API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-26 03:43:41.793750 | 2025-09-26 03:43:43.753065 | 12709935 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12709935_4f3b86a6-a105-4b1b-957e-635757f8b2f7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-09-26 03:43:43.753065 | 2025-05-13 04:29:37.228064 |
| 2025-09-26 03:18:48.227116 | 2025-09-26 03:18:50.068454 | 12709780 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-03-08 | 2025-09-26 | F | AE | PT | 3948 | Fulker | 123123123 | Megan | https://storage.googleapis.com/normandy-eligibility-checks/2222/6996570/check_12709780_1567659e-acb7-4f36-b05f-37fc52bf9480.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6996570/check_12709780_b5c30ef5-3513-44f4-911b-3601790eafec.json | N/A | N/A | N/A | N/A | N/A | 123123123 | N/A | N/A | AETNA INC | N/A | 1987-03-08 | N/A | N/A | N/A | N/A | false | FULKER | N/A | MEGAN | 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 | 6996570 | 2222 | N/A | 12959426 | N/A | 6016782 | 2025-09-26 03:18:50.068454 | 2025-07-14 16:56:31.587983 |
| 2025-09-26 03:18:44.370824 | 2025-09-26 03:18:48.213268 | 12709779 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-03-08 | 2025-09-26 | F | AE | PT | 3948 | Fulker | 123123123 | Megan | https://storage.googleapis.com/normandy-eligibility-checks/2222/6996570/check_12709779_ba3fb9f1-3f77-41d0-b0c0-f34ff661a778.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-09-26 | N/A | N/A | N/A | N/A | N/A | N/A | 123123123 | N/A | N/A | AETNA INC | N/A | 1987-03-08 | N/A | N/A | N/A | N/A | false | FULKER | N/A | MEGAN | 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 | 6996570 | 2222 | N/A | N/A | N/A | 6016782 | 2025-09-26 03:18:48.213268 | 2025-07-14 16:56:31.587983 |
| 2025-09-26 00:49:03.812105 | 2025-09-26 00:49:08.814899 | 12709699 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-01-04 | 2025-10-02 | F | AE | PT | 3948 | MARLEY | W032070695 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9512811/check_12709699_ab9fccf2-5faf-4989-9e90-df4a032bbbd3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9512811/check_12709699_fa493ac7-db3c-464c-b100-0876f3f0e8e8.json | N/A | N/A | N/A | N/A | N/A | W032070695 | Exclusive Provider Organization | COSTCO WHOLESALE CORPORATION | AETNA | N/A | 1960-01-04 | 0169579 | 016957901100002 | N/A | EP | false | MARLEY | N/A | MARIA | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8876172235 | N/A | N/A | 9512811 | 2222 | N/A | 12947432 | N/A | 7955514 | 2025-09-26 00:49:08.814899 | 2025-09-26 00:32:05.426711 |
| 2025-09-25 23:24:44.582323 | 2025-09-25 23:24:46.465739 | 12709190 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-10-20 | 2025-09-29 | F | AE | PT | 23304 | Huynh | 92325476F | Heidi | https://storage.googleapis.com/normandy-eligibility-checks/2222/9737213/check_12709190_4a185ff9-4453-4a5c-a008-ba394465c335.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9737213/check_12709190_bdcf8b55-4828-4ffe-9f71-2bcbe86734ef.json | N/A | N/A | N/A | N/A | N/A | 92325476F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1972-10-20 | N/A | N/A | N/A | N/A | false | HUYNH | N/A | HEIDI | 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 | 9737213 | 2222 | N/A | 12946783 | N/A | 8151631 | 2025-09-25 23:24:46.465739 | 2025-09-25 22:07:45.142805 |
| 2025-09-25 23:24:40.823510 | 2025-09-25 23:24:44.578372 | 12709188 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-10-20 | 2025-09-29 | F | AE | PT | 23304 | Huynh | 92325476F | Heidi | https://storage.googleapis.com/normandy-eligibility-checks/2222/9737213/check_12709188_3d66c79b-ff61-44e3-a75e-e17f2ecb3bc9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-29 | N/A | N/A | N/A | N/A | N/A | N/A | 92325476F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1972-10-20 | N/A | N/A | N/A | N/A | false | HUYNH | N/A | HEIDI | 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 | 9737213 | 2222 | N/A | N/A | N/A | 8151631 | 2025-09-25 23:24:44.578372 | 2025-09-25 22:07:45.142805 |
| 2025-09-25 23:23:41.200948 | 2025-09-25 23:23:43.013430 | 12709181 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-05-01 | 2025-10-01 | M | PT | N/A | 3948 | MELCHOR | NCF864A20691 | REYMUNDO | https://storage.googleapis.com/normandy-eligibility-checks/2222/9741768/check_12709181_d0be15cb-1108-43c2-a603-dc957fd9dcbe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9741768/check_12709181_79aba7c6-2778-4c8c-9710-42acda706a21.json | N/A | N/A | N/A | N/A | N/A | NCF864A20691 | N/A | N/A | AETNA INC | N/A | 1965-05-01 | N/A | N/A | N/A | N/A | false | MELCHOR | N/A | REYMUNDO | 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 | 9741768 | 2222 | N/A | 12946770 | N/A | 8155504 | 2025-09-25 23:23:43.013430 | 2025-10-01 18:38:06.401121 |
