fca-99d2-195db10085f5.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6124845 | 2222 | N/A | 8270002 | N/A | 4767293 | 2025-06-05 20:36:33.519242 | 2025-06-06 15:11:48.015692 |
| 2025-06-05 20:36:29.302951 | 2025-06-05 20:36:31.045372 | 8575440 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-07-04 | 2025-06-06 | M | PT | 4185 | Seminario | 442W1081810 | Gustavo | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124845/check_8575440_ee44c366-416f-4f8e-8121-fa019b6d866f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6124845 | 2222 | N/A | N/A | N/A | 4767293 | 2025-06-05 20:36:31.045372 | 2025-06-06 15:11:48.015692 |
| 2025-06-05 20:34:24.277134 | 2025-06-05 20:34:27.097205 | 8575436 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-05 | F | PT | 2630 | SHAH | 00000313869 | GITABEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6125116/check_8575436_244610e1-37ff-4c67-92b1-52e38b02db7f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6125116/check_8575436_7cfe2893-1d07-46a7-b4c5-adb61b8bb62a.json | N/A | N/A | N/A | N/A | N/A | 00000313869 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1956-11-11 | H3815030 | N/A | N/A | HM | false | SHAH | N/A | GITABEN | N/A | N/A | N/A | ALIGNMENT HEALTH CALPLUSDUALS (HMO D-SNP) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7834474757 | 7929 | N/A | 6125116 | 2222 | N/A | 8269990 | N/A | 4767564 | 2025-06-05 20:34:27.097205 | 2025-06-10 20:15:29.406532 |
| 2025-06-05 20:31:45.346546 | 2025-06-05 20:31:49.174855 | 8575417 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-12-02 | 2025-06-05 | M | PT | 5349 | DEL CID | H6125233200 | VIDAL | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550987/check_8575417_ae2d0c7b-bf42-4be5-b133-e4c2d5cfbd8d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550987/check_8575417_0f95e58c-c063-426d-ba5b-8c9475bc63f2.json | N/A | N/A | N/A | N/A | N/A | H61252332 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1959-12-02 | N/A | 0B527001 | N/A | HN | false | DEL CID | N/A | VIDAL | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7834461276 | 7929 | N/A | 5550987 | 2222 | N/A | 8269968 | N/A | 4219812 | 2025-06-05 20:31:49.174855 | 2025-05-13 04:29:37.230859 |
| 2025-06-05 20:31:28.800424 | 2025-06-05 20:31:30.637722 | 8575415 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-12-02 | 2025-06-05 | M | PT | 23309 | DEL CID | H6125233200 | VIDAL | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550987/check_8575415_c94b5d12-cb98-4640-96c2-7a1f016e02d6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550987/check_8575415_2cab95af-0ed0-4bb4-a7d3-08d5f9d9e747.json | N/A | N/A | N/A | N/A | N/A | H6125233200 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-12-02 | N/A | N/A | N/A | N/A | false | DEL CID | N/A | VIDAL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5550987 | 2222 | N/A | 8269961 | N/A | 4219812 | 2025-06-05 20:31:30.637722 | 2025-05-13 04:29:37.230859 |
| 2025-06-05 20:31:27.122629 | 2025-06-05 20:31:28.795873 | 8575414 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-12-02 | 2025-06-05 | M | PT | 23309 | DEL CID | H6125233200 | VIDAL | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550987/check_8575414_e06da259-b1bf-478b-a15d-9df16a954d38.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | H6125233200 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-12-02 | N/A | N/A | N/A | N/A | false | DEL CID | N/A | VIDAL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5550987 | 2222 | N/A | N/A | N/A | 4219812 | 2025-06-05 20:31:28.795873 | 2025-05-13 04:29:37.230859 |
| 2025-06-05 20:27:05.352387 | 2025-06-05 20:27:10.252409 | 8575394 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-09 | 2025-06-06 | M | PT | 4191 | BRUNO | NCF254A54902 | PHILLIP | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993958/check_8575394_7fbeefdf-f31b-4afe-aa4e-0ef9f04977d7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993958/check_8575394_9922ccc6-d15e-481c-8a3b-d16dbe4089ee.json | N/A | N/A | N/A | N/A | N/A | NCF254A54902 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | BLUE SHIELD OF CALIFORNIA | N/A | 1959-09-09 | 040 | 57CP3A | N/A | HM | false | BRUNO | N/A | PHILLIP | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7834432937 | 7929 | N/A | 5993958 | 2222 | N/A | 8269928 | N/A | 4642892 | 2025-06-05 20:27:10.252409 | 2025-05-29 23:29:01.820749 |
