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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-12 05:02:40.815415 | 2025-10-13 00:38:35.263102 | 13297212 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13297212 | Athletic Physical Therapy Inc | 1980-10-31 | 2025-10-15 | M | PT | PAREDES | XEH910686412 | JOSE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538615/check_13297212_c6bf0872-4ad6-4244-a0f9-0631843d349c.json | N/A | N/A | N/A | N/A | N/A | XEH910686412 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-10-31 | N/A | N/A | N/A | N/A | false | PAREDES | N/A | JOSE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489300 | N/A | N/A | 5538615 | 2222 | 4793 | 13579471 | N/A | 4211010 | 2025-10-13 00:38:35.263102 | 2025-09-30 17:03:18.054141 |
| 2025-10-12 05:02:40.656529 | 2025-10-13 00:46:31.533620 | 13297207 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13297207 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-10-15 | F | AE | DIGIOVANNI | 4N09TQ2YY18 | JILL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538592/check_13297207_e11139f2-351c-4c7a-8825-a5880f4dc6d7.json | N/A | N/A | N/A | N/A | N/A | 4N09TQ2YY18 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1954-01-24 | N/A | N/A | N/A | N/A | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489299 | N/A | N/A | 5538592 | 2222 | 4801 | 13587915 | N/A | 4210993 | 2025-10-13 00:46:31.533620 | 2025-05-13 04:29:37.225395 |
| 2025-10-12 05:02:40.490228 | 2025-10-13 00:36:52.679533 | 13297199 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13297199 | Athletic Physical Therapy Inc | 2006-06-08 | 2025-10-15 | M | PT | DATO | NGO555A50496 | LUKE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538229/check_13297199_67cd74e0-f0dd-4378-8fe6-e64624f7ed19.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2006-06-08 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489298 | N/A | N/A | 5538229 | 2222 | 4793 | 13577659 | N/A | 4210676 | 2025-10-13 00:36:52.679533 | 2026-05-21 21:09:28.809390 |
| 2025-10-12 05:02:40.330105 | 2025-10-13 00:36:52.052063 | 13297194 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13297194 | Athletic Physical Therapy Inc | 1964-12-31 | 2025-10-13 | M | PT | BRIGHT | DGA10814577J | RICHARD | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538211/check_13297194_ea20ca72-c727-450a-a3cd-1bde9be59070.json | N/A | N/A | N/A | N/A | N/A | DGA10814577J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1964-12-31 | 040 | 276945M001 | N/A | PR | false | BRIGHT | N/A | RICHARD | N/A | 9999-12-31 | 2015-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489297 | N/A | N/A | 5538211 | 2222 | 4793 | 13577641 | N/A | 4210664 | 2025-10-13 00:36:52.052063 | 2025-10-01 18:16:15.634130 |
| 2025-10-12 05:02:40.206210 | 2025-10-13 00:38:38.987704 | 13297190 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13297190 | Athletic Physical Therapy Inc | 1980-08-15 | 2025-10-15 | F | PT | SNELL | XED912271222 | NICOLE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537740/check_13297190_03784abb-9624-42c6-a5e4-edc13c8126d5.json | N/A | N/A | N/A | N/A | N/A | XED912271222 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | SNELL | N/A | NICOLE | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489296 | N/A | N/A | 5537740 | 2222 | 4802 | 13579539 | N/A | 4210260 | 2025-10-13 00:38:38.987704 | 2025-05-13 04:29:37.224672 |
| 2025-10-12 05:02:40.065605 | 2025-10-13 00:35:47.921942 | 13297185 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 13297185 | Athletic Physical Therapy Inc | 1957-02-16 | 2025-10-14 | F | AE | OSE | 40050866601 | KAREN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537366/check_13297185_1d8016d5-9fd2-4a16-92f1-299836b7b2e5.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1957-02-16 | N/A | N/A | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489295 | N/A | N/A | 5537366 | 2222 | 4793 | 13576213 | N/A | 4209945 | 2025-10-13 00:35:47.921942 | 2025-08-13 22:24:17.841096 |
