API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-04 22:14:12.266686 | 2025-06-04 22:14:18.136634 | 8552837 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-06-04 | F | PT | AE | 2630 | QUIJANO CASTRO | 00000259543 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540970/check_8552837_30b80bd4-f4ea-44ef-a4ab-f7b75ce88e73.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540970/check_8552837_35f7366b-b742-4ac4-9e7a-0383d4b3290c.json | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 5540970 | 2222 | N/A | 8250486 | N/A | 4213051 | 2025-06-04 22:14:18.136634 | 2025-05-13 04:29:37.227377 |
| 2025-06-04 22:14:10.635930 | 2025-06-04 22:14:12.262306 | 8552836 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-06-04 | F | PT | AE | 2630 | QUIJANO CASTRO | 00000259543 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540970/check_8552836_cf7d2d70-b352-4f68-8b2d-50998fe8a571.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 5540970 | 2222 | N/A | N/A | N/A | 4213051 | 2025-06-04 22:14:12.262306 | 2025-05-13 04:29:37.227377 |
| 2025-06-04 22:13:48.380698 | 2025-06-04 22:13:53.225309 | 8552834 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-05-15 | 2025-06-05 | M | PT | AE | 4184 | BAIRD | XEH909620608 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542883/check_8552834_f918cf59-9e8b-48e2-9fc0-d85a18a2d482.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542883/check_8552834_32e50d07-986e-45f1-8df4-93c1e769ff53.json | N/A | N/A | N/A | N/A | N/A | XEH909620608 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 2007-05-15 | 1479HMOX0001 | W0051411 | N/A | HM | false | BAIRD | N/A | SHAYA | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822908756 | 2708 | N/A | 5542883 | 2222 | N/A | 8250479 | N/A | 4214747 | 2025-06-04 22:13:53.225309 | 2025-05-13 04:29:37.229066 |
| 2025-06-04 22:13:37.023763 | 2025-06-04 22:13:50.889771 | 8552833 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-10-12 | 2025-06-05 | F | PT | AE | 4184 | KOOMAN ANDERSON | KXJ461W13871 | SARIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542565/check_8552833_f11ce3e3-99cf-41b1-b771-4caf7cf2f6e4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542565/check_8552833_52aef60a-3359-410f-81b2-89ded9edcb63.json | N/A | N/A | N/A | N/A | N/A | KXJ461W13871 | Health Maintenance Organization (HMO) | OAKS CHRISTIAN SCHOOL | ANTHEM BLUE CROSS | N/A | 1962-10-12 | 040 | L03502H004 | N/A | HM | false | KOOMAN ANDERSON | N/A | SARIE | N/A | 9999-12-31 | 2024-09-01 | PREMIER SELECT HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822907916 | 2708 | N/A | 5542565 | 2222 | N/A | 8250478 | N/A | 4214430 | 2025-06-04 22:13:50.889771 | 2025-06-03 20:17:16.657562 |
| 2025-06-04 22:13:28.184469 | 2025-06-04 22:13:31.927709 | 8552832 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-05-15 | 2025-06-06 | M | PT | N/A | 4185 | MARTINS | RBL3798706CT | SHANE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068064/check_8552832_b7ebf24c-1e73-4a56-9766-83198c572d39.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068064/check_8552832_50ca0c33-44e7-45d4-9e2e-87e890a8f316.json | N/A | N/A | N/A | N/A | N/A | RBL3798706CT | Preferred Provider Organization (PPO) | RED BULL NORTH AMERICA INC | ANTHEM BLUE CROSS | N/A | 1988-05-15 | 040 | 280677M001 | N/A | PR | false | MARTINS | N/A | SHANE | N/A | 9999-12-31 | 2025-01-20 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7822907204 | 5831 | N/A | 6068064 | 2222 | N/A | 8250477 | N/A | 4713005 | 2025-06-04 22:13:31.927709 | 2025-06-04 22:12:12.088421 |
| 2025-06-04 22:13:26.217689 | 2025-06-04 22:13:28.997952 | 8552831 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-13 | 2025-06-06 | F | PT | AE | 4184 | ADRIANZEN FERNAN | MMA221W20054 | AURA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541944/check_8552831_6ca156f3-35db-4b90-b0b4-f79ff0a6e6e2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_8552831_db90a6fb-1e16-42ab-848f-8826b28b1e97.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822907034 | 2708 | N/A | 5541944 | 2222 | N/A | 8250476 | N/A | 4213907 | 2025-06-04 22:13:28.997952 | 2025-05-13 04:29:37.228228 |
