API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-30 08:45:39.974112 | 2025-10-30 08:45:41.853970 | 14074583 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074583_4b79da4f-dd41-4d34-9404-671f0e5d4083.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-10-30 08:45:41.853970 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:45:37.566867 | 2025-10-30 08:45:39.557241 | 14074579 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074579_fc3bf267-e98e-48f6-949c-5935cd13306e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_14074579_c71d7760-aeb1-430d-8596-feb2a677032a.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | 14340088 | N/A | 4215193 | 2025-10-30 08:45:39.557241 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:45:35.791561 | 2025-10-30 08:45:37.563257 | 14074576 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074576_6225e64a-384d-4d52-b46a-d703edc10289.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-10-30 08:45:37.563257 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:45:33.383537 | 2025-10-30 08:45:35.283323 | 14074573 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074573_4531762a-f9b1-4725-a74c-954bea0655e4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_14074573_be85bdf1-5071-4132-8ebe-960f73bae362.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | 14340082 | N/A | 4215193 | 2025-10-30 08:45:35.283323 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:45:31.628421 | 2025-10-30 08:45:33.379835 | 14074568 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074568_3928bd8a-750c-40a0-afbc-ac4893a7fcd5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-10-30 08:45:33.379835 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:45:29.088970 | 2025-10-30 08:45:31.018969 | 14074528 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074528_4363edb4-3676-4eff-879c-564d8644f8e7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_14074528_5fff992b-986a-4f37-8794-1ccc93ab31c7.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | 14340067 | N/A | 4215193 | 2025-10-30 08:45:31.018969 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:45:27.260210 | 2025-10-30 08:45:29.079500 | 14074490 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074490_292a7816-f0c4-4480-939e-a043e2978295.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-10-30 08:45:29.079500 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:45:24.819206 | 2025-10-30 08:45:26.772473 | 14074454 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074454_fa2b242b-f809-420a-adaf-6a6990ede77d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_14074454_717014c0-bae1-4519-a795-4711b68be433.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | 14340058 | N/A | 4215193 | 2025-10-30 08:45:26.772473 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:45:23.019019 | 2025-10-30 08:45:24.810108 | 14074451 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074451_10546254-d070-4273-a3b6-e419592b5381.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-10-30 08:45:24.810108 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:45:19.796383 | 2025-10-30 08:45:22.546519 | 14074447 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074447_73ff0daa-59c4-4e22-88d1-4d289fb42bc3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_14074447_d2cc3839-1bd9-4b6d-baf3-229b8e1d1e1f.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | 14340052 | N/A | 4215193 | 2025-10-30 08:45:22.546519 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:45:17.825335 | 2025-10-30 08:45:19.792554 | 14074442 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074442_1d66f494-eea4-47cb-b35c-d5ff79c7e1c3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-10-30 08:45:19.792554 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:45:15.372469 | 2025-10-30 08:45:17.275968 | 14074439 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074439_b19357a6-7020-4643-927d-7f711cab6850.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_14074439_cbf34f30-11c6-423a-ae5c-dbc64c4ca436.