| 2025-10-12 05:02:39.927446 | 2025-10-13 00:36:54.256102 | 13297180 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13297180 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-10-14 | M | PT | NIELSEN | XDP057A76330 | ROY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_13297180_3372f184-fef2-44b7-855d-70bc0ffe5bcd.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2025-11-01 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489294 | N/A | N/A | 5537188 | 2222 | 4802 | 13577694 | N/A | 4209789 | 2025-10-13 00:36:54.256102 | 2025-05-13 04:29:37.224215 |
| 2025-10-12 05:02:39.771747 | 2025-10-13 00:36:53.948862 | 13297173 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13297173 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-10-14 | M | PT | MILES | MBL835W05431 | KEITH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_13297173_3ca23f51-7065-4d2c-93b2-d5ec753747bc.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 | 9003489293 | N/A | N/A | 5536896 | 2222 | 4793 | 13577686 | N/A | 4209567 | 2025-10-13 00:36:53.948862 | 2025-05-13 04:29:37.223990 |
| 2025-10-12 05:02:39.642080 | 2025-10-13 00:36:55.124768 | 13297166 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13297166 | Athletic Physical Therapy Inc | 1964-11-18 | 2025-10-14 | F | PT | TATE | CAI433A55164 | SANDRA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536427/check_13297166_c9f810fe-b08e-4c0c-899d-e28369eeb0ff.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 | 9003489292 | N/A | N/A | 5536427 | 2222 | 4793 | 13577710 | N/A | 4209167 | 2025-10-13 00:36:55.124768 | 2025-10-02 14:46:41.026614 |
| 2025-10-12 05:02:39.503989 | 2025-10-13 00:31:38.027466 | 13297160 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13297160 | Athletic Physical Therapy Inc | 1982-01-08 | 2025-10-14 | M | PT | CHRISTIAN | NCF767A52319 | SETH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536162/check_13297160_f5db480b-c35e-42cf-b6dc-49c3c839ab48.json | N/A | N/A | N/A | N/A | N/A | NCF767A52319 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1982-01-08 | N/A | N/A | N/A | N/A | false | CHRISTIAN | N/A | SETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489291 | N/A | N/A | 5536162 | 2222 | 4793 | 13569941 | N/A | 4208960 | 2025-10-13 00:31:38.027466 | 2025-07-11 19:38:20.011022 |
| 2025-10-12 05:02:39.324484 | 2025-10-13 00:36:51.370266 | 13297154 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13297154 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-10-15 | F | PT | BELL | MNL880M78427 | JACQUELYN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_13297154_8f7e3599-f6a9-4ed3-b831-99e7d76b97ef.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 2025-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489290 | N/A | N/A | 5536041 | 2222 | 4802 | 13577628 | 4184 | 4208856 | 2025-10-13 00:36:51.370266 | 2025-05-13 04:29:37.223284 |
| 2025-10-12 05:02:39.185794 | 2025-10-13 00:36:38.622101 | 13297149 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 13297149 | Athletic Physical Therapy Inc | 1952-10-14 | 2025-10-15 | M | AE | CHISARI | 00000386684 | THOMAS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_13297149_e1dd4c85-6ea6-422a-8d84-dc0803e24e7f.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1952-10-14 | N/A | N/A | N/A | N/A | false | CHISARI | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489289 | N/A | N/A | 5536007 | 2222 | 4793 | 13577328 | N/A | 4208829 | 2025-10-13 00:36:38.622101 | 2025-06-03 01:05:45.663969 |
| 2025-10-12 05:02:39.033690 | 2025-10-13 00:42:45.960645 | 13297143 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13297143 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-10-15 | M | AE | ULLMAN | 3A76X26KQ40 | DAVID | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_13297143_f604fff5-7da2-4ea2-aee3-b12ca6b9f300.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489288 | N/A | N/A | 5535838 | 2222 | 4801 | 13584269 | N/A | 4208696 | 2025-10-13 00:42:45.960645 | 2025-06-07 16:16:45.844566 |