| 2025-06-04 22:13:15.778828 | 2025-06-04 22:13:20.604402 | 8552830 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-07 | 2025-06-05 | M | PT | AE | 4184 | MEINERT | XEH912496752 | TIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543360/check_8552830_ce11c9c2-537c-49eb-8a89-a2acaed89024.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543360/check_8552830_833b5137-f7b2-468f-b2a1-a1aecd641c05.json | N/A | N/A | N/A | N/A | N/A | XEH912496752 | Health Maintenance Organization (HMO) | MILKEN COMMUNITY SCHOOLS | ANTHEM BLUE CROSS | N/A | 1960-09-07 | 1000HMOX0001 | W0070317 | N/A | HM | false | MEINERT | N/A | TIMOTHY | N/A | N/A | N/A | ACCESS HMO R PER ADMIT 10 250 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822906225 | 2708 | N/A | 5543360 | 2222 | N/A | 8250475 | N/A | 4215161 | 2025-06-04 22:13:20.604402 | 2025-05-13 04:29:37.229478 |
| 2025-06-04 22:13:06.409128 | 2025-06-04 22:13:09.176190 | 8552828 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-06-25 | 2025-06-05 | F | PT | AE | 4184 | LORD | JQK822A53740 | ALYSSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541409/check_8552828_a0fb966a-2b95-4c54-a6fe-10ae5cc6a1fc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541409/check_8552828_171b85ef-d95f-4a07-a5be-195055f71332.json | N/A | N/A | N/A | N/A | N/A | JQK822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | ANTHEM BLUE CROSS | N/A | 2012-06-25 | 040 | Q84816 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2024-08-01 | CA SG ANTHEM HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822905491 | 2708 | N/A | 5541409 | 2222 | N/A | 8250471 | N/A | 4213435 | 2025-06-04 22:13:09.176190 | 2025-05-13 04:29:37.227756 |
| 2025-06-04 22:12:49.064717 | 2025-06-04 22:12:52.875246 | 8552824 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-08-02 | 2025-06-05 | M | PT | AE | 4184 | CHADIDA | XEE980517790 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538674/check_8552824_bfab3674-00dd-44f9-8c4e-5674f280fb8c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_8552824_7761c228-afd9-4ebf-a992-0730eeea4489.json | N/A | N/A | N/A | N/A | N/A | XEE980517790 | Health Maintenance Organization (HMO) - Medicare Risk | MEDICARE ADVANTAGE INDIVIDUAL | ANTHEM BLUE CROSS | N/A | 1951-08-02 | 1000DPPOX001 | W0051752 | N/A | HN | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | BLUE SHIELD 65 PLUS HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822904146 | 2708 | N/A | 5538674 | 2222 | N/A | 8250467 | N/A | 4211039 | 2025-06-04 22:12:52.875246 | 2025-05-13 04:29:37.225444 |
| 2025-06-04 22:12:46.225240 | 2025-06-04 22:12:47.979730 | 8552823 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-05-15 | 2025-06-06 | M | PT | N/A | 4185 | MARTINS | RBL3790706CT | SHANE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068064/check_8552823_90ff6499-b8cb-485e-9f2d-c2128669e759.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068064/check_8552823_e96c71b3-cb4a-4967-92f3-716f81704577.json | N/A | N/A | N/A | N/A | N/A | RBL3790706CT | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1988-05-15 | N/A | N/A | N/A | N/A | false | MARTINS | N/A | SHANE | 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 | 5831 | N/A | 6068064 | 2222 | N/A | 8250465 | N/A | 4713005 | 2025-06-04 22:12:47.979730 | 2025-06-04 22:12:12.088421 |
| 2025-06-04 22:12:43.621304 | 2025-06-04 22:12:46.222993 | 8552822 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-05-15 | 2025-06-06 | M | PT | N/A | 4185 | MARTINS | RBL3790706CT | SHANE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068064/check_8552822_fd9db73b-feae-488b-98a4-6eea1c63af88.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | RBL3790706CT | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1988-05-15 | N/A | N/A | N/A | N/A | false | MARTINS | N/A | SHANE | 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 | 5831 | N/A | 6068064 | 2222 | N/A | N/A | N/A | 4713005 | 2025-06-04 22:12:46.222993 | 2025-06-04 22:12:12.088421 |
