API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-03 23:26:07.729703 | 2025-06-03 23:26:10.610857 | 8539642 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-09-16 | 2025-06-10 | M | PT | AE | 2630 | ARCHULETA | 00000367146 | JAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068048/check_8539642_7a8d5a10-966f-4ebf-b28f-bb794af54a42.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068048/check_8539642_fa069232-eaf8-4b3d-a353-69ce49ef7c48.json | N/A | N/A | N/A | N/A | N/A | 00000367146 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-09-16 | N/A | N/A | N/A | N/A | false | ARCHULETA | N/A | JAN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 6068048 | 2222 | N/A | 8234053 | N/A | 4208438 | 2025-06-03 23:26:10.610857 | 2025-06-03 23:28:44.457715 |
| 2025-06-03 23:26:06.139702 | 2025-06-03 23:26:07.727587 | 8539641 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-09-16 | 2025-06-10 | M | PT | AE | 2630 | ARCHULETA | 00000367146 | JAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068048/check_8539641_f032ff95-bbc8-4519-9477-e334c460d041.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | 00000367146 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-09-16 | N/A | N/A | N/A | N/A | false | ARCHULETA | N/A | JAN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 6068048 | 2222 | N/A | N/A | N/A | 4208438 | 2025-06-03 23:26:07.727587 | 2025-06-03 23:28:44.457715 |
| 2025-06-03 23:25:17.847087 | 2025-06-03 23:25:19.646601 | 8539633 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-04 | 2025-06-04 | F | PT | AE | 23299 | SANKOVICH | 00000375069 | DEBORAH ANN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8539633_05c5fe49-3ad0-431a-8376-be0af1b1a5ae.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_8539633_75e20cf1-b1c0-4981-bf90-87c1970ad2bc.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-09-04 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH ANN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5543396 | 2222 | N/A | 8234040 | N/A | 4215193 | 2025-06-03 23:25:19.646601 | 2026-01-16 04:38:12.725481 |
| 2025-06-03 23:25:16.257420 | 2025-06-03 23:25:17.845454 | 8539632 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-04 | 2025-06-04 | F | PT | AE | 23299 | SANKOVICH | 00000375069 | DEBORAH ANN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8539632_c142305a-9505-41cf-b147-3e936003f53a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-09-04 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH ANN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5543396 | 2222 | N/A | N/A | N/A | 4215193 | 2025-06-03 23:25:17.845454 | 2026-01-16 04:38:12.725481 |
| 2025-06-03 23:24:06.115041 | 2025-06-03 23:24:10.955238 | 8539631 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-27 | 2025-06-03 | F | PT | AE | 4497 | Jaude | 9MG2QE6VF90 | Anne | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124906/check_8539631_8576fc83-2ad2-4e9b-8c9a-a684b125c0a5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124906/check_8539631_8708db96-c78d-4480-afb4-6d78dfdfae51.json | N/A | N/A | N/A | N/A | N/A | 9MG2QE6VF90 | N/A | N/A | CMS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9490 | N/A | 6124906 | 2222 | N/A | 8234037 | N/A | 4767362 | 2025-06-03 23:24:10.955238 | 2025-09-19 16:49:18.601418 |
| 2025-06-03 23:24:04.529271 | 2025-06-03 23:24:06.110732 | 8539630 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-27 | 2025-06-03 | F | PT | AE | 4497 | Jaude | 9MG2QE6VF90 | Anne | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124906/check_8539630_74530555-021e-42ca-9901-2b697482fc51.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | 9MG2QE6VF90 | N/A | N/A | CMS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9490 | N/A | 6124906 | 2222 | N/A | N/A | N/A | 4767362 | 2025-06-03 23:24:06.110732 | 2025-09-19 16:49:18.601418 |