| 2025-09-25 23:23:39.521283 | 2025-09-25 23:23:41.197036 | 12709180 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-05-01 | 2025-10-01 | M | PT | N/A | 3948 | MELCHOR | NCF864A20691 | REYMUNDO | https://storage.googleapis.com/normandy-eligibility-checks/2222/9741768/check_12709180_54635fb4-de94-4c46-a949-59bcb3ae5510.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-01 | N/A | N/A | N/A | N/A | N/A | N/A | NCF864A20691 | N/A | N/A | AETNA INC | N/A | 1965-05-01 | N/A | N/A | N/A | N/A | false | MELCHOR | N/A | REYMUNDO | 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 | 9741768 | 2222 | N/A | N/A | N/A | 8155504 | 2025-09-25 23:23:41.197036 | 2025-10-01 18:38:06.401121 |
| 2025-09-25 23:21:14.990852 | 2025-09-25 23:21:16.844139 | 12709176 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-05-01 | 2025-10-01 | M | PT | N/A | 4184 | MELCHOR | NCF864A20691 | REYMUNDO | https://storage.googleapis.com/normandy-eligibility-checks/2222/9741768/check_12709176_fca7137c-dc56-4ca7-aec1-2332dd9c14eb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9741768/check_12709176_2ce7e5ce-2fc6-4c24-9ab5-59a1dfb33ef2.json | N/A | N/A | N/A | N/A | N/A | NCF864A20691 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-05-01 | N/A | N/A | N/A | N/A | false | MELCHOR | N/A | REYMUNDO | 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 | 9741768 | 2222 | N/A | 12946757 | N/A | 8155504 | 2025-09-25 23:21:16.844139 | 2025-10-01 18:38:06.401121 |
| 2025-09-25 23:21:12.295191 | 2025-09-25 23:21:14.988153 | 12709174 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-05-01 | 2025-10-01 | M | PT | N/A | 4184 | MELCHOR | NCF864A20691 | REYMUNDO | https://storage.googleapis.com/normandy-eligibility-checks/2222/9741768/check_12709174_8e4907eb-01f5-4768-a59b-32d0ee4d4b33.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-01 | N/A | N/A | N/A | N/A | N/A | N/A | NCF864A20691 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-05-01 | N/A | N/A | N/A | N/A | false | MELCHOR | N/A | REYMUNDO | 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 | 9741768 | 2222 | N/A | N/A | N/A | 8155504 | 2025-09-25 23:21:14.988153 | 2025-10-01 18:38:06.401121 |
| 2025-09-25 22:01:38.428484 | 2025-09-25 22:01:41.274620 | 12708340 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2014-05-21 | 2025-09-25 | M | PT | N/A | 4184 | CHYNOWETH | JQU148M89680 | DAMIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8027485/check_12708340_d695d42a-60c2-477d-a25d-ae024ea85960.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8027485/check_12708340_2c43c7b7-5cb6-47f7-821e-2c4f21352f03.json | N/A | N/A | N/A | N/A | N/A | JQU148M89680 | Preferred Provider Organization (PPO) | ELECTRIC POWER GROUP | ANTHEM BLUE CROSS | N/A | 2014-05-21 | 040 | 345735 | N/A | PR | false | CHYNOWETH | N/A | JOSHUA | N/A | 9999-12-31 | 2025-05-01 | ANTHEM GOLD PPO 30/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8875724169 | N/A | N/A | 8027485 | 2222 | N/A | 12945665 | N/A | 6828971 | 2025-09-25 22:01:41.274620 | 2025-09-02 17:27:57.794692 |
| 2025-09-25 21:41:21.637564 | 2025-09-25 21:41:24.689294 | 12708251 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-02-12 | 2025-09-26 | F | AE | PT | 4497 | MAJEED | 1FM5RJ6UK85 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8418047/check_12708251_689688b5-537b-4623-b0ab-ced02ddd3a56.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8418047/check_12708251_7c27ae1d-eabc-471d-851a-a255b3b64619.json | N/A | N/A | N/A | N/A | N/A | 1FM5RJ6UK85 | Medicare Part A | N/A | AETNA | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-02-12 | H0294 | N/A | N/A | MA | false | MAJEED | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8875663565 | 9482 | N/A | 8418047 | 2222 | N/A | 12945530 | N/A | 5232379 | 2025-09-25 21:41:24.689294 | 2025-07-03 16:30:13.139077 |
| 2025-09-25 21:34:26.492527 | 2025-09-25 21:34:29.416265 | 12708207 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2004-10-12 | 2025-09-30 | F | PT | N/A | 4184 | SMITH | JQU079A20315 | QUINCEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/9738262/check_12708207_cd0ba249-d5ec-4ec6-acad-3902773c4b3a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9738262/check_12708207_a8d4ceb0-7976-463e-8ae7-7c76bd9f376a.json | N/A | N/A | N/A | N/A | N/A | JQU079A20315 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | ANTHEM BLUE CROSS | N/A | 2004-10-12 | 040 | U26729 | N/A | PR | false | SMITH | N/A | CRAIG | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8875640844 | N/A | N/A | 9738262 | 2222 | N/A | 12945474 | N/A | 8152988 | 2025-09-25 21:34:29.416265 | 2025-09-25 21:29:07.638267 |
