API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-18 05:22:37.079936 | 2025-10-18 05:22:40.537420 | 13597532 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-10-21 | F | AE | PT | 6411 | FABER | 331524986-11 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522948/check_13597532_276b7d13-6fee-4426-82f9-ad06e1942e96.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522948/check_13597532_a34ef13e-d5c2-47bc-959b-622b7a1e39f0.json | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522948 | 2222 | N/A | 13868802 | N/A | 5146127 | 2025-10-18 05:22:40.537420 | 2025-06-20 17:58:23.371130 |
| 2025-10-18 05:22:33.567477 | 2025-10-18 05:22:37.051549 | 13597487 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-10-21 | F | AE | PT | 6411 | FABER | 331524986-11 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522948/check_13597487_6825be0e-3bef-408f-943c-4816b576a3df.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-21 | N/A | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522948 | 2222 | N/A | N/A | N/A | 5146127 | 2025-10-18 05:22:37.051549 | 2025-06-20 17:58:23.371130 |
| 2025-10-18 05:22:32.505470 | 2025-10-18 05:22:35.320295 | 13597474 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-09-13 | 2025-10-20 | M | AE | PT | 6397 | DERR | 353354100-11 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_13597474_74730b34-96ea-474d-9c1e-5e3394c2e7da.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_13597474_0310961a-8b2e-403c-a24c-c62cec4f0be8.json | N/A | N/A | N/A | N/A | N/A | 353354100 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-09-28 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | 13868750 | N/A | 4534550 | 2025-10-18 05:22:35.320295 | 2025-10-15 18:36:58.255255 |
| 2025-10-18 05:22:30.876693 | 2025-10-18 05:22:31.342716 | 13597460 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-10-21 | F | AE | PT | N/A | FABER | 331524986-11 | LINDA | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-10-21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522947 | 2222 | N/A | N/A | N/A | 5146127 | 2025-10-18 05:22:31.342716 | 2025-06-20 17:58:23.371130 |
| 2025-10-18 05:22:29.849978 | 2025-10-18 05:22:32.502419 | 13597448 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-09-13 | 2025-10-20 | M | AE | PT | 6397 | DERR | 353354100-11 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_13597448_c88e5445-7ee3-48b2-b331-5bd057126c7f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-20 | N/A | N/A | N/A | N/A | N/A | N/A | 353354100 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-09-28 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | N/A | N/A | 4534550 | 2025-10-18 05:22:32.502419 | 2025-10-15 18:36:58.255255 |
| 2025-10-18 05:22:27.187842 | 2025-10-18 05:22:27.459004 | 13597410 | N/A | N/A | 87726 | UNITEDHEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-09-13 | 2025-10-20 | M | AE | PT | N/A | DERR | 353354100-11 | DENNIS | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-10-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | N/A | N/A | 4534550 | 2025-10-18 05:22:27.459004 | 2025-10-15 18:36:58.255255 |
| 2025-10-18 05:21:39.717665 | 2025-10-18 05:21:44.706337 | 13596946 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-06-09 | 2025-10-21 | F | AE | PT | N/A | DIXON | 988649093-00 | JUDIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/11013047/check_13596946_67c074ff-c327-4ae9-a249-542d9e7651b5.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11013047/check_13596946_d3335f0d-6882-4c13-8b0c-e032bd0cde56.json | N/A | N/A | N/A | N/A | N/A | 988649039 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1941-06-09 | N/A | 74134 | N/A | PR | false | DIXON | N/A | JUDIE | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11013047 | 2222 | N/A | 13868341 | N/A | 9378405 | 2025-10-18 05:21:44.706337 | 2025-10-21 21:08:18.331994 |
| 2025-10-18 05:20:27.769839 | 2025-10-18 05:20:31.146487 | 13596228 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-01-16 | 2025-10-21 | F | AE | PT | N/A | Wesel | 953212552 | Ellen | https://storage.googleapis.com/normandy-eligibility-checks/2222/9795146/check_13596228_1025f55c-437f-440a-a8e2-dfda53ed9974.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9795146/check_13596228_f29246fa-ef3e-4505-8dff-2e4c6c5eb056.json | N/A | N/A | N/A | N/A | N/A | 953212552 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1967-01-16 | N/A | 702581 | N/A | C1 | false | WESEL | N/A | ELLEN | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9795146 | 2222 | N/A | 13867679 | N/A | 8205288 | 2025-10-18 05:20:31.146487 | 2025-09-30 16:15:04.552446 |
