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 22:07:39.902192 | 2025-06-04 22:07:41.633307 | 8552725 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-06-09 | 2025-06-04 | M | PT | AE | 23277 | HELLER | JQV410A55020 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550902/check_8552725_f123c0fc-de88-4803-92d4-849278d329a8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550902/check_8552725_cc037c63-0821-4fde-9e25-ac88fee2aade.json | N/A | N/A | N/A | N/A | N/A | JQV410A55020 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1970-06-09 | N/A | N/A | N/A | N/A | false | HELLER | N/A | FRANK | 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 | 5550902 | 2222 | N/A | 8250351 | N/A | 4219740 | 2025-06-04 22:07:41.633307 | 2025-05-13 04:29:37.230778 |
| 2025-06-04 22:07:38.210815 | 2025-06-04 22:07:39.900755 | 8552724 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-06-09 | 2025-06-04 | M | PT | AE | 23277 | HELLER | JQV410A55020 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550902/check_8552724_2d77f39c-af48-4961-b305-4f5bad93f69b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | JQV410A55020 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1970-06-09 | N/A | N/A | N/A | N/A | false | HELLER | N/A | FRANK | 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 | 5550902 | 2222 | N/A | N/A | N/A | 4219740 | 2025-06-04 22:07:39.900755 | 2025-05-13 04:29:37.230778 |
| 2025-06-04 22:07:29.256497 | 2025-06-04 22:07:35.025404 | 8552723 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-08-30 | 2025-06-04 | F | PT | AE | 4185 | SUMBY | XEH905944609 | ANNIKA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542158/check_8552723_64d5f608-dff7-4b43-a57f-7cb92cb9a0af.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542158/check_8552723_a4d38014-d182-4c18-9c84-632d09502138.json | N/A | N/A | N/A | N/A | N/A | XEH905944609 | Health Maintenance Organization (HMO) | SOHONET INC | ANTHEM BLUE CROSS | N/A | 1981-08-30 | 1000VX000101 | W0090700 | N/A | HM | false | SUMBY | N/A | PATRICK | N/A | 9999-12-31 | 2019-10-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822878372 | 2708 | N/A | 5542158 | 2222 | N/A | 8250345 | N/A | 4214108 | 2025-06-04 22:07:35.025404 | 2025-05-13 04:29:37.228423 |
| 2025-06-04 22:07:16.408213 | 2025-06-04 22:07:22.420492 | 8552720 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-06-27 | 2025-06-04 | F | PT | AE | 4185 | BRACKEN | NCF378A67692 | CELINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535853/check_8552720_bdd9e16e-027a-4d09-89c5-dfdc0c900fbd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535853/check_8552720_530190f5-ad1b-4cd1-87d5-ff53b9729533.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 | 7822876846 | 2708 | N/A | 5535853 | 2222 | N/A | 8250340 | N/A | 4208702 | 2025-06-04 22:07:22.420492 | 2025-05-13 04:29:37.223129 |
| 2025-06-04 22:07:00.566580 | 2025-06-04 22:08:42.183177 | 8552718 | 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_8552718_3e57e7c6-e4f6-405e-839d-7c6c5f60bafa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | XEE980566737 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1957-04-05 | N/A | N/A | N/A | N/A | false | GHAFFARI | N/A | HAMID | 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 | 2708 | N/A | 5540041 | 2222 | N/A | N/A | N/A | 4212255 | 2025-06-04 22:08:42.183177 | 2025-05-13 04:29:37.226591 |
| 2025-06-04 22:06:49.682723 | 2025-06-04 22:07:38.641322 | 8552717 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-12-11 | 2025-06-06 | F | PT | AE | 4191 | FREEMAN | XDM000900795 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068071/check_8552717_723355da-cc1d-44bb-bd7e-a5c310ceac51.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068071/check_8552717_46aba605-c7e5-4465-9d15-1038adcc37d4.json | N/A | N/A | N/A | N/A | N/A | XDM000900795 | Health Maintenance Organization (HMO) | ASSOCIATION FOR LOS ANGELES DEPUTY SHERIFFS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1993-12-11 | 040 | 57726D | N/A | HM | false | FREEMAN | N/A | CAMERON | N/A | 9999-12-31 | 2024-11-01 | BLUE CROSS HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822874623 | 2708 | N/A | 6068071 | 2222 | N/A | 8250347 | N/A | 4713009 | 2025-06-04 22:07:38.641322 | 2025-05-30 17:56:41.585988 |
