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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-04 23:08:35.509306 | 2025-06-04 23:08:37.261666 | 8553760 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-12-02 | 2025-06-05 | F | PT | AE | 23309 | DEL CID | H6125233200 | VIDAL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550987/check_8553760_31b37429-3115-4a24-a9ab-045bdd150e37.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550987/check_8553760_ba529dc5-a429-4b23-89a8-904e289a8bbb.json | N/A | N/A | N/A | N/A | N/A | H6125233200 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-12-02 | N/A | N/A | N/A | N/A | false | DEL CID | N/A | VIDAL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5550987 | 2222 | N/A | 8251619 | N/A | 4219812 | 2025-06-04 23:08:37.261666 | 2025-05-13 04:29:37.230859 |
| 2025-06-04 23:08:33.770837 | 2025-06-04 23:08:35.505998 | 8553759 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-12-02 | 2025-06-05 | F | PT | AE | 23309 | DEL CID | H6125233200 | VIDAL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550987/check_8553759_d747246d-3db2-430c-80df-e05dd84db5cd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | H6125233200 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-12-02 | N/A | N/A | N/A | N/A | false | DEL CID | N/A | VIDAL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5550987 | 2222 | N/A | N/A | N/A | 4219812 | 2025-06-04 23:08:35.505998 | 2025-05-13 04:29:37.230859 |
| 2025-06-04 23:06:34.983599 | 2025-06-04 23:06:36.765531 | 8553753 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-05-10 | 2025-06-04 | F | PT | AE | 23322 | ADHAMI | 95671183F | SOHAILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543265/check_8553753_9dc96cb1-d480-443f-860c-02838210d381.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543265/check_8553753_8c9ce19c-9430-47a8-8138-2263f7481367.json | N/A | N/A | N/A | N/A | N/A | 95671183F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-05-10 | N/A | N/A | N/A | N/A | false | ADHAMI | N/A | SOHAILA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5543265 | 2222 | N/A | 8251605 | N/A | 4215082 | 2025-06-04 23:06:36.765531 | 2025-05-13 04:29:37.229397 |
| 2025-06-04 23:06:32.453436 | 2025-06-04 23:06:34.981898 | 8553752 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-05-10 | 2025-06-04 | F | PT | AE | 23322 | ADHAMI | 95671183F | SOHAILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543265/check_8553752_eb65ee17-3c55-44b7-9e21-8462c101e685.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 95671183F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-05-10 | N/A | N/A | N/A | N/A | false | ADHAMI | N/A | SOHAILA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5543265 | 2222 | N/A | N/A | N/A | 4215082 | 2025-06-04 23:06:34.981898 | 2025-05-13 04:29:37.229397 |
| 2025-06-04 23:04:30.532604 | 2025-06-04 23:04:32.338466 | 8553747 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-06-06 | M | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_8553747_a0df0062-f4d1-453d-8453-be8be8a06c84.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550812/check_8553747_4a2e3008-c473-49b6-9817-2f191bc91135.json | N/A | N/A | N/A | N/A | N/A | 15831U29031 | N/A | N/A | MEDI-SHARE | N/A | 1960-10-21 | N/A | N/A | N/A | N/A | false | UPSON | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5550812 | 2222 | N/A | 8251590 | N/A | 4219691 | 2025-06-04 23:04:32.338466 | 2025-05-13 04:29:37.230736 |
| 2025-06-04 23:04:28.908235 | 2025-06-04 23:04:30.529685 | 8553746 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-06-06 | M | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_8553746_5a27ceec-ef9e-48b2-86f9-8c7e35156b77.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 15831U29031 | N/A | N/A | MEDI-SHARE | N/A | 1960-10-21 | N/A | N/A | N/A | N/A | false | UPSON | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5550812 | 2222 | N/A | N/A | N/A | 4219691 | 2025-06-04 23:04:30.529685 | 2025-05-13 04:29:37.230736 |
