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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-23 17:42:43.553593 | 2025-10-23 17:42:53.678247 | 13767306 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-11-16 | 2025-10-10 | F | PT | AE | 4191 | HAYASHI | XLXR000032097727 | LAUREN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9938533/check_13767306_85ae30fb-c714-4bed-ab32-7f419321c0ef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9938533/check_13767306_6d970b5f-2daf-4a6f-a216-9319e18f3b2e.json | N/A | N/A | N/A | N/A | N/A | XLXR000032097727 | Preferred Provider Organization (PPO) | OSF INDIVIDUAL PLATINUM PPO W/ DENTAL HIGH (GOLD) | BLUE SHIELD OF CALIFORNIA | N/A | 2003-11-16 | N/A | 24048 1 | N/A | PR | false | HAYASHI | N/A | NANCY | N/A | 9999-12-31 | 2023-12-01 | PLATINUM PPO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9097233661 | 7692 | N/A | 9938533 | 2222 | N/A | 14055629 | N/A | 7582776 | 2025-10-23 17:42:53.678247 | 2025-09-24 22:06:50.112056 |
| 2025-10-23 17:29:54.612009 | 2025-10-23 17:30:06.812966 | 13767152 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-15 | 2025-10-07 | M | PT | AE | 4191 | Chizever | SBN015146 | Geoffrey | https://storage.googleapis.com/normandy-eligibility-checks/2222/9129353/check_13767152_58535f7e-d4d2-4c2c-96b8-d56a7d9cc226.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9129353/check_13767152_d49cd9aa-3105-4d5b-b8db-3d4da974cd00.json | N/A | N/A | N/A | N/A | N/A | SBN015146 | Preferred Provider Organization (PPO) | SBN STANDARD OPTION | BLUE SHIELD OF CALIFORNIA | N/A | 1986-05-15 | N/A | SBN | N/A | PR | false | CHIZEVER | N/A | GEOFFREY | N/A | 9999-12-31 | 2020-01-01 | SBN STANDARD OPTION | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9097143155 | 7692 | N/A | 9129353 | 2222 | N/A | 14055481 | N/A | 7142683 | 2025-10-23 17:30:06.812966 | 2026-01-12 20:01:37.957097 |
| 2025-10-23 17:11:06.321895 | 2025-10-23 17:11:13.247468 | 13766569 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-06-14 | 2025-10-14 | F | PT | AE | 4191 | VERWEY | R61817302 | CAREN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9094348/check_13766569_174a3247-654d-4839-ad68-3dd685a052a2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9094348/check_13766569_59fa7349-64e9-4bd2-a200-bdf76ab074a1.json | N/A | N/A | N/A | N/A | N/A | R61817302 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1960-06-14 | N/A | 35C | N/A | PR | false | VERWEY | N/A | CAREN | N/A | 9999-12-31 | 2025-01-01 | FEP BLUE FOCUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9097030979 | 7692 | N/A | 9094348 | 2222 | N/A | 14054905 | N/A | 6826965 | 2025-10-23 17:11:13.247468 | 2025-08-13 02:28:19.717631 |
| 2025-10-23 17:00:07.261196 | 2025-10-23 17:00:13.242716 | 13766173 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-21 | 2025-10-14 | M | PT | AE | 4191 | TOROS | SAD10359446700 | HALIL | https://storage.googleapis.com/normandy-eligibility-checks/2222/10015096/check_13766173_03d0ec02-9367-4f69-946e-b8922c0546de.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10015096/check_13766173_e757c289-bfc1-45fa-8b91-62a33e1e8f51.json | N/A | N/A | N/A | N/A | N/A | SAD10359446700 | Preferred Provider Organization (PPO) | SAS INSTITUTE INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1956-10-21 | FACETS | 14163533 | N/A | PR | false | TOROS | N/A | HALIL | N/A | 2025-12-31 | 2025-01-01 | BLUE OPTIONS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9096963062 | 7692 | N/A | 10015096 | 2222 | N/A | 14054518 | N/A | 6723602 | 2025-10-23 17:00:13.242716 | 2025-08-12 18:22:41.461515 |
| 2025-10-23 16:51:01.927350 | 2025-10-23 16:51:13.104876 | 13766021 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-03-26 | 2025-10-10 | F | PT | AE | 4191 | GRIFFIN | AWB60438907001 | ALISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9753874/check_13766021_2397be3a-b83e-4c76-b065-9197d6a0f11e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9753874/check_13766021_9d1c3300-e21a-4361-8c74-8d67b144a305.json | N/A | N/A | N/A | N/A | N/A | AWB60438907001 | Other | TECHNOLOGY - AWB | BLUE SHIELD OF CALIFORNIA | N/A | 2001-03-26 | N/A | 9522681 | N/A | OT | false | GRIFFIN | N/A | AMY | N/A | 9999-12-31 | 2024-12-01 | FULLY INSURED HDHP HERITAGE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9096910289 | 7692 | N/A | 9753874 | 2222 | N/A | 14054370 | N/A | 6442600 | 2025-10-23 16:51:13.104876 | 2025-09-03 23:37:28.319879 |
