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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-15 05:15:24.388553 | 2025-10-16 00:47:11.315175 | 13431363 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13431363 | Athletic Physical Therapy Inc | 1988-08-19 | 2025-10-17 | M | PT | Bridgemohansingh | NTF910W08222 | Jason | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102432559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258746/check_13431363_04245fb5-70d1-4afd-972f-331c2086a5de.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027421670 | N/A | N/A | 7258746 | 2222 | 4802 | 13730200 | N/A | 6224482 | 2025-10-16 00:47:11.315175 | 2025-08-07 00:03:18.267969 |
| 2025-10-15 05:15:21.247530 | 2025-10-16 00:48:07.876912 | 13431279 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13431279 | Athletic Physical Therapy Inc | 1979-04-20 | 2025-10-17 | F | PT | NOSRAT | XEK904721388 | CAROLYN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102432559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7252533/check_13431279_0ef3800e-d077-4139-bb41-70af489caf86.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027421662 | N/A | N/A | 7252533 | 2222 | 4802 | 13730594 | N/A | 4214065 | 2025-10-16 00:48:07.876912 | 2025-05-13 04:29:37.228379 |
| 2025-10-15 05:15:08.245450 | 2025-10-16 00:38:26.322937 | 13431005 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13431005 | Athletic Physical Therapy Inc | 1959-09-02 | 2025-10-17 | M | PT | Taylor | JQW214W21072 | Jonathan | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102504400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562730/check_13431005_aa1529a7-767b-4a03-8eb9-998d3145281b.json | N/A | N/A | N/A | N/A | N/A | JQW214W21072 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-09-02 | N/A | N/A | N/A | N/A | false | TAYLOR | N/A | JONATHAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027426006 | N/A | N/A | 9562730 | 2222 | 4801 | 13725992 | N/A | 7997814 | 2025-10-16 00:38:26.322937 | 2025-09-30 06:06:03.512607 |
| 2025-10-15 05:14:24.063279 | 2025-10-16 00:37:51.065489 | 13430084 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13430084 | Athletic Physical Therapy Inc | 1999-03-02 | 2025-10-17 | F | AE | Andrieieva | 92598899G | Taisiia | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102406078.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104487/check_13430084_46486497-062b-4aad-9a18-a4554036cbfe.json | N/A | N/A | N/A | N/A | N/A | 92598899G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1999-03-02 | MCLA | MWLLNMEG21 | N/A | N/A | false | ANDRIEIVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027418346 | N/A | N/A | 9104487 | 2222 | 4802 | 13725559 | N/A | 6709145 | 2025-10-16 00:37:51.065489 | 2025-08-07 23:35:55.091438 |
| 2025-10-15 05:14:04.355320 | 2025-10-16 00:38:18.928954 | 13429624 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13429624 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-10-17 | F | AE | GOMEZ | 00000401101 | ALICIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102504400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9555104/check_13429624_e2845d6a-87cd-4180-b6b5-1ed8b79b308b.json | N/A | N/A | N/A | N/A | N/A | 00000401101 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-29 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | ALICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027425142 | N/A | N/A | 9555104 | 2222 | 4801 | 13725893 | 2630 | 7990617 | 2025-10-16 00:38:18.928954 | 2025-09-29 20:34:47.088032 |
| 2025-10-15 05:13:27.998818 | 2025-10-16 00:36:25.242733 | 13428745 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13428745 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-17 | F | AE | SUAREZ | JQE410W22492 | ANA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.101917130.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083355/check_13428745_62bcba93-fb45-4153-8b2b-9e770bb4436e.json | N/A | N/A | N/A | N/A | N/A | JQE410W22492 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-06-26 | 040 | CASUPWP0 | N/A | N/A | false | SUAREZ | N/A | ANA | N/A | 9999-12-31 | 2025-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027400448 | N/A | N/A | 9083355 | 2222 | 4801 | 13724412 | N/A | 7600312 | 2025-10-16 00:36:25.242733 | 2025-09-04 18:19:39.478018 |
