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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-30 04:54:23.054874 | 2025-09-30 04:54:25.005476 | 12834598 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-20 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12834598_7b0e4253-906f-410c-8600-1838c0e80e38.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-20 | 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 | 2025-09-30 04:54:25.005476 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 04:52:08.382081 | 2025-09-30 04:52:10.283142 | 12834581 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-07-17 | N/A | PT | AE | 23277 | Yiannakakis | 913624039 | Kathy | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_12834581_a82cb9b2-94db-430b-bf05-db325df8db17.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6589127/check_12834581_6b4b50a3-ebb3-4fd0-840c-fd90fdd0b121.json | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | 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 | 6589127 | 2222 | N/A | 13092806 | N/A | 4766950 | 2025-09-30 04:52:10.283142 | 2025-06-03 22:10:54.646473 |
| 2025-09-30 04:52:06.333789 | 2025-09-30 04:52:08.378294 | 12834580 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-07-17 | N/A | PT | AE | 23277 | Yiannakakis | 913624039 | Kathy | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_12834580_f60bc99a-f976-48d8-ad91-e8725b5a38e8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | N/A | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | 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 | 6589127 | 2222 | N/A | N/A | N/A | 4766950 | 2025-09-30 04:52:08.378294 | 2025-06-03 22:10:54.646473 |
| 2025-09-30 04:51:02.677675 | 2025-09-30 04:51:04.750128 | 12834576 | 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_12834576_41e7e614-1828-4217-9be5-048290e2ba60.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12834576_6957e9b0-45ab-4b60-95ca-a4ad289ad6f3.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 | 13092801 | N/A | 4213743 | 2025-09-30 04:51:04.750128 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 04:51:00.848167 | 2025-09-30 04:51:02.673247 | 12834575 | 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_12834575_a1e61b33-3b5f-4850-a711-b4f53d5f635a.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 | 2025-09-30 04:51:02.673247 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 04:50:58.267497 | 2025-09-30 04:51:00.346586 | 12834574 | 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_12834574_62549fc1-43b8-4c0b-bfab-7e7f550737e0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12834574_d729cad6-6102-4814-a162-cd40bb5bd0fe.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 | 13092799 | N/A | 4213743 | 2025-09-30 04:51:00.346586 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 04:50:56.440972 | 2025-09-30 04:50:58.261245 | 12834573 | 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_12834573_2ed15684-be41-46fd-8128-37f43dfe62a9.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 | 2025-09-30 04:50:58.261245 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 04:50:54.026238 | 2025-09-30 04:50:56.034117 | 12834572 | 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_12834572_ecf40668-ea74-4165-9151-88c8f4b7b747.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12834572_c4b6a2d9-18ee-4b55-ae7c-c98041dad0a8.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 | 13092797 | N/A | 4213743 | 2025-09-30 04:50:56.034117 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 04:50:52.176250 | 2025-09-30 04:50:54.020209 | 12834571 | 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_12834571_33e049a2-4507-4c2c-ba97-f760f67423ef.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 | 2025-09-30 04:50:54.020209 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 04:50:49.491578 | 2025-09-30 04:50:51.545082 | 12834570 | 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_12834570_86349d09-7dfd-4bb1-a489-c9e390e88893.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12834570_c0a97f0b-eded-4f79-9d7f-04b5c7e1b3a8.