| 2025-10-12 05:02:38.893060 | 2025-10-13 00:42:44.708622 | 13297137 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13297137 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-10-15 | M | AE | ODONNELL | 9FJ2YV1NR89 | JOHN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535491/check_13297137_87e7bafa-6a19-43ea-b85a-e3662eb419b8.json | N/A | N/A | N/A | N/A | N/A | 9FJ2YV1NR89 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-10-22 | N/A | N/A | N/A | MA | false | ODONNELL | 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 | 9003489287 | N/A | N/A | 5535491 | 2222 | 4802 | 13584240 | N/A | 4208408 | 2025-10-13 00:42:44.708622 | 2025-05-13 04:29:37.222823 |
| 2025-10-12 05:02:38.739216 | 2025-10-13 00:35:48.205825 | 13297130 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 13297130 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-10-15 | F | AE | PORTER | 400282215401 | SHERIL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_13297130_bc6f604b-e783-46f6-a477-3147889bd487.json | N/A | N/A | N/A | N/A | N/A | 400282215401 | 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 | 9003489286 | N/A | N/A | 5535434 | 2222 | 4793 | 13576219 | N/A | 4208356 | 2025-10-13 00:35:48.205825 | 2025-08-25 14:49:27.724897 |
| 2025-10-12 03:01:14.013037 | 2025-10-12 03:01:16.924018 | 13295268 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-10-22 | 2025-10-15 | M | AE | ODONNELL | 9FJ2YV1NR89 | JOHN | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535491/check_13295268_d8e1a6e5-1fb0-4ec1-9122-e38e2262066a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535491/check_13295268_147b8d29-6ba9-4b76-bbbc-f183ecf45295.json | N/A | N/A | N/A | N/A | N/A | 9FJ2YV1NR89 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-10-22 | N/A | N/A | N/A | MA | false | ODONNELL | 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 | 9003270923 | N/A | N/A | 5535491 | 2222 | N/A | 13560024 | N/A | 4208408 | 2025-10-12 03:01:16.924018 | 2025-05-13 04:29:37.222823 |
| 2025-10-12 02:59:31.461776 | 2025-10-12 03:01:14.010515 | 13295267 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-10-22 | 2025-10-15 | M | AE | ODONNELL | 9FJ2YV1NR89 | JOHN | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535491/check_13295267_2f3364ef-db72-4811-b506-767da8286087.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-15 | N/A | N/A | N/A | N/A | N/A | N/A | 9FJ2YV1NR89 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1939-10-22 | N/A | N/A | N/A | N/A | false | ODONNELL | 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 | N/A | N/A | N/A | 5535491 | 2222 | N/A | N/A | N/A | 4208408 | 2025-10-12 03:01:14.010515 | 2025-05-13 04:29:37.222823 |
| 2025-10-12 02:43:10.318085 | 2025-10-12 02:43:12.188269 | 13295264 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-10-24 | 2025-10-14 | F | AE | DUARTE | 99133977C | TERESA | PT | 23324 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10032559/check_13295264_b7484aa1-c3ec-4da2-b2b8-b3678540afe2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10032559/check_13295264_0d2a18f5-2498-4799-a93a-07d0ba2191cf.json | N/A | N/A | N/A | N/A | N/A | 99133977C | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1966-10-24 | N/A | N/A | N/A | N/A | false | DUARTE | N/A | TERESA | 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 | 10032559 | 2222 | N/A | 13560020 | N/A | 8397995 | 2025-10-12 02:43:12.188269 | 2025-10-06 22:35:05.038045 |
