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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | 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 05:04:03.725318 | 2025-10-19 02:41:48.930686 | 13576048 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13576048 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-10-21 | M | PT | MILES | MBL835W05431 | KEITH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101932072.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_13576048_1e462295-be35-4ee2-8732-5e5137f792d8.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054391947 | N/A | N/A | 5536896 | 2222 | 4793 | 13890991 | N/A | 4209567 | 2025-10-19 02:41:48.930686 | 2025-05-13 04:29:37.223990 |
| 2025-10-18 05:04:03.466758 | 2025-10-19 02:41:43.495275 | 13576039 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13576039 | Athletic Physical Therapy Inc | 1975-05-16 | 2025-10-21 | F | PT | BERRY | GGS142A51835 | LEANNE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101932072.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536701/check_13576039_9812be15-a578-4b9a-bc8a-fa01a2922f1f.json | N/A | N/A | N/A | N/A | N/A | GGS142A51835 | Preferred Provider Organization (PPO) | GOOGLE PPO | ANTHEM BLUE CROSS | N/A | 1975-05-16 | 040 | 174134M2A1 | N/A | PR | false | BERRY | N/A | CRAIG | N/A | 9999-12-31 | 2017-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054391946 | N/A | N/A | 5536701 | 2222 | 4802 | 13890929 | N/A | 4209398 | 2025-10-19 02:41:43.495275 | 2025-11-05 08:20:15.147573 |
| 2025-10-18 05:04:03.090715 | 2025-10-19 02:41:52.011216 | 13576030 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13576030 | Athletic Physical Therapy Inc | 1964-11-18 | 2025-10-21 | F | PT | TATE | CAI433A55164 | SANDRA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101932072.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536427/check_13576030_d4ad98df-a568-4dff-8f62-b2885b68b09a.json | N/A | N/A | N/A | N/A | N/A | CAI433A55164 | Health Maintenance Organization (HMO) | CALPERS CA RGION TWO - SO CA | ANTHEM BLUE CROSS | N/A | 1964-11-18 | 040 | HTB070HT | N/A | HM | false | TATE | N/A | SANDRA | N/A | 9999-12-31 | 2022-01-01 | PREMIER TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054391945 | N/A | N/A | 5536427 | 2222 | 4793 | 13891023 | N/A | 4209167 | 2025-10-19 02:41:52.011216 | 2025-10-02 14:46:41.026614 |
| 2025-10-18 05:04:02.593295 | 2025-10-19 02:40:00.834645 | 13576020 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13576020 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-10-21 | F | AE | RYAN | 31026142401 | CAROL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101932072.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_13576020_2930a7e3-ef15-477c-b19c-516753507be1.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1941-04-16 | N/A | N/A | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054391944 | N/A | N/A | 5535455 | 2222 | 4793 | 13890070 | N/A | 4208375 | 2025-10-19 02:40:00.834645 | 2025-08-08 21:08:12.459471 |
| 2025-10-18 05:04:02.075733 | 2025-10-19 02:40:00.063489 | 13576009 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13576009 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-10-21 | F | AE | PORTER | 400282215401 | SHERIL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101932072.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_13576009_0af7ef02-b3ab-4f08-b00f-3aacee23650e.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-12-16 | N/A | N/A | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054391943 | N/A | N/A | 5535434 | 2222 | 4793 | 13890061 | N/A | 4208356 | 2025-10-19 02:40:00.063489 | 2025-08-25 14:49:27.724897 |
| 2025-10-18 05:03:56.014554 | 2025-10-19 00:40:01.795801 | 13575850 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13575850 | Athletic Physical Therapy Inc | 1936-04-01 | 2025-10-21 | F | AE | WESTER | 40064582501 | EIVOR | PT | N/A | 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/2222/7761229/check_13575850_e26c59e4-7fe8-497d-acf4-4ae337e82c12.json | N/A | N/A | N/A | N/A | N/A | 40064582501 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1936-04-01 | N/A | N/A | N/A | N/A | false | WESTER | N/A | EIVOR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054414642 | N/A | N/A | 7761229 | 2222 | 4793 | 13874204 | N/A | 6610550 | 2025-10-19 00:40:01.795801 | 2025-08-29 21:18:14.924057 |