| 2025-10-23 16:50:20.367251 | 2025-10-23 16:50:23.265427 | 13766012 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-03-15 | 2025-11-03 | F | PT | N/A | 23277 | DUMAIS | JQV380A68679 | JULIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/11399834/check_13766012_afc34d5e-4ccf-4d52-84cf-32c6710c59cb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11399834/check_13766012_9fb7d26f-40f6-4e91-af4a-95efae7bd677.json | N/A | N/A | N/A | N/A | N/A | JQV380A68679 | Health Maintenance Organization (HMO) | BRIGHTSTAR PARTNERS INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 2002-03-15 | 040 | Q84248 | N/A | HM | false | DUMAIS | N/A | JULIA | N/A | 9999-12-31 | 2025-07-01 | CA SG SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9096905486 | N/A | N/A | 11399834 | 2222 | N/A | 14054360 | N/A | 9659468 | 2025-10-23 16:50:23.265427 | 2025-10-23 16:38:33.858959 |
| 2025-10-23 16:41:37.172663 | 2025-10-23 16:41:40.124208 | 13765972 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-06-03 | 2025-10-24 | M | PT | N/A | 23277 | STUMP | NCF282M98914 | COREY | https://storage.googleapis.com/normandy-eligibility-checks/2222/11108497/check_13765972_3927e031-65fa-40dc-aa63-3f1d21b88512.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11108497/check_13765972_af9b7b23-ccaf-4bf3-8863-8143a0476953.json | N/A | N/A | N/A | N/A | N/A | NCF282M98914 | Health Maintenance Organization (HMO) | VENTURA COUNTY DEPUTY SHERIFFS ASSOCIATION | ANTHEM BLUE CROSS | N/A | 1986-06-03 | 040 | 282004H010 | N/A | HM | false | STUMP | N/A | COREY | N/A | 9999-12-31 | 2022-01-01 | DEDUCTIBLE HMO SELECT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9096855386 | N/A | N/A | 11108497 | 2222 | N/A | 14054321 | N/A | 9458617 | 2025-10-23 16:41:40.124208 | 2025-10-24 17:23:08.365449 |
| 2025-10-23 16:30:11.578689 | 2025-10-23 16:30:14.534599 | 13765900 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-08-18 | 2025-10-16 | F | AE | PT | 4184 | DABBY | QUC118A54924 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/11058566/check_13765900_3783b1c7-3017-494e-acf4-e1e9bf72822c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11058566/check_13765900_743220e5-4250-4f53-a36c-2a1f1ffc18d5.json | N/A | N/A | N/A | N/A | N/A | QUC118A54924 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1978-08-18 | 040 | 280509A440 | N/A | PR | false | DABBY | N/A | LISA | N/A | 9999-12-31 | 2025-10-01 | UC HEALTH SAVINGS PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9096791035 | 162905 | N/A | 11058566 | 2222 | N/A | 14054249 | N/A | 4713001 | 2025-10-23 16:30:14.534599 | 2025-10-23 14:37:36.593472 |
| 2025-10-23 16:28:48.771903 | 2025-10-23 16:28:52.838487 | 13765891 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-08-18 | 2025-09-15 | F | AE | PT | 6411 | DABBY | 69863444000 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068059/check_13765891_92e5ba4e-e09d-48aa-a7ad-c97eacc46c44.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068059/check_13765891_cc56d645-8abb-48c4-a7f8-1d7b53b43033.json | N/A | N/A | N/A | N/A | N/A | 69863444000 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1978-08-18 | N/A | 1671793 | N/A | C1 | false | DABBY JOYCE | N/A | LISA | N/A | N/A | N/A | SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9096783623 | 162905 | N/A | 6068059 | 2222 | N/A | 14054240 | N/A | 4713001 | 2025-10-23 16:28:52.838487 | 2025-10-23 14:37:36.593472 |
| 2025-10-23 16:28:44.176233 | 2025-10-23 16:28:44.862096 | 13765888 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-08-18 | 2025-09-15 | F | AE | PT | N/A | DABBY | 69863444000 | LISA | N/A | UHC | N/A | INSIGHTS | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 162905 | N/A | 6068059 | 2222 | N/A | N/A | N/A | 4713001 | 2025-10-23 16:28:44.862096 | 2025-10-23 14:37:36.593472 |