| 2025-06-04 22:06:35.799262 | 2025-06-04 22:06:42.055387 | 8552716 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-25 | 2025-06-05 | F | PT | AE | 5349 | BARON | H7986555300 | AIDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541086/check_8552716_a286746c-3c53-48d8-a204-9a8537f30b3d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541086/check_8552716_0f13719c-6944-46c0-a4d3-a31c467560e5.json | N/A | N/A | N/A | N/A | N/A | H79865553 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 657 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1949-03-25 | N/A | 5A962001 | N/A | HN | false | BARON | N/A | AIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822873307 | 2708 | N/A | 5541086 | 2222 | N/A | 8250335 | N/A | 4213141 | 2025-06-04 22:06:42.055387 | 2025-05-13 04:29:37.227470 |
| 2025-06-04 22:06:23.431691 | 2025-06-04 22:06:32.333437 | 8552710 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-03-16 | 2025-06-05 | F | PT | AE | 4211 | Albornoz | 93416159G | Karina | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085777/check_8552710_9797bc6d-2f58-41f6-acfc-3926b7989db5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085777/check_8552710_3d3980d0-d698-4e4b-a984-700e43dac1e1.json | N/A | N/A | N/A | N/A | N/A | 93416159G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 05/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1991-03-16 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | ALBORNOZ | N/A | KARINA | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822872214 | 2708 | N/A | 6085777 | 2222 | N/A | 8250334 | N/A | 4729143 | 2025-06-04 22:06:32.333437 | 2025-05-30 23:48:36.316238 |
| 2025-06-04 22:04:29.037833 | 2025-06-04 22:04:31.832988 | 8552654 | 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_8552654_fdfcc0a4-ce77-484a-9a18-0f420b03a319.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_8552654_2e4a847e-c76e-47e4-9332-48be313adead.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 | 8250264 | N/A | 4208696 | 2025-06-04 22:04:31.832988 | 2025-06-07 16:16:45.844566 |
| 2025-06-04 22:04:26.413115 | 2025-06-04 22:04:29.033794 | 8552652 | 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_8552652_425a4187-30ac-45c3-a123-a565510b44f7.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 22:04:29.033794 | 2025-06-07 16:16:45.844566 |
| 2025-06-04 22:02:24.502914 | 2025-06-04 22:02:28.320275 | 8552647 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-03-11 | 2025-06-06 | M | PT | AE | 6798 | MATHEU | 30908114 | CARLOS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536371/check_8552647_5dcd6cc0-26f1-414c-9e3e-e23e857f62ce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536371/check_8552647_64275f97-a040-4304-8c5a-1452cc529f6a.json | N/A | N/A | N/A | N/A | N/A | 30908114 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1943-03-11 | N/A | N/A | N/A | N/A | false | MATHEU | N/A | CARLOS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822857355 | 2708 | N/A | 5536371 | 2222 | N/A | 8250244 | N/A | 4209126 | 2025-06-04 22:02:28.320275 | 2025-05-13 04:29:37.223551 |
| 2025-06-04 22:02:13.605350 | 2025-06-04 22:02:18.421950 | 8552646 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-03-11 | 2025-06-04 | M | PT | AE | 6798 | MATHEU | 30908114 | CARLOS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536371/check_8552646_72d010f8-13c8-4fe7-8994-c142955bee43.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536371/check_8552646_28b6cbbb-2093-4571-84d1-91f4b62413e7.json | N/A | N/A | N/A | N/A | N/A | 30908114 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1943-03-11 | N/A | N/A | N/A | N/A | false | MATHEU | N/A | CARLOS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822856705 | 2708 | N/A | 5536371 | 2222 | N/A | 8250241 | N/A | 4209126 | 2025-06-04 22:02:18.421950 | 2025-05-13 04:29:37.223551 |
| 2025-06-04 22:01:37.329052 | 2025-06-04 22:01:40.173304 | 8552632 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-17 | 2025-06-06 | F | PT | AE | 4497 | MARCUS | 4VG5XF7HN64 | LISSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542313/check_8552632_216122b7-b993-421d-be0c-504267cbd5f3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542313/check_8552632_e05c56a6-c6bf-42c2-a411-d9e5af98660a.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MA | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822854405 | 7929 | N/A | 5542313 | 2222 | N/A | 8250221 | N/A | 4214241 | 2025-06-04 22:01:40.173304 | 2025-05-13 04:29:37.228574 |
