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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-23 16:24:06.335310 | 2025-09-23 16:24:09.618662 | 12627709 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-04-03 | 2025-09-26 | M | AE | PT | IASCONE | 960990032400 | CRAIG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539761/check_12627709_d1f1105d-6472-496b-a375-735e2fdb7a3c.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539761/check_12627709_2ba4d027-3141-4813-95de-2620a01b0b4e.json | N/A | N/A | N/A | N/A | N/A | 960990324 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1956-04-03 | N/A | 74134 | N/A | N/A | false | IASCONE | N/A | CRAIG | 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 | 5539761 | 2222 | N/A | 12876580 | N/A | 4212022 | 2025-09-23 16:24:09.618662 | 2025-05-13 04:29:37.226346 |
| 2025-09-23 16:24:03.655712 | 2025-09-23 16:24:09.192233 | 12627706 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-05-29 | 2025-09-26 | F | AE | PT | CORNELISON | 990430252 | ASHLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539453/check_12627706_875eb207-9898-48ae-8554-6c80245d5194.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539453/check_12627706_e55bcc69-7d81-49a8-8164-e0c623c694d1.json | N/A | N/A | N/A | N/A | N/A | 990430252 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1996-05-29 | N/A | 928077 | N/A | N/A | false | CORNELISON | N/A | ASHLEY | 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 | 5539453 | 2222 | N/A | 12876577 | N/A | 4211755 | 2025-09-23 16:24:09.192233 | 2025-05-13 04:29:37.226075 |
| 2025-09-23 16:18:18.922655 | 2025-09-23 16:18:23.705856 | 12627051 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-08-17 | 2025-09-23 | F | AE | PT | RUEMMELE | 17940949900 | MAKENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874412/check_12627051_5e2428c8-5019-4184-9de2-b80a3a36f9dc.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874412/check_12627051_3d23af41-fc53-4b3c-9a1a-d40f433dd684.json | N/A | N/A | N/A | N/A | N/A | 17940949902 | N/A | N/A | UnitedHealthcare Insurance Company | N/A | 2013-08-17 | N/A | 1685837 | N/A | N/A | false | Ruemmele | N/A | Makena | 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 | 5874412 | 2222 | N/A | 12875986 | N/A | 4534546 | 2025-09-23 16:18:23.705856 | 2025-12-03 00:06:29.870228 |
| 2025-09-23 16:08:50.792450 | 2025-09-23 16:09:27.770514 | 12626474 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-11-26 | 2025-09-25 | M | AE | PT | COHEN | 00522745401 | JEFFREY | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9256904/check_12626474_9b9ffaed-dc96-4d04-ac34-12acb0d14dbb.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-09-25 | N/A | N/A | N/A | N/A | N/A | N/A | 00522745401 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9256904 | 2222 | N/A | N/A | N/A | 7767834 | 2025-09-23 16:09:27.770514 | 2025-09-11 00:43:19.781163 |
| 2025-09-23 16:05:49.962740 | 2025-09-23 16:06:27.068981 | 12626237 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-09-23 | F | AE | PT | YUNG | 00854676304 | MAYA | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_12626237_e498d339-663d-48e5-9905-dba714453171.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-09-23 | 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 | 2025-09-23 16:06:27.068981 | 2025-05-13 04:29:37.229495 |
| 2025-09-23 16:00:08.136664 | 2025-09-23 16:00:13.748515 | 12625842 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-04-03 | 2025-09-24 | M | AE | PT | AZZARELLO | 30915151611 | ROBERT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8969669/check_12625842_d344a595-88ef-4847-892c-ef06723db28c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969669/check_12625842_81c51b10-b129-4aa5-a0a7-b180e0343faf.json | N/A | N/A | N/A | N/A | N/A | 309151516 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1948-04-03 | N/A | N/A | N/A | N/A | false | AZZARELLO | 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 | N/A | N/A | N/A | 8969669 | 2222 | N/A | 12874933 | N/A | 7485287 | 2025-09-23 16:00:13.748515 | 2025-09-08 18:37:29.958004 |