| 2025-10-15 05:12:54.944458 | 2025-10-16 00:38:03.464375 | 13427682 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13427682 | Athletic Physical Therapy Inc | 1943-02-10 | 2025-10-17 | M | AE | DHIMAN | 00000390792 | SUKHDEV | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102512544.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9838502/check_13427682_adf31487-efa8-4486-97b3-fde49908871c.json | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027419548 | N/A | N/A | 9838502 | 2222 | 4801 | 13725706 | 2630 | 8236812 | 2025-10-16 00:38:03.464375 | 2026-01-23 23:12:04.578617 |
| 2025-10-15 05:12:38.489258 | 2025-10-16 00:48:07.578805 | 13427213 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13427213 | Athletic Physical Therapy Inc | 1976-09-20 | 2025-10-17 | M | PT | Bolton | XEK910377236 | Stephen | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102432559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_13427213_7738449c-22ea-4d49-9ccc-3e6d16a92e49.json | N/A | N/A | N/A | N/A | N/A | XEK910377236 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOLTON | N/A | STEPHEN | N/A | 9999-12-31 | 2021-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027421809 | N/A | N/A | 6814151 | 2222 | 4793 | 13730592 | N/A | 5856522 | 2025-10-16 00:48:07.578805 | 2025-07-10 02:16:48.328344 |
| 2025-10-15 05:12:25.328599 | 2025-10-16 00:47:11.700354 | 13426935 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13426935 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-10-17 | F | PT | Taggart | MBL830M95233 | Rita | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102432559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6780011/check_13426935_d065490e-9e51-4eb7-b64a-ac1a162aeef4.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | 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 | 9027421608 | N/A | N/A | 6780011 | 2222 | 4802 | 13730204 | N/A | 5811238 | 2025-10-16 00:47:11.700354 | 2025-07-03 18:24:56.520298 |
| 2025-10-15 05:12:09.726253 | 2025-10-16 00:42:16.286828 | 13426646 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 13426646 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-10-17 | F | AE | SALGUERO | 35955370 | DINA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102432559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_13426646_e7f68411-4e9a-43d8-9d04-6ce28e72b260.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027421561 | N/A | N/A | 6711965 | 2222 | 4793 | 13728171 | 6798 | 4210430 | 2025-10-16 00:42:16.286828 | 2025-05-13 04:29:37.224841 |
| 2025-10-15 04:14:40.334117 | 2025-10-15 04:14:43.442675 | 13425929 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1935-11-26 | 2025-09-30 | N/A | PT | MCCANN | 2CP5YA9YE63 | JOSEPHINE | AE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9906368/check_13425929_eee97c75-2dfd-4a26-9662-2e76e34e7031.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9906368/check_13425929_7ef066df-5db5-48c2-b651-410ca3231b7d.json | N/A | N/A | N/A | N/A | N/A | 2CP5YA9YE63 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1935-11-26 | S5884 | N/A | N/A | MA | false | MCCANN | N/A | JOSEPHINE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9027152985 | 1275 | N/A | 9906368 | 2222 | N/A | 13700152 | N/A | 6609924 | 2025-10-15 04:14:43.442675 | 2025-08-12 22:04:05.464362 |
| 2025-10-15 03:25:45.142242 | 2025-10-15 03:25:48.282429 | 13425365 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-10-06 | 2025-06-03 | N/A | PT | PASCUAL | ZZ2023161 | MELISSA | AE | 23412 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10979083/check_13425365_c3cd57be-374c-41be-a5c2-87b0d22e1e6b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10979083/check_13425365_69c01e15-bacb-48a7-86d4-14da85056ea2.json | N/A | N/A | N/A | N/A | N/A | ZZ2023161 | N/A | N/A | ALLIED BENEFIT SYSTEMS, LLC | PATIENT HAS ACTIVE COVERAGE BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1994-10-06 | N/A | N/A | N/A | N/A | false | SCHWARTZ | N/A | NICOLAS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9026917644 | 1275 | N/A | 10979083 | 2222 | N/A | 13699605 | N/A | 4213444 | 2025-10-15 03:25:48.282429 | 2025-05-13 04:29:37.227763 |
| 2025-10-15 01:03:51.353907 | 2025-10-15 01:03:54.484467 | 13425081 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-08 | 2025-10-14 | M | AE | ALZOHAIRY | 5976397 | AHMED | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9693911/check_13425081_110c3f20-309b-48d2-8311-6b4c219eaf1b.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9693911/check_13425081_868b3381-f022-46cd-a2db-60e5b11a34bc.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 | 13694818 | N/A | 8112326 | 2025-10-15 01:03:54.484467 | 2025-09-25 00:01:47.147707 |