| 2025-06-05 20:26:15.748754 | 2025-06-05 20:26:17.670984 | 8575388 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-05-05 | 2025-06-05 | U | PT | 6411 | FERRER | 983167284 | AUDEEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541310/check_8575388_09688f3a-1ec6-43b8-ab30-1dcfd245b8db.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541310/check_8575388_3cd2c6a1-1d1f-48a6-a952-7dc04319e816.json | N/A | N/A | N/A | N/A | N/A | 983167284 | N/A | N/A | UNITED HEALTHCARE | N/A | 1977-05-05 | N/A | N/A | N/A | N/A | false | FERRER | N/A | AUDEEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5541310 | 2222 | N/A | 8269918 | N/A | 4213342 | 2025-06-05 20:26:17.670984 | 2025-06-06 02:19:28.320975 |
| 2025-06-05 20:26:08.693781 | 2025-06-05 20:26:15.746360 | 8575386 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-05-05 | 2025-06-05 | U | PT | 6411 | FERRER | 983167284 | AUDEEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541310/check_8575386_117bac80-9ddb-479e-ab08-e3040b11713f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | 983167284 | N/A | N/A | UNITED HEALTHCARE | N/A | 1977-05-05 | N/A | N/A | N/A | N/A | false | FERRER | N/A | AUDEEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5541310 | 2222 | N/A | N/A | N/A | 4213342 | 2025-06-05 20:26:15.746360 | 2025-06-06 02:19:28.320975 |
| 2025-06-05 20:25:44.976378 | 2025-06-05 20:25:47.759443 | 8575384 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-05-05 | 2025-06-05 | U | PT | 6411 | FERRER | 983167284 | AUDEEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541310/check_8575384_600eb469-6c98-41ef-8a2a-700488528ed4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541310/check_8575384_202fc282-107c-4a70-a7a4-c8bd7c2e69fe.json | N/A | N/A | N/A | N/A | N/A | 983167284 | N/A | N/A | UNITED HEALTHCARE | N/A | 1977-05-05 | N/A | N/A | N/A | N/A | false | FERRER | N/A | AUDEEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5541310 | 2222 | N/A | 8269912 | N/A | 4213342 | 2025-06-05 20:25:47.759443 | 2025-06-06 02:19:28.320975 |
| 2025-06-05 20:25:43.311589 | 2025-06-05 20:25:44.973287 | 8575382 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-05-05 | 2025-06-05 | U | PT | 6411 | FERRER | 983167284 | AUDEEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541310/check_8575382_27da155d-6e83-4f45-911a-ce88711b4425.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | 983167284 | N/A | N/A | UNITED HEALTHCARE | N/A | 1977-05-05 | N/A | N/A | N/A | N/A | false | FERRER | N/A | AUDEEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5541310 | 2222 | N/A | N/A | N/A | 4213342 | 2025-06-05 20:25:44.973287 | 2025-06-06 02:19:28.320975 |
| 2025-06-05 20:24:36.803571 | 2025-06-05 20:25:16.164481 | 8575378 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-06-06 | F | PT | 6338 | YUNG | 0005301565 | MAYA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_8575378_d2ee2dc2-7048-49a7-8dc3-90cc500e93ef.json | AVAILITY | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 0005301565 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-06-05 20:25:16.164481 | 2025-05-13 04:29:37.229495 |
| 2025-06-05 19:26:29.086210 | 2025-06-05 19:26:33.962085 | 8575172 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-11-22 | 2025-06-05 | F | PT | 4184 | SCHWARTZ | SIF825W212256 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6133204/check_8575172_360209aa-6657-49fb-ac74-b4286529f6e9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6133204/check_8575172_822b3525-1c0c-4398-bc18-6f56629dd191.json | N/A | N/A | N/A | N/A | N/A | SIF825W212256 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-11-22 | N/A | N/A | N/A | N/A | false | SCHWARTZ | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6133204 | 2222 | N/A | 8269458 | N/A | 4774804 | 2025-06-05 19:26:33.962085 | 2025-06-04 16:46:08.140016 |