| 2025-06-04 22:12:35.644639 | 2025-06-04 22:12:38.440686 | 8552821 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-04-03 | 2025-06-05 | F | PT | AE | 4184 | OBLINGER | JQS491M78254 | MARIA DEL CARMEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676340/check_8552821_198709b2-5632-4468-af83-994435fca7a1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_8552821_a8d08fd8-6441-40d4-878a-5a1fd9fc4881.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822903202 | 2708 | N/A | 5676340 | 2222 | N/A | 8250463 | N/A | 4210531 | 2025-06-04 22:12:38.440686 | 2025-12-09 17:09:13.960610 |
| 2025-06-04 22:12:25.442427 | 2025-06-04 22:12:28.396933 | 8552820 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-13 | 2025-06-04 | F | PT | AE | 4184 | ADRIANZEN FERNAN | MMA221W20054 | AURA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541944/check_8552820_2349efa7-4b1d-4789-97ca-88caa35f0980.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_8552820_9a3f462b-e4a3-4a9d-98e3-63aefcf6ada4.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822902235 | 2708 | N/A | 5541944 | 2222 | N/A | 8250462 | N/A | 4213907 | 2025-06-04 22:12:28.396933 | 2025-05-13 04:29:37.228228 |
| 2025-06-04 22:12:19.444253 | 2025-06-04 22:12:21.215827 | 8552819 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-05-15 | 2025-06-06 | M | PT | N/A | 4185 | MARTINS | MISSINGPOLICYNUMBER | SHANE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068064/check_8552819_c6178399-aa04-40bb-b3a5-083b59ef7b28.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068064/check_8552819_d11384ac-4f99-49a6-9ddb-ae257116f946.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1988-05-15 | N/A | N/A | N/A | N/A | false | MARTINS | N/A | SHANE | 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 | 5831 | N/A | 6068064 | 2222 | N/A | 8250461 | N/A | 4713005 | 2025-06-04 22:12:21.215827 | 2025-06-04 22:12:12.088421 |
| 2025-06-04 22:12:18.199299 | 2025-06-04 22:12:20.088399 | 8552818 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-06-06 | M | PT | AE | 4497 | ULLMAN PP | 8HC8F35AX50 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535838/check_8552818_a2a864be-a34e-450d-b194-15b59675baad.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_8552818_d61aa65d-d9ed-4cee-b834-7f032e1ce3c6.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 | 7822901652 | 7929 | N/A | 5535838 | 2222 | N/A | 8250460 | N/A | 4208696 | 2025-06-04 22:12:20.088399 | 2025-06-07 16:16:45.844566 |
| 2025-06-04 22:12:17.850841 | 2025-06-04 22:12:19.442708 | 8552817 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-05-15 | 2025-06-06 | M | PT | N/A | 4185 | MARTINS | MISSINGPOLICYNUMBER | SHANE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068064/check_8552817_fa1c6f37-b0b7-49e7-a4c3-f3490e37563f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1988-05-15 | N/A | N/A | N/A | N/A | false | MARTINS | N/A | SHANE | 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 | 5831 | N/A | 6068064 | 2222 | N/A | N/A | N/A | 4713005 | 2025-06-04 22:12:19.442708 | 2025-06-04 22:12:12.088421 |
| 2025-06-04 22:12:13.564780 | 2025-06-04 22:12:16.341249 | 8552816 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-01-23 | 2025-06-05 | F | PT | AE | 4184 | HINKLE | NCF051W08046 | MARLENA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550925/check_8552816_108f7090-2dec-44cc-bc38-4eca6086b6bc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550925/check_8552816_ba48d00e-70ad-41ff-8a54-c5293f993014.json | N/A | N/A | N/A | N/A | N/A | 935M99657 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1989-01-23 | 040 | 57AJCA | N/A | HM | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2021-03-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822901330 | 2708 | N/A | 5550925 | 2222 | N/A | 8250458 | N/A | 4219772 | 2025-06-04 22:12:16.341249 | 2025-11-18 00:45:16.378261 |
| 2025-06-04 22:11:49.436972 | 2025-06-04 22:11:52.233671 | 8552814 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-06-06 | M | PT | AE | 4497 | ULLMAN PP | 8HC8F35AX50 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535838/check_8552814_3d17843b-6892-4872-9b6e-4d987d9f4d68.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_8552814_94bb32ca-31aa-48a3-8826-f9cf99dfccc9.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 | 7822899525 | 7929 | N/A | 5535838 | 2222 | N/A | 8250452 | N/A | 4208696 | 2025-06-04 22:11:52.233671 | 2025-06-07 16:16:45.844566 |
