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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-01 04:05:14.010619 | 2025-10-01 04:05:16.136613 | 12872568 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12872568_03357a2c-75ed-4b30-971b-3fe865700da3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12872568_e6604f03-d698-4466-ad76-55dd005365d0.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 | 13130200 | N/A | 4213743 | 2025-10-01 04:05:16.136613 | 2025-05-13 04:29:37.228064 |
| 2025-10-01 04:05:12.044084 | 2025-10-01 04:05:14.006323 | 12872567 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12872567_419b6d78-980b-4195-9154-9dc070225712.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 | 2025-10-01 04:05:14.006323 | 2025-05-13 04:29:37.228064 |
| 2025-10-01 04:05:09.109831 | 2025-10-01 04:05:11.297181 | 12872566 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12872566_4eb7a06d-1df6-48b5-9d07-7e11249b0a28.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12872566_68113dd3-1339-4821-a2c7-b98a069d5392.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 | 13130198 | N/A | 4213743 | 2025-10-01 04:05:11.297181 | 2025-05-13 04:29:37.228064 |
| 2025-10-01 04:05:07.324423 | 2025-10-01 04:05:09.106203 | 12872565 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12872565_265dc5c0-201e-44af-b57e-2fa708eeb442.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 | 2025-10-01 04:05:09.106203 | 2025-05-13 04:29:37.228064 |
| 2025-10-01 04:05:04.844573 | 2025-10-01 04:05:06.764786 | 12872564 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12872564_a0eddd47-8ed5-4fa8-b004-0a00092523df.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12872564_b44fbfda-85bb-4df0-8ca9-1413a6f53827.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 | 13130196 | N/A | 4213743 | 2025-10-01 04:05:06.764786 | 2025-05-13 04:29:37.228064 |
| 2025-10-01 04:05:02.970517 | 2025-10-01 04:05:04.840635 | 12872563 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12872563_91571366-9232-4f95-847a-0a92dd149915.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 | 2025-10-01 04:05:04.840635 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 23:50:46.509762 | 2025-09-30 23:50:49.586371 | 12872103 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-05-10 | 2025-10-06 | F | PT | N/A | 4191 | STEVENS | XEK914152235 | CHLOE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9868906/check_12872103_d9b15956-0307-4838-98eb-645779784029.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868906/check_12872103_931b04a7-6ed3-4d5a-8470-2a52be8d0749.json | N/A | N/A | N/A | N/A | N/A | XEK914152235 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1998-05-10 | 2001ZH002662 | X0001000 | N/A | PR | false | STEVENS | N/A | CHLOE | N/A | 2025-12-31 | 2025-02-01 | SILVER 70 OFF EXCHANGE PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8910522157 | 9487 | N/A | 9868906 | 2222 | N/A | 13116545 | N/A | 8262386 | 2025-09-30 23:50:49.586371 | 2025-10-05 15:32:36.267201 |
| 2025-09-30 22:58:34.554693 | 2025-09-30 22:58:37.433859 | 12871907 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-11-15 | 2025-10-08 | M | AE | PT | 4497 | REISMAN | 7JW4EK4UR89 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/9868745/check_12871907_319c659a-c21e-4bba-bb71-fb418c1eab73.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868745/check_12871907_3ef5f2c4-283b-4456-8f0e-4744db7de855.json | N/A | N/A | N/A | N/A | N/A | 7JW4EK4UR89 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-11-15 | N/A | N/A | N/A | MB | false | REISMAN | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8910294697 | N/A | N/A | 9868745 | 2222 | N/A | 13116155 | N/A | 8262262 | 2025-09-30 22:58:37.433859 | 2025-09-30 22:45:25.940454 |