| 2025-09-25 20:32:36.972311 | 2025-09-25 20:32:39.911814 | 12707770 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-05-29 | 2025-10-16 | M | AE | PT | 5538 | KIM | 96135332F | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6917652/check_12707770_38257472-9dcd-4c29-8437-36875cb740a4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917652/check_12707770_0b04ecba-94dd-4dfe-b938-61813dded6b6.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8875285801 | 2182 | N/A | 6917652 | 2222 | N/A | 12944904 | N/A | 5949044 | 2025-09-25 20:32:39.911814 | 2025-07-08 23:15:13.625855 |
| 2025-09-25 20:32:32.924395 | 2025-09-25 20:32:35.888165 | 12707769 | N/A | N/A | SB040 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-23 | 2025-09-25 | F | PT | N/A | 23311 | BURNS | JQW418W16911 | MARY BETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8415251/check_12707769_dc952445-bacd-4dcc-9a04-c3daf6253c25.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8415251/check_12707769_c4948789-d3e4-4369-9b6d-970d51ed64b8.json | N/A | N/A | N/A | N/A | N/A | JQW418W16911 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-23 | 040 | CAMCRWP0 | N/A | MP | false | BURNS | N/A | MARY | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8875284912 | 161267 | N/A | 8415251 | 2222 | N/A | 12944903 | N/A | 4209247 | 2025-09-25 20:32:35.888165 | 2025-07-22 18:58:10.876206 |
| 2025-09-25 20:31:54.865035 | 2025-09-25 20:31:56.748321 | 12707766 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-23 | 2025-09-25 | F | PT | N/A | 23312 | BURNS | JQW418W16911 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8415251/check_12707766_b556525a-33a0-416c-8f47-3e0b358f148b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8415251/check_12707766_e67844b3-d359-40c0-8f34-bb9c6bbbc8eb.json | N/A | N/A | N/A | N/A | N/A | JQW418W16911 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1958-07-23 | N/A | N/A | N/A | N/A | false | BURNS | N/A | MARY | 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 | 161267 | N/A | 8415251 | 2222 | N/A | 12944896 | N/A | 4209247 | 2025-09-25 20:31:56.748321 | 2025-07-22 18:58:10.876206 |
| 2025-09-25 20:31:53.077131 | 2025-09-25 20:31:54.861501 | 12707765 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-23 | 2025-09-25 | F | PT | N/A | 23312 | BURNS | JQW418W16911 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8415251/check_12707765_1e101c9f-ae32-43e7-ad7b-f463d6afbf86.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-25 | N/A | N/A | N/A | N/A | N/A | N/A | JQW418W16911 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1958-07-23 | N/A | N/A | N/A | N/A | false | BURNS | N/A | MARY | 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 | 161267 | N/A | 8415251 | 2222 | N/A | N/A | N/A | 4209247 | 2025-09-25 20:31:54.861501 | 2025-07-22 18:58:10.876206 |
| 2025-09-25 20:30:52.628821 | 2025-09-25 20:30:54.520769 | 12707756 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-23 | 2025-09-25 | F | PT | N/A | 23312 | BURNS | JQW418W16911 | MARY BETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8415251/check_12707756_9681d779-0ffe-4a64-bd63-e9dd71cc2acb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8415251/check_12707756_a83caa1e-bd40-4e21-8786-c5982d0a00ea.json | N/A | N/A | N/A | N/A | N/A | JQW418W16911 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1958-07-23 | N/A | N/A | N/A | N/A | false | BURNS | N/A | MARY BETH | 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 | 161267 | N/A | 8415251 | 2222 | N/A | 12944886 | N/A | 4209247 | 2025-09-25 20:30:54.520769 | 2025-07-22 18:58:10.876206 |
| 2025-09-25 20:30:50.800349 | 2025-09-25 20:30:52.624957 | 12707755 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-23 | 2025-09-25 | F | PT | N/A | 23312 | BURNS | JQW418W16911 | MARY BETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8415251/check_12707755_0d46911b-1718-4ee6-916d-b9fe6ca49d77.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-25 | N/A | N/A | N/A | N/A | N/A | N/A | JQW418W16911 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1958-07-23 | N/A | N/A | N/A | N/A | false | BURNS | N/A | MARY BETH | 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 | 161267 | N/A | 8415251 | 2222 | N/A | N/A | N/A | 4209247 | 2025-09-25 20:30:52.624957 | 2025-07-22 18:58:10.876206 |