| 2025-09-23 16:00:02.414563 | 2025-09-23 16:00:08.131816 | 12625828 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-04-03 | 2025-09-24 | M | AE | PT | AZZARELLO | 30915151611 | ROBERT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8969669/check_12625828_562db83a-4114-42e0-9d2b-f113327dda32.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-24 | N/A | N/A | N/A | N/A | N/A | N/A | 309151516 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1948-04-03 | N/A | N/A | N/A | N/A | false | AZZARELLO | 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 | N/A | N/A | N/A | 8969669 | 2222 | N/A | N/A | N/A | 7485287 | 2025-09-23 16:00:08.131816 | 2025-09-08 18:37:29.958004 |
| 2025-09-23 15:59:59.968568 | 2025-09-23 16:00:00.445180 | 12625823 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-04-03 | 2025-09-24 | M | AE | PT | AZZARELLO | 30915151611 | ROBERT | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-24 | 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 | 8969663 | 2222 | N/A | N/A | N/A | 7485287 | 2025-09-23 16:00:00.445180 | 2025-09-08 18:37:29.958004 |
| 2025-09-23 15:58:37.046245 | 2025-09-23 15:58:47.223171 | 12625634 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-09-26 | F | AE | PT | FABER | 331524986-11 | LINDA | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522948/check_12625634_d76d30ef-fab4-47fe-a37f-b49e6eb67298.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522948/check_12625634_839a53e7-4467-4417-bef3-49e426cea61a.json | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522948 | 2222 | N/A | 12874767 | N/A | 5146127 | 2025-09-23 15:58:47.223171 | 2025-06-20 17:58:23.371130 |
| 2025-09-23 15:58:33.098625 | 2025-09-23 15:58:37.040959 | 12625624 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-09-26 | F | AE | PT | FABER | 331524986-11 | LINDA | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522948/check_12625624_c0263425-fc85-4758-8280-aee438a8320d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-26 | N/A | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522948 | 2222 | N/A | N/A | N/A | 5146127 | 2025-09-23 15:58:37.040959 | 2025-06-20 17:58:23.371130 |
| 2025-09-23 15:58:30.593770 | 2025-09-23 15:58:31.090392 | 12625619 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-09-26 | F | AE | PT | FABER | 331524986-11 | LINDA | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522947 | 2222 | N/A | N/A | N/A | 5146127 | 2025-09-23 15:58:31.090392 | 2025-06-20 17:58:23.371130 |
| 2025-09-23 15:58:14.630975 | 2025-09-23 15:58:22.052580 | 12625597 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-09-26 | M | AE | PT | STEIN | 317801903-11 | DONALD | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538579/check_12625597_0cce1a98-91c6-49d8-a3af-4c2e7b3f6b82.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538579/check_12625597_72201be3-845e-4263-8904-397887c7de91.json | N/A | N/A | N/A | N/A | N/A | 317801903 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1943-07-22 | N/A | N/A | N/A | N/A | false | STEIN | N/A | DONALD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538579 | 2222 | N/A | 12874735 | N/A | 4210984 | 2025-09-23 15:58:22.052580 | 2025-08-15 17:42:50.500189 |
| 2025-09-23 15:58:11.700138 | 2025-09-23 15:58:21.831931 | 12625594 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-09-13 | 2025-09-26 | M | AE | PT | DERR | 353354100-11 | DENNIS | 6397 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_12625594_585c2334-35dc-4adb-b2da-ced340e2ad5c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_12625594_b7339d4b-e726-436f-acf8-5a542f98daa5.json | N/A | N/A | N/A | N/A | N/A | 353354100 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-09-28 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | 12874734 | N/A | 4534550 | 2025-09-23 15:58:21.831931 | 2025-10-15 18:36:58.255255 |
