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 20:54:53.695245 | 2025-06-03 20:54:55.492147 | 8538473 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | U | PT | AE | 4191 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538473_005b09c2-0584-4ead-9473-1ee77ca5f420.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541177/check_8538473_d6afa0b8-1465-4f9b-bac3-c49369f0a9ea.json | 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 | 8232353 | N/A | 4213223 | 2025-06-03 20:54:55.492147 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:54:51.972931 | 2025-06-03 20:54:53.693067 | 8538472 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | U | PT | AE | 4191 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538472_5892529f-ca9c-4f2a-81a7-cacce013df31.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 20:54:53.693067 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:54:33.611824 | 2025-06-03 20:54:35.415139 | 8538471 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | U | PT | AE | 4191 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538471_ddb346d4-bf97-4e52-80d4-369b0d8dc087.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541177/check_8538471_649a218c-a803-4d0d-9def-e1255195a359.json | 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 | 8232350 | N/A | 4213223 | 2025-06-03 20:54:35.415139 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:54:31.989649 | 2025-06-03 20:54:33.609847 | 8538470 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | U | PT | AE | 4191 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538470_0e422ec6-35d1-41f5-9856-37f1d6b69cfd.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 20:54:33.609847 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:51:07.765652 | 2025-06-03 20:51:09.600250 | 8538459 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | U | PT | AE | 4191 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538459_3cf2331f-9450-4f83-b401-5f54bbdc53df.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541177/check_8538459_3f15af4b-6619-4f3e-b42c-d55f64d474f2.json | 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 | 8232332 | N/A | 4213223 | 2025-06-03 20:51:09.600250 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:51:02.143641 | 2025-06-03 20:51:07.762597 | 8538458 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | U | PT | AE | 4191 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538458_98b80fd8-f449-4d10-9fff-76c042b9435a.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 20:51:07.762597 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:50:40.556518 | 2025-06-03 20:50:42.330067 | 8538457 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | U | PT | AE | 22839 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538457_6a1b799f-8f95-4722-8375-ceb4c32008ea.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541177/check_8538457_2cc8a3ff-54fd-4469-a44e-c62017146104.json | N/A | N/A | N/A | N/A | N/A | XED914382344 | N/A | N/A | MISSING INSURANCE NAME | 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 | 8232330 | N/A | 4213223 | 2025-06-03 20:50:42.330067 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:50:38.879356 | 2025-06-03 20:50:40.554795 | 8538456 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | U | PT | AE | 22839 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538456_bc2e3343-8085-430d-8369-b5363c5f2058.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 | MISSING INSURANCE NAME | 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 20:50:40.554795 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:50:30.647758 | 2025-06-03 20:50:34.435112 | 8538455 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | U | PT | AE | 4185 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538455_a6e93d58-7b37-4027-904d-a542f1d94c97.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541177/check_8538455_3be4a2a9-26ec-4cf2-98c9-b2e93c71b46b.json | N/A | N/A | N/A | N/A | N/A | XED914382344 | N/A | N/A | BLUE CROSS 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 | 8232327 | N/A | 4213223 | 2025-06-03 20:50:34.435112 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:50:28.938369 | 2025-06-03 20:50:30.644919 | 8538453 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | U | PT | AE | 4185 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538453_55aff345-693f-45b8-baf0-0f799cbd3fe4.