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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-01 07:05:56.594581 | 2025-11-09 01:31:50.511072 | 14144229 | N/A | N/A | 74095 | United States Automobile Association (USAA) | 1114042165 | 14144229 | Athletic Physical Therapy Inc | 1959-11-24 | 2025-11-04 | F | AE | PT | MCCLURE | M211961788 | WENDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031508869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11357748/check_14144229_564e8654-40ba-4eb9-b2b4-c8117b975903.json | N/A | N/A | N/A | N/A | N/A | M211961788 | N/A | N/A | USAA-MEDICARE SUPPLEMENTAL | N/A | 1959-11-24 | 05052GZ61 | N/A | N/A | N/A | false | MCCLURE | N/A | WENDY | N/A | N/A | N/A | MED SUPP PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236872208 | N/A | N/A | 11357748 | 2222 | 4801 | 14775287 | N/A | 8480311 | 2025-11-09 01:31:50.511072 | 2025-10-20 16:43:28.516419 |
| 2025-11-01 07:05:51.969422 | 2025-11-09 01:32:52.016480 | 14143963 | N/A | N/A | 60054 | Aetna | 1114042165 | 14143963 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-11-04 | F | AE | PT | KIRK | 101297147800 | JAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031533875.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167057/check_14143963_8be90408-42f9-45f6-9fca-05788748c294.json | N/A | N/A | N/A | N/A | N/A | 101297147800 | Preferred Provider Organization (PPO) | VERIZON - MA | AETNA | MEDICARE | 1952-01-15 | 100008-02EG0011 | 100008-02 | N/A | PR | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | WEST ADV PLAN 125 PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236863590 | N/A | N/A | 8167057 | 2222 | 4801 | 14776763 | N/A | 6933707 | 2025-11-09 01:32:52.016480 | 2026-05-21 16:32:55.382229 |
| 2025-11-01 07:05:42.824195 | 2025-11-09 01:34:39.985232 | 14143449 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14143449 | Athletic Physical Therapy Inc | 1949-11-21 | 2025-11-04 | M | AE | PT | WOLFE | JQE620W02902 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031716233.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542524/check_14143449_5e525f74-25e6-4d0c-b7a2-309f346c5404.json | N/A | N/A | N/A | N/A | N/A | JQE620W02902 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-11-21 | 040 | CASUPWP0 | N/A | N/A | false | WOLFE | N/A | KEVIN | N/A | 9999-12-31 | 2019-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236886814 | N/A | N/A | 5542524 | 2222 | 4801 | 14779121 | N/A | 4214422 | 2025-11-09 01:34:39.985232 | 2025-05-13 04:29:37.228745 |
| 2025-11-01 07:05:42.593434 | 2025-11-09 01:34:37.830700 | 14143439 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14143439 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-11-04 | F | AE | PT | FRANK | JQE134A79727 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031716233.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542269/check_14143439_530cb399-8cc4-4362-bb87-f0f8b53f32fd.json | N/A | N/A | N/A | N/A | N/A | JQE134A79727 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-10-11 | 040 | CASUPWP0 | N/A | N/A | false | FRANK | N/A | KAREN | N/A | 9999-12-31 | 2022-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236886813 | N/A | N/A | 5542269 | 2222 | 4802 | 14779079 | N/A | 4214201 | 2025-11-09 01:34:37.830700 | 2025-05-13 04:29:37.228535 |
| 2025-11-01 07:05:42.282409 | 2025-11-09 01:31:52.835418 | 14143423 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14143423 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-11-04 | F | AE | PT | GRINBERG | 04690155011 | HANNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031716233.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542163/check_14143423_cf5a03f5-a9ed-4885-b37a-8d2c16226b11.json | N/A | N/A | N/A | N/A | N/A | 04690155011 | 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. | 1937-05-08 | N/A | N/A | N/A | SP | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236886812 | N/A | N/A | 5542163 | 2222 | 4802 | 14775335 | N/A | 4214112 | 2025-11-09 01:31:52.835418 | 2025-05-13 04:29:37.228426 |