| 2025-06-03 23:23:49.861825 | 2025-06-03 23:23:51.603716 | 8539628 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-27 | 2025-06-03 | F | PT | AE | 4497 | Jaude | 9MG2QE6VF90 | Anne | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124906/check_8539628_da02d45c-316d-458c-86ce-b33dfd2abd43.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124906/check_8539628_94051685-4573-4086-a445-72ea3b6d41bc.json | N/A | N/A | N/A | N/A | N/A | 9MG2QE6VF90 | N/A | N/A | CMS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9490 | N/A | 6124906 | 2222 | N/A | 8234033 | N/A | 4767362 | 2025-06-03 23:23:51.603716 | 2025-09-19 16:49:18.601418 |
| 2025-06-03 23:23:47.152415 | 2025-06-03 23:23:49.858730 | 8539627 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-27 | 2025-06-03 | F | PT | AE | 4497 | Jaude | 9MG2QE6VF90 | Anne | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124906/check_8539627_988a7cce-0986-4e6f-a25d-e0522b28fdbe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | 9MG2QE6VF90 | N/A | N/A | CMS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9490 | N/A | 6124906 | 2222 | N/A | N/A | N/A | 4767362 | 2025-06-03 23:23:49.858730 | 2025-09-19 16:49:18.601418 |
| 2025-06-03 23:23:28.329506 | 2025-06-03 23:23:30.148568 | 8539625 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-04 | 2025-06-04 | F | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH ANN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8539625_21fc7a7a-494b-4ef2-87ea-2cfa97bdb5fa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543396/check_8539625_e3de9c23-9527-4dae-9a93-c355caa05f98.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-04 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH ANN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5543396 | 2222 | N/A | 8234028 | N/A | 4215193 | 2025-06-03 23:23:30.148568 | 2026-01-16 04:38:12.725481 |
| 2025-06-03 23:23:26.673301 | 2025-06-03 23:23:28.327716 | 8539624 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-04 | 2025-06-04 | F | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH ANN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543396/check_8539624_c253573c-610b-4190-a39d-7c36024a9d1d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-04 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH ANN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5543396 | 2222 | N/A | N/A | N/A | 4215193 | 2025-06-03 23:23:28.327716 | 2026-01-16 04:38:12.725481 |
| 2025-06-03 23:17:02.819401 | 2025-06-03 23:17:04.566314 | 8539610 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-08-14 | 2025-06-03 | F | PT | AE | 5505 | ZIMMERMAN | 000021134035 | DEBORA RAE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993948/check_8539610_6456c0c4-b0d0-417a-b0c8-08f494b7d58f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993948/check_8539610_bad19474-bc23-4621-bac9-8b6484360506.json | N/A | N/A | N/A | N/A | N/A | 000021134035 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1953-08-14 | N/A | N/A | N/A | N/A | false | ZIMMERMAN | N/A | DEBORA RAE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5993948 | 2222 | N/A | 8233995 | N/A | 4642885 | 2025-06-03 23:17:04.566314 | 2025-06-03 23:30:41.439757 |
| 2025-06-03 23:17:01.135280 | 2025-06-03 23:17:02.817197 | 8539609 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-08-14 | 2025-06-03 | F | PT | AE | 5505 | ZIMMERMAN | 000021134035 | DEBORA RAE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993948/check_8539609_57f1eb89-fb91-4c7f-baca-b363e4842a83.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | 000021134035 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1953-08-14 | N/A | N/A | N/A | N/A | false | ZIMMERMAN | N/A | DEBORA RAE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5993948 | 2222 | N/A | N/A | N/A | 4642885 | 2025-06-03 23:17:02.817197 | 2025-06-03 23:30:41.439757 |
| 2025-06-03 22:56:44.005709 | 2025-06-03 22:56:46.775055 | 8539559 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-04-16 | 2025-06-09 | F | PT | AE | 6237 | RYAN | 31026142401 | CAROL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535455/check_8539559_cae13861-a0cf-419f-83a0-3c62f0dedff1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_8539559_bba7eb4d-db6c-47cb-8869-b51b818eb453.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1941-04-16 | 2025H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5535455 | 2222 | N/A | 8233893 | N/A | 4208375 | 2025-06-03 22:56:46.775055 | 2025-08-08 21:08:12.459471 |