| 2025-10-23 16:26:47.485680 | 2025-10-23 16:26:50.425305 | 13765873 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-06-14 | 2025-10-23 | M | AE | PT | 4191 | HARRIS | XEM913253164 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/2222/11150382/check_13765873_81c101d2-f91e-41a7-94ab-4861010aa72d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11150382/check_13765873_5f469a9d-a1e2-49b0-961b-dbbdde0bfcbb.json | N/A | N/A | N/A | N/A | N/A | XEM913253164 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-06-14 | 2002SE000030 | X0001002 | N/A | OT | false | HARRIS | N/A | SCOTT | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9096771156 | 162972 | N/A | 11150382 | 2222 | N/A | 14054223 | N/A | 9497887 | 2025-10-23 16:26:50.425305 | 2025-10-20 16:22:35.728267 |
| 2025-10-23 04:21:30.807411 | 2025-10-23 04:21:32.658390 | 13762214 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-09-15 | 2025-10-23 | F | AE | PT | 4497 | KHORSANDI | 3CF4YQ5UH79 | PARIVASH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536010/check_13762214_6fa2b52b-3e98-430e-8814-9c22456fbc19.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536010/check_13762214_e11b036b-51fc-4212-a66f-2b1008ca0d0d.json | N/A | N/A | N/A | N/A | N/A | 3CF4YQ5UH79 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-09-15 | S5921 | N/A | N/A | MA | false | KHORSANDI | N/A | PARIVASH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9091464397 | N/A | N/A | 5536010 | 2222 | N/A | 14050690 | N/A | 4208831 | 2025-10-23 04:21:32.658390 | 2025-10-30 22:42:31.399473 |
| 2025-10-23 04:21:21.587176 | 2025-10-23 04:21:23.665223 | 13762213 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-09-15 | 2025-10-23 | F | AE | PT | 4497 | KHORSANDI | 3CF4YQ5UH79 | PARIVASH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536010/check_13762213_7ded32cb-802a-49b9-8bf7-11b9b430142e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536010/check_13762213_7fcf53f8-22df-4f9f-ae8b-3218c010ca04.json | N/A | N/A | N/A | N/A | N/A | 3CF4YQ5UH79 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-09-15 | S5921 | N/A | N/A | MA | false | KHORSANDI | N/A | PARIVASH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9091464106 | N/A | N/A | 5536010 | 2222 | N/A | 14050689 | N/A | 4208831 | 2025-10-23 04:21:23.665223 | 2025-10-30 22:42:31.399473 |
| 2025-10-22 23:02:20.937514 | 2025-10-22 23:02:24.964458 | 13761541 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-08-08 | 2025-10-30 | F | AE | PT | 3948 | Rosentreter | W192442790 | Lesa | https://storage.googleapis.com/normandy-eligibility-checks/2222/11372698/check_13761541_1ea75972-80a2-442e-99cb-2c405b16a1ef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11372698/check_13761541_b779834a-fb71-4e02-9a39-58a643cf07be.json | N/A | N/A | N/A | N/A | N/A | W192442790 | Point of Service (POS) | LIONSGATE ENTERTAINMENT INC. | AETNA | N/A | 1979-08-08 | 0881709 | 088170902100001 | N/A | PS | false | ROSENTRETER | N/A | LESA | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9090413707 | N/A | N/A | 11372698 | 2222 | N/A | 14032012 | N/A | 9640743 | 2025-10-22 23:02:24.964458 | 2025-10-22 22:45:24.589906 |
| 2025-10-22 22:05:14.457730 | 2025-10-22 22:05:16.352062 | 13761032 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-05-16 | 2025-10-22 | F | PT | N/A | 4185 | BERRY | GGS142A51835 | LEANNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536701/check_13761032_171bc10c-e2da-4a1f-a4b5-b6aed1288655.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536701/check_13761032_37e4352a-5354-474e-91ff-20a3956da86f.json | N/A | N/A | N/A | N/A | N/A | GGS142A51835 | Preferred Provider Organization (PPO) | GOOGLE PPO | ANTHEM BLUE CROSS | N/A | 1975-05-16 | 040 | 174134M2A1 | N/A | PR | false | BERRY | N/A | CRAIG | N/A | 9999-12-31 | 2017-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9090186134 | N/A | N/A | 5536701 | 2222 | N/A | 14031391 | N/A | 4209398 | 2025-10-22 22:05:16.352062 | 2025-11-05 08:20:15.147573 |
| 2025-10-22 21:56:27.381648 | 2025-10-22 21:56:29.266139 | 13760957 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-01-13 | 2025-10-23 | F | AE | PT | 4497 | NAY | 5UC7QW0QK47 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/11175433/check_13760957_dcb430b1-6fc1-451a-90e4-9fd10f710dce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11175433/check_13760957_2637a596-4fea-4f98-8767-b81f5be6010f.json | N/A | N/A | N/A | N/A | N/A | 5UC7QW0QK47 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-01-13 | H4036 | N/A | N/A | MA | false | NAY | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9090152729 | N/A | N/A | 11175433 | 2222 | N/A | 14031293 | N/A | 9520463 | 2025-10-22 21:56:29.266139 | 2025-10-21 17:49:23.309023 |