| 2025-06-04 23:00:16.336553 | 2025-06-04 23:00:18.117904 | 8553741 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-06-06 | M | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_8553741_cb21dc19-d5d4-4a3c-bb88-776b824d20d9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550812/check_8553741_ef67defe-cc15-42d3-a0a6-10b29257b5cc.json | N/A | N/A | N/A | N/A | N/A | 15831U29031 | N/A | N/A | MEDI-SHARE | N/A | 1960-10-21 | N/A | N/A | N/A | N/A | false | UPSON | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5550812 | 2222 | N/A | 8251566 | N/A | 4219691 | 2025-06-04 23:00:18.117904 | 2025-05-13 04:29:37.230736 |
| 2025-06-04 23:00:10.609392 | 2025-06-04 23:00:16.332463 | 8553740 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-06-06 | M | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_8553740_4517cfe6-9250-4c53-aa09-bb0e8558c516.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 15831U29031 | N/A | N/A | MEDI-SHARE | N/A | 1960-10-21 | N/A | N/A | N/A | N/A | false | UPSON | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5550812 | 2222 | N/A | N/A | N/A | 4219691 | 2025-06-04 23:00:16.332463 | 2025-05-13 04:29:37.230736 |
| 2025-06-04 22:54:49.586863 | 2025-06-04 22:54:54.373210 | 8553682 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-05-15 | 2025-06-06 | M | PT | AE | 4437 | CAMPOS | U6223907103 | DEVON | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676403/check_8553682_d727bef2-3e8f-4c52-ba5c-ccbdded06d36.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676403/check_8553682_0919e585-9c59-4314-8224-72476ff36863.json | N/A | N/A | N/A | N/A | N/A | U6223907103 | N/A | MORGAN STANLEY DOMESTIC HOLDINGS, INC. | CGLIC | N/A | 1999-05-15 | N/A | 3327984 | N/A | N/A | false | CAMPOS | N/A | DEVON | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7823087499 | 9489 | N/A | 5676403 | 2222 | N/A | 8251490 | N/A | 4343457 | 2025-06-04 22:54:54.373210 | 2025-05-13 04:29:37.230935 |
| 2025-06-04 22:53:48.922047 | 2025-06-04 22:53:50.708017 | 8553680 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-06-04 | F | PT | AE | 2630 | QUIJANO CASTRO | 00000259543 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540970/check_8553680_2affd08c-eca6-4d1a-bcc6-ab4b011546cc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540970/check_8553680_7e562830-1785-4e3b-ad97-f569a3b8d058.json | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5540970 | 2222 | N/A | 8251484 | N/A | 4213051 | 2025-06-04 22:53:50.708017 | 2025-05-13 04:29:37.227377 |
| 2025-06-04 22:53:47.290996 | 2025-06-04 22:53:48.915931 | 8553678 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-06-04 | F | PT | AE | 2630 | QUIJANO CASTRO | 00000259543 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540970/check_8553678_b3c6b52b-787c-4961-ae66-aeefede44acc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5540970 | 2222 | N/A | N/A | N/A | 4213051 | 2025-06-04 22:53:48.915931 | 2025-05-13 04:29:37.227377 |
| 2025-06-04 22:52:39.535236 | 2025-06-04 22:52:41.428376 | 8553676 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-06-04 | F | PT | AE | 2630 | QUIJANO CASTRO | H62176937 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540970/check_8553676_d70fcb25-e826-4283-b813-27cac19cdf4c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540970/check_8553676_a7deb843-917c-46a2-9b24-256d55e14158.json | N/A | N/A | N/A | N/A | N/A | H62176937 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5540970 | 2222 | N/A | 8251477 | N/A | 4213051 | 2025-06-04 22:52:41.428376 | 2025-05-13 04:29:37.227377 |
| 2025-06-04 22:52:36.954447 | 2025-06-04 22:52:39.533219 | 8553675 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-06-04 | F | PT | AE | 2630 | QUIJANO CASTRO | H62176937 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540970/check_8553675_e4058746-10cc-42a8-a22b-ab3f459641b9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | H62176937 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5540970 | 2222 | N/A | N/A | N/A | 4213051 | 2025-06-04 22:52:39.533219 | 2025-05-13 04:29:37.227377 |