| 2025-10-18 05:03:55.075904 | 2025-10-19 00:53:49.533458 | 13575819 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13575819 | Athletic Physical Therapy Inc | 1935-11-26 | 2025-10-21 | F | AE | MCCANN | 9Q04X31JA99 | JOSEPHINE | PT | N/A | 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/2222/7760463/check_13575819_b797a67f-56d8-431a-a2d2-2d3dc01943de.json | N/A | N/A | N/A | N/A | N/A | 9Q04X31JA99 | N/A | N/A | CMS | N/A | 1935-11-26 | N/A | N/A | N/A | N/A | false | MCCANN | N/A | JOSEPHINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054414639 | N/A | N/A | 7760463 | 2222 | 4801 | 13879478 | N/A | 6609924 | 2025-10-19 00:53:49.533458 | 2025-08-12 22:04:05.464362 |
| 2025-10-18 05:03:54.088271 | 2025-10-19 02:39:23.554307 | 13575789 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13575789 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-10-21 | M | PT | CLANCY | XDMOE0503879 | JOSEPH | N/A | N/A | 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/2222/9194927/check_13575789_6d6f9cb3-2038-42aa-9fd5-dbeeea71d3fd.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054404698 | N/A | N/A | 9194927 | 2222 | 4793 | 13889619 | 4184 | 7712549 | 2025-10-19 02:39:23.554307 | 2025-09-10 17:29:28.945035 |
| 2025-10-18 05:03:53.414659 | 2025-10-19 02:41:56.684406 | 13575769 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13575769 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-10-21 | F | AE | GARRETT | 3EJ1R73ND18 | KATHLEEN | PT | N/A | 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/2222/6714932/check_13575769_b31da85f-7073-4cbf-b7e1-021a9e6279f1.json | N/A | N/A | N/A | N/A | N/A | 3EJ1R73ND18 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-16 | S5601 | N/A | N/A | MA | false | GARRETT | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054394498 | N/A | N/A | 6714932 | 2222 | 4793 | 13891081 | N/A | 5316176 | 2025-10-19 02:41:56.684406 | 2025-07-01 18:44:12.927482 |
| 2025-10-18 05:03:43.811347 | 2025-10-19 00:41:11.126106 | 13575456 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13575456 | Athletic Physical Therapy Inc | 1989-04-19 | 2025-10-20 | F | PT | Onurah | DGA12882485J | Nneka | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102120878.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10302887/check_13575456_ec77be1c-d510-41c5-888d-7a2c60bf1f30.json | N/A | N/A | N/A | N/A | N/A | DGA12882485J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1989-04-19 | 040 | 276945M003 | N/A | PR | false | ONUORAH | N/A | NNEKA | N/A | 9999-12-31 | 2025-09-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054419057 | N/A | N/A | 10302887 | 2222 | 4802 | 13874623 | N/A | 8572597 | 2025-10-19 00:41:11.126106 | 2025-10-10 17:17:14.959382 |
| 2025-10-18 05:03:41.419916 | 2025-10-19 02:39:23.138557 | 13575373 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13575373 | Athletic Physical Therapy Inc | 1952-01-13 | 2025-10-21 | M | PT | BLANCO ESCOBAR | JQW106W18304 | SAMUEL | N/A | N/A | 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/2222/9134245/check_13575373_3fbb8572-12fc-4cf6-9a4e-2ac94a0e2d1c.json | N/A | N/A | N/A | N/A | N/A | JQW106W18304 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-01-13 | 040 | CAMCRWP0 | N/A | MP | false | BLANCO ESCOBAR | N/A | SAMUEL | N/A | 2025-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054404475 | N/A | N/A | 9134245 | 2222 | 4801 | 13889615 | N/A | 7655426 | 2025-10-19 02:39:23.138557 | 2025-09-08 18:14:46.984181 |