| 2025-09-25 19:16:09.121463 | 2025-09-25 19:16:13.951801 | 12707128 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-23 | 2025-09-25 | M | AE | PT | 3937 | Dominguez | W294409135 | Eric | https://storage.googleapis.com/normandy-eligibility-checks/2222/9063245/check_12707128_4bd8a04a-ed44-4246-8899-7d1fe698bb8e.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063245/check_12707128_0f846b1e-cd23-499f-bcfd-e4ef15a25be0.json | N/A | N/A | N/A | N/A | N/A | W294409135 | Point of Service (POS) | ZAMIC CORPORATION | AETNA | N/A | 1965-07-23 | 0255398 | 025539801000700 | N/A | PS | false | DOMINGUEZ | N/A | ERIC | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8874684110 | N/A | N/A | 9063245 | 2222 | N/A | 12944104 | N/A | 7577918 | 2025-09-25 19:16:13.951801 | 2025-09-25 19:09:12.426454 |
| 2025-09-25 19:15:49.262818 | 2025-09-25 19:15:54.228401 | 12707122 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-23 | 2025-09-25 | M | AE | PT | 3948 | Dominguez | W2944 09135 | Eric | https://storage.googleapis.com/normandy-eligibility-checks/2222/9063245/check_12707122_60965e0b-5fb8-461e-86e7-a376dc424a43.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063245/check_12707122_99f9bda9-547c-48a8-837c-20092abd5a5a.json | N/A | N/A | N/A | N/A | N/A | W294409135 | Point of Service (POS) | ZAMIC CORPORATION | AETNA | N/A | 1965-07-23 | 0255398 | 025539801000700 | N/A | PS | false | DOMINGUEZ | N/A | ERIC | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8874680934 | N/A | N/A | 9063245 | 2222 | N/A | 12944100 | N/A | 7577918 | 2025-09-25 19:15:54.228401 | 2025-09-25 19:09:12.426454 |
| 2025-09-25 18:35:44.361466 | 2025-09-25 18:35:46.275458 | 12705964 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-07-25 | 2025-09-25 | M | AE | PT | 4497 | STERN | 3VW3JQ8TH11 | WESLEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539872/check_12705964_8f8523d6-928d-4061-bdd2-23240050f090.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539872/check_12705964_8d127a27-7168-4ac0-80db-68e734c81b82.json | N/A | N/A | N/A | N/A | N/A | 3VW3JQ8TH11 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-07-25 | S5617 | N/A | N/A | MA | false | STERN | N/A | WESLEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8874425051 | N/A | N/A | 5539872 | 2222 | N/A | 12942913 | N/A | 4212117 | 2025-09-25 18:35:46.275458 | 2025-09-25 18:29:15.369906 |
| 2025-09-25 18:35:32.760380 | 2025-09-25 18:35:34.616423 | 12705962 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-07-25 | 2025-09-25 | M | AE | PT | 4497 | STERN | 3VW3JQ8TH11 | WESLEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539872/check_12705962_511f4a76-30ec-4588-ad95-e106e2ac9461.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539872/check_12705962_fad69cb6-bd48-4046-9d26-9dc601b77402.json | N/A | N/A | N/A | N/A | N/A | 3VW3JQ8TH11 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-07-25 | S5617 | N/A | N/A | MA | false | STERN | N/A | WESLEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8874423999 | N/A | N/A | 5539872 | 2222 | N/A | 12942910 | N/A | 4212117 | 2025-09-25 18:35:34.616423 | 2025-09-25 18:29:15.369906 |
| 2025-09-25 18:35:19.108888 | 2025-09-25 18:35:21.091947 | 12705959 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-07-25 | 2025-09-25 | M | AE | PT | 4497 | STERN | 3VW3JQ8TH11 | WESLEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539872/check_12705959_29f713ec-14d6-494c-a260-e1fcfaced9ef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539872/check_12705959_f9ebf522-8b36-4806-9ebb-68bb8b02d08d.json | N/A | N/A | N/A | N/A | N/A | 3VW3JQ8TH11 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-07-25 | S5617 | N/A | N/A | MA | false | STERN | N/A | WESLEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8874422051 | N/A | N/A | 5539872 | 2222 | N/A | 12942908 | N/A | 4212117 | 2025-09-25 18:35:21.091947 | 2025-09-25 18:29:15.369906 |
| 2025-09-25 18:35:06.086168 | 2025-09-25 18:35:09.486745 | 12705954 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-07-25 | 2025-09-25 | M | AE | PT | 4497 | STERN | 3VW3JQ8TH11 | WESLEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539872/check_12705954_b9869b85-0200-47a2-8260-9011b4e2b982.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539872/check_12705954_4b94d722-67ed-4e0e-afdd-762c0aae43f4.json | N/A | N/A | N/A | N/A | N/A | 3VW3JQ8TH11 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-07-25 | S5617 | N/A | N/A | MA | false | STERN | N/A | WESLEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8874419995 | N/A | N/A | 5539872 | 2222 | N/A | 12942904 | N/A | 4212117 | 2025-09-25 18:35:09.486745 | 2025-09-25 18:29:15.369906 |