| 2025-06-04 21:58:35.142291 | 2025-06-04 21:58:37.943311 | 8552582 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-17 | 2025-06-06 | F | PT | AE | 4497 | MARCUS | XEM909523924 | LISSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542313/check_8552582_dd1e7867-62dd-415f-b37e-ec8000216159.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542313/check_8552582_2b9a54b0-20a9-45d1-909d-b20a46fc9663.json | N/A | N/A | N/A | N/A | N/A | XEM909523924 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1953-03-17 | N/A | N/A | N/A | N/A | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5542313 | 2222 | N/A | 8250173 | N/A | 4214241 | 2025-06-04 21:58:37.943311 | 2025-05-13 04:29:37.228574 |
| 2025-06-04 21:58:33.549219 | 2025-06-04 21:58:35.139717 | 8552580 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-17 | 2025-06-06 | F | PT | AE | 4497 | MARCUS | XEM909523924 | LISSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542313/check_8552580_42ca3e93-c4e2-41f4-b9a1-7bd0635c3985.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | XEM909523924 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1953-03-17 | N/A | N/A | N/A | N/A | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 5542313 | 2222 | N/A | N/A | N/A | 4214241 | 2025-06-04 21:58:35.139717 | 2025-05-13 04:29:37.228574 |
| 2025-06-04 21:57:23.962218 | 2025-06-04 21:57:28.773010 | 8552577 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-18 | 2025-06-05 | F | PT | AE | 4185 | BELL | MNL880M78427 | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536041/check_8552577_bb79a12c-a64a-443e-81af-d9b07fdf6102.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_8552577_1498fadd-a698-4094-a356-5fa65a70c254.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 9999-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822837133 | 9489 | N/A | 5536041 | 2222 | N/A | 8250168 | N/A | 4208856 | 2025-06-04 21:57:28.773010 | 2025-05-13 04:29:37.223284 |
| 2025-06-04 21:55:06.166845 | 2025-06-04 21:55:07.909334 | 8552568 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-18 | 2025-06-05 | F | PT | AE | 4185 | BELL | H5341632100 | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536041/check_8552568_0026f468-f722-494e-b1b4-8296260bb7cd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_8552568_050eb35c-1200-49fe-bde7-b318a8d5c615.json | N/A | N/A | N/A | N/A | N/A | H5341632100 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1947-04-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | JACQUELYN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 5536041 | 2222 | N/A | 8250146 | N/A | 4208856 | 2025-06-04 21:55:07.909334 | 2025-05-13 04:29:37.223284 |
| 2025-06-04 21:55:03.506816 | 2025-06-04 21:55:06.159184 | 8552567 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-18 | 2025-06-05 | F | PT | AE | 4185 | BELL | H5341632100 | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536041/check_8552567_02435960-e01a-4808-8d7f-6cb0bd1ccf6d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | H5341632100 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1947-04-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | JACQUELYN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 5536041 | 2222 | N/A | N/A | N/A | 4208856 | 2025-06-04 21:55:06.159184 | 2025-05-13 04:29:37.223284 |
| 2025-06-04 21:54:21.311542 | 2025-06-04 21:54:27.234515 | 8552564 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-06-04 | M | PT | AE | 4497 | ULLMAN | 8HC8F35AX50 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535842/check_8552564_e4d89025-e180-42f7-9b9f-092add1d0df4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_8552564_69ed5d64-51f5-4c86-b037-0d5654c8a33a.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 | 7822827687 | 7929 | N/A | 5535842 | 2222 | N/A | 8250140 | N/A | 4208696 | 2025-06-04 21:54:27.234515 | 2025-06-07 16:16:45.844566 |