| 2025-10-18 05:03:21.705137 | 2025-10-19 02:46:18.330813 | 13574691 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13574691 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-10-21 | F | AE | JESTER | 8WT9EW5DX41 | AUREA | PT | N/A | 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/2222/9104610/check_13574691_0b5d05ed-c8cf-4f43-8f1a-70f2ef88ee59.json | N/A | N/A | N/A | N/A | N/A | 8WT9EW5DX41 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-16 | H4036 | N/A | N/A | MA | false | JESTER | N/A | AUREA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054404271 | N/A | N/A | 9104610 | 2222 | 4801 | 13892911 | N/A | 7624564 | 2025-10-19 02:46:18.330813 | 2025-10-06 23:19:36.703282 |
| 2025-10-18 05:03:21.073080 | 2025-10-19 02:36:38.978425 | 13574663 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 13574663 | Athletic Physical Therapy Inc | 1972-01-18 | 2025-10-21 | F | AE | EDELMAN | 10958328801 | MARINA | PT | N/A | 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/2222/9104367/check_13574663_dae6bd70-7d5c-481d-bccb-c67d9f82cd64.json | N/A | N/A | N/A | N/A | N/A | 10958328801 | N/A | TIXR, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1972-01-18 | N/A | 00651893 | N/A | N/A | false | EDELMAN | N/A | MARINA | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054404268 | N/A | N/A | 9104367 | 2222 | 4793 | 13887025 | N/A | 7624210 | 2025-10-19 02:36:38.978425 | 2025-12-10 17:00:45.860910 |
| 2025-10-18 05:03:18.242580 | 2025-10-19 02:39:24.304533 | 13574564 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13574564 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-10-21 | F | PT | OBACZ | JQV897A63197 | KLOIE | N/A | N/A | 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/2222/9102655/check_13574564_99d852c3-dc98-4438-9ac0-15bc940f48e1.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 9999-12-31 | 2025-01-01 | CA SG SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054404256 | N/A | N/A | 9102655 | 2222 | 4801 | 13889629 | N/A | 7621062 | 2025-10-19 02:39:24.304533 | 2025-09-12 19:10:20.936695 |
| 2025-10-18 05:03:12.178638 | 2025-10-19 02:40:05.258263 | 13574355 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13574355 | Athletic Physical Therapy Inc | 1957-07-19 | 2025-10-21 | F | AE | JALALI | 7PC8UR2FF54 | SOHEILA | PT | N/A | 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/2222/9766461/check_13574355_566766a0-a157-4bf4-bb28-68c1c1a541b9.json | N/A | N/A | N/A | N/A | N/A | 7PC8UR2FF54 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-07-19 | S5601 | N/A | N/A | MA | false | JALALI | N/A | SOHEILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054392541 | N/A | N/A | 9766461 | 2222 | 4802 | 13890137 | N/A | 8177726 | 2025-10-19 02:40:05.258263 | 2025-09-26 21:46:59.613569 |
| 2025-10-18 05:03:09.835514 | 2025-10-19 02:40:05.766599 | 13574271 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13574271 | Athletic Physical Therapy Inc | 1960-01-10 | 2025-10-21 | F | AE | MAWAS | 1HM1QX0QJ05 | ASMAHAN | PT | N/A | 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/2222/9765210/check_13574271_02233af9-cb92-4037-9807-6aae7637e0b5.json | N/A | N/A | N/A | N/A | N/A | 1HM1QX0QJ05 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-01-10 | S5617 | N/A | N/A | MB | false | MAWAS | N/A | ASMAHAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054392536 | N/A | N/A | 9765210 | 2222 | 4801 | 13890145 | N/A | 8176388 | 2025-10-19 02:40:05.766599 | 2025-10-07 15:06:58.335351 |
| 2025-10-18 05:03:08.167759 | 2025-10-19 02:36:53.113369 | 13574206 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13574206 | Athletic Physical Therapy Inc | 1942-07-28 | 2025-10-21 | M | AE | SIMMONS | 40055722801 | J | PT | N/A | 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/2222/6685251/check_13574206_c6794dcd-8017-452d-baba-bead45572137.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1942-07-28 | N/A | N/A | N/A | N/A | false | SIMMONS | N/A | J | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054395728 | N/A | N/A | 6685251 | 2222 | 4793 | 13887223 | N/A | 4209868 | 2025-10-19 02:36:53.113369 | 2025-08-15 22:13:56.514261 |