| 2025-06-05 19:26:19.312237 | 2025-06-05 19:26:29.083399 | 8575169 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-11-22 | 2025-06-05 | F | PT | 4184 | SCHWARTZ | SIF825W212256 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6133204/check_8575169_bb44f211-d3e2-4cbf-9136-9fe2c28d5608.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | SIF825W212256 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-11-22 | N/A | N/A | N/A | N/A | false | SCHWARTZ | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6133204 | 2222 | N/A | N/A | N/A | 4774804 | 2025-06-05 19:26:29.083399 | 2025-06-04 16:46:08.140016 |
| 2025-06-05 19:24:44.584907 | 2025-06-05 19:24:46.360320 | 8575164 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-11-22 | 2025-06-05 | F | PT | 4184 | SCHWARTZ | Sill.DW123456 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6133204/check_8575164_26d0b22d-ec90-4929-9da4-b08193c15144.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6133204/check_8575164_500245b0-dc9b-4d08-b8c1-3b41eeb3ef13.json | N/A | N/A | N/A | N/A | N/A | SILL.DW123456 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-11-22 | N/A | N/A | N/A | N/A | false | SCHWARTZ | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6133204 | 2222 | N/A | 8269443 | N/A | 4774804 | 2025-06-05 19:24:46.360320 | 2025-06-04 16:46:08.140016 |
| 2025-06-05 19:24:42.782221 | 2025-06-05 19:24:44.583347 | 8575163 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-11-22 | 2025-06-05 | F | PT | 4184 | SCHWARTZ | Sill.DW123456 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6133204/check_8575163_ba2a640b-e0f3-46d9-8067-4a4ab974801f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | SILL.DW123456 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-11-22 | N/A | N/A | N/A | N/A | false | SCHWARTZ | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6133204 | 2222 | N/A | N/A | N/A | 4774804 | 2025-06-05 19:24:44.583347 | 2025-06-04 16:46:08.140016 |
| 2025-06-05 19:24:28.096686 | 2025-06-05 19:24:29.837949 | 8575159 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-11-22 | 2025-06-05 | F | PT | 4184 | SCHWARTZ | Sill.DW123456 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6133204/check_8575159_b5515b51-2a28-4d7b-805d-75d35cc2324c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6133204/check_8575159_d48bfb40-8720-4e7a-842b-d396fc5b7c20.json | N/A | N/A | N/A | N/A | N/A | SILL.DW123456 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-11-22 | N/A | N/A | N/A | N/A | false | SCHWARTZ | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6133204 | 2222 | N/A | 8269437 | N/A | 4774804 | 2025-06-05 19:24:29.837949 | 2025-06-04 16:46:08.140016 |
| 2025-06-05 19:24:26.437135 | 2025-06-05 19:24:28.095359 | 8575158 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-11-22 | 2025-06-05 | F | PT | 4184 | SCHWARTZ | Sill.DW123456 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6133204/check_8575158_044008c5-2b1a-4e98-b829-39bc9debdc1b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | SILL.DW123456 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-11-22 | N/A | N/A | N/A | N/A | false | SCHWARTZ | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6133204 | 2222 | N/A | N/A | N/A | 4774804 | 2025-06-05 19:24:28.095359 | 2025-06-04 16:46:08.140016 |
| 2025-06-05 19:24:20.833289 | 2025-06-05 19:24:22.598048 | 8575157 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-11-22 | 2025-06-05 | F | PT | 4184 | SCHWARTZ | Sill.DW123456 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6133204/check_8575157_6a135378-6b22-4997-86c4-5a1c97d33ef9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6133204/check_8575157_19d5370e-dc19-4213-9991-dd9132076c2d.json | N/A | N/A | N/A | N/A | N/A | SILL.DW123456 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-11-22 | N/A | N/A | N/A | N/A | false | SCHWARTZ | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6133204 | 2222 | N/A | 8269435 | N/A | 4774804 | 2025-06-05 19:24:22.598048 | 2025-06-04 16:46:08.140016 |
| 2025-06-05 19:24:19.145376 | 2025-06-05 19:24:20.830816 | 8575156 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-11-22 | 2025-06-05 | F | PT | 4184 | SCHWARTZ | Sill.DW123456 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6133204/check_8575156_a4093803-f5c0-4b95-a0a9-86bfc59c1672.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | SILL.DW123456 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-11-22 | N/A | N/A | N/A | N/A | false | SCHWARTZ | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6133204 | 2222 | N/A | N/A | N/A | 4774804 | 2025-06-05 19:24:20.830816 | 2025-06-04 16:46:08.140016 |