| 2025-10-18 05:20:25.795905 | 2025-10-18 05:20:28.644785 | 13596210 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-08 | 2025-10-21 | M | AE | PT | 6411 | ALZOHAIRY | 5976397 | AHMED | https://storage.googleapis.com/normandy-eligibility-checks/2222/9693911/check_13596210_4ef85603-2223-465c-92e9-8574807eb416.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9693911/check_13596210_15330ebf-62d0-4242-8ecf-68ed7b1e3610.json | N/A | N/A | N/A | N/A | N/A | 1069948246 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1990-12-08 | N/A | N/A | N/A | N/A | false | ALZOHAIRY | N/A | AHMED | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9693911 | 2222 | N/A | 13867661 | N/A | 8112326 | 2025-10-18 05:20:28.644785 | 2025-09-25 00:01:47.147707 |
| 2025-10-18 05:20:25.243168 | 2025-10-18 05:20:28.629645 | 13596207 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-09-16 | 2025-10-21 | F | AE | PT | N/A | MAHMOUDI | 958357322 | NADIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9766105/check_13596207_5e42766d-676d-4b02-a1b6-3fefae1d544b.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9766105/check_13596207_cbaf0fb5-d2b2-4688-ab65-b4b3282ce8e0.json | N/A | N/A | N/A | N/A | N/A | 958357322 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1970-09-16 | N/A | 742149 | N/A | C1 | false | MAHMOUDI | N/A | NADIA | N/A | N/A | N/A | CHOICE PLUS PPO CA 2023 CUJJ MOD PLAN B | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9766105 | 2222 | N/A | 13867662 | N/A | 8177370 | 2025-10-18 05:20:28.629645 | 2025-10-08 20:03:15.501124 |
| 2025-10-18 05:20:23.143738 | 2025-10-18 05:20:25.790892 | 13596179 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-08 | 2025-10-21 | M | AE | PT | 6411 | ALZOHAIRY | 5976397 | AHMED | https://storage.googleapis.com/normandy-eligibility-checks/2222/9693911/check_13596179_855e587f-bbe8-4645-8dfe-99b2e08f79da.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-21 | N/A | N/A | N/A | N/A | N/A | N/A | 1069948246 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1990-12-08 | N/A | N/A | N/A | N/A | false | ALZOHAIRY | N/A | AHMED | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9693911 | 2222 | N/A | N/A | N/A | 8112326 | 2025-10-18 05:20:25.790892 | 2025-09-25 00:01:47.147707 |
| 2025-10-18 05:20:21.798660 | 2025-10-18 05:20:22.099195 | 13596159 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-08 | 2025-10-21 | M | AE | PT | N/A | ALZOHAIRY | 5976397 | AHMED | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-10-21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9693911 | 2222 | N/A | N/A | N/A | 8112326 | 2025-10-18 05:20:22.099195 | 2025-09-25 00:01:47.147707 |
| 2025-10-18 05:20:19.962862 | 2025-10-18 05:20:23.260665 | 13596144 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-05-19 | 2025-10-21 | M | AE | PT | N/A | MALHOTRA | 42360756 | DAVE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9680809/check_13596144_decc4fc3-2344-4e8d-bd3d-4cd38035b1f6.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9680809/check_13596144_0dd5563e-1a1c-4373-bf28-de03b1b2df93.json | N/A | N/A | N/A | N/A | N/A | 612027650 | Preferred Provider Organization (PPO) | N/A | OPTUMHEALTH BEHAVIORAL SOLUTIONS | N/A | 1977-05-19 | N/A | 15385 | N/A | PR | false | MALHOTRA | N/A | DAVE | N/A | N/A | N/A | FIDELITY BH UMR HEALTHFLEX PPO 2025 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9680809 | 2222 | N/A | 13867607 | N/A | 8100424 | 2025-10-18 05:20:23.260665 | 2025-10-07 13:46:29.078092 |
| 2025-10-18 05:20:06.387961 | 2025-10-18 05:20:11.928500 | 13595990 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-11-18 | 2025-10-21 | F | AE | PT | N/A | Liberto | 229149130300 | Virginia | https://storage.googleapis.com/normandy-eligibility-checks/2222/9487561/check_13595990_75ef7188-1332-4803-8bdc-180146594cd2.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9487561/check_13595990_488c3925-66f7-4b4a-ab3e-df67d8294a85.json | N/A | N/A | N/A | N/A | N/A | 22914913000 | Commercial | N/A | Oxford Health Insurance, Inc. | N/A | 1996-11-18 | N/A | 1363990 | N/A | C1 | false | Liberto | N/A | Virginia | N/A | N/A | N/A | Freedom Network | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9487561 | 2222 | N/A | 13867492 | N/A | 7937193 | 2025-10-18 05:20:11.928500 | 2025-09-17 23:48:53.744310 |
