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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-18 03:47:29.940671 | 2025-09-18 03:47:32.067281 | 12441263 | 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_12441263_caaed0ec-a91b-4d8a-8e6c-6fca4f3eb46c.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 | 2025-09-18 03:47:32.067281 | 2025-05-13 04:29:37.228064 |
| 2025-09-18 03:47:27.523760 | 2025-09-18 03:47:29.517582 | 12441260 | 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_12441260_fd769668-1878-4edf-a344-6b3683b152cc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12441260_010c890b-c551-4111-bb5a-8a5402423dc4.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 | 12678357 | N/A | 4213743 | 2025-09-18 03:47:29.517582 | 2025-05-13 04:29:37.228064 |
| 2025-09-18 03:47:25.530610 | 2025-09-18 03:47:27.519353 | 12441257 | 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_12441257_c65963db-b523-4b9a-81cd-ca4f79c2abad.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 | 2025-09-18 03:47:27.519353 | 2025-05-13 04:29:37.228064 |
| 2025-09-18 03:47:23.031923 | 2025-09-18 03:47:25.007853 | 12441253 | 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_12441253_63c83cb4-c171-4ff5-8464-89c397a60025.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12441253_1f4a68ad-f359-462a-bdce-cbab009fd736.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 | 12678351 | N/A | 4213743 | 2025-09-18 03:47:25.007853 | 2025-05-13 04:29:37.228064 |
| 2025-09-18 03:47:21.161923 | 2025-09-18 03:47:23.028481 | 12441251 | 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_12441251_c7565db9-5fd3-407b-8148-a6913e735fa0.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 | 2025-09-18 03:47:23.028481 | 2025-05-13 04:29:37.228064 |
| 2025-09-18 03:08:29.937821 | 2025-09-18 03:08:32.105661 | 12440875 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-01-16 | 2025-09-18 | F | PT | N/A | 4184 | FUSCO | JXN148A35914 | ANGELA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8221086/check_12440875_0b1f061e-ae2d-4db9-9600-5fae38c582e5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8221086/check_12440875_d790b33c-41a0-4e26-8a93-8e361151c6f4.json | N/A | N/A | N/A | N/A | N/A | JXN148A35914 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1973-01-16 | N/A | N/A | N/A | N/A | false | FUSCO | N/A | ANGELA | 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 | 8221086 | 2222 | N/A | 12677977 | N/A | 6978593 | 2025-09-18 03:08:32.105661 | 2025-09-18 02:55:14.560582 |
| 2025-09-18 03:08:28.068179 | 2025-09-18 03:08:29.933282 | 12440874 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-01-16 | 2025-09-18 | F | PT | N/A | 4184 | FUSCO | JXN148A35914 | ANGELA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8221086/check_12440874_7306415b-909e-40df-b3ed-f4cbd45ccbe0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-18 | N/A | N/A | N/A | N/A | N/A | N/A | JXN148A35914 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1973-01-16 | N/A | N/A | N/A | N/A | false | FUSCO | N/A | ANGELA | 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 | 8221086 | 2222 | N/A | N/A | N/A | 6978593 | 2025-09-18 03:08:29.933282 | 2025-09-18 02:55:14.560582 |
| 2025-09-18 01:10:45.314633 | 2025-09-18 01:10:49.156149 | 12440825 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-04-11 | 2025-09-18 | M | PT | N/A | 4185 | Hurst | JQY695A75359 | Gregory | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539085/check_12440825_96584c4e-dd7b-47af-bb34-09b4bd1b26e0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_12440825_7e515cc1-b5f4-4502-b67a-b7822cf86bde.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2024-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8816250493 | N/A | N/A | 5539085 | 2222 | N/A | 12661967 | N/A | 4211408 | 2025-09-18 01:10:49.156149 | 2025-09-18 00:42:48.586801 |
| 2025-09-18 01:04:17.390438 | 2025-09-18 01:04:20.518156 | 12440789 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-01-16 | 2025-09-18 | F | PT | N/A | 4184 | FUSCO | JXN481A63814 | ANGELA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8221086/check_12440789_1bded581-0871-4255-a72a-982c7b6c0f7a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8221086/check_12440789_36dc21d1-bf5d-4f1c-9287-69253753872a.json | N/A | N/A | N/A | N/A | N/A | JXN481A63814 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1973-01-16 | 040 | 174222M2A1 | N/A | PR | false | FUSCO | N/A | ANGELA | N/A | 9999-12-31 | 2022-04-25 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8816236819 | 7927 | N/A | 8221086 | 2222 | N/A | 12661931 | N/A | 6978593 | 2025-09-18 01:04:20.518156 | 2025-09-18 02:55:14.560582 |