| 2025-06-04 22:11:48.783926 | 2025-06-04 22:11:53.548607 | 8552813 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-09-02 | 2025-06-05 | M | PT | AE | 4184 | SUMBY | XEH905944609 | PATRICK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542959/check_8552813_8fb70f61-0e06-41bd-896d-96419069075c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542959/check_8552813_61cb9002-6f14-476c-b673-a8848eaf0b69.json | N/A | N/A | N/A | N/A | N/A | XEH905944609 | Health Maintenance Organization (HMO) | SOHONET INC | ANTHEM BLUE CROSS | N/A | 1984-09-02 | 1000VX000101 | W0090700 | N/A | HM | false | SUMBY | N/A | PATRICK | N/A | 9999-12-31 | 2019-10-01 | SG EMB PED VISION INO FOR HMO DMHC OFFEX | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822899467 | 2708 | N/A | 5542959 | 2222 | N/A | 8250453 | N/A | 4214811 | 2025-06-04 22:11:53.548607 | 2025-05-13 04:29:37.229134 |
| 2025-06-04 22:11:33.941728 | 2025-06-04 22:11:36.805816 | 8552812 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-27 | 2025-06-04 | F | PT | AE | 4184 | BARAJAS | NCF425A56241 | EMMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543324/check_8552812_53b5cabf-8cce-43d0-afd8-88561c66fd1e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_8552812_fd009a81-53e2-4332-83af-3cd6e51b07d1.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677WR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822898222 | 2708 | N/A | 5543324 | 2222 | N/A | 8250449 | N/A | 4215131 | 2025-06-04 22:11:36.805816 | 2025-08-11 16:45:52.816842 |
| 2025-06-04 22:11:25.732656 | 2025-06-04 22:11:30.541378 | 8552811 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-12-30 | 2025-06-05 | F | PT | AE | 4625 | DICKSON | R07337778FD1 | CAILEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536227/check_8552811_9a5e149b-1873-47c7-b0ee-7d06d50ddc5c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536227/check_8552811_caa8cbbc-1dd9-435a-a772-b42fdb6b9177.json | N/A | N/A | N/A | N/A | N/A | R07337778FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2009-12-30 | N/A | N/A | N/A | N/A | false | DICKSON | N/A | CAILEY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 5536227 | 2222 | N/A | 8250448 | N/A | 4209013 | 2025-06-04 22:11:30.541378 | 2025-06-03 20:19:45.253620 |
| 2025-06-04 22:11:23.116426 | 2025-06-04 22:11:25.729088 | 8552810 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-12-30 | 2025-06-05 | F | PT | AE | 4625 | DICKSON | R07337778FD1 | CAILEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536227/check_8552810_b4d308a9-edac-43f9-ac98-cca5a8b6fd19.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | R07337778FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2009-12-30 | N/A | N/A | N/A | N/A | false | DICKSON | N/A | CAILEY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 5536227 | 2222 | N/A | N/A | N/A | 4209013 | 2025-06-04 22:11:25.729088 | 2025-06-03 20:19:45.253620 |
| 2025-06-04 22:11:15.270172 | 2025-06-04 22:11:17.973309 | 8552809 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-02-07 | 2025-06-05 | F | PT | AE | 4625 | SHEPHERD | 93180838F | EMILY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541519/check_8552809_038924f3-fe8b-4eda-b17f-85892b1f265b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_8552809_9406df94-8403-4dbc-8efe-a036438fbaaa.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 5541519 | 2222 | N/A | 8250445 | N/A | 4213530 | 2025-06-04 22:11:17.973309 | 2025-05-13 04:29:37.227860 |
| 2025-06-04 22:11:12.649681 | 2025-06-04 22:11:15.268182 | 8552807 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-02-07 | 2025-06-05 | F | PT | AE | 4625 | SHEPHERD | 93180838F | EMILY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541519/check_8552807_5edfaa90-8113-4dc8-9ea9-abb755d3f95b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 5541519 | 2222 | N/A | N/A | N/A | 4213530 | 2025-06-04 22:11:15.268182 | 2025-05-13 04:29:37.227860 |