| 2025-06-03 22:54:37.800105 | 2025-06-03 22:54:39.785277 | 8539510 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-08-14 | 2025-06-03 | F | PT | AE | 5505 | ZIMMERMAN | 000021134035 | DEBORA RAE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993948/check_8539510_106fdf66-e555-451a-8d08-20568b206e20.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993948/check_8539510_8f774663-a887-4507-ab40-ead66cfef34a.json | N/A | N/A | N/A | N/A | N/A | 000021134035 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1953-08-14 | N/A | N/A | N/A | N/A | false | ZIMMERMAN | N/A | DEBORA RAE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5993948 | 2222 | N/A | 8233835 | N/A | 4642885 | 2025-06-03 22:54:39.785277 | 2025-06-03 23:30:41.439757 |
| 2025-06-03 22:54:36.172515 | 2025-06-03 22:54:37.795979 | 8539508 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-08-14 | 2025-06-03 | F | PT | AE | 5505 | ZIMMERMAN | 000021134035 | DEBORA RAE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993948/check_8539508_e8b71191-ed3d-4b48-9fbf-934d27356cf5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | 000021134035 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1953-08-14 | N/A | N/A | N/A | N/A | false | ZIMMERMAN | N/A | DEBORA RAE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5993948 | 2222 | N/A | N/A | N/A | 4642885 | 2025-06-03 22:54:37.795979 | 2025-06-03 23:30:41.439757 |
| 2025-06-03 22:53:07.828335 | 2025-06-03 22:53:09.552309 | 8539506 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-07-01 | 2025-06-04 | M | PT | N/A | 4185 | PAQUETTE | 490145 | NICOLAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124048/check_8539506_99a9731a-f972-481d-af2f-d9261ebebd46.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124048/check_8539506_215063ed-e777-48f1-9fe8-b8006d60530b.json | N/A | N/A | N/A | N/A | N/A | 490145 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-07-01 | N/A | N/A | N/A | N/A | false | PAQUETTE | N/A | NICOLAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6124048 | 2222 | N/A | 8233827 | N/A | 4766758 | 2025-06-03 22:53:09.552309 | 2025-06-03 21:40:10.090592 |
| 2025-06-03 22:53:06.189031 | 2025-06-03 22:53:07.827023 | 8539505 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-07-01 | 2025-06-04 | M | PT | N/A | 4185 | PAQUETTE | 490145 | NICOLAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124048/check_8539505_19bf8a60-54a1-4202-bd9a-bcb5fc75ec06.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 490145 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-07-01 | N/A | N/A | N/A | N/A | false | PAQUETTE | N/A | NICOLAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6124048 | 2222 | N/A | N/A | N/A | 4766758 | 2025-06-03 22:53:07.827023 | 2025-06-03 21:40:10.090592 |
| 2025-06-03 22:52:06.984164 | 2025-06-03 22:52:08.735495 | 8539504 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-07-04 | 2025-06-06 | M | PT | N/A | 4185 | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124845/check_8539504_d6b6d1dd-ee97-428c-8c92-0466743c5414.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_8539504_b8ba12ee-fd7e-4ff2-aa16-211b5d941daf.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6124845 | 2222 | N/A | 8233816 | N/A | 4767293 | 2025-06-03 22:52:08.735495 | 2025-06-06 15:11:48.015692 |
| 2025-06-03 22:52:03.272526 | 2025-06-03 22:52:06.982020 | 8539503 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-07-04 | 2025-06-06 | M | PT | N/A | 4185 | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124845/check_8539503_effe9c24-53db-4af2-8874-0b9a25e204ed.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6124845 | 2222 | N/A | N/A | N/A | 4767293 | 2025-06-03 22:52:06.982020 | 2025-06-06 15:11:48.015692 |