| 2025-10-12 02:41:27.444099 | 2025-10-12 02:43:10.312369 | 13295263 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-10-24 | 2025-10-14 | F | AE | DUARTE | 99133977C | TERESA | PT | 23324 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10032559/check_13295263_2cc29a38-2956-4d92-939e-a581663df5df.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | N/A | N/A | N/A | N/A | N/A | N/A | 99133977C | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1966-10-24 | N/A | N/A | N/A | N/A | false | DUARTE | N/A | TERESA | 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 | 10032559 | 2222 | N/A | N/A | N/A | 8397995 | 2025-10-12 02:43:10.312369 | 2025-10-06 22:35:05.038045 |
| 2025-10-12 02:39:36.600434 | 2025-10-12 02:39:38.376057 | 13295260 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-10-24 | 2025-10-14 | F | AE | DUARTE | 99133977C | TERESA | PT | 23324 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10032559/check_13295260_728f5e13-7605-4d62-9fe3-f4dd8aa0855a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10032559/check_13295260_a8ee1b48-cc46-44a4-9dca-2b20f4ff75ac.json | N/A | N/A | N/A | N/A | N/A | 99133977C | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1966-10-24 | N/A | N/A | N/A | N/A | false | DUARTE | N/A | TERESA | 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 | 10032559 | 2222 | N/A | 13560016 | N/A | 8397995 | 2025-10-12 02:39:38.376057 | 2025-10-06 22:35:05.038045 |
| 2025-10-12 02:39:32.792109 | 2025-10-12 02:39:36.596660 | 13295259 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-10-24 | 2025-10-14 | F | AE | DUARTE | 99133977C | TERESA | PT | 23324 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10032559/check_13295259_be87eff5-d2f4-42b6-85ff-2c1867f10f90.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-14 | N/A | N/A | N/A | N/A | N/A | N/A | 99133977C | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1966-10-24 | N/A | N/A | N/A | N/A | false | DUARTE | N/A | TERESA | 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 | 10032559 | 2222 | N/A | N/A | N/A | 8397995 | 2025-10-12 02:39:36.596660 | 2025-10-06 22:35:05.038045 |
| 2025-10-12 00:29:07.358172 | 2025-10-12 00:29:07.371632 | 13295215 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | N/A | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | 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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-10-12 00:29:07.371632 | 2025-05-13 04:29:37.228064 |
| 2025-10-12 00:27:25.132126 | 2025-10-12 00:29:07.344469 | 13295214 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_13295214_6a0f5454-a9b2-46b6-b33a-0c2c37aae5ed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | 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 | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-10-12 00:29:07.344469 | 2025-05-13 04:29:37.228064 |
| 2025-10-12 00:27:23.361752 | 2025-10-12 00:27:25.127939 | 13295213 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_13295213_be6ea5d7-06c0-4d29-848d-9e341358df1d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | 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 | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-10-12 00:27:25.127939 | 2025-05-13 04:29:37.228064 |
| 2025-10-12 00:25:31.130737 | 2025-10-12 00:27:23.356326 | 13295208 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_13295208_51f24bea-bf9d-4a67-94c4-f47f83633be8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | 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 | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-10-12 00:27:23.356326 | 2025-05-13 04:29:37.228064 |
| 2025-10-12 00:25:29.365361 | 2025-10-12 00:25:31.126086 | 13295206 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_13295206_378d20f8-2ba0-42be-8ddf-e98aac8044fe.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | 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 | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-10-12 00:25:31.126086 | 2025-05-13 04:29:37.228064 |