| 2025-06-05 19:23:42.948512 | 2025-06-05 19:23:46.833951 | 8575152 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-11-22 | 2025-06-05 | F | PT | 4184 | SCHWARTZ | Sill.DW123456 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6133204/check_8575152_27e23d1d-95da-4def-a805-19bea8ec5a93.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6133204/check_8575152_307f204a-9ea4-4766-aa05-bd149297ed7b.json | N/A | N/A | N/A | N/A | N/A | SILL.DW123456 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-11-22 | N/A | N/A | N/A | N/A | false | SCHWARTZ | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6133204 | 2222 | N/A | 8269427 | N/A | 4774804 | 2025-06-05 19:23:46.833951 | 2025-06-04 16:46:08.140016 |
| 2025-06-05 19:23:40.255539 | 2025-06-05 19:23:42.942313 | 8575150 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-11-22 | 2025-06-05 | F | PT | 4184 | SCHWARTZ | Sill.DW123456 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6133204/check_8575150_0c6a55e3-8fa0-432f-b718-574b2168108b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | SILL.DW123456 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-11-22 | N/A | N/A | N/A | N/A | false | SCHWARTZ | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6133204 | 2222 | N/A | N/A | N/A | 4774804 | 2025-06-05 19:23:42.942313 | 2025-06-04 16:46:08.140016 |
| 2025-06-05 19:11:23.520812 | 2025-06-05 19:11:27.460515 | 8574993 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-07-12 | 2025-06-05 | F | PT | 4184 | Davis | GMB811453374 | Colleen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124061/check_8574993_1daeae00-de7a-4137-9f78-504f7b4e5558.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124061/check_8574993_8987ab45-705e-46cd-a5e0-913e27deb89c.json | N/A | N/A | N/A | N/A | N/A | GMB811453374 | Preferred Provider Organization (PPO) | ARTHUR J GALLAGHER (ILLINOIS), LLC | ANTHEM BLUE CROSS | N/A | 1969-07-12 | N/A | 169148 | N/A | PR | false | DAVIS | N/A | COLLEEN | N/A | 9999-12-31 | 2024-08-26 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7833893564 | N/A | N/A | 6124061 | 2222 | N/A | 8269233 | N/A | 4766777 | 2025-06-05 19:11:27.460515 | 2025-06-19 23:01:11.277116 |
| 2025-06-05 18:14:26.523838 | 2025-06-05 18:14:29.429418 | 8574671 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-01 | 2025-06-05 | M | PT | 4184 | PARLIER | MBL624W07406 | MERILEE | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6143804/check_8574671_3e44120a-7ede-4a2f-afd6-b015bb05c422.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6143804/check_8574671_5286cf6a-c959-482e-a8c3-8c78250d1e96.json | N/A | N/A | N/A | N/A | N/A | MBL624W07406 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1955-12-01 | 040 | CAEGR002 | N/A | N/A | false | PARLIER | N/A | MERILEE | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7833382070 | 5831 | N/A | 6143804 | 2222 | N/A | 8268766 | N/A | 4642861 | 2025-06-05 18:14:29.429418 | 2025-11-25 19:25:55.074534 |
| 2025-06-05 17:38:44.056100 | 2025-06-05 17:38:46.002279 | 8574523 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-20 | 2025-06-06 | M | PT | 4437 | SPENCE | 111502776 | CHAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542930/check_8574523_ccf7d5ec-e7f1-4f76-826d-f39c110fedc9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542930/check_8574523_1bd9a22d-cc71-4042-a3d0-de44bc4bb04f.json | N/A | N/A | N/A | N/A | N/A | 111502776 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2005-12-20 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 5542930 | 2222 | N/A | 8268529 | N/A | 4214787 | 2025-06-05 17:38:46.002279 | 2025-08-17 21:31:52.380866 |
| 2025-06-05 17:38:42.415191 | 2025-06-05 17:38:44.050873 | 8574522 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-20 | 2025-06-06 | M | PT | 4437 | SPENCE | 111502776 | CHAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542930/check_8574522_31120176-a167-40ea-923f-d650a56faf3f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 111502776 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2005-12-20 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 5542930 | 2222 | N/A | N/A | N/A | 4214787 | 2025-06-05 17:38:44.050873 | 2025-08-17 21:31:52.380866 |