| 2025-10-18 05:20:00.138907 | 2025-10-18 05:20:05.108287 | 13595935 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-09-14 | 2025-10-20 | M | AE | PT | N/A | Luthra | 70548686400 | Rahil | https://storage.googleapis.com/normandy-eligibility-checks/2222/9415757/check_13595935_6acb56d0-2b6b-4c05-99db-b6cc602d3be4.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415757/check_13595935_7ea445b6-35a1-41ed-ac9f-547f3bf2de68.json | N/A | N/A | N/A | N/A | N/A | 70548686400 | Commercial | N/A | UnitedHealthcare Benefits Plan of California | N/A | 2005-09-14 | N/A | 1727199 | N/A | C1 | false | LUTHRA | N/A | RAHIL | N/A | N/A | N/A | Select Plus | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9415757 | 2222 | N/A | 13867430 | N/A | 7884645 | 2025-10-18 05:20:05.108287 | 2025-09-23 18:47:24.441583 |
| 2025-10-18 05:19:53.313162 | 2025-10-18 05:19:57.116965 | 13595870 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-01-07 | 2025-10-20 | F | AE | PT | N/A | BUCHLER | 941436830 | Miroslava | https://storage.googleapis.com/normandy-eligibility-checks/2222/9277476/check_13595870_219aa89d-7b7e-4f7a-a992-3db036043402.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9277476/check_13595870_c329f707-2ece-4f1e-af57-6ce51b5e27ba.json | N/A | N/A | N/A | N/A | N/A | 941436830 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1976-01-07 | N/A | 701444 | N/A | C1 | false | BUCHLER | N/A | MIROSLAVA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9277476 | 2222 | N/A | 13867373 | N/A | 7785772 | 2025-10-18 05:19:57.116965 | 2025-09-16 03:06:31.754909 |
| 2025-10-18 05:19:37.632260 | 2025-10-18 05:19:41.173097 | 13595692 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-12 | 2025-10-21 | F | AE | PT | N/A | GEFFNER | 1644434-01 | RANDI | https://storage.googleapis.com/normandy-eligibility-checks/2222/8650277/check_13595692_bcaa22f8-622f-4bc7-88e3-ce244e2249bb.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650277/check_13595692_ffee8b16-81e3-48fe-953b-fe120777469c.json | N/A | N/A | N/A | N/A | N/A | 164443401 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | N/A | 1960-04-12 | N/A | HCFA21 | N/A | HN | false | GEFFNER | N/A | RANDI | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8650277 | 2222 | N/A | 13867210 | N/A | 4212388 | 2025-10-18 05:19:41.173097 | 2025-08-27 20:50:06.362473 |
| 2025-10-18 05:17:51.945709 | 2025-10-18 05:17:56.417620 | 13594703 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-06-29 | 2025-10-21 | F | AE | PT | N/A | Pienkowski | 996659662 | Alexandra | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078295/check_13594703_64c01ead-aeea-4a1a-8a21-5527f1705d94.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078295/check_13594703_6786bed0-8374-4f5d-ab77-12cefcb10a0f.json | N/A | N/A | N/A | N/A | N/A | 996659662 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1997-06-29 | N/A | 702551 | N/A | C1 | false | PIENKOWSKI | N/A | ALEXANDRA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6078295 | 2222 | N/A | 13866340 | N/A | 4722548 | 2025-10-18 05:17:56.417620 | 2025-05-30 04:23:27.387333 |
| 2025-10-18 05:17:47.559030 | 2025-10-18 05:17:52.716490 | 13594651 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-08-17 | 2025-10-21 | F | AE | PT | N/A | RUEMMELE | 17940949900 | MAKENA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874412/check_13594651_64b42b8f-410b-4355-a5dc-0d5f34a28852.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874412/check_13594651_ccba321f-16af-4e43-8852-6062a1808adc.json | N/A | N/A | N/A | N/A | N/A | 17940949902 | Commercial | N/A | UnitedHealthcare Insurance Company | N/A | 2013-08-17 | N/A | 1685837 | N/A | C1 | false | Ruemmele | N/A | Makena | N/A | N/A | N/A | Choice Plus | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874412 | 2222 | N/A | 13866303 | N/A | 4534546 | 2025-10-18 05:17:52.716490 | 2025-12-03 00:06:29.870228 |
| 2025-10-18 05:17:40.634911 | 2025-10-18 05:17:46.617542 | 13594585 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-06-01 | 2025-10-21 | M | AE | PT | N/A | DAVIES | 056345454-05 | BILL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542563/check_13594585_0b92887e-4eb7-4df3-b754-fbb5657de523.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542563/check_13594585_38b39163-6513-45f8-8c43-b16fa5d3e02b.json | N/A | N/A | N/A | N/A | N/A | 056345405 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1961-06-01 | N/A | 252771 | N/A | C1 | false | DAVIES | N/A | BILL | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542563 | 2222 | N/A | 13866250 | N/A | 4214455 | 2025-10-18 05:17:46.617542 | 2025-05-13 04:29:37.228770 |