| 2025-11-01 07:05:42.049381 | 2025-11-09 01:35:06.263811 | 14143412 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14143412 | Athletic Physical Therapy Inc | 1956-03-01 | 2025-11-04 | M | AE | PT | KLINGE | XEM912398996 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031716233.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539487/check_14143412_f47e7a9a-d957-4ef4-a325-6f419fbfdf59.json | N/A | N/A | N/A | N/A | N/A | XEM912398996 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1956-03-01 | 2004SE000030 | X0001002 | N/A | OT | false | KLINGE | N/A | JOHN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236886811 | N/A | N/A | 5539487 | 2222 | 4793 | 14779651 | N/A | 4211780 | 2025-11-09 01:35:06.263811 | 2025-10-27 16:53:51.769426 |
| 2025-11-01 07:05:41.840650 | 2025-11-09 01:35:05.954738 | 14143399 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14143399 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-11-04 | F | AE | PT | DIGIOVANNI | XEM910156092 | JILL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031716233.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538594/check_14143399_29ee1fa9-8455-47ee-8c25-4622940e3c1f.json | N/A | N/A | N/A | N/A | N/A | XEM910156092 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1954-01-24 | 2002SF000029 | X0001002 | N/A | OT | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236886810 | N/A | N/A | 5538594 | 2222 | 4801 | 14779645 | N/A | 4210993 | 2025-11-09 01:35:05.954738 | 2025-05-13 04:29:37.225395 |
| 2025-11-01 07:05:41.729877 | 2025-11-09 01:34:37.520161 | 14143394 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14143394 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-11-04 | F | AE | PT | FINCH | XDD909A67880 | DAWN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031716233.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538474/check_14143394_c549421a-067f-479b-9cad-3685242efb70.json | N/A | N/A | N/A | N/A | N/A | XDD909A67880 | N/A | CALPERS PERS PLATINUM MSUPP RETIREES(PA) REGION3 | MEDICARE B | N/A | 1954-01-12 | 040 | BS270I | N/A | N/A | false | FINCH | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236886809 | N/A | N/A | 5538474 | 2222 | 4802 | 14779071 | N/A | 4210886 | 2025-11-09 01:34:37.520161 | 2025-05-13 04:29:37.225284 |
| 2025-11-01 07:05:41.620590 | 2025-11-03 03:35:49.251556 | 14143389 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14143389 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-11-04 | M | AE | PT | UPSON | 6MH7ED3NE57 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.091430743.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9893712/check_14143389_f46a85c5-1b55-45e9-8c64-82d08ab7de35.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-10-21 | S5617 | N/A | N/A | MB | false | UPSON | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183408396 | N/A | N/A | 9893712 | 2222 | 4801 | 14455324 | N/A | 4219691 | 2025-11-03 03:35:49.251556 | 2025-05-13 04:29:37.230736 |
| 2025-11-01 07:05:41.575900 | 2025-11-09 01:36:51.894230 | 14143387 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14143387 | Athletic Physical Therapy Inc | 1946-06-01 | 2025-11-04 | F | AE | PT | AMIRI | 5A52N18CA24 | POURAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031716233.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538157/check_14143387_c53ab85b-25ff-462f-854e-53c738b4ad19.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236886807 | N/A | N/A | 5538157 | 2222 | 4802 | 14781681 | N/A | 4210607 | 2025-11-09 01:36:51.894230 | 2025-08-01 18:31:38.620742 |
| 2025-11-01 07:05:41.413846 | 2025-11-09 01:33:53.658415 | 14143379 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14143379 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-11-04 | F | AE | PT | THOMSEN | R12604487 | JANET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031716233.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537953/check_14143379_a368c4c5-d0d9-4e75-9b8c-9dce5e6d98c7.json | N/A | N/A | N/A | N/A | N/A | R12604487FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-11-01 | 2022-03-01 | FAP MEDIFLEX | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236886806 | N/A | N/A | 5537953 | 2222 | 4801 | 14778220 | N/A | 4210450 | 2025-11-09 01:33:53.658415 | 2026-05-04 21:51:25.248197 |
