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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-24 04:17:13.311691 | 2025-10-24 04:17:15.291694 | 13772198 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-10-17 | N/A | PT | AE | 4497 | ULLMAN | 8HC8F35AX50 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_13772198_fbec1e6b-1ce1-4561-a82a-a0b57999fd4e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_13772198_f764f435-3000-4d1e-826f-e6ee02ce4d4f.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MB | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9100163550 | 1275 | N/A | 5543201 | 2222 | N/A | 14060390 | N/A | 4215026 | 2025-10-24 04:17:15.291694 | 2025-06-07 16:16:41.178119 |
| 2025-10-24 04:15:35.551874 | 2025-10-24 04:15:37.401427 | 13772133 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-09-27 | 2025-10-16 | N/A | PT | AE | 4497 | THOMSEN | 9K20UN5RX19 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/2222/11096603/check_13772133_8fbf6405-9fe1-41fa-b816-4591e14861e9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11096603/check_13772133_971318d4-812e-494e-8052-a38b4c7f870e.json | N/A | N/A | N/A | N/A | N/A | 9K20UN5RX19 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-27 | S4802 | N/A | N/A | MA | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9100159907 | 1275 | N/A | 11096603 | 2222 | N/A | 14060325 | N/A | 4210450 | 2025-10-24 04:15:37.401427 | 2026-05-04 21:51:25.248197 |
| 2025-10-24 04:15:23.616616 | 2025-10-24 04:15:25.518094 | 13772124 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-10-15 | N/A | PT | AE | 4497 | ULLMAN | 8HC8F35AX50 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_13772124_3e868fba-84c7-4b36-b457-d32c1be1183c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_13772124_201464f8-a766-4c45-ab68-47b51e3fb392.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MA | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9100158957 | 1275 | N/A | 5543201 | 2222 | N/A | 14060317 | N/A | 4215026 | 2025-10-24 04:15:25.518094 | 2025-06-07 16:16:41.178119 |
| 2025-10-24 04:14:16.314866 | 2025-10-24 04:14:18.180778 | 13772071 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-09-27 | 2025-10-13 | N/A | PT | AE | 4497 | THOMSEN | 9K20UN5RX19 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/2222/11096603/check_13772071_c2877378-fb7f-4865-a1a5-7cfe4cdfcf17.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11096603/check_13772071_cae2d963-eabd-4766-86a6-4924869eb08c.json | N/A | N/A | N/A | N/A | N/A | 9K20UN5RX19 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-27 | S4802 | N/A | N/A | MA | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9100154370 | 1275 | N/A | 11096603 | 2222 | N/A | 14060264 | N/A | 4210450 | 2025-10-24 04:14:18.180778 | 2026-05-04 21:51:25.248197 |
| 2025-10-24 04:10:35.274915 | 2025-10-24 04:10:46.605500 | 13771857 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-09-27 | 2025-10-09 | N/A | PT | AE | 4497 | THOMSEN | 9K20UN5RX19 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/2222/11096603/check_13771857_0dfc51f5-bfe3-48c7-b732-ec8c9182596a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11096603/check_13771857_9f8e0ccf-da2d-4844-bf9b-96182e14bd19.json | N/A | N/A | N/A | N/A | N/A | 9K20UN5RX19 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-27 | S4802 | N/A | N/A | MB | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9100142511 | 1275 | N/A | 11096603 | 2222 | N/A | 14060061 | N/A | 4210450 | 2025-10-24 04:10:46.605500 | 2026-05-04 21:51:25.248197 |
| 2025-10-24 04:08:28.199172 | 2025-10-24 04:08:30.237889 | 13771771 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-10-08 | N/A | PT | AE | 4497 | ULLMAN | 8HC8F35AX50 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_13771771_3dc42e0f-5796-4c2f-8edd-1882867144b4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_13771771_6268e7b6-3bf9-4c0d-91d7-6755a67a4437.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MA | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9100135429 | 1275 | N/A | 5543201 | 2222 | N/A | 14059973 | N/A | 4215026 | 2025-10-24 04:08:30.237889 | 2025-06-07 16:16:41.178119 |