| 2025-09-23 15:58:08.970397 | 2025-09-23 15:58:14.627261 | 12625589 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-09-26 | M | AE | PT | STEIN | 317801903-11 | DONALD | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538579/check_12625589_309af857-6a30-4c1f-82a5-e2ec340dba97.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-26 | N/A | N/A | N/A | N/A | N/A | N/A | 317801903 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1943-07-22 | N/A | N/A | N/A | N/A | false | STEIN | N/A | DONALD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538579 | 2222 | N/A | N/A | N/A | 4210984 | 2025-09-23 15:58:14.627261 | 2025-08-15 17:42:50.500189 |
| 2025-09-23 15:58:06.313611 | 2025-09-23 15:58:06.980718 | 12625582 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-09-26 | M | AE | PT | STEIN | 317801903-11 | DONALD | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-26 | 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 | 5538579 | 2222 | N/A | N/A | N/A | 4210984 | 2025-09-23 15:58:06.980718 | 2025-08-15 17:42:50.500189 |
| 2025-09-23 15:58:04.314049 | 2025-09-23 15:58:11.691100 | 12625575 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-09-13 | 2025-09-26 | M | AE | PT | DERR | 353354100-11 | DENNIS | 6397 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_12625575_75ed6daf-70cc-43df-9158-5ae3c5498f86.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-26 | N/A | N/A | N/A | N/A | N/A | N/A | 353354100 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-09-28 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | N/A | N/A | 4534550 | 2025-09-23 15:58:11.691100 | 2025-10-15 18:36:58.255255 |
| 2025-09-23 15:58:01.313581 | 2025-09-23 15:58:01.814580 | 12625570 | N/A | N/A | 87726 | UNITEDHEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-09-13 | 2025-09-26 | M | AE | PT | DERR | 353354100-11 | DENNIS | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | N/A | N/A | 4534550 | 2025-09-23 15:58:01.814580 | 2025-10-15 18:36:58.255255 |
| 2025-09-23 15:51:57.232255 | 2025-09-23 15:52:05.676018 | 12624942 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-09-14 | 2025-09-26 | M | AE | PT | Luthra | 70548686400 | Rahil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9415757/check_12624942_8aed3129-3414-41ef-a3e9-46e8a2fa3d2b.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415757/check_12624942_39c301bb-b86a-4ad5-8360-00270e846e55.json | N/A | N/A | N/A | N/A | N/A | 70548686400 | N/A | N/A | UnitedHealthcare Benefits Plan of California | N/A | 2005-09-14 | N/A | 1727199 | N/A | N/A | false | LUTHRA | N/A | RAHIL | 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 | 9415757 | 2222 | N/A | 12874188 | N/A | 7884645 | 2025-09-23 15:52:05.676018 | 2025-09-23 18:47:24.441583 |
| 2025-09-23 15:49:23.202231 | 2025-09-23 15:49:32.465384 | 12624798 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-01-07 | 2025-09-26 | F | AE | PT | BUCHLER | 941436830 | Miroslava | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9277476/check_12624798_c21e2fd7-ec90-4067-9995-c0e337369f62.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9277476/check_12624798_18a8768e-3254-4838-a33f-fcfc3aea7e41.json | N/A | N/A | N/A | N/A | N/A | 941436830 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1976-01-07 | N/A | 701444 | N/A | N/A | false | BUCHLER | N/A | MIROSLAVA | 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 | 9277476 | 2222 | N/A | 12874064 | N/A | 7785772 | 2025-09-23 15:49:32.465384 | 2025-09-16 03:06:31.754909 |
| 2025-09-23 15:48:52.864872 | 2025-09-23 15:48:56.753390 | 12624773 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-02-06 | 2025-09-25 | F | AE | PT | SHIN | Y19071902 | YOUNGJEE | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253623/check_12624773_3e434b5d-d1fa-4810-b786-914ce1652bc7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253623/check_12624773_ef80a3aa-9162-4af5-88d8-e6947ccfe99d.json | N/A | N/A | N/A | N/A | N/A | Y19071902 | N/A | AMERICAN HONDA MOTOR CO., INC. | UMR | N/A | 1984-02-06 | 767008412885004 | 76412885 | N/A | N/A | false | SHIN | N/A | YOUNGJEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8856564512 | N/A | N/A | 9253623 | 2222 | N/A | 12874034 | N/A | 7764420 | 2025-09-23 15:48:56.753390 | 2025-09-10 00:08:26.272793 |