| 2025-06-04 22:10:59.664867 | 2025-06-04 22:11:02.456959 | 8552806 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-05-10 | 2025-06-05 | F | PT | AE | 4625 | ADHAMI | 95671183F | SOHAILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543265/check_8552806_6de402e8-91e3-4ab9-a6cf-46c358e7f69f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543265/check_8552806_f833e775-4eb5-4945-b335-724f89900ca5.json | N/A | N/A | N/A | N/A | N/A | 95671183F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-10 | N/A | N/A | N/A | N/A | false | ADHAMI | N/A | SOHAILA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 5543265 | 2222 | N/A | 8250441 | N/A | 4215082 | 2025-06-04 22:11:02.456959 | 2025-05-13 04:29:37.229397 |
| 2025-06-04 22:10:57.966880 | 2025-06-04 22:10:59.661118 | 8552805 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-05-10 | 2025-06-05 | F | PT | AE | 4625 | ADHAMI | 95671183F | SOHAILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543265/check_8552805_6dee2d89-c4a8-4b56-90d4-bafc601e1a4e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | 95671183F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-10 | N/A | N/A | N/A | N/A | false | ADHAMI | N/A | SOHAILA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 5543265 | 2222 | N/A | N/A | N/A | 4215082 | 2025-06-04 22:10:59.661118 | 2025-05-13 04:29:37.229397 |
| 2025-06-04 22:10:46.839588 | 2025-06-04 22:10:56.612847 | 8552803 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-09-18 | 2025-06-04 | F | PT | AE | 4625 | BENDAVID | 95318118F | TALIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540893/check_8552803_0c227fe8-c95d-4050-859f-675aab79b8a3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540893/check_8552803_8f3c3089-f0f1-4f41-a461-adae72eb711f.json | N/A | N/A | N/A | N/A | N/A | 95318118F | N/A | N/A | HEALTH NET, LLC | N/A | 2008-09-18 | N/A | N/A | N/A | N/A | false | BENDAVID | N/A | TALIA | N/A | N/A | N/A | KCW MCALSTD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822894760 | 2708 | N/A | 5540893 | 2222 | N/A | 8250438 | N/A | 4212979 | 2025-06-04 22:10:56.612847 | 2025-06-04 21:11:15.590634 |
| 2025-06-04 22:10:28.950450 | 2025-06-04 22:10:30.666886 | 8552801 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-05-10 | 2025-06-04 | F | PT | AE | 4625 | ADHAMI | 95671183F | SOHAILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543265/check_8552801_63dbb281-f06c-48d3-bb0a-e7ba9f40fa16.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543265/check_8552801_c36aa535-1d2d-49bf-86a9-3fce2dc4b805.json | N/A | N/A | N/A | N/A | N/A | 95671183F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-10 | N/A | N/A | N/A | N/A | false | ADHAMI | N/A | SOHAILA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 5543265 | 2222 | N/A | 8250431 | N/A | 4215082 | 2025-06-04 22:10:30.666886 | 2025-05-13 04:29:37.229397 |
| 2025-06-04 22:10:26.250780 | 2025-06-04 22:10:28.948625 | 8552800 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-05-10 | 2025-06-04 | F | PT | AE | 4625 | ADHAMI | 95671183F | SOHAILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543265/check_8552800_7a87214b-b4b0-4b5f-89b2-9e045bf182fa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 95671183F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-10 | N/A | N/A | N/A | N/A | false | ADHAMI | N/A | SOHAILA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 5543265 | 2222 | N/A | N/A | N/A | 4215082 | 2025-06-04 22:10:28.948625 | 2025-05-13 04:29:37.229397 |
| 2025-06-04 22:10:22.374653 | 2025-06-04 22:10:25.282037 | 8552799 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-07-19 | 2025-06-04 | M | PT | AE | 4184 | HARVEY | jqe637m85033 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/2222/6136155/check_8552799_418c4838-0a6f-40bc-8ebf-62401192c443.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6136155/check_8552799_da1a7a64-ad18-413c-b7ab-052be66101b1.json | N/A | N/A | N/A | N/A | N/A | JQE637M85033 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-07-19 | 040 | CASUPWP0 | N/A | N/A | false | HARVEY | N/A | CHRISTOPHE | N/A | 9999-12-31 | 2020-08-01 | CA PLAN F INNOVATIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822892790 | 7927 | N/A | 6136155 | 2222 | N/A | 8250429 | N/A | 4642895 | 2025-06-04 22:10:25.282037 | 2025-06-04 22:10:38.563345 |