| 2025-06-04 22:50:49.438117 | 2025-06-04 22:50:51.249769 | 8553667 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-25 | 2025-06-05 | F | PT | AE | 5349 | BARON | H7986555300 | AIDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541086/check_8553667_a7545730-da43-4a0f-85fb-b616b5313e40.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541086/check_8553667_78eab8ee-c4de-40da-93af-fb9c6cd5e180.json | N/A | N/A | N/A | N/A | N/A | H79865553 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 657 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1949-03-25 | N/A | 5A962001 | N/A | HN | false | BARON | N/A | AIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7823070876 | 7929 | N/A | 5541086 | 2222 | N/A | 8251463 | N/A | 4213141 | 2025-06-04 22:50:51.249769 | 2025-05-13 04:29:37.227470 |
| 2025-06-04 22:49:25.799295 | 2025-06-04 22:49:32.582548 | 8553614 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-14 | 2025-06-06 | F | PT | N/A | 4184 | HARMON | JQQ322M99046 | MONICA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6112352/check_8553614_be7663e5-d7ac-4f3b-91f5-d3b2a90fa80b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6112352/check_8553614_829bd830-c18d-4eda-b336-0ad6bd1e3602.json | N/A | N/A | N/A | N/A | N/A | JQQ322M99046 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1953-09-14 | 040 | CAMCRWP0 | N/A | MP | false | HARMON | N/A | MONICA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-058-000 ANTHEM SELECT (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7823065483 | 7929 | N/A | 6112352 | 2222 | N/A | 8251404 | N/A | 4755187 | 2025-06-04 22:49:32.582548 | 2026-05-20 17:00:41.372553 |
| 2025-06-04 22:49:15.587220 | 2025-06-04 22:49:17.371953 | 8553613 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-14 | 2025-06-06 | U | PT | N/A | 4184 | HARMON | JQQ322M99046 | MONICA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6112352/check_8553613_a24bfaca-cd93-43d8-a837-546639ee8b03.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6112352/check_8553613_91fbb475-8885-4ff0-a1f9-b30a9838fc5a.json | N/A | N/A | N/A | N/A | N/A | JQQ322M99046 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1953-09-14 | N/A | N/A | N/A | N/A | false | HARMON | N/A | MONICA | N/A | 9999-12-31 | 2025-01-01 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6112352 | 2222 | N/A | 8251402 | N/A | 4755187 | 2025-06-04 22:49:17.371953 | 2026-05-20 17:00:41.372553 |
| 2025-06-04 22:49:09.844642 | 2025-06-04 22:49:15.584549 | 8553612 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-14 | 2025-06-06 | U | PT | N/A | 4184 | HARMON | JQQ322M99046 | MONICA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6112352/check_8553612_2c779bec-e794-4625-8971-20fecb26fca5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | JQQ322M99046 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1953-09-14 | N/A | N/A | N/A | N/A | false | HARMON | N/A | MONICA | N/A | 9999-12-31 | 2025-01-01 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6112352 | 2222 | N/A | N/A | N/A | 4755187 | 2025-06-04 22:49:15.584549 | 2026-05-20 17:00:41.372553 |
| 2025-06-04 22:48:06.355316 | 2025-06-04 22:48:08.203113 | 8553607 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2006-07-18 | 2025-06-06 | U | PT | AE | 4437 | RAMAFWAMY KAFI VASU | U4896088401 | VAIBHAV | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543386/check_8553607_46432912-ef7e-40eb-b461-ea5829ab2532.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543386/check_8553607_b354906a-346b-458c-a6c5-1d574f2f2f3c.json | N/A | N/A | N/A | N/A | N/A | U4896088403 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 2006-07-18 | N/A | 3336422 | N/A | N/A | false | RAMASWAMYKASI VASU | N/A | VAIBHAV | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7823060072 | 7929 | N/A | 5543386 | 2222 | N/A | 8251393 | N/A | 4215176 | 2025-06-04 22:48:08.203113 | 2025-06-09 20:47:50.067306 |
| 2025-06-04 22:46:39.158288 | 2025-06-04 22:46:41.234941 | 8553602 | N/A | N/A | 45564 | Centivo | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-11-13 | 2025-06-06 | F | PT | AE | 4280 | ERNST | ACTBL000283 | KENDALL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542811/check_8553602_eb15ccb2-8283-4730-a8fa-d354dcf11d34.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542811/check_8553602_bbe730e3-62fb-404c-984d-ea9b42d2c492.json | N/A | N/A | N/A | N/A | N/A | ACTBL000283 | N/A | N/A | CENTIVO | IF YOU HAVE QUESTIONS RELATED TO BENEFIT INFORMATION PLEASE CALL CUSTOMER SERVICE @ 833-514-5044 | 1987-11-13 | N/A | ACTBL | N/A | N/A | false | ERNST | N/A | KENDALL | N/A | N/A | N/A | ACTBLIZPP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7823054277 | 7929 | N/A | 5542811 | 2222 | N/A | 8251381 | N/A | 4214678 | 2025-06-04 22:46:41.234941 | 2025-06-30 00:49:32.759299 |
