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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-27 08:08:15.771921 | 2025-09-28 08:26:57.179532 | 12758864 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12758864 | Athletic Physical Therapy Inc | 1952-08-04 | 2025-09-30 | F | AE | PT | Dunkerley | 9N89GR7HH33 | Elizabeth | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110442279.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9665219/check_12758864_59425a2f-4d2d-440c-a2fc-f56a5b60a7ae.json | N/A | N/A | N/A | N/A | N/A | 9N89GR7HH33 | N/A | N/A | CMS | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886069889 | N/A | N/A | 9665219 | 2222 | 4802 | 13031570 | N/A | 8086688 | 2025-09-28 08:26:57.179532 | 2026-01-15 18:07:39.869679 |
| 2025-09-27 08:07:40.619396 | 2025-09-28 03:08:42.575215 | 12758433 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12758433 | Athletic Physical Therapy Inc | 1966-04-20 | 2025-09-30 | F | AE | PT | INMAN | 5JP4K45MD72 | SHARRON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9282697/check_12758433_a0575889-5ca7-4ead-8708-6a6ff21fb3cd.json | N/A | N/A | N/A | N/A | N/A | 5JP4K45MD72 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1966-04-20 | S4802 | N/A | N/A | MA | false | INMAN | N/A | SHARRON | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886061553 | N/A | N/A | 9282697 | 2222 | 4793 | 13023265 | N/A | 7791326 | 2025-09-28 03:08:42.575215 | 2025-09-22 23:41:06.133414 |
| 2025-09-27 08:07:24.573324 | 2025-09-28 02:42:21.795601 | 12758262 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12758262 | Athletic Physical Therapy Inc | 1963-09-25 | 2025-09-30 | M | PT | N/A | zev | XED912627946 | ari | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280765/check_12758262_8e3193b5-f106-4c1c-8165-c4bdc02ef14c.json | N/A | N/A | N/A | N/A | N/A | XED912627946 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-09-25 | 2001ZK002185 | X0001004 | N/A | PR | false | ZEV | N/A | ARI | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886062707 | N/A | N/A | 9280765 | 2222 | 4802 | 13020688 | N/A | 7789190 | 2025-09-28 02:42:21.795601 | 2025-09-16 16:41:33.330373 |
| 2025-09-27 08:07:22.371019 | 2025-09-28 02:58:55.216555 | 12758237 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12758237 | Athletic Physical Therapy Inc | 1967-01-27 | 2025-09-30 | F | PT | N/A | SHELLHORN | XEH903359049 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112133474.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6766432/check_12758237_417e17e5-214d-4bd2-a625-50581aa1cead.json | N/A | N/A | N/A | N/A | N/A | XEH903359049 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1967-01-27 | 1477HMOX0001 | W0051411 | N/A | HM | false | KUNES | N/A | TIMOTHY | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886139244 | N/A | N/A | 6766432 | 2222 | 4801 | 13022227 | N/A | 5670727 | 2025-09-28 02:58:55.216555 | 2025-08-05 20:04:51.056029 |
| 2025-09-27 08:07:11.960705 | 2025-09-28 08:19:13.702953 | 12758122 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12758122 | Athletic Physical Therapy Inc | 1984-07-13 | 2025-09-30 | F | PT | N/A | Kim | XEA909876442 | Sangmi | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110442279.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9623028/check_12758122_e4753d58-01b3-402a-847d-3d083a7b1f21.json | N/A | N/A | N/A | N/A | N/A | XEA909876442 | Preferred Provider Organization (PPO) | KARRASS LIMITED | BLUE SHIELD CALIFORNIA | N/A | 1984-07-13 | 1000VX000102 | W0007790 | N/A | PR | false | KIM | N/A | SANGMI | N/A | 9999-12-31 | 2020-06-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886070038 | N/A | N/A | 9623028 | 2222 | 4802 | 13030786 | N/A | 8053034 | 2025-09-28 08:19:13.702953 | 2025-09-22 19:37:31.966356 |