| 2025-09-23 15:48:50.979180 | 2025-09-23 15:48:51.356717 | 12624772 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-02-06 | 2025-09-25 | F | AE | PT | SHIN | Y19071902 | YOUNGJEE | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-25 | 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 | 9253623 | 2222 | N/A | N/A | N/A | 7764420 | 2025-09-23 15:48:51.356717 | 2025-09-10 00:08:26.272793 |
| 2025-09-23 15:34:32.058229 | 2025-09-23 15:34:36.041923 | 12623326 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-08-12 | 2025-09-26 | M | AE | PT | MILLER | Y21933352 | MATTHEW | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554009/check_12623326_680f7281-266e-4c18-b063-bfd0e9c6dd4b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554009/check_12623326_1d967c62-f9fe-4802-954b-afdcd8a190ee.json | N/A | N/A | N/A | N/A | N/A | Y21933352 | N/A | AMERICAN ORTHODONTICS CORPORATION | UMR | N/A | 1988-08-12 | 767000410285001 | 76410285 | N/A | N/A | false | MILLER | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8856374113 | N/A | N/A | 6554009 | 2222 | N/A | 12872731 | N/A | 5177173 | 2025-09-23 15:34:36.041923 | 2025-06-23 20:51:27.090412 |
| 2025-09-23 15:34:29.770283 | 2025-09-23 15:34:30.202040 | 12623323 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-08-12 | 2025-09-26 | M | AE | PT | MILLER | Y21933352 | MATTHEW | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-26 | 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 | 6554009 | 2222 | N/A | N/A | N/A | 5177173 | 2025-09-23 15:34:30.202040 | 2025-06-23 20:51:27.090412 |
| 2025-09-23 15:33:18.650888 | 2025-09-23 15:33:25.198557 | 12623246 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-02-03 | 2025-09-26 | F | AE | PT | MCKAY | 93518017100 | JEANNETTE | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398744/check_12623246_b3702903-d701-45cc-ba14-1c2d4f2e70f9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398744/check_12623246_2c6951e1-fb67-42b9-960b-25de4268a47f.json | N/A | N/A | N/A | N/A | N/A | 935180171 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1953-02-03 | N/A | 15725 | N/A | PR | false | MCKAY | N/A | JEANNETTE | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8856359518 | N/A | N/A | 6398744 | 2222 | N/A | 12872676 | N/A | 5046297 | 2025-09-23 15:33:25.198557 | 2025-06-17 15:15:28.403654 |
| 2025-09-23 15:33:13.173112 | 2025-09-23 15:33:13.528706 | 12623239 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-02-03 | 2025-09-26 | F | AE | PT | MCKAY | 93518017100 | JEANNETTE | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-26 | 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 | 6398744 | 2222 | N/A | N/A | N/A | 5046297 | 2025-09-23 15:33:13.528706 | 2025-06-17 15:15:28.403654 |
| 2025-09-23 15:30:41.096284 | 2025-09-23 15:30:41.101899 | 12623138 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-06-19 | 2025-09-26 | F | AE | PT | BRENNAN | 98041884500 | DANA | 6411 | N/A | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-26 | 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 | 5542465 | 2222 | N/A | N/A | N/A | 4214375 | 2025-09-23 15:30:41.101899 | 2025-05-13 04:29:37.228698 |
| 2025-09-23 15:30:35.896778 | 2025-09-23 15:30:45.024598 | 12623131 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-08-14 | 2025-09-26 | F | AE | PT | LIN | G44715088 | JESSICA | 21981 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541550/check_12623131_275fbcc5-30de-426d-98b5-1452827eb7f6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541550/check_12623131_fb4b02ef-d67a-43f5-b710-cb9b33d1c0d2.json | N/A | N/A | N/A | N/A | N/A | G44715088 | N/A | G.E.H.A MEDICAL FEHB/PSHB | UMR | N/A | 1985-08-14 | 767000416933003 | 76416933 | N/A | N/A | false | LIN | N/A | JESSICA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8856324147 | N/A | N/A | 5541550 | 2222 | N/A | 12872610 | N/A | 4213560 | 2025-09-23 15:30:45.024598 | 2025-05-13 04:29:37.227892 |