| 2025-09-25 17:56:23.201298 | 2025-09-25 17:56:27.187733 | 12705396 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-10-03 | 2025-10-06 | M | PT | N/A | 4184 | RAMIREZ | Z7M7740597AB | CESAR | https://storage.googleapis.com/normandy-eligibility-checks/2222/9729132/check_12705396_08674136-9857-4b27-a806-ec53e3159644.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9729132/check_12705396_753c2328-cb8e-4145-bc45-38a221f27978.json | N/A | N/A | N/A | N/A | N/A | Z7M7740597AB | Preferred Provider Organization (PPO) | HI DED LOWER FAMILY ONLY | ANTHEM BLUE CROSS | N/A | 1968-10-03 | 241 | L11957M003 | N/A | PR | false | RAMIREZ | N/A | CESAR | N/A | 9999-12-31 | 2025-01-01 | PPO WITH MO BLUE ACCESS CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8874129656 | N/A | N/A | 9729132 | 2222 | N/A | 12942316 | N/A | 8145241 | 2025-09-25 17:56:27.187733 | 2025-09-25 17:51:33.170014 |
| 2025-09-25 16:27:06.942781 | 2025-09-25 16:27:09.139848 | 12704222 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-04 | 2025-09-25 | F | AE | PT | 3948 | Dunkerley | AHC2057583 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/9665220/check_12704222_d601d872-d1d8-4057-918a-e1b206576ecc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9665220/check_12704222_27c19ba6-07db-4cf4-ab6a-08e8db8a2d45.json | N/A | N/A | N/A | N/A | N/A | AHC2057583 | N/A | N/A | AETNA INC | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 9665220 | 2222 | N/A | 12941062 | N/A | 8086688 | 2025-09-25 16:27:09.139848 | 2026-01-15 18:07:39.869679 |
| 2025-09-25 16:27:04.063130 | 2025-09-25 16:27:06.938467 | 12704221 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-04 | 2025-09-25 | F | AE | PT | 3948 | Dunkerley | AHC2057583 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/9665220/check_12704221_0d6fdead-e534-4b94-8017-14a2cd2ed93d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-25 | N/A | N/A | N/A | N/A | N/A | N/A | AHC2057583 | N/A | N/A | AETNA INC | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 9665220 | 2222 | N/A | N/A | N/A | 8086688 | 2025-09-25 16:27:06.938467 | 2026-01-15 18:07:39.869679 |
| 2025-09-25 16:25:18.163636 | 2025-09-25 16:25:20.065263 | 12704214 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-04 | 2025-09-25 | F | AE | PT | 4497 | Dunkerley | 9N89GR7HH33 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/9665219/check_12704214_a9677f38-d82f-4b43-bf51-b24d6ebf5390.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9665219/check_12704214_a1afda10-2c28-4f66-a3ab-2cf1ec3f6e03.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 | N/A | 9487 | N/A | 9665219 | 2222 | N/A | 12941050 | N/A | 8086688 | 2025-09-25 16:25:20.065263 | 2026-01-15 18:07:39.869679 |
| 2025-09-25 16:25:11.328823 | 2025-09-25 16:25:18.160221 | 12704213 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-04 | 2025-09-25 | F | AE | PT | 4497 | Dunkerley | 9N89GR7HH33 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/2222/9665219/check_12704213_ae5b934f-b044-4548-bd3a-37e9a74f009b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-25 | N/A | 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 | N/A | 9487 | N/A | 9665219 | 2222 | N/A | N/A | N/A | 8086688 | 2025-09-25 16:25:18.160221 | 2026-01-15 18:07:39.869679 |
| 2025-09-25 16:01:35.614393 | 2025-09-25 16:01:38.046864 | 12703984 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-11-05 | 2025-10-01 | M | PT | N/A | 23312 | GAVCUS | 913959142-000 | VINCENT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9684155/check_12703984_ed967cab-569c-42a2-bacd-a4d89803677a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9684155/check_12703984_875801cd-62be-4327-a510-b8af19bb4e5b.json | N/A | N/A | N/A | N/A | N/A | 913959142-000 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1963-11-05 | N/A | N/A | N/A | N/A | false | GAVCUS | N/A | VINCENT | 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 | 9684155 | 2222 | N/A | 12940782 | N/A | 8103467 | 2025-09-25 16:01:38.046864 | 2025-09-25 15:37:09.669427 |
