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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-02 12:07:30.096159 | 2025-06-03 05:11:54.736746 | 8515445 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8515445 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-06-09 | M | PT | AE | NIELSEN | XDP057A76330 | ROY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170919963.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_8515445_31313c87-faac-4175-96f9-befc2ab8b488.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537188 | 2222 | 4802 | 8206312 | N/A | 4209789 | 2025-06-03 05:11:54.736746 | 2025-05-13 04:29:37.224215 |
| 2025-06-02 12:07:29.797520 | 2025-06-03 05:13:23.823313 | 8515444 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8515444 | Athletic Physical Therapy Inc | 1966-11-30 | 2025-06-04 | F | PT | N/A | SONDREAAL | WMC125993776001 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170919963.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536323/check_8515444_ada605c1-e818-4df1-8881-1e2a44096797.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 | 8207150 | N/A | 4209086 | 2025-06-03 05:13:23.823313 | 2025-05-13 04:29:37.223507 |
| 2025-06-02 12:05:02.856422 | 2025-06-02 12:05:45.991046 | 8514640 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-06-06 | F | PT | AE | YUNG | 0005301565 | MAYA | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_8514640_ff76a532-54b8-415f-b2fb-edb2c5d8b9d0.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 | 2025-06-02 12:05:45.991046 | 2025-05-13 04:29:37.229495 |
| 2025-06-02 12:00:55.760257 | 2025-06-03 05:10:22.388411 | 8512007 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8512007 | Athletic Physical Therapy Inc | 1963-03-09 | 2025-06-05 | M | PT | N/A | GILLETTE | ZZA129013396001 | GRADY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170215591.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539753/check_8512007_b02aa01b-8835-4bad-b15a-9893c463fdcc.json | N/A | N/A | N/A | N/A | N/A | ZZA129013396001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-03-09 | 725 | 10527566 | N/A | N/A | false | GILLETTE | N/A | VICTORIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539753 | 2222 | 4801 | 8205295 | N/A | 4212009 | 2025-06-03 05:10:22.388411 | 2025-05-13 04:29:37.226332 |
| 2025-06-02 11:57:17.610346 | 2025-06-03 05:10:27.982523 | 8507044 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8507044 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-06-09 | U | PT | AE | KESHAVARZIAN | JQE128W05540 | AMIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170215591.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993911/check_8507044_566fdb6d-bdc7-46de-bc0f-35427fa63d6c.json | N/A | N/A | N/A | N/A | N/A | JQE128W05540 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1953-05-16 | N/A | N/A | N/A | N/A | false | KESHAVARZIAN | N/A | AMIR | 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 | 5993911 | 2222 | 4801 | 8205345 | N/A | 4534577 | 2025-06-03 05:10:27.982523 | 2025-06-18 18:41:30.608585 |
| 2025-06-02 11:57:16.399739 | 2025-06-03 05:14:45.207014 | 8507020 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8507020 | Athletic Physical Therapy Inc | 1967-02-21 | 2025-06-09 | M | AD | N/A | LEVINE | 110561060 | ROCIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170432302.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5994830/check_8507020_2afc4fb0-ffa1-4aaa-a167-7a10fbe90cb7.json | N/A | N/A | N/A | N/A | N/A | 11056106000 | N/A | CYDCOR, LLC | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1967-02-21 | N/A | 00654768 | N/A | N/A | false | LEVINE | N/A | ROCIO | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5994830 | 2222 | 4793 | 8207833 | N/A | 4210945 | 2025-06-03 05:14:45.207014 | 2025-06-24 15:38:48.246227 |
| 2025-06-02 11:57:09.311104 | 2025-06-03 05:23:41.793000 | 8506784 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8506784 | Athletic Physical Therapy Inc | 1961-08-22 | 2025-06-06 | U | PT | N/A | LY | ZYF589M98531 | FRANCIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874462/check_8506784_987b8d46-27e1-4cf3-b949-1023d1f1d94e.json | N/A | N/A | N/A | N/A | N/A | ZYF589M98531 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1961-08-22 | N/A | N/A | N/A | N/A | false | LY | N/A | FRANCIS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874462 | 2222 | 4801 | 8214743 | N/A | 4534584 | 2025-06-03 05:23:41.793000 | 2025-06-02 22:12:48.722054 |