| 2025-06-04 22:46:13.374506 | 2025-06-04 22:46:15.207848 | 8553601 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-03-02 | 2025-06-06 | U | PT | AE | 3948 | PIZER | W285953446 | SYDNEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068058/check_8553601_c89da789-1c34-4c16-b214-fbd8272e96cd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068058/check_8553601_ee76729e-691c-4fa2-9210-8c8233a69bf8.json | N/A | N/A | N/A | N/A | N/A | W285953446 | Point of Service (POS) | THE BOSTON CONSULTING GROUP, INC. | AETNA | N/A | 2001-03-02 | 0657263 | 065726301000101 | N/A | PS | false | PIZER | N/A | SYDNEY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7823052803 | 7929 | N/A | 6068058 | 2222 | N/A | 8251379 | N/A | 4713000 | 2025-06-04 22:46:15.207848 | 2025-07-28 15:44:05.090945 |
| 2025-06-04 22:44:52.411540 | 2025-06-04 22:44:56.344465 | 8553542 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-03-02 | 2025-06-06 | F | PT | AE | 3948 | PIZER | W285953446 | SYDNEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068058/check_8553542_d3efa096-fe09-47cc-8e05-02ef459f6bc7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068058/check_8553542_5d7dd91a-c599-4222-8214-3ff0d3beb4b7.json | N/A | N/A | N/A | N/A | N/A | W285953446 | Point of Service (POS) | THE BOSTON CONSULTING GROUP, INC. | AETNA | N/A | 2001-03-02 | 0657263 | 065726301000101 | N/A | PS | false | PIZER | N/A | SYDNEY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7823047113 | 7929 | N/A | 6068058 | 2222 | N/A | 8251314 | N/A | 4713000 | 2025-06-04 22:44:56.344465 | 2025-07-28 15:44:05.090945 |
| 2025-06-04 22:42:14.406299 | 2025-06-04 22:42:16.180913 | 8553538 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-10 | 2025-06-06 | U | PT | N/A | 4191 | DA SILVA | XEA913717284 | ALEXANDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993933/check_8553538_efd63076-bab8-4e04-bc29-e8ceb189ac85.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993933/check_8553538_916fe35e-2811-418c-8fea-5e319ed729f1.json | N/A | N/A | N/A | N/A | N/A | XAN913717284 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1990-12-10 | 1477PPOX0002 | W0051411 | N/A | PR | false | DA SILVA | N/A | ALEXANDER | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7823036299 | 7929 | N/A | 5993933 | 2222 | N/A | 8251298 | N/A | 4642870 | 2025-06-04 22:42:16.180913 | 2025-06-06 02:32:24.489244 |
| 2025-06-04 22:42:03.852023 | 2025-06-04 22:42:05.876610 | 8553537 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-10 | 2025-06-06 | M | PT | N/A | 4191 | DA SILVA | XEA913717284 | ALEXANDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993933/check_8553537_b59ba74a-9ccb-4d15-a0e6-8dc28b30af88.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993933/check_8553537_b15f32fc-8056-4a9a-a182-de9d4d789e61.json | N/A | N/A | N/A | N/A | N/A | XAN913717284 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1990-12-10 | 1477PPOX0002 | W0051411 | N/A | PR | false | DA SILVA | N/A | ALEXANDER | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7823035545 | 7929 | N/A | 5993933 | 2222 | N/A | 8251295 | N/A | 4642870 | 2025-06-04 22:42:05.876610 | 2025-06-06 02:32:24.489244 |
| 2025-06-04 22:41:17.451242 | 2025-06-04 22:41:19.230976 | 8553536 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-07-22 | 2025-06-06 | U | PT | N/A | 4191 | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541314/check_8553536_a44cb09e-4889-4587-b615-2ebdda2e9b7b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_8553536_0722d862-8a87-4c1a-9b0b-619a856b7226.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7823032379 | 7929 | N/A | 5541314 | 2222 | N/A | 8251292 | N/A | 4213343 | 2025-06-04 22:41:19.230976 | 2025-06-06 02:21:37.603701 |