| 2025-10-24 04:07:06.182536 | 2025-10-24 04:07:08.182866 | 13771738 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-09-27 | 2025-10-06 | N/A | PT | AE | 4497 | THOMSEN | 9K20UN5RX19 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/2222/11096603/check_13771738_aad8248f-0bed-437e-8626-e8037bd63976.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11096603/check_13771738_b6bb72d8-00ae-408e-a770-db6255a3baaa.json | N/A | N/A | N/A | N/A | N/A | 9K20UN5RX19 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-27 | S4802 | N/A | N/A | MB | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9100130848 | 1275 | N/A | 11096603 | 2222 | N/A | 14059939 | N/A | 4210450 | 2025-10-24 04:07:08.182866 | 2026-05-04 21:51:25.248197 |
| 2025-10-24 04:04:06.342429 | 2025-10-24 04:04:08.237535 | 13771659 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-10-03 | N/A | PT | AE | 4497 | ULLMAN | 8HC8F35AX50 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_13771659_7d25c48d-c866-45fe-a201-82596c634784.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_13771659_c5a7b9f4-3946-4281-b3f1-174665859d56.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MA | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9100120157 | 1275 | N/A | 5543201 | 2222 | N/A | 14059862 | N/A | 4215026 | 2025-10-24 04:04:08.237535 | 2025-06-07 16:16:41.178119 |
| 2025-10-24 04:04:01.271477 | 2025-10-24 04:04:04.238662 | 13771658 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-10-01 | N/A | PT | AE | 4497 | ULLMAN | 8HC8F35AX50 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_13771658_6bb37199-452b-49d1-90e8-617898858c63.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_13771658_671fc259-92e1-4c2f-8cfe-b25f693161bc.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MB | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9100119770 | 1275 | N/A | 5543201 | 2222 | N/A | 14059860 | N/A | 4215026 | 2025-10-24 04:04:04.238662 | 2025-06-07 16:16:41.178119 |
| 2025-10-24 04:03:01.988006 | 2025-10-24 04:03:04.174670 | 13771650 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-09-02 | N/A | PT | AE | 4497 | UPSON | 6MH7ED3NE57 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/9893712/check_13771650_e81b431d-0347-4a48-ba22-cadb14ac6078.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9893712/check_13771650_ce50259a-e1c0-4f0f-8a26-5eaa73f41177.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part A | N/A | CMS | N/A | 1960-10-21 | N/A | N/A | N/A | MA | 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 | 9100113590 | 1275 | N/A | 9893712 | 2222 | N/A | 14059853 | N/A | 4219691 | 2025-10-24 04:03:04.174670 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:55.685799 | 2025-10-24 04:03:00.573226 | 13771648 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-09-02 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_13771648_a816a876-1044-43a2-ad73-f27d8c9519cc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550812/check_13771648_506a2dad-639b-45bd-9545-d1e388b78c69.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 | 1275 | N/A | 5550812 | 2222 | N/A | 14059851 | N/A | 4219691 | 2025-10-24 04:03:00.573226 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:51.205593 | 2025-10-24 04:02:54.266488 | 13771647 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-09-04 | N/A | PT | AE | 4497 | UPSON | 6MH7ED3NE57 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/9893712/check_13771647_264f58dd-265b-43bb-bb2f-2362e993f054.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9893712/check_13771647_da5cea3e-4a17-4096-981f-6754b4689620.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part B | N/A | CMS | N/A | 1960-10-21 | N/A | N/A | N/A | MB | 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 | 9100112441 | 1275 | N/A | 9893712 | 2222 | N/A | 14059849 | N/A | 4219691 | 2025-10-24 04:02:54.266488 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:48.276751 | 2025-10-24 04:02:50.240044 | 13771644 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-09-04 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_13771644_ca6ec2ab-e3f4-4472-b25c-e1eb66444093.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550812/check_13771644_b73af891-519e-4ca1-9717-d0c1942c4f40.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 | 1275 | N/A | 5550812 | 2222 | N/A | 14059846 | N/A | 4219691 | 2025-10-24 04:02:50.240044 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:44.059954 | 2025-10-24 04:02:45.995600 | 13771643 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-28 | N/A | PT | AE | 4497 | UPSON | 6MH7ED3NE57 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/9893712/check_13771643_46e9a00c-d5c7-43eb-8b69-2eb4f1470051.