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 CROSS 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 20:50:30.644919 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:49:37.788755 | 2025-06-03 20:49:39.660418 | 8538450 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-02-23 | 2025-06-03 | F | PT | AE | 6237 | WENSEL | 40065419401 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539718/check_8538450_bebace7a-2c01-4687-a161-f49df0d99396.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539718/check_8538450_c5fcd91a-bb91-41fe-8f88-a889f9b0a490.json | N/A | N/A | N/A | N/A | N/A | 40065419401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-02-23 | 2025H5425001 | H5425M | N/A | N/A | false | WENSEL | N/A | KAREN | 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 | 7927 | N/A | 5539718 | 2222 | N/A | 8232323 | N/A | 4211977 | 2025-06-03 20:49:39.660418 | 2025-05-13 04:29:37.226299 |
| 2025-06-03 20:46:43.286723 | 2025-06-03 20:46:45.126405 | 8538445 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | U | PT | AE | 22839 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538445_6fa7f320-465c-4809-874f-624f4e64a1c4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541177/check_8538445_dda3f3ea-49d1-46ac-9865-c4e3f2b54a42.json | N/A | N/A | N/A | N/A | N/A | XED914382344 | N/A | N/A | MISSING INSURANCE NAME | 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 | 8232309 | N/A | 4213223 | 2025-06-03 20:46:45.126405 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:46:41.637027 | 2025-06-03 20:46:43.285112 | 8538444 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | U | PT | AE | 22839 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538444_19f172c0-9061-485b-acf9-ef965bc2a4d5.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 | MISSING INSURANCE NAME | 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 20:46:43.285112 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:45:01.681421 | 2025-06-03 20:45:04.577632 | 8538440 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-03-17 | 2025-06-03 | F | PT | AE | 6798 | LAMB | 27934511 | JEANNETTE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549180/check_8538440_e5853f38-df54-400e-8332-e140597674e9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549180/check_8538440_8b5ab810-ecd4-4a95-b5f1-0e84554e1228.json | N/A | N/A | N/A | N/A | N/A | 27934511 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1942-03-17 | 406-024-000 | N/A | N/A | N/A | false | LAMB | N/A | JEANNETTE | 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 | 5549180 | 2222 | N/A | 8232301 | N/A | 4218894 | 2025-06-03 20:45:04.577632 | 2025-05-13 04:29:37.229906 |
| 2025-06-03 20:41:54.858037 | 2025-06-03 20:41:56.660139 | 8538432 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-19 | U | PT | N/A | 22839 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538432_7dab1839-d4d5-465f-b887-4c9ecb851d68.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541177/check_8538432_92f6cca8-2912-498c-af26-1adc91c54d40.json | N/A | N/A | N/A | N/A | N/A | XED914382344 | N/A | N/A | MISSING INSURANCE NAME | 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 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5541177 | 2222 | N/A | 8232284 | N/A | 4213223 | 2025-06-03 20:41:56.660139 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:41:52.963541 | 2025-06-03 20:41:54.856077 | 8538431 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-19 | U | PT | N/A | 22839 | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538431_34f8f13c-ac25-472d-a02e-ae06e2779fa4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | XED914382344 | N/A | N/A | MISSING INSURANCE NAME | 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 | N/A | 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 20:41:54.856077 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:29:40.504266 | 2025-06-03 20:29:49.401950 | 8538385 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-01 | 2025-06-03 | F | PT | N/A | 4185 | YOUNG | MPI20006076Q | LAURA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993950/check_8538385_f17a9494-e48d-4699-b3bd-78e4000d5c6e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993950/check_8538385_ecf7d2fa-5fe1-4126-841b-c8c841fd846c.json | N/A | N/A | N/A | N/A | N/A | MPI20006076Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1971-12-01 | 040 | 277163M401 | N/A | PR | false | YOUNG | N/A | VINCENT | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5993950 | 2222 | N/A | 8232190 | N/A | 4642879 | 2025-06-03 20:29:49.401950 | 2025-06-03 20:29:34.818847 |