| 2025-06-04 21:52:36.862483 | 2025-06-04 21:52:39.653503 | 8552553 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-06-04 | M | PT | AE | 3842 | ULLMAN (PP) | 557489000 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535842/check_8552553_4fcba3f6-3330-40b1-8582-651cff4c3f8e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_8552553_f38dc18d-cd77-41aa-8166-42114283f432.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | 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 | 5535842 | 2222 | N/A | 8250125 | N/A | 4208696 | 2025-06-04 21:52:39.653503 | 2025-06-07 16:16:45.844566 |
| 2025-06-04 21:52:33.252716 | 2025-06-04 21:52:36.859888 | 8552552 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-06-04 | M | PT | AE | 3842 | ULLMAN PP | 557489000 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535842/check_8552552_30e84368-8cb2-48bc-a355-22a5ce2007e6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | 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 | 5535842 | 2222 | N/A | N/A | N/A | 4208696 | 2025-06-04 21:52:36.859888 | 2025-06-07 16:16:45.844566 |
| 2025-06-04 21:51:28.225315 | 2025-06-04 21:51:30.041283 | 8552551 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-05 | U | PT | AE | 4497 | BRENNER | 8F12ED9EE92 | ROCIO FLORES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550896/check_8552551_93d88e47-cc92-4110-bf26-b5f82c62d1c2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550896/check_8552551_393da784-21c9-4cdf-873e-af6d818e2e5c.json | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | 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 | 5550896 | 2222 | N/A | 8250119 | N/A | 4219750 | 2025-06-04 21:51:30.041283 | 2025-06-06 02:15:39.377685 |
| 2025-06-04 21:51:25.553499 | 2025-06-04 21:51:28.222052 | 8552550 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-05 | U | PT | AE | 4497 | BRENNER | 8F12ED9EE92 | ROCIO FLORES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550896/check_8552550_add23b60-6bec-48ef-a229-de91a3e46b4f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | 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 | 5550896 | 2222 | N/A | N/A | N/A | 4219750 | 2025-06-04 21:51:28.222052 | 2025-06-06 02:15:39.377685 |
| 2025-06-04 21:45:53.470600 | 2025-06-04 21:45:55.277575 | 8552540 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-08-30 | 2025-06-09 | F | PT | AE | 4185 | SUMBY | 905944609001 | ANNIKA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542158/check_8552540_4dc9801f-a18a-4afa-aafb-9b4f223cb5e3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542158/check_8552540_b3e7b774-3575-4e86-93dd-579ccc64716c.json | N/A | N/A | N/A | N/A | N/A | 905944609001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1981-08-30 | N/A | N/A | N/A | N/A | false | SUMBY | N/A | ANNIKA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542158 | 2222 | N/A | 8250093 | N/A | 4214108 | 2025-06-04 21:45:55.277575 | 2025-05-13 04:29:37.228423 |
| 2025-06-04 21:45:47.546860 | 2025-06-04 21:45:53.468916 | 8552539 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-08-30 | 2025-06-09 | F | PT | AE | 4185 | SUMBY | 905944609001 | ANNIKA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542158/check_8552539_03bddc07-3377-47c6-be24-2cb737856061.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 905944609001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1981-08-30 | N/A | N/A | N/A | N/A | false | SUMBY | N/A | ANNIKA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542158 | 2222 | N/A | N/A | N/A | 4214108 | 2025-06-04 21:45:53.468916 | 2025-05-13 04:29:37.228423 |
| 2025-06-04 21:41:55.517161 | 2025-06-04 21:42:00.380297 | 8552531 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-01-17 | 2025-06-05 | F | PT | AE | 3948 | PARNAMI | W211959385 | EIREENA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6132945/check_8552531_2fd20a2b-ff66-4110-b9fe-1d32086ea505.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6132945/check_8552531_c1b1f2ab-0981-4731-9da2-70d592cb8c13.json | N/A | N/A | N/A | N/A | N/A | W211959385 | Point of Service (POS) | COGNIZANT TECHNOLOGY SOLUTIONS US C | AETNA | N/A | 2012-01-17 | 0820361 | 082036103200003 | N/A | PS | false | PARNAMI | N/A | YOGESH | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822749164 | 7927 | N/A | 6132945 | 2222 | N/A | 8250065 | N/A | 4774482 | 2025-06-04 21:42:00.380297 | 2025-06-04 15:48:28.266533 |