| 2025-10-15 01:03:39.361940 | 2025-10-15 01:03:51.348881 | 13425080 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-08 | 2025-10-14 | M | AE | ALZOHAIRY | 5976397 | AHMED | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9693911/check_13425080_573a8cc1-09fc-41d1-83ab-bb5f44421a76.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-10-14 | 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 | 2025-10-15 01:03:51.348881 | 2025-09-25 00:01:47.147707 |
| 2025-10-15 01:03:37.568805 | 2025-10-15 01:03:37.940714 | 13425079 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-08 | 2025-10-14 | M | AE | ALZOHAIRY | 5976397 | AHMED | PT | N/A | N/A | UHC | N/A | APPOINTMENT_PII_CHANGE | 2025-10-14 | 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 | 2025-10-15 01:03:37.940714 | 2025-09-25 00:01:47.147707 |
| 2025-10-15 00:00:19.970077 | 2025-10-15 00:00:25.058557 | 13424910 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-09-12 | 2025-10-15 | M | PT | Guzzo | JQU895W23533 | Aaron | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7513987/check_13424910_dc38155f-fe4d-4530-bbc2-5f05e219ffa0.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7513987/check_13424910_a8f51a51-3dad-4b22-a3bc-c7393c06b118.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9026205587 | N/A | N/A | 7513987 | 2222 | N/A | 13682236 | N/A | 6451061 | 2025-10-15 00:00:25.058557 | 2025-07-28 22:43:26.605856 |
| 2025-10-14 23:54:27.031937 | 2025-10-14 23:54:29.073523 | 13424890 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-26 | 2025-10-20 | F | AE | ELAZARY | 00 0019315679 | NATALEE | PT | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542060/check_13424890_7b0ea366-291e-499e-b9c9-231a785f7025.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542060/check_13424890_6ca80087-bdda-4bad-b905-91e2557e04d1.json | N/A | N/A | N/A | N/A | N/A | 00 0019315679 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2009-08-26 | N/A | N/A | N/A | N/A | false | ELAZARY | N/A | NATALEE | 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 | 5542060 | 2222 | N/A | 13682196 | N/A | 4214019 | 2025-10-14 23:54:29.073523 | 2025-05-13 04:29:37.228340 |
| 2025-10-14 23:54:25.300951 | 2025-10-14 23:54:27.027477 | 13424889 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-26 | 2025-10-20 | F | AE | ELAZARY | 00 0019315679 | NATALEE | PT | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542060/check_13424889_4ba88a05-0d66-4da6-9ded-c7346fa38ef5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | N/A | N/A | N/A | N/A | N/A | N/A | 00 0019315679 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2009-08-26 | N/A | N/A | N/A | N/A | false | ELAZARY | N/A | NATALEE | 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 | 5542060 | 2222 | N/A | N/A | N/A | 4214019 | 2025-10-14 23:54:27.027477 | 2025-05-13 04:29:37.228340 |
| 2025-10-14 22:52:55.758385 | 2025-10-14 22:52:58.183379 | 13424661 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-08-24 | 2025-10-14 | M | AE | ANDRIEU DELILLE | PNE914532321 | AYMERIC | PT | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10979165/check_13424661_bc37fdce-ca05-4695-a2ea-0d80ddd3999d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10979165/check_13424661_56726b79-dc16-4fa4-b33b-51ef7fe3e907.json | N/A | N/A | N/A | N/A | N/A | PNE914532321 | Preferred Provider Organization (PPO) | PRIVATE NATIONAL MORTGAGE ACCEPTANCE COMPANY LLC | BLUE SHIELD CALIFORNIA | N/A | 1979-08-24 | 1000PPOX0001 | W3000535 | N/A | PR | false | ANDRIEU DELILLE | N/A | AYMERIC | N/A | N/A | N/A | PENNYMAC ASO PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9025918476 | 162972 | N/A | 10979165 | 2222 | N/A | 13681742 | N/A | 4210368 | 2025-10-14 22:52:58.183379 | 2025-05-13 04:29:37.224773 |
| 2025-10-14 22:36:29.403853 | 2025-10-14 22:36:31.319062 | 13424585 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-10 | 2025-10-24 | F | PT | BONESTEEL | JQW668W04223 | CHEENIE | N/A | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10368765/check_13424585_5dce8b6c-36a6-4b88-a531-27d2a0f52787.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10368765/check_13424585_6c131aab-5f43-4afd-bf64-fcfcf028bb84.json | N/A | N/A | N/A | N/A | N/A | JQW668W04223 | N/A | N/A | AETNA INC | N/A | 1949-03-10 | N/A | N/A | N/A | N/A | false | BONESTEEL | N/A | CHEENIE | 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 | N/A | N/A | 10368765 | 2222 | N/A | 13681628 | N/A | 8631533 | 2025-10-14 22:36:31.319062 | 2026-01-20 18:31:42.469716 |