| 2025-10-12 00:23:46.533892 | 2025-10-12 00:25:29.361080 | 13295188 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_13295188_b25a5609-ea28-44bc-a361-770af3b46b02.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | 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 | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-10-12 00:25:29.361080 | 2025-05-13 04:29:37.228064 |
| 2025-10-12 00:22:03.803424 | 2025-10-12 00:23:46.529781 | 13295162 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_13295162_b1b22cb3-e7a7-4334-9992-1a8a1e935c14.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | 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 | false | N/A | N/A | N/A | 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 | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-10-12 00:23:46.529781 | 2025-05-13 04:29:37.228064 |
| 2025-10-12 00:22:00.210067 | 2025-10-12 00:22:03.208468 | 13295160 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_13295160_47b0dbb2-e6df-4e63-8fcb-9acd74f37dc0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_13295160_66baa17c-eb60-42b0-95da-af989ab599df.json | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | 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 | 7504846 | 2222 | N/A | 13559918 | N/A | 4213743 | 2025-10-12 00:22:03.208468 | 2025-05-13 04:29:37.228064 |
| 2025-10-12 00:21:57.809403 | 2025-10-12 00:22:00.194523 | 13295158 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_13295158_18812d0c-a344-4cb6-9dd9-abba9b0d33fa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | 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 | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-10-12 00:22:00.194523 | 2025-05-13 04:29:37.228064 |
| 2025-10-12 00:21:54.062339 | 2025-10-12 00:21:56.158722 | 13295156 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_13295156_08d8e38b-1d0f-4b1d-b5a2-ede30de75afb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_13295156_511ac855-d0fc-4795-8a5c-19bcb4ba54d1.json | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | 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 | 7504846 | 2222 | N/A | 13559916 | N/A | 4213743 | 2025-10-12 00:21:56.158722 | 2025-05-13 04:29:37.228064 |
| 2025-10-12 00:21:52.075897 | 2025-10-12 00:21:54.057445 | 13295153 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_13295153_d9a9e07d-c920-44cc-8685-5f200dc652fb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | 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 | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-10-12 00:21:54.057445 | 2025-05-13 04:29:37.228064 |
| 2025-10-11 15:13:08.945425 | 2025-10-11 15:13:10.945352 | 13294566 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-05-18 | 2025-10-20 | F | AE | BERINSTEIN | 4HY3M64VC99 | PAULA | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10172946/check_13294566_c34bbc30-80f9-4e92-95fb-57adb2d0e117.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172946/check_13294566_8c07c4c1-9f96-4b2d-bbce-88ecc1b1f321.json | N/A | N/A | N/A | N/A | N/A | 4HY3M64VC99 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-05-18 | S5601 | N/A | N/A | MA | false | BERINSTEIN | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9001530233 | N/A | N/A | 10172946 | 2222 | N/A | 13559346 | N/A | 8474092 | 2025-10-11 15:13:10.945352 | 2025-10-11 14:58:02.058781 |
| 2025-10-11 15:11:58.050311 | 2025-10-11 15:11:59.966367 | 13294562 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-05-18 | 2025-10-20 | F | AE | BERINSTEIN | 4HY3M64VC99 | PAULA | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10172946/check_13294562_2a8d3387-5e43-4c9f-a990-166d0a8a3194.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172946/check_13294562_72ce694c-e536-48a9-993f-41e166911684.json | N/A | N/A | N/A | N/A | N/A | 4HY3M64VC99 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-05-18 | S5601 | N/A | N/A | MB | false | BERINSTEIN | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9001524997 | N/A | N/A | 10172946 | 2222 | N/A | 13559342 | N/A | 8474092 | 2025-10-11 15:11:59.966367 | 2025-10-11 14:58:02.058781 |