| 2025-06-04 21:37:07.642144 | 2025-06-04 21:37:10.375295 | 8552517 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-06-13 | 2025-06-05 | F | PT | AE | 4185 | DOULTON | JQW535W08774 | ELAINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550735/check_8552517_3b89a3d7-ceda-4404-b9d0-1b06286f04b4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550735/check_8552517_8d82c94d-a6ff-45c2-86e1-0397bd14e593.json | N/A | N/A | N/A | N/A | N/A | JQW535W08774 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1943-06-13 | 040 | CAMCRWP0 | N/A | MP | false | DOULTON | N/A | ELAINE | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822716940 | 2708 | N/A | 5550735 | 2222 | N/A | 8250024 | N/A | 4219637 | 2025-06-04 21:37:10.375295 | 2025-06-09 15:04:30.013896 |
| 2025-06-04 21:36:02.160236 | 2025-06-04 21:36:03.947823 | 8552513 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-18 | 2025-06-05 | F | PT | AE | 5349 | BELL | H5341632100 | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536041/check_8552513_b9877004-9032-405c-b930-e2951873bfb9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_8552513_d2451bf5-4e84-4275-a024-d3a91459aeff.json | N/A | N/A | N/A | N/A | N/A | H5341632100 | N/A | N/A | HUMANA | N/A | 1947-04-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | JACQUELYN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822712196 | 9344 | N/A | 5536041 | 2222 | N/A | 8250015 | N/A | 4208856 | 2025-06-04 21:36:03.947823 | 2025-05-13 04:29:37.223284 |
| 2025-06-04 21:28:26.268871 | 2025-06-04 21:28:30.058807 | 8552484 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-05-22 | 2025-06-05 | F | PT | AE | 3842 | Hugh | 35577967011 | Debra | https://storage.googleapis.com/normandy-eligibility-checks/2222/6074820/check_8552484_52108188-e1fd-406a-8bf6-37ef52e0d412.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074820/check_8552484_7d13d719-80b9-4192-af65-651784e25769.json | N/A | N/A | N/A | N/A | N/A | 35577967011 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1957-05-22 | N/A | N/A | N/A | SP | false | HUGH | N/A | DEBRA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822674219 | 5831 | N/A | 6074820 | 2222 | N/A | 8249955 | N/A | 4718946 | 2025-06-04 21:28:30.058807 | 2025-06-04 21:27:14.065817 |
| 2025-06-04 21:27:19.170512 | 2025-06-04 21:27:22.018382 | 8552477 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-05-22 | 2025-06-05 | F | PT | AE | 4497 | Hugh | 8H19UT2PE13 | Debra | https://storage.googleapis.com/normandy-eligibility-checks/2222/6074786/check_8552477_78bb4be0-08ff-4d93-a86b-54596923ae04.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074786/check_8552477_431d3e1a-a55d-47e7-9a2b-e1b458e88e30.json | N/A | N/A | N/A | N/A | N/A | 8H19UT2PE13 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-22 | S5601 | N/A | N/A | MA | false | HUGH | N/A | DEBRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822670070 | 5831 | N/A | 6074786 | 2222 | N/A | 8249938 | N/A | 4718946 | 2025-06-04 21:27:22.018382 | 2025-06-04 21:27:14.065817 |
| 2025-06-04 21:26:47.889193 | 2025-06-04 21:26:52.770219 | 8552475 | N/A | N/A | 71412 | Mutual of Omaha Insurance Company | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-08-07 | 2025-06-11 | F | PT | AE | 5825 | JOEL | 515338-97 | CANDACE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550248/check_8552475_282701d9-9916-45a5-b2b9-e7e1ab0e9fbc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550248/check_8552475_88543f76-1884-465a-ae23-47e587baae6e.json | N/A | N/A | N/A | N/A | N/A | 515338-97 | N/A | N/A | MUTUAL OF OMAHA | MUTUAL OF OMAHA OFFERS ONLINE ACCESS TO ELIGIBILITY, BENEFITS AND DETAILED CLAIM STATUS INFORMATION AT WWW.MUTUALOFOMAHA.COM/PROVIDERACCESS | 1951-08-07 | N/A | N/A | N/A | N/A | false | JOEL | N/A | CANDACE | N/A | N/A | N/A | MEDICARE SUPPLEMENT - PLAN TYPE F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822668362 | 7927 | N/A | 5550248 | 2222 | N/A | 8249935 | N/A | 4212766 | 2025-06-04 21:26:52.770219 | 2025-05-13 04:29:37.227101 |