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 | 13092795 | N/A | 4213743 | 2025-09-30 04:50:51.545082 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 04:50:47.607854 | 2025-09-30 04:50:49.452798 | 12834569 | 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_12834569_6e931e69-0b86-4646-83e0-6de10b6c48e3.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 | 2025-09-30 04:50:49.452798 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 04:50:45.272022 | 2025-09-30 04:50:47.192496 | 12834567 | 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_12834567_1b35a093-7998-4f72-9472-17a4eb92b130.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12834567_5927e789-723a-45c6-8e1a-dc7afbc6e77a.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 | 13092792 | N/A | 4213743 | 2025-09-30 04:50:47.192496 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 04:50:43.320711 | 2025-09-30 04:50:45.263636 | 12834565 | 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_12834565_8e56053f-1b06-465e-805d-754d1eb3756e.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 | 2025-09-30 04:50:45.263636 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 04:50:40.828511 | 2025-09-30 04:50:42.799328 | 12834564 | 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_12834564_15ee24f4-31e5-49e9-9266-c137382acaba.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12834564_3eafea90-9349-4374-bb70-7d4582252bd0.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 | 13092789 | N/A | 4213743 | 2025-09-30 04:50:42.799328 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 04:50:38.966908 | 2025-09-30 04:50:40.823970 | 12834563 | 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_12834563_636c107f-8ede-4c4c-8b0c-9ebe8f71e46b.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 | 2025-09-30 04:50:40.823970 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 03:53:48.643337 | 2025-09-30 03:53:50.887466 | 12834064 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-07-17 | N/A | PT | AE | 23277 | Yiannakakis | 913624039 | Kathy | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_12834064_22e11a88-0300-4e64-bf3c-b3812903bfe2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6589127/check_12834064_7f170922-115b-4490-8e31-b41ce402baa5.json | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | 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 | 6589127 | 2222 | N/A | 13092295 | N/A | 4766950 | 2025-09-30 03:53:50.887466 | 2025-06-03 22:10:54.646473 |
| 2025-09-30 03:53:46.434626 | 2025-09-30 03:53:48.568814 | 12834062 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-07-17 | N/A | PT | AE | 23277 | Yiannakakis | 913624039 | Kathy | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_12834062_db94c186-df03-47a4-89d4-fd0f21ecaf5d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | N/A | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | 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 | 6589127 | 2222 | N/A | N/A | N/A | 4766950 | 2025-09-30 03:53:48.568814 | 2025-06-03 22:10:54.646473 |
| 2025-09-30 03:51:58.604039 | 2025-09-30 03:52:00.569337 | 12834050 | 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_12834050_9a8e21fc-c7f4-4b96-8817-640a2ff4664b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12834050_138ce6c7-9de3-454d-8cfe-fa72b2f4343c.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 | 13092281 | N/A | 4213743 | 2025-09-30 03:52:00.569337 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 03:51:56.815255 | 2025-09-30 03:51:58.600769 | 12834049 | 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_12834049_f9ed0dc3-0abf-4c90-9333-a8d091812c7c.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 | 2025-09-30 03:51:58.600769 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 03:51:54.537950 | 2025-09-30 03:51:56.373959 | 12834048 | 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_12834048_aca72bdd-70ba-438a-b1d1-10e6ba03ba13.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12834048_19091c22-b34b-483c-a391-3afe1cdef5b6.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 | 13092279 | N/A | 4213743 | 2025-09-30 03:51:56.373959 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 03:51:52.675073 | 2025-09-30 03:51:54.533291 | 12834046 | 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_12834046_fa26ab53-82bb-40d3-a7a2-391d23bd9475.