| 2025-11-01 07:05:29.826552 | 2025-11-03 03:35:48.809981 | 14142841 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14142841 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-11-03 | F | AE | PT | SUAREZ | 4EY2NT4GU93 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.084418951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083354/check_14142841_7d59a4eb-ba88-4d65-a6c9-881a5f59a528.json | N/A | N/A | N/A | N/A | N/A | 4EY2NT4GU93 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-26 | S5921 | N/A | N/A | MA | false | SUAREZ | N/A | ANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183340757 | N/A | N/A | 9083354 | 2222 | 4801 | 14455320 | N/A | 7600312 | 2025-11-03 03:35:48.809981 | 2025-09-04 18:19:39.478018 |
| 2025-11-01 07:05:22.039466 | 2025-11-03 03:31:11.786794 | 14142488 | N/A | N/A | 60054 | Aetna | 1114042165 | 14142488 | Athletic Physical Therapy Inc | 1992-08-27 | 2025-11-04 | F | AE | PT | FINLEY | W28806254401 | MICHAELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.084418951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9081026/check_14142488_1039a1fe-977f-40e8-b849-7b649223bc13.json | N/A | N/A | N/A | N/A | N/A | W288062544 | N/A | BARRETT BUSINESS SERVICES, INC. | AETNA | N/A | 1992-08-27 | EAC4D303 | 019472903500025 | N/A | N/A | false | FINLEY | N/A | MICHAELA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183340731 | N/A | N/A | 9081026 | 2222 | 4801 | 14452712 | N/A | 7597485 | 2025-11-03 03:31:11.786794 | 2025-09-04 15:52:15.446146 |
| 2025-11-01 07:05:20.254316 | 2025-11-03 01:35:25.808818 | 14142407 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14142407 | Athletic Physical Therapy Inc | 1960-03-22 | 2025-11-03 | F | AE | PT | ROUSHANBAKHSH | 4M68ME8GE50 | FOROUGH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.093715084.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10259566/check_14142407_9f6c010e-8a65-46a0-83c2-4a71495730b2.json | N/A | N/A | N/A | N/A | N/A | 4M68ME8GE50 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-22 | S4802 | N/A | N/A | MA | false | ROUSHANBAKHSH | N/A | FOROUGH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183497379 | N/A | N/A | 10259566 | 2222 | 4802 | 14439038 | N/A | 4213281 | 2025-11-03 01:35:25.808818 | 2025-05-13 04:29:37.227606 |
| 2025-11-01 07:05:08.414817 | 2025-11-03 01:46:39.884273 | 14141806 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14141806 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-11-03 | F | AE | PT | CHANG | 3FV9E71EE00 | QUANG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.103415316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159406/check_14141806_415cbf04-a084-4b9c-99be-984b93d0c118.json | N/A | N/A | N/A | N/A | N/A | 3FV9E71EE00 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-02-01 | S4802 | N/A | N/A | MA | false | CHANG | N/A | QUANG CHAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183289314 | N/A | N/A | 11159406 | 2222 | 4793 | 14446498 | N/A | 9505845 | 2025-11-03 01:46:39.884273 | 2026-04-29 00:06:17.964395 |
| 2025-11-01 07:04:54.819840 | 2025-11-03 01:35:26.412733 | 14141125 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14141125 | Athletic Physical Therapy Inc | 1952-07-15 | 2025-11-04 | M | AE | PT | WOLFE | 9Y10EH3AK90 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.093715084.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239788/check_14141125_e2bf0d19-0014-42b8-a41f-484cb594c0e1.json | N/A | N/A | N/A | N/A | N/A | 9Y10EH3AK90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-15 | S5617 | N/A | N/A | MA | false | WOLFE | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183496616 | N/A | N/A | 10239788 | 2222 | 4793 | 14439043 | N/A | 8527464 | 2025-11-03 01:35:26.412733 | 2025-10-14 15:25:46.972104 |