| 2025-06-04 21:22:20.519684 | 2025-06-04 21:22:24.495416 | 8552458 | N/A | N/A | 71412 | Mutual of Omaha Insurance Company | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-08-07 | 2025-06-05 | F | PT | AE | 5825 | JOEL | 515338-97 | CANDACE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550248/check_8552458_86d370c1-864d-4ae0-a5df-a98777dbd1e7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550248/check_8552458_ddbcb4bb-0c2e-49f8-baf1-118a0b5a786e.json | N/A | N/A | N/A | N/A | N/A | 515338-97 | N/A | N/A | MUTUAL OF OMAHA | MUTUAL OF OMAHA OFFERS ONLINE ACCESS TO ELIGIBILITY, BENEFITS AND DETAILED CLAIM STATUS INFORMATION AT WWW.MUTUALOFOMAHA.COM/PROVIDERACCESS | 1951-08-07 | N/A | N/A | N/A | N/A | false | JOEL | N/A | CANDACE | N/A | N/A | N/A | MEDICARE SUPPLEMENT - PLAN TYPE F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822649735 | 7927 | N/A | 5550248 | 2222 | N/A | 8249904 | N/A | 4212766 | 2025-06-04 21:22:24.495416 | 2025-05-13 04:29:37.227101 |
| 2025-06-04 21:15:52.175528 | 2025-06-04 21:15:53.963279 | 8552437 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-04-27 | 2025-06-04 | M | PT | AE | 2630 | TEDDER | 00000390480 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676415/check_8552437_5623d484-015f-4f60-a18c-608ece221535.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_8552437_991cc99c-d183-4a1e-9c76-288a71f3287f.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5676415 | 2222 | N/A | 8249854 | N/A | 4343470 | 2025-06-04 21:15:53.963279 | 2025-05-13 04:29:37.230947 |
| 2025-06-04 21:15:49.558154 | 2025-06-04 21:15:52.172308 | 8552436 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-04-27 | 2025-06-04 | M | PT | AE | 2630 | TEDDER | 00000390480 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676415/check_8552436_bbcaf8d4-18be-453c-a5db-cbb710aa9d94.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5676415 | 2222 | N/A | N/A | N/A | 4343470 | 2025-06-04 21:15:52.172308 | 2025-05-13 04:29:37.230947 |
| 2025-06-04 21:15:36.761543 | 2025-06-04 21:15:39.606414 | 8552435 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-04-27 | 2025-06-05 | M | PT | AE | 2630 | TEDDER | 00000390480 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676415/check_8552435_06ad6b44-152e-47a6-a537-546717d8d85f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_8552435_efa97594-f259-443e-bb44-2cd5ce5f6071.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5676415 | 2222 | N/A | 8249849 | N/A | 4343470 | 2025-06-04 21:15:39.606414 | 2025-05-13 04:29:37.230947 |
| 2025-06-04 21:15:35.075978 | 2025-06-04 21:15:36.757483 | 8552434 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-04-27 | 2025-06-05 | M | PT | AE | 2630 | TEDDER | 00000390480 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676415/check_8552434_ab88ee18-3c62-43f9-a601-06122c2faf16.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | N/A | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5676415 | 2222 | N/A | N/A | N/A | 4343470 | 2025-06-04 21:15:36.757483 | 2025-05-13 04:29:37.230947 |
| 2025-06-04 21:12:59.133913 | 2025-06-04 21:13:00.959669 | 8552424 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-04-14 | 2025-06-04 | M | PT | N/A | 4185 | LINVILLE | JQU190A50426 | MEIKA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543250/check_8552424_dfd5359a-2bb5-477a-818a-b18191bc61b6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543250/check_8552424_9ca48261-7c70-44c5-9beb-613aed7ee4f6.json | N/A | N/A | N/A | N/A | N/A | JQU190A50426 | Preferred Provider Organization (PPO) | CAL CHOICE SEPTEMBER 1.00 | ANTHEM BLUE CROSS | N/A | 2009-04-14 | 040 | 476502 | N/A | PR | false | LINVILLE | N/A | GEOFF | N/A | 9999-12-31 | 2025-02-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7822596783 | 5831 | N/A | 5543250 | 2222 | N/A | 8249822 | N/A | 4215068 | 2025-06-04 21:13:00.959669 | 2025-07-22 17:55:02.066796 |
| 2025-06-04 21:11:26.568643 | 2025-06-04 21:11:28.346021 | 8552421 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-04 | F | PT | AE | 23324 | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8552421_c2ef003b-665e-4178-9178-d6e09001f3d0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8552421_40941c16-4970-466d-a5b1-44bc11f0920d.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | 9489 | N/A | 6068063 | 2222 | N/A | 8249816 | N/A | 4713004 | 2025-06-04 21:11:28.346021 | 2025-05-29 21:14:47.925641 |