| 2025-09-23 15:30:29.041787 | 2025-09-23 15:30:29.586292 | 12623123 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-06-19 | 2025-09-26 | F | AE | PT | BRENNAN | 98041884500 | DANA | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-26 | 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 | 5542465 | 2222 | N/A | N/A | N/A | 4214375 | 2025-09-23 15:30:29.586292 | 2025-05-13 04:29:37.228698 |
| 2025-09-23 15:30:28.631770 | 2025-09-23 15:30:29.023593 | 12623122 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-06 | 2025-09-24 | F | AE | PT | IRIZARRY | 950883047 | BERNADETTE | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-24 | 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 | 5541827 | 2222 | N/A | N/A | N/A | 4213806 | 2025-09-23 15:30:29.023593 | 2025-05-13 04:29:37.228124 |
| 2025-09-23 15:30:28.054248 | 2025-09-23 15:30:28.384779 | 12623120 | N/A | N/A | 39026 | United Healthcare Shared Services | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-08-14 | 2025-09-26 | F | AE | PT | LIN | G44715088 | JESSICA | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-26 | 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 | 5541550 | 2222 | N/A | N/A | N/A | 4213560 | 2025-09-23 15:30:28.384779 | 2025-05-13 04:29:37.227892 |
| 2025-09-23 15:15:06.796718 | 2025-09-23 15:15:13.974587 | 12622627 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-07 | 2025-09-24 | M | AE | PT | WALLACH | 006908882 | CHARLES | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7821426/check_12622627_2488c0c3-3a20-4f41-8d47-4709fd3aa434.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7821426/check_12622627_ddb10b3e-ebd8-426f-9474-8f6815b8f78b.json | N/A | N/A | N/A | N/A | N/A | 006908882 | N/A | N/A | TRIWEST - TRICARE | N/A | 1971-12-07 | N/A | N/A | N/A | N/A | false | WALLACH | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7821426 | 2222 | N/A | 12872200 | N/A | 6660003 | 2025-09-23 15:15:13.974587 | 2026-06-01 17:03:48.982724 |
| 2025-09-23 14:25:06.269666 | 2025-09-23 14:25:42.981074 | 12621410 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-09-26 | F | AE | PT | YUNG | 00854676304 | MAYA | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_12621410_1c4be214-01bb-481c-a184-1e03f535ec9b.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 | 2025-09-23 14:25:42.981074 | 2025-05-13 04:29:37.229495 |
| 2025-09-23 14:09:17.364115 | 2025-09-23 14:09:20.367386 | 12620260 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-02-07 | 2025-09-23 | M | AE | PT | ELZAYN | AH2912772 | ANDREW | 3937 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8767675/check_12620260_8c5642a5-0d90-49d9-b836-6abc1df43a7a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8767675/check_12620260_1e4fcea5-381a-4fcd-ab50-3c7013d61f22.json | N/A | N/A | N/A | N/A | N/A | AH2912772 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1999-02-07 | 0868778 | 086877802000001 | N/A | N/A | false | ELZAYN | N/A | ANDREW | 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 | 8767675 | 2222 | N/A | 12869950 | N/A | 7383774 | 2025-09-23 14:09:20.367386 | 2025-08-28 18:43:11.156565 |
| 2025-09-23 14:09:14.436781 | 2025-09-23 14:09:17.358435 | 12620254 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-02-07 | 2025-09-23 | M | AE | PT | ELZAYN | AH2912772 | ANDREW | 3937 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8767675/check_12620254_2208eecd-a68e-4993-9c85-d78540179904.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-23 | N/A | N/A | N/A | N/A | N/A | N/A | AH2912772 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1999-02-07 | 0868778 | 086877802000001 | N/A | N/A | false | ELZAYN | N/A | ANDREW | 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 | 8767675 | 2222 | N/A | N/A | N/A | 7383774 | 2025-09-23 14:09:17.358435 | 2025-08-28 18:43:11.156565 |