| 2025-11-01 07:04:26.412060 | 2025-11-09 01:34:19.691246 | 14139996 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14139996 | Athletic Physical Therapy Inc | 1976-09-20 | 2025-11-04 | M | PT | N/A | Bolton | XEK910377236 | Stephen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031617501.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_14139996_b53294d4-57c2-4a3c-a7bb-2e1ca92a4581.json | N/A | N/A | N/A | N/A | N/A | XEK910377236 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOLTON | N/A | STEPHEN | N/A | 2025-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9236869194 | N/A | N/A | 6814151 | 2222 | 4793 | 14778708 | N/A | 5856522 | 2025-11-09 01:34:19.691246 | 2025-07-10 02:16:48.328344 |
| 2025-11-01 07:04:26.317633 | 2025-11-03 03:30:59.047806 | 14139994 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14139994 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-11-04 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.091413992.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_14139994_184b8268-393a-4be2-af4f-ecc7aa007bac.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183406016 | N/A | N/A | 8088383 | 2222 | 4793 | 14452629 | N/A | 6871702 | 2025-11-03 03:30:59.047806 | 2025-08-14 21:08:52.019264 |
| 2025-11-01 07:04:26.284934 | 2025-11-09 01:32:04.095666 | 14139992 | N/A | N/A | 60054 | Aetna | 1114042165 | 14139992 | Athletic Physical Therapy Inc | 1987-03-27 | 2025-11-04 | M | AE | PT | RAFIQI | W291629581 | ROMAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031617501.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6813848/check_14139992_6c2bb477-e4c1-4cd4-a353-0f8471d6ba8f.json | N/A | N/A | N/A | N/A | N/A | W291629581 | Preferred Provider Organization (PPO) | PROVIDENCE HEALTH AND SERVICES | AETNA CHOICE POS II | N/A | 1987-03-27 | 0237590 | 023759003300001 | N/A | PR | false | RAFIQI | N/A | ROMAN | N/A | N/A | N/A | AETNA SUPPLEMENTAL CONTRACEPTIVE PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236869193 | N/A | N/A | 6813848 | 2222 | 4801 | 14775604 | N/A | 5856139 | 2025-11-09 01:32:04.095666 | 2025-07-22 03:39:47.404623 |
| 2025-11-01 07:04:21.457190 | 2025-11-03 03:31:37.247892 | 14139819 | N/A | N/A | 60054 | Aetna | 1114042165 | 14139819 | Athletic Physical Therapy Inc | 1976-12-17 | 2025-11-03 | M | AE | PT | Ramos | W263196559 | Jerome Petrocelli | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.091430743.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862743/check_14139819_cf9a7fe0-0f08-4ab9-8bce-ad279a370b5e.json | N/A | N/A | N/A | N/A | N/A | W263196559 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1976-12-17 | 0160833 | 016083305000013 | N/A | PR | false | RAMOS | N/A | JEROME | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183407532 | N/A | N/A | 9862743 | 2222 | 4801 | 14452960 | N/A | 8258250 | 2025-11-03 03:31:37.247892 | 2025-09-30 21:47:59.000682 |
| 2025-11-01 07:04:14.834725 | 2025-11-03 03:35:48.182894 | 14139600 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14139600 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-11-04 | M | AE | PT | SAWAYA | 3R88YH3MG32 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.084418951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033458/check_14139600_e628f102-abb1-4577-b8cd-60e4da5b64f5.json | N/A | N/A | N/A | N/A | N/A | 3R88YH3MG32 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-10-02 | S9701 | N/A | N/A | MA | false | SAWAYA | N/A | PETER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183341283 | N/A | N/A | 9033458 | 2222 | 4802 | 14455314 | N/A | 7553607 | 2025-11-03 03:35:48.182894 | 2025-09-02 22:55:04.873891 |
| 2025-11-01 07:04:13.736473 | 2025-11-09 01:32:04.347261 | 14139570 | N/A | N/A | 60054 | AETNA | 1114042165 | 14139570 | Athletic Physical Therapy Inc | 1940-12-29 | 2025-11-04 | M | AE | PT | TRUNNELL | 101505559100 | WAYNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031617501.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_14139570_1bb88802-2124-4919-b3eb-da18943f3546.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000074 | 000003-CA | N/A | PS | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236868840 | N/A | N/A | 6786642 | 2222 | 4793 | 14775611 | 3939 | 5818009 | 2025-11-09 01:32:04.347261 | 2025-07-15 23:19:05.900633 |