| 2025-06-04 21:11:24.833823 | 2025-06-04 21:11:26.564928 | 8552420 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-04 | F | PT | AE | 23324 | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8552420_70bcd2ee-08c4-4115-9841-7224a2a4c802.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 | LAKESIDE MEDICAL GROUP | 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 | 9489 | N/A | 6068063 | 2222 | N/A | N/A | N/A | 4713004 | 2025-06-04 21:11:26.564928 | 2025-05-29 21:14:47.925641 |
| 2025-06-04 20:55:01.766813 | 2025-06-04 20:55:04.662111 | 8552348 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-02-24 | 2025-06-05 | F | PT | AE | 6798 | RAHBARI | 31062484 | MOHTARAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536995/check_8552348_5133084b-4cdb-4ee9-bc41-b213b6d24e25.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536995/check_8552348_d0911423-39a1-4473-9172-6a8acc68800e.json | N/A | N/A | N/A | N/A | N/A | 31062484 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1954-02-24 | N/A | N/A | N/A | N/A | false | RAHBARI | N/A | MOHTARAM | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822451762 | 5831 | N/A | 5536995 | 2222 | N/A | 8249687 | N/A | 4209647 | 2025-06-04 20:55:04.662111 | 2025-06-03 15:33:42.970733 |
| 2025-06-04 20:44:21.436001 | 2025-06-04 20:44:23.246041 | 8552313 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-07-01 | 2025-06-04 | M | PT | N/A | 4184 | PAQUETTE | 490145 | NICOLAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124048/check_8552313_21af467d-465e-498b-ab1a-66d80639335e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124048/check_8552313_8ffd8bfe-2a22-45ae-bca0-484aaa61c77f.json | N/A | N/A | N/A | N/A | N/A | 490145 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-07-01 | N/A | N/A | N/A | N/A | false | PAQUETTE | N/A | NICOLAS | 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 | 9482 | N/A | 6124048 | 2222 | N/A | 8249621 | N/A | 4766758 | 2025-06-04 20:44:23.246041 | 2025-06-03 21:40:10.090592 |
| 2025-06-04 20:44:19.824205 | 2025-06-04 20:44:21.434423 | 8552312 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-07-01 | 2025-06-04 | M | PT | N/A | 4184 | PAQUETTE | 490145 | NICOLAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124048/check_8552312_32142ebc-4e2b-4eb3-b4ce-a3e83758673f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 490145 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-07-01 | N/A | N/A | N/A | N/A | false | PAQUETTE | N/A | NICOLAS | 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 | 9482 | N/A | 6124048 | 2222 | N/A | N/A | N/A | 4766758 | 2025-06-04 20:44:21.434423 | 2025-06-03 21:40:10.090592 |
| 2025-06-04 20:42:48.727625 | 2025-06-04 20:42:52.647428 | 8552309 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-06-02 | 2025-06-03 | U | PT | N/A | 4185 | VISHNUVAJJALA | CQP771W14692 | SRIDEVI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543229/check_8552309_3acf6937-aa1b-4b32-a5dc-a16a6517aa53.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543229/check_8552309_132448bb-8ce9-4da4-aff5-b68c496f887b.json | N/A | N/A | N/A | N/A | N/A | CQP771W14692 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1975-06-02 | N/A | N/A | N/A | N/A | false | VISHNUVAJJALA | N/A | SRIDEVI | 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 | 5543229 | 2222 | N/A | 8249613 | N/A | 4215047 | 2025-06-04 20:42:52.647428 | 2025-06-06 02:34:02.692173 |
| 2025-06-04 20:42:42.746541 | 2025-06-04 20:42:48.723543 | 8552308 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-06-02 | 2025-06-03 | U | PT | N/A | 4185 | VISHNUVAJJALA | CQP771W14692 | SRIDEVI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543229/check_8552308_cb2ff035-75d3-4670-9a79-d1bf83373a02.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | CQP771W14692 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1975-06-02 | N/A | N/A | N/A | N/A | false | VISHNUVAJJALA | N/A | SRIDEVI | 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 | 5543229 | 2222 | N/A | N/A | N/A | 4215047 | 2025-06-04 20:42:48.723543 | 2025-06-06 02:34:02.692173 |