| 2025-10-11 15:11:23.793745 | 2025-10-11 15:11:25.788441 | 13294561 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-05-18 | 2025-10-20 | F | AE | BERINSTEIN | 4HY3M64VC99 | PAULA | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10172946/check_13294561_4ca6ec6d-9da5-44ab-8999-2b0bc3738c90.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172946/check_13294561_583458a0-c9b6-4975-a2e5-5d0c7ceb07bd.json | N/A | N/A | N/A | N/A | N/A | 4HY3M64VC99 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-05-18 | S5601 | N/A | N/A | MA | false | BERINSTEIN | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9001522339 | N/A | N/A | 10172946 | 2222 | N/A | 13559341 | N/A | 8474092 | 2025-10-11 15:11:25.788441 | 2025-10-11 14:58:02.058781 |
| 2025-10-11 15:11:12.688362 | 2025-10-11 15:11:14.637019 | 13294560 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-05-18 | 2025-10-20 | F | AE | BERINSTEIN | 4HY3M64VC99 | PAULA | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10172946/check_13294560_2a9caa20-4fab-47d0-958e-1abce7328420.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172946/check_13294560_ba11bd03-76b3-4d59-9662-db12944e4c9f.json | N/A | N/A | N/A | N/A | N/A | 4HY3M64VC99 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-05-18 | S5601 | N/A | N/A | MA | false | BERINSTEIN | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9001521337 | N/A | N/A | 10172946 | 2222 | N/A | 13559340 | N/A | 8474092 | 2025-10-11 15:11:14.637019 | 2025-10-11 14:58:02.058781 |
| 2025-10-11 15:10:42.035011 | 2025-10-11 15:10:44.972988 | 13294552 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-05-18 | 2025-10-20 | F | AE | BERINSTEIN | 4HY3M64VC99 | PAULA | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10172946/check_13294552_dbdd22c7-af73-4d68-9ae8-d5033f1d4408.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172946/check_13294552_c2080516-b483-445c-be4e-dd651779eb68.json | N/A | N/A | N/A | N/A | N/A | 4HY3M64VC99 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-05-18 | S5601 | N/A | N/A | MA | false | BERINSTEIN | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9001519197 | N/A | N/A | 10172946 | 2222 | N/A | 13559332 | N/A | 8474092 | 2025-10-11 15:10:44.972988 | 2025-10-11 14:58:02.058781 |
| 2025-10-11 00:02:43.017304 | 2025-10-11 00:02:44.951878 | 13294182 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-03-28 | 2025-10-10 | F | AE | SAGMAN | U9205101701 | SYDNEY | PT | 23295 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9924959/check_13294182_8a27e0a7-6cc5-4074-a370-36c28f408dcc.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9924959/check_13294182_b50424f1-cb97-4dd7-84f0-8a1f491e08f4.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1996-03-28 | N/A | N/A | N/A | N/A | false | SAGMAN | N/A | SYDNEY | 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 | 9924959 | 2222 | N/A | 13535465 | N/A | 4722569 | 2025-10-11 00:02:44.951878 | 2025-08-26 00:16:35.895658 |
| 2025-10-11 00:02:41.336211 | 2025-10-11 00:02:43.014381 | 13294181 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-03-28 | 2025-10-10 | F | AE | SAGMAN | U9205101701 | SYDNEY | PT | 23295 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9924959/check_13294181_c4817f29-982d-4d06-80b5-74dc852d50ff.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-10-10 | N/A | N/A | N/A | N/A | N/A | N/A | U9205101701 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1996-03-28 | N/A | N/A | N/A | N/A | false | SAGMAN | N/A | SYDNEY | 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 | 9924959 | 2222 | N/A | N/A | N/A | 4722569 | 2025-10-11 00:02:43.014381 | 2025-08-26 00:16:35.895658 |