| 2025-06-02 11:57:09.134371 | 2025-06-03 05:24:18.657725 | 8506779 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8506779 | Athletic Physical Therapy Inc | 1970-03-11 | 2025-06-09 | F | PT | N/A | MANNING | WAG838721278 | TRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874457/check_8506779_df57e343-b6d2-4685-a0e2-376eb502afae.json | N/A | N/A | N/A | N/A | N/A | WAG838721278 | Preferred Provider Organization (PPO) | ACTIVE WAG | BLUE SHIELD OF CALIFORNIA | N/A | 1970-03-11 | N/A | 328059 | N/A | PR | false | MANNING | N/A | TRICIA | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874457 | 2222 | 4801 | 8215194 | N/A | 4343472 | 2025-06-03 05:24:18.657725 | 2025-08-08 17:41:30.906097 |
| 2025-06-02 11:57:08.981076 | 2025-06-03 05:29:19.421678 | 8506776 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8506776 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-06-04 | U | PT | AE | KESHAVARZIAN | 7RJ5HD6NW73 | AMIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874455/check_8506776_787044d7-8693-43c5-8939-5eec48c715c7.json | N/A | N/A | N/A | N/A | N/A | 7RJ5HD6NW73 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-16 | S5617 | N/A | N/A | MA | false | KESHAVARZIAN | N/A | AMIR | 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 | 5874455 | 2222 | 4801 | 8218902 | N/A | 4534577 | 2025-06-03 05:29:19.421678 | 2025-06-18 18:41:30.608585 |
| 2025-06-02 11:57:08.750532 | 2025-06-03 05:06:00.033846 | 8506772 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8506772 | Athletic Physical Therapy Inc | 1967-03-12 | 2025-06-09 | M | PT | AE | HALLMAN | 492365901 | RANDALL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874452/check_8506772_629343bb-82b5-477d-b6f8-612f70dd382b.json | N/A | N/A | N/A | N/A | N/A | 492365901 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1967-03-12 | N/A | N/A | N/A | N/A | false | HALLMAN | N/A | RANDALL | 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 | 5874452 | 2222 | 4801 | 8202426 | N/A | 4534575 | 2025-06-03 05:06:00.033846 | 2025-05-29 22:25:30.383440 |
| 2025-06-02 11:57:08.619285 | 2025-06-03 05:29:20.122569 | 8506767 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8506767 | Athletic Physical Therapy Inc | 1958-03-16 | 2025-06-09 | F | PT | AE | SCHILLER | 4NG7R64EW31 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874437/check_8506767_8ee5e2b7-2d16-444a-b14f-bf1ce7adfb38.json | N/A | N/A | N/A | N/A | N/A | 4NG7R64EW31 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-03-16 | S4802 | N/A | N/A | MA | false | SCHILLER | N/A | JUDY | 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 | 5874437 | 2222 | 4802 | 8218911 | N/A | 4534564 | 2025-06-03 05:29:20.122569 | 2025-05-22 18:42:12.452816 |
| 2025-06-02 11:57:08.441845 | 2025-06-03 05:21:40.371057 | 8506764 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8506764 | Athletic Physical Therapy Inc | 1954-07-06 | 2025-06-09 | F | PT | N/A | WONG | MBL238A51912 | LOIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874429/check_8506764_af08d2f7-c70f-45a5-ae3a-ec12978a2b56.json | N/A | N/A | N/A | N/A | N/A | MBL238A51912 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1954-07-06 | 040 | CA039GRS | N/A | N/A | false | WONG | N/A | LOIS | N/A | 9999-12-31 | 2022-01-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874429 | 2222 | 4802 | 8213054 | N/A | 4534558 | 2025-06-03 05:21:40.371057 | 2025-06-02 02:24:50.975707 |
| 2025-06-02 11:57:08.300837 | 2025-06-03 05:05:47.699021 | 8506760 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | 8506760 | Athletic Physical Therapy Inc | 1947-06-13 | 2025-06-09 | U | PT | AE | FERRY | MISSINGPOLICYNUMBER | MAUREEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874426/check_8506760_f3b46d14-becc-4c28-97bf-7a4ee16b5662.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MISSING INSURANCE NAME | N/A | 1947-06-13 | N/A | N/A | N/A | N/A | false | FERRY | N/A | MAUREEN | 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 | 5874426 | 2222 | 4802 | 8202251 | N/A | 4534555 | 2025-06-03 05:05:47.699021 | 2025-10-06 22:18:22.957561 |