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | 14340046 | N/A | 4215193 | 2025-10-30 08:45:17.275968 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:45:13.626198 | 2025-10-30 08:45:15.368935 | 14074436 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074436_82ac65b7-40cb-4540-8570-458c00331a20.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-10-30 08:45:15.368935 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:45:10.637567 | 2025-10-30 08:45:12.456744 | 14074433 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074433_3e15813b-f310-400c-9299-b3951f902d42.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_14074433_e3959f87-2376-4de1-b58c-2cc470f18345.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | 14340039 | N/A | 4215193 | 2025-10-30 08:45:12.456744 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:45:08.878900 | 2025-10-30 08:45:10.633858 | 14074428 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074428_4c8256c2-0dd2-402c-a7be-0da3bc532d5a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-10-30 08:45:10.633858 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:45:06.278640 | 2025-10-30 08:45:08.189907 | 14074425 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074425_fc1f2d63-405a-45ea-806f-8db3796b7215.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_14074425_a2f01d73-7d82-4a24-b480-fa98f0169cd7.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | 14340031 | N/A | 4215193 | 2025-10-30 08:45:08.189907 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:45:03.471610 | 2025-10-30 08:45:06.274505 | 14074421 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_14074421_6a04d238-0d81-432e-b080-4a349c373080.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH 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 | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-10-30 08:45:06.274505 | 2026-01-16 04:38:12.725481 |
| 2025-10-30 08:29:14.620421 | 2025-10-30 08:29:24.577578 | 14071816 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-09-14 | 2025-10-31 | M | AE | PT | 6411 | Luthra | 70548686400 | Rahil | https://storage.googleapis.com/normandy-eligibility-checks/2222/9415757/check_14071816_502735ae-f601-4b96-b839-7696ecf621dc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415757/check_14071816_38e2c004-fffa-4089-b20c-d40829660fd2.json | N/A | N/A | N/A | N/A | N/A | 70548686400 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 2005-09-14 | N/A | 1727199 | N/A | C1 | false | LUTHRA | N/A | RAHIL | N/A | N/A | N/A | SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9159448214 | N/A | N/A | 9415757 | 2222 | N/A | 14338084 | N/A | 7884645 | 2025-10-30 08:29:24.577578 | 2025-09-23 18:47:24.441583 |
| 2025-10-30 08:29:14.127700 | 2025-10-30 08:29:14.601586 | 14071815 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-09-14 | 2025-10-31 | M | AE | PT | N/A | Luthra | 70548686400 | Rahil | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-10-31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9415757 | 2222 | N/A | N/A | N/A | 7884645 | 2025-10-30 08:29:14.601586 | 2025-09-23 18:47:24.441583 |
| 2025-10-30 08:23:17.990208 | 2025-10-30 08:23:26.880145 | 14070934 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-03-14 | 2025-10-31 | M | AE | PT | 6411 | ROLON RODRIGUEZ | 0658563-02 | GIANCARLO | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993928/check_14070934_425245cc-7726-4166-86a5-acc921d89276.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993928/check_14070934_3e04ae59-9cbe-4bc1-9bd6-56d0fae3a7fc.json | N/A | N/A | N/A | N/A | N/A | 065856302 | Commercial | ST. JOHNS | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1986-03-14 | N/A | 367345 | N/A | C1 | false | ROLON RODRIGUEZ | N/A | GIANCARLO | N/A | N/A | N/A | SIGNATUREVALUE ADVANTAGE HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9159432187 | N/A | N/A | 5993928 | 2222 | N/A | 14337433 | N/A | 4642865 | 2025-10-30 08:23:26.880145 | 2025-06-06 02:09:18.045846 |
| 2025-10-30 08:22:17.681964 | 2025-10-30 08:23:17.985597 | 14070813 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-03-14 | 2025-10-31 | M | AE | PT | N/A | ROLON RODRIGUEZ | 0658563-02 | GIANCARLO | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-10-31 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993928 | 2222 | N/A | N/A | N/A | 4642865 | 2025-10-30 08:23:17.985597 | 2025-06-06 02:09:18.045846 |