| 2025-06-04 22:10:09.584562 | 2025-06-04 22:10:12.351642 | 8552758 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-02-06 | 2025-06-04 | M | PT | AE | 4625 | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543425/check_8552758_5558fad1-cf31-4a01-8703-12d6eb17b8b0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_8552758_f4895914-9992-407e-ba02-4981954da908.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822891727 | 2708 | N/A | 5543425 | 2222 | N/A | 8250393 | N/A | 4215211 | 2025-06-04 22:10:12.351642 | 2026-04-02 22:30:20.020246 |
| 2025-06-04 22:09:42.066336 | 2025-06-04 22:09:45.877851 | 8552756 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-03-27 | 2025-06-06 | M | PT | AE | 4211 | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543270/check_8552756_5ed27aab-b1fe-40b1-925c-ead3a9d03333.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_8552756_b01a4992-594e-4325-8160-5e89e12aa32b.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822889624 | 2708 | N/A | 5543270 | 2222 | N/A | 8250390 | N/A | 4215086 | 2025-06-04 22:09:45.877851 | 2025-05-13 04:29:37.229401 |
| 2025-06-04 22:09:31.259902 | 2025-06-04 22:09:39.047555 | 8552755 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-03-27 | 2025-06-04 | M | PT | AE | 4211 | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543270/check_8552755_64241dac-ce31-450a-8723-bc002009c2d0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_8552755_be3d832b-d9ce-4f4d-9331-d24fcfde28b7.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822888794 | 2708 | N/A | 5543270 | 2222 | N/A | 8250389 | N/A | 4215086 | 2025-06-04 22:09:39.047555 | 2025-05-13 04:29:37.229401 |
| 2025-06-04 22:09:23.369991 | 2025-06-04 22:09:25.175105 | 8552754 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-06 | F | PT | AE | 4211 | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8552754_c54da2da-d102-43da-96ff-a13a5d0a313a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8552754_bf9b25d4-7adc-49ab-8f37-3c1c8394d791.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 6068063 | 2222 | N/A | 8250387 | N/A | 4713004 | 2025-06-04 22:09:25.175105 | 2025-05-29 21:14:47.925641 |
| 2025-06-04 22:09:19.748939 | 2025-06-04 22:09:23.366975 | 8552753 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-06 | F | PT | AE | 4211 | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8552753_6166db5b-7fea-4ae3-8489-988a8fbb4ae9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 6068063 | 2222 | N/A | N/A | N/A | 4713004 | 2025-06-04 22:09:23.366975 | 2025-05-29 21:14:47.925641 |
| 2025-06-04 22:09:12.434905 | 2025-06-04 22:09:14.218680 | 8552751 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-04 | F | PT | AE | 4211 | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8552751_18213a61-e82c-4a76-a126-604191ecc23e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8552751_8bda02a7-dc20-4d80-8322-8b81525029e6.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 6068063 | 2222 | N/A | 8250382 | N/A | 4713004 | 2025-06-04 22:09:14.218680 | 2025-05-29 21:14:47.925641 |
| 2025-06-04 22:09:08.817738 | 2025-06-04 22:09:12.431228 | 8552749 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-04 | F | PT | AE | 4211 | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8552749_dcfeec6d-c7b6-450f-8aa3-2d7d6377d8a4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 6068063 | 2222 | N/A | N/A | N/A | 4713004 | 2025-06-04 22:09:12.431228 | 2025-05-29 21:14:47.925641 |
| 2025-06-04 22:08:57.465094 | 2025-06-04 22:09:03.293074 | 8552745 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-03-26 | 2025-06-05 | F | PT | AE | 4211 | HEYES | 95596436F | DARCIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542233/check_8552745_2f825c35-cf49-4d88-aa53-8c447b37562d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_8552745_e824cc00-ce18-49ff-9aa4-63ee5130c2aa.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822886284 | 2708 | N/A | 5542233 | 2222 | N/A | 8250377 | N/A | 4214178 | 2025-06-04 22:09:03.293074 | 2025-05-13 04:29:37.228506 |