| 2025-06-03 22:45:18.390865 | 2025-06-03 22:45:20.237381 | 8539398 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-07-04 | 2025-06-06 | M | PT | N/A | 4185 | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124845/check_8539398_f3dc2eab-699b-4e30-9660-00bb9a9e9915.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_8539398_56873d2c-7111-46e1-b745-ae13c9d4c439.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6124845 | 2222 | N/A | 8233680 | N/A | 4767293 | 2025-06-03 22:45:20.237381 | 2025-06-06 15:11:48.015692 |
| 2025-06-03 22:45:15.780963 | 2025-06-03 22:45:18.389274 | 8539397 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-07-04 | 2025-06-06 | M | PT | N/A | 4185 | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124845/check_8539397_50d1a63c-c64b-4ac4-b2c3-8673bf6359a2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6124845 | 2222 | N/A | N/A | N/A | 4767293 | 2025-06-03 22:45:18.389274 | 2025-06-06 15:11:48.015692 |
| 2025-06-03 22:44:45.860650 | 2025-06-03 22:44:47.571991 | 8539394 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-27 | 2025-06-03 | F | PT | AE | 4497 | Jaude | 1830928 | Anne | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124906/check_8539394_bb1444d3-0b5d-47ab-9bdb-b750a8993c99.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124906/check_8539394_efbcf1bd-1d23-4f0e-8365-3c8992f1ea62.json | N/A | N/A | N/A | N/A | N/A | 1830928 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6124906 | 2222 | N/A | 8233676 | N/A | 4767362 | 2025-06-03 22:44:47.571991 | 2025-09-19 16:49:18.601418 |
| 2025-06-03 22:44:44.353449 | 2025-06-03 22:44:45.858690 | 8539393 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-27 | 2025-06-03 | F | PT | AE | 4497 | Jaude | 1830928 | Anne | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124906/check_8539393_a8f23d8e-aa94-4ecc-87d9-0beda5bcd288.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | 1830928 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6124906 | 2222 | N/A | N/A | N/A | 4767362 | 2025-06-03 22:44:45.858690 | 2025-09-19 16:49:18.601418 |
| 2025-06-03 22:23:20.771106 | 2025-06-03 22:25:02.535787 | 8538986 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-08-26 | 2025-06-18 | M | PT | N/A | 4191 | TOHLCHINSKY | XEA901508061 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541542/check_8538986_98b71896-a1f3-498f-8cf0-88a9f7aae297.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | XEA901508061 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1981-08-26 | N/A | N/A | N/A | N/A | false | TOHLCHINSKY | N/A | MICHAEL | 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 | 5541542 | 2222 | N/A | N/A | N/A | 4213542 | 2025-06-03 22:25:02.535787 | 2025-06-03 22:12:38.498592 |
| 2025-06-03 22:21:38.215411 | 2025-06-03 22:23:20.767609 | 8538978 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-08-26 | 2025-06-18 | M | PT | N/A | 4191 | TOHLCHINSKY | XEA901508061 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541542/check_8538978_47715abc-ea81-484a-8dde-268066c4557c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | XEA901508061 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1981-08-26 | N/A | N/A | N/A | N/A | false | TOHLCHINSKY | N/A | MICHAEL | 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 | 5541542 | 2222 | N/A | N/A | N/A | 4213542 | 2025-06-03 22:23:20.767609 | 2025-06-03 22:12:38.498592 |
| 2025-06-03 22:19:58.353371 | 2025-06-03 22:21:40.218705 | 8538955 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-08-26 | 2025-06-18 | M | PT | N/A | 4191 | TOHLCHINSKY | XEA901508061 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541542/check_8538955_8389bc7a-5843-4ba3-8161-d8cf362cdb4e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | XEA901508061 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1981-08-26 | N/A | N/A | N/A | N/A | false | TOHLCHINSKY | N/A | MICHAEL | 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 | 5541542 | 2222 | N/A | N/A | N/A | 4213542 | 2025-06-03 22:21:40.218705 | 2025-06-03 22:12:38.498592 |