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9893712/check_13771643_47f7d092-450c-4a4f-b065-0be2cc7de290.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part B | N/A | CMS | N/A | 1960-10-21 | N/A | N/A | N/A | MB | 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 | 9100111681 | 1275 | N/A | 9893712 | 2222 | N/A | 14059844 | N/A | 4219691 | 2025-10-24 04:02:45.995600 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:42.853088 | 2025-10-24 04:02:44.743181 | 13771642 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-21 | N/A | PT | AE | 4497 | UPSON | 6MH7ED3NE57 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/9893712/check_13771642_96ff958e-4f6c-4def-b0ea-3a7c544e1484.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9893712/check_13771642_957b8941-37c8-4a4e-9089-725fe034ae8c.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part A | N/A | CMS | N/A | 1960-10-21 | N/A | N/A | N/A | MA | 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 | 9100111553 | 1275 | N/A | 9893712 | 2222 | N/A | 14059843 | N/A | 4219691 | 2025-10-24 04:02:44.743181 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:41.078704 | 2025-10-24 04:02:43.198990 | 13771641 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-28 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_13771641_0f6c4e39-4be6-4038-aa9a-e8638aa2d683.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550812/check_13771641_e15fabe8-4c9e-437c-af70-110fdbd0577f.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 | 1275 | N/A | 5550812 | 2222 | N/A | 14059842 | N/A | 4219691 | 2025-10-24 04:02:43.198990 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:40.273715 | 2025-10-24 04:02:42.169131 | 13771639 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-21 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543511/check_13771639_42df225e-00e2-429e-a5e0-e63073c249f8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543511/check_13771639_968818f3-0778-403f-949e-6693eca04346.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 | 1275 | N/A | 5543511 | 2222 | N/A | 14059840 | N/A | 4215290 | 2025-10-24 04:02:42.169131 | 2025-05-13 04:29:37.229611 |
| 2025-10-24 04:02:32.074548 | 2025-10-24 04:02:33.984086 | 13771634 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-07-15 | N/A | PT | AE | 4497 | UPSON | 6MH7ED3NE57 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/9893712/check_13771634_6526a295-d95c-4f61-8b96-39be3b5cae83.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9893712/check_13771634_c45b2cc8-a4e0-4ca5-a535-f02841a5ab89.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part A | N/A | CMS | N/A | 1960-10-21 | N/A | N/A | N/A | MA | 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 | 9100110498 | 1275 | N/A | 9893712 | 2222 | N/A | 14059833 | N/A | 4219691 | 2025-10-24 04:02:33.984086 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:29.489150 | 2025-10-24 04:02:31.434118 | 13771632 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-07-15 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543511/check_13771632_5e18efcd-0f51-4f92-8655-7568ab1b7055.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543511/check_13771632_116b7a58-31a4-493b-9a61-51a9434989c1.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 | 1275 | N/A | 5543511 | 2222 | N/A | 14059830 | N/A | 4215290 | 2025-10-24 04:02:31.434118 | 2025-05-13 04:29:37.229611 |
| 2025-10-24 04:02:29.346053 | 2025-10-24 04:02:31.552935 | 13771630 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-18 | N/A | PT | AE | 4497 | UPSON | 6MH7ED3NE57 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/9893712/check_13771630_2083aefb-c08b-4d5c-a580-185d117d8c00.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9893712/check_13771630_fde23d68-6a27-4d98-bd4c-48388ade7495.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part B | N/A | CMS | N/A | 1960-10-21 | N/A | N/A | N/A | MB | 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 | 9100110256 | 1275 | N/A | 9893712 | 2222 | N/A | 14059831 | N/A | 4219691 | 2025-10-24 04:02:31.552935 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:28.127653 | 2025-10-24 04:02:30.173464 | 13771629 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-15 | N/A | PT | AE | 4497 | UPSON | 6MH7ED3NE57 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/9893712/check_13771629_fbc9b84c-8b73-48d4-b9a7-7593ea28796d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9893712/check_13771629_7c3704c4-e111-41e6-8157-bb1c392888ca.