| 2025-11-01 07:03:46.732705 | 2025-11-09 01:31:54.831478 | 14138761 | N/A | N/A | 60054 | Aetna | 1114042165 | 14138761 | Athletic Physical Therapy Inc | 1992-06-11 | 2025-11-04 | M | AE | PT | ROSS | W292476869 | BRYAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031519513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993949/check_14138761_7501d900-9d3a-4623-afa6-23b175e2b5bb.json | N/A | N/A | N/A | N/A | N/A | W292476869 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1992-06-11 | 0176563 | 017656301200042 | N/A | PS | false | ROSS | N/A | BRYAN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236860705 | N/A | N/A | 5993949 | 2222 | 4793 | 14775378 | N/A | 4642881 | 2025-11-09 01:31:54.831478 | 2025-06-06 02:27:19.212061 |
| 2025-11-01 07:03:46.373282 | 2025-11-09 01:36:35.236667 | 14138749 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14138749 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-11-04 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031617501.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_14138749_8221f235-143e-44e8-8ece-e2bbaa35bd8d.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236868342 | N/A | N/A | 6752936 | 2222 | 4801 | 14781348 | N/A | 5065602 | 2025-11-09 01:36:35.236667 | 2025-07-01 17:25:13.681724 |
| 2025-11-01 07:03:46.119538 | 2025-11-09 01:36:26.848832 | 14138741 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14138741 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-11-04 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031519513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993912/check_14138741_b0c70279-3a68-43c0-954e-52c6958a2385.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236860704 | N/A | N/A | 5993912 | 2222 | 4793 | 14781176 | N/A | 4642852 | 2025-11-09 01:36:26.848832 | 2025-11-21 18:38:17.056437 |
| 2025-11-01 07:03:39.396064 | 2025-11-09 01:36:36.082455 | 14138539 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14138539 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-11-03 | M | AE | PT | Walter | 1TQ1EQ4FJ98 | Howard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031617501.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_14138539_a68b40ab-7c62-41ac-9388-58044af30718.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MA | false | WALTER | N/A | HOWARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236868090 | N/A | N/A | 6751304 | 2222 | 4802 | 14781366 | N/A | 5557241 | 2025-11-09 01:36:36.082455 | 2025-07-22 17:08:51.810153 |
| 2025-11-01 04:07:07.483270 | 2025-11-01 04:07:09.518437 | 14137242 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-10-24 | N/A | PT | AE | ULLMAN | 8HC8F35AX50 | DAVID | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_14137242_116f628b-5d6d-4bfb-a381-4365f5890059.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_14137242_3926b4b5-d2fd-4393-a327-e0cb822f926e.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MA | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9175837773 | 1275 | N/A | 5543201 | 2222 | N/A | 14419671 | N/A | 4215026 | 2025-11-01 04:07:09.518437 | 2025-06-07 16:16:41.178119 |
| 2025-11-01 00:10:59.826700 | 2025-11-01 00:11:02.874512 | 14136008 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-07-03 | 2025-11-12 | M | PT | N/A | STEALEY | JQU013W15922 | JACOB | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010678/check_14136008_5a6804cc-aa67-4a9f-bc54-f1b557a69eef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010678/check_14136008_feb49410-d7f5-40e8-ba32-4d98c877d739.json | N/A | N/A | N/A | N/A | N/A | JQU013W15922 | Preferred Provider Organization (PPO) | THE SAW, INC | ANTHEM BLUE CROSS | N/A | 1994-07-03 | 040 | K45474 | N/A | PR | false | STEALEY | N/A | JACOB | N/A | 9999-12-31 | 2025-02-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9175166977 | N/A | N/A | 12010678 | 2222 | N/A | 14395760 | N/A | 10232475 | 2025-11-01 00:11:02.874512 | 2025-11-01 00:03:21.076437 |