| 2025-06-02 11:57:08.105895 | 2025-06-03 05:05:26.352857 | 8506754 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8506754 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-06-09 | F | PT | AE | BIKOULOVA | 92040499F | ALEXANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_8506754_6156ff23-a5c6-4261-90ba-873f42ade403.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | 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 | 5874423 | 2222 | 4802 | 8202074 | N/A | 4534552 | 2025-06-03 05:05:26.352857 | 2025-05-30 18:01:03.324126 |
| 2025-06-02 11:57:07.947786 | 2025-06-03 05:29:17.151402 | 8506749 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8506749 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-06-06 | M | PT | AE | DERR | 4GK3GN5DV73 | DENNIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_8506749_9ce9c7b7-3bd1-43fb-a9d8-56782669c2ba.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | 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 | 5874420 | 2222 | 4793 | 8218883 | N/A | 4534550 | 2025-06-03 05:29:17.151402 | 2025-10-15 18:36:58.255255 |
| 2025-06-02 11:57:07.826666 | 2025-06-03 05:17:29.103418 | 8506745 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8506745 | Athletic Physical Therapy Inc | 2013-08-17 | 2025-06-09 | F | PT | AE | RUEMMELE | 179409499 | MAKENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874412/check_8506745_9f41056a-c6b8-4394-a5e0-392b7b33e3dc.json | N/A | N/A | N/A | N/A | N/A | 17940949902 | Commercial | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | FUNDING TYPE = FULLY INSURED - LARGE GROUP LABORATORY DESIGNATED DIAGNOSTIC BENEFITS IMAGING DESIGNATED DIAGNOSTIC BENEFITS | 2013-08-17 | N/A | 1685837 | N/A | C1 | false | RUEMMELE | N/A | MAKENA | N/A | N/A | N/A | CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874412 | 2222 | 4793 | 8209617 | N/A | 4534546 | 2025-06-03 05:17:29.103418 | 2025-12-03 00:06:29.870228 |
| 2025-06-02 11:57:07.781048 | 2025-06-03 05:23:20.695362 | 8506744 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8506744 | Athletic Physical Therapy Inc | 2009-09-07 | 2025-06-09 | U | PT | N/A | CRUZ | TYW851751152 | GIOVANI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170432302.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993970/check_8506744_3b2b9a3d-315e-4c16-9545-11551e7c918f.json | N/A | N/A | N/A | N/A | N/A | TYW851751152 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 2009-09-07 | N/A | N/A | N/A | N/A | false | CRUZ | N/A | GIOVANI | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993970 | 2222 | 4801 | 8214528 | N/A | 4642901 | 2025-06-03 05:23:20.695362 | 2025-06-06 02:34:37.518805 |
| 2025-06-02 11:57:07.558630 | 2025-06-03 05:23:22.032942 | 8506735 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8506735 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-06-09 | U | PT | N/A | MASUDA | MISSINGPOLICYNUMBER | MASAKO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170432302.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993968/check_8506735_f6a19c62-2740-4f46-8edb-123eae12565a.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1953-05-16 | N/A | N/A | N/A | N/A | false | MASUDA | N/A | MASAKO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993968 | 2222 | 4802 | 8214541 | N/A | 4642899 | 2025-06-03 05:23:22.032942 | 2025-06-06 02:16:59.685673 |
| 2025-06-02 11:57:07.309480 | 2025-06-03 05:35:11.461687 | 8506726 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8506726 | Athletic Physical Therapy Inc | 1951-07-19 | 2025-06-09 | U | PT | AE | HARVEY | 8YE6EE0UG57 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170432302.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993966/check_8506726_0a38087c-9670-4929-8ad1-e2be8617e162.json | N/A | N/A | N/A | N/A | N/A | 8YE6EE0UG57 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-07-19 | S4802 | N/A | N/A | MB | false | HARVEY | N/A | CHRISTOPHE | 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 | 5993966 | 2222 | 4801 | 8221662 | N/A | 4642895 | 2025-06-03 05:35:11.461687 | 2025-06-04 22:10:38.563345 |