| 2025-09-30 21:40:49.113417 | 2025-09-30 21:40:51.193188 | 12871366 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-07-23 | 2025-10-09 | F | AE | PT | 4497 | JOHNSON | 1CX4UU0NX84 | JUANITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9862554/check_12871366_0263f0da-c228-4fe6-b8b3-68227c9d67e8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862554/check_12871366_eb60fb49-379a-4f5a-a7c4-a0f06451912a.json | N/A | N/A | N/A | N/A | N/A | 1CX4UU0NX84 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-07-23 | S5884 | N/A | N/A | MA | false | JOHNSON | N/A | JUANITA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8910052925 | N/A | N/A | 9862554 | 2222 | N/A | 13115393 | N/A | 8258095 | 2025-09-30 21:40:51.193188 | 2025-09-30 21:32:44.934397 |
| 2025-09-30 21:40:36.743628 | 2025-09-30 21:40:39.781790 | 12871362 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-07-23 | 2025-10-09 | F | AE | PT | 4497 | JOHNSON | 1CX4UU0NX84 | JUANITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9862554/check_12871362_18369f11-0ac7-4a2e-8717-353b194c287d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862554/check_12871362_24649d97-e014-4b1e-a77a-9ae37135e043.json | N/A | N/A | N/A | N/A | N/A | 1CX4UU0NX84 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-07-23 | S5884 | N/A | N/A | MA | false | JOHNSON | N/A | JUANITA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8910052196 | N/A | N/A | 9862554 | 2222 | N/A | 13115389 | N/A | 8258095 | 2025-09-30 21:40:39.781790 | 2025-09-30 21:32:44.934397 |
| 2025-09-30 21:39:28.207875 | 2025-09-30 21:39:30.228853 | 12871358 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-07-23 | 2025-10-09 | F | AE | PT | 4497 | JOHNSON | 1CX4UU0NX84 | JUANITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9862554/check_12871358_558d1e90-ce94-4242-a82e-0185abe67ed9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862554/check_12871358_2a025ca2-fe77-4dec-a778-03f25273cd67.json | N/A | N/A | N/A | N/A | N/A | 1CX4UU0NX84 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-07-23 | S5884 | N/A | N/A | MA | false | JOHNSON | N/A | JUANITA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8910047722 | N/A | N/A | 9862554 | 2222 | N/A | 13115383 | N/A | 8258095 | 2025-09-30 21:39:30.228853 | 2025-09-30 21:32:44.934397 |
| 2025-09-30 21:39:02.443562 | 2025-09-30 21:39:04.318887 | 12871355 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-07-23 | 2025-10-09 | F | AE | PT | 4497 | JOHNSON | 1CX4UU0NX84 | JUANITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9862554/check_12871355_6d10bc8a-1206-4b8e-b6ba-8ceb982326cc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862554/check_12871355_d991175e-8bd5-4e59-a141-6bbd683adbea.json | N/A | N/A | N/A | N/A | N/A | 1CX4UU0NX84 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-07-23 | S5884 | N/A | N/A | MB | false | JOHNSON | N/A | JUANITA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8910045968 | N/A | N/A | 9862554 | 2222 | N/A | 13115378 | N/A | 8258095 | 2025-09-30 21:39:04.318887 | 2025-09-30 21:32:44.934397 |
| 2025-09-30 21:38:44.041267 | 2025-09-30 21:38:45.900468 | 12871353 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-07-23 | 2025-10-09 | F | AE | PT | 4497 | JOHNSON | 1CX4UU0NX84 | JUANITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9862554/check_12871353_3cea0468-5965-4640-92a3-03e077abc8c7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862554/check_12871353_fe3c3b58-b5eb-4055-85e9-f2e11056a4aa.json | N/A | N/A | N/A | N/A | N/A | 1CX4UU0NX84 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-07-23 | S5884 | N/A | N/A | MA | false | JOHNSON | N/A | JUANITA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8910044873 | N/A | N/A | 9862554 | 2222 | N/A | 13115375 | N/A | 8258095 | 2025-09-30 21:38:45.900468 | 2025-09-30 21:32:44.934397 |
| 2025-09-30 21:38:27.844986 | 2025-09-30 21:38:29.717219 | 12871350 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-07-23 | 2025-10-09 | F | AE | PT | 4497 | JOHNSON | 1CX4UU0NX84 | JUANITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9862554/check_12871350_ede61dcc-8b69-4fd7-9381-26a8a104c543.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862554/check_12871350_2b002ca0-cd60-4663-9ac8-bc3d959b175e.json | N/A | N/A | N/A | N/A | N/A | 1CX4UU0NX84 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-07-23 | S5884 | N/A | N/A | MA | false | JOHNSON | N/A | JUANITA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8910043896 | 161267 | N/A | 9862554 | 2222 | N/A | 13115372 | N/A | 8258095 | 2025-09-30 21:38:29.717219 | 2025-09-30 21:32:44.934397 |