| 2025-10-10 22:45:43.018959 | 2025-10-10 22:45:44.799807 | 13293950 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-02 | 2025-10-22 | F | PT | KUZMICZ | LFY HCU059374 | AUDREY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541748/check_13293950_8245ab84-52b0-4cce-8a5f-e8ade8dff96d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541748/check_13293950_f16144a5-4ef7-40fd-838e-7231f7fc8706.json | N/A | N/A | N/A | N/A | N/A | LFY HCU059374 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-08-02 | N/A | N/A | N/A | N/A | false | KUZMICZ | N/A | AUDREY | 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 | 5541748 | 2222 | N/A | 13535027 | N/A | 4213741 | 2025-10-10 22:45:44.799807 | 2025-10-10 22:38:21.840610 |
| 2025-10-10 22:45:41.354717 | 2025-10-10 22:45:43.016844 | 13293948 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-02 | 2025-10-22 | F | PT | KUZMICZ | LFY HCU059374 | AUDREY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541748/check_13293948_d26fcbd3-c81c-4f71-919e-4e4121e17f39.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-22 | N/A | N/A | N/A | N/A | N/A | N/A | LFY HCU059374 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-08-02 | N/A | N/A | N/A | N/A | false | KUZMICZ | N/A | AUDREY | 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 | 5541748 | 2222 | N/A | N/A | N/A | 4213741 | 2025-10-10 22:45:43.016844 | 2025-10-10 22:38:21.840610 |
| 2025-10-10 22:45:23.779025 | 2025-10-10 22:45:25.576636 | 13293944 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-02 | 2025-10-22 | F | PT | KUZMICZ | LFY HCU059374 | AUDREY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541748/check_13293944_e3839c96-0177-4996-9697-a84c4711e685.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541748/check_13293944_8eda33fa-06f5-4364-b5a5-46abda95d77e.json | N/A | N/A | N/A | N/A | N/A | LFY HCU059374 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-08-02 | N/A | N/A | N/A | N/A | false | KUZMICZ | N/A | AUDREY | 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 | 5541748 | 2222 | N/A | 13535020 | N/A | 4213741 | 2025-10-10 22:45:25.576636 | 2025-10-10 22:38:21.840610 |
| 2025-10-10 22:45:21.944053 | 2025-10-10 22:45:23.775725 | 13293943 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-02 | 2025-10-22 | F | PT | KUZMICZ | LFY HCU059374 | AUDREY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541748/check_13293943_5e7613bc-446e-4e4d-8b46-e4f8e246f3b7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-22 | N/A | N/A | N/A | N/A | N/A | N/A | LFY HCU059374 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-08-02 | N/A | N/A | N/A | N/A | false | KUZMICZ | N/A | AUDREY | 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 | 5541748 | 2222 | N/A | N/A | N/A | 4213741 | 2025-10-10 22:45:23.775725 | 2025-10-10 22:38:21.840610 |
| 2025-10-10 22:44:47.996911 | 2025-10-10 22:44:49.788111 | 13293940 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-02 | 2025-10-22 | F | PT | KUZMICZ | LFY HCU059374 | AUDREY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541748/check_13293940_15dfbeeb-e088-47e5-b9aa-da63af6eeb36.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541748/check_13293940_b3bebf5b-cb96-4288-9b3e-af79fd87705b.json | N/A | N/A | N/A | N/A | N/A | LFY HCU059374 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-08-02 | N/A | N/A | N/A | N/A | false | KUZMICZ | N/A | AUDREY | 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 | 5541748 | 2222 | N/A | 13535014 | N/A | 4213741 | 2025-10-10 22:44:49.788111 | 2025-10-10 22:38:21.840610 |
| 2025-10-10 22:44:46.343880 | 2025-10-10 22:44:47.993311 | 13293939 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-02 | 2025-10-22 | F | PT | KUZMICZ | LFY HCU059374 | AUDREY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541748/check_13293939_778e1d4a-b2b2-427b-ab75-b4cc466ef7e5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-22 | N/A | N/A | N/A | N/A | N/A | N/A | LFY HCU059374 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-08-02 | N/A | N/A | N/A | N/A | false | KUZMICZ | N/A | AUDREY | 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 | 5541748 | 2222 | N/A | N/A | N/A | 4213741 | 2025-10-10 22:44:47.993311 | 2025-10-10 22:38:21.840610 |