| 2025-10-18 05:13:36.558572 | 2025-10-18 05:13:44.487330 | 13593214 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-07 | 2025-10-21 | M | AE | PT | 6341 | WALLACH | 006908882 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/7821426/check_13593214_97bb770d-03c2-4fb0-a3e3-1d2a6c2b83e1.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7821426/check_13593214_6881a220-67e6-4de3-bf98-256ea90b750d.json | N/A | N/A | N/A | N/A | N/A | 006908882 | N/A | N/A | TRIWEST - TRICARE | N/A | 1971-12-07 | N/A | N/A | N/A | N/A | false | WALLACH | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7821426 | 2222 | N/A | 13865120 | N/A | 6660003 | 2025-10-18 05:13:44.487330 | 2026-06-01 17:03:48.982724 |
| 2025-10-18 05:10:29.868081 | 2025-10-19 02:40:06.322702 | 13592446 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13592446 | Athletic Physical Therapy Inc | 1952-07-15 | 2025-10-21 | M | AE | PT | N/A | WOLFE | 9Y10EH3AK90 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102023379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239788/check_13592446_19ecb697-859d-48ad-9d11-1fb64cf5f40e.json | N/A | N/A | N/A | N/A | N/A | 9Y10EH3AK90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-15 | S5617 | N/A | N/A | MA | false | WOLFE | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054392274 | N/A | N/A | 10239788 | 2222 | 4793 | 13890154 | N/A | 8527464 | 2025-10-19 02:40:06.322702 | 2025-10-14 15:25:46.972104 |
| 2025-10-18 05:10:06.721706 | 2025-10-19 02:33:24.698193 | 13591996 | N/A | N/A | 60054 | Aetna | 1114042165 | 13591996 | Athletic Physical Therapy Inc | 1976-03-18 | 2025-10-21 | M | AE | PT | N/A | SEEMAN | W290664045 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102023379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10208244/check_13591996_a2e6dc6f-4e98-4ed3-b025-14d154cc126c.json | N/A | N/A | N/A | N/A | N/A | W290664045 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1976-03-18 | 0176563 | 017656301100028 | N/A | PS | false | SEEMAN | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054394134 | N/A | N/A | 10208244 | 2222 | 4801 | 13884551 | N/A | 8500669 | 2025-10-19 02:33:24.698193 | 2025-10-08 23:15:42.079175 |
| 2025-10-18 05:09:48.478479 | 2025-10-19 02:36:36.953066 | 13591512 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13591512 | Athletic Physical Therapy Inc | 1983-05-09 | 2025-10-21 | F | AE | PT | N/A | RAJCIC | 622299781 | MAJA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102023379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172287/check_13591512_01f9ffc7-57c3-4e31-8750-95e98dc91aaf.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1983-05-09 | N/A | N/A | N/A | N/A | false | RAJCIC | N/A | MAJA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054394059 | N/A | N/A | 10172287 | 2222 | 4802 | 13887003 | N/A | 8473558 | 2025-10-19 02:36:36.953066 | 2025-10-10 16:40:45.584452 |
| 2025-10-18 05:09:33.835240 | 2025-10-19 00:55:22.171915 | 13591157 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13591157 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-10-21 | M | AE | PT | N/A | SAWAYA | XDD599A52218 | PETER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102020335.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033459/check_13591157_7b2be134-4881-4f30-9a62-674ca3179721.json | N/A | N/A | N/A | N/A | N/A | XDD599A52218 | Indemnity | SISC - COMPANIONCARE | MEDICARE D | N/A | 1942-10-02 | 040 | 40003A | N/A | IN | false | SAWAYA | N/A | PETER | N/A | 9999-12-31 | 2023-01-01 | MEDICARE SUPPLEMENT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054411802 | N/A | N/A | 9033459 | 2222 | 4802 | 13879968 | N/A | 7553607 | 2025-10-19 00:55:22.171915 | 2025-09-02 22:55:04.873891 |
| 2025-10-18 05:09:30.574570 | 2025-10-19 00:55:14.518054 | 13591064 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13591064 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-10-21 | F | AE | PT | N/A | NATALI | 94579563C | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102020335.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979227/check_13591064_782e283a-5bd0-423a-afb1-ef02b70a9ccc.json | N/A | N/A | N/A | N/A | N/A | 94579563C | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1950-04-13 | MCLA | MWLLDAGG21 | N/A | N/A | false | NATALI | N/A | RENEE | N/A | 2025-07-31 | 2025-02-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054411268 | N/A | N/A | 8979227 | 2222 | 4793 | 13879930 | N/A | 7498543 | 2025-10-19 00:55:14.518054 | 2025-10-14 17:13:32.178778 |