| 2025-09-23 14:08:57.923732 | 2025-09-23 14:09:03.812291 | 12620236 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-10-06 | 2025-09-23 | M | PT | N/A | CRONIN | NSA00368979H | KEVIN | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9063293/check_12620236_5f268600-a193-4914-8a34-3bf93968230f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063293/check_12620236_6cf79fa0-8b1b-4253-b225-91829741ca70.json | N/A | N/A | N/A | N/A | N/A | NSA00368979H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 1951-10-06 | 040 | L05927A001 | N/A | PR | false | CRONIN | N/A | KEVIN | N/A | 9999-12-31 | 2023-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8855301961 | N/A | N/A | 9063293 | 2222 | N/A | 12869930 | N/A | 7578088 | 2025-09-23 14:09:03.812291 | 2025-09-03 18:45:56.904111 |
| 2025-09-23 14:07:25.033066 | 2025-09-23 14:07:31.676351 | 12620103 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-02-25 | 2025-09-23 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7994545/check_12620103_022af8e6-fd4b-432c-b4a0-9447488db952.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_12620103_70d0ed69-5cb8-4b5c-9475-17f98226abd4.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8855282701 | N/A | N/A | 7994545 | 2222 | N/A | 12869795 | N/A | 6802250 | 2025-09-23 14:07:31.676351 | 2025-08-11 23:58:28.358402 |
| 2025-09-23 14:04:14.296512 | 2025-09-23 14:04:18.042957 | 12619831 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-05-30 | 2025-09-23 | M | PT | N/A | RODRIGUEZ | H5Q045W16688 | ROBERTO | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6491817/check_12619831_12dd029b-d9b3-46a9-b366-706439ee1f6f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491817/check_12619831_8091c858-8979-4e8b-b7e4-b5567f3909dc.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | CHEESECAKE FACTORY EPO PLAN | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8855239330 | N/A | N/A | 6491817 | 2222 | N/A | 12869513 | N/A | 5120889 | 2025-09-23 14:04:18.042957 | 2025-06-23 18:24:54.219050 |
| 2025-09-23 14:03:20.874146 | 2025-09-23 14:03:24.038286 | 12619739 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-03-31 | 2025-09-23 | M | PT | N/A | MILES | MBL835W05431 | KEITH | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536896/check_12619739_1abc2c7c-3a05-441b-9308-8bbf3f97bc79.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_12619739_a32dd28a-589f-4ba1-8fb2-9184a2a5a55b.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8855228439 | N/A | N/A | 5536896 | 2222 | N/A | 12869418 | N/A | 4209567 | 2025-09-23 14:03:24.038286 | 2025-05-13 04:29:37.223990 |
| 2025-09-23 08:30:43.914744 | 2025-09-23 08:30:45.861950 | 12617903 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12617903_c0ba9571-5087-4177-b473-bc6f98b36387.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_12617903_e68e8f68-39c7-4b16-8744-0726efd749e7.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 | 12848645 | N/A | 4215317 | 2025-09-23 08:30:45.861950 | 2025-06-24 21:13:18.739779 |
| 2025-09-23 08:30:42.154074 | 2025-09-23 08:30:43.911319 | 12617902 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12617902_e42d87ca-9840-44d3-b368-222703e0c03a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | 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 | 2025-09-23 08:30:43.911319 | 2025-06-24 21:13:18.739779 |
| 2025-09-23 08:30:39.796943 | 2025-09-23 08:30:41.648769 | 12617901 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12617901_ef893dc1-94a0-44c3-b77f-b50de22eb95d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_12617901_7cb7451f-46a1-4991-8276-fdabc7d79f1a.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 | 12848642 | N/A | 4215317 | 2025-09-23 08:30:41.648769 | 2025-06-24 21:13:18.739779 |
| 2025-09-23 08:30:34.985652 | 2025-09-23 08:30:39.793888 | 12617900 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12617900_c3d7e5cf-7e48-472e-acb0-f6254396f3ae.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | 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 | 2025-09-23 08:30:39.793888 | 2025-06-24 21:13:18.739779 |