| 2025-06-03 20:29:06.549302 | 2025-06-03 20:29:24.707282 | 8538383 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | M | PT | AE | 22839 | CHORLIAN | MISSINGPOLICYNUMBER | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538383_13a9a7c8-8bb0-4ae8-9954-a4fd7b539c45.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541177/check_8538383_4797bcc3-9b52-4f78-b6b8-0d7cd9498e3a.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MISSING INSURANCE NAME | 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 | 8232185 | N/A | 4213223 | 2025-06-03 20:29:24.707282 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:29:04.865093 | 2025-06-03 20:29:06.546211 | 8538382 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | M | PT | AE | 22839 | CHORLIAN | MISSINGPOLICYNUMBER | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538382_53740469-f42b-4dbc-bd1f-d1461005c15b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MISSING INSURANCE NAME | 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 20:29:06.546211 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:28:35.148148 | 2025-06-03 20:28:36.884923 | 8538380 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | U | PT | AE | 22839 | CHORLIAN | MISSINGPOLICYNUMBER | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538380_d1e00a70-9419-4887-a961-01e5456fa25e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541177/check_8538380_2aafdf52-e3db-434a-9c2e-2417b9bc6f8a.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MISSING INSURANCE NAME | 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 | 8232180 | N/A | 4213223 | 2025-06-03 20:28:36.884923 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 20:28:33.518024 | 2025-06-03 20:28:35.145486 | 8538379 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | U | PT | AE | 22839 | CHORLIAN | MISSINGPOLICYNUMBER | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8538379_c5e457b1-a8d7-447b-a4d5-fa0273273d11.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MISSING INSURANCE NAME | 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 20:28:35.145486 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 17:33:42.142845 | 2025-06-03 17:33:44.108010 | 8537644 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-10-06 | 2025-06-03 | F | PT | AE | 4437 | PASCUAL | ZZ2023161 | MELISSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541420/check_8537644_e140ad34-4cb0-4617-ac67-19f16fef3e7d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541420/check_8537644_1579e10f-3a41-406e-a5dc-70e0511baf4c.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 | N/A | 9482 | N/A | 5541420 | 2222 | N/A | 8230901 | N/A | 4213444 | 2025-06-03 17:33:44.108010 | 2025-05-13 04:29:37.227763 |
| 2025-06-03 17:32:39.780881 | 2025-06-03 17:32:45.111522 | 8537639 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-30 | 2025-06-03 | M | PT | N/A | 4191 | MATTHEWS | KTP903824736 | LARRY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542899/check_8537639_be56690a-651e-4560-82bf-08183e93478e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542899/check_8537639_f2d9f257-90ad-42cf-ac2b-fb34f5b7f57d.json | N/A | N/A | N/A | N/A | N/A | KTP903824736 | Preferred Provider Organization (PPO) | TUTOR PERINI CORPORATION | BLUE SHIELD CALIFORNIA | N/A | 1971-05-30 | 1004PPOX0004 | W0051664 | N/A | PR | false | MATTHEWS | N/A | REGINA | N/A | N/A | N/A | TUTOR PERINI CORPORATION ASO PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542899 | 2222 | N/A | 8230894 | N/A | 4214758 | 2025-06-03 17:32:45.111522 | 2025-05-13 04:29:37.229078 |
| 2025-06-03 17:28:07.644711 | 2025-06-03 17:28:11.676801 | 8537610 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-08-20 | 2025-06-03 | F | PT | AE | 4185 | SAUCERMAN | XDM288A55735 | ALEXIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538771/check_8537610_91e25cfc-327e-4f95-8a93-c3bb133cb6ca.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538771/check_8537610_7d87ee08-2d5c-441d-a126-3347c571b40e.json | N/A | N/A | N/A | N/A | N/A | XDM288A55735 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2000-08-20 | 040 | 57ARJB | N/A | HM | false | SAUCERMAN | N/A | DEANNE | N/A | 9999-12-31 | 2022-01-01 | PREMIER SELECT HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5538771 | 2222 | N/A | 8230861 | N/A | 4211143 | 2025-06-03 17:28:11.676801 | 2025-05-31 20:12:37.092503 |