| 2025-10-18 05:02:55.314916 | 2025-10-19 02:34:39.035060 | 13573715 | N/A | N/A | 60054 | Aetna | 1114042165 | 13573715 | Athletic Physical Therapy Inc | 1992-08-27 | 2025-10-21 | F | AE | FINLEY | W28806254401 | MICHAELA | PT | N/A | 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/2222/9081026/check_13573715_edbd2cbe-c6b4-4da0-b827-a450053bfd2f.json | N/A | N/A | N/A | N/A | N/A | W288062544 | Health Maintenance Organization (HMO) | BARRETT BUSINESS SERVICES, INC. | AETNA | N/A | 1992-08-27 | EAC4D303 | 019472903500025 | N/A | HM | false | FINLEY | N/A | MICHAELA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054403906 | N/A | N/A | 9081026 | 2222 | 4801 | 13885472 | N/A | 7597485 | 2025-10-19 02:34:39.035060 | 2025-09-04 15:52:15.446146 |
| 2025-10-18 05:02:53.330596 | 2025-10-19 00:49:31.817079 | 13573632 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13573632 | Athletic Physical Therapy Inc | 1954-03-16 | 2025-10-21 | M | AE | MCCLURE | 7T40AT1FV09 | JOHN | PT | N/A | 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/2222/10277418/check_13573632_c188105a-5604-4a89-bebe-fbfb73363549.json | N/A | N/A | N/A | N/A | N/A | 7T40AT1FV09 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-03-16 | S4802 | N/A | N/A | MA | false | MCCLURE | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054418740 | N/A | N/A | 10277418 | 2222 | 4801 | 13877803 | N/A | 8551982 | 2025-10-19 00:49:31.817079 | 2025-10-21 18:53:20.562386 |
| 2025-10-18 05:02:47.245180 | 2025-10-19 00:34:38.165707 | 13573378 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 13573378 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-10-20 | M | PT | HUTH | XEH910929228 | KENT | N/A | N/A | 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/2222/7626895/check_13573378_a024e178-3f63-4c83-bae6-743ed70ffed8.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054415322 | N/A | N/A | 7626895 | 2222 | 4793 | 13872405 | N/A | 6525917 | 2025-10-19 00:34:38.165707 | 2026-05-08 22:53:13.232007 |
| 2025-10-18 05:02:37.008471 | 2025-10-19 02:46:18.621643 | 13572977 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13572977 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-10-21 | M | AE | SAWAYA | 3R88YH3MG32 | PETER | PT | N/A | 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/2222/9033458/check_13572977_0ca6cb4a-f902-4cfb-b5f8-a9126a910417.json | N/A | N/A | N/A | N/A | N/A | 3R88YH3MG32 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-10-02 | S9701 | N/A | N/A | MA | false | SAWAYA | N/A | PETER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054403432 | N/A | N/A | 9033458 | 2222 | 4802 | 13892913 | N/A | 7553607 | 2025-10-19 02:46:18.621643 | 2025-09-02 22:55:04.873891 |
| 2025-10-18 05:02:35.234152 | 2025-10-19 02:37:17.888229 | 13572921 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13572921 | Athletic Physical Therapy Inc | 2004-10-12 | 2025-10-21 | F | PT | SMITH | JQU079A20315 | QUINCEY | N/A | N/A | 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/2222/9738262/check_13572921_5fda73f4-95de-482e-b4ab-be8311d96aa1.json | N/A | N/A | N/A | N/A | N/A | JQU079A20315 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | BLUE SHIELD OF CALIFORNIA | N/A | 2004-10-12 | 040 | U26729 | N/A | PR | false | SMITH | N/A | CRAIG | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054392142 | N/A | N/A | 9738262 | 2222 | 4802 | 13887625 | N/A | 8152988 | 2025-10-19 02:37:17.888229 | 2025-09-25 21:29:07.638267 |
| 2025-10-18 05:02:34.508560 | 2025-10-19 02:36:41.706848 | 13572895 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13572895 | Athletic Physical Therapy Inc | 1982-12-08 | 2025-10-21 | M | PT | Magpali | VUC967W18809 | Aaron | N/A | N/A | 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/2222/9737460/check_13572895_91e5f700-35c9-4820-9954-0f142ef5dcba.json | N/A | N/A | N/A | N/A | N/A | VUC967W18809 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1982-12-08 | 040 | 280509S400 | N/A | PR | false | MAGPALI | N/A | AARON | N/A | 9999-12-31 | 2024-01-01 | UC CARE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054392140 | N/A | N/A | 9737460 | 2222 | 4801 | 13887069 | N/A | 8152382 | 2025-10-19 02:36:41.706848 | 2025-09-28 17:20:36.874498 |