| 2025-06-03 22:18:16.636399 | 2025-06-03 22:19:58.350374 | 8538948 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-08-26 | 2025-06-18 | M | PT | N/A | 4191 | TOHLCHINSKY | XEA901508061 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541542/check_8538948_95a29992-a4ea-4a9c-a5bb-f0cfc521269a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | XEA901508061 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1981-08-26 | N/A | N/A | N/A | N/A | false | TOHLCHINSKY | N/A | MICHAEL | 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 | 5541542 | 2222 | N/A | N/A | N/A | 4213542 | 2025-06-03 22:19:58.350374 | 2025-06-03 22:12:38.498592 |
| 2025-06-03 21:56:36.701014 | 2025-06-03 21:56:38.499298 | 8538682 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-02 | 2025-06-04 | F | PT | AE | 3948 | Taylor | 0322952413 | Vienna | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124049/check_8538682_13a14d50-862a-4ac9-a2fc-60ea70fc24b7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124049/check_8538682_83756785-8391-47b5-8309-aff08e386f42.json | N/A | N/A | N/A | N/A | N/A | 0322952413 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1969-05-02 | 001 | 24281 | N/A | GP | false | TAYLOR | N/A | JEFFREY | N/A | N/A | N/A | VELOCITY COMMERCIAL CAPITAL LLC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6124049 | 2222 | N/A | 8232773 | N/A | 4766759 | 2025-06-03 21:56:38.499298 | 2025-06-04 21:51:50.184092 |
| 2025-06-03 21:51:14.149180 | 2025-06-03 21:52:56.787243 | 8538668 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2025-06-03 | 2025-06-18 | M | PT | N/A | 4191 | TOHLCHINSKY | XEA901508061 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124080/check_8538668_24e985e2-b6bd-4196-8208-7a0b8d0d3ac2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | XEA901508061 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2025-06-03 | N/A | N/A | N/A | N/A | false | TOHLCHINSKY | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6124080 | 2222 | N/A | N/A | N/A | 4766790 | 2025-06-03 21:52:56.787243 | 2025-07-21 16:54:16.508510 |
| 2025-06-03 21:50:17.462354 | 2025-06-03 21:51:14.142836 | 8538664 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2025-06-03 | 2025-06-18 | M | PT | N/A | 4191 | TOHLCHINSKY | XEA901508061 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124080/check_8538664_8eeb3488-6aef-4300-8d72-b4e3532dd024.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | XEA901508061 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2025-06-03 | N/A | N/A | N/A | N/A | false | TOHLCHINSKY | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6124080 | 2222 | N/A | N/A | N/A | 4766790 | 2025-06-03 21:51:14.142836 | 2025-07-21 16:54:16.508510 |
| 2025-06-03 21:49:57.538157 | 2025-06-03 21:50:00.582998 | 8538663 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-13 | 2025-06-03 | M | PT | AE | 6798 | HACKBARTH | 27593277 | HAROLD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_8538663_d19157d5-5f1c-4543-b729-3b0766c607c3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_8538663_6b56fbd7-57a1-472b-acf3-6a328e845c3d.json | N/A | N/A | N/A | N/A | N/A | 27593277 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1944-11-13 | N/A | N/A | N/A | N/A | false | HACKBARTH MR | N/A | HAROLD | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5568081 | 2222 | N/A | 8232737 | N/A | 4212656 | 2025-06-03 21:50:00.582998 | 2025-08-12 21:09:57.607033 |
| 2025-06-03 21:42:47.246403 | 2025-06-03 21:42:54.142850 | 8538650 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-07-12 | 2025-06-05 | F | PT | N/A | 4185 | Davis | GMB811453374 | Colleen | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124061/check_8538650_da617381-7def-4425-9f4c-d8cfe2372d8c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124061/check_8538650_c50ea5fa-da51-4420-bb3e-dcdd2736ca3e.json | N/A | N/A | N/A | N/A | N/A | GMB811453374 | Preferred Provider Organization (PPO) | ARTHUR J GALLAGHER (ILLINOIS), LLC | ANTHEM BLUE CROSS | N/A | 1969-07-12 | N/A | 169148 | N/A | PR | false | DAVIS | N/A | COLLEEN | N/A | 9999-12-31 | 2024-08-26 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6124061 | 2222 | N/A | 8232698 | N/A | 4766777 | 2025-06-03 21:42:54.142850 | 2025-06-19 23:01:11.277116 |