| 2025-10-22 21:06:13.902225 | 2025-10-22 21:06:16.767935 | 13760561 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-08-24 | 2025-10-28 | M | PT | N/A | 4191 | ASHER | XEA905199322 | ZACHARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/11156602/check_13760561_0b0cc24d-1d5d-4c41-a0ff-5d62b4f6ae29.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11156602/check_13760561_86f72920-a150-4f8c-9a83-93e02b49fedb.json | N/A | N/A | N/A | N/A | N/A | XEA905199322 | Preferred Provider Organization (PPO) | DIGITAL LION MARKETING | BLUE SHIELD CALIFORNIA | N/A | 2011-08-24 | 1000VX000102 | W0005232 | N/A | PR | false | ASHER | N/A | RACHEL | N/A | 2030-08-31 | 2016-05-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9089916524 | N/A | N/A | 11156602 | 2222 | N/A | 14030847 | N/A | 9503413 | 2025-10-22 21:06:16.767935 | 2025-10-22 21:03:24.468784 |
| 2025-10-22 21:04:18.379678 | 2025-10-22 21:04:22.699849 | 13760532 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-01-06 | 2025-10-30 | M | AE | PT | N/A | Glaswand | 910084286 | Matthew | https://storage.googleapis.com/normandy-eligibility-checks/2222/11364623/check_13760532_1cfb2da2-f457-457d-b996-989eba9deae8.json | UHC | N/A | INSIGHTS | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364623/check_13760532_67a0c8cd-7b98-4ea1-8b96-b5174287c6d1.json | N/A | N/A | N/A | N/A | N/A | 910084286 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1993-01-06 | N/A | 903887 | N/A | C1 | false | GLASWAND | N/A | MATTHEW | N/A | N/A | N/A | POS CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 11364623 | 2222 | N/A | 14030820 | N/A | 9633386 | 2025-10-22 21:04:22.699849 | 2025-10-22 18:27:33.120022 |
| 2025-10-22 20:31:18.938465 | 2025-10-22 20:31:21.898231 | 13760287 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-04-28 | 2025-10-22 | M | PT | N/A | 23277 | FLORES | XDM534W24356 | BRIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/10346949/check_13760287_13c42eab-f77c-4dda-9345-08ba68b3571b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10346949/check_13760287_1d24f586-2c7d-4853-8764-1be5ace45531.json | N/A | N/A | N/A | N/A | N/A | XDM534W24356 | Health Maintenance Organization (HMO) | TEAMSTERS MISC SECURITY TRUST | ANTHEM BLUE CROSS | N/A | 2002-04-28 | 040 | 278680H023 | N/A | HM | false | FLORES | N/A | BRIAN | N/A | 9999-12-31 | 2025-07-01 | CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9089690443 | 161267 | N/A | 10346949 | 2222 | N/A | 14030513 | N/A | 8613420 | 2025-10-22 20:31:21.898231 | 2025-10-21 22:32:48.997763 |
| 2025-10-22 18:57:03.842394 | 2025-10-22 18:57:05.862344 | 13758733 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-09-01 | 2025-10-22 | M | AE | PT | N/A | BROWNELL | 937841928 | JASON | https://storage.googleapis.com/normandy-eligibility-checks/2222/8971099/check_13758733_cab0c769-879a-4487-9392-a30fa62eedb9.json | UHC | N/A | INSIGHTS | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8971099/check_13758733_83eafe1f-405f-47de-a6b9-9f0f1e307ee3.json | N/A | N/A | N/A | N/A | N/A | 937841928 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1973-09-01 | N/A | 942154 | N/A | C1 | false | BROWNELL | N/A | JASON | N/A | N/A | N/A | SELECT PLUS PPO CA 2024 DKS3 MOD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8971099 | 2222 | N/A | 14028757 | N/A | 7486549 | 2025-10-22 18:57:05.862344 | 2025-09-07 16:51:12.298737 |
| 2025-10-22 18:35:44.077241 | 2025-10-22 18:35:47.101020 | 13758491 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-07-11 | 2025-10-23 | F | AE | PT | 4497 | SAFAVI | 9AX5KK6UD79 | ASHRAF | https://storage.googleapis.com/normandy-eligibility-checks/2222/11183545/check_13758491_01640104-4396-4e1b-ac89-e0bfa4cf7f5f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11183545/check_13758491_65de186c-73ee-4416-961d-e370369719e5.json | N/A | N/A | N/A | N/A | N/A | 9AX5KK6UD79 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-07-11 | S4802 | N/A | N/A | MB | false | SAFAVI | N/A | ASHRAF | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9088962563 | 9487 | N/A | 11183545 | 2222 | N/A | 14028488 | N/A | 9459548 | 2025-10-22 18:35:47.101020 | 2025-10-17 18:54:00.807402 |