| 2025-06-02 11:57:07.070072 | 2025-06-03 05:09:26.676808 | 8506719 | N/A | N/A | 60054 | Aetna | 1114042165 | 8506719 | Athletic Physical Therapy Inc | 1997-10-13 | 2025-06-09 | M | PT | AE | BOGNER | W293460341 | NOAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170432302.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993959/check_8506719_8acd5cc2-f2cf-470e-a853-45df2d879fcf.json | N/A | N/A | N/A | N/A | N/A | W293460341 | Point of Service (POS) | APPLE INC. | AETNA | N/A | 1997-10-13 | 0109286 | 010928602000001 | N/A | PS | false | BOGNER | N/A | NOAH | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993959 | 2222 | 4802 | 8204681 | N/A | 4642891 | 2025-06-03 05:09:26.676808 | 2025-05-30 16:16:44.304215 |
| 2025-06-02 11:57:06.756944 | 2025-06-03 05:23:21.075506 | 8506708 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8506708 | Athletic Physical Therapy Inc | 1991-12-24 | 2025-06-09 | U | PT | N/A | KOLKER | S4G373W20309 | JOSH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170432302.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993943/check_8506708_ae9acb63-78af-45b5-b7b8-b5cec2f1555e.json | N/A | N/A | N/A | N/A | N/A | S4G373W20309 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1991-12-24 | N/A | N/A | N/A | N/A | false | KOLKER | N/A | JOSH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993943 | 2222 | 4802 | 8214533 | N/A | 4642875 | 2025-06-03 05:23:21.075506 | 2025-06-06 02:22:03.703999 |
| 2025-06-02 11:57:06.419047 | 2025-06-03 05:23:58.404155 | 8506701 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8506701 | Athletic Physical Therapy Inc | 1997-04-30 | 2025-06-09 | F | PT | AE | BROWNE | XEA912002755 | VICTORIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170432302.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993942/check_8506701_37b9f248-98af-444d-a4b3-77e2f3f3112d.json | N/A | N/A | N/A | N/A | N/A | XEA912002755 | Preferred Provider Organization (PPO) | GOOD IDEAS AND POWER MOVES LLC | BLUE SHIELD CALIFORNIA | N/A | 1997-04-30 | 1000VX000102 | W0125517 | N/A | PR | false | BROWNE | N/A | VICTORIA | N/A | 9999-12-31 | 2025-01-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993942 | 2222 | 4802 | 8214948 | N/A | 4642878 | 2025-06-03 05:23:58.404155 | 2025-06-02 00:07:32.200949 |
| 2025-06-02 11:57:06.016115 | 2025-06-03 05:05:48.673216 | 8506688 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8506688 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-06-09 | F | PT | AE | ALROMAIH | 91237812E | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170432302.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_8506688_6b43e676-bf19-4e86-8957-374586bf73dc.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | 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 | 5993940 | 2222 | 4802 | 8202290 | N/A | 4642877 | 2025-06-03 05:05:48.673216 | 2025-12-23 23:49:16.627667 |
| 2025-06-02 11:57:05.734925 | 2025-06-03 05:22:37.187649 | 8506681 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8506681 | Athletic Physical Therapy Inc | 1949-03-01 | 2025-06-09 | F | PT | AE | MIROBALLI | 000002447244 | KATHLEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170432302.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993939/check_8506681_7d64b0ab-0fdf-4968-a06a-57e3563bcf94.json | N/A | N/A | N/A | N/A | N/A | 000002447244 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1949-03-01 | 3064746 | 101112 | N/A | N/A | false | MIROBALLI | N/A | KATHLEEN | N/A | N/A | N/A | LOS ANGELES DEPARTMENT OF WATER & POWER - RETIREES | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993939 | 2222 | 4793 | 8213976 | N/A | 4642874 | 2025-06-03 05:22:37.187649 | 2025-05-29 22:38:22.995059 |
| 2025-06-02 11:57:05.523373 | 2025-06-03 05:06:07.803152 | 8506675 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8506675 | Athletic Physical Therapy Inc | 1949-09-25 | 2025-06-09 | U | PT | AE | LOPEZ | 31183522601 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170432302.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993934/check_8506675_184f1cd7-3c9f-4b12-a8eb-b4f4f11351c3.json | N/A | N/A | N/A | N/A | N/A | 31183522601 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1949-09-25 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | MARIA | 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 | 5993934 | 2222 | 4801 | 8202511 | N/A | 4642871 | 2025-06-03 05:06:07.803152 | 2025-06-02 21:57:45.887368 |