| 2025-06-03 21:42:02.715610 | 2025-06-03 21:42:04.469761 | 8538649 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-06-01 | 2025-06-03 | F | PT | AE | 4497 | AMIRI | 5A52N18CA24 | POURAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538157/check_8538649_c12b3c78-318b-4176-a9ba-b29b85770d77.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538157/check_8538649_f828e118-099b-4b13-a962-7f9c57f20084.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-06-01 | S4802 | N/A | N/A | MA | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538157 | 2222 | N/A | 8232692 | N/A | 4210607 | 2025-06-03 21:42:04.469761 | 2025-08-01 18:31:38.620742 |
| 2025-06-03 21:41:43.800767 | 2025-06-03 21:41:47.504120 | 8538647 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-07-01 | 2025-06-04 | M | PT | N/A | 4184 | PAQUETTE | 490145 | NICOLAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124048/check_8538647_e0095d45-149f-4325-a19e-72b8b5566b1c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124048/check_8538647_81121ab6-05e1-432c-b9fb-4eacc7250eab.json | N/A | N/A | N/A | N/A | N/A | 490145 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-07-01 | N/A | N/A | N/A | N/A | false | PAQUETTE | N/A | NICOLAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6124048 | 2222 | N/A | 8232690 | N/A | 4766758 | 2025-06-03 21:41:47.504120 | 2025-06-03 21:40:10.090592 |
| 2025-06-03 21:41:41.202912 | 2025-06-03 21:41:43.799455 | 8538646 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-07-01 | 2025-06-04 | M | PT | N/A | 4184 | PAQUETTE | 490145 | NICOLAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124048/check_8538646_dbcbcb03-74c2-4308-b544-7e6a7b48e5ee.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 490145 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-07-01 | N/A | N/A | N/A | N/A | false | PAQUETTE | N/A | NICOLAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6124048 | 2222 | N/A | N/A | N/A | 4766758 | 2025-06-03 21:41:43.799455 | 2025-06-03 21:40:10.090592 |
| 2025-06-03 21:41:12.342208 | 2025-06-03 21:42:04.724641 | 8538643 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-07-12 | 2025-06-05 | F | PT | N/A | 4191 | Davis | GMB811453374 | Colleen | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124061/check_8538643_9fd48247-5c7c-4a4f-b33f-1654f307b451.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124061/check_8538643_c7e44b9a-f659-4a4f-b9e8-947b261f4bca.json | N/A | N/A | N/A | N/A | N/A | GMB811453374 | Preferred Provider Organization (PPO) | ARTHUR J GALLAGHER (ILLINOIS), LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1969-07-12 | N/A | 169148 | N/A | PR | false | DAVIS | N/A | COLLEEN | N/A | 9999-12-31 | 2024-08-26 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6124061 | 2222 | N/A | 8232693 | N/A | 4766777 | 2025-06-03 21:42:04.724641 | 2025-06-19 23:01:11.277116 |
| 2025-06-03 21:40:15.950074 | 2025-06-03 21:40:17.869373 | 8538642 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-06-01 | 2025-06-03 | F | PT | AE | 4497 | AMIRI | 5A52N18CA24 | POURAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538157/check_8538642_a1c1cb0c-3749-45e2-a626-9dc92ee6cc83.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538157/check_8538642_4f8d2820-541d-43e9-a523-a1c70baa17f7.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-06-01 | S4802 | N/A | N/A | MB | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538157 | 2222 | N/A | 8232681 | N/A | 4210607 | 2025-06-03 21:40:17.869373 | 2025-08-01 18:31:38.620742 |
| 2025-06-03 21:39:58.864471 | 2025-06-03 21:40:01.890152 | 8538641 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-06-01 | 2025-06-03 | F | PT | AE | 4497 | AMIRI | 5A52N18CA24 | POURAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538157/check_8538641_e3f869c6-17da-4996-9afc-5068ea8bc60e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538157/check_8538641_cf388c55-839b-45fb-86ee-f9604c949779.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-06-01 | S4802 | N/A | N/A | MB | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538157 | 2222 | N/A | 8232680 | N/A | 4210607 | 2025-06-03 21:40:01.890152 | 2025-08-01 18:31:38.620742 |