| 2025-09-25 16:01:33.604446 | 2025-09-25 16:01:35.601527 | 12703983 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-11-05 | 2025-10-01 | M | PT | N/A | 23312 | GAVCUS | 913959142-000 | VINCENT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9684155/check_12703983_d8d03948-2158-4b09-b4f0-b7e71a085eb4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-01 | N/A | N/A | N/A | N/A | N/A | N/A | 913959142-000 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1963-11-05 | N/A | N/A | N/A | N/A | false | GAVCUS | N/A | VINCENT | 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 | 9684155 | 2222 | N/A | N/A | N/A | 8103467 | 2025-09-25 16:01:35.601527 | 2025-09-25 15:37:09.669427 |
| 2025-09-25 15:55:30.950349 | 2025-09-25 15:55:32.951264 | 12703937 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-13 | 2025-10-07 | M | AE | PT | 4497 | DENNIS | 8ME0Y56JD14 | CECIL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536377/check_12703937_eb6d8478-efb8-4384-bbdb-36ea40178432.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536377/check_12703937_a43e47bf-ffd1-4758-9f0e-4af2ba728950.json | N/A | N/A | N/A | N/A | N/A | 8ME0Y56JD14 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-13 | S5921 | N/A | N/A | MA | false | DENNIS | N/A | CECIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8873242250 | N/A | N/A | 5536377 | 2222 | N/A | 12940723 | N/A | 4209131 | 2025-09-25 15:55:32.951264 | 2025-09-25 15:49:36.327996 |
| 2025-09-25 15:55:21.552371 | 2025-09-25 15:55:23.483616 | 12703936 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-13 | 2025-10-07 | M | AE | PT | 4497 | DENNIS | 8ME0Y56JD14 | CECIL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536377/check_12703936_f60692f4-7385-45e6-bf4f-400ca5ae51b3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536377/check_12703936_d8c01bb5-b847-4534-b59d-c64243cad548.json | N/A | N/A | N/A | N/A | N/A | 8ME0Y56JD14 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-13 | S5921 | N/A | N/A | MA | false | DENNIS | N/A | CECIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8873241181 | N/A | N/A | 5536377 | 2222 | N/A | 12940721 | N/A | 4209131 | 2025-09-25 15:55:23.483616 | 2025-09-25 15:49:36.327996 |
| 2025-09-25 15:55:00.121186 | 2025-09-25 15:55:03.153973 | 12703932 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-13 | 2025-10-07 | M | AE | PT | 4497 | DENNIS | 8ME0Y56JD14 | CECIL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536377/check_12703932_0a09c8cc-7570-4cc2-9708-519ea3d3d1a6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536377/check_12703932_7d5a36e8-e692-4e20-9396-97198f1817d1.json | N/A | N/A | N/A | N/A | N/A | 8ME0Y56JD14 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-13 | S5921 | N/A | N/A | MB | false | DENNIS | N/A | CECIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8873238712 | N/A | N/A | 5536377 | 2222 | N/A | 12940716 | N/A | 4209131 | 2025-09-25 15:55:03.153973 | 2025-09-25 15:49:36.327996 |
| 2025-09-25 14:56:51.972790 | 2025-09-25 14:56:58.147572 | 12703492 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-01-09 | 2025-09-22 | F | PT | AE | 5505 | MEISTER | 000004042289 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6518751/check_12703492_514eae8b-d5a9-4e52-8962-74a1173c48d8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6518751/check_12703492_91d9403b-4787-422a-a5cb-88819cdaff4e.json | N/A | N/A | N/A | N/A | N/A | 000004042289 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1958-01-09 | 4319864 | 101877 | N/A | N/A | false | MEISTER | N/A | JACQUELINE | N/A | N/A | N/A | KPSA SOLD TO-SOUTH KPSA SOLD TO-SOUTH | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8872791910 | 7693 | N/A | 6518751 | 2222 | N/A | 12940242 | N/A | 4766789 | 2025-09-25 14:56:58.147572 | 2025-06-04 04:12:38.642669 |
| 2025-09-25 14:06:06.510923 | 2025-09-25 14:06:11.210828 | 12703211 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-11-27 | 2025-09-25 | M | AE | PT | N/A | SHEMIAN | 975315828 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/9041184/check_12703211_b50128c9-f1d0-4a76-a98c-6e74d7bdd34b.json | UHC | N/A | APPOINTMENT_PII_CHANGE | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9041184/check_12703211_1e8f76d2-6a6d-468d-81bc-5c38cb84ed91.json | N/A | N/A | N/A | N/A | N/A | 975315828 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2000-11-27 | N/A | 184514 | N/A | N/A | false | SHEMIAN | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9041184 | 2222 | N/A | 12939953 | N/A | 7559423 | 2025-09-25 14:06:11.210828 | 2025-09-03 00:01:07.192254 |
| 2025-09-25 10:49:01.224071 | 2025-09-25 10:49:49.839427 | 12701357 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-09-26 | F | AE | PT | 6338 | YUNG | 00854676304 | MAYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_12701357_423d4980-9682-4f8d-9d33-372cf2be5f52.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-09-26 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-09-25 10:49:49.839427 | 2025-05-13 04:29:37.229495 |