| 2025-06-05 17:37:08.283897 | 2025-06-05 17:37:10.244304 | 8574511 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-12-09 | 2025-06-05 | F | AE | 4625 | ANDREATTE | 95479460G | DEANNA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6112315/check_8574511_ac2929be-17bc-448a-ae2e-46b9e0af747d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6112315/check_8574511_0e96c23a-8353-4ae4-9a31-08ad053cd6b5.json | N/A | N/A | N/A | N/A | N/A | 95479460G | N/A | N/A | HEALTH NET, LLC | N/A | 1960-12-09 | N/A | N/A | N/A | N/A | false | ANDREATTE | N/A | DEANNA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7833049960 | 5831 | N/A | 6112315 | 2222 | N/A | 8268513 | N/A | 4755145 | 2025-06-05 17:37:10.244304 | 2026-01-14 18:08:34.434380 |
| 2025-06-05 17:34:22.161550 | 2025-06-05 17:34:25.034595 | 8574503 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-12-09 | 2025-06-05 | F | AE | 4625 | ANDREATTE | 95479460G | DEANNA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6112315/check_8574503_5deac1cd-231e-411e-933b-a35ed6695078.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6112315/check_8574503_82415235-ae4e-40f1-b0ad-58b409ff44b7.json | N/A | N/A | N/A | N/A | N/A | 95479460G | N/A | N/A | HEALTH NET, LLC | N/A | 1960-12-09 | N/A | N/A | N/A | N/A | false | ANDREATTE | N/A | DEANNA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7833023664 | 5831 | N/A | 6112315 | 2222 | N/A | 8268495 | N/A | 4755145 | 2025-06-05 17:34:25.034595 | 2026-01-14 18:08:34.434380 |
| 2025-06-05 17:30:08.604715 | 2025-06-05 17:30:13.834555 | 8574476 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-12-09 | 2025-06-12 | F | PT | 23322 | ANDREATTE | 95479460G | DEANNA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6112315/check_8574476_59c4e392-2615-4934-8aa9-3edd30c79e2d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6112315/check_8574476_95f606f1-cb67-451a-b854-77cdfb0fe601.json | N/A | N/A | N/A | N/A | N/A | 95479460G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-12-09 | N/A | N/A | N/A | N/A | false | ANDREATTE | N/A | DEANNA | 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 | 6112315 | 2222 | N/A | 8268458 | N/A | 4755145 | 2025-06-05 17:30:13.834555 | 2026-01-14 18:08:34.434380 |
| 2025-06-05 17:30:06.803263 | 2025-06-05 17:30:08.566613 | 8574475 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-12-09 | 2025-06-12 | F | PT | 23322 | ANDREATTE | 95479460G | DEANNA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6112315/check_8574475_c7be3b24-febc-48f4-a361-565d86e4d96a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | 95479460G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-12-09 | N/A | N/A | N/A | N/A | false | ANDREATTE | N/A | DEANNA | 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 | 6112315 | 2222 | N/A | N/A | N/A | 4755145 | 2025-06-05 17:30:08.566613 | 2026-01-14 18:08:34.434380 |
| 2025-06-05 17:26:23.113687 | 2025-06-05 17:26:26.038043 | 8574450 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-15 | 2025-06-06 | M | PT | 4185 | SPENCE | HEAHC0119474 | CHAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542930/check_8574450_d605dd5f-dc9e-4487-8e13-a48f9c46e388.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542930/check_8574450_8f105df4-bcf9-4e19-8541-aac70cd11aa7.json | N/A | N/A | N/A | N/A | N/A | HEAHC0119474 | N/A | SAN JOSE UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2005-12-15 | 040 | 281683M001 | N/A | N/A | false | SPENCE | N/A | JENNIFER | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7832960621 | 9489 | N/A | 5542930 | 2222 | N/A | 8268420 | N/A | 4214787 | 2025-06-05 17:26:26.038043 | 2025-08-17 21:31:52.380866 |
| 2025-06-05 17:23:51.933539 | 2025-06-05 17:23:53.722680 | 8574420 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-12-09 | 2025-06-05 | U | AE | 23322 | ANDREATTE | 95479460G | DEANNA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6112315/check_8574420_183090c9-0d20-4e32-aff7-252e885f8ecd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6112315/check_8574420_3a072639-a18e-4d86-b9bd-2fadc4924826.json | N/A | N/A | N/A | N/A | N/A | 95479460G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-12-09 | N/A | N/A | N/A | N/A | false | ANDREATTE | N/A | DEANNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6112315 | 2222 | N/A | 8268384 | N/A | 4755145 | 2025-06-05 17:23:53.722680 | 2026-01-14 18:08:34.434380 |