| 2025-10-18 05:09:29.487447 | 2025-10-19 00:55:18.459005 | 13591030 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13591030 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-10-20 | F | AE | PT | N/A | GOEL | JQE690A74746 | VEENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102020335.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_13591030_6d372408-e881-480d-b4d7-71f31187b5e4.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054411256 | N/A | N/A | 8969545 | 2222 | 4802 | 13879950 | N/A | 7485064 | 2025-10-19 00:55:18.459005 | 2025-12-29 22:41:16.623495 |
| 2025-10-18 05:09:20.813613 | 2025-10-19 00:57:34.734604 | 13590796 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13590796 | Athletic Physical Therapy Inc | 1976-12-11 | 2025-10-21 | M | AE | PT | N/A | NAGATSUKA | NCF475A62996 | ANTHONY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102020335.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8454587/check_13590796_d86720d8-524a-4227-ad28-bd5544f06b05.json | N/A | N/A | N/A | N/A | N/A | NCF475A62996 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1976-12-11 | 040 | 57AJCA | N/A | HM | false | CHAO NAGATSUKA | N/A | ANGELITA | N/A | 9999-12-31 | 2024-08-01 | POWER SELECT HMO NETWORK 126+ | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054412480 | N/A | N/A | 8454587 | 2222 | 4801 | 13880640 | N/A | 6653733 | 2025-10-19 00:57:34.734604 | 2025-08-24 22:53:15.351116 |
| 2025-10-18 05:09:19.952528 | 2025-10-19 02:37:09.661864 | 13590777 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 13590777 | Athletic Physical Therapy Inc | 1953-07-29 | 2025-10-21 | F | PT | N/A | N/A | DE SANTIAGO | 906536178001 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102023379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10128259/check_13590777_23e5126a-bb7c-4cf8-a106-1ac79eff42da.json | N/A | N/A | N/A | N/A | N/A | XEH906536178 | Health Maintenance Organization (HMO) | P W GILLIBRAND COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1953-07-29 | 1000HMOX0002 | W0001720 | N/A | HM | false | DESANTIAGO | N/A | REFUGIO | N/A | N/A | N/A | ACCESS HMO R ZERO ADMIT 30 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054393333 | N/A | N/A | 10128259 | 2222 | 4801 | 13887488 | N/A | 8452475 | 2025-10-19 02:37:09.661864 | 2025-10-07 21:19:11.415234 |
| 2025-10-18 05:09:16.387678 | 2025-10-19 00:34:32.168822 | 13590672 | N/A | N/A | 60054 | Aetna | 1114042165 | 13590672 | Athletic Physical Therapy Inc | 1987-06-04 | 2025-10-21 | F | AE | PT | N/A | Kramer | W25290479102 | Aleah | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102120878.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11015112/check_13590672_b91fa7d6-5a1f-4d88-989b-b0e4c98e29d0.json | N/A | N/A | N/A | N/A | N/A | W252904791 | Health Maintenance Organization (HMO) | AUCTANE, INC. | AETNA | N/A | 1987-06-04 | EABWOX11 | 023181301100001 | N/A | HM | false | MCGEE | N/A | PETER | N/A | N/A | N/A | HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054419570 | N/A | N/A | 11015112 | 2222 | 4802 | 13872367 | N/A | 9379901 | 2025-10-19 00:34:32.168822 | 2025-10-21 18:31:35.446245 |
| 2025-10-18 05:09:14.362751 | 2025-10-19 00:53:50.442988 | 13590605 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13590605 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-10-21 | F | AE | PT | N/A | NATALI | 2XU8UK4DF50 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979192/check_13590605_477cfc20-afbb-4204-8484-2f7f1a25bee4.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part A | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MA | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054416035 | N/A | N/A | 8979192 | 2222 | 4793 | 13879481 | N/A | 7498543 | 2025-10-19 00:53:50.442988 | 2025-10-14 17:13:32.178778 |
| 2025-10-18 05:09:10.015790 | 2025-10-19 00:53:48.057142 | 13590463 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13590463 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-10-20 | F | AE | PT | N/A | GOEL | 5RR4M63DR65 | VEENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_13590463_17c0e88b-f229-4cc1-9fa4-981ae8ea4249.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S5596 | N/A | N/A | MB | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054415690 | N/A | N/A | 8969533 | 2222 | 4802 | 13879469 | N/A | 7485064 | 2025-10-19 00:53:48.057142 | 2025-12-29 22:41:16.623495 |