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part A | N/A | CMS | N/A | 1960-10-21 | N/A | N/A | N/A | MA | 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 | 9100110126 | 1275 | N/A | 9893712 | 2222 | N/A | 14059828 | N/A | 4219691 | 2025-10-24 04:02:30.173464 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:27.423213 | 2025-10-24 04:02:30.155920 | 13771628 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-07 | N/A | PT | AE | 4497 | UPSON | 6MH7ED3NE57 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/9893712/check_13771628_dc94aa17-4452-4745-b7f0-6c455d86c9a3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9893712/check_13771628_100793a3-8e28-4218-86db-626d830b9f31.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part B | N/A | CMS | N/A | 1960-10-21 | N/A | N/A | N/A | MB | 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 | 9100110062 | 1275 | N/A | 9893712 | 2222 | N/A | 14059827 | N/A | 4219691 | 2025-10-24 04:02:30.155920 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:26.668472 | 2025-10-24 04:02:28.571266 | 13771626 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-07-08 | N/A | PT | AE | 4497 | UPSON | 6MH7ED3NE57 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/9893712/check_13771626_3aa791e5-3eec-4351-b44a-7c5d1565a41c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9893712/check_13771626_78924854-f94c-4591-b981-6cde1c8a2e38.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part A | N/A | CMS | N/A | 1960-10-21 | N/A | N/A | N/A | MA | 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 | 9100109983 | 1275 | N/A | 9893712 | 2222 | N/A | 14059823 | N/A | 4219691 | 2025-10-24 04:02:28.571266 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:25.689522 | 2025-10-24 04:02:27.680573 | 13771625 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-12 | N/A | PT | AE | 4497 | UPSON | 6MH7ED3NE57 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/9893712/check_13771625_ebbbf6db-7b4d-4aa4-aabc-7059cb711fd9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9893712/check_13771625_60be1b0c-3992-45de-a07a-c4d4b69f571f.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part A | N/A | CMS | N/A | 1960-10-21 | N/A | N/A | N/A | MA | 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 | 9100109879 | 1275 | N/A | 9893712 | 2222 | N/A | 14059821 | N/A | 4219691 | 2025-10-24 04:02:27.680573 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:25.625241 | 2025-10-24 04:02:27.525172 | 13771624 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-15 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_13771624_39c191a0-d1f4-411e-a081-74bcc5e55012.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550812/check_13771624_8f696014-c61a-4f1e-9e41-6e82b05d3c17.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 | 1275 | N/A | 5550812 | 2222 | N/A | 14059820 | N/A | 4219691 | 2025-10-24 04:02:27.525172 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:25.494747 | 2025-10-24 04:02:27.915657 | 13771623 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-18 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543511/check_13771623_a88f2168-2ac1-4f48-9d5b-2f670fc48249.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543511/check_13771623_4c758255-c764-40c4-8a81-9ce84bc75205.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 | 1275 | N/A | 5543511 | 2222 | N/A | 14059822 | N/A | 4215290 | 2025-10-24 04:02:27.915657 | 2025-05-13 04:29:37.229611 |
| 2025-10-24 04:02:24.195907 | 2025-10-24 04:02:26.043824 | 13771620 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-07-08 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543511/check_13771620_d21b97b6-ed6f-47a6-bb48-0b0fd10d30c7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543511/check_13771620_1c6e004a-11bf-4ee5-9d81-f2a97751ae83.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 | 1275 | N/A | 5543511 | 2222 | N/A | 14059817 | N/A | 4215290 | 2025-10-24 04:02:26.043824 | 2025-05-13 04:29:37.229611 |