| 2025-06-05 17:23:49.567659 | 2025-06-05 17:23:51.930763 | 8574419 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-12-09 | 2025-06-05 | U | AE | 23322 | ANDREATTE | 95479460G | DEANNA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6112315/check_8574419_a0fd4017-dcd5-4460-9a89-e3286555af31.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | 95479460G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-12-09 | N/A | N/A | N/A | N/A | false | ANDREATTE | N/A | DEANNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6112315 | 2222 | N/A | N/A | N/A | 4755145 | 2025-06-05 17:23:51.930763 | 2026-01-14 18:08:34.434380 |
| 2025-06-05 17:11:26.114273 | 2025-06-05 17:11:28.024712 | 8574322 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-01 | 2025-06-05 | M | PT | 4185 | VARON | MPI101422173Q | BRETT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550992/check_8574322_ab5fdf7b-6c8f-4abc-b2d9-14bde1f5faf0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550992/check_8574322_7a29612a-1a79-41cc-82c3-4a685d48e887.json | N/A | N/A | N/A | N/A | N/A | MPI101422173Q | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-02-01 | N/A | N/A | N/A | N/A | false | VARON | N/A | BRETT | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5550992 | 2222 | N/A | 8268243 | N/A | 4219816 | 2025-06-05 17:11:28.024712 | 2025-05-13 04:29:37.230863 |
| 2025-06-05 17:11:22.331774 | 2025-06-05 17:11:26.111469 | 8574321 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-01 | 2025-06-05 | M | PT | 4185 | VARON | MPI101422173Q | BRETT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550992/check_8574321_b662342a-56df-4827-91fa-798fa658e32a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | MPI101422173Q | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-02-01 | N/A | N/A | N/A | N/A | false | VARON | N/A | BRETT | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5550992 | 2222 | N/A | N/A | N/A | 4219816 | 2025-06-05 17:11:26.111469 | 2025-05-13 04:29:37.230863 |
| 2025-06-05 17:08:14.487004 | 2025-06-05 17:08:16.287839 | 8574304 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-01 | 2025-06-05 | U | PT | 4184 | PARLIER | MBL624W07406 | MERILEE | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6143804/check_8574304_3f4de22f-4bae-48a2-bb11-15e052e50f85.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6143804/check_8574304_83003e09-362e-41ff-8b0f-97877dc69dff.json | N/A | N/A | N/A | N/A | N/A | MBL624W07406 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1955-12-01 | N/A | N/A | N/A | N/A | false | PARLIER | N/A | MERILEE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6143804 | 2222 | N/A | 8268219 | N/A | 4642861 | 2025-06-05 17:08:16.287839 | 2025-11-25 19:25:55.074534 |
| 2025-06-05 17:08:09.633824 | 2025-06-05 17:08:14.484493 | 8574302 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-01 | 2025-06-05 | U | PT | 4184 | PARLIER | MBL624W07406 | MERILEE | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6143804/check_8574302_d2483277-5181-4eb7-8f9d-4fc879e53897.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | MBL624W07406 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1955-12-01 | N/A | N/A | N/A | N/A | false | PARLIER | N/A | MERILEE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6143804 | 2222 | N/A | N/A | N/A | 4642861 | 2025-06-05 17:08:14.484493 | 2025-11-25 19:25:55.074534 |
| 2025-06-05 17:01:53.777119 | 2025-06-05 17:01:55.753804 | 8574251 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-20 | 2025-06-06 | M | PT | 4185 | SPENCE | HEAHC0119474 | CHAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542930/check_8574251_0f40d9ae-ae2e-468c-8f32-24e5bf6790a3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542930/check_8574251_2dc489ab-0545-454a-90fc-43c0e3719c43.json | N/A | N/A | N/A | N/A | N/A | HEAHC0119474 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-12-20 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 5542930 | 2222 | N/A | 8268153 | N/A | 4214787 | 2025-06-05 17:01:55.753804 | 2025-08-17 21:31:52.380866 |