| 2025-11-01 00:00:25.650153 | 2025-11-01 00:00:27.825827 | 14135998 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010277/check_14135998_30d15217-bddf-43b8-9f84-cf4d991e24b1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010277/check_14135998_a70d8bc4-61f7-47d3-afbc-3a846c7d0d23.json | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | 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 | 12010277 | 2222 | N/A | 14395746 | N/A | 10232028 | 2025-11-01 00:00:27.825827 | 2025-11-05 23:04:36.909932 |
| 2025-11-01 00:00:22.887380 | 2025-11-01 00:00:25.643275 | 14135997 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010277/check_14135997_f1659b71-499d-49fb-b6f0-27f136805aa0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | N/A | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | 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 | 12010277 | 2222 | N/A | N/A | N/A | 10232028 | 2025-11-01 00:00:25.643275 | 2025-11-05 23:04:36.909932 |
| 2025-10-31 23:59:51.768740 | 2025-10-31 23:59:53.601462 | 14135995 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010277/check_14135995_d2e2860d-1500-4b3d-b9b8-6f0691de9cbd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010277/check_14135995_63cc8a80-22d9-4197-9ced-00769a7bdae1.json | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | 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 | 12010277 | 2222 | N/A | 14395741 | N/A | 10232028 | 2025-10-31 23:59:53.601462 | 2025-11-05 23:04:36.909932 |
| 2025-10-31 23:59:49.940835 | 2025-10-31 23:59:51.758672 | 14135994 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010277/check_14135994_af8c10b3-a9ec-42e2-ae02-4f5d333fdf46.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | N/A | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | 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 | 12010277 | 2222 | N/A | N/A | N/A | 10232028 | 2025-10-31 23:59:51.758672 | 2025-11-05 23:04:36.909932 |
| 2025-10-31 23:55:37.284031 | 2025-10-31 23:55:39.157060 | 14135992 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010277/check_14135992_82cc8f9b-0751-41d3-ba23-575371438d44.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010277/check_14135992_356c3115-1a7d-4710-88e5-0937747d5778.json | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | 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 | 12010277 | 2222 | N/A | 14395729 | N/A | 10232028 | 2025-10-31 23:55:39.157060 | 2025-11-05 23:04:36.909932 |
| 2025-10-31 23:55:35.550466 | 2025-10-31 23:55:37.280918 | 14135991 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010277/check_14135991_312fbaec-4966-414e-a869-9b756e961c64.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | N/A | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | 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 | 12010277 | 2222 | N/A | N/A | N/A | 10232028 | 2025-10-31 23:55:37.280918 | 2025-11-05 23:04:36.909932 |
| 2025-10-31 23:55:13.486935 | 2025-10-31 23:55:15.284315 | 14135990 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010277/check_14135990_4a300840-1e6b-4619-8206-b28397d32e3b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010277/check_14135990_033905eb-e6f4-4757-acf9-927bcb75abae.json | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | 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 | 12010277 | 2222 | N/A | 14395727 | N/A | 10232028 | 2025-10-31 23:55:15.284315 | 2025-11-05 23:04:36.909932 |
| 2025-10-31 23:55:11.754477 | 2025-10-31 23:55:13.477607 | 14135989 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010277/check_14135989_a846c604-d895-4f26-851d-f363f77a6732.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | N/A | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | 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 | 12010277 | 2222 | N/A | N/A | N/A | 10232028 | 2025-10-31 23:55:13.477607 | 2025-11-05 23:04:36.909932 |