| 2025-06-03 14:43:00.833964 | 2025-06-03 14:43:04.774952 | 8536784 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-12 | 2025-06-03 | M | PT | N/A | 4191 | Oleary | xea909336970 | William | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113586/check_8536784_fbd6d648-5202-4b47-97e7-696d790be778.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6113586/check_8536784_05655b3c-76f9-4068-87b4-230adad0d2d5.json | N/A | N/A | N/A | N/A | N/A | XEA909336970 | Preferred Provider Organization (PPO) | AFFORDABLE ANIMAL CLINIC GH INC DBA MISSION | BLUE SHIELD CALIFORNIA | N/A | 1970-03-12 | 1000VX000001 | W0107883 | N/A | PR | false | O'LEARY | N/A | WILLIAM | N/A | 9999-12-31 | 2020-10-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6113586 | 2222 | N/A | 8229805 | N/A | 4756282 | 2025-06-03 14:43:04.774952 | 2025-06-03 14:39:12.862268 |
| 2025-06-03 09:24:23.156784 | 2025-06-03 09:25:00.063292 | 8533385 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-06-06 | F | PT | AE | 6338 | YUNG | 0005301565 | MAYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_8533385_3b486c08-c6d4-46dd-a66a-2744c5deb740.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 0005301565 | 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 | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-06-03 09:25:00.063292 | 2025-05-13 04:29:37.229495 |
| 2025-06-03 09:18:09.753588 | 2025-06-03 09:18:28.385391 | 8532859 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-25 | 2025-06-03 | M | PT | AE | 4185 | JACOBS | JQE406W03039 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993913/check_8532859_762a1aa5-d488-43e6-ba03-16dc63d4f5a2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993913/check_8532859_9fc76013-5b72-44f8-b646-bc5e399fb299.json | N/A | N/A | N/A | N/A | N/A | JQE406W03039 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1939-06-25 | 040 | CASUPWP0 | N/A | N/A | false | JACOBS | N/A | PATRICIA | N/A | 9999-12-31 | 2019-12-11 | CA PLAN F INNOVATIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993913 | 2222 | N/A | 8225391 | N/A | 4642852 | 2025-06-03 09:18:28.385391 | 2025-11-21 18:38:17.056437 |
| 2025-06-03 09:13:54.027257 | 2025-06-03 09:14:00.895222 | 8532314 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-03 | 2025-06-03 | F | PT | AE | 4497 | MENAGER | 1MK0RN2JW14 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8532314_fa3242c7-58b4-47d6-b7c9-41b104903b4a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077784/check_8532314_e6eb7fde-4d43-4f59-9cb2-849f53b3ac65.json | N/A | N/A | N/A | N/A | N/A | 1MK0RN2JW14 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-08-03 | S4802 | N/A | N/A | MA | false | MENAGER | N/A | STEPHANIE | 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 | 6077784 | 2222 | N/A | 8224824 | N/A | 4721874 | 2025-06-03 09:14:00.895222 | 2025-05-29 19:40:54.475674 |
| 2025-06-03 09:12:36.317511 | 2025-06-03 09:12:38.043449 | 8532180 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-08 | 2025-06-03 | M | PT | AE | 23311 | CRANE | 121W1857510 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993914/check_8532180_1c61952f-89f2-4f92-ba83-a4d81932751c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993914/check_8532180_4f11027b-82d0-40fd-bcd1-4f3f6e04e4aa.json | N/A | N/A | N/A | N/A | N/A | 121W1857510 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-07-08 | N/A | N/A | N/A | N/A | false | CRANE | N/A | ROBIN | 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 | 5993914 | 2222 | N/A | 8224673 | N/A | 4642853 | 2025-06-03 09:12:38.043449 | 2025-06-18 17:41:38.051091 |
| 2025-06-03 09:12:34.791608 | 2025-06-03 09:12:36.314286 | 8532175 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-08 | 2025-06-03 | M | PT | AE | 23311 | CRANE | 121W1857510 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993914/check_8532175_b8b4f4cb-60c7-45ae-ae36-fd27f03f97d0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | 121W1857510 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-07-08 | N/A | N/A | N/A | N/A | false | CRANE | N/A | ROBIN | 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 | 5993914 | 2222 | N/A | N/A | N/A | 4642853 | 2025-06-03 09:12:36.314286 | 2025-06-18 17:41:38.051091 |
| 2025-06-03 09:11:51.834087 | 2025-06-03 09:11:54.125055 | 8532100 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-30 | 2025-06-03 | F | PT | AE | 23307 | AMOROSA | 400371322-01 | RITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874458/check_8532100_a5f209ed-d103-44e0-b18f-31af4fb171e8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874458/check_8532100_8f57d181-bb39-4cd4-9688-8ad36d8d88d7.json | N/A | N/A | N/A | N/A | N/A | 400371322-01 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1944-11-30 | N/A | N/A | N/A | N/A | false | AMOROSA | N/A | RITA | 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 | 5874458 | 2222 | N/A | 8224600 | N/A | 4534582 | 2025-06-03 09:11:54.125055 | 2026-03-02 22:06:30.224734 |