| 2025-09-17 23:58:24.267370 | 2025-09-17 23:58:31.551706 | 12439668 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-11-18 | 2025-09-23 | F | AE | PT | N/A | Liberto | 229149130300 | Virginia | https://storage.googleapis.com/normandy-eligibility-checks/2222/9487561/check_12439668_e5da1b7e-d13a-4f65-b87a-feb175132f82.json | UHC | N/A | INSIGHTS | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9487561/check_12439668_bd9edfcc-f656-41d4-b6bb-81eec156345a.json | N/A | N/A | N/A | N/A | N/A | 22914913000 | N/A | N/A | Oxford Health Insurance, Inc. | N/A | 1996-11-18 | N/A | 1363990 | N/A | N/A | false | Liberto | N/A | Virginia | 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 | 9487561 | 2222 | N/A | 12660833 | N/A | 7937193 | 2025-09-17 23:58:31.551706 | 2025-09-17 23:48:53.744310 |
| 2025-09-17 23:55:30.588561 | 2025-09-17 23:55:32.611643 | 12439662 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-10-31 | 2025-09-22 | F | AE | PT | 4497 | HOORIZADEH | 2DX2T46JH03 | FLORA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543528/check_12439662_d25d8361-eb51-4159-ad35-b86cdef81d26.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543528/check_12439662_6fa64d93-39f4-44a9-91db-f5866ecf3ad4.json | N/A | N/A | N/A | N/A | N/A | 2DX2T46JH03 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-31 | S4802 | N/A | N/A | MB | false | HOORIZADEH | N/A | FLORA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8816004949 | 9481 | N/A | 5543528 | 2222 | N/A | 12660823 | N/A | 4215312 | 2025-09-17 23:55:32.611643 | 2025-05-13 04:29:37.229631 |
| 2025-09-17 23:52:40.145072 | 2025-09-17 23:52:48.133787 | 12439656 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-11-18 | 2025-09-23 | F | AE | PT | N/A | Liberto | 229191300 | Virginia | https://storage.googleapis.com/normandy-eligibility-checks/2222/9487561/check_12439656_6b67b8fe-7e39-46fa-bdd3-4fac77a6b664.json | UHC | N/A | INSIGHTS | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9487561/check_12439656_cb0da2ed-3a7c-4109-bb37-a04253a6816b.json | N/A | N/A | N/A | N/A | N/A | 22914913000 | N/A | N/A | Oxford Health Insurance, Inc. | N/A | 1996-11-18 | N/A | 1363990 | N/A | N/A | false | Liberto | N/A | Virginia | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 9487561 | 2222 | N/A | 12660811 | N/A | 7937193 | 2025-09-17 23:52:48.133787 | 2025-09-17 23:48:53.744310 |
| 2025-09-17 21:33:46.755870 | 2025-09-17 21:33:51.001907 | 12438904 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-03-25 | 2025-09-18 | M | AE | PT | N/A | EVANS | 988606423 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/9443614/check_12438904_4ce2fe58-08d9-4a1f-878a-b117ddb0ad65.json | UHC | N/A | INSIGHTS | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9443614/check_12438904_db3f7399-fb25-4d82-bf9f-925a2b6031b0.json | N/A | N/A | N/A | N/A | N/A | 988606423 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1997-03-25 | N/A | 184514 | N/A | N/A | false | EVANS | N/A | CHARLES | 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 | 9443614 | 2222 | N/A | 12659694 | N/A | 7900097 | 2025-09-17 21:33:51.001907 | 2025-09-17 21:31:32.005189 |
| 2025-09-17 21:17:03.698457 | 2025-09-17 21:17:06.530927 | 12438833 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-13 | 2025-09-17 | F | PT | N/A | 4184 | Varivoda | ZTQ335M98588 | Alex | https://storage.googleapis.com/normandy-eligibility-checks/2222/9338185/check_12438833_bfb9d762-2029-41a5-8f5e-f43db8f898d0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9338185/check_12438833_4de8cca0-6c34-4b0b-a110-ba8ed737a6ba.json | N/A | N/A | N/A | N/A | N/A | ZTQ335M98588 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC LECROY | ANTHEM BLUE CROSS | N/A | 2005-12-13 | 040 | 174249M3AW | N/A | PR | false | VARIVODA | N/A | ALEXEY | N/A | 9999-12-31 | 2020-03-19 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8815428888 | N/A | N/A | 9338185 | 2222 | N/A | 12659591 | N/A | 7837035 | 2025-09-17 21:17:06.530927 | 2025-09-17 13:44:26.939662 |