| 2025-09-25 10:29:27.744242 | 2025-09-25 10:29:33.634818 | 12700223 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-12-11 | 2025-09-26 | F | AE | PT | N/A | WALKER | 902213022 | ENYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9657012/check_12700223_b1fd1059-31b0-4ae1-a96e-8886f89e39f3.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9657012/check_12700223_6c4c6037-2a78-4271-8240-37c223551a54.json | N/A | N/A | N/A | N/A | N/A | 902213022 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2002-12-11 | N/A | 700406 | N/A | N/A | false | WALKER | N/A | ENYA | 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 | 9657012 | 2222 | N/A | 12936756 | N/A | 8080003 | 2025-09-25 10:29:33.634818 | 2025-09-23 18:12:07.962326 |
| 2025-09-25 10:07:59.984583 | 2025-09-25 10:08:02.660446 | 12698464 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-07-25 | 2025-09-25 | M | AE | PT | N/A | STOTTS | 967425718 | DONTAE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7546146/check_12698464_979b9667-4488-4b70-bb62-1fdf50c58a9f.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7546146/check_12698464_ca6e20cf-82c0-492d-82ce-7a3a566521d7.json | N/A | N/A | N/A | N/A | N/A | 967425718 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1995-07-25 | N/A | 704773 | N/A | N/A | false | STOTTS | N/A | DONTAE | 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 | 7546146 | 2222 | N/A | 12935143 | N/A | 6470934 | 2025-09-25 10:08:02.660446 | 2025-07-29 20:51:08.638474 |
| 2025-09-25 10:07:11.770142 | 2025-09-25 10:07:17.079879 | 12698386 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-01-26 | 2025-09-25 | M | AE | PT | N/A | VASEF | 98235678800 | IDEAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542264/check_12698386_e8d4ad35-2d48-4a9f-a771-c7cb121b732e.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542264/check_12698386_1b1dac2a-d233-4787-a405-008567eed453.json | N/A | N/A | N/A | N/A | N/A | 98235678800 | N/A | N/A | UnitedHealthcare Insurance Company | N/A | 1985-01-26 | N/A | 1490012 | N/A | N/A | false | VASEF | N/A | IDEAN | 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 | 5542264 | 2222 | N/A | 12935074 | N/A | 4214205 | 2025-09-25 10:07:17.079879 | 2025-06-27 18:49:28.826549 |
| 2025-09-25 09:17:13.218739 | 2025-09-26 05:27:32.639447 | 12697036 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12697036 | Athletic Physical Therapy Inc | 1959-08-20 | 2025-09-26 | F | AE | PT | N/A | LANEUVILLE | MMA152W21217 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250925.120935166.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9478316/check_12697036_f0f1c6f0-17b0-493d-87a1-723488073093.json | N/A | N/A | N/A | N/A | N/A | MMA152W21217 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-08-20 | 040 | CAMCRWP0 | N/A | MP | false | LANEUVILLE | N/A | LESLIE | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8870234357 | N/A | N/A | 9478316 | 2222 | 4801 | 12961529 | N/A | 6941976 | 2025-09-26 05:27:32.639447 | 2025-09-05 19:35:59.844269 |
| 2025-09-25 09:14:44.077009 | 2025-09-26 05:27:30.300747 | 12696690 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12696690 | Athletic Physical Therapy Inc | 1966-08-31 | 2025-09-26 | F | PT | N/A | N/A | GRACE | MPI01390093Q | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250925.120935166.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9443690/check_12696690_d8da0b8c-d87f-4b90-91f4-068304387062.json | N/A | N/A | N/A | N/A | N/A | MPI01390093Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1966-08-31 | 040 | 277163M401 | N/A | PR | false | GRACE | N/A | TODD | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8870234805 | N/A | N/A | 9443690 | 2222 | 4801 | 12961528 | N/A | 7900244 | 2025-09-26 05:27:30.300747 | 2026-03-03 19:01:14.362337 |
| 2025-09-25 09:14:40.166538 | 2025-09-26 05:27:34.079781 | 12696680 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12696680 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-09-26 | F | PT | N/A | N/A | LEJANO | MMA286W10517 | MELECIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250925.120935166.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9443092/check_12696680_6209cf06-da1e-4210-935d-826f0665bec3.json | N/A | N/A | N/A | N/A | N/A | MMA286W10517 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-07-08 | 040 | CAMCRWP0 | N/A | MP | false | LEJANO | N/A | MELECIA VICTOR | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8870234796 | N/A | N/A | 9443092 | 2222 | 4801 | 12961530 | N/A | 7899425 | 2025-09-26 05:27:34.079781 | 2025-09-18 04:34:38.232559 |