| 2025-10-18 05:02:30.213240 | 2025-10-19 02:39:24.653710 | 13572747 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13572747 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-10-21 | M | PT | POLK | MBL292M95257 | KENNETH | N/A | N/A | 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/2222/9022039/check_13572747_a82a4eb6-f3a8-4d75-ae3c-f9e19fe75d66.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054403341 | N/A | N/A | 9022039 | 2222 | 4801 | 13889636 | N/A | 7544773 | 2025-10-19 02:39:24.653710 | 2025-09-02 18:35:33.812098 |
| 2025-10-18 05:02:23.392836 | 2025-10-19 00:41:31.896191 | 13572452 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13572452 | Athletic Physical Therapy Inc | 1945-04-26 | 2025-10-21 | M | PT | BARKEY | JQS728M78455 | JOSEPH | N/A | N/A | 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/2222/7545690/check_13572452_8bb859ce-3a13-40f4-936e-c10b12757d8d.json | N/A | N/A | N/A | N/A | N/A | JQS728M78455 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1945-04-26 | 040 | CAMCRWP0 | N/A | MP | false | BARKEY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054414661 | N/A | N/A | 7545690 | 2222 | 4801 | 13874757 | N/A | 4211589 | 2025-10-19 00:41:31.896191 | 2025-05-13 04:29:37.225916 |
| 2025-10-18 05:02:21.584354 | 2025-10-19 02:38:15.899200 | 13572389 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13572389 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-10-21 | F | PT | IOANNOU | PAS839113807 | PENELOPE | N/A | N/A | 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/2222/6621141/check_13572389_cd38a58e-1bfb-466a-82ad-c9b3d29bfb9e.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | CUSTOMER SERVICE | N/A | 2012-11-14 | N/A | 152010 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 9999-12-31 | 2018-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054395465 | N/A | N/A | 6621141 | 2222 | 4801 | 13888583 | N/A | 5237460 | 2025-10-19 02:38:15.899200 | 2025-07-24 16:59:54.908041 |
| 2025-10-18 05:02:21.079848 | 2025-10-19 02:37:33.511531 | 13572369 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13572369 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-10-21 | F | PT | BARRERA | XEH903389121 | LOLA | N/A | N/A | 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/2222/6611912/check_13572369_f9dc8c0f-7c40-42e8-b451-1ff76b32ff31.json | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054395459 | N/A | N/A | 6611912 | 2222 | 4793 | 13887864 | N/A | 5230345 | 2025-10-19 02:37:33.511531 | 2025-07-11 20:32:03.183345 |
| 2025-10-18 05:02:03.511713 | 2025-10-19 02:38:16.161809 | 13571678 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13571678 | Athletic Physical Therapy Inc | 2002-02-06 | 2025-10-21 | F | PT | MANALO LAMANNA | GSC134174111001 | ISADORE | N/A | N/A | 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/2222/6554790/check_13571678_b4618408-5b6e-4046-82f5-ea55a784822e.json | N/A | N/A | N/A | N/A | N/A | GSC134174111001 | Preferred Provider Organization (PPO) | WTW/ PE CONSTELLATION SOFTWARE INC. $20 /$50 COPAY | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 2002-02-06 | 363 | 08407400 | N/A | PR | false | MANALOLAMANNA | N/A | ANDREW | N/A | 9999-12-31 | 2022-01-01 | BLUE CARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054394771 | N/A | N/A | 6554790 | 2222 | 4793 | 13888590 | N/A | 5177947 | 2025-10-19 02:38:16.161809 | 2026-05-11 21:31:25.186699 |
| 2025-10-18 05:01:55.126665 | 2025-10-19 02:41:56.400251 | 13571367 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13571367 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-10-21 | F | AE | FABER | 4X26K21EE83 | LINDA | PT | N/A | 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/2222/6522947/check_13571367_1089ebad-310d-4c47-b940-41963afe695c.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MB | 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 | 9054394461 | N/A | N/A | 6522947 | 2222 | 4802 | 13891076 | N/A | 5146127 | 2025-10-19 02:41:56.400251 | 2025-06-20 17:58:23.371130 |