| 2025-06-04 22:40:29.748019 | 2025-06-04 22:40:31.562939 | 8553477 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-07-22 | 2025-06-04 | F | PT | N/A | 4191 | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541314/check_8553477_b6d3900d-3def-4cfc-982e-47e5a8861caf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_8553477_862fda8b-a12e-402d-9d42-78905745a6fb.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7823029443 | 7929 | N/A | 5541314 | 2222 | N/A | 8251230 | N/A | 4213343 | 2025-06-04 22:40:31.562939 | 2025-06-06 02:21:37.603701 |
| 2025-06-04 22:40:14.896478 | 2025-06-04 22:40:18.179026 | 8553476 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-01-25 | 2025-06-04 | F | PT | N/A | 4185 | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549317/check_8553476_fea6af70-5d56-43f4-a346-3c09df36a478.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_8553476_be740a8e-36de-425d-9028-f18dc3704e0e.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | IF THE MEMBER QUALIFIES FOR COBRA COVERAGE,THE POLICY MAY BE SUBJECT TO RETROACTIVE CANCELLATION OR REINSTATEMENT, BASED ON THE PLAN DESIGN AND THE MEMBER COBRA ELECTION. 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 USPSTF A AND B RECOMMENDATIONS. | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | 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 | 7823028517 | 7927 | N/A | 5549317 | 2222 | N/A | 8251229 | N/A | 4219010 | 2025-06-04 22:40:18.179026 | 2026-01-09 18:32:07.618867 |
| 2025-06-04 22:38:57.092143 | 2025-06-04 22:39:06.902920 | 8553471 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-09-07 | 2025-06-04 | M | PT | N/A | 4185 | CRUZ | TYW851751152 | GIOVANI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993970/check_8553471_8ff38918-fb97-40fe-8942-57e417ae4400.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993970/check_8553471_f8c5a07a-8b83-4e65-9c2f-b6db8b3a26b0.json | N/A | N/A | N/A | N/A | N/A | TYW851751152 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 2009-09-07 | N/A | 031843 | N/A | PR | false | CRUZ GARIBAY | N/A | JAVIER | N/A | 9999-12-31 | 2025-01-01 | BLUE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7823024004 | 7929 | N/A | 5993970 | 2222 | N/A | 8251216 | N/A | 4642901 | 2025-06-04 22:39:06.902920 | 2025-06-06 02:34:37.518805 |
| 2025-06-04 22:37:34.904126 | 2025-06-04 22:37:57.969918 | 8553466 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-17 | 2025-06-06 | F | PT | AE | 4191 | MARCUS | XEM909523924 | LISSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542318/check_8553466_200651ed-c11d-4e90-a662-8c3bbbc898e6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_8553466_12cccc0c-bcd0-45e8-b356-b40ce83781ff.json | N/A | N/A | N/A | N/A | N/A | XEM909523924 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-03-17 | 2002SE000029 | X0001002 | N/A | OT | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7823019221 | 2097 | N/A | 5542318 | 2222 | N/A | 8251210 | N/A | 4214241 | 2025-06-04 22:37:57.969918 | 2025-05-13 04:29:37.228574 |
| 2025-06-04 22:37:20.679284 | 2025-06-04 22:37:22.461058 | 8553465 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-09-07 | 2025-06-04 | U | PT | N/A | 4185 | CRUZ | TYW851751152 | GIOVANI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993970/check_8553465_51a53cb3-49b3-495d-9ac2-7b71d19ed60d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993970/check_8553465_e0c640bc-c48b-4e7d-b0e3-dad7f4da8a2f.json | N/A | N/A | N/A | N/A | N/A | TYW851751152 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 2009-09-07 | N/A | N/A | N/A | N/A | false | CRUZ | N/A | GIOVANI | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5993970 | 2222 | N/A | 8251204 | N/A | 4642901 | 2025-06-04 22:37:22.461058 | 2025-06-06 02:34:37.518805 |
| 2025-06-04 22:37:18.987381 | 2025-06-04 22:37:20.676235 | 8553464 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-09-07 | 2025-06-04 | U | PT | N/A | 4185 | CRUZ | TYW851751152 | GIOVANI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993970/check_8553464_b61fcea6-0755-4078-94ae-5679f20adac8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | TYW851751152 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 2009-09-07 | N/A | N/A | N/A | N/A | false | CRUZ | N/A | GIOVANI | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5993970 | 2222 | N/A | N/A | N/A | 4642901 | 2025-06-04 22:37:20.676235 | 2025-06-06 02:34:37.518805 |