| 2025-09-30 21:11:34.059068 | 2025-09-30 21:11:38.267522 | 12871098 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-30 | 2025-09-30 | F | AE | PT | 4191 | ELLIS | XEM906314508 | KATHY | https://storage.googleapis.com/normandy-eligibility-checks/2222/9688800/check_12871098_f4d54de9-a084-45fa-9285-425be0a7ab96.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9688800/check_12871098_44810348-c5e9-4371-b744-ac4bae1393d1.json | N/A | N/A | N/A | N/A | N/A | XEM906314508 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-03-30 | 2002SD000004 | X0001002 | N/A | OT | false | ELLIS | N/A | KATHY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8909803575 | 9482 | N/A | 9688800 | 2222 | N/A | 13115064 | N/A | 8108118 | 2025-09-30 21:11:38.267522 | 2025-09-24 21:19:03.418185 |
| 2025-09-30 20:29:29.804148 | 2025-09-30 20:29:31.721140 | 12870845 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-30 | 2025-09-30 | F | AE | PT | 4191 | ELLIS | XEM6314508 | KATHY | https://storage.googleapis.com/normandy-eligibility-checks/2222/9688800/check_12870845_5c6f4ae4-9392-4bd5-bf57-1309a568b266.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9688800/check_12870845_706a43de-d3ff-4e69-b1f6-19da7392a67f.json | N/A | N/A | N/A | N/A | N/A | XEM6314508 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1953-03-30 | N/A | N/A | N/A | N/A | false | ELLIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 9688800 | 2222 | N/A | 13114730 | N/A | 8108118 | 2025-09-30 20:29:31.721140 | 2025-09-24 21:19:03.418185 |
| 2025-09-30 20:29:28.100777 | 2025-09-30 20:29:29.801793 | 12870843 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-30 | 2025-09-30 | F | AE | PT | 4191 | ELLIS | XEM6314508 | KATHY | https://storage.googleapis.com/normandy-eligibility-checks/2222/9688800/check_12870843_4defd148-19bd-4e07-85cd-f5f0ef2ace2b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | XEM6314508 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1953-03-30 | N/A | N/A | N/A | N/A | false | ELLIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 9688800 | 2222 | N/A | N/A | N/A | 8108118 | 2025-09-30 20:29:29.801793 | 2025-09-24 21:19:03.418185 |
| 2025-09-30 20:27:03.587680 | 2025-09-30 20:27:05.553871 | 12870828 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-30 | 2025-09-30 | F | AE | PT | 4191 | ELLIS | XEM6314508 | KATHY | https://storage.googleapis.com/normandy-eligibility-checks/2222/9688800/check_12870828_e421a3ec-ee47-40b3-8bc9-c50a1b62fe47.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9688800/check_12870828_14d61bbe-2d73-46db-8669-b97eaf9913e9.json | N/A | N/A | N/A | N/A | N/A | XEM6314508 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1953-03-30 | N/A | N/A | N/A | N/A | false | ELLIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 9688800 | 2222 | N/A | 13114709 | N/A | 8108118 | 2025-09-30 20:27:05.553871 | 2025-09-24 21:19:03.418185 |
| 2025-09-30 20:27:01.648310 | 2025-09-30 20:27:03.580565 | 12870827 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-30 | 2025-09-30 | F | AE | PT | 4191 | ELLIS | XEM6314508 | KATHY | https://storage.googleapis.com/normandy-eligibility-checks/2222/9688800/check_12870827_7e798042-8f91-4cca-94fb-fe28b9cc773c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | XEM6314508 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1953-03-30 | N/A | N/A | N/A | N/A | false | ELLIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 9688800 | 2222 | N/A | N/A | N/A | 8108118 | 2025-09-30 20:27:03.580565 | 2025-09-24 21:19:03.418185 |