| 2025-06-05 17:01:50.982592 | 2025-06-05 17:01:53.773665 | 8574250 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-20 | 2025-06-06 | M | PT | 4185 | SPENCE | HEAHC0119474 | CHAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542930/check_8574250_bd51ee03-c385-4b38-9ba8-3b4c48a0c2ac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | HEAHC0119474 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-12-20 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 5542930 | 2222 | N/A | N/A | N/A | 4214787 | 2025-06-05 17:01:53.773665 | 2025-08-17 21:31:52.380866 |
| 2025-06-05 16:55:12.616179 | 2025-06-05 16:55:14.568784 | 8574239 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-20 | 2025-01-20 | M | PT | 4437 | SPENCE | 111502776 | CHAD | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542930/check_8574239_22938631-83eb-4d8b-87a0-5b5e8a8515ff.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542930/check_8574239_f7f4abc4-9705-42b4-b187-bda6d698fbe0.json | N/A | N/A | N/A | N/A | N/A | 111502776 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2005-12-20 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | 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 | 5542930 | 2222 | N/A | 8268130 | N/A | 4214787 | 2025-06-05 16:55:14.568784 | 2025-08-17 21:31:52.380866 |
| 2025-06-05 16:55:10.971757 | 2025-06-05 16:55:12.613532 | 8574238 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-20 | 2025-01-20 | M | PT | 4437 | SPENCE | 111502776 | CHAD | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542930/check_8574238_468dbb6e-e06d-409f-98d4-1a1e89dd64b6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-20 | N/A | N/A | N/A | N/A | N/A | N/A | 111502776 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2005-12-20 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | 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 | 5542930 | 2222 | N/A | N/A | N/A | 4214787 | 2025-06-05 16:55:12.613532 | 2025-08-17 21:31:52.380866 |
| 2025-06-05 16:54:51.887096 | 2025-06-05 16:54:53.756425 | 8574235 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-20 | 2025-01-20 | M | PT | 4437 | SPENCE | HEAHC0119474 | CHAD | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542930/check_8574235_bc510905-b8b0-4f81-9ef2-ff5fc6eeef04.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542930/check_8574235_87bc521f-b2d5-468d-a283-da3ed6365b3f.json | N/A | N/A | N/A | N/A | N/A | HEAHC0119474 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2005-12-20 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | 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 | 5542930 | 2222 | N/A | 8268127 | N/A | 4214787 | 2025-06-05 16:54:53.756425 | 2025-08-17 21:31:52.380866 |
| 2025-06-05 16:54:50.175011 | 2025-06-05 16:54:51.882869 | 8574234 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-20 | 2025-01-20 | M | PT | 4437 | SPENCE | HEAHC0119474 | CHAD | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542930/check_8574234_acfb7eae-d8bc-4ba8-8655-0524306be157.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-20 | N/A | N/A | N/A | N/A | N/A | N/A | HEAHC0119474 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2005-12-20 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | 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 | 5542930 | 2222 | N/A | N/A | N/A | 4214787 | 2025-06-05 16:54:51.882869 | 2025-08-17 21:31:52.380866 |
| 2025-06-05 16:52:55.913507 | 2025-06-05 16:52:57.896665 | 8574227 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-20 | 2025-01-20 | M | PT | 4185 | SPENCE | HEAHC0119474 | CHAD | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542930/check_8574227_7239beb8-67a6-4181-9e46-cb55c002167f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542930/check_8574227_c1dc94b8-432a-4924-8b83-4a0568e045b0.json | N/A | N/A | N/A | N/A | N/A | HEAHC0119474 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-12-20 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | 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 | 5542930 | 2222 | N/A | 8268117 | N/A | 4214787 | 2025-06-05 16:52:57.896665 | 2025-08-17 21:31:52.380866 |