| 2025-10-22 18:30:50.181371 | 2025-10-22 18:30:55.108666 | 13758443 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-26 | 2025-10-17 | F | PT | N/A | 4191 | WU | MSJ60277172101 | ZEQIU | https://storage.googleapis.com/normandy-eligibility-checks/2222/9106039/check_13758443_b883ac66-853a-4b24-b1d7-267c7e6a0785.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9106039/check_13758443_0fb6979d-b009-4085-b3a0-a2be7890163a.json | N/A | N/A | N/A | N/A | N/A | MSJ60277172101 | Other | MICROSOFT | BLUE SHIELD OF CALIFORNIA | N/A | 1992-09-26 | N/A | 1000010 | N/A | OT | false | WU | N/A | ZEQIU | N/A | 9999-12-31 | 2024-04-30 | SELF-FUNDED HDHP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9088930703 | 6189 | N/A | 9106039 | 2222 | N/A | 14028433 | N/A | 7625945 | 2025-10-22 18:30:55.108666 | 2025-09-26 19:56:46.569009 |
| 2025-10-22 18:29:18.952009 | 2025-10-22 18:29:24.966637 | 13758426 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-26 | 2025-10-17 | F | PT | N/A | 4191 | WU | MSJ602771721 | ZEQIU | https://storage.googleapis.com/normandy-eligibility-checks/2222/9106039/check_13758426_b087bbd9-34c1-496d-bcec-0f560b26b14b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9106039/check_13758426_efa0db29-3c4d-40ec-a236-ebd6f009c3fd.json | N/A | N/A | N/A | N/A | N/A | MSJ60277172101 | Other | MICROSOFT | BLUE SHIELD OF CALIFORNIA | N/A | 1992-09-26 | N/A | 1000010 | N/A | OT | false | WU | N/A | ZEQIU | N/A | 9999-12-31 | 2024-04-30 | SELF-FUNDED HDHP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9088919688 | 6189 | N/A | 9106039 | 2222 | N/A | 14028413 | N/A | 7625945 | 2025-10-22 18:29:24.966637 | 2025-09-26 19:56:46.569009 |
| 2025-10-22 18:27:48.998335 | 2025-10-22 18:27:51.065614 | 13758409 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-26 | 2025-10-17 | F | PT | N/A | 4191 | WU | 602771721 | ZEQIU | https://storage.googleapis.com/normandy-eligibility-checks/2222/9106039/check_13758409_bbb2070b-e0bc-403f-8277-dd587b7c4887.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9106039/check_13758409_7db6b78a-9c38-40fd-8f0b-90e3d89ab453.json | N/A | N/A | N/A | N/A | N/A | 602771721 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1992-09-26 | N/A | N/A | N/A | N/A | false | WU | N/A | ZEQIU | 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 | 6189 | N/A | 9106039 | 2222 | N/A | 14028394 | N/A | 7625945 | 2025-10-22 18:27:51.065614 | 2025-09-26 19:56:46.569009 |
| 2025-10-22 18:27:46.126393 | 2025-10-22 18:27:48.985643 | 13758407 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-26 | 2025-10-17 | F | PT | N/A | 4191 | WU | 602771721 | ZEQIU | https://storage.googleapis.com/normandy-eligibility-checks/2222/9106039/check_13758407_0d044322-4a5b-44d6-8f52-d3cc8d8291a9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 602771721 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1992-09-26 | N/A | N/A | N/A | N/A | false | WU | N/A | ZEQIU | 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 | 6189 | N/A | 9106039 | 2222 | N/A | N/A | N/A | 7625945 | 2025-10-22 18:27:48.985643 | 2025-09-26 19:56:46.569009 |
| 2025-10-22 18:19:22.312543 | 2025-10-22 18:19:25.509341 | 13758341 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-01-17 | 2025-10-22 | M | AE | PT | 4191 | WAHL | XEM912647011 | LELAND | https://storage.googleapis.com/normandy-eligibility-checks/2222/11364482/check_13758341_b90567e2-7072-47bb-8b47-5c4223e48e2f.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364482/check_13758341_a00057fe-8c35-4fd9-bb4e-39a49c8b3c97.json | N/A | N/A | N/A | N/A | N/A | XEM912647011 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-01-17 | 2002SE000030 | X0001002 | N/A | OT | false | WAHL | N/A | LELAND | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9088854209 | N/A | N/A | 11364482 | 2222 | N/A | 14028318 | N/A | 9633229 | 2025-10-22 18:19:25.509341 | 2026-02-05 17:07:37.378883 |