| 2025-06-04 22:08:55.974928 | 2025-06-04 22:08:57.800827 | 8552744 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-06-06 | M | PT | AE | 4497 | ULLMAN (PP) | 3A76X26KQ40 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535838/check_8552744_cb5cf6c5-60cd-48da-994c-0d446dd23f28.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_8552744_377dcb41-f356-48ae-932d-0450f4c0990e.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMANPP | 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 | N/A | 7929 | N/A | 5535838 | 2222 | N/A | 8250374 | N/A | 4208696 | 2025-06-04 22:08:57.800827 | 2025-06-07 16:16:45.844566 |
| 2025-06-04 22:08:54.265371 | 2025-06-04 22:08:55.972428 | 8552743 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-06-06 | M | PT | AE | 4497 | ULLMAN PP | 3A76X26KQ40 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535838/check_8552743_8dc08bcc-5dd4-4328-9401-14899065a054.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN PP | 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 | N/A | 7929 | N/A | 5535838 | 2222 | N/A | N/A | N/A | 4208696 | 2025-06-04 22:08:55.972428 | 2025-06-07 16:16:45.844566 |
| 2025-06-04 22:08:46.393175 | 2025-06-04 22:08:51.190799 | 8552742 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-12-18 | 2025-06-04 | F | PT | AE | 4211 | PORCELLINI | 623363623 | KYLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874433/check_8552742_209db622-040e-4af1-b37a-1d91b89e4986.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874433/check_8552742_8d9c4f07-9353-48ae-86ea-f731c060c67f.json | N/A | N/A | N/A | N/A | N/A | 623363623 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1995-12-18 | 18126CA001000304 | QMXEM01910 | N/A | N/A | false | PORCELLINI | N/A | KYLA | N/A | 2025-12-31 | 2025-01-01 | SILVER 73 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822885335 | 2708 | N/A | 5874433 | 2222 | N/A | 8250372 | N/A | 4534562 | 2025-06-04 22:08:51.190799 | 2025-06-03 16:07:02.060667 |
| 2025-06-04 22:08:42.185653 | 2025-06-04 22:09:04.081485 | 8552741 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-05 | 2025-06-04 | M | PT | N/A | 4191 | GHAFFARI | XEE980566737 | HAMID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540041/check_8552741_45e3d39a-8837-4ff9-b106-464dfac5f0d6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540041/check_8552741_ae23cfe9-a5ac-4960-ab3a-d7bedf0589ee.json | N/A | N/A | N/A | N/A | N/A | XEE980566737 | Other | BSC HEALTH PLAN MEDICARE ADVANTAGE | BLUE SHIELD CALIFORNIA | N/A | 1957-04-05 | 1000MADV0004 | E0001000 | N/A | OT | false | GHAFFARI | N/A | HAMID | N/A | N/A | N/A | BLUE SHIELD ADVANTAGEOPTIMUM PLAN HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7822884867 | 2708 | N/A | 5540041 | 2222 | N/A | 8250378 | N/A | 4212255 | 2025-06-04 22:09:04.081485 | 2025-05-13 04:29:37.226591 |
| 2025-06-04 22:08:35.284116 | 2025-06-04 22:08:39.105730 | 8552740 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-05 | 2025-06-05 | F | PT | AE | 6237 | WOOTEN | 400412457-01 | GAYLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5551018/check_8552740_ebf60618-ee21-4200-ac1b-5d2dec80e731.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551018/check_8552740_7990b5b6-c531-4def-bcde-df71c8eebafd.json | N/A | N/A | N/A | N/A | N/A | 40041245701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-08-05 | 2025H5425001 | H5425M | N/A | N/A | false | WOOTEN | N/A | GAYLE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822884211 | 2708 | N/A | 5551018 | 2222 | N/A | 8250369 | N/A | 4219841 | 2025-06-04 22:08:39.105730 | 2025-05-13 04:29:37.230890 |
| 2025-06-04 22:08:22.832178 | 2025-06-04 22:08:27.656606 | 8552739 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-10-02 | 2025-06-05 | M | PT | AE | 6237 | TARDIF | 40037365501 | TEDD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542894/check_8552739_f5fcbec5-18d7-4cc6-8902-1f2175674e42.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542894/check_8552739_2fabf9db-9d10-4a4c-9b19-b03d45a0b53a.json | N/A | N/A | N/A | N/A | N/A | 40037365501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1954-10-02 | 2025H5425001 | H5425M | N/A | N/A | false | TARDIF | N/A | TEDD | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822883178 | 2708 | N/A | 5542894 | 2222 | N/A | 8250368 | N/A | 4214757 | 2025-06-04 22:08:27.656606 | 2026-03-20 15:26:52.406374 |