| 2025-10-18 05:01:51.831396 | 2025-10-19 02:37:34.772455 | 13571255 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13571255 | Athletic Physical Therapy Inc | 1965-05-30 | 2025-10-21 | M | PT | RODRIGUEZ | H5Q045W16688 | ROBERTO | N/A | N/A | 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/2222/6491817/check_13571255_3870cde9-1f39-4cfc-aa6e-1991d7cd267b.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | THE CHEESECAKE FACTORY RESTAURANTS INC | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054394425 | N/A | N/A | 6491817 | 2222 | 4801 | 13887882 | N/A | 5120889 | 2025-10-19 02:37:34.772455 | 2025-06-23 18:24:54.219050 |
| 2025-10-18 00:56:05.673391 | 2025-10-18 00:56:07.938070 | 13569419 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-07-22 | 2025-11-05 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541314/check_13569419_240cb824-c4c7-4336-b0de-57d60f01c77b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_13569419_cdfb2ec3-ba44-4060-94f8-a46de5ecfdb2.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9053532704 | 6189 | N/A | 5541314 | 2222 | N/A | 13845112 | N/A | 4213343 | 2025-10-18 00:56:07.938070 | 2025-06-06 02:21:37.603701 |
| 2025-10-18 00:55:48.032027 | 2025-10-18 00:55:50.008405 | 13569418 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-07-22 | 2025-11-11 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541314/check_13569418_06e61411-93ab-454f-a5b8-dbb7220cb0c3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_13569418_88d9838a-dd0f-4ccd-ba68-9afd242b19f0.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9053532034 | 6189 | N/A | 5541314 | 2222 | N/A | 13844870 | N/A | 4213343 | 2025-10-18 00:55:50.008405 | 2025-06-06 02:21:37.603701 |
| 2025-10-18 00:55:34.756671 | 2025-10-18 00:55:37.784682 | 13569417 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-07-22 | 2025-11-05 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541314/check_13569417_689da327-93fa-44f6-8788-d8155ab9cb1a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_13569417_10b3e78d-2292-4910-8616-5dcba4ab28c7.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9053531747 | 6189 | N/A | 5541314 | 2222 | N/A | 13844660 | N/A | 4213343 | 2025-10-18 00:55:37.784682 | 2025-06-06 02:21:37.603701 |
| 2025-10-18 00:53:16.586053 | 2025-10-18 00:53:19.923776 | 13569416 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-07-22 | 2025-10-17 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541314/check_13569416_f68fd8ed-b1d5-4483-af25-322f87d38549.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_13569416_4afe59ab-2d89-40a7-bb43-a80060240cee.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2025-01-01 | SILVER 73 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9053527098 | 6189 | N/A | 5541314 | 2222 | N/A | 13842298 | N/A | 4213343 | 2025-10-18 00:53:19.923776 | 2025-06-06 02:21:37.603701 |
| 2025-10-17 21:30:09.601734 | 2025-10-17 21:30:11.646186 | 13568678 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-05-11 | 2025-10-17 | M | AE | A Peters | 1R78CR5JR59 | Dennis | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550025/check_13568678_02ff493f-bb6e-40a9-aeb5-0ffe6b005c23.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550025/check_13568678_96bac806-e159-4aa2-9f84-62c7be7f8994.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | 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 | 161267 | N/A | 5550025 | 2222 | N/A | 13817576 | N/A | 4219449 | 2025-10-17 21:30:11.646186 | 2025-10-07 21:32:27.567534 |
| 2025-10-17 21:30:07.639422 | 2025-10-17 21:30:09.596203 | 13568677 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-05-11 | 2025-10-17 | M | AE | A Peters | 1R78CR5JR59 | Dennis | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550025/check_13568677_adb43ea7-3c0c-4c3b-b926-5b0dbde66d03.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | 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 | 161267 | N/A | 5550025 | 2222 | N/A | N/A | N/A | 4219449 | 2025-10-17 21:30:09.596203 | 2025-10-07 21:32:27.567534 |