| 2025-10-14 22:36:27.706842 | 2025-10-14 22:36:29.399910 | 13424584 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-10 | 2025-10-24 | F | PT | BONESTEEL | JQW668W04223 | CHEENIE | N/A | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10368765/check_13424584_c7eae1ea-21b1-4430-a576-6dd9817b30a6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-24 | N/A | N/A | N/A | N/A | N/A | N/A | JQW668W04223 | N/A | N/A | AETNA INC | N/A | 1949-03-10 | N/A | N/A | N/A | N/A | false | BONESTEEL | N/A | CHEENIE | 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 | N/A | N/A | 10368765 | 2222 | N/A | N/A | N/A | 8631533 | 2025-10-14 22:36:29.399910 | 2026-01-20 18:31:42.469716 |
| 2025-10-14 22:35:40.291528 | 2025-10-14 22:35:42.269423 | 13424582 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-10 | 2025-10-24 | F | PT | BONESTEEL | JQW668W04223 | CHEENIE | N/A | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10368765/check_13424582_69a89011-bfc3-4f6f-b64b-135ffdcde970.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10368765/check_13424582_3194ba43-fc84-4ac7-9857-979dbe3b21e4.json | N/A | N/A | N/A | N/A | N/A | JQW668W04223 | N/A | N/A | AETNA INC | N/A | 1949-03-10 | N/A | N/A | N/A | N/A | false | BONESTEEL | N/A | CHEENIE | 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 | N/A | N/A | 10368765 | 2222 | N/A | 13681624 | N/A | 8631533 | 2025-10-14 22:35:42.269423 | 2026-01-20 18:31:42.469716 |
| 2025-10-14 22:35:37.427255 | 2025-10-14 22:35:40.287305 | 13424581 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-10 | 2025-10-24 | F | PT | BONESTEEL | JQW668W04223 | CHEENIE | N/A | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10368765/check_13424581_8fe39e51-56b2-4b18-8001-632c228a2ae5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-24 | N/A | N/A | N/A | N/A | N/A | N/A | JQW668W04223 | N/A | N/A | AETNA INC | N/A | 1949-03-10 | N/A | N/A | N/A | N/A | false | BONESTEEL | N/A | CHEENIE | 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 | N/A | N/A | 10368765 | 2222 | N/A | N/A | N/A | 8631533 | 2025-10-14 22:35:40.287305 | 2026-01-20 18:31:42.469716 |
| 2025-10-14 22:32:57.080916 | 2025-10-14 22:33:01.813007 | 13424559 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-06-23 | 2025-10-14 | M | AE | HARROW | 902849674 | MATTHEW | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9766401/check_13424559_6c734218-8a9a-4ec9-9ff0-652c938af311.json | UHC | N/A | APPOINTMENT_PII_CHANGE | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9766401/check_13424559_7d5b506a-1ca3-4d96-b0fd-4b73dfc3eaf4.json | N/A | N/A | N/A | N/A | N/A | 902849674 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1987-06-23 | N/A | 213902 | N/A | C1 | false | GALLARDO-HARROW | N/A | MATTHEW | N/A | N/A | N/A | POS CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9766401 | 2222 | N/A | 13681595 | N/A | 8177644 | 2025-10-14 22:33:01.813007 | 2025-12-23 20:01:19.435147 |
| 2025-10-14 20:54:57.970495 | 2025-10-14 20:55:09.840179 | 13423636 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-08-24 | 2025-10-14 | M | AE | ANDRIEU DELILLE | W252325759 | AYMERIC | PT | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537875/check_13423636_e0bd897c-0b27-47f1-a839-2479fcd90e8f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537875/check_13423636_2dd54ddf-ddca-4a3f-b5a8-c8ad5d1f137f.json | N/A | N/A | N/A | N/A | N/A | W252325759 | N/A | N/A | AETNA | N/A | 1979-08-24 | 0141993 | 014199301300101 | N/A | N/A | false | ANDRIEU-DELILLE | N/A | AYMERIC | N/A | N/A | N/A | HSA OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9025336108 | 162972 | N/A | 5537875 | 2222 | N/A | 13680444 | N/A | 4210368 | 2025-10-14 20:55:09.840179 | 2025-05-13 04:29:37.224773 |
| 2025-10-14 19:16:23.806803 | 2025-10-14 19:16:26.691230 | 13422840 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-05-13 | 2025-10-15 | M | PT | NAGLE | KXJ244M92832 | JOHN | N/A | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10346380/check_13422840_5746719d-5094-45e7-9908-fed29df8ccbe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10346380/check_13422840_857a67f8-fb01-4310-8958-bdd57443cef6.json | N/A | N/A | N/A | N/A | N/A | KXJ244M92832 | Health Maintenance Organization (HMO) | WILSHIRE ADVISORS LLC | ANTHEM BLUE CROSS | N/A | 1980-05-13 | 040 | 281520H004 | N/A | HM | false | NAGLE | N/A | JOHN | N/A | 9999-12-31 | 2025-01-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9024479969 | N/A | N/A | 10346380 | 2222 | N/A | 13679398 | N/A | 8612743 | 2025-10-14 19:16:26.691230 | 2025-10-15 21:28:55.332672 |