| 2025-09-30 20:02:27.112791 | 2025-09-30 20:02:30.113589 | 12870607 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-10-31 | 2025-09-30 | M | AE | PT | 4191 | PAREDES | XEH910686412 | JOSE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538615/check_12870607_ab100d23-fadb-446f-b6f9-8208d78d2a90.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538615/check_12870607_1b6be5c6-918f-4268-8da7-5d1aa8c9ed5b.json | N/A | N/A | N/A | N/A | N/A | XEH910686412 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1980-10-31 | 1000VX000001 | W0069783 | N/A | HM | false | MORDKA | N/A | LUCAS | N/A | 9999-12-31 | 2025-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8909280697 | N/A | N/A | 5538615 | 2222 | N/A | 13114453 | N/A | 4211010 | 2025-09-30 20:02:30.113589 | 2025-09-30 17:03:18.054141 |
| 2025-09-30 20:02:10.777033 | 2025-09-30 20:02:12.764918 | 12870603 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-10-31 | 2025-09-30 | M | AE | PT | 23312 | PAREDES | XEH910686412 | JOSE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538615/check_12870603_4d911a83-27cf-42b6-b3bc-e4512939e1b1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538615/check_12870603_12d9393d-077e-4f36-b6f0-eb05f575ac8a.json | N/A | N/A | N/A | N/A | N/A | XEH910686412 | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538615 | 2222 | N/A | 13114450 | N/A | 4211010 | 2025-09-30 20:02:12.764918 | 2025-09-30 17:03:18.054141 |
| 2025-09-30 20:02:08.943494 | 2025-09-30 20:02:10.772329 | 12870602 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-10-31 | 2025-09-30 | M | AE | PT | 23312 | PAREDES | XEH910686412 | JOSE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538615/check_12870602_61fa6743-6104-4a3f-9e67-b329b2397e8b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | XEH910686412 | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538615 | 2222 | N/A | N/A | N/A | 4211010 | 2025-09-30 20:02:10.772329 | 2025-09-30 17:03:18.054141 |
| 2025-09-30 17:55:40.967505 | 2025-09-30 17:55:43.876129 | 12869328 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-22 | 2025-09-30 | F | AE | PT | 2630 | MATHESON | 00000433752 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/2222/9511696/check_12869328_612ae3df-2fe5-45a0-97ef-c47b6067850b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9511696/check_12869328_16aa8e92-6f75-460a-808e-88ead0c98554.json | N/A | N/A | N/A | N/A | N/A | 00000433752 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-04-22 | N/A | N/A | N/A | N/A | false | MATHESON | N/A | JANET | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 9511696 | 2222 | N/A | 13112965 | N/A | 7954244 | 2025-09-30 17:55:43.876129 | 2025-09-29 18:15:39.145358 |
| 2025-09-30 17:55:36.205171 | 2025-09-30 17:55:40.964905 | 12869327 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-22 | 2025-09-30 | F | AE | PT | 2630 | MATHESON | 00000433752 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/2222/9511696/check_12869327_c83c9458-e7db-4beb-bafa-44d824ab2ca6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00000433752 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-04-22 | N/A | N/A | N/A | N/A | false | MATHESON | N/A | JANET | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 9511696 | 2222 | N/A | N/A | N/A | 7954244 | 2025-09-30 17:55:40.964905 | 2025-09-29 18:15:39.145358 |
| 2025-09-30 17:45:56.365329 | 2025-09-30 17:45:59.357275 | 12869250 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-22 | 2025-09-30 | F | AE | PT | 2630 | MATHESON | 00000433752 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/2222/9511696/check_12869250_694f06cd-5323-4fcf-8cd7-4def3017118f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9511696/check_12869250_0d4c9f20-1238-4a3b-bfe6-057e6a32daec.json | N/A | N/A | N/A | N/A | N/A | 00000433752 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-04-22 | N/A | N/A | N/A | N/A | false | MATHESON | N/A | JANET | 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 | 9511696 | 2222 | N/A | 13112883 | N/A | 7954244 | 2025-09-30 17:45:59.357275 | 2025-09-29 18:15:39.145358 |