| 2025-06-04 20:27:17.961582 | 2025-06-04 20:27:19.835756 | 8552248 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-09-18 | 2025-06-04 | F | PT | AE | 23322 | BENDAVID | 95318118F | TALIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540893/check_8552248_6d17df92-fb14-402b-9955-59ec62e59ad7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540893/check_8552248_17dc1442-4d5f-47f3-ae02-da8500eef7c5.json | N/A | N/A | N/A | N/A | N/A | 95318118F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2008-09-18 | N/A | N/A | N/A | N/A | false | BENDAVID | N/A | TALIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5540893 | 2222 | N/A | 8249527 | N/A | 4212979 | 2025-06-04 20:27:19.835756 | 2025-06-04 21:11:15.590634 |
| 2025-06-04 20:27:16.157162 | 2025-06-04 20:27:17.954790 | 8552247 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-09-18 | 2025-06-04 | F | PT | AE | 23322 | BENDAVID | 95318118F | TALIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540893/check_8552247_f3af5fb7-73d5-49d8-b33e-f1dd871899d0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 95318118F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2008-09-18 | N/A | N/A | N/A | N/A | false | BENDAVID | N/A | TALIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5540893 | 2222 | N/A | N/A | N/A | 4212979 | 2025-06-04 20:27:17.954790 | 2025-06-04 21:11:15.590634 |
| 2025-06-04 20:27:09.690216 | 2025-06-04 20:27:13.543050 | 8552246 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-08-14 | 2025-06-17 | F | PT | AE | 21981 | LIN | 31177093GEHA | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541550/check_8552246_f025083c-0129-4b82-8645-0c79da2916d0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541550/check_8552246_7f3d5c88-fdcd-4884-bea0-5cdb9f87f9e6.json | N/A | N/A | N/A | N/A | N/A | 31177093GEHA | N/A | N/A | UNITEDHEALTHCARE | N/A | 1985-08-14 | N/A | N/A | N/A | N/A | false | LIN | N/A | JESSICA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822259959 | 9489 | N/A | 5541550 | 2222 | N/A | 8249525 | N/A | 4213560 | 2025-06-04 20:27:13.543050 | 2025-05-13 04:29:37.227892 |
| 2025-06-04 20:18:23.139660 | 2025-06-04 20:18:28.075079 | 8552221 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-01-05 | 2025-06-04 | F | PT | AE | 4625 | RAJEWSKI | R0758220348 | CHARLOTTE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993929/check_8552221_90130490-ef84-4f34-a5ba-73a7f9f60cd6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993929/check_8552221_57353f0c-a6fd-45f8-b888-797d3ed11cbf.json | N/A | N/A | N/A | N/A | N/A | R0758220348 | N/A | N/A | HEALTH NET OF CALIFORNIA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1988-01-05 | 67138CA0520015-04 | N/A | N/A | N/A | false | RAJEWSKI | N/A | CHARLOTTE | N/A | N/A | N/A | SILVER 73 AMBETTER HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7822197951 | 5831 | N/A | 5993929 | 2222 | N/A | 8249475 | N/A | 4642867 | 2025-06-04 20:18:28.075079 | 2025-06-04 19:04:51.180432 |
| 2025-06-04 20:08:24.644762 | 2025-06-04 20:08:29.450345 | 8552193 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-04-17 | 2025-06-04 | M | PT | N/A | 4185 | LINVILLE | JQU190A50426 | MEIKA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543250/check_8552193_4736aa1c-21e0-43a2-8dbb-b1d58144226d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543250/check_8552193_f94778b6-0e18-443f-a67d-75f4b2e1f885.json | N/A | N/A | N/A | N/A | N/A | JQU190A50426 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-04-17 | N/A | N/A | N/A | N/A | false | LINVILLE | N/A | MEIKA | 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 | 5543250 | 2222 | N/A | 8249424 | N/A | 4215068 | 2025-06-04 20:08:29.450345 | 2025-07-22 17:55:02.066796 |
| 2025-06-04 20:08:22.883120 | 2025-06-04 20:08:24.640748 | 8552192 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-04-17 | 2025-06-04 | M | PT | N/A | 4185 | LINVILLE | JQU190A50426 | MEIKA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543250/check_8552192_c2ef3912-d747-4594-9ef7-3dff1b06e3b5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | JQU190A50426 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-04-17 | N/A | N/A | N/A | N/A | false | LINVILLE | N/A | MEIKA | 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 | 5543250 | 2222 | N/A | N/A | N/A | 4215068 | 2025-06-04 20:08:24.640748 | 2025-07-22 17:55:02.066796 |