| 2025-10-14 18:56:03.249131 | 2025-10-14 18:56:06.250047 | 13422334 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-08-24 | 2025-10-14 | M | AE | ANDRIEU DELILLE | W252325759 | AYMERIC | PT | 3937 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537875/check_13422334_0318b1aa-8880-4502-abc8-aec3f95aff04.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537875/check_13422334_5177b5c3-6e0d-4fa5-a6b3-e3bc76c77b67.json | N/A | N/A | N/A | N/A | N/A | W252325759 | N/A | N/A | AETNA | N/A | 1979-08-24 | 0141993 | 014199301300101 | N/A | N/A | false | ANDRIEU-DELILLE | N/A | AYMERIC | N/A | N/A | N/A | HSA OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9024262553 | N/A | N/A | 5537875 | 2222 | N/A | 13678859 | N/A | 4210368 | 2025-10-14 18:56:06.250047 | 2025-05-13 04:29:37.224773 |
| 2025-10-14 17:17:35.900725 | 2025-10-14 17:17:37.976207 | 13420653 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-14 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13420653_d4d521aa-e65a-4490-ab1b-983c38f8058c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_13420653_1830653b-effb-40fe-b1e3-9e723b937ab2.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 | 13677088 | N/A | 6798209 | 2025-10-14 17:17:37.976207 | 2025-10-29 15:15:17.952230 |
| 2025-10-14 17:17:34.166882 | 2025-10-14 17:17:35.896588 | 13420652 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-14 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13420652_f2451dbb-cd85-4c6f-99ee-c302c532aace.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | 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 | 2025-10-14 17:17:35.896588 | 2025-10-29 15:15:17.952230 |
| 2025-10-14 17:07:01.557006 | 2025-10-14 17:07:03.503190 | 13420105 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-14 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13420105_4899bf0b-3f7a-4227-a1b0-a302befff0a0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_13420105_e5b71fd5-516a-4e91-9a14-71fbfa66750d.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | 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 | 13676534 | N/A | 6798209 | 2025-10-14 17:07:03.503190 | 2025-10-29 15:15:17.952230 |
| 2025-10-14 17:06:49.662481 | 2025-10-14 17:07:01.549115 | 13420089 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-14 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13420089_84c92821-82a1-4e1a-bac6-e693058d9b7e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | N/A | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | 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 | 2025-10-14 17:07:01.549115 | 2025-10-29 15:15:17.952230 |
| 2025-10-14 17:06:13.648683 | 2025-10-14 17:06:15.584579 | 13420053 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1971-05-04 | 2025-10-14 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13420053_b03d2afa-9fc7-4b94-95e9-29619f804e56.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_13420053_2a822f7d-c197-47ca-a7ea-9e054964d408.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | 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 | 13676490 | N/A | 6798209 | 2025-10-14 17:06:15.584579 | 2025-10-29 15:15:17.952230 |
| 2025-10-14 17:06:11.725651 | 2025-10-14 17:06:13.644888 | 13420051 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1971-05-04 | 2025-10-14 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13420051_c2aa8c74-a433-4fc7-bb47-16c1e12b48f9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | N/A | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | 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 | 2025-10-14 17:06:13.644888 | 2025-10-29 15:15:17.952230 |
| 2025-10-14 17:05:31.661510 | 2025-10-14 17:05:33.782408 | 13420030 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1971-05-04 | 2025-10-14 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13420030_8d440453-93d0-4681-aba8-dafeb3819bba.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_13420030_35f8072d-f02f-495b-9e2c-ed3e3a35044a.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | 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 | 13676469 | N/A | 6798209 | 2025-10-14 17:05:33.782408 | 2025-10-29 15:15:17.952230 |