| 2025-09-27 08:07:01.421038 | 2025-09-28 08:17:58.591850 | 12757993 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12757993 | Athletic Physical Therapy Inc | 1971-08-10 | 2025-09-30 | M | PT | N/A | DEIPOLA | JQY979A63776 | GUSTAVO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110442279.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9611372/check_12757993_b6e342dc-af62-4815-b257-bef94ba0b6a8.json | N/A | N/A | N/A | N/A | N/A | JQY979A63776 | Preferred Provider Organization (PPO) | SIERRA CREDIT CORP | ANTHEM BLUE CROSS | N/A | 1971-08-10 | 040 | Q32873 | N/A | PR | false | DEIPOLA | N/A | ANDREA | N/A | 9999-12-31 | 2025-01-01 | CA SG SELECT HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886069593 | N/A | N/A | 9611372 | 2222 | 4801 | 13030619 | N/A | 8042516 | 2025-09-28 08:17:58.591850 | 2025-09-24 17:27:04.210921 |
| 2025-09-27 08:06:57.612803 | 2025-09-28 03:08:44.504988 | 12757953 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12757953 | Athletic Physical Therapy Inc | 1945-01-03 | 2025-09-30 | M | AE | PT | KIRK | 8Q34XD0CC92 | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9261302/check_12757953_7e49fbbf-a721-4835-872c-fe746558dac6.json | N/A | N/A | N/A | N/A | N/A | 8Q34XD0CC92 | Medicare Part B | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-01-03 | H5522 | N/A | N/A | MB | false | KIRK | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886061535 | N/A | N/A | 9261302 | 2222 | 4801 | 13023267 | N/A | 6476881 | 2025-09-28 03:08:44.504988 | 2025-07-29 22:42:05.499172 |
| 2025-09-27 08:06:53.593077 | 2025-09-28 03:18:01.860528 | 12757902 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12757902 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-09-30 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112133474.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_12757902_ca85e897-120e-4582-b05e-5d2120c775dd.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886138997 | N/A | N/A | 6752936 | 2222 | 4801 | 13024578 | N/A | 5065602 | 2025-09-28 03:18:01.860528 | 2025-07-01 17:25:13.681724 |
| 2025-09-27 08:06:34.405371 | 2025-09-28 08:11:13.526930 | 12757692 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12757692 | Athletic Physical Therapy Inc | 1949-05-27 | 2025-09-30 | M | AE | PT | SANDERS | 8300000051834 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110442279.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9560285/check_12757692_c7c74624-fc4b-47cd-b1f6-df1f383c9247.json | N/A | N/A | N/A | N/A | N/A | 8300000051834 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1949-05-27 | N/A | N/A | N/A | N/A | false | SANDERS | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886068595 | N/A | N/A | 9560285 | 2222 | 4802 | 13029405 | N/A | 7995648 | 2025-09-28 08:11:13.526930 | 2025-09-24 14:50:57.950474 |
| 2025-09-27 08:06:26.811287 | 2025-09-28 03:03:33.849393 | 12757613 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12757613 | Athletic Physical Therapy Inc | 1955-06-14 | 2025-09-30 | M | AE | PT | STAGNITTA | 1XD8E47RR64 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141017876.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7784368/check_12757613_ce3c58f0-6036-4ea0-a05e-4afd64812def.json | N/A | N/A | N/A | N/A | N/A | 1XD8E47RR64 | Medicare Part B | N/A | ANTHEM, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-06-14 | H4036 | 280612 280612M004 | N/A | MB | false | STAGNITTA | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886279709 | N/A | N/A | 7784368 | 2222 | 4793 | 13022688 | N/A | 4212542 | 2025-09-28 03:03:33.849393 | 2025-08-05 17:22:00.318869 |
| 2025-09-27 08:06:25.250452 | 2025-09-28 08:17:08.987207 | 12757589 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12757589 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-09-30 | F | AE | PT | GOMEZ | 00000401101 | ALICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110442279.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9555104/check_12757589_8f3d3372-81f3-4db5-b095-80c434166567.json | N/A | N/A | N/A | N/A | N/A | 00000401101 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-29 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | ALICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886068118 | N/A | N/A | 9555104 | 2222 | 4801 | 13030528 | 2630 | 7990617 | 2025-09-28 08:17:08.987207 | 2025-09-29 20:34:47.088032 |