| 2025-06-03 21:34:50.839364 | 2025-06-03 21:34:52.663092 | 8538620 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-02 | 2025-06-04 | F | PT | AE | 3948 | Taylor | 0322952413 | Vienna | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124049/check_8538620_89a263db-2443-4d96-b38e-d6d2c45c45e7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124049/check_8538620_61e9ab0a-0a5e-4454-ae92-f1f848ac6c05.json | N/A | N/A | N/A | N/A | N/A | 0322952413 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1969-05-02 | 001 | 24281 | N/A | GP | false | TAYLOR | N/A | JEFFREY | N/A | N/A | N/A | OUT OF NETWORK MEDICAL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6124049 | 2222 | N/A | 8232641 | N/A | 4766759 | 2025-06-03 21:34:52.663092 | 2025-06-04 21:51:50.184092 |
| 2025-06-03 21:34:33.893738 | 2025-06-03 21:34:41.726806 | 8538618 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-02 | 2025-06-04 | F | PT | AE | 3939 | Taylor | 0322952413 | Vienna | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124049/check_8538618_76fdc192-b772-4baf-ac08-02ba8f5c8ffa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124049/check_8538618_b965ac39-4d1d-484d-9a4a-66743c1a6983.json | N/A | N/A | N/A | N/A | N/A | 0322952413 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1969-05-02 | 001 | 24281 | N/A | GP | false | TAYLOR | N/A | JEFFREY | N/A | N/A | N/A | OUT OF NETWORK MEDICAL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6124049 | 2222 | N/A | 8232636 | N/A | 4766759 | 2025-06-03 21:34:41.726806 | 2025-06-04 21:51:50.184092 |
| 2025-06-03 21:14:14.490315 | 2025-06-03 21:14:16.282079 | 8538548 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-08-14 | 2025-06-03 | F | PT | AE | 5505 | ZIMMERMAN | 000021134035 | DEBORA RAE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993948/check_8538548_abc9c9da-93e5-459f-aef4-4fad52b93417.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993948/check_8538548_f8380244-6804-4e88-9711-8d7dd919be2c.json | N/A | N/A | N/A | N/A | N/A | 000021134035 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1953-08-14 | N/A | N/A | N/A | N/A | false | ZIMMERMAN | N/A | DEBORA RAE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5993948 | 2222 | N/A | 8232496 | N/A | 4642885 | 2025-06-03 21:14:16.282079 | 2025-06-03 23:30:41.439757 |
| 2025-06-03 21:14:00.759791 | 2025-06-03 21:14:14.488517 | 8538547 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-08-14 | 2025-06-03 | F | PT | AE | 5505 | ZIMMERMAN | 000021134035 | DEBORA RAE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993948/check_8538547_dd561c89-db1c-4054-9751-b7b2221099fb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | 000021134035 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1953-08-14 | N/A | N/A | N/A | N/A | false | ZIMMERMAN | N/A | DEBORA RAE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5993948 | 2222 | N/A | N/A | N/A | 4642885 | 2025-06-03 21:14:14.488517 | 2025-06-03 23:30:41.439757 |
| 2025-06-03 21:08:32.350661 | 2025-06-03 21:10:14.165508 | 8538541 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | M | PT | AE | 4191 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538541_eb2c733b-28cb-40db-a448-701f10e46d43.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | XED914382344 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1993-03-02 | N/A | N/A | N/A | N/A | false | CHORLIAN | N/A | BERJ | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541177 | 2222 | N/A | N/A | N/A | 4213223 | 2025-06-03 21:10:14.165508 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 21:08:05.105633 | 2025-06-03 21:08:18.156130 | 8538539 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | M | PT | AE | 4185 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538539_23c55942-1eef-4020-8dec-198b2ede7295.