| 2025-06-03 09:11:46.736991 | 2025-06-03 09:11:51.809165 | 8532093 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-30 | 2025-06-03 | F | PT | AE | 23307 | AMOROSA | 400371322-01 | RITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874458/check_8532093_c8d806f0-8461-431e-ac46-2ccbd0f84f5d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | 400371322-01 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1944-11-30 | N/A | N/A | N/A | N/A | false | AMOROSA | N/A | RITA | 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 | 5874458 | 2222 | N/A | N/A | N/A | 4534582 | 2025-06-03 09:11:51.809165 | 2026-03-02 22:06:30.224734 |
| 2025-06-03 09:11:18.272741 | 2025-06-03 09:11:20.051323 | 8532039 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-12-03 | 2025-06-03 | F | PT | AE | 23311 | MADERA | XDM680A73561 | ELISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676409/check_8532039_6e3d069e-cca8-4417-866d-a8749e789b82.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676409/check_8532039_037a3c3e-7ad0-4e44-b04e-b7b673751bfd.json | N/A | N/A | N/A | N/A | N/A | XDM680A73561 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1978-12-03 | N/A | N/A | N/A | N/A | false | MADERA | N/A | ELISA | 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 | 5676409 | 2222 | N/A | 8224537 | N/A | 4343465 | 2025-06-03 09:11:20.051323 | 2025-05-14 09:08:09.701399 |
| 2025-06-03 09:11:16.597073 | 2025-06-03 09:11:18.268530 | 8532036 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-12-03 | 2025-06-03 | F | PT | AE | 23311 | MADERA | XDM680A73561 | ELISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676409/check_8532036_496ed457-35e5-440c-a263-65f75a1a7edd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | XDM680A73561 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1978-12-03 | N/A | N/A | N/A | N/A | false | MADERA | N/A | ELISA | 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 | 5676409 | 2222 | N/A | N/A | N/A | 4343465 | 2025-06-03 09:11:18.268530 | 2025-05-14 09:08:09.701399 |
| 2025-06-03 09:10:52.143306 | 2025-06-03 09:10:56.284378 | 8531988 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-09-17 | 2025-06-03 | F | PT | AE | 23322 | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568076/check_8531988_6cb4795b-7209-40e5-ae38-231a472d4fe5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_8531988_20efb237-8a4f-461d-825e-470218bbea88.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-09-17 | N/A | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | 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 | 5568076 | 2222 | N/A | 8224497 | N/A | 4209480 | 2025-06-03 09:10:56.284378 | 2026-04-10 02:05:15.976484 |
| 2025-06-03 09:10:50.052080 | 2025-06-03 09:10:52.136214 | 8531972 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-09-17 | 2025-06-03 | F | PT | AE | 23322 | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568076/check_8531972_e7964370-31ab-4c4f-9b99-e36a4f3971b1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-09-17 | N/A | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | 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 | 5568076 | 2222 | N/A | N/A | N/A | 4209480 | 2025-06-03 09:10:52.136214 | 2026-04-10 02:05:15.976484 |
| 2025-06-03 09:10:42.166842 | 2025-06-03 09:10:47.273998 | 8531939 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | U | PT | AE | 22839 | CHORLIAN | MISSINGPOLICYNUMBER | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8531939_b4457ae2-0958-447b-b6cf-402fcfc83a0e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541177/check_8531939_0ad406dd-99fc-47c4-946a-078c3a5a17ae.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MISSING INSURANCE NAME | 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 | N/A | N/A | 5541177 | 2222 | N/A | 8224485 | N/A | 4213223 | 2025-06-03 09:10:47.273998 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 09:10:38.981408 | 2025-06-03 09:10:42.156086 | 8531917 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-03 | U | PT | AE | 22839 | CHORLIAN | MISSINGPOLICYNUMBER | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541177/check_8531917_95207702-8448-4fcf-b410-5e25e91e9c18.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MISSING INSURANCE NAME | 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 | N/A | N/A | 5541177 | 2222 | N/A | N/A | N/A | 4213223 | 2025-06-03 09:10:42.156086 | 2025-06-03 20:59:34.856515 |