| 2025-09-27 08:06:04.086722 | 2025-09-28 06:10:43.288095 | 12757320 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12757320 | Athletic Physical Therapy Inc | 1989-01-09 | 2025-09-30 | F | PT | N/A | SELTER | XEA906445770 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.111836479.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676380/check_12757320_356eaa7c-befb-4058-b74c-102b41e2f25b.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 | 8886133376 | N/A | N/A | 5676380 | 2222 | 4793 | 13027601 | N/A | 4343435 | 2025-09-28 06:10:43.288095 | 2025-05-13 04:29:37.230915 |
| 2025-09-27 08:06:01.488559 | 2025-09-28 06:01:43.645780 | 12757290 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12757290 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-09-30 | F | PT | N/A | OBLINGER | JQS491M78254 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.111836479.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_12757290_091e53b2-ab6d-4213-a8d9-7d1a709c227f.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886133375 | N/A | N/A | 5676340 | 2222 | 4793 | 13027442 | 4184 | 4210531 | 2025-09-28 06:01:43.645780 | 2025-12-09 17:09:13.960610 |
| 2025-09-27 08:05:54.525414 | 2025-09-28 02:39:34.900181 | 12757205 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12757205 | Athletic Physical Therapy Inc | 1952-08-31 | 2025-09-30 | M | PT | N/A | VACA | JQS284W10343 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9258711/check_12757205_29aa5934-5055-4376-9e38-33e61925f191.json | N/A | N/A | N/A | N/A | N/A | JQS284W10343 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-08-31 | 040 | CAMCRWP0 | N/A | MP | false | VACA | N/A | STEVEN | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886060824 | N/A | N/A | 9258711 | 2222 | 4801 | 13020430 | 4184 | 7768967 | 2025-09-28 02:39:34.900181 | 2025-09-17 16:11:31.615033 |
| 2025-09-27 08:05:45.306934 | 2025-09-28 08:25:25.850743 | 12757092 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12757092 | Athletic Physical Therapy Inc | 1962-12-07 | 2025-09-30 | M | AE | PT | ARBIOS | 96108473G22250 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110442279.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9520332/check_12757092_0090aa01-5137-47fd-86b5-0c681d58e85a.json | N/A | N/A | N/A | N/A | N/A | 96108473G22250 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1962-12-07 | N/A | N/A | N/A | N/A | false | ARBIOS | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886069534 | N/A | N/A | 9520332 | 2222 | 4801 | 13031405 | N/A | 7962330 | 2025-09-28 08:25:25.850743 | 2025-09-18 21:29:23.037607 |
| 2025-09-27 08:05:37.503607 | 2025-09-28 08:17:09.486489 | 12756994 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12756994 | Athletic Physical Therapy Inc | 1959-04-22 | 2025-09-30 | F | AE | PT | MATHESON | 00000433752 | JANET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110442279.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9511696/check_12756994_bc50f2c9-a5eb-4d83-9e4a-734a87d64ac6.json | N/A | N/A | N/A | N/A | N/A | 00000433752 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-04-22 | N/A | N/A | N/A | N/A | false | MATHESON | N/A | JANET | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886069495 | N/A | N/A | 9511696 | 2222 | 4801 | 13030529 | 2630 | 7954244 | 2025-09-28 08:17:09.486489 | 2025-09-29 18:15:39.145358 |