| 2025-06-04 22:36:06.890438 | 2025-06-04 22:36:27.832818 | 8553460 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-09-04 | 2025-06-06 | M | PT | N/A | 4191 | HASHEMI | XEA914007676 | SEYED | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541956/check_8553460_642da210-dee5-4daa-a137-bde86b8d8630.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541956/check_8553460_df26cf72-1208-463a-82d3-efa686b897a0.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7823013120 | 9487 | N/A | 5541956 | 2222 | N/A | 8251195 | N/A | 4213923 | 2025-06-04 22:36:27.832818 | 2025-05-13 04:29:37.228244 |
| 2025-06-04 22:35:53.138153 | 2025-06-04 22:37:34.901304 | 8553456 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-17 | 2025-06-06 | F | PT | AE | 4191 | MARCUS | XEM909523924 | LISSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542318/check_8553456_947fb697-9082-4050-9c14-5ead71856a48.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | XEM909523924 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1953-03-17 | N/A | N/A | N/A | N/A | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5542318 | 2222 | N/A | N/A | N/A | 4214241 | 2025-06-04 22:37:34.901304 | 2025-05-13 04:29:37.228574 |
| 2025-06-04 22:34:04.613329 | 2025-06-04 22:34:06.424256 | 8553392 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-10 | 2025-06-04 | U | PT | N/A | 4191 | DA SILVA | XEA913717284 | ALEXANDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993933/check_8553392_cb09842c-16ed-41d1-9277-e5b764f83385.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993933/check_8553392_35d08860-2a81-4a1a-9c2d-10e984f3bcde.json | N/A | N/A | N/A | N/A | N/A | XAN913717284 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1990-12-10 | 1477PPOX0002 | W0051411 | N/A | PR | false | DA SILVA | N/A | ALEXANDER | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7823004963 | 7929 | N/A | 5993933 | 2222 | N/A | 8251118 | N/A | 4642870 | 2025-06-04 22:34:06.424256 | 2025-06-06 02:32:24.489244 |
| 2025-06-04 22:33:12.777786 | 2025-06-04 22:33:14.493012 | 8553388 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-07-07 | 2025-06-04 | U | PT | N/A | 4191 | AMATO | XEK906050601 | OLIVIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993957/check_8553388_bd1bc8d5-b4d4-4ec7-b4d8-fd2b0f6d29b1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993957/check_8553388_5292f55c-6d28-4068-98bb-251dc6a7672e.json | N/A | N/A | N/A | N/A | N/A | XEK906050601 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1999-07-07 | 2001ZH002662 | X0001000 | N/A | PR | false | AMATO | N/A | OLIVIA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7823001368 | 7929 | N/A | 5993957 | 2222 | N/A | 8251112 | N/A | 4534554 | 2025-06-04 22:33:14.493012 | 2025-06-06 02:36:05.744741 |
| 2025-06-04 22:32:56.365070 | 2025-06-04 22:33:04.154929 | 8553387 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-04-27 | 2025-06-04 | M | PT | AE | 2630 | TEDDER | 00000390480 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676415/check_8553387_4c666914-036f-44c7-8f72-2f47c41a599e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_8553387_246ca044-f8fb-49ce-8667-a0472c36a0e0.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5676415 | 2222 | N/A | 8251111 | N/A | 4343470 | 2025-06-04 22:33:04.154929 | 2025-05-13 04:29:37.230947 |
| 2025-06-04 22:32:54.729359 | 2025-06-04 22:32:56.362275 | 8553386 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-04-27 | 2025-06-04 | M | PT | AE | 2630 | TEDDER | 00000390480 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676415/check_8553386_fbc1ec50-1241-41f6-8140-404f30aacad9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5676415 | 2222 | N/A | N/A | N/A | 4343470 | 2025-06-04 22:32:56.362275 | 2025-05-13 04:29:37.230947 |
| 2025-06-04 22:32:44.927979 | 2025-06-04 22:33:15.105110 | 8553384 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-17 | 2025-06-04 | F | PT | AE | 4191 | MARCUS | XEM909523924 | LISSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542324/check_8553384_0adc24c8-f2d7-4928-9c63-b1d9a2327352.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542324/check_8553384_513fbb01-d185-43c8-b52b-79128b48a1fd.json | N/A | N/A | N/A | N/A | N/A | XEM909523924 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-03-17 | 2002SE000029 | X0001002 | N/A | OT | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822999246 | 2097 | N/A | 5542324 | 2222 | N/A | 8251113 | N/A | 4214241 | 2025-06-04 22:33:15.105110 | 2025-05-13 04:29:37.228574 |