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 | 2025-09-30 03:51:54.533291 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 03:51:50.249310 | 2025-09-30 03:51:52.202596 | 12834045 | 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_12834045_0d6c460b-0d05-48be-9167-f92f1d0d21df.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12834045_576c8759-e453-4b62-8bd3-699a960f8c61.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 | 13092277 | N/A | 4213743 | 2025-09-30 03:51:52.202596 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 03:51:48.491946 | 2025-09-30 03:51:50.239905 | 12834044 | 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_12834044_d99209fa-5527-4430-9a6c-3d9dfd32dc2c.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 | 2025-09-30 03:51:50.239905 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 03:51:46.194865 | 2025-09-30 03:51:48.081118 | 12834043 | 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_12834043_3431dffe-2bd5-43cc-a348-02cb114a9447.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12834043_e097e3e3-33f4-41f1-9c8b-fd0f4f88915c.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 | 13092275 | N/A | 4213743 | 2025-09-30 03:51:48.081118 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 03:51:44.453234 | 2025-09-30 03:51:46.190943 | 12834042 | 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_12834042_c4928f9f-cdf6-47b5-acc2-e85a29fbf285.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 | 2025-09-30 03:51:46.190943 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 03:51:42.173321 | 2025-09-30 03:51:44.021485 | 12834041 | 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_12834041_29eea6c9-af29-4513-9a70-14799398caa5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12834041_dba86c63-8144-439f-ba7e-07d801c62fab.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 | 13092273 | N/A | 4213743 | 2025-09-30 03:51:44.021485 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 03:51:40.412257 | 2025-09-30 03:51:42.170202 | 12834040 | 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_12834040_f4d4fae0-4c79-48d5-98c8-04b5629f77be.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 | 2025-09-30 03:51:42.170202 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 03:51:36.075841 | 2025-09-30 03:51:38.750944 | 12834039 | 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_12834039_8b67636b-b35c-4498-8999-d740106b7b70.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12834039_5bb2ebc3-4518-4bef-8b78-d87fc7fb9f0e.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 | 13092271 | N/A | 4213743 | 2025-09-30 03:51:38.750944 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 03:51:34.280196 | 2025-09-30 03:51:36.071238 | 12834038 | 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_12834038_49ef3e6a-aeb8-427c-830b-d7b09bcfa8d1.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 | 2025-09-30 03:51:36.071238 | 2025-05-13 04:29:37.228064 |
| 2025-09-30 01:31:57.856554 | 2025-09-30 01:32:00.742251 | 12833850 | 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_12833850_2e4a77c1-f22a-4920-96bf-64d43a65b170.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9693911/check_12833850_da458d29-d198-4abe-b104-1dac4ab80df7.json | N/A | N/A | N/A | N/A | N/A | 1069948246 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1990-12-08 | N/A | N/A | N/A | N/A | false | ALZOHAIRY | N/A | AHMED | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9693911 | 2222 | N/A | 13058656 | N/A | 8112326 | 2025-09-30 01:32:00.742251 | 2025-09-25 00:01:47.147707 |
| 2025-09-30 01:31:55.091777 | 2025-09-30 01:31:57.852929 | 12833849 | 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_12833849_716fcbe8-5c18-4af4-83fe-0d0b9f253bb7.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 | N/A | N/A | 9693911 | 2222 | N/A | N/A | N/A | 8112326 | 2025-09-30 01:31:57.852929 | 2025-09-25 00:01:47.147707 |
| 2025-09-30 01:31:52.668221 | 2025-09-30 01:31:53.107913 | 12833848 | 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 | N/A | N/A | 9693911 | 2222 | N/A | N/A | N/A | 8112326 | 2025-09-30 01:31:53.107913 | 2025-09-25 00:01:47.147707 |