| 2025-09-27 08:05:21.859985 | 2025-09-28 02:39:32.529858 | 12756789 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12756789 | Athletic Physical Therapy Inc | 1977-05-14 | 2025-09-30 | F | PT | N/A | HONG | FBJ2963169M | Xi Angela | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9213662/check_12756789_1eebc392-1e55-4e1f-95ec-e3297f32dd5d.json | N/A | N/A | N/A | N/A | N/A | FBJ2963169M | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1977-05-14 | N/A | N/A | N/A | N/A | false | HONG | N/A | XI ANGELA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886061847 | N/A | N/A | 9213662 | 2222 | 4793 | 13020425 | N/A | 7729036 | 2025-09-28 02:39:32.529858 | 2025-09-19 20:26:46.976508 |
| 2025-09-27 08:05:20.172296 | 2025-09-28 02:39:31.219422 | 12756768 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12756768 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-09-30 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_12756768_ed256ec1-86d4-4eba-a74b-686cd9855535.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886061842 | N/A | N/A | 9194927 | 2222 | 4793 | 13020422 | 4184 | 7712549 | 2025-09-28 02:39:31.219422 | 2025-09-10 17:29:28.945035 |
| 2025-09-27 08:05:15.465145 | 2025-09-28 08:19:50.969511 | 12756704 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12756704 | Athletic Physical Therapy Inc | 1968-12-01 | 2025-09-29 | F | PT | N/A | BECERRA | CZCAN2537305 | BLANCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110442279.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9487590/check_12756704_301f9c47-5fa6-48ba-96d8-8b0ffcb6e42b.json | N/A | N/A | N/A | N/A | N/A | CZCAN2537305 | Preferred Provider Organization (PPO) | PPO W/BLUE DISTINCTION W/AIM FTR GOLD | BLUE SHIELD OF CALIFORNIA | N/A | 1968-12-01 | 060 | 270196M71A | N/A | PR | false | BECERRA | N/A | JAIME | N/A | 9999-12-31 | 2022-01-01 | CT BLUE CARD PREFERRED PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886069227 | N/A | N/A | 9487590 | 2222 | 4793 | 13030848 | N/A | 7937217 | 2025-09-28 08:19:50.969511 | 2025-09-26 14:34:41.732941 |
| 2025-09-27 08:04:47.681754 | 2025-09-28 02:25:34.745632 | 12756380 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12756380 | Athletic Physical Therapy Inc | 1972-01-18 | 2025-09-30 | F | AE | PT | EDELMAN | 10958328801 | MARINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104367/check_12756380_4855af02-4f85-4c91-b9ca-65a7dd2eb377.json | N/A | N/A | N/A | N/A | N/A | 10958328801 | N/A | TIXR, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1972-01-18 | N/A | 00651893 | N/A | N/A | false | EDELMAN | N/A | MARINA | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886062045 | N/A | N/A | 9104367 | 2222 | 4793 | 13018783 | N/A | 7624210 | 2025-09-28 02:25:34.745632 | 2025-12-10 17:00:45.860910 |
| 2025-09-27 08:04:11.060917 | 2025-09-28 02:19:03.385243 | 12755994 | N/A | N/A | 60054 | Aetna | 1114042165 | 12755994 | Athletic Physical Therapy Inc | 1992-08-27 | 2025-09-30 | F | AE | PT | FINLEY | W28806254401 | MICHAELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9081026/check_12755994_9dbdce0a-5ac5-4e0f-b4c1-8eeb646bdf87.json | N/A | N/A | N/A | N/A | N/A | W288062544 | Health Maintenance Organization (HMO) | BARRETT BUSINESS SERVICES, INC. | AETNA | N/A | 1992-08-27 | EAC4D303 | 019472903500025 | N/A | HM | false | FINLEY | N/A | MICHAELA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886061616 | N/A | N/A | 9081026 | 2222 | 4801 | 13016154 | N/A | 7597485 | 2025-09-28 02:19:03.385243 | 2025-09-04 15:52:15.446146 |
| 2025-09-27 08:04:10.373539 | 2025-09-28 08:26:58.196313 | 12755981 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12755981 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-09-30 | F | AE | PT | STARK | 5T98ME7EA67 | CHERYL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110442279.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449995/check_12755981_c48e816e-6a5c-4b14-8be3-08a99c0f9dd2.json | N/A | N/A | N/A | N/A | N/A | 5T98ME7EA67 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-07 | S4802 | N/A | N/A | MB | false | STARK | N/A | CHERYL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886068277 | N/A | N/A | 9449995 | 2222 | 4793 | 13031572 | N/A | 7905968 | 2025-09-28 08:26:58.196313 | 2025-09-22 17:53:24.196861 |