| 2025-06-02 11:57:05.418626 | 2025-06-03 05:23:59.236363 | 8506672 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8506672 | Athletic Physical Therapy Inc | 1997-07-22 | 2025-06-09 | M | PT | N/A | BUCKWALD | XED914061341 | BLAKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170432302.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993926/check_8506672_706e8d44-1873-49c8-92bd-007f8d96f82e.json | N/A | N/A | N/A | N/A | N/A | XED914061341 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | BUCKWALD | N/A | BLAKE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993926 | 2222 | 4802 | 8214956 | N/A | 4642862 | 2025-06-03 05:23:59.236363 | 2025-05-28 20:59:09.029689 |
| 2025-06-02 11:57:05.308996 | 2025-06-03 05:37:08.156024 | 8506671 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8506671 | Athletic Physical Therapy Inc | 1957-10-11 | 2025-06-09 | U | PT | AE | BAKMAN | JQE006W13620 | DEBBIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170432302.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993922/check_8506671_2a99332e-4ef2-48ed-aaa2-0710917fe627.json | N/A | N/A | N/A | N/A | N/A | JQE006W13620 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1957-10-11 | N/A | N/A | N/A | N/A | false | BAKMAN | N/A | DEBBIE | 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 | 5993922 | 2222 | 4801 | 8222831 | N/A | 4642860 | 2025-06-03 05:37:08.156024 | 2025-06-18 23:23:49.312526 |
| 2025-06-02 11:57:05.202529 | 2025-06-03 05:24:00.489765 | 8506667 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8506667 | Athletic Physical Therapy Inc | 1984-05-19 | 2025-06-09 | M | PT | N/A | DANG | XEA913823841 | TRAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170432302.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993908/check_8506667_95793bcc-53e2-4c7b-96dd-f68ca65cba57.json | N/A | N/A | N/A | N/A | N/A | XAN913823841 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1984-05-16 | 1479PPOX0002 | W0051411 | N/A | PR | false | DANG | N/A | TRAM | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993908 | 2222 | 4802 | 8214971 | N/A | 4534561 | 2025-06-03 05:24:00.489765 | 2025-06-02 15:59:21.578406 |
| 2025-06-02 11:57:05.049573 | 2025-06-03 05:06:07.228055 | 8506663 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8506663 | Athletic Physical Therapy Inc | 1988-01-04 | 2025-06-09 | F | PT | AE | CATALDO | 909320518000 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170432302.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993812/check_8506663_1ce5f6f0-1dc2-4d63-a79e-1235ccc98e02.json | N/A | N/A | N/A | N/A | N/A | 909320518000 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1988-01-04 | N/A | N/A | N/A | N/A | false | CATALDO | N/A | NATALIE | 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 | 5993812 | 2222 | 4801 | 8202502 | N/A | 4219581 | 2025-06-03 05:06:07.228055 | 2025-05-21 21:23:40.415030 |
| 2025-06-02 11:57:04.964031 | 2025-06-03 05:23:02.402316 | 8506661 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8506661 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-06-09 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170432302.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_8506661_06f6e2b9-382c-490f-9317-293acf092dcc.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993479 | 2222 | 4801 | 8214340 | N/A | 4219476 | 2025-06-03 05:23:02.402316 | 2025-05-28 20:18:04.039855 |
| 2025-06-02 11:55:24.045933 | 2025-06-03 05:09:37.278683 | 8503653 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8503653 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-05 | M | PT | AE | LANE | MISSINGPOLICYNUMBER | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170215591.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928917/check_8503653_2023e916-6a82-4599-abb6-82af2666073b.json | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | 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 | 5928917 | 2222 | 4802 | 8204800 | N/A | 4219832 | 2025-06-03 05:09:37.278683 | 2025-05-13 04:29:37.230877 |