| 2025-10-18 05:09:06.145564 | 2025-10-19 02:36:41.440655 | 13590346 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13590346 | Athletic Physical Therapy Inc | 1976-08-13 | 2025-10-21 | F | PT | N/A | N/A | GODWIN | JPU097W07528 | CASSANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102023379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10090153/check_13590346_66a1dfa2-6807-44d2-b3c2-c61b0b39d4d6.json | N/A | N/A | N/A | N/A | N/A | JPU097W07528 | Preferred Provider Organization (PPO) | MAJCO LLC | ANTHEM BLUE CROSS | N/A | 1976-08-13 | 040 | 281949M014 | N/A | PR | false | GODWIN | N/A | CASSANDRA | N/A | 9999-12-31 | 2023-06-01 | SOLUTION PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054393233 | N/A | N/A | 10090153 | 2222 | 4801 | 13887066 | N/A | 8428668 | 2025-10-19 02:36:41.440655 | 2025-10-12 20:55:35.014952 |
| 2025-10-18 05:09:03.424589 | 2025-10-19 00:41:17.580103 | 13590260 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13590260 | Athletic Physical Therapy Inc | 1987-06-17 | 2025-10-21 | M | AE | PT | N/A | FAVELA | 620360888 | MAXIMILIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_13590260_53c5067c-e55c-4db6-b2fd-c5ce6854b0cf.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | HEALTH BENEFIT PLAN COVERAGE | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2025-12-31 | 2025-02-01 | L.A. CARE COVERED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054414961 | N/A | N/A | 8960010 | 2222 | 4802 | 13874663 | N/A | 7476978 | 2025-10-19 00:41:17.580103 | 2026-01-07 18:27:22.752552 |
| 2025-10-18 05:08:48.474022 | 2025-10-19 00:41:33.807670 | 13589851 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13589851 | Athletic Physical Therapy Inc | 1960-08-19 | 2025-10-21 | M | PT | N/A | N/A | WARREN | MBL523W24301 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8681972/check_13589851_8d5ea87f-474d-46b2-8d1f-7c3bdfba4780.json | N/A | N/A | N/A | N/A | N/A | MBL523W24301 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1960-08-19 | 040 | CA039GRS | N/A | N/A | false | WARREN | N/A | WILLIAM | N/A | 9999-12-31 | 2025-08-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054416380 | N/A | N/A | 8681972 | 2222 | 4801 | 13874771 | N/A | 7315557 | 2025-10-19 00:41:33.807670 | 2025-09-08 19:23:27.353339 |
| 2025-10-18 05:08:38.722954 | 2025-10-19 02:32:53.937058 | 13589569 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13589569 | Athletic Physical Therapy Inc | 1966-10-24 | 2025-10-21 | F | AE | PT | N/A | DUARTE | 99133977C | TERESA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102023379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10032559/check_13589569_3c5bf0f8-1523-4561-a108-7dd1c1dad427.json | N/A | N/A | N/A | N/A | N/A | 99133977C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 04/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1966-10-24 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DUARTE | N/A | TERESA | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054392982 | N/A | N/A | 10032559 | 2222 | 4802 | 13884179 | N/A | 8397995 | 2025-10-19 02:32:53.937058 | 2025-10-06 22:35:05.038045 |
| 2025-10-18 05:08:33.509345 | 2025-10-19 00:57:35.590383 | 13589359 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13589359 | Athletic Physical Therapy Inc | 1935-11-26 | 2025-10-21 | F | AE | PT | N/A | MCCANN | JQE588W18533 | JOSEPHINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102020335.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7760464/check_13589359_9f81fbd7-494b-43fb-aa26-be3ab4e8390b.json | N/A | N/A | N/A | N/A | N/A | JQE588W18533 | N/A | CA MED-SUPP | BLUE SHIELD OF CALIFORNIA | N/A | 1935-11-26 | 040 | CASUPWP0 | N/A | N/A | false | MCCANN | N/A | JOSEPHINE | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054412558 | N/A | N/A | 7760464 | 2222 | 4801 | 13880643 | N/A | 6609924 | 2025-10-19 00:57:35.590383 | 2025-08-12 22:04:05.464362 |
| 2025-10-18 05:08:31.865886 | 2025-10-19 02:32:11.349096 | 13589290 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 13589290 | Athletic Physical Therapy Inc | 1953-11-10 | 2025-10-21 | F | AE | PT | N/A | Herreres | H6884136600 | Irene | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102023379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10019260/check_13589290_4ead50f7-121e-4d76-b176-374033e68e79.json | N/A | N/A | N/A | N/A | N/A | H6884136600 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-11-10 | N/A | N/A | N/A | N/A | false | HERRERES | N/A | IRENE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054392227 | N/A | N/A | 10019260 | 2222 | 4801 | 13883713 | N/A | 8386960 | 2025-10-19 02:32:11.349096 | 2025-10-06 18:27:19.967736 |