| 2025-10-24 04:02:23.855807 | 2025-10-24 04:02:26.237844 | 13771619 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-07 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543511/check_13771619_eb32fe4c-a4ab-487a-a930-fc324343b65d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543511/check_13771619_6299c09b-7c55-4cdf-acdd-04a7198750b9.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 | 1275 | N/A | 5543511 | 2222 | N/A | 14059818 | N/A | 4215290 | 2025-10-24 04:02:26.237844 | 2025-05-13 04:29:37.229611 |
| 2025-10-24 04:02:23.251917 | 2025-10-24 04:02:25.135796 | 13771618 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-12 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543511/check_13771618_43cd89c7-c656-4c5c-8d61-21d83c5ac10b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543511/check_13771618_0f53358e-902c-4862-ab04-ddf52fec4aab.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 | 1275 | N/A | 5543511 | 2222 | N/A | 14059814 | N/A | 4215290 | 2025-10-24 04:02:25.135796 | 2025-05-13 04:29:37.229611 |
| 2025-10-24 04:02:22.402496 | 2025-10-24 04:02:48.273369 | 13771616 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-09-04 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_13771616_b845871d-2a8a-4977-8eca-b5569a3dbd01.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-04 | 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 | 1275 | N/A | 5550812 | 2222 | N/A | N/A | N/A | 4219691 | 2025-10-24 04:02:48.273369 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:21.402510 | 2025-10-24 04:02:55.628768 | 13771615 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-09-02 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543511/check_13771615_44187064-faf8-4d1b-8abb-b532ae1e0b25.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | 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 | 1275 | N/A | 5543511 | 2222 | N/A | N/A | N/A | 4215290 | 2025-10-24 04:02:55.628768 | 2025-05-13 04:29:37.229611 |
| 2025-10-24 04:02:17.683298 | 2025-10-24 04:02:19.612488 | 13771612 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-06-24 | N/A | PT | AE | 4497 | UPSON | 6MH7ED3NE57 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/9893712/check_13771612_4640816e-e4df-4dcb-8b13-2862921b1600.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9893712/check_13771612_58008ee2-3ede-4ade-9665-bcc7ad69ba34.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part B | N/A | CMS | N/A | 1960-10-21 | N/A | N/A | N/A | MB | 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 | 9100109187 | 1275 | N/A | 9893712 | 2222 | N/A | 14059807 | N/A | 4219691 | 2025-10-24 04:02:19.612488 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:15.051890 | 2025-10-24 04:02:17.050247 | 13771610 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-06-24 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543511/check_13771610_54ffe7b4-37a2-486a-8100-96e38481bbdb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543511/check_13771610_4e7dbde0-3baf-4222-844b-fec7689bffd2.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 | 1275 | N/A | 5543511 | 2222 | N/A | 14059805 | N/A | 4215290 | 2025-10-24 04:02:17.050247 | 2025-05-13 04:29:37.229611 |
| 2025-10-24 04:02:14.987611 | 2025-10-24 04:02:41.075194 | 13771609 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-28 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_13771609_ef519d24-0117-4b8a-bd30-ead56eeccfc1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-28 | 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 | 1275 | N/A | 5550812 | 2222 | N/A | N/A | N/A | 4219691 | 2025-10-24 04:02:41.075194 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:14.100140 | 2025-10-24 04:02:40.270831 | 13771608 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-21 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_13771608_d51dc025-8ba8-4e9e-a274-f983dfb6c38a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-21 | 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 | 1275 | N/A | 5550812 | 2222 | N/A | N/A | N/A | 4219691 | 2025-10-24 04:02:40.270831 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:02:03.149338 | 2025-10-24 04:02:29.485827 | 13771600 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-07-15 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_13771600_a5611f46-d599-422d-8eb3-716b9955c06e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-15 | 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 | 1275 | N/A | 5550812 | 2222 | N/A | N/A | N/A | 4219691 | 2025-10-24 04:02:29.485827 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:01:59.589943 | 2025-10-24 04:02:25.621671 | 13771596 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-15 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_13771596_fbc05bed-d374-4f37-ba2f-c76d95683956.