| 2025-06-02 11:55:23.299933 | 2025-06-03 05:17:26.000218 | 8503638 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 8503638 | Athletic Physical Therapy Inc | 1954-02-25 | 2025-06-09 | F | PT | AE | ROBERTS | 00000402630 | DEBRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170429766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_8503638_458d815f-741f-484e-862f-71b06f97fe32.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1954-02-25 | H3815028 | N/A | N/A | HM | false | ROBERTS | N/A | DEBRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6085762 | 2222 | 4793 | 8209566 | N/A | 4729138 | 2025-06-03 05:17:26.000218 | 2025-05-31 14:20:56.156252 |
| 2025-06-02 11:55:22.856823 | 2025-06-03 05:18:06.270833 | 8503627 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8503627 | Athletic Physical Therapy Inc | 1950-07-16 | 2025-06-09 | U | PT | N/A | DENZER | JZY122900872001 | PATRICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170429766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085673/check_8503627_bb4cff40-8ff0-4758-9e17-02fba8a503d9.json | N/A | N/A | N/A | N/A | N/A | JZY122900872001 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1950-07-16 | N/A | N/A | N/A | N/A | false | DENZER | N/A | PATRICK | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6085673 | 2222 | 4802 | 8210183 | N/A | 4729013 | 2025-06-03 05:18:06.270833 | 2025-06-17 17:45:48.398690 |
| 2025-06-02 11:55:19.946621 | 2025-06-03 05:21:21.893306 | 8503567 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8503567 | Athletic Physical Therapy Inc | 1995-05-01 | 2025-06-09 | F | PT | N/A | CARTER | XDP836W19415 | BRITNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676417/check_8503567_6f9fb05f-d532-4256-90bd-b4b0d4093519.json | N/A | N/A | N/A | N/A | N/A | XDP836W19415 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1995-05-01 | N/A | N/A | N/A | N/A | false | CARTER | N/A | BRITNEY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676417 | 2222 | 4801 | 8212843 | N/A | 4343473 | 2025-06-03 05:21:21.893306 | 2025-05-13 04:29:37.230950 |
| 2025-06-02 11:55:19.851987 | 2025-06-03 05:05:28.161266 | 8503566 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8503566 | Athletic Physical Therapy Inc | 1953-04-27 | 2025-06-09 | M | PT | AE | TEDDER | 00000390480 | CHARLES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_8503566_58f96c01-2ceb-4b58-85a7-214fe77e2247.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | 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 | 5676415 | 2222 | 4801 | 8202096 | N/A | 4343470 | 2025-06-03 05:05:28.161266 | 2025-05-13 04:29:37.230947 |
| 2025-06-02 11:55:19.717294 | 2025-06-03 05:23:45.176644 | 8503563 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8503563 | Athletic Physical Therapy Inc | 2001-04-04 | 2025-06-09 | F | PT | N/A | NEBENS | XNK909607418 | PAYTON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676414/check_8503563_ac388054-0300-4d12-a330-faea736d1152.json | N/A | N/A | N/A | N/A | N/A | XNK909607418 | Preferred Provider Organization (PPO) | FIRST PACIFIC ADVISORS LP | BLUE SHIELD CALIFORNIA | N/A | 2001-04-04 | 100AVX000102 | W0109644 | N/A | PR | false | NEBENS | N/A | EDWARD | N/A | 9999-12-31 | 2022-10-01 | 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 | 5676414 | 2222 | 4802 | 8214785 | N/A | 4343466 | 2025-06-03 05:23:45.176644 | 2025-06-02 16:41:34.870528 |
| 2025-06-02 11:55:19.597664 | 2025-06-03 05:09:39.883413 | 8503561 | N/A | N/A | 39026 | UMR | 1114042165 | 8503561 | Athletic Physical Therapy Inc | 1998-08-12 | 2025-06-09 | M | PT | AE | YOUNG | 46629327 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676405/check_8503561_39e2f4c9-fa33-416d-a4af-81b179326d1f.json | N/A | N/A | N/A | N/A | N/A | 46629327 | N/A | UNITED TALENT AGENCY, LLC. | UMR | N/A | 1998-08-12 | 767000416652002 | 76416652 | N/A | N/A | false | YOUNG | N/A | CHRISTOPHER | 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 | 5676405 | 2222 | 4802 | 8204820 | N/A | 4343460 | 2025-06-03 05:09:39.883413 | 2025-05-13 04:29:37.230938 |
| 2025-06-02 11:55:19.495811 | 2025-06-03 05:16:04.829126 | 8503560 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8503560 | Athletic Physical Therapy Inc | 1999-05-15 | 2025-06-09 | M | PT | AE | CAMPOS | U6223907103 | DEVON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676403/check_8503560_cef5983a-1ee9-46a2-beea-abc452f9b423.json | N/A | N/A | N/A | N/A | N/A | U6223907103 | N/A | MORGAN STANLEY DOMESTIC HOLDINGS, INC. | CGLIC | N/A | 1999-05-15 | N/A | 3327984 | N/A | N/A | false | CAMPOS | N/A | DEVON | 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 | 5676403 | 2222 | 4802 | 8208578 | N/A | 4343457 | 2025-06-03 05:16:04.829126 | 2025-05-13 04:29:37.230935 |