| 2025-09-27 08:03:51.842766 | 2025-09-28 03:08:47.532947 | 12755776 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12755776 | Athletic Physical Therapy Inc | 1960-05-09 | 2025-09-30 | F | AE | PT | NAIM | 2TU4ET4KM92 | MANIJEH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9064355/check_12755776_f3c22ffa-afce-4fb6-a901-e4ce54d5574b.json | N/A | N/A | N/A | N/A | N/A | 2TU4ET4KM92 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-05-09 | S5617 | N/A | N/A | MB | false | NAIM | N/A | MANIJEH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886061292 | N/A | N/A | 9064355 | 2222 | 4802 | 13023269 | N/A | 7579800 | 2025-09-28 03:08:47.532947 | 2025-09-03 19:21:43.349664 |
| 2025-09-27 08:03:51.112584 | 2025-09-28 02:23:53.836073 | 12755769 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 12755769 | Athletic Physical Therapy Inc | 1952-07-05 | 2025-09-29 | F | AE | PT | HUYNH | 9100461101 | KIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063890/check_12755769_508ac1fb-cd8c-4547-979f-1b2eb70884e9.json | N/A | N/A | N/A | N/A | N/A | 9100461101 | N/A | N/A | HUMANA | N/A | N/A | N/A | N/A | N/A | N/A | false | HUYNH | N/A | KIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886061288 | N/A | N/A | 9063890 | 2222 | 4793 | 13018090 | N/A | 7579259 | 2025-09-28 02:23:53.836073 | 2025-09-04 15:42:09.086707 |
| 2025-09-27 08:03:49.604061 | 2025-09-28 02:39:33.783878 | 12755757 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12755757 | Athletic Physical Therapy Inc | 1942-11-10 | 2025-09-30 | F | PT | N/A | SILBERSTEIN | XDL721A53829 | ANITA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063299/check_12755757_ca4cd4cc-af70-4721-8841-e19b767686cd.json | N/A | N/A | N/A | N/A | N/A | XDL721A53829 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1942-11-10 | 040 | H06200 | N/A | PR | false | SILBERSTEIN | N/A | ANITA | N/A | 9999-12-31 | 2018-03-01 | PPO SHARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886061282 | N/A | N/A | 9063299 | 2222 | 4802 | 13020427 | N/A | 7578102 | 2025-09-28 02:39:33.783878 | 2025-09-09 18:13:04.525434 |
| 2025-09-27 08:03:48.050350 | 2025-09-28 03:18:03.390818 | 12755741 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12755741 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-09-30 | F | AE | PT | GARRETT | 3EJ1R73ND18 | KATHLEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112133474.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714932/check_12755741_b03ceb75-abe9-48e4-83d9-3acf8f6e127f.json | N/A | N/A | N/A | N/A | N/A | 3EJ1R73ND18 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-16 | S5601 | N/A | N/A | MA | false | GARRETT | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886138564 | N/A | N/A | 6714932 | 2222 | 4793 | 13024580 | N/A | 5316176 | 2025-09-28 03:18:03.390818 | 2025-07-01 18:44:12.927482 |
| 2025-09-27 08:03:35.787232 | 2025-09-28 03:08:48.968121 | 12755618 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12755618 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-09-30 | M | AE | PT | SAWAYA | 3R88YH3MG32 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033458/check_12755618_346d3974-3a04-4771-afbc-41197558a1cc.json | N/A | N/A | N/A | N/A | N/A | 3R88YH3MG32 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-10-02 | S9701 | N/A | N/A | MA | false | SAWAYA | N/A | PETER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886060695 | N/A | N/A | 9033458 | 2222 | 4802 | 13023271 | N/A | 7553607 | 2025-09-28 03:08:48.968121 | 2025-09-02 22:55:04.873891 |