| 2025-09-25 09:12:53.821135 | 2025-09-26 05:20:58.262432 | 12696514 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12696514 | Athletic Physical Therapy Inc | 1960-03-08 | 2025-09-26 | F | AE | PT | N/A | CONNER | 40068898601 | CRISTEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250925.120935166.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415234/check_12696514_17f4e4de-df78-4abd-bd21-6aef795ac051.json | N/A | N/A | N/A | N/A | N/A | 40068898601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-03-08 | 2025H5425001 | H5425M | N/A | N/A | false | CONNER | N/A | CRISTEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8870234746 | N/A | N/A | 9415234 | 2222 | 4801 | 12961335 | N/A | 7884350 | 2025-09-26 05:20:58.262432 | 2025-09-15 22:38:10.066233 |
| 2025-09-25 09:11:01.242494 | 2025-09-26 05:30:56.994620 | 12696330 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12696330 | Athletic Physical Therapy Inc | 1975-01-26 | 2025-09-26 | F | PT | N/A | N/A | LOMAX | JPU871A55010 | SHARON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250925.120935166.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9405086/check_12696330_e588b3c5-ae04-44e2-9a8d-fb491a735a2a.json | N/A | N/A | N/A | N/A | N/A | JPU871A55010 | Preferred Provider Organization (PPO) | MOOSE TOYS LLC CA/OOS | BLUE SHIELD OF CALIFORNIA | N/A | 1975-01-26 | 040 | L07716M001 | N/A | PR | false | LOMAX | N/A | SHARON | N/A | 9999-12-31 | 2025-02-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8870234681 | N/A | N/A | 9405086 | 2222 | 4793 | 12961616 | N/A | 7874246 | 2025-09-26 05:30:56.994620 | 2025-10-06 16:02:29.071757 |
| 2025-09-25 08:35:59.164425 | 2025-09-26 05:05:41.996176 | 12695385 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 12695385 | Athletic Physical Therapy Inc | 1937-04-20 | 2025-09-26 | M | AE | PT | N/A | HAUSMAN | 34751866 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250925.120935166.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_12695385_876bcfe2-6d96-4bd3-bc16-fc00e8ffb22a.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-024-000 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8870234126 | N/A | N/A | 9280203 | 2222 | 4793 | 12960813 | 6798 | 7788651 | 2025-09-26 05:05:41.996176 | 2025-09-10 18:50:22.494063 |
| 2025-09-25 08:28:06.665501 | 2025-09-25 08:28:12.961235 | 12694872 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-03-23 | 2025-09-25 | M | PT | N/A | 4184 | XIE | R8T303W09440 | XIPENG | https://storage.googleapis.com/normandy-eligibility-checks/2222/9686875/check_12694872_ee59238f-6c44-43a6-81b2-bc80d35f2569.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9686875/check_12694872_03ed28e8-3332-4069-b762-9dbc7644b869.json | N/A | N/A | N/A | N/A | N/A | R8T303W09440 | Preferred Provider Organization (PPO) | RIOT GAMES INC | ANTHEM BLUE CROSS | N/A | 1996-03-23 | 040 | 174318M2A1 | N/A | PR | false | XIE | N/A | XIPENG | N/A | 9999-12-31 | 2023-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8870052122 | N/A | N/A | 9686875 | 2222 | N/A | 12932952 | N/A | 8105852 | 2025-09-25 08:28:12.961235 | 2025-09-24 19:15:51.950591 |
| 2025-09-25 08:26:54.035207 | 2025-09-25 08:26:56.866057 | 12694712 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-08-10 | 2025-09-25 | M | PT | N/A | 4185 | DEIPOLA | JQY979A63776 | GUSTAVO | https://storage.googleapis.com/normandy-eligibility-checks/2222/9611372/check_12694712_76073790-c2bc-4c87-bc16-f095fa17ef7f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9611372/check_12694712_4a481cbf-15ec-43a7-890e-670f063c745e.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 | 8870045402 | N/A | N/A | 9611372 | 2222 | N/A | 12932812 | N/A | 8042516 | 2025-09-25 08:26:56.866057 | 2025-09-24 17:27:04.210921 |
| 2025-09-25 08:25:06.619445 | 2025-09-25 08:25:08.529833 | 12694055 | 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 | 2630 | LOPEZ | 00000393852 | ALITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12694055_9dabdfe9-3eff-42c3-9ace-cdc28f6d47ff.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_12694055_c0df518f-9ab9-4d20-b364-508a81d227ee.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 | 12932596 | N/A | 4215317 | 2025-09-25 08:25:08.529833 | 2025-06-24 21:13:18.739779 |