| 2025-09-30 17:45:52.488049 | 2025-09-30 17:45:56.358721 | 12869249 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-22 | 2025-09-30 | F | AE | PT | 2630 | MATHESON | 00000433752 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/2222/9511696/check_12869249_5e2ab159-843c-4e37-8815-74a7787f60be.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00000433752 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-04-22 | N/A | N/A | N/A | N/A | false | MATHESON | N/A | JANET | 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 | 9511696 | 2222 | N/A | N/A | N/A | 7954244 | 2025-09-30 17:45:56.358721 | 2025-09-29 18:15:39.145358 |
| 2025-09-30 17:44:21.338028 | 2025-09-30 17:44:23.310153 | 12869240 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-01-16 | 2025-09-30 | F | AE | PT | 4185 | Wesel | QUC628W15332 | Ellen | https://storage.googleapis.com/normandy-eligibility-checks/2222/9854973/check_12869240_5c2a6132-258f-4759-946a-a0d3ac56de2e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9854973/check_12869240_5648bab5-084d-424b-90e8-16df79903971.json | N/A | N/A | N/A | N/A | N/A | QUC628W15332 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | CIGNA | N/A | 1967-01-16 | 040 | 280509A420 | N/A | PR | false | WESEL | N/A | RICHARD | N/A | 9999-12-31 | 2023-01-01 | UC CORE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8908213390 | 9487 | N/A | 9854973 | 2222 | N/A | 13112871 | N/A | 8205288 | 2025-09-30 17:44:23.310153 | 2025-09-30 16:15:04.552446 |
| 2025-09-30 17:43:53.196763 | 2025-09-30 17:43:56.165779 | 12869230 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-01-16 | 2025-09-30 | F | AE | PT | 4185 | Wesel | QUC628W15332 | Ellen | https://storage.googleapis.com/normandy-eligibility-checks/2222/9854973/check_12869230_d8d41a19-4f97-4a79-abbd-5d5c9d425c8f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9854973/check_12869230_80e6aba1-c491-4da7-9f34-534fe3926723.json | N/A | N/A | N/A | N/A | N/A | QUC628W15332 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | CIGNA | N/A | 1967-01-16 | 040 | 280509A420 | N/A | PR | false | WESEL | N/A | RICHARD | N/A | 9999-12-31 | 2023-01-01 | UC CORE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8908207926 | 9487 | N/A | 9854973 | 2222 | N/A | 13112863 | N/A | 8205288 | 2025-09-30 17:43:56.165779 | 2025-09-30 16:15:04.552446 |
| 2025-09-30 16:56:56.127059 | 2025-09-30 16:57:00.138695 | 12868200 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-29 | 2025-09-30 | F | AE | PT | 2630 | GOMEZ | 00000401101 | ALICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9555104/check_12868200_c686cdfb-5e1d-4f94-a442-06581865e7b8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9555104/check_12868200_d4ffe7c1-ffc1-4302-97ee-9538c5189502.json | N/A | N/A | N/A | N/A | N/A | 00000401101 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-29 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | ALICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 9555104 | 2222 | N/A | 13111806 | N/A | 7990617 | 2025-09-30 16:57:00.138695 | 2025-09-29 20:34:47.088032 |
| 2025-09-30 16:56:53.183228 | 2025-09-30 16:56:56.119285 | 12868199 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-29 | 2025-09-30 | F | AE | PT | 2630 | GOMEZ | 00000401101 | ALICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9555104/check_12868199_aa8dcf4b-fcbb-4751-bcf5-0a2cbbec01b2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00000401101 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-29 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | ALICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 9555104 | 2222 | N/A | N/A | N/A | 7990617 | 2025-09-30 16:56:56.119285 | 2025-09-29 20:34:47.088032 |
| 2025-09-30 16:56:39.609865 | 2025-09-30 16:56:43.627678 | 12868198 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-29 | 2025-09-30 | F | AE | PT | 2630 | GOMEZ | 00000401101 | ALICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9555104/check_12868198_77f6f721-7774-4adf-b515-8f9ed4c64709.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9555104/check_12868198_cea208f5-81be-4b74-b8e2-f71f6b314afb.json | N/A | N/A | N/A | N/A | N/A | 00000401101 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-29 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | ALICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 9555104 | 2222 | N/A | 13111804 | N/A | 7990617 | 2025-09-30 16:56:43.627678 | 2025-09-29 20:34:47.088032 |