| 2025-10-31 23:54:53.576524 | 2025-10-31 23:54:55.470403 | 14135988 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010277/check_14135988_738a5e38-f49c-4879-a360-7caa0a644dd2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010277/check_14135988_66d53bd2-9b30-4570-8d20-9db0c1e3c4f3.json | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | 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 | 12010277 | 2222 | N/A | 14395724 | N/A | 10232028 | 2025-10-31 23:54:55.470403 | 2025-11-05 23:04:36.909932 |
| 2025-10-31 23:54:51.606921 | 2025-10-31 23:54:53.573620 | 14135987 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010277/check_14135987_8a707628-42e3-4247-be7f-cb540ba281bb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | N/A | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | 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 | 12010277 | 2222 | N/A | N/A | N/A | 10232028 | 2025-10-31 23:54:53.573620 | 2025-11-05 23:04:36.909932 |
| 2025-10-31 23:54:39.921060 | 2025-10-31 23:54:41.711606 | 14135986 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010277/check_14135986_18d71ce4-2d19-4ebd-a2f6-749043e4e890.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010277/check_14135986_950837da-8974-4b81-8a39-9b738d953d6b.json | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | 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 | 12010277 | 2222 | N/A | 14395720 | N/A | 10232028 | 2025-10-31 23:54:41.711606 | 2025-11-05 23:04:36.909932 |
| 2025-10-31 23:54:38.207250 | 2025-10-31 23:54:39.917212 | 14135985 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010277/check_14135985_5e2e2293-1939-495d-8c12-9628cdbfdcd2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | N/A | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | 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 | 12010277 | 2222 | N/A | N/A | N/A | 10232028 | 2025-10-31 23:54:39.917212 | 2025-11-05 23:04:36.909932 |
| 2025-10-31 23:54:26.468514 | 2025-10-31 23:54:28.379880 | 14135984 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010277/check_14135984_b13dbe62-0a16-4c2c-b945-a247faca8590.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010277/check_14135984_f0014c90-c6fd-4623-90b3-559b69ba8e2a.json | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | 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 | 12010277 | 2222 | N/A | 14395716 | N/A | 10232028 | 2025-10-31 23:54:28.379880 | 2025-11-05 23:04:36.909932 |
| 2025-10-31 23:54:24.774782 | 2025-10-31 23:54:26.464385 | 14135983 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010277/check_14135983_dfe42353-e685-4153-bf7d-c9afb182addb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | N/A | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | 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 | 12010277 | 2222 | N/A | N/A | N/A | 10232028 | 2025-10-31 23:54:26.464385 | 2025-11-05 23:04:36.909932 |
| 2025-10-31 23:54:13.671194 | 2025-10-31 23:54:15.563951 | 14135982 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010277/check_14135982_2940c9a6-b91c-4c28-851a-65706b420886.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010277/check_14135982_0a45d6c8-545d-4d12-860d-e6242add6076.json | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | 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 | 12010277 | 2222 | N/A | 14395713 | N/A | 10232028 | 2025-10-31 23:54:15.563951 | 2025-11-05 23:04:36.909932 |
| 2025-10-31 23:54:10.761214 | 2025-10-31 23:54:13.665719 | 14135981 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010277/check_14135981_594b3e16-0148-47e8-85e7-4b123aa0030b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | N/A | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | 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 | 12010277 | 2222 | N/A | N/A | N/A | 10232028 | 2025-10-31 23:54:13.665719 | 2025-11-05 23:04:36.909932 |