| 2025-10-18 05:08:23.300299 | 2025-10-19 02:39:22.777010 | 13588934 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13588934 | Athletic Physical Therapy Inc | 2001-07-26 | 2025-10-21 | M | PT | N/A | N/A | ARUMUGAM | FRU100011284058 | HARIDHANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101951023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9727130/check_13588934_7374fc6e-21f5-473c-86a1-c487c6719ef0.json | N/A | N/A | N/A | N/A | N/A | FRU100011284058 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2001-07-26 | N/A | N/A | N/A | N/A | false | ARUMUGAM | N/A | HARIDHANA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054404210 | N/A | N/A | 9727130 | 2222 | 4801 | 13889609 | N/A | 6979235 | 2025-10-19 02:39:22.777010 | 2025-09-29 22:51:47.474872 |
| 2025-10-18 05:08:19.716686 | 2025-10-19 02:37:34.077191 | 13588703 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13588703 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-10-21 | M | PT | N/A | N/A | MARSHALL | JQU309W24257 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102005127.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_13588703_2685584e-fa37-4b59-8da8-e17f30429287.json | N/A | N/A | N/A | N/A | N/A | JQU309W24257 | Preferred Provider Organization (PPO) | SUNSTONE PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | A35988 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 9999-12-31 | 2025-07-01 | ANTHEM PLATINUM PPO 15/40/10% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054395607 | N/A | N/A | 7458512 | 2222 | 4793 | 13887872 | N/A | 6021448 | 2025-10-19 02:37:34.077191 | 2025-07-14 23:05:51.728886 |
| 2025-10-18 05:08:19.359901 | 2025-10-19 02:37:33.790201 | 13588680 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13588680 | Athletic Physical Therapy Inc | 1965-07-08 | 2025-10-21 | F | PT | N/A | N/A | CHALFIN | WAR121A52220 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102005127.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456267/check_13588680_0de53a05-7148-4bbe-9931-808179ac50aa.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054394924 | N/A | N/A | 7456267 | 2222 | 4793 | 13887867 | N/A | 6405582 | 2025-10-19 02:37:33.790201 | 2025-08-04 21:58:38.426681 |
| 2025-10-18 05:08:17.507990 | 2025-10-19 02:32:24.276269 | 13588556 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13588556 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-10-21 | M | AE | PT | N/A | Thur | 95641377F | Pyi | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102005127.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_13588556_f74e3fdb-bc27-45bd-91cc-65d4805b9e8b.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1962-09-23 | N/A | N/A | N/A | N/A | false | THUR | N/A | PYI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054394899 | N/A | N/A | 7449843 | 2222 | 4802 | 13883826 | N/A | 6399635 | 2025-10-19 02:32:24.276269 | 2025-07-29 18:42:47.970149 |
| 2025-10-18 05:08:16.045414 | 2025-10-19 00:40:47.782547 | 13588470 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13588470 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-10-21 | M | AE | PT | N/A | CARINO | 166067001 | RODOLFO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472317/check_13588470_b93ba496-33c6-404d-a817-e63906202338.json | N/A | N/A | N/A | N/A | N/A | 166067001 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1953-06-18 | N/A | HCFA21 | N/A | HN | false | CARINO | N/A | RODOLFO | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054416695 | N/A | N/A | 8472317 | 2222 | 4802 | 13874456 | N/A | 6543380 | 2025-10-19 00:40:47.782547 | 2025-08-01 17:39:00.802055 |
| 2025-10-18 05:08:15.760104 | 2025-10-19 00:34:36.324193 | 13588448 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13588448 | override_provider | 1986-05-15 | 2025-10-20 | M | PT | N/A | N/A | Chizever | SBN015146 | Geoffrey | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471737/check_13588448_b0cbec24-a709-47b4-816d-5a352f87f7fc.json | N/A | N/A | N/A | N/A | N/A | SBN015146 | Preferred Provider Organization (PPO) | SBN STANDARD OPTION | BLUE SHIELD OF CALIFORNIA | N/A | 1986-05-15 | N/A | SBN | N/A | PR | false | CHIZEVER | N/A | GEOFFREY | N/A | 9999-12-31 | 2020-01-01 | SBN STANDARD OPTION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054416693 | N/A | N/A | 8471737 | 2222 | 4802 | 13872391 | N/A | 7142683 | 2025-10-19 00:34:36.324193 | 2026-01-12 20:01:37.957097 |