| 2025-09-30 16:56:32.679021 | 2025-09-30 16:56:39.604848 | 12868194 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-29 | 2025-09-30 | F | AE | PT | 2630 | GOMEZ | 00000401101 | ALICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9555104/check_12868194_f934fd1b-f61f-47a9-ba4d-fc760fa7c2c1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00000401101 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-29 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | ALICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 9555104 | 2222 | N/A | N/A | N/A | 7990617 | 2025-09-30 16:56:39.604848 | 2025-09-29 20:34:47.088032 |
| 2025-09-30 16:39:59.670720 | 2025-09-30 16:40:05.068252 | 12868113 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-01-16 | 2025-09-30 | F | AE | PT | N/A | Wesel | 953212552 | Ellen | https://storage.googleapis.com/normandy-eligibility-checks/2222/9795146/check_12868113_259fe99c-2e1c-4f17-a54a-9d0df76c7732.json | UHC | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9795146/check_12868113_b8377c1f-679a-4789-b5c2-7a09155057d9.json | N/A | N/A | N/A | N/A | N/A | 953212552 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1967-01-16 | N/A | 702581 | N/A | N/A | false | WESEL | N/A | ELLEN | 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 | 9795146 | 2222 | N/A | 13111697 | N/A | 8205288 | 2025-09-30 16:40:05.068252 | 2025-09-30 16:15:04.552446 |
| 2025-09-30 15:34:19.532767 | 2025-09-30 15:34:22.014528 | 12867379 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-10-29 | 2025-09-30 | M | PT | N/A | 4184 | MARSHALL | AGSAH0066119 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/7003223/check_12867379_c3df94d0-c266-4c01-b7e1-a07b10c155c4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003223/check_12867379_38ef8b3f-e40d-4b94-b705-523c6251295c.json | N/A | N/A | N/A | N/A | N/A | AGSAH0066119 | N/A | PEPPERDINE UNIVERSITY | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | 276500MG04 | N/A | N/A | false | MARSHALL | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8906601010 | 9482 | N/A | 7003223 | 2222 | N/A | 13110874 | N/A | 6021448 | 2025-09-30 15:34:22.014528 | 2025-07-14 23:05:51.728886 |
| 2025-09-30 15:28:14.243506 | 2025-09-30 15:28:20.466450 | 12867298 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-08 | 2025-09-30 | M | AE | PT | 6411 | ALZOHAIRY | 5976397 | AHMED | https://storage.googleapis.com/normandy-eligibility-checks/2222/9693911/check_12867298_1c06fd30-ccb5-47a2-8421-5754a49e0ffe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9693911/check_12867298_fe4caa6b-4b93-415c-8afc-08db68fb511b.json | N/A | N/A | N/A | N/A | N/A | 1069948246 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1990-12-08 | N/A | N/A | N/A | N/A | false | ALZOHAIRY | N/A | AHMED | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 9693911 | 2222 | N/A | 13110793 | N/A | 8112326 | 2025-09-30 15:28:20.466450 | 2025-09-25 00:01:47.147707 |
| 2025-09-30 15:28:10.133473 | 2025-09-30 15:28:14.231019 | 12867296 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-08 | 2025-09-30 | M | AE | PT | 6411 | ALZOHAIRY | 5976397 | AHMED | https://storage.googleapis.com/normandy-eligibility-checks/2222/9693911/check_12867296_2b75ea07-2e16-48a1-af2f-775c402ef75f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | 1069948246 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1990-12-08 | N/A | N/A | N/A | N/A | false | ALZOHAIRY | N/A | AHMED | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 9693911 | 2222 | N/A | N/A | N/A | 8112326 | 2025-09-30 15:28:14.231019 | 2025-09-25 00:01:47.147707 |