| 2025-10-30 08:21:58.080327 | 2025-10-30 08:22:07.395207 | 14070761 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-04-22 | 2025-10-31 | F | AE | PT | N/A | TEWKSBURY | 913891565 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539559/check_14070761_3f408f75-d3dd-4b86-8fad-08fded159282.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539559/check_14070761_c2610c2a-b413-4aad-86e8-41b2bf19235c.json | N/A | N/A | N/A | N/A | N/A | 91389156501 | Commercial | N/A | UnitedHealthcare Insurance Company | N/A | 1977-04-22 | N/A | 1507099 | N/A | C1 | false | TEWKSBURY | N/A | MARIA | N/A | N/A | N/A | Choice Plus | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539559 | 2222 | N/A | 14337313 | N/A | 4211849 | 2025-10-30 08:22:07.395207 | 2025-12-05 17:23:47.661850 |
| 2025-10-30 08:21:55.730139 | 2025-10-30 08:22:00.447669 | 14070755 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-08-01 | 2025-10-31 | M | AE | PT | N/A | ARROYO | 951971814 | JEROME | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538171/check_14070755_e17bab5d-0206-45f4-bbb9-a2a47032e304.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538171/check_14070755_e2299518-9416-4c5a-b969-da82b2732409.json | N/A | N/A | N/A | N/A | N/A | 951971814 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1976-08-01 | N/A | 920923 | N/A | C1 | false | ARROYO | N/A | JEROME | N/A | N/A | N/A | SELECT EPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538171 | 2222 | N/A | 14337306 | N/A | 4210630 | 2025-10-30 08:22:00.447669 | 2025-05-13 04:29:37.225045 |
| 2025-10-30 08:14:59.004799 | 2025-10-30 08:15:06.394312 | 14069930 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-01-07 | 2025-10-30 | F | AE | PT | N/A | BUCHLER | 941436830 | Miroslava | https://storage.googleapis.com/normandy-eligibility-checks/2222/9277476/check_14069930_615c96b9-3caa-4c6d-a0ab-705abb22c623.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9277476/check_14069930_003c3a48-c43b-4ed0-946f-2ebeb7841a37.json | N/A | N/A | N/A | N/A | N/A | 941436830 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1976-01-07 | N/A | 701444 | N/A | C1 | false | BUCHLER | N/A | MIROSLAVA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9277476 | 2222 | N/A | 14336749 | N/A | 7785772 | 2025-10-30 08:15:06.394312 | 2025-09-16 03:06:31.754909 |
| 2025-10-30 08:04:23.011695 | 2025-10-31 00:34:36.574905 | 14068313 | N/A | N/A | 60054 | Aetna | 1114042165 | 14068313 | Athletic Physical Therapy Inc | 2011-12-20 | 2025-10-31 | M | AE | PT | N/A | NAQVI | W295996740 | KAZIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251030.140641041.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_14068313_b4964f0d-8523-4e0e-bda1-e5f37211d4a6.json | N/A | N/A | N/A | N/A | N/A | W295996740 | Point of Service (POS) | SHI INTERNATIONAL CORP. | AETNA | N/A | 2011-12-20 | 0308616 | 030861601600001 | N/A | PS | false | NAQVI | N/A | SYED | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9159605141 | N/A | N/A | 11417253 | 2222 | 4793 | 14354719 | N/A | 9671738 | 2025-10-31 00:34:36.574905 | 2025-10-29 22:32:21.591395 |
| 2025-10-30 08:03:06.309190 | 2025-10-30 08:03:48.148624 | 14067990 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-31 | F | AE | PT | 6338 | YUNG | 00854676304 | MAYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_14067990_df34a5e9-3e59-4fc8-9727-c4a822ee3bfc.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-31 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | 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 | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-10-30 08:03:48.148624 | 2025-05-13 04:29:37.229495 |
| 2025-10-30 08:01:12.691331 | 2025-10-31 00:45:02.230871 | 14067419 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14067419 | Athletic Physical Therapy Inc | 1957-01-13 | 2025-10-31 | F | AE | PT | N/A | NAY | 5UC7QW0QK47 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251030.140641041.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11175433/check_14067419_08fa115f-5900-459b-abbc-70a4aa375c43.json | N/A | N/A | N/A | N/A | N/A | 5UC7QW0QK47 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-01-13 | H4036 | N/A | N/A | MA | false | NAY | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9159604703 | N/A | N/A | 11175433 | 2222 | 4793 | 14363079 | N/A | 9520463 | 2025-10-31 00:45:02.230871 | 2025-10-21 17:49:23.309023 |