| 2025-09-27 08:03:30.357309 | 2025-09-28 03:03:20.608623 | 12755569 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12755569 | Athletic Physical Therapy Inc | 1935-11-26 | 2025-09-30 | F | AE | PT | MCCANN | 9Q04X31JA99 | JOSEPHINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141017876.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7760463/check_12755569_97320380-b3c7-44ec-805c-3bddd87af2e7.json | N/A | N/A | N/A | N/A | N/A | 9Q04X31JA99 | N/A | N/A | CMS | N/A | 1935-11-26 | N/A | N/A | N/A | N/A | false | MCCANN | N/A | JOSEPHINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886279526 | N/A | N/A | 7760463 | 2222 | 4801 | 13022673 | N/A | 6609924 | 2025-09-28 03:03:20.608623 | 2025-08-12 22:04:05.464362 |
| 2025-09-27 08:03:29.222821 | 2025-09-28 02:42:20.323353 | 12755560 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12755560 | Athletic Physical Therapy Inc | 1981-02-22 | 2025-09-29 | M | PT | N/A | WALKOW | XEK906265328 | RYAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9024389/check_12755560_b3632b58-1122-4054-bdcf-beb607c055b8.json | N/A | N/A | N/A | N/A | N/A | XEK906265328 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1981-02-22 | 2001ZK002189 | X0001000 | N/A | PR | false | WALKOW | N/A | RYAN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886061064 | N/A | N/A | 9024389 | 2222 | 4793 | 13020686 | N/A | 7546770 | 2025-09-28 02:42:20.323353 | 2025-09-09 02:40:35.718380 |
| 2025-09-27 08:03:20.542606 | 2025-09-28 02:19:06.150759 | 12755475 | N/A | N/A | 60054 | Aetna | 1114042165 | 12755475 | Athletic Physical Therapy Inc | 1975-03-04 | 2025-09-30 | F | AE | PT | SCHAFFER | W25054420 | KRISTY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9019325/check_12755475_8c5f43b2-544c-4a40-9d8b-6895d824bc0c.json | N/A | N/A | N/A | N/A | N/A | W265054420 | Point of Service (POS) | UBS FINANCIAL SERVICES INC. | AETNA | N/A | 1975-03-04 | 0880791 | 088079102500011 | N/A | PS | false | SCHAFFER | N/A | PATRICK | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886060957 | N/A | N/A | 9019325 | 2222 | 4802 | 13016171 | N/A | 7542823 | 2025-09-28 02:19:06.150759 | 2025-09-19 19:36:59.422230 |
| 2025-09-27 08:03:16.331863 | 2025-09-27 08:03:17.834342 | 12755437 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12755437 | Athletic Physical Therapy Inc | 1951-03-27 | 2025-09-30 | F | AE | PT | Jaude | JQE818A61594 | Anne | N/A | N/A | WAYSTAR | N/A | BATCH | 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 | 6125110 | 2222 | 4802 | N/A | N/A | 4767362 | 2025-09-27 08:03:17.834342 | 2025-09-19 16:49:18.601418 |
| 2025-09-27 08:02:51.421992 | 2025-09-28 05:00:38.287303 | 12755330 | N/A | N/A | 52192 | Bravo Health | 1114042165 | 12755330 | Athletic Physical Therapy Inc | 1960-05-09 | 2025-09-30 | F | AE | PT | NAIM | 20255061201 | MANIJEH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.105018721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9763430/check_12755330_ca30ac80-9d25-44bb-9cdb-bd0eb6743dcc.json | N/A | N/A | N/A | N/A | N/A | 20255061201 | N/A | N/A | BRAVO HEALTH | N/A | 1960-05-09 | N/A | N/A | N/A | N/A | false | NAIM | N/A | MANIJEH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8885978125 | N/A | N/A | 9763430 | 2222 | 4802 | 13026516 | N/A | 7579800 | 2025-09-28 05:00:38.287303 | 2025-09-03 19:21:43.349664 |
| 2025-09-27 08:02:26.434971 | 2025-09-28 05:01:06.085168 | 12755149 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12755149 | Athletic Physical Therapy Inc | 1960-05-09 | 2025-09-30 | F | AE | PT | NAIM | 90054557A | MANIJEH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.105018721.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9760554/check_12755149_61193e04-36ed-4640-95c3-1ea9b1f24392.json | N/A | N/A | N/A | N/A | N/A | 90054557A | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1960-05-09 | N/A | N/A | N/A | N/A | false | NAIM | N/A | MANIJEH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8885978012 | N/A | N/A | 9760554 | 2222 | 4802 | 13026589 | N/A | 7579800 | 2025-09-28 05:01:06.085168 | 2025-09-03 19:21:43.349664 |