| 2025-10-14 17:05:28.391025 | 2025-10-14 17:05:31.657731 | 13420029 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1971-05-04 | 2025-10-14 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13420029_61ba8cd1-e27a-4f9b-a4bd-7669ef82c022.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | N/A | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | 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 | 2025-10-14 17:05:31.657731 | 2025-10-29 15:15:17.952230 |
| 2025-10-14 17:05:09.093202 | 2025-10-14 17:05:14.550449 | 13420024 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1971-05-04 | 2025-10-14 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13420024_8e3afe37-bfd3-4ef9-8a79-d9e261367fe7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_13420024_ccfbad05-02fd-4154-bae1-e46b4200acca.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | 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 | 13676462 | N/A | 6798209 | 2025-10-14 17:05:14.550449 | 2025-10-29 15:15:17.952230 |
| 2025-10-14 17:05:02.240918 | 2025-10-14 17:05:09.089302 | 13420023 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1971-05-04 | 2025-10-14 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13420023_cd2691c1-ebb3-4991-a566-2038cdf591c2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | N/A | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | 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 | 2025-10-14 17:05:09.089302 | 2025-10-29 15:15:17.952230 |
| 2025-10-14 17:04:45.295364 | 2025-10-14 17:04:47.252848 | 13420022 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-12-13 | 2025-10-14 | F | PT | ASSENGA | TWA295A70455 | NANCY | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542618/check_13420022_d78d0126-0af1-4ea5-8690-372aee0c5982.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542618/check_13420022_0ff7273f-b6b2-44e8-9042-471088084a0a.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | Preferred Provider Organization (PPO) | WILLIS TOWERS WATSON | ANTHEM BLUE CROSS | N/A | 1975-12-13 | 101 | 270127M9A0 | N/A | PR | false | ASSENGA | N/A | NANCY | N/A | 9999-12-31 | 2024-01-01 | CDHP NY NAT GENC HEALTH SAVINGS ACCT (HSA) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9023296416 | N/A | N/A | 5542618 | 2222 | N/A | 13676460 | N/A | 4214504 | 2025-10-14 17:04:47.252848 | 2025-05-13 04:29:37.228820 |
| 2025-10-14 16:53:39.560400 | 2025-10-14 16:53:41.910486 | 13419556 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-12-13 | 2025-10-14 | F | PT | ASSENGA | TWA295A70455 | NANCY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542618/check_13419556_8c1e4069-3296-4271-8585-b260da6c9b69.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542618/check_13419556_d810ac8f-db0c-43b3-b302-13762513dcf1.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | Preferred Provider Organization (PPO) | WILLIS TOWERS WATSON | ANTHEM BLUE CROSS | N/A | 1975-12-13 | 101 | 270127M9A0 | N/A | PR | false | ASSENGA | N/A | NANCY | N/A | 9999-12-31 | 2024-01-01 | CDHP NY NAT GENC HEALTH SAVINGS ACCT (HSA) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9023195046 | N/A | N/A | 5542618 | 2222 | N/A | 13676000 | N/A | 4214504 | 2025-10-14 16:53:41.910486 | 2025-05-13 04:29:37.228820 |
| 2025-10-14 16:52:33.022982 | 2025-10-14 16:52:35.158657 | 13419547 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-14 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13419547_d533a630-31a4-4047-9256-d9d311b44f6b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_13419547_62d16de7-bd45-4528-a634-0883c2517234.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 | 13675989 | N/A | 6798209 | 2025-10-14 16:52:35.158657 | 2025-10-29 15:15:17.952230 |
| 2025-10-14 16:52:31.076132 | 2025-10-14 16:52:33.020012 | 13419546 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-14 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_13419546_f63e98c8-80b8-4257-9666-1458f3242829.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | 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 | 2025-10-14 16:52:33.020012 | 2025-10-29 15:15:17.952230 |