| 2025-10-18 05:08:04.242578 | 2025-10-19 02:38:09.691780 | 13587756 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13587756 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-10-21 | F | PT | N/A | N/A | KRAFT | XED911569862 | KATHRIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102005127.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_13587756_8afdc2c4-2e28-49ba-9281-ed5900df6402.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054394857 | N/A | N/A | 7294742 | 2222 | 4801 | 13888474 | N/A | 6254569 | 2025-10-19 02:38:09.691780 | 2025-08-12 09:24:43.956957 |
| 2025-10-18 05:08:04.225842 | 2025-10-19 00:55:19.204851 | 13587754 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13587754 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-10-21 | F | AE | PT | N/A | GUASTELLA | 911M7843220 | ROSE ANN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102020335.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458753/check_13587754_315502f1-ddc3-4768-9e8e-76a00bce99d0.json | N/A | N/A | N/A | N/A | N/A | 911M7843220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1944-09-29 | N/A | N/A | N/A | N/A | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054411125 | N/A | N/A | 7458753 | 2222 | 4801 | 13879952 | N/A | 6407685 | 2025-10-19 00:55:19.204851 | 2025-08-12 18:01:47.141909 |
| 2025-10-18 05:08:01.153589 | 2025-10-19 02:46:17.978606 | 13587576 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13587576 | Athletic Physical Therapy Inc | 1952-08-04 | 2025-10-21 | F | AE | PT | N/A | Dunkerley | 9N89GR7HH33 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101951023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9665219/check_13587576_0ceba7d9-fffd-4da1-95ee-5ebe3a048aa1.json | N/A | N/A | N/A | N/A | N/A | 9N89GR7HH33 | N/A | N/A | CMS | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054403860 | N/A | N/A | 9665219 | 2222 | 4802 | 13892910 | N/A | 8086688 | 2025-10-19 02:46:17.978606 | 2026-01-15 18:07:39.869679 |
| 2025-10-18 05:07:47.030217 | 2025-10-19 02:33:05.492553 | 13586625 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13586625 | override_provider | 1963-04-03 | 2025-10-21 | F | PT | N/A | N/A | Protsenko | AJC912998623 | Tetiana | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102023379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9958584/check_13586625_36a82f49-7cc5-4e17-8ccc-c2804f8d881e.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | BLUE SHIELD PROMISE MEDI CAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054393827 | N/A | N/A | 9958584 | 2222 | 4802 | 13884345 | N/A | 7994720 | 2025-10-19 02:33:05.492553 | 2025-09-24 04:33:28.125297 |
| 2025-10-18 05:07:45.750022 | 2025-10-19 00:41:32.621789 | 13586533 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13586533 | Athletic Physical Therapy Inc | 1979-11-10 | 2025-10-21 | F | PT | N/A | N/A | SEITZ | SEY495A67668 | KORINNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8225980/check_13586533_8c74979b-0aed-491b-8110-dee49a2a7c03.json | N/A | N/A | N/A | N/A | N/A | SEY495A67668 | Preferred Provider Organization (PPO) | SEMPRA HEALTH CARE PLUS | ANTHEM BLUE CROSS | N/A | 1979-11-10 | 040 | 174217M3B7 | N/A | PR | false | SEITZ | N/A | CORY | N/A | 9999-12-31 | 2019-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054415954 | N/A | N/A | 8225980 | 2222 | 4801 | 13874763 | N/A | 6982786 | 2025-10-19 00:41:32.621789 | 2025-09-05 22:05:24.545118 |
| 2025-10-18 05:07:43.018879 | 2025-10-19 00:55:21.594476 | 13586351 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13586351 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-10-21 | M | PT | N/A | N/A | MARSHALL | AGSAH0066119 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102020335.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003223/check_13586351_186e1f06-66c2-47ed-80c0-cfbded21c31e.json | N/A | N/A | N/A | N/A | N/A | AGSAH0066119 | N/A | PEPPERDINE UNIVERSITY | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | 276500MG04 | N/A | N/A | false | MARSHALL | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054411663 | N/A | N/A | 7003223 | 2222 | 4793 | 13879965 | N/A | 6021448 | 2025-10-19 00:55:21.594476 | 2025-07-14 23:05:51.728886 |