| 2025-10-31 20:02:29.173981 | 2025-10-31 20:02:31.037548 | 14134917 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-18 | 2025-10-31 | F | PT | N/A | BARRUNDIA DE AVENDAN | 789W2003120 | M | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8046575/check_14134917_ff7a3252-de95-4678-a521-6abdcc3719a7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8046575/check_14134917_456a94c8-33ed-49a2-94e2-7797baeac0bf.json | N/A | N/A | N/A | N/A | N/A | 789W2003120 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-18 | N/A | N/A | N/A | N/A | false | BARRUNDIA DE AVENDAN | N/A | M | 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 | 163852 | N/A | 8046575 | 2222 | N/A | 14393953 | N/A | 4642900 | 2025-10-31 20:02:31.037548 | 2025-12-12 21:30:04.843166 |
| 2025-10-31 20:02:26.262322 | 2025-10-31 20:02:29.170525 | 14134916 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-18 | 2025-10-31 | F | PT | N/A | BARRUNDIA DE AVENDAN | 789W2003120 | M | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8046575/check_14134916_a90f91c1-a2dd-404e-8cd2-ed5df826a088.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-31 | N/A | N/A | N/A | N/A | N/A | N/A | 789W2003120 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-18 | N/A | N/A | N/A | N/A | false | BARRUNDIA DE AVENDAN | N/A | M | 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 | 163852 | N/A | 8046575 | 2222 | N/A | N/A | N/A | 4642900 | 2025-10-31 20:02:29.170525 | 2025-12-12 21:30:04.843166 |
| 2025-10-31 18:41:34.250973 | 2025-10-31 18:41:36.166550 | 14134314 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-09-16 | 2025-10-31 | M | AE | PT | HANGVAL | DHM019794 | BAHMANYAR | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11061532/check_14134314_100ab6c0-6334-49e5-8859-1e827fe9298f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11061532/check_14134314_bbb2d78f-9af2-49f0-a238-2963e09fd702.json | N/A | N/A | N/A | N/A | N/A | DHM019794 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-09-16 | N/A | N/A | N/A | N/A | false | HANGVAL | N/A | BAHMANYAR | 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 | 11061532 | 2222 | N/A | 14393126 | N/A | 9420286 | 2025-10-31 18:41:36.166550 | 2025-10-27 20:50:02.906306 |
| 2025-10-31 18:41:30.398008 | 2025-10-31 18:41:34.246191 | 14134311 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-09-16 | 2025-10-31 | M | AE | PT | HANGVAL | DHM019794 | BAHMANYAR | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11061532/check_14134311_6df49523-bf80-455d-9567-c631166c03bb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-31 | N/A | N/A | N/A | N/A | N/A | N/A | DHM019794 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-09-16 | N/A | N/A | N/A | N/A | false | HANGVAL | N/A | BAHMANYAR | 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 | 11061532 | 2222 | N/A | N/A | N/A | 9420286 | 2025-10-31 18:41:34.246191 | 2025-10-27 20:50:02.906306 |
| 2025-10-31 18:40:33.904376 | 2025-10-31 18:40:37.964660 | 14134307 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-03-21 | 2025-07-23 | F | AE | PT | CARDINALI | W286606913 | NICOLE | 3937 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550850/check_14134307_6726a413-dcb4-486d-b25d-29b8e081208a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_14134307_3334e2f6-927f-42cc-b266-4cecfe6528d0.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748702000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9173567828 | 162914 | N/A | 5550850 | 2222 | N/A | 14393119 | N/A | 4215195 | 2025-10-31 18:40:37.964660 | 2025-05-14 09:08:40.751930 |
| 2025-10-31 18:38:09.899095 | 2025-10-31 18:38:13.918487 | 14134296 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-03-21 | 2025-07-30 | F | AE | PT | CARDINALI | W286606913 | NICOLE | 3937 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550850/check_14134296_429d1594-0b25-4aad-a4ad-e493342aed0f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_14134296_78289cd3-edcb-4391-8b45-1db84f180f89.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748702000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9173555650 | 162914 | N/A | 5550850 | 2222 | N/A | 14393103 | N/A | 4215195 | 2025-10-31 18:38:13.918487 | 2025-05-14 09:08:40.751930 |