| 2025-09-29 23:47:46.477273 | 2025-09-29 23:47:49.479737 | 12833179 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-12-18 | 2025-10-01 | F | PT | N/A | 4184 | DO | YSQ317A20292 | VI | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838665/check_12833179_7b0ff3c6-bf52-4c39-ba7a-4c117fd0becb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9838665/check_12833179_3c8eefdc-7492-4ab6-b79b-4de8655bfacd.json | N/A | N/A | N/A | N/A | N/A | YSQ317A20292 | Preferred Provider Organization (PPO) | SEQUOIA ONE PEO LLC | ANTHEM BLUE CROSS | N/A | 1986-12-18 | 040 | 278540P097 | N/A | PR | false | DO | N/A | VI | N/A | 9999-12-31 | 2025-07-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8900406166 | N/A | N/A | 9838665 | 2222 | N/A | 13057995 | N/A | 8236835 | 2025-09-29 23:47:49.479737 | 2025-09-29 23:20:04.358014 |
| 2025-09-29 23:13:43.160351 | 2025-09-29 23:13:46.123038 | 12833069 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-07-26 | 2025-09-29 | M | PT | N/A | 4184 | ARUMUGAM | FRU100011284058 | HARIDHANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9727130/check_12833069_8e13ded7-c22a-4f2f-9039-fc008c5ee676.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9727130/check_12833069_db4e9328-5822-401d-a6a9-222cdffc5bd7.json | N/A | N/A | N/A | N/A | N/A | FRU100011284058 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 2001-07-26 | N/A | 716205N49 | N/A | PR | false | PERIYASAMY | N/A | ARUMUGAN | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8900250169 | N/A | N/A | 9727130 | 2222 | N/A | 13057767 | N/A | 6979235 | 2025-09-29 23:13:46.123038 | 2025-09-29 22:51:47.474872 |
| 2025-09-29 23:10:48.929975 | 2025-09-29 23:10:51.037946 | 12833056 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-19 | 2025-09-30 | F | AE | PT | 4497 | MOJIRI ANDANI | 3CQ3TX0XD02 | SOUSSAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9809703/check_12833056_77ecd8d9-824b-4cf0-bc8e-b5a0b06ca7d7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9809703/check_12833056_82a025aa-ba3e-41ef-b444-32ba7301b9b4.json | N/A | N/A | N/A | N/A | N/A | 3CQ3TX0XD02 | Medicare Part B | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-19 | S5715 | N/A | N/A | MB | false | MOJIRI-ANDANI | N/A | SOUSSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8900227790 | N/A | N/A | 9809703 | 2222 | N/A | 13057743 | N/A | 8216024 | 2025-09-29 23:10:51.037946 | 2025-09-29 17:34:24.775132 |
| 2025-09-29 23:09:38.660842 | 2025-09-29 23:09:40.533271 | 12833051 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-19 | 2025-09-30 | F | AE | PT | 4497 | MOJIRI ANDANI | 3CQ3TX0XD02 | SOUSSAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9809703/check_12833051_29b9262a-9946-4480-8539-018ff098d04c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9809703/check_12833051_3d454ede-c968-4b26-b455-7dc2ec2290da.json | N/A | N/A | N/A | N/A | N/A | 3CQ3TX0XD02 | Medicare Part A | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-19 | S5715 | N/A | N/A | MA | false | MOJIRI-ANDANI | N/A | SOUSSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8900220450 | N/A | N/A | 9809703 | 2222 | N/A | 13057735 | N/A | 8216024 | 2025-09-29 23:09:40.533271 | 2025-09-29 17:34:24.775132 |
| 2025-09-29 23:09:18.769838 | 2025-09-29 23:09:20.638480 | 12833048 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-19 | 2025-09-30 | F | AE | PT | 4497 | MOJIRI ANDANI | 3CQ3TX0XD02 | SOUSSAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9809703/check_12833048_80b516a8-89c3-4226-979d-d79adb7e9f98.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9809703/check_12833048_7540758b-2b0e-4b49-a823-7dc2a2c2f9cc.json | N/A | N/A | N/A | N/A | N/A | 3CQ3TX0XD02 | Medicare Part B | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-19 | S5715 | N/A | N/A | MB | false | MOJIRI-ANDANI | N/A | SOUSSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8900217912 | N/A | N/A | 9809703 | 2222 | N/A | 13057729 | N/A | 8216024 | 2025-09-29 23:09:20.638480 | 2025-09-29 17:34:24.775132 |