| 2025-10-14 16:01:41.198905 | 2025-10-14 16:01:44.314812 | 13419101 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-07 | 2025-10-16 | M | PT | BAHR | FZX638A69335 | KEVIN | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10371931/check_13419101_0be0f16c-bbce-42d1-8ba3-4330ea6c3928.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_13419101_9238f7cd-feb8-4d0d-bd7b-2a743a68d484.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9022583673 | 162972 | N/A | 10371931 | 2222 | N/A | 13675483 | N/A | 8634062 | 2025-10-14 16:01:44.314812 | 2025-10-16 21:25:25.746427 |
| 2025-10-14 15:30:00.398986 | 2025-10-14 15:30:03.606518 | 13418861 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-15 | 2025-10-14 | M | AE | WOLFE | 9Y10EH3AK90 | MICHAEL | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10239788/check_13418861_60be3f17-72d2-4c28-9f5e-7b3bb12403f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239788/check_13418861_d4aef2f1-a785-4b42-8387-d9fc6457ae0a.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 | 9022105534 | N/A | N/A | 10239788 | 2222 | N/A | 13675216 | N/A | 8527464 | 2025-10-14 15:30:03.606518 | 2025-10-14 15:25:46.972104 |
| 2025-10-14 09:13:51.012224 | 2025-10-14 09:13:58.061330 | 13416440 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-01-09 | 2025-10-13 | N/A | PT | MEISTER | 000004042289 | JACQUELINE | AE | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6518751/check_13416440_7f29916c-544d-4230-9793-5db5be666104.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6518751/check_13416440_bb1e6fb8-1a3e-4596-81f2-6ec51692b4cc.json | N/A | N/A | N/A | N/A | N/A | 000004042289 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1958-01-09 | 4319864 | 101877 | N/A | N/A | false | MEISTER | N/A | JACQUELINE | N/A | N/A | N/A | CONEJO VALLEY UNIFIED SCHOOL DISTRICT CONEJO VALLE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9018094558 | 1275 | N/A | 6518751 | 2222 | N/A | 13672052 | N/A | 4766789 | 2025-10-14 09:13:58.061330 | 2025-06-04 04:12:38.642669 |
| 2025-10-14 09:07:36.863995 | 2025-10-14 09:07:38.686657 | 13416218 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | LOPEZ | 00000393852 | ALITA | AE | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13416218_d53b423e-d4da-492b-9db8-fe80ec8bbb04.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_13416218_619be55f-7d04-4c00-9f6d-4f7b62c1ad63.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 13671818 | N/A | 4215317 | 2025-10-14 09:07:38.686657 | 2025-06-24 21:13:18.739779 |
| 2025-10-14 09:07:34.986327 | 2025-10-14 09:07:36.862216 | 13416215 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | LOPEZ | 00000393852 | ALITA | AE | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13416215_13d5a1e5-b0dd-495d-a746-5afd055231fc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-10-14 09:07:36.862216 | 2025-06-24 21:13:18.739779 |
| 2025-10-14 09:07:32.492548 | 2025-10-14 09:07:34.440947 | 13416213 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | LOPEZ | 00000393852 | ALITA | AE | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13416213_74a8fae2-3e82-4b2d-8102-f1e19782b7eb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_13416213_b5410146-438d-4e0c-9813-2e13f7e8a6be.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 13671813 | N/A | 4215317 | 2025-10-14 09:07:34.440947 | 2025-06-24 21:13:18.739779 |
| 2025-10-14 09:07:30.588945 | 2025-10-14 09:07:32.490501 | 13416211 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | LOPEZ | 00000393852 | ALITA | AE | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13416211_dc5ce871-ef53-4ba8-8a1e-2cb5105649c3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-10-14 09:07:32.490501 | 2025-06-24 21:13:18.739779 |
| 2025-10-14 09:07:28.182589 | 2025-10-14 09:07:30.240478 | 13416208 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | LOPEZ | 00000393852 | ALITA | AE | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13416208_58f1a2bc-1efd-4dee-a34e-924f5ac188d4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_13416208_69412fb0-6674-456a-bf4c-635ce7cdbbf9.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 13671808 | N/A | 4215317 | 2025-10-14 09:07:30.240478 | 2025-06-24 21:13:18.739779 |
| 2025-10-14 09:07:24.275279 | 2025-10-14 09:07:28.180082 | 13416206 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | LOPEZ | 00000393852 | ALITA | AE | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_13416206_1459fd75-05d1-43f4-8393-a9d83d417b39.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-10-14 09:07:28.180082 | 2025-06-24 21:13:18.739779 |