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-15 | 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 | 1275 | N/A | 5550812 | 2222 | N/A | N/A | N/A | 4219691 | 2025-10-24 04:02:25.621671 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:01:59.452590 | 2025-10-24 04:02:25.486962 | 13771594 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-18 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_13771594_49f6276f-64d3-417b-b148-4c898696431c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-18 | 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 | 1275 | N/A | 5550812 | 2222 | N/A | N/A | N/A | 4219691 | 2025-10-24 04:02:25.486962 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:01:58.168113 | 2025-10-24 04:02:24.191609 | 13771592 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-07-08 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543511/check_13771592_2506d8c1-f4b6-4fdc-9275-f673e2791aa7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-08 | 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 | 1275 | N/A | 5543511 | 2222 | N/A | N/A | N/A | 4215290 | 2025-10-24 04:02:24.191609 | 2025-05-13 04:29:37.229611 |
| 2025-10-24 04:01:57.740258 | 2025-10-24 04:02:23.852768 | 13771590 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-07 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_13771590_17ab89db-63fa-4267-8e1b-04fa9c328c00.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-07 | 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 | 1275 | N/A | 5550812 | 2222 | N/A | N/A | N/A | 4219691 | 2025-10-24 04:02:23.852768 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:01:57.285333 | 2025-10-24 04:02:23.248261 | 13771589 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-08-12 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_13771589_82c1d00e-8670-410d-8797-e5a6a748a9ae.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-12 | 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 | 1275 | N/A | 5550812 | 2222 | N/A | N/A | N/A | 4219691 | 2025-10-24 04:02:23.248261 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:01:49.096311 | 2025-10-24 04:01:51.796752 | 13771585 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-06-20 | N/A | PT | AE | 4497 | UPSON | 6MH7ED3NE57 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/9893712/check_13771585_e04a78a1-a393-4b37-93c3-66164677661e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9893712/check_13771585_da2f6d11-119f-4ee6-85c8-541e3f6497d0.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part B | N/A | CMS | N/A | 1960-10-21 | N/A | N/A | N/A | MB | 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 | 9100107615 | 1275 | N/A | 9893712 | 2222 | N/A | 14059787 | N/A | 4219691 | 2025-10-24 04:01:51.796752 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:01:48.033326 | 2025-10-24 04:02:15.047643 | 13771583 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-10-21 | 2025-06-24 | N/A | PT | AE | 4241 | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550812/check_13771583_c680cd5d-1641-475d-9c44-fc8585cbf776.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-24 | 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 | 1275 | N/A | 5550812 | 2222 | N/A | N/A | N/A | 4219691 | 2025-10-24 04:02:15.047643 | 2025-05-13 04:29:37.230736 |
| 2025-10-24 04:00:43.199528 | 2025-10-24 04:00:45.791787 | 13771568 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-09-27 | 2025-10-02 | N/A | PT | AE | 4497 | THOMSEN | 9K20UN5RX19 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/2222/11096603/check_13771568_90ad5fba-0b37-4395-9b18-e53f5ef5e33d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11096603/check_13771568_f77f7991-e218-4825-b1cd-940ccf681366.json | N/A | N/A | N/A | N/A | N/A | 9K20UN5RX19 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-27 | S4802 | N/A | N/A | MA | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9100103263 | 1275 | N/A | 11096603 | 2222 | N/A | 14059769 | N/A | 4210450 | 2025-10-24 04:00:45.791787 | 2026-05-04 21:51:25.248197 |