| 2025-09-29 23:09:08.473183 | 2025-09-29 23:09:10.548150 | 12833047 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-19 | 2025-09-30 | F | AE | PT | 4497 | MOJIRI ANDANI | 3CQ3TX0XD02 | SOUSSAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9809703/check_12833047_b94ff9f0-c4ec-4b47-8db7-4b27f6f16b59.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9809703/check_12833047_65d7a483-7e3b-4501-ab93-730e8bdd7f0e.json | N/A | N/A | N/A | N/A | N/A | 3CQ3TX0XD02 | Medicare Part B | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-19 | S5715 | N/A | N/A | MB | false | MOJIRI-ANDANI | N/A | SOUSSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8900216474 | N/A | N/A | 9809703 | 2222 | N/A | 13057728 | N/A | 8216024 | 2025-09-29 23:09:10.548150 | 2025-09-29 17:34:24.775132 |
| 2025-09-29 23:06:33.474472 | 2025-09-29 23:06:35.342227 | 12833031 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-19 | 2025-09-30 | F | AE | PT | 4497 | MOJIRI ANDANI | 31411044311 | SOUSSAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9809703/check_12833031_0f524b94-122c-4673-b13c-41f279d78335.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9809703/check_12833031_4bf46fd1-53f4-40b0-b1ef-50ddcdf3edfd.json | N/A | N/A | N/A | N/A | N/A | 31411044311 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-09-19 | N/A | N/A | N/A | N/A | false | MOJIRI ANDANI | N/A | SOUSSAN | 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 | 9809703 | 2222 | N/A | 13057705 | N/A | 8216024 | 2025-09-29 23:06:35.342227 | 2025-09-29 17:34:24.775132 |
| 2025-09-29 23:06:31.605620 | 2025-09-29 23:06:33.468848 | 12833030 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-19 | 2025-09-30 | F | AE | PT | 4497 | MOJIRI ANDANI | 31411044311 | SOUSSAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9809703/check_12833030_0e167d75-4247-4ff6-85b6-66c57e49121a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | 31411044311 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-09-19 | N/A | N/A | N/A | N/A | false | MOJIRI ANDANI | N/A | SOUSSAN | 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 | 9809703 | 2222 | N/A | N/A | N/A | 8216024 | 2025-09-29 23:06:33.468848 | 2025-09-29 17:34:24.775132 |
| 2025-09-29 22:06:56.193354 | 2025-09-29 22:06:58.122361 | 12832477 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-09-29 | F | PT | N/A | 4185 | MAHAARACHCHI | EXHAN7912598 | MELONY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_12832477_cdbdee53-9226-4caf-8d5e-b2268da0d4b6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_12832477_36785adb-551c-4b67-8e56-d8a4cf988178.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 7988722 | 2222 | N/A | 13056924 | N/A | 6798209 | 2025-09-29 22:06:58.122361 | 2025-10-29 15:15:17.952230 |
| 2025-09-29 22:06:54.496331 | 2025-09-29 22:06:56.189974 | 12832476 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-09-29 | F | PT | N/A | 4185 | MAHAARACHCHI | EXHAN7912598 | MELONY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_12832476_16d0e9ee-8250-454b-b8ab-c8655bd47e16.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-29 | N/A | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 7988722 | 2222 | N/A | N/A | N/A | 6798209 | 2025-09-29 22:06:56.189974 | 2025-10-29 15:15:17.952230 |
| 2025-09-29 22:05:24.260810 | 2025-09-29 22:05:26.120810 | 12832465 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-09-29 | F | PT | N/A | 4185 | MAHAARACHCHI | EXHAN7912598 | MELONY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_12832465_9c4e4674-6f0c-4128-9599-287cfcab0eca.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_12832465_6af610cb-52e7-4312-91cb-e19872d82da7.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 7988722 | 2222 | N/A | 13056911 | N/A | 6798209 | 2025-09-29 22:05:26.120810 | 2025-10-29 15:15:17.952230 |
| 2025-09-29 22:05:22.326756 | 2025-09-29 22:05:24.255930 | 12832464 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-04 | 2025-09-29 | F | PT | N/A | 4185 | MAHAARACHCHI | EXHAN7912598 | MELONY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7988722/check_12832464_bb21a673-d60d-4d12-aafd-4483ac2ce7ae.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-29 | N/A | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 7988722 | 2222 | N/A | N/A | N/A | 6798209 | 2025-09-29 22:05:24.255930 | 2025-10-29 15:15:17.952230 |