| 2025-10-22 18:19:21.783637 | 2025-10-22 18:19:25.314045 | 13758340 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-01-17 | 2025-10-22 | M | AE | PT | 4497 | WAHL | 6CX2NW3WP90 | LELAND | https://storage.googleapis.com/normandy-eligibility-checks/2222/11364481/check_13758340_42912be2-9284-46b0-bc31-ef73eefd7480.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364481/check_13758340_1ef60a85-43e5-4843-a1df-1431dba11bfa.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MA | false | WAHL | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9088854148 | N/A | N/A | 11364481 | 2222 | N/A | 14028317 | N/A | 9633229 | 2025-10-22 18:19:25.314045 | 2026-02-05 17:07:37.378883 |
| 2025-10-22 17:00:07.932388 | 2025-10-22 17:00:12.185037 | 13756906 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-01-18 | 2025-10-22 | F | AE | PT | 5349 | CANO | H7655502400 | ADELAIDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7796425/check_13756906_7e479596-c659-425b-9dd6-d11f7f068b79.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7796425/check_13756906_6e453335-6e82-4074-b38e-f3751421db25.json | N/A | N/A | N/A | N/A | N/A | H76555024 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 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 | 1953-01-18 | N/A | 0B635001 | N/A | HN | false | CANO | N/A | ADELAIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9088019333 | N/A | N/A | 7796425 | 2222 | N/A | 14026867 | N/A | 6638534 | 2025-10-22 17:00:12.185037 | 2025-08-05 23:10:54.464587 |
| 2025-10-22 16:05:44.538989 | 2025-10-22 16:05:47.624447 | 13755669 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-19 | 2025-10-29 | M | PT | N/A | 4185 | CHELIUS | JXN662A51170 | CADEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539929/check_13755669_392e507b-00fd-499d-89bc-3188c729b9da.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539929/check_13755669_58353bc3-1f21-43ba-8af6-86981d287cb0.json | N/A | N/A | N/A | N/A | N/A | JXN662A51170 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2011-01-19 | 040 | 174222M9A1 | N/A | PR | false | CHELIUS | N/A | CRAIG | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9087422648 | N/A | N/A | 5539929 | 2222 | N/A | 14025553 | N/A | 4212158 | 2025-10-22 16:05:47.624447 | 2025-10-22 16:00:14.919111 |
| 2025-10-22 15:57:08.900680 | 2025-10-22 15:57:12.545003 | 13755613 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-08-31 | 2025-10-22 | M | AE | PT | 4191 | NADRICH | XEM905604302 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538999/check_13755613_655f7ed9-e31f-46fe-a6b9-fa916a1a5b8b.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538999/check_13755613_06002eb0-17c1-4e2b-ae7e-56832974c371.json | N/A | N/A | N/A | N/A | N/A | XEM905604302 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1950-08-31 | 2004SE000030 | X0001002 | N/A | OT | false | NADRICH | N/A | JEFFREY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9087298728 | N/A | N/A | 5538999 | 2222 | N/A | 14025483 | N/A | 4211316 | 2025-10-22 15:57:12.545003 | 2025-05-13 04:29:37.225679 |
| 2025-10-22 15:57:08.107666 | 2025-10-22 15:57:11.164844 | 13755612 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-08-31 | 2025-10-22 | M | AE | PT | 4497 | NADRICH | 1NJ2V04GK04 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538990/check_13755612_b2ed3180-85d9-44fb-ae72-40071f8e4ef2.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538990/check_13755612_ecca41ef-7728-4828-9519-49bc92ce1e5d.json | N/A | N/A | N/A | N/A | N/A | 1NJ2V04GK04 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-08-31 | S5601 | N/A | N/A | MB | false | NADRICH | N/A | JEFF | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9087298392 | N/A | N/A | 5538990 | 2222 | N/A | 14025482 | N/A | 4211316 | 2025-10-22 15:57:11.164844 | 2025-05-13 04:29:37.225679 |
| 2025-10-22 15:49:23.752618 | 2025-10-22 15:49:25.905111 | 13755545 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-10-11 | 2025-10-22 | F | AE | PT | 4497 | RAJAGOPAL | 6NK4E48P60 | JAYASHREE | https://storage.googleapis.com/normandy-eligibility-checks/2222/11103632/check_13755545_989495e1-8358-4e76-b3fc-1288da2ec8f1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11103632/check_13755545_6b01aa58-8345-4756-83c7-a65102465164.json | N/A | N/A | N/A | N/A | N/A | 6NK4E48P60 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1950-10-11 | N/A | N/A | N/A | N/A | false | RAJAGOPAL | N/A | JAYASHREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 162972 | N/A | 11103632 | 2222 | N/A | 14025402 | N/A | 9454101 | 2025-10-22 15:49:25.905111 | 2025-10-17 16:18:33.541597 |