| 2025-06-04 22:31:30.773685 | 2025-06-04 22:31:33.621770 | 8553379 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-02-18 | 2025-06-06 | M | PT | AE | 3937 | ZHAO | 916547548 | SHANLI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550983/check_8553379_3bcdb1d8-6bbf-4590-89c0-9b33274cf55c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550983/check_8553379_dcdb180b-6b6e-4b0e-bc36-f647210602b7.json | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5550983 | 2222 | N/A | 8251099 | N/A | 4219811 | 2025-06-04 22:31:33.621770 | 2025-05-13 04:29:37.230858 |
| 2025-06-04 22:31:23.110342 | 2025-06-04 22:31:30.770554 | 8553377 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-02-18 | 2025-06-06 | M | PT | AE | 3937 | ZHAO | 916547548 | SHANLI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550983/check_8553377_2c8def5c-0995-4e76-9570-5b9ed5e0ffe9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5550983 | 2222 | N/A | N/A | N/A | 4219811 | 2025-06-04 22:31:30.770554 | 2025-05-13 04:29:37.230858 |
| 2025-06-04 22:29:49.266948 | 2025-06-04 22:29:52.033492 | 8553274 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-02-18 | 2025-06-06 | M | PT | AE | 3937 | ZHAO | 916547548 | CHARLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550983/check_8553274_b48f254f-7eb2-4722-a375-917786383353.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550983/check_8553274_c1995b66-d5b5-480d-a1af-1d0000df679c.json | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5550983 | 2222 | N/A | 8250989 | N/A | 4219811 | 2025-06-04 22:29:52.033492 | 2025-05-13 04:29:37.230858 |
| 2025-06-04 22:29:46.532422 | 2025-06-04 22:29:49.262846 | 8553271 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-02-18 | 2025-06-06 | M | PT | AE | 3937 | ZHAO | 916547548 | CHARLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550983/check_8553271_3b41bcbf-6e8b-4513-b7a2-1aad16b2726b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5550983 | 2222 | N/A | N/A | N/A | 4219811 | 2025-06-04 22:29:49.262846 | 2025-05-13 04:29:37.230858 |
| 2025-06-04 22:28:07.154868 | 2025-06-04 22:28:08.961513 | 8553265 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-25 | 2025-06-05 | F | PT | AE | 5349 | BARON | H7986555300 | AIDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541086/check_8553265_a9d59f8a-ae5e-49c3-bcb5-a7b1ab414f0d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541086/check_8553265_72dab68d-da4b-4b34-a97f-520f35ca46e4.json | N/A | N/A | N/A | N/A | N/A | H79865553 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 657 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1949-03-25 | N/A | 5A962001 | N/A | HN | false | BARON | N/A | AIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822977842 | 7929 | N/A | 5541086 | 2222 | N/A | 8250973 | N/A | 4213141 | 2025-06-04 22:28:08.961513 | 2025-05-13 04:29:37.227470 |
| 2025-06-04 22:27:04.730807 | 2025-06-04 22:27:07.526381 | 8553261 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-12-30 | 2025-06-04 | F | PT | AE | 4625 | DICKSON | R07337778FD1 | CAILEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536227/check_8553261_306acc30-bbe4-49eb-9dcf-b1f7aa0ff854.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536227/check_8553261_122dbc22-2d6f-44be-92da-0c1391eb979b.json | N/A | N/A | N/A | N/A | N/A | R07337778FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2009-12-30 | N/A | N/A | N/A | N/A | false | DICKSON | N/A | CAILEY | N/A | N/A | N/A | MGY COMHMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822972542 | 2708 | N/A | 5536227 | 2222 | N/A | 8250964 | N/A | 4209013 | 2025-06-04 22:27:07.526381 | 2025-06-03 20:19:45.253620 |