| 2025-09-29 22:03:58.419622 | 2025-09-29 22:04:01.355198 | 12832453 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-11-17 | 2025-09-29 | F | AE | PT | 23322 | WOODS | 96781627F | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542752/check_12832453_74c5ed5f-fdee-4861-a2e8-a12ceff63d04.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542752/check_12832453_8666e0c1-02a1-4c76-8f25-6bd625230524.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8899807323 | 9482 | N/A | 5542752 | 2222 | N/A | 13056898 | N/A | 4214627 | 2025-09-29 22:04:01.355198 | 2025-06-23 18:58:46.304598 |
| 2025-09-29 22:00:58.146195 | 2025-09-29 22:01:10.581424 | 12832423 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-09-28 | 2025-09-29 | M | AE | PT | 23298 | GURROLA | 839044301 | MIKE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9317287/check_12832423_257fef39-1263-4c9c-bf95-a7488819eec9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9317287/check_12832423_b5d97283-7c74-401f-9a7c-889cd9f624e0.json | N/A | N/A | N/A | N/A | N/A | 839044301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1950-09-28 | N/A | 004237 | N/A | HN | false | GURROLA | N/A | MIKE | N/A | N/A | N/A | UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8899790917 | 9482 | N/A | 9317287 | 2222 | N/A | 13056861 | N/A | 7815862 | 2025-09-29 22:01:10.581424 | 2025-09-11 18:06:18.231033 |
| 2025-09-29 21:58:51.089069 | 2025-09-29 21:58:55.028941 | 12832399 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-05 | 2025-09-29 | F | AE | PT | 23309 | HUYNH | H31494040 | KIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/9063890/check_12832399_57e18379-8120-4f95-9ca5-bc3661b82189.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063890/check_12832399_55c8a30e-61ef-47c1-a3a7-ce42fe8ce5db.json | N/A | N/A | N/A | N/A | N/A | H31494040 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1952-07-05 | N/A | 0B666001 | N/A | HN | false | HUYNH | N/A | KIM | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8899778628 | 9482 | N/A | 9063890 | 2222 | N/A | 13056830 | N/A | 7579259 | 2025-09-29 21:58:55.028941 | 2025-09-04 15:42:09.086707 |
| 2025-09-29 21:54:09.969709 | 2025-09-29 21:54:11.921216 | 12832353 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-07-14 | 2025-09-29 | F | AE | PT | 4709 | Smith | R13448873FM1 | Hanah | https://storage.googleapis.com/normandy-eligibility-checks/2222/9436237/check_12832353_f9601caa-20b0-40d2-9c3b-ea6fb001e3c1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9436237/check_12832353_c3f1e051-fffe-4cb9-a897-fda8dd77b4ac.json | N/A | N/A | N/A | N/A | N/A | R13448873FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1996-07-14 | N/A | N/A | N/A | N/A | false | SMITH | N/A | HANNAH | N/A | N/A | N/A | K9N SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8899752607 | N/A | N/A | 9436237 | 2222 | N/A | 13056775 | N/A | 7892301 | 2025-09-29 21:54:11.921216 | 2025-09-16 00:12:50.080432 |
| 2025-09-29 21:51:50.746128 | 2025-09-29 21:52:12.949672 | 12832338 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-09-28 | 2025-09-29 | M | AE | PT | 6237 | GURROLA | 8390443-01 | MIKE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9317287/check_12832338_2e176a59-ccb5-4a7c-b1bd-dcf58a544a05.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9317287/check_12832338_dca5a53f-3aee-406d-9edb-e7d84033ba72.json | N/A | N/A | N/A | N/A | N/A | 8390443-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1950-09-28 | N/A | N/A | N/A | N/A | false | GURROLA | N/A | MIKE | 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 | 9317287 | 2222 | N/A | 13056759 | N/A | 7815862 | 2025-09-29 21:52:12.949672 | 2025-09-11 18:06:18.231033 |
| 2025-09-29 21:51:28.767058 | 2025-09-29 21:51:50.743266 | 12832333 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-09-28 | 2025-09-29 | M | AE | PT | 6237 | GURROLA | 8390443-01 | MIKE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9317287/check_12832333_105af140-e2a3-44a9-914a-84fa3c64a197.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-29 | N/A | N/A | N/A | N/A | N/A | N/A | 8390443-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1950-09-28 | N/A | N/A | N/A | N/A | false | GURROLA | N/A | MIKE | 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 | 9317287 | 2222 | N/A | N/A | N/A | 7815862 | 2025-09-29 21:51:50.743266 | 2025-09-11 18:06:18.231033 |