| 2025-09-27 08:02:09.732006 | 2025-09-28 05:50:59.284071 | 12755047 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12755047 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-09-30 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.111836479.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_12755047_77af064e-a80e-47ae-937b-8f025112c2b5.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886133039 | N/A | N/A | 5568076 | 2222 | 4802 | 13027264 | N/A | 4209480 | 2025-09-28 05:50:59.284071 | 2026-04-10 02:05:15.976484 |
| 2025-09-27 07:57:41.545686 | 2025-09-27 07:57:44.436287 | 12754963 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-01-29 | 2025-09-23 | N/A | PT | AE | MURPHY | NGO398A23229 | DARA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9248050/check_12754963_a5ab21a7-e543-4e25-b529-9321fc11c05d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9248050/check_12754963_38e77f09-7533-490a-a35d-13d2275bb9f2.json | N/A | N/A | N/A | N/A | N/A | NGO398A23229 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1985-01-29 | 040 | 174022MJAD | N/A | PR | false | MURPHY | N/A | SCOTT | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8885933248 | 1275 | N/A | 9248050 | 2222 | N/A | 13007387 | N/A | 6964828 | 2025-09-27 07:57:44.436287 | 2025-08-21 15:20:41.432970 |
| 2025-09-27 07:56:41.637420 | 2025-09-27 07:56:44.603547 | 12754918 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-19 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12754918_2a5d0756-de5c-46a4-bf35-9461614227c8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_12754918_e2d0e859-4acf-4414-95f3-bee5f21e687e.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | 13007343 | N/A | 4215317 | 2025-09-27 07:56:44.603547 | 2025-06-24 21:13:18.739779 |
| 2025-09-27 07:56:39.997884 | 2025-09-27 07:56:41.635064 | 12754917 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-19 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12754917_d460c9e5-e1a4-4838-aab1-63ce361cf4af.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-19 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-09-27 07:56:41.635064 | 2025-06-24 21:13:18.739779 |
| 2025-09-27 07:56:37.885189 | 2025-09-27 07:56:39.728366 | 12754916 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-19 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12754916_07d858a7-333e-4402-b144-4e8b60102900.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_12754916_99d69cce-60c9-49dc-a4f7-54835178e970.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | 13007341 | N/A | 4215317 | 2025-09-27 07:56:39.728366 | 2025-06-24 21:13:18.739779 |
| 2025-09-27 07:56:35.189044 | 2025-09-27 07:56:37.881898 | 12754914 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-19 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12754914_f233a5dd-3bf7-4748-8908-87083e49f9dd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-19 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-09-27 07:56:37.881898 | 2025-06-24 21:13:18.739779 |
| 2025-09-27 07:56:31.982886 | 2025-09-27 07:56:34.847896 | 12754910 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-19 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12754910_b12bf2e7-bbd2-4b64-b08f-9eb83455ffa5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_12754910_f602ad2f-c75f-4a02-942c-a7dff833a8b3.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | 13007334 | N/A | 4215317 | 2025-09-27 07:56:34.847896 | 2025-06-24 21:13:18.739779 |
| 2025-09-27 07:56:30.247602 | 2025-09-27 07:56:31.979773 | 12754907 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-19 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12754907_cc79e5b2-eb1d-4b68-aeab-64711c6bc8b9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-19 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-09-27 07:56:31.979773 | 2025-06-24 21:13:18.739779 |