| 2025-06-03 09:10:00.291689 | 2025-06-04 02:10:49.930052 | 8531653 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8531653 | Athletic Physical Therapy Inc | 1946-03-10 | 2025-06-04 | F | PT | AE | N/A | CLARK | JQE233M78857 | CARLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250603.141125530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549007/check_8531653_1a2592a8-7aeb-42e8-81d3-dc73c31256d1.json | N/A | N/A | N/A | N/A | N/A | JQE233M78857 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1946-03-10 | 040 | CASUPWP0 | N/A | N/A | false | CLARK | N/A | CARLA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549007 | 2222 | 4801 | 8237999 | N/A | 4218754 | 2025-06-04 02:10:49.930052 | 2025-05-13 04:29:37.229746 |
| 2025-06-03 09:10:00.050776 | 2025-06-04 02:09:12.177709 | 8531651 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8531651 | Athletic Physical Therapy Inc | 1935-06-20 | 2025-06-04 | F | PT | AE | N/A | GOLDMAN | 949158511 | MARALYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250603.141125530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535990/check_8531651_5945bd07-6500-4bfb-9a65-2d58194c7ed9.json | N/A | N/A | N/A | N/A | N/A | 949158511 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1935-06-20 | N/A | 15306 | N/A | PR | false | GOLDMAN | N/A | MARALYN | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535990 | 2222 | 4802 | 8237232 | N/A | 4208807 | 2025-06-04 02:09:12.177709 | 2025-05-13 04:29:37.223234 |
| 2025-06-03 09:09:26.148347 | 2025-06-04 02:10:50.783123 | 8531337 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8531337 | Athletic Physical Therapy Inc | 1943-02-13 | 2025-06-05 | F | PT | AE | N/A | DAVIS | JQE893M95444 | HOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250603.141125530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104723/check_8531337_d9fefa35-4a58-44d0-8cbe-7eef6cdaab96.json | N/A | N/A | N/A | N/A | N/A | JQE893M95444 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1943-02-13 | 040 | CASUPWP0 | N/A | N/A | false | DAVIS | N/A | HOLLY | N/A | 9999-12-31 | 2018-07-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6104723 | 2222 | 4802 | 8238002 | N/A | 4713002 | 2025-06-04 02:10:50.783123 | 2025-06-03 01:39:13.971712 |
| 2025-06-03 09:07:39.770227 | 2025-06-04 02:01:53.726220 | 8529990 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8529990 | Athletic Physical Therapy Inc | 1978-12-03 | 2025-06-06 | F | PT | AE | N/A | MADERA | XDM680A73561 | ELISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250603.140932757.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676409/check_8529990_82b7fe22-6c88-4deb-b65c-151075f55953.json | N/A | N/A | N/A | N/A | N/A | XDM680A73561 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1978-12-03 | N/A | N/A | N/A | N/A | false | MADERA | N/A | ELISA | 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 | 5676409 | 2222 | 4793 | 8234335 | N/A | 4343465 | 2025-06-04 02:01:53.726220 | 2025-05-14 09:08:09.701399 |
| 2025-06-03 09:07:29.515047 | 2025-06-04 02:10:49.300565 | 8529830 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8529830 | Athletic Physical Therapy Inc | 1946-03-10 | 2025-06-04 | F | PT | AE | N/A | CLARK | JQE233M78857 | CARLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250603.141125530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549007/check_8529830_b46a5175-abad-40df-99b5-f2be6cb4c61f.json | N/A | N/A | N/A | N/A | N/A | JQE233M78857 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1946-03-10 | 040 | CASUPWP0 | N/A | N/A | false | CLARK | N/A | CARLA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549007 | 2222 | 4801 | 8237994 | N/A | 4218754 | 2025-06-04 02:10:49.300565 | 2025-05-13 04:29:37.229746 |
| 2025-06-03 09:07:28.058814 | 2025-06-04 02:11:42.474547 | 8529802 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8529802 | Athletic Physical Therapy Inc | 1966-11-30 | 2025-06-06 | F | PT | N/A | N/A | SONDREAAL | WMC125993776001 | DIANE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250603.141125530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536323/check_8529802_1236d599-dc9e-4779-98cc-4f7cc6bd46c5.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | Preferred Provider Organization (PPO) | WUNDERLICH-MALEC ENGINEERING, INC. CORE GROUP (PLAN 1) ACTIVES | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 1966-11-30 | 725 | 10272720 | N/A | PR | false | SONDREAAL | N/A | PAUL | N/A | 9999-12-31 | 2023-05-01 | MED/SURG - PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536323 | 2222 | 4793 | 8238343 | N/A | 4209086 | 2025-06-04 02:11:42.474547 | 2025-05-13 04:29:37.223507 |