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541177/check_8538539_22911649-bfb5-499b-8377-68fccf72ca5f.json | N/A | N/A | N/A | N/A | N/A | XED914382344 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | ANTHEM BLUE CROSS | N/A | 1993-03-02 | 2001ZK002187 | X0001004 | N/A | PR | false | CHORLIAN | N/A | BERJ | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5541177 | 2222 | N/A | 8232461 | N/A | 4213223 | 2025-06-03 21:08:18.156130 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 21:07:28.805552 | 2025-06-03 21:09:15.877884 | 8538532 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | M | PT | AE | 4191 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538532_0996468a-90a1-446a-b31b-b4c2c2f643f0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | XED914382344 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1993-03-02 | N/A | N/A | N/A | N/A | false | CHORLIAN | N/A | BERJ | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5541177 | 2222 | N/A | N/A | N/A | 4213223 | 2025-06-03 21:09:15.877884 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 21:06:50.435563 | 2025-06-03 21:08:32.345380 | 8538526 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | M | PT | AE | 4191 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538526_97f48be0-da46-4ad3-878e-30ae1cabd59f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | XED914382344 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1993-03-02 | N/A | N/A | N/A | N/A | false | CHORLIAN | N/A | BERJ | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541177 | 2222 | N/A | N/A | N/A | 4213223 | 2025-06-03 21:08:32.345380 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 21:05:46.891707 | 2025-06-03 21:07:28.784520 | 8538518 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | M | PT | AE | 4191 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538518_c32bb32a-dbd6-4dc7-8adc-89362cbc0d49.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | XED914382344 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1993-03-02 | N/A | N/A | N/A | N/A | false | CHORLIAN | N/A | BERJ | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5541177 | 2222 | N/A | N/A | N/A | 4213223 | 2025-06-03 21:07:28.784520 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 21:01:34.136070 | 2025-06-03 21:03:15.964682 | 8538503 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | M | PT | AE | 4191 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538503_08926bb5-710c-481c-9cc7-0e703c4bd1fb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | XED914382344 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1993-03-02 | N/A | N/A | N/A | N/A | false | CHORLIAN | N/A | BERJ | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5541177 | 2222 | N/A | N/A | N/A | 4213223 | 2025-06-03 21:03:15.964682 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 21:00:33.293027 | 2025-06-03 21:01:34.133599 | 8538499 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | M | PT | AE | 4191 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538499_b477f41b-47c1-4d40-8eff-edad5a27626c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | XED914382344 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1993-03-02 | N/A | N/A | N/A | N/A | false | CHORLIAN | N/A | BERJ | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5541177 | 2222 | N/A | N/A | N/A | 4213223 | 2025-06-03 21:01:34.133599 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:57:02.470544 | 2025-06-03 20:57:05.332699 | 8538486 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-09-14 | 2025-06-03 | F | PT | AE | 4185 | CONTI | CAI143A79624 | MARIANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993920/check_8538486_6135285c-c54e-4c0a-92c9-8a104a8ebd9d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993920/check_8538486_3d8667e8-bb71-44eb-8c43-421897926081.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5993920 | 2222 | N/A | 8232372 | N/A | 4642859 | 2025-06-03 20:57:05.332699 | 2026-04-10 21:27:25.225083 |