| 2025-06-04 22:26:57.192958 | 2025-06-04 22:26:58.905314 | 8553260 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-12-06 | 2025-06-06 | F | PT | AE | 4437 | Laraki | 109956659 | Zineb | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078110/check_8553260_629368c2-358e-4645-a565-ae8977f81cfa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078110/check_8553260_66995539-2c1a-411f-8715-d17ab8c80e2b.json | N/A | N/A | N/A | N/A | N/A | 109956659 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1989-12-06 | N/A | N/A | N/A | N/A | false | LARAKI | N/A | ZINEB | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6078110 | 2222 | N/A | 8250961 | N/A | 4722393 | 2025-06-04 22:26:58.905314 | 2025-05-29 22:37:40.791959 |
| 2025-06-04 22:26:54.118460 | 2025-06-04 22:26:56.002400 | 8553259 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-02-07 | 2025-06-04 | F | PT | AE | 23322 | SHEPHERD | 93180838F | EMILY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541519/check_8553259_395ced71-3197-490c-9d5e-b388f79fb8f7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_8553259_8aca4061-c873-4f02-ad10-ee299df4b13d.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 5541519 | 2222 | N/A | 8250959 | N/A | 4213530 | 2025-06-04 22:26:56.002400 | 2025-05-13 04:29:37.227860 |
| 2025-06-04 22:26:46.412002 | 2025-06-04 22:26:54.115315 | 8553258 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-02-07 | 2025-06-04 | F | PT | AE | 23322 | SHEPHERD | 93180838F | EMILY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541519/check_8553258_25f8e4a9-601b-4cea-b863-05b04007cb92.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 5541519 | 2222 | N/A | N/A | N/A | 4213530 | 2025-06-04 22:26:54.115315 | 2025-05-13 04:29:37.227860 |
| 2025-06-04 22:26:43.469718 | 2025-06-04 22:26:57.190317 | 8553257 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-12-06 | 2025-06-06 | F | PT | AE | 4437 | Laraki | 109956659 | Zineb | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078110/check_8553257_28f68f9e-d979-42dd-a5d1-7641a86e9345.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 109956659 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1989-12-06 | N/A | N/A | N/A | N/A | false | LARAKI | N/A | ZINEB | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6078110 | 2222 | N/A | N/A | N/A | 4722393 | 2025-06-04 22:26:57.190317 | 2025-05-29 22:37:40.791959 |
| 2025-06-04 22:26:41.958694 | 2025-06-04 22:26:55.816042 | 8553256 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-05-10 | 2025-06-04 | F | PT | AE | 4625 | ADHAMI | 95671183F | SOHAILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543265/check_8553256_3b71defb-b946-4a76-936e-6b76be74a334.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543265/check_8553256_27f67240-3e21-4e3f-b4bb-00df770aa28e.json | N/A | N/A | N/A | N/A | N/A | 95671183F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-10 | N/A | N/A | N/A | N/A | false | ADHAMI | N/A | SOHAILA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 5543265 | 2222 | N/A | 8250958 | N/A | 4215082 | 2025-06-04 22:26:55.816042 | 2025-05-13 04:29:37.229397 |
| 2025-06-04 22:26:37.322694 | 2025-06-04 22:26:41.955195 | 8553255 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-05-10 | 2025-06-04 | F | PT | AE | 4625 | ADHAMI | 95671183F | SOHAILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543265/check_8553255_1fc7a8fb-534c-4abc-bc1d-169e9c69d4a3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 95671183F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-10 | N/A | N/A | N/A | N/A | false | ADHAMI | N/A | SOHAILA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 5543265 | 2222 | N/A | N/A | N/A | 4215082 | 2025-06-04 22:26:41.955195 | 2025-05-13 04:29:37.229397 |
| 2025-06-04 22:26:31.523978 | 2025-06-04 22:26:36.394889 | 8553254 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-05-07 | 2025-06-05 | F | PT | N/A | 4191 | RAFFERTY | XED913453119 | ZOE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874430/check_8553254_bf5abdc3-9340-4e8d-a566-2fbc33cd8adc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_8553254_e1347cbf-f1aa-44e0-bd5b-5ab7c29ecb4a.json | N/A | N/A | N/A | N/A | N/A | XED913453119 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1994-05-07 | 2001ZK002187 | X0001004 | N/A | PR | false | RAFFERTY | N/A | ZOE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7822970362 | 2708 | N/A | 5874430 | 2222 | N/A | 8250953 | N/A | 4534559 | 2025-06-04 22:26:36.394889 | 2025-06-06 02:13:35.698378 |