| 2025-06-02 11:55:19.306316 | 2025-06-03 05:11:34.883008 | 8503556 | N/A | N/A | 60054 | Aetna | 1114042165 | 8503556 | Athletic Physical Therapy Inc | 1996-10-14 | 2025-06-09 | F | PT | AE | HU | W290798901 | KERRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676395/check_8503556_478b914c-e953-43db-92cd-a11fa0d8d363.json | N/A | N/A | N/A | N/A | N/A | W290798901 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1996-10-14 | 0247086 | 024708602300010 | N/A | PS | false | HU | N/A | KERRY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676395 | 2222 | 4802 | 8206070 | N/A | 4343450 | 2025-06-03 05:11:34.883008 | 2025-05-13 04:29:37.230928 |
| 2025-06-02 11:55:19.084056 | 2025-06-03 05:17:16.685243 | 8503553 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8503553 | Athletic Physical Therapy Inc | 1957-01-27 | 2025-06-09 | U | PT | AE | SHIRALI | 821763668 | MONAVAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676381/check_8503553_c8b19856-2bfd-42f3-b925-7bad5951498b.json | N/A | N/A | N/A | N/A | N/A | 821763668 | N/A | N/A | UNITED HEALTHCARE | N/A | 1957-01-27 | N/A | N/A | N/A | N/A | false | SHIRALI | N/A | MONAVAR | 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 | 5676381 | 2222 | 4801 | 8209436 | N/A | 4343436 | 2025-06-03 05:17:16.685243 | 2025-06-05 16:13:34.180012 |
| 2025-06-02 11:55:18.886062 | 2025-06-03 05:23:50.860055 | 8503551 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8503551 | Athletic Physical Therapy Inc | 1989-01-09 | 2025-06-09 | F | PT | N/A | SELTER | XEA906445770 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676380/check_8503551_50c92970-6909-4a48-95a6-6de6d3d2ab3f.json | N/A | N/A | N/A | N/A | N/A | XEA906445770 | Preferred Provider Organization (PPO) | AV SQUAD LP | BLUE SHIELD CALIFORNIA | N/A | 1989-01-09 | 1000PPOX0001 | W0066517 | N/A | PR | false | SELTER | N/A | BRANDON | N/A | N/A | N/A | SMILE SM SPECTRUM 50 1500 NO ORTHO MAC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676380 | 2222 | 4793 | 8214851 | N/A | 4343435 | 2025-06-03 05:23:50.860055 | 2025-05-13 04:29:37.230915 |
| 2025-06-02 11:55:18.631368 | 2025-06-03 05:29:19.765256 | 8503548 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8503548 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-09 | M | PT | AE | LANE | 4CA5FX1PJ56 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676372/check_8503548_abfee757-537c-469e-a422-3755e1043c19.json | N/A | N/A | N/A | N/A | N/A | 4CA5FX1PJ56 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-25 | S4802 | N/A | N/A | MB | false | LANE | N/A | STEVEN | 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 | 5676372 | 2222 | 4802 | 8218907 | N/A | 4219832 | 2025-06-03 05:29:19.765256 | 2025-05-13 04:29:37.230877 |
| 2025-06-02 11:55:15.201154 | 2025-06-03 05:17:39.699635 | 8503483 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8503483 | Athletic Physical Therapy Inc | 2025-05-30 | 2025-06-09 | F | PT | N/A | LI | XTS845M84428 | ZHANMEI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170429766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085650/check_8503483_6dcde7aa-9e2c-4359-a776-990aa978c2af.json | N/A | N/A | N/A | N/A | N/A | XTS845M84428 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2025-05-30 | N/A | N/A | N/A | N/A | false | LI | N/A | ZHANMEI | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6085650 | 2222 | 4793 | 8209784 | N/A | 4728966 | 2025-06-03 05:17:39.699635 | 2025-06-09 22:35:38.956800 |
| 2025-06-02 11:54:11.983873 | 2025-06-03 05:09:37.017772 | 8501997 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8501997 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-06-06 | M | PT | AE | DERR | 35335410011 | DENNIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170215591.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_8501997_8f796732-706a-44ea-98eb-ee3a883ad426.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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | 4793 | 8204795 | N/A | 4534550 | 2025-06-03 05:09:37.017772 | 2025-10-15 18:36:58.255255 |