| 2025-10-17 19:09:30.436932 | 2025-10-17 19:09:32.501445 | 13567599 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-26 | 2025-10-17 | F | PT | WU | 602771721-01 | ZEQIU | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9106039/check_13567599_d80722f9-3483-4772-a318-77c7183970d4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9106039/check_13567599_72e6a796-4838-441b-97ed-e7e95b93de20.json | N/A | N/A | N/A | N/A | N/A | 602771721-01 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1992-09-26 | N/A | N/A | N/A | N/A | false | WU | N/A | ZEQIU | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 9106039 | 2222 | N/A | 13816206 | N/A | 7625945 | 2025-10-17 19:09:32.501445 | 2025-09-26 19:56:46.569009 |
| 2025-10-17 19:09:28.451582 | 2025-10-17 19:09:30.432575 | 13567598 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-26 | 2025-10-17 | F | PT | WU | 602771721-01 | ZEQIU | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9106039/check_13567598_1ff03bdf-88f3-4e60-94c2-539a61400fe7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 602771721-01 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1992-09-26 | N/A | N/A | N/A | N/A | false | WU | N/A | ZEQIU | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 9106039 | 2222 | N/A | N/A | N/A | 7625945 | 2025-10-17 19:09:30.432575 | 2025-09-26 19:56:46.569009 |
| 2025-10-17 19:02:54.718456 | 2025-10-17 19:02:56.860665 | 13567561 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-06-07 | 2025-10-17 | M | PT | Greathouse | MPI30458946Q | Kheperan | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540871/check_13567561_facd1a38-affb-498c-bdb1-82ab5e973c95.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540871/check_13567561_1053fca6-cac3-4b01-8214-13374e3f3a05.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9051608449 | N/A | N/A | 5540871 | 2222 | N/A | 13816156 | N/A | 4212959 | 2025-10-17 19:02:56.860665 | 2025-10-17 20:08:21.136268 |
| 2025-10-17 18:42:14.467267 | 2025-10-17 18:42:16.613073 | 13567426 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-20 | F | PT | MAHAARACHCHI | EXHAN7912598 | SENAKA | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13567426_2860d813-73b3-4a4e-a758-b23be75ccc86.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_13567426_e12d7f6f-73fc-4fc4-8483-69bb4f5170e5.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | SENAKA | 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 | 162972 | N/A | 7988722 | 2222 | N/A | 13815978 | N/A | 6798209 | 2025-10-17 18:42:16.613073 | 2025-10-29 15:15:17.952230 |
| 2025-10-17 18:42:12.519770 | 2025-10-17 18:42:14.462724 | 13567425 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-20 | F | PT | MAHAARACHCHI | EXHAN7912598 | SENAKA | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13567425_b110f5af-7d0b-4e3e-ab50-cdca2cee676d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | N/A | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | SENAKA | 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 | 162972 | N/A | 7988722 | 2222 | N/A | N/A | N/A | 6798209 | 2025-10-17 18:42:14.462724 | 2025-10-29 15:15:17.952230 |
| 2025-10-17 18:41:51.471499 | 2025-10-17 18:41:53.576336 | 13567420 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-20 | F | PT | MAHAARACHCHI | EXHAN7912598 | SENAKA | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13567420_c23324de-e71b-4ce2-b25b-e97b3721be65.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_13567420_bfa96464-e7bb-4107-8979-62c4a9347bdd.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | SENAKA | 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 | 162972 | N/A | 7988722 | 2222 | N/A | 13815970 | N/A | 6798209 | 2025-10-17 18:41:53.576336 | 2025-10-29 15:15:17.952230 |
| 2025-10-17 18:41:49.677367 | 2025-10-17 18:41:51.467826 | 13567419 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-20 | F | PT | MAHAARACHCHI | EXHAN7912598 | SENAKA | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13567419_a37a1d6a-102d-4144-a906-0dc53d65c10d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | N/A | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | SENAKA | 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 | 162972 | N/A | 7988722 | 2222 | N/A | N/A | N/A | 6798209 | 2025-10-17 18:41:51.467826 | 2025-10-29 15:15:17.952230 |