| 2025-10-22 15:49:21.849460 | 2025-10-22 15:49:23.749038 | 13755544 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-10-11 | 2025-10-22 | F | AE | PT | 4497 | RAJAGOPAL | 6NK4E48P60 | JAYASHREE | https://storage.googleapis.com/normandy-eligibility-checks/2222/11103632/check_13755544_6f4b3241-3fbb-45c3-857a-2259ae85c08c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-22 | N/A | N/A | N/A | N/A | N/A | N/A | 6NK4E48P60 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1950-10-11 | N/A | N/A | N/A | N/A | false | RAJAGOPAL | N/A | JAYASHREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 162972 | N/A | 11103632 | 2222 | N/A | N/A | N/A | 9454101 | 2025-10-22 15:49:23.749038 | 2025-10-17 16:18:33.541597 |
| 2025-10-22 15:45:44.997063 | 2025-10-22 15:45:49.941189 | 13755504 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-22 | 2025-10-22 | M | PT | N/A | 4184 | WRIGHT | XYQM60508454 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/11111580/check_13755504_ae4ec192-7001-42b4-87e3-373c2edda92b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111580/check_13755504_164160f7-eaf3-49e1-9cca-a7182c1e2d4f.json | N/A | N/A | N/A | N/A | N/A | XYQM60508454 | Preferred Provider Organization (PPO) | MARKETING ASSOCIATES, INC. DBA | ANTHEM BLUE CROSS | N/A | 1980-09-22 | 710 | 0070092190003001 | N/A | PR | false | WRIGHT | N/A | WILLIAM | N/A | 9999-12-31 | 2025-03-01 | SIMPLY BLUE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9087106929 | N/A | N/A | 11111580 | 2222 | N/A | 14025351 | N/A | 9461772 | 2025-10-22 15:45:49.941189 | 2025-10-21 22:02:26.202674 |
| 2025-10-22 15:07:26.672169 | 2025-10-22 15:07:29.488255 | 13755077 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-11-17 | 2025-10-22 | M | PT | N/A | 4185 | HAMILTON | KZU14135950E | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538409/check_13755077_496c4faf-50f7-4e70-8942-6606964043e9.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538409/check_13755077_046f8ef8-2ba9-4586-9025-9673aeb4a756.json | N/A | N/A | N/A | N/A | N/A | KZU14135950E | Preferred Provider Organization (PPO) | AEROVIRONMENT INC | ANTHEM BLUE CROSS | N/A | 1995-11-17 | 040 | 277825M007 | N/A | PR | false | HAMILTON | N/A | JAMES | N/A | 9999-12-31 | 2022-10-10 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9086636859 | N/A | N/A | 5538409 | 2222 | N/A | 14024876 | N/A | 4210828 | 2025-10-22 15:07:29.488255 | 2025-05-13 04:29:37.225234 |
| 2025-10-22 08:59:07.808904 | 2025-10-22 08:59:10.945695 | 13752045 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-09-12 | 2025-10-20 | N/A | PT | AE | 4185 | Guzzo | JQU895W23533 | Aaron | https://storage.googleapis.com/normandy-eligibility-checks/2222/9274785/check_13752045_4f4b6247-3d1f-4a12-875c-872547549edf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9274785/check_13752045_1517a6c2-19ba-4cbf-805c-bbb5f201ef50.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | ANTHEM BLUE CROSS | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9083073932 | 1275 | N/A | 9274785 | 2222 | N/A | 14021387 | N/A | 6451061 | 2025-10-22 08:59:10.945695 | 2025-07-28 22:43:26.605856 |
| 2025-10-22 08:53:35.581213 | 2025-10-22 08:53:39.888941 | 13752005 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-01-16 | 2025-10-20 | N/A | PT | AE | 4185 | FUSCO | JXN481A63814 | ANGELA | https://storage.googleapis.com/normandy-eligibility-checks/2222/11048906/check_13752005_d5e06a4e-0694-4d08-a289-d0c5da041492.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11048906/check_13752005_7948c2a6-6c87-4ae8-86ae-f6ee50214c63.json | N/A | N/A | N/A | N/A | N/A | JXN481A63814 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1973-01-16 | 040 | 174222M2A1 | N/A | PR | false | FUSCO | N/A | ANGELA | N/A | 9999-12-31 | 2022-04-25 | BC PPO INCENTIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9083057471 | 1275 | N/A | 11048906 | 2222 | N/A | 14021336 | N/A | 6978593 | 2025-10-22 08:53:39.888941 | 2025-09-18 02:55:14.560582 |
| 2025-10-22 08:47:16.085402 | 2025-10-22 08:47:17.943875 | 13751856 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13751856_354890ec-6ee9-48f9-9597-dc2b10c39f25.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_13751856_d1305a21-1d58-47f0-aed8-37bb029f5f1a.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | 14021170 | N/A | 4215317 | 2025-10-22 08:47:17.943875 | 2025-06-24 21:13:18.739779 |