| 2025-10-30 07:55:43.933095 | 2025-10-31 00:33:40.044823 | 14063606 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 14063606 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-10-31 | F | AE | PT | N/A | JOHNSTON | H750053601 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251030.140436595.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_14063606_e932a95b-749d-4a3a-9d92-3f621cd714d0.json | N/A | N/A | N/A | N/A | N/A | H750053601 | N/A | N/A | PHYSICIANS MUTUAL INSURANCE COMPANY | N/A | 1952-10-25 | N/A | N/A | N/A | N/A | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9159587593 | N/A | N/A | 6638391 | 2222 | 4793 | 14353892 | N/A | 5247837 | 2025-10-31 00:33:40.044823 | 2026-02-24 20:36:49.807283 |
| 2025-10-30 07:54:30.843346 | 2025-10-31 00:40:32.672187 | 14061429 | N/A | N/A | 60054 | Aetna | 1114042165 | 14061429 | Athletic Physical Therapy Inc | 1957-01-13 | 2025-10-31 | F | AE | PT | N/A | NAY | MBL700W17597 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251030.140443895.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11175434/check_14061429_7837f023-5708-43d6-85ea-520d6976cb5e.json | N/A | N/A | N/A | N/A | N/A | MBL700W17597 | N/A | N/A | AETNA INC | N/A | 1957-01-13 | N/A | N/A | N/A | N/A | false | NAY | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9159576710 | N/A | N/A | 11175434 | 2222 | 4793 | 14360036 | N/A | 9520463 | 2025-10-31 00:40:32.672187 | 2025-10-21 17:49:23.309023 |
| 2025-10-30 07:51:32.791589 | 2025-10-31 00:38:55.127053 | 14055630 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14055630 | Athletic Physical Therapy Inc | 1959-07-25 | 2025-10-31 | F | AE | PT | N/A | CARRANZA | 00000342921 | KISELL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251030.140627974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019836/check_14055630_59d1a3c6-78a0-4e6e-a4f0-6b6384a3ecf5.json | N/A | N/A | N/A | N/A | N/A | 00000342921 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-07-25 | H3815039 | N/A | N/A | HM | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | ALIGNMENT HEALTH HEART & DIABETES CALPLUS (HMO C-S | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9159615357 | N/A | N/A | 7019836 | 2222 | 4802 | 14358624 | 2630 | 4214064 | 2025-10-31 00:38:55.127053 | 2025-07-15 17:36:25.711810 |
| 2025-10-30 07:51:03.892727 | 2025-10-31 00:44:32.144441 | 14054401 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14054401 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-10-31 | F | AE | PT | N/A | JOHNSTON | 7KA0H51YU14 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251030.140627974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_14054401_777f6f0e-a3e8-49ad-915b-91f5c234a312.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MB | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9159617264 | N/A | N/A | 6638066 | 2222 | 4793 | 14362792 | N/A | 5247837 | 2025-10-31 00:44:32.144441 | 2026-02-24 20:36:49.807283 |
| 2025-10-30 07:50:41.781572 | 2025-10-31 00:45:02.569001 | 14053346 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14053346 | Athletic Physical Therapy Inc | 1960-03-22 | 2025-10-31 | F | AE | PT | N/A | ROUSHANBAKHSH | 4M68ME8GE50 | FOROUGH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251030.140641041.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10259566/check_14053346_7af41ff1-bf9e-4723-8911-2ababec47985.json | N/A | N/A | N/A | N/A | N/A | 4M68ME8GE50 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-22 | S4802 | N/A | N/A | MB | 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 | 9159603658 | N/A | N/A | 10259566 | 2222 | 4802 | 14363084 | N/A | 4213281 | 2025-10-31 00:45:02.569001 | 2025-05-13 04:29:37.227606 |