| 2025-06-02 11:53:40.235646 | 2025-06-03 05:05:57.719576 | 8501271 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8501271 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-06-06 | F | PT | AE | SAGMAN | U9205101701 | SYDNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170429766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_8501271_b4669f51-65a5-4783-9a9d-b0ccd3f426de.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6078312 | 2222 | 4802 | 8202404 | N/A | 4722569 | 2025-06-03 05:05:57.719576 | 2025-08-26 00:16:35.895658 |
| 2025-06-02 11:53:32.677912 | 2025-06-03 05:10:17.328900 | 8501079 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8501079 | Athletic Physical Therapy Inc | 1965-02-14 | 2025-06-06 | F | PT | AE | GOLDSTEIN | 000603457 | SHARON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170429766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077490/check_8501079_89a93993-fc42-444a-96b9-377ed8be5712.json | N/A | N/A | N/A | N/A | N/A | 000603457 | Commercial | US BANK | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1965-02-14 | 0162 0162 | 186359 | N/A | C1 | false | GOLDSTEIN | N/A | SHARON | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6077490 | 2222 | 4793 | 8205202 | N/A | 4721602 | 2025-06-03 05:10:17.328900 | 2025-06-03 23:36:44.592003 |
| 2025-06-02 11:53:07.864572 | 2025-06-03 05:17:39.065155 | 8500525 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8500525 | Athletic Physical Therapy Inc | 2005-11-11 | 2025-06-09 | M | PT | N/A | GORMLEY | SIF727A55596 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170429766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074031/check_8500525_4b5d54b4-2429-439a-a0ae-864f3198b090.json | N/A | N/A | N/A | N/A | N/A | SIF727A55596 | Preferred Provider Organization (PPO) | SISC - SANTA MONICA MALIBU UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2005-11-11 | 040 | 40963A | N/A | PR | false | GORMLEY | N/A | BRYNN | N/A | 9999-12-31 | 2023-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6074031 | 2222 | 4802 | 8209779 | N/A | 4718585 | 2025-06-03 05:17:39.065155 | 2025-05-29 22:33:31.881575 |
| 2025-06-02 11:52:06.922692 | 2025-06-03 05:14:12.597095 | 8498653 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8498653 | Athletic Physical Therapy Inc | 1965-06-20 | 2025-06-09 | F | PT | AE | TRUE | 000019461014 | MYRNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170429766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068073/check_8498653_1be3dcba-01fa-4ec0-865d-1af0d307f062.json | N/A | N/A | N/A | N/A | N/A | 000019461014 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1965-06-20 | 3055890 | 100200 | N/A | N/A | false | TRUE | N/A | MYRNA | N/A | N/A | N/A | KAISER FOUNDATION HEALTH PLAN - SCA - 100200 KPHP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6068073 | 2222 | 4801 | 8207569 | N/A | 4713010 | 2025-06-03 05:14:12.597095 | 2025-05-28 23:30:35.802750 |
| 2025-06-02 11:52:06.612396 | 2025-06-03 05:02:28.501789 | 8498645 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8498645 | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-09 | F | PT | AE | OROZCO | 22483267 | ODILIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170429766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8498645_18b0968c-98d7-4856-adeb-aee72fe555e7.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | 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 | 6068063 | 2222 | 4802 | 8200345 | N/A | 4713004 | 2025-06-03 05:02:28.501789 | 2025-05-29 21:14:47.925641 |
| 2025-06-02 11:52:05.740260 | 2025-06-03 05:30:32.058345 | 8498623 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8498623 | Athletic Physical Therapy Inc | 1943-02-13 | 2025-06-09 | U | PT | AE | DAVIS | 3M07R08AX76 | HOLLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170429766.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068062/check_8498623_35b0dd5c-c29a-4640-89f8-6bbed8b758a2.json | N/A | N/A | N/A | N/A | N/A | 3M07R08AX76 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-02-13 | S5596 | N/A | N/A | MA | false | DAVIS | N/A | HOLLY | 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 | 6068062 | 2222 | 4802 | 8219760 | N/A | 4713002 | 2025-06-03 05:30:32.058345 | 2025-06-03 01:39:13.971712 |