| 2025-10-10 22:44:37.086602 | 2025-10-10 22:44:38.894696 | 13293937 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-02 | 2025-10-22 | F | PT | KUZMICZ | LFY HCU059374 | AUDREY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541748/check_13293937_4e3e2aab-335f-4b9a-aca9-cdd70a169d27.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541748/check_13293937_adbab04d-2eab-4ace-8ef6-c5e3ce60b5e7.json | N/A | N/A | N/A | N/A | N/A | LFY HCU059374 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-08-02 | N/A | N/A | N/A | N/A | false | KUZMICZ | N/A | AUDREY | 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 | 5541748 | 2222 | N/A | 13535009 | N/A | 4213741 | 2025-10-10 22:44:38.894696 | 2025-10-10 22:38:21.840610 |
| 2025-10-10 22:44:35.270855 | 2025-10-10 22:44:37.082833 | 13293935 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-02 | 2025-10-22 | F | PT | KUZMICZ | LFY HCU059374 | AUDREY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541748/check_13293935_16b18cc4-0bc9-4da2-ba39-d12d913d03b9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-22 | N/A | N/A | N/A | N/A | N/A | N/A | LFY HCU059374 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-08-02 | N/A | N/A | N/A | N/A | false | KUZMICZ | N/A | AUDREY | 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 | 5541748 | 2222 | N/A | N/A | N/A | 4213741 | 2025-10-10 22:44:37.082833 | 2025-10-10 22:38:21.840610 |
| 2025-10-10 22:42:00.922772 | 2025-10-10 22:42:04.766904 | 13293925 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-02 | 2025-10-22 | F | PT | KUZMICZ | LFY283A54844 | AUDREY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541748/check_13293925_9a1e1996-99d8-4f48-b993-30f5c9a76b70.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541748/check_13293925_640869fa-c11c-495c-9d66-4cdb23e8f98b.json | N/A | N/A | N/A | N/A | N/A | LFYHC0059374 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION | ANTHEM BLUE CROSS | N/A | 2009-08-02 | 040 | 282527M001 | N/A | PR | false | KUZMICZ | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2020-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8996694823 | N/A | N/A | 5541748 | 2222 | N/A | 13534985 | N/A | 4213741 | 2025-10-10 22:42:04.766904 | 2025-10-10 22:38:21.840610 |
| 2025-10-10 21:22:27.764486 | 2025-10-10 21:22:31.742868 | 13293432 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-31 | 2025-10-07 | F | PT | BARRERA | XEH903839121 | LOLA | AE | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7203168/check_13293432_b1f23524-90f4-4be6-b6bf-b7a269f7264b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7203168/check_13293432_40d6a95d-4dfc-4afd-8cf7-9cd6c103fb07.json | N/A | N/A | N/A | N/A | N/A | XEH903839121 | Health Maintenance Organization (HMO) | CVT MOORPARK USD | BLUE SHIELD CALIFORNIA | N/A | 1967-03-31 | 1000HMOX0005 | W0052266 | N/A | HM | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | CALIFORNIA S VALUED TRUST CUSTOM HMO 10 0 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8996411261 | 7693 | N/A | 7203168 | 2222 | N/A | 13534264 | N/A | 5230345 | 2025-10-10 21:22:31.742868 | 2025-07-11 20:32:03.183345 |
| 2025-10-10 20:46:36.951079 | 2025-10-10 20:46:39.896394 | 13293025 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-04-25 | 2025-10-10 | M | PT | GREEN | JQV184A72608 | ALLEN | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10091887/check_13293025_dd83d3fa-c50b-45ce-bf85-61e03f1c8e81.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_13293025_f8d6777e-78bc-4c02-a494-32e2da96eab1.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 9999-12-31 | 2024-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8996046911 | 9339 | N/A | 10091887 | 2222 | N/A | 13533749 | N/A | 8429919 | 2025-10-10 20:46:39.896394 | 2025-10-07 22:01:52.720968 |