| 2025-09-27 07:55:53.869927 | 2025-09-27 07:56:02.055804 | 12754856 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-11-14 | 2025-09-23 | N/A | PT | AE | IOANNOU | PAS839113807 | PENELOPE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8188738/check_12754856_99fb0760-4543-4d97-b73f-a41bf73e8ada.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8188738/check_12754856_c7a87e87-6e08-429c-9486-114b1fc822a6.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | CUSTOMER SERVICE | N/A | 2012-11-14 | N/A | 152010 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 9999-12-31 | 2018-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8885920781 | 1275 | N/A | 8188738 | 2222 | N/A | 13007282 | N/A | 5237460 | 2025-09-27 07:56:02.055804 | 2025-07-24 16:59:54.908041 |
| 2025-09-27 07:54:57.306500 | 2025-09-27 07:55:00.602840 | 12754794 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-01 | 2025-09-22 | N/A | PT | AE | TOOCH | JPU633M84536 | PETER | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8460242/check_12754794_f2f63948-f651-4bb6-94bd-52163006fff1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8460242/check_12754794_8038d38d-b880-4360-a5b3-a1b6a99e0d1d.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | ANTHEM BLUE CROSS | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8885916800 | 1275 | N/A | 8460242 | 2222 | N/A | 13007222 | N/A | 4211227 | 2025-09-27 07:55:00.602840 | 2025-05-13 04:29:37.225625 |
| 2025-09-27 07:53:58.290465 | 2025-09-27 07:54:01.203253 | 12754737 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12754737_3975d83f-46e0-4d22-9348-0af0f8923a38.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_12754737_716b2f54-91bf-4859-993a-0d0be1c90c69.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | 13007167 | N/A | 4215317 | 2025-09-27 07:54:01.203253 | 2025-06-24 21:13:18.739779 |
| 2025-09-27 07:53:55.535551 | 2025-09-27 07:53:58.287745 | 12754732 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12754732_47f9196c-d98d-4f21-b7b2-b73a578ea955.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-09-27 07:53:58.287745 | 2025-06-24 21:13:18.739779 |
| 2025-09-27 07:53:53.022568 | 2025-09-27 07:53:54.954431 | 12754728 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6578550/check_12754728_f5552f07-7853-4cd5-bb95-65d0c136cee2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6578550/check_12754728_1c207785-50f1-4977-be1e-495e1555b8b7.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 6578550 | 2222 | N/A | 13007157 | N/A | 5198354 | 2025-09-27 07:53:54.954431 | 2025-06-24 21:09:14.654827 |
| 2025-09-27 07:53:51.292901 | 2025-09-27 07:53:53.018969 | 12754725 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12754725_5fc1e025-ab3c-4895-bca4-f0dccfd3a192.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-09-27 07:53:53.018969 | 2025-06-24 21:13:18.739779 |
| 2025-09-27 07:53:48.890143 | 2025-09-27 07:53:50.846682 | 12754722 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12754722_12e42e79-0228-4449-86b3-a8072ed8b0a4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_12754722_f7306e7c-729d-4e4b-8695-0a03bccb7246.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | 13007150 | N/A | 4215317 | 2025-09-27 07:53:50.846682 | 2025-06-24 21:13:18.739779 |
| 2025-09-27 07:53:46.158510 | 2025-09-27 07:53:48.886796 | 12754718 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12754718_e2541c50-18ce-48c6-a9b0-18272d504593.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-09-27 07:53:48.886796 | 2025-06-24 21:13:18.739779 |
| 2025-09-27 07:53:44.181486 | 2025-09-27 07:53:47.099345 | 12754715 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-15 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12754715_22f0321b-7383-4bc3-a82a-a4b3c0116092.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_12754715_2923feea-3530-48aa-a444-837aa81cc41c.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | 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 | 7632728 | 2222 | N/A | 13007144 | N/A | 4215317 | 2025-09-27 07:53:47.099345 | 2025-06-24 21:13:18.739779 |