| 2025-10-24 03:35:15.109431 | 2025-10-24 03:35:19.734681 | 13771102 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-20 | 2025-07-30 | N/A | PT | AE | 3939 | GRANT | W285866811 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542136/check_13771102_9bbfca7e-c0be-4e31-bda9-e03b097aabbe.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542136/check_13771102_5436271e-f045-4d53-ab29-b319eb2d9ae2.json | N/A | N/A | N/A | N/A | N/A | W285866811 | N/A | N/A | AETNA | N/A | 1959-04-20 | 0193038 | 019303801200101 | N/A | N/A | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9099869379 | 1275 | N/A | 5542136 | 2222 | N/A | 14059313 | N/A | 4214087 | 2025-10-24 03:35:19.734681 | 2025-05-13 04:29:37.228402 |
| 2025-10-24 03:33:47.140725 | 2025-10-24 03:33:50.566350 | 13771070 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-20 | 2025-07-23 | N/A | PT | AE | 3939 | GRANT | W285866811 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542136/check_13771070_4f827005-f45b-4077-aebe-1752ccb281cd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542136/check_13771070_e8995858-9be4-46c5-9afa-2f2ebf1e049a.json | N/A | N/A | N/A | N/A | N/A | W285866811 | N/A | N/A | AETNA | N/A | 1959-04-20 | 0193038 | 019303801200101 | N/A | N/A | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9099867453 | 1275 | N/A | 5542136 | 2222 | N/A | 14059284 | N/A | 4214087 | 2025-10-24 03:33:50.566350 | 2025-05-13 04:29:37.228402 |
| 2025-10-23 23:22:42.337457 | 2025-10-23 23:22:47.355890 | 13770485 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-02-01 | 2025-10-27 | M | AE | PT | 23298 | YEE | 911-87726-04 | HARRY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541972/check_13770485_f3b7be9b-4bd1-4861-b15a-0e35aa288831.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_13770485_62f555a7-f61d-4644-abc0-bef490bfc419.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9099148938 | N/A | N/A | 5541972 | 2222 | N/A | 14058726 | N/A | 4213941 | 2025-10-23 23:22:47.355890 | 2025-05-13 04:29:37.228259 |
| 2025-10-23 19:51:26.216544 | 2025-10-23 19:51:29.998610 | 13768771 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-10-26 | 2025-10-29 | M | AE | PT | 2630 | HOLTZMAN | 0000055330 | JEREMY | https://storage.googleapis.com/normandy-eligibility-checks/2222/11201543/check_13768771_20f5d3c1-9a29-4fcd-8ce5-d80ad98e693b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11201543/check_13768771_4e4dc5c5-395c-4b1c-be09-ba9ce86788fb.json | N/A | N/A | N/A | N/A | N/A | 0000055330 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1970-10-26 | N/A | N/A | N/A | N/A | false | HOLTZMAN | N/A | JEREMY | 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 | 11201543 | 2222 | N/A | 14057062 | N/A | 9540477 | 2025-10-23 19:51:29.998610 | 2025-10-23 19:43:47.780161 |
| 2025-10-23 19:51:21.417184 | 2025-10-23 19:51:26.210944 | 13768769 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-10-26 | 2025-10-29 | M | AE | PT | 2630 | HOLTZMAN | 0000055330 | JEREMY | https://storage.googleapis.com/normandy-eligibility-checks/2222/11201543/check_13768769_30c4bacc-a4f8-42c0-aad5-0e4fdda3660f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-29 | N/A | N/A | N/A | N/A | N/A | N/A | 0000055330 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1970-10-26 | N/A | N/A | N/A | N/A | false | HOLTZMAN | N/A | JEREMY | 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 | 11201543 | 2222 | N/A | N/A | N/A | 9540477 | 2025-10-23 19:51:26.210944 | 2025-10-23 19:43:47.780161 |
| 2025-10-23 17:54:42.136628 | 2025-10-23 17:54:47.213248 | 13767407 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-14 | 2025-10-13 | M | PT | AE | 4185 | LI | AXV813538866 | ZHENG | https://storage.googleapis.com/normandy-eligibility-checks/2222/9605685/check_13767407_9f657204-869f-43aa-9ae4-12200d234684.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9605685/check_13767407_3457f768-351b-4e84-92e7-071b2aaeb31d.json | N/A | N/A | N/A | N/A | N/A | AXV813538866 | Preferred Provider Organization (PPO) | M75 ABBVIE ACTIVE PPO PLUS | CUSTOMER SERVICE | N/A | 1967-03-14 | N/A | 778092 | N/A | PR | false | SONG | N/A | JIU LI | N/A | 9999-12-31 | 2025-08-12 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9097339090 | 7692 | N/A | 9605685 | 2222 | N/A | 14055727 | N/A | 7790962 | 2025-10-23 17:54:47.213248 | 2025-09-10 20:25:23.128175 |