| 2025-09-23 08:29:56.155188 | 2025-09-23 08:30:00.313165 | 12617883 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-11-14 | 2025-09-18 | N/A | PT | AE | IOANNOU | PAS839113807 | PENELOPE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8188738/check_12617883_12721496-0689-4f19-bfa8-eda07c7cfe0b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8188738/check_12617883_dba2aaf6-b391-4b26-b37c-6b558cd756bb.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 | 8852433944 | 1275 | N/A | 8188738 | 2222 | N/A | 12848627 | N/A | 5237460 | 2025-09-23 08:30:00.313165 | 2025-07-24 16:59:54.908041 |
| 2025-09-23 08:29:41.808448 | 2025-09-23 08:29:44.889877 | 12617876 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-31 | 2025-09-17 | N/A | PT | AE | BARRERA | XEH903839121 | LOLA | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7203168/check_12617876_0b16fd5b-09e0-4356-af33-fe6a2cfc614e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7203168/check_12617876_ed0a1d46-76a8-4eec-aa27-a5bed35fef94.json | N/A | N/A | N/A | N/A | N/A | XEH903839121 | Health Maintenance Organization (HMO) | CVT MOORPARK USD | BLUE SHIELD CALIFORNIA | N/A | 1967-03-31 | 1000HMOX0005 | W0052266 | N/A | HM | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | CALIFORNIA S VALUED TRUST CUSTOM HMO 10 0 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8852431862 | 1275 | N/A | 7203168 | 2222 | N/A | 12848621 | N/A | 5230345 | 2025-09-23 08:29:44.889877 | 2025-07-11 20:32:03.183345 |
| 2025-09-23 08:29:33.467711 | 2025-09-23 08:29:39.699331 | 12617867 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-01 | 2025-09-18 | N/A | PT | AE | TOOCH | JPU633M84536 | PETER | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8460242/check_12617867_b6730931-4fad-4d1b-b914-1efafc527967.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8460242/check_12617867_d0149f01-ef16-4121-bbe0-4855266e2f89.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 | 8852430808 | 1275 | N/A | 8460242 | 2222 | N/A | 12848616 | N/A | 4211227 | 2025-09-23 08:29:39.699331 | 2025-05-13 04:29:37.225625 |
| 2025-09-23 08:28:46.649131 | 2025-09-23 08:28:48.549758 | 12617847 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12617847_80dc6f3c-d921-4192-a493-2fc2927243b4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_12617847_095aac28-00a2-4af5-b101-35bf63ca8c4b.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 | 12848593 | N/A | 4215317 | 2025-09-23 08:28:48.549758 | 2025-06-24 21:13:18.739779 |
| 2025-09-23 08:28:38.927584 | 2025-09-23 08:28:46.645697 | 12617843 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12617843_406e9371-964d-4d80-97c9-f2b5002b044a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | 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 | 2025-09-23 08:28:46.645697 | 2025-06-24 21:13:18.739779 |
| 2025-09-23 08:28:35.672227 | 2025-09-23 08:28:38.503624 | 12617840 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12617840_c91c14d3-e7db-4638-b9f4-b75ecf5f36b9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_12617840_3e798e4a-6877-4db1-bb94-df8ab0f80042.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 | 12848586 | N/A | 4215317 | 2025-09-23 08:28:38.503624 | 2025-06-24 21:13:18.739779 |
| 2025-09-23 08:28:31.758147 | 2025-09-23 08:28:35.668866 | 12617838 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-02 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12617838_87dd0d2d-4c9b-4f15-8e5a-84e423dbd2e9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | 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 | 2025-09-23 08:28:35.668866 | 2025-06-24 21:13:18.739779 |
| 2025-09-23 08:27:47.771242 | 2025-09-23 08:27:49.753631 | 12617815 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-13 | N/A | PT | AE | AZUCENA | 382516401 | ESPERANZA | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12617815_aefc6e3c-22d6-49b6-8972-8bc66e35b3be.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12617815_a5e97e09-1ea8-4b95-95f9-c8d4d953794b.json | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7504846 | 2222 | N/A | 12848560 | N/A | 4213743 | 2025-09-23 08:27:49.753631 | 2025-05-13 04:29:37.228064 |