| 2025-10-30 07:50:23.204509 | 2025-10-31 00:46:48.527850 | 14052465 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14052465 | Athletic Physical Therapy Inc | 1959-07-25 | 2025-10-31 | F | AE | PT | N/A | CARRANZA | 94113505C | KISELL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251030.140443895.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7508301/check_14052465_4a7f460e-5deb-440e-8112-b1f28ea49bf2.json | N/A | N/A | N/A | N/A | N/A | 94113505C | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-07-25 | N/A | N/A | N/A | N/A | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9159575809 | N/A | N/A | 7508301 | 2222 | 4802 | 14363815 | N/A | 4214064 | 2025-10-31 00:46:48.527850 | 2025-07-15 17:36:25.711810 |
| 2025-10-30 07:50:17.248771 | 2025-10-31 00:37:54.554271 | 14052235 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14052235 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-10-31 | F | AE | PT | N/A | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251030.140627974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_14052235_4a2e9ba0-37ea-44e7-8f86-cddec1111d86.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9159616753 | N/A | N/A | 5568076 | 2222 | 4802 | 14357635 | N/A | 4209480 | 2025-10-31 00:37:54.554271 | 2026-04-10 02:05:15.976484 |
| 2025-10-30 07:50:15.426393 | 2025-10-31 00:39:43.692997 | 14052168 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14052168 | Athletic Physical Therapy Inc | 1983-04-25 | 2025-10-31 | F | PT | N/A | N/A | HASERJIAN | XED912403581 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251030.140627974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542222/check_14052168_cfea7710-7bc6-4b26-beef-60a94207136f.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | N/A | 9999-12-31 | 2023-08-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9159616733 | N/A | N/A | 5542222 | 2222 | 4793 | 14359397 | N/A | 4214148 | 2025-10-31 00:39:43.692997 | 2025-05-13 04:29:37.228475 |
| 2025-10-30 07:50:15.348853 | 2025-10-31 00:39:44.071216 | 14052167 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14052167 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-10-31 | F | PT | N/A | N/A | KURTZ | XED906231353 | NINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251030.140627974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541378/check_14052167_aedad9e5-4885-4a26-a1d4-5c7e05fe2524.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9159616732 | N/A | N/A | 5541378 | 2222 | 4793 | 14359405 | N/A | 4213405 | 2025-10-31 00:39:44.071216 | 2025-05-13 04:29:37.227726 |
| 2025-10-30 07:50:15.251630 | 2025-10-31 00:38:55.452143 | 14052163 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14052163 | Athletic Physical Therapy Inc | 1939-07-11 | 2025-10-31 | F | AE | PT | N/A | GOMEZ | 00000357273 | EVELYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251030.140627974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540918/check_14052163_8010e7ba-72ac-4918-9c81-b626afe1f9f8.json | N/A | N/A | N/A | N/A | N/A | 00000357273 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1939-07-11 | H3815028 | N/A | N/A | HM | false | GOMEZ | N/A | EVELYN | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9159616731 | N/A | N/A | 5540918 | 2222 | 4801 | 14358631 | 2630 | 4213001 | 2025-10-31 00:38:55.452143 | 2025-05-13 04:29:37.227329 |
| 2025-10-30 07:50:15.170573 | 2025-10-31 00:39:50.038080 | 14052158 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14052158 | Athletic Physical Therapy Inc | 2011-01-19 | 2025-10-31 | M | PT | N/A | N/A | CHELIUS | JXN662A51170 | CADEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251030.140627974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539929/check_14052158_c6b150d9-bc59-485f-b035-4d1030851783.json | N/A | N/A | N/A | N/A | N/A | JXN662A51170 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | BLUE SHIELD OF CALIFORNIA | N/A | 2011-01-19 | 040 | 174222M9A1 | N/A | PR | false | CHELIUS | N/A | CRAIG | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9159616730 | N/A | N/A | 5539929 | 2222 | 4793 | 14359502 | N/A | 4212158 | 2025-10-31 00:39:50.038080 | 2025-10-22 16:00:14.919111 |