| 2025-09-30 15:28:07.878713 | 2025-09-30 15:28:08.522890 | 12867295 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-08 | 2025-09-30 | M | AE | PT | N/A | ALZOHAIRY | 5976397 | AHMED | N/A | UHC | N/A | INSIGHTS | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 9693911 | 2222 | N/A | N/A | N/A | 8112326 | 2025-09-30 15:28:08.522890 | 2025-09-25 00:01:47.147707 |
| 2025-09-30 10:27:40.275250 | 2025-09-30 10:28:18.863082 | 12864691 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-02 | F | AE | PT | 6338 | YUNG | 00854676304 | MAYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_12864691_cdbcb69d-45d8-4111-bc37-df0a19bb10c2.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-02 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | 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 | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-09-30 10:28:18.863082 | 2025-05-13 04:29:37.229495 |
| 2025-09-30 10:26:33.631164 | 2025-09-30 10:26:35.633226 | 12864584 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-04 | 2025-09-30 | F | AE | PT | 3948 | Dunkerley | AHC2057583 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/9665220/check_12864584_7d033852-27c6-435d-ae1c-7bdacc002725.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9665220/check_12864584_86230c24-cc94-4231-9dc2-7c60f8466ecf.json | N/A | N/A | N/A | N/A | N/A | AHC2057583 | N/A | N/A | AETNA INC | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | 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 | 9665220 | 2222 | N/A | 13107792 | N/A | 8086688 | 2025-09-30 10:26:35.633226 | 2026-01-15 18:07:39.869679 |
| 2025-09-30 10:26:31.649559 | 2025-09-30 10:26:33.611842 | 12864580 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-04 | 2025-09-30 | F | AE | PT | 3948 | Dunkerley | AHC2057583 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/9665220/check_12864580_1070073b-5205-4082-b1a4-df137be666e0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | AHC2057583 | N/A | N/A | AETNA INC | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | 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 | 9665220 | 2222 | N/A | N/A | N/A | 8086688 | 2025-09-30 10:26:33.611842 | 2026-01-15 18:07:39.869679 |
| 2025-09-30 10:26:04.762723 | 2025-09-30 10:26:07.889240 | 12864526 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-02-07 | 2025-09-30 | F | AE | PT | 4184 | STARK | JQE451W19078 | CHERYL | https://storage.googleapis.com/normandy-eligibility-checks/2222/9450019/check_12864526_e70347d0-652b-43e2-a7cd-ca6b2ee9d605.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9450019/check_12864526_439fb4c0-6c02-493e-b350-03c92d7749a8.json | N/A | N/A | N/A | N/A | N/A | JQE451W19078 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-07 | 040 | CASUPWP0 | N/A | N/A | false | STARK | N/A | CHERYL | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8903358462 | N/A | N/A | 9450019 | 2222 | N/A | 13107733 | N/A | 7905968 | 2025-09-30 10:26:07.889240 | 2025-09-22 17:53:24.196861 |
| 2025-09-30 10:20:54.257105 | 2025-09-30 10:20:57.425840 | 12863959 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-10-01 | F | AE | PT | 6411 | FABER | 331524986-11 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522948/check_12863959_9852ef20-4ada-40d1-83f6-56679c06a162.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522948/check_12863959_791e7f5a-ca23-4079-a1b3-51efacea66be.json | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522948 | 2222 | N/A | 13107251 | N/A | 5146127 | 2025-09-30 10:20:57.425840 | 2025-06-20 17:58:23.371130 |
| 2025-09-30 10:20:51.408694 | 2025-09-30 10:20:54.250164 | 12863947 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-10-01 | F | AE | PT | 6411 | FABER | 331524986-11 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522948/check_12863947_80a48c14-3b91-4550-b0a7-3e74fdfa259c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-01 | N/A | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522948 | 2222 | N/A | N/A | N/A | 5146127 | 2025-09-30 10:20:54.250164 | 2025-06-20 17:58:23.371130 |