| 2025-10-17 18:40:56.083415 | 2025-10-17 18:40:58.153382 | 13567413 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-20 | F | PT | MAHAARACHCHI | EXHAN7912598 | SENAKA | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13567413_5694a4a4-8d73-48b8-8173-76366d4e03c7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_13567413_aa46c146-7299-4ae8-a5e0-8f20d2ee769f.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | SENAKA | 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 | 162972 | N/A | 7988722 | 2222 | N/A | 13815960 | N/A | 6798209 | 2025-10-17 18:40:58.153382 | 2025-10-29 15:15:17.952230 |
| 2025-10-17 18:40:54.358015 | 2025-10-17 18:40:56.081026 | 13567412 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-20 | F | PT | MAHAARACHCHI | EXHAN7912598 | SENAKA | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13567412_417cb809-a791-4882-8d1c-4546df73efb0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | N/A | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | SENAKA | 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 | 162972 | N/A | 7988722 | 2222 | N/A | N/A | N/A | 6798209 | 2025-10-17 18:40:56.081026 | 2025-10-29 15:15:17.952230 |
| 2025-10-17 18:40:17.969403 | 2025-10-17 18:40:19.859820 | 13567408 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-20 | F | PT | MAHAARACHCHI | EXHAN7912598 | SENAKA | N/A | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13567408_d0588d71-015a-4500-aa9e-f174c906b70e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_13567408_ee4b555d-6ec3-4c3a-8b9c-cd63ef7e2444.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | SENAKA | 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 | 162972 | N/A | 7988722 | 2222 | N/A | 13815955 | N/A | 6798209 | 2025-10-17 18:40:19.859820 | 2025-10-29 15:15:17.952230 |
| 2025-10-17 18:40:15.156234 | 2025-10-17 18:40:17.964946 | 13567407 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-20 | F | PT | MAHAARACHCHI | EXHAN7912598 | SENAKA | N/A | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13567407_4413daaa-f178-43e2-aec5-2b19d3877d60.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | N/A | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | SENAKA | 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 | 162972 | N/A | 7988722 | 2222 | N/A | N/A | N/A | 6798209 | 2025-10-17 18:40:17.964946 | 2025-10-29 15:15:17.952230 |
| 2025-10-17 18:39:57.493186 | 2025-10-17 18:39:59.549622 | 13567406 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-20 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13567406_3d20b69e-25c8-4d2b-92a4-0090779ac9aa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_13567406_c31004e8-e0f2-4a59-ae31-3aa6c8e4ee29.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | 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 | 162972 | N/A | 7988722 | 2222 | N/A | 13815952 | N/A | 6798209 | 2025-10-17 18:39:59.549622 | 2025-10-29 15:15:17.952230 |
| 2025-10-17 18:39:55.675538 | 2025-10-17 18:39:57.484493 | 13567405 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-20 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13567405_b62b7e92-4fe1-4660-83e3-5c4103c50ae2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | N/A | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | 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 | 162972 | N/A | 7988722 | 2222 | N/A | N/A | N/A | 6798209 | 2025-10-17 18:39:57.484493 | 2025-10-29 15:15:17.952230 |
| 2025-10-17 18:37:02.674055 | 2025-10-17 18:37:04.811892 | 13567393 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-20 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13567393_b4f53cc2-be6a-41ba-ac8b-390b411c299d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_13567393_793533e6-6795-4d7f-90a4-5efae84fe000.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | 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 | 162972 | N/A | 7988722 | 2222 | N/A | 13815937 | N/A | 6798209 | 2025-10-17 18:37:04.811892 | 2025-10-29 15:15:17.952230 |