| 2025-06-04 22:08:13.897104 | 2025-06-04 22:08:15.667185 | 8552738 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-01-21 | 2025-06-04 | M | PT | AE | 6237 | SHADDY | 40064865601 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543011/check_8552738_0be3241b-5794-466a-8c36-3c2abc852564.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_8552738_04eb1036-f034-4ca3-8c71-48b59392e0c8.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 5543011 | 2222 | N/A | 8250367 | N/A | 4214861 | 2025-06-04 22:08:15.667185 | 2026-02-04 19:10:58.526441 |
| 2025-06-04 22:08:12.243626 | 2025-06-04 22:08:13.893754 | 8552737 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-01-21 | 2025-06-04 | M | PT | AE | 6237 | SHADDY | 40064865601 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543011/check_8552737_e6404400-dce1-402c-84a8-2ae62bbc1ebe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 5543011 | 2222 | N/A | N/A | N/A | 4214861 | 2025-06-04 22:08:13.893754 | 2026-02-04 19:10:58.526441 |
| 2025-06-04 22:08:00.173204 | 2025-06-04 22:08:04.978789 | 8552735 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-07-19 | 2025-06-04 | U | PT | AE | 4184 | HARVEY | jqe637m85033 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/2222/6136155/check_8552735_84e6fc77-538e-4fd7-80cb-e32c5974aac2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6136155/check_8552735_230bb807-d0af-44b1-8d82-57c1757cf3b7.json | N/A | N/A | N/A | N/A | N/A | JQE637M85033 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1951-07-19 | N/A | N/A | N/A | N/A | false | HARVEY | N/A | CHRISTOPHER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6136155 | 2222 | N/A | 8250362 | N/A | 4642895 | 2025-06-04 22:08:04.978789 | 2025-06-04 22:10:38.563345 |
| 2025-06-04 22:08:00.101020 | 2025-06-04 22:08:02.911893 | 8552734 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-06-27 | 2025-06-06 | F | PT | AE | 4185 | BRACKEN | NCF378A67692 | CELINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535853/check_8552734_d1a3bd80-d0f2-4f7b-a35f-8236ed365445.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535853/check_8552734_a63d898a-f7c8-46af-bedc-4acbfc429d70.json | N/A | N/A | N/A | N/A | N/A | JMV378A67692 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1961-06-27 | 040 | 56677NR000 | N/A | HM | false | BRACKEN | N/A | MARK | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822881372 | 2708 | N/A | 5535853 | 2222 | N/A | 8250360 | N/A | 4208702 | 2025-06-04 22:08:02.911893 | 2025-05-13 04:29:37.223129 |
| 2025-06-04 22:07:56.533479 | 2025-06-04 22:08:00.170941 | 8552732 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-07-19 | 2025-06-04 | U | PT | AE | 4184 | HARVEY | jqe637m85033 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/2222/6136155/check_8552732_7f17e39e-9418-453b-b6ef-4bf263c82f58.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | JQE637M85033 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1951-07-19 | N/A | N/A | N/A | N/A | false | HARVEY | N/A | CHRISTOPHER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6136155 | 2222 | N/A | N/A | N/A | 4642895 | 2025-06-04 22:08:00.170941 | 2025-06-04 22:10:38.563345 |
| 2025-06-04 22:07:51.252706 | 2025-06-04 22:07:54.034416 | 8552728 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-06-09 | 2025-06-04 | M | PT | AE | 4185 | HELLER | JQV410A55020 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550902/check_8552728_e087b779-3c22-4c48-b3e1-645aa12aa302.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550902/check_8552728_84bf9b48-7ff7-4ff4-bfeb-0e78e4239455.json | N/A | N/A | N/A | N/A | N/A | JQV410A55020 | Health Maintenance Organization (HMO) | HFC MEDIA SERVICES CORPORATION | ANTHEM BLUE CROSS | N/A | 1970-06-09 | 040 | Q43427 | N/A | HM | false | HELLER | N/A | FRANK | N/A | 9999-12-31 | 2025-01-01 | CA SG SELECT HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822880174 | 2708 | N/A | 5550902 | 2222 | N/A | 8250354 | N/A | 4219740 | 2025-06-04 22:07:54.034416 | 2025-05-13 04:29:37.230778 |