| 2025-10-22 08:47:14.252007 | 2025-10-22 08:47:16.077013 | 13751853 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13751853_481bd125-7028-4cbf-9840-fcc654a5f6ad.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-10-22 08:47:16.077013 | 2025-06-24 21:13:18.739779 |
| 2025-10-22 08:47:11.838217 | 2025-10-22 08:47:13.690540 | 13751849 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13751849_0bb0376c-407d-44dc-9009-1fb079baf238.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_13751849_99784273-cf03-4297-a15b-8bb949446ab3.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | 14021163 | N/A | 4215317 | 2025-10-22 08:47:13.690540 | 2025-06-24 21:13:18.739779 |
| 2025-10-22 08:47:10.093083 | 2025-10-22 08:47:11.833019 | 13751847 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13751847_413dfbf6-f37f-45d5-aeb9-c17cdf546887.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-10-22 08:47:11.833019 | 2025-06-24 21:13:18.739779 |
| 2025-10-22 08:47:07.678648 | 2025-10-22 08:47:09.641135 | 13751844 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13751844_ada7e21f-06ce-402a-9c79-6cde7836a1ce.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_13751844_6b1273b1-c07a-4c5e-b360-a6e329a81d3e.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | 14021158 | N/A | 4215317 | 2025-10-22 08:47:09.641135 | 2025-06-24 21:13:18.739779 |
| 2025-10-22 08:47:05.859891 | 2025-10-22 08:47:07.673340 | 13751840 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13751840_8e6e39b7-b7cf-465f-b8f0-d9ea695f22b0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-10-22 08:47:07.673340 | 2025-06-24 21:13:18.739779 |
| 2025-10-22 08:47:03.434279 | 2025-10-22 08:47:05.265113 | 13751837 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13751837_6f483790-2d31-49a5-bfaa-20388552adc8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_13751837_d8c802ee-d9ed-4675-b1c3-94d87b4407f3.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | 14021151 | N/A | 4215317 | 2025-10-22 08:47:05.265113 | 2025-06-24 21:13:18.739779 |
| 2025-10-22 08:47:01.673830 | 2025-10-22 08:47:03.429926 | 13751835 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13751835_37ab4903-4138-4a78-b7ca-9f9853d037c7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-10-22 08:47:03.429926 | 2025-06-24 21:13:18.739779 |
| 2025-10-22 08:46:58.865239 | 2025-10-22 08:47:01.001496 | 13751832 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13751832_57f73d9c-665c-449a-9f59-c1992fe348f6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_13751832_3fe89d79-4286-404b-a16d-c58134a1294e.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | 14021146 | N/A | 4215317 | 2025-10-22 08:47:01.001496 | 2025-06-24 21:13:18.739779 |
| 2025-10-22 08:46:49.958042 | 2025-10-22 08:46:58.858789 | 13751824 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13751824_ca125779-1d72-4681-92ce-e6b1e38e5d40.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-10-22 08:46:58.858789 | 2025-06-24 21:13:18.739779 |
| 2025-10-22 08:46:22.190651 | 2025-10-22 08:46:24.050659 | 13751799 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13751799_39bf27a6-c928-4dd6-9973-d9fa3859dff3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_13751799_3400586d-05a1-406f-a42c-88c54a381252.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | 14021111 | N/A | 4215317 | 2025-10-22 08:46:24.050659 | 2025-06-24 21:13:18.739779 |
| 2025-10-22 08:46:20.325631 | 2025-10-22 08:46:22.186245 | 13751797 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13751797_de0aae57-455f-4d35-8717-2bba96808074.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-10-22 08:46:22.186245 | 2025-06-24 21:13:18.739779 |
| 2025-10-22 08:46:18.119725 | 2025-10-22 08:46:19.942500 | 13751792 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13751792_935b92e1-e878-488c-b2b7-fd24ddb617fb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_13751792_a7e30920-f7bd-4691-813d-cde450371a0e.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | 14021106 | N/A | 4215317 | 2025-10-22 08:46:19.942500 | 2025-06-24 21:13:18.739779 |