| 2025-10-30 07:50:15.083504 | 2025-10-31 00:39:06.470085 | 14052156 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14052156 | Athletic Physical Therapy Inc | 1974-05-24 | 2025-10-31 | F | PT | N/A | N/A | CLARK | JQU645W04003 | CLAUDIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251030.140627974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536134/check_14052156_912cee84-9923-45c9-8a78-4898df93e6af.json | N/A | N/A | N/A | N/A | N/A | JQU645W04003 | Preferred Provider Organization (PPO) | ATHLETIC PHYSICAL THERAPY INC | ANTHEM BLUE CROSS | N/A | 1974-05-24 | 040 | G76231 | N/A | PR | false | CLARK | N/A | STEPHEN | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9159616729 | N/A | N/A | 5536134 | 2222 | 4793 | 14358806 | N/A | 4208937 | 2025-10-31 00:39:06.470085 | 2026-02-26 17:45:27.761245 |
| 2025-10-30 07:49:52.221677 | 2025-10-31 00:48:06.016803 | 14051560 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14051560 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-10-31 | F | PT | N/A | N/A | Halat | FIZ100010118257 | Hooram | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251030.140435673.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_14051560_7ff59045-8348-4ded-ae7c-b864f2740258.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9159585419 | N/A | N/A | 7870152 | 2222 | 4802 | 14364135 | N/A | 6698799 | 2025-10-31 00:48:06.016803 | 2025-08-07 18:40:53.120761 |
| 2025-10-29 23:00:25.897433 | 2025-10-29 23:00:28.370148 | 14049231 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-05-05 | 2025-10-30 | F | AE | PT | 4184 | HOUSTON | TRJ NP0019401 | VELINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/11369639/check_14049231_73984e04-9c88-423d-917c-ff9c8b9c187d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11369639/check_14049231_b3c53741-a6f1-4571-8e98-42b8269c7b42.json | N/A | N/A | N/A | N/A | N/A | TRJ NP0019401 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-05-05 | N/A | N/A | N/A | N/A | false | HOUSTON | N/A | VELINA | N/A | 2001-05-31 | 2001-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11369639 | 2222 | N/A | 14313382 | N/A | 9637804 | 2025-10-29 23:00:28.370148 | 2026-04-24 18:56:42.779565 |
| 2025-10-29 23:00:23.482627 | 2025-10-29 23:00:25.879998 | 14049228 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-05-05 | 2025-10-30 | F | AE | PT | 4184 | HOUSTON | TRJ NP0019401 | VELINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/11369639/check_14049228_11063d94-372f-4b09-963f-172a71a909a9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-30 | N/A | N/A | N/A | N/A | N/A | N/A | TRJ NP0019401 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-05-05 | N/A | N/A | N/A | N/A | false | HOUSTON | N/A | VELINA | N/A | 2001-05-31 | 2001-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11369639 | 2222 | N/A | N/A | N/A | 9637804 | 2025-10-29 23:00:25.879998 | 2026-04-24 18:56:42.779565 |
| 2025-10-29 22:03:04.833408 | 2025-10-29 22:03:07.783159 | 14048495 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-10-19 | 2025-01-07 | M | PT | AE | 3937 | NIELSEN | W272380860 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537178/check_14048495_70785e2b-d9fe-4724-9446-67fa4518e1f4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537178/check_14048495_dd6f1f8d-8405-4c53-9077-5ee5592b7ced.json | N/A | N/A | N/A | N/A | N/A | W272380860 | N/A | N/A | AETNA | N/A | 1964-10-19 | 0176563 | 017656301100058 | N/A | N/A | false | NIELSEN | N/A | ROY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9151579545 | 162916 | N/A | 5537178 | 2222 | N/A | 14312454 | N/A | 4209789 | 2025-10-29 22:03:07.783159 | 2025-05-13 04:29:37.224215 |
| 2025-10-29 22:02:52.746995 | 2025-10-29 22:02:55.724691 | 14048491 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-10-19 | 2025-01-07 | M | PT | AE | 4185 | NIELSEN | XDP057A76330 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537188/check_14048491_08fd19fc-05ce-4af7-93f5-16c5803926cd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_14048491_5cde9a13-8ea6-46d9-a58a-0d28aae19dd2.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629M421 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2025-06-01 | 2023-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9151577958 | 162916 | N/A | 5537188 | 2222 | N/A | 14312450 | N/A | 4209789 | 2025-10-29 22:02:55.724691 | 2025-05-13 04:29:37.224215 |