| 2025-06-03 09:07:06.746339 | 2025-06-04 02:01:53.278569 | 8529420 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8529420 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-06-05 | F | PT | AE | N/A | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250603.140932757.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_8529420_d5945964-5de5-455d-a84e-586a677abbd0.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-09-17 | N/A | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | 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 | 5568076 | 2222 | 4802 | 8234334 | N/A | 4209480 | 2025-06-04 02:01:53.278569 | 2026-04-10 02:05:15.976484 |
| 2025-06-03 09:07:00.197589 | 2025-06-04 02:01:55.512060 | 8529301 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8529301 | Athletic Physical Therapy Inc | 1943-06-13 | 2025-06-05 | F | PT | AE | N/A | DOULTON | JQW535W08774 | ELAINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250603.140932757.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550735/check_8529301_74bc8648-c4dc-49a5-8104-3895a5549479.json | N/A | N/A | N/A | N/A | N/A | JQW535W08774 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1943-06-13 | N/A | N/A | N/A | N/A | false | DOULTON | N/A | ELAINE | 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 | 5550735 | 2222 | 4801 | 8234344 | N/A | 4219637 | 2025-06-04 02:01:55.512060 | 2025-06-09 15:04:30.013896 |
| 2025-06-03 09:07:00.043293 | 2025-06-04 02:01:54.834572 | 8529298 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8529298 | Athletic Physical Therapy Inc | 1949-06-06 | 2025-06-04 | M | PT | AE | N/A | WILSON | 31187497801 | MARVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250603.140932757.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_8529298_6a1d6296-d5c7-4168-8e00-da74a8d97132.json | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-06-06 | N/A | N/A | N/A | N/A | false | WILSON | N/A | MARVIN | 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 | 5549707 | 2222 | 4801 | 8234340 | N/A | 4219317 | 2025-06-04 02:01:54.834572 | 2025-05-13 04:29:37.230340 |
| 2025-06-03 09:06:59.934856 | 2025-06-04 02:01:52.933459 | 8529297 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8529297 | Athletic Physical Therapy Inc | 1965-07-05 | 2025-06-05 | F | PT | AE | N/A | CEJA | W0052266 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250603.140932757.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549285/check_8529297_84fa6878-80c6-4463-a943-6bbf3e3e9f18.json | N/A | N/A | N/A | N/A | N/A | W0052266 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-07-05 | N/A | N/A | N/A | N/A | false | CEJA | N/A | PATRICIA | 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 | 5549285 | 2222 | 4801 | 8234332 | N/A | 4218983 | 2025-06-04 02:01:52.933459 | 2025-05-13 04:29:37.230000 |
| 2025-06-03 09:06:57.625413 | 2025-06-04 02:05:35.298736 | 8529262 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8529262 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-06-04 | F | PT | AE | N/A | FERRERAS | U6570615702 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250603.140932757.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_8529262_0192eadd-e593-470c-ac75-aa2ecca1d40b.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543171 | 2222 | 4793 | 8235639 | N/A | 4214998 | 2025-06-04 02:05:35.298736 | 2025-05-13 04:29:37.229318 |
| 2025-06-03 09:06:57.560756 | 2025-06-04 02:09:10.397200 | 8529261 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8529261 | Athletic Physical Therapy Inc | 1963-10-10 | 2025-06-04 | F | PT | N/A | N/A | RUEGGER | MPI01409385Q | ANNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250603.140932757.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542955/check_8529261_5a3812ed-d451-497c-a205-9ae248138bfe.json | N/A | N/A | N/A | N/A | N/A | MPI01409385Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN RETIREE | ANTHEM BLUE CROSS | N/A | 1963-10-10 | 040 | 277163M406 | N/A | PR | false | RUEGGER | N/A | THOMAS | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542955 | 2222 | 4793 | 8237216 | N/A | 4214809 | 2025-06-04 02:09:10.397200 | 2025-06-05 16:00:56.918021 |