| 2025-09-30 10:20:49.223994 | 2025-09-30 10:20:49.618929 | 12863943 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-10-01 | F | AE | PT | N/A | FABER | 331524986-11 | LINDA | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-10-01 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522947 | 2222 | N/A | N/A | N/A | 5146127 | 2025-09-30 10:20:49.618929 | 2025-06-20 17:58:23.371130 |
| 2025-09-30 10:20:33.824081 | 2025-09-30 10:20:37.278380 | 12863907 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-08-03 | 2025-10-01 | M | AE | PT | 6411 | GORMLEY | 4UH0QA1WF00 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536816/check_12863907_97b46f40-7a3d-444c-9f8b-03951d92e85a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536816/check_12863907_a6b77fd8-01ef-4ec2-8a2e-20f601bd4230.json | N/A | N/A | N/A | N/A | N/A | 038936091 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1945-08-03 | N/A | N/A | N/A | N/A | false | GORMLEY | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536816 | 2222 | N/A | 13107211 | N/A | 4209498 | 2025-09-30 10:20:37.278380 | 2025-09-22 06:46:20.286658 |
| 2025-09-30 10:20:30.777035 | 2025-09-30 10:20:36.196625 | 12863898 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-09-13 | 2025-10-02 | M | AE | PT | 6397 | DERR | 353354100-11 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_12863898_e3c65b76-783d-4a30-a367-ffe453339bc3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_12863898_6e93e094-ed44-4916-b628-1765141cf434.json | N/A | N/A | N/A | N/A | N/A | 353354100 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-09-28 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | 13107209 | N/A | 4534550 | 2025-09-30 10:20:36.196625 | 2025-10-15 18:36:58.255255 |
| 2025-09-30 10:20:27.614395 | 2025-09-30 10:20:30.768077 | 12863890 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-09-13 | 2025-10-02 | M | AE | PT | 6397 | DERR | 353354100-11 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_12863890_ec01157e-1e76-4628-8d3c-e12bd912172f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-02 | N/A | N/A | N/A | N/A | N/A | N/A | 353354100 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-09-28 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | N/A | N/A | 4534550 | 2025-09-30 10:20:30.768077 | 2025-10-15 18:36:58.255255 |
| 2025-09-30 10:20:24.298967 | 2025-09-30 10:20:27.338915 | 12863882 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-10-03 | M | AE | PT | 6411 | STEIN | 317801903-11 | DONALD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538579/check_12863882_07336024-1225-45f9-9369-db355f846de0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538579/check_12863882_ba677b16-a8b1-41a5-bf23-e243982f4719.json | N/A | N/A | N/A | N/A | N/A | 317801903 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1943-07-22 | N/A | N/A | N/A | N/A | false | STEIN | N/A | DONALD | 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 | 5538579 | 2222 | N/A | 13107189 | N/A | 4210984 | 2025-09-30 10:20:27.338915 | 2025-08-15 17:42:50.500189 |
| 2025-09-30 10:20:24.213985 | 2025-09-30 10:20:24.739918 | 12863881 | N/A | N/A | 87726 | UNITEDHEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-09-13 | 2025-10-02 | M | AE | PT | N/A | DERR | 353354100-11 | DENNIS | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-10-02 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | N/A | N/A | 4534550 | 2025-09-30 10:20:24.739918 | 2025-10-15 18:36:58.255255 |
| 2025-09-30 10:20:21.262166 | 2025-09-30 10:20:24.288034 | 12863875 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-10-03 | M | AE | PT | 6411 | STEIN | 317801903-11 | DONALD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538579/check_12863875_d2221621-5a98-4beb-988f-d86c506dce28.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-03 | N/A | N/A | N/A | N/A | N/A | N/A | 317801903 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1943-07-22 | N/A | N/A | N/A | N/A | false | STEIN | N/A | DONALD | 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 | 5538579 | 2222 | N/A | N/A | N/A | 4210984 | 2025-09-30 10:20:24.288034 | 2025-08-15 17:42:50.500189 |