| 2025-10-29 20:39:00.120287 | 2025-10-29 20:39:07.949055 | 14047648 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-04-22 | 2025-10-29 | F | AE | PT | 6411 | TEWKSBURY | 91389156501 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539560/check_14047648_38474285-74c5-4915-98a2-2adb6d369c17.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539560/check_14047648_74f26fbe-146e-4e6f-94d2-22b7ec61555f.json | N/A | N/A | N/A | N/A | N/A | 91389156501 | Commercial | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1977-04-22 | N/A | 1507099 | N/A | C1 | false | TEWKSBURY | N/A | MARIA | N/A | N/A | N/A | CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9150154380 | N/A | N/A | 5539560 | 2222 | N/A | 14311482 | N/A | 4211849 | 2025-10-29 20:39:07.949055 | 2025-12-05 17:23:47.661850 |
| 2025-10-29 20:38:26.005867 | 2025-10-29 20:39:00.116782 | 14047640 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-04-22 | 2025-10-29 | F | AE | PT | N/A | TEWKSBURY | 91389156501 | MARIA | N/A | UHC | N/A | APPOINTMENT_PII_CHANGE | 2025-10-29 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539560 | 2222 | N/A | N/A | N/A | 4211849 | 2025-10-29 20:39:00.116782 | 2025-12-05 17:23:47.661850 |
| 2025-10-29 20:17:33.923733 | 2025-10-29 20:17:37.773890 | 14046838 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-05-24 | 2025-10-29 | F | PT | N/A | 4185 | CLARK | JQU645W04003 | CLAUDIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536134/check_14046838_75776296-b3a9-46bb-bfc1-aecb8e2526b7.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536134/check_14046838_dae7da10-7463-40c4-8ed3-88d1a42b53e6.json | N/A | N/A | N/A | N/A | N/A | JQU645W04003 | Preferred Provider Organization (PPO) | ATHLETIC PHYSICAL THERAPY INC | ANTHEM BLUE CROSS | N/A | 1974-05-24 | 040 | G76231 | N/A | PR | false | CLARK | N/A | STEPHEN | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9149754306 | N/A | N/A | 5536134 | 2222 | N/A | 14310627 | N/A | 4208937 | 2025-10-29 20:17:37.773890 | 2026-02-26 17:45:27.761245 |
| 2025-10-29 19:38:25.444355 | 2025-10-29 19:38:27.600871 | 14046336 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-25 | 2025-11-04 | M | AE | PT | 6411 | HATTER | 956091011 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540770/check_14046336_49caf5c4-a23d-4ece-b4bc-a76ad294b084.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540770/check_14046336_0ab03b82-41e4-4529-b2aa-7ca2652322d8.json | N/A | N/A | N/A | N/A | N/A | 956091011 | Commercial | PARAMOUNT | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1970-03-25 | 1018 1018 | 708744 | N/A | C1 | false | HATTER | N/A | SCOTT | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9148995017 | N/A | N/A | 5540770 | 2222 | N/A | 14310111 | N/A | 4212875 | 2025-10-29 19:38:27.600871 | 2025-11-04 17:00:47.278969 |
| 2025-10-29 19:38:23.156220 | 2025-10-29 19:38:25.439796 | 14046335 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-25 | 2025-11-04 | M | AE | PT | N/A | HATTER | 956091011 | SCOTT | N/A | UHC | N/A | INSIGHTS | 2025-11-04 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540770 | 2222 | N/A | N/A | N/A | 4212875 | 2025-10-29 19:38:25.439796 | 2025-11-04 17:00:47.278969 |
| 2025-10-29 19:33:19.985862 | 2025-10-29 19:33:27.296127 | 14046301 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-25 | 2025-11-04 | M | AE | PT | 6411 | HATTER | 956091011 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540770/check_14046301_13afe38a-fe1d-431f-9973-fe82a91c9303.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540770/check_14046301_3d696bba-710f-4f61-86cd-4c219674c3a5.json | N/A | N/A | N/A | N/A | N/A | 956091011 | Commercial | PARAMOUNT | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1970-03-25 | 1018 1018 | 708744 | N/A | C1 | false | HATTER | N/A | SCOTT | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9148912206 | N/A | N/A | 5540770 | 2222 | N/A | 14310072 | N/A | 4212875 | 2025-10-29 19:33:27.296127 | 2025-11-04 17:00:47.278969 |