| 2025-09-17 21:14:26.641088 | 2025-09-17 21:14:28.423772 | 12438818 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-09-28 | 2025-09-17 | M | AE | PT | 6798 | GURROLA | 8390443-01 | MIKE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9317287/check_12438818_b0ede05a-cb52-452a-9423-7aba11cb45bc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9317287/check_12438818_bd87f64c-cea5-4432-9c43-3896dfe25f5d.json | N/A | N/A | N/A | N/A | N/A | 8390443-01 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1950-09-28 | N/A | N/A | N/A | N/A | false | GURROLA | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 9317287 | 2222 | N/A | 12659567 | N/A | 7815862 | 2025-09-17 21:14:28.423772 | 2025-09-11 18:06:18.231033 |
| 2025-09-17 21:14:23.895761 | 2025-09-17 21:14:26.637533 | 12438816 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-09-28 | 2025-09-17 | M | AE | PT | 6798 | GURROLA | 8390443-01 | MIKE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9317287/check_12438816_5017ddb2-c8dc-4048-9b13-da4cfc99d346.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-17 | N/A | N/A | N/A | N/A | N/A | N/A | 8390443-01 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1950-09-28 | N/A | N/A | N/A | N/A | false | GURROLA | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 9317287 | 2222 | N/A | N/A | N/A | 7815862 | 2025-09-17 21:14:26.637533 | 2025-09-11 18:06:18.231033 |
| 2025-09-17 18:53:30.831718 | 2025-09-17 18:53:32.788327 | 12437562 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-07-01 | 2025-09-18 | F | AE | PT | 4497 | GREER | 7H09HW9QG44 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9411083/check_12437562_ee19d3c7-e5f0-49e7-9855-7ca1a7ba4dc5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_12437562_fc9171b2-2214-4f1e-9882-9575ca762e25.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MB | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8814541647 | N/A | N/A | 9411083 | 2222 | N/A | 12658045 | N/A | 7879863 | 2025-09-17 18:53:32.788327 | 2026-02-04 18:21:13.840230 |
| 2025-09-17 18:53:22.681097 | 2025-09-17 18:53:24.760546 | 12437560 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-07-01 | 2025-09-18 | F | AE | PT | 4497 | GREER | 7H09HW9QG44 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9411083/check_12437560_6c9a0070-90f1-44bc-a2f1-998e5927c22b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_12437560_cd5f6b08-fbe2-4e67-aaa5-ee49ca485e84.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8814540806 | N/A | N/A | 9411083 | 2222 | N/A | 12658044 | N/A | 7879863 | 2025-09-17 18:53:24.760546 | 2026-02-04 18:21:13.840230 |
| 2025-09-17 18:53:10.119671 | 2025-09-17 18:53:12.167513 | 12437559 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-07-01 | 2025-09-18 | F | AE | PT | 4497 | GREER | 7H09HW9QG44 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9411083/check_12437559_eb493369-d322-4cca-8fea-9acc3e147f53.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_12437559_b2674633-2ab4-4b90-ba9b-4c57a368e2d8.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8814539422 | N/A | N/A | 9411083 | 2222 | N/A | 12658043 | N/A | 7879863 | 2025-09-17 18:53:12.167513 | 2026-02-04 18:21:13.840230 |
| 2025-09-17 18:52:51.419861 | 2025-09-17 18:52:53.397728 | 12437554 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-07-01 | 2025-09-18 | F | AE | PT | 4497 | GREER | 7H09HW9QG44 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9411083/check_12437554_757c770e-2819-4775-93b3-aee495050a7f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_12437554_1e0ebcf5-8c3d-43d9-bbe3-d2f587653762.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8814537288 | N/A | N/A | 9411083 | 2222 | N/A | 12658037 | N/A | 7879863 | 2025-09-17 18:52:53.397728 | 2026-02-04 18:21:13.840230 |
| 2025-09-17 18:28:19.061765 | 2025-09-17 18:28:23.290504 | 12437217 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-08-25 | 2025-09-18 | F | AE | PT | 6237 | POLLOCK | 40002008301 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7992096/check_12437217_dadb0239-9e44-4447-aaec-f5737329fbb1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7992096/check_12437217_c04d73ee-8a12-468a-9795-bafa5067df0e.json | N/A | N/A | N/A | N/A | N/A | 40002008301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-08-25 | 2025H5425001 | H5425M | N/A | N/A | false | POLLOCK | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8814358984 | N/A | N/A | 7992096 | 2222 | N/A | 12657671 | N/A | 4212687 | 2025-09-17 18:28:23.290504 | 2025-08-27 18:05:06.350903 |
| 2025-09-17 18:23:25.177788 | 2025-09-17 18:23:32.771030 | 12437167 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-09-14 | 2025-09-23 | M | AE | PT | N/A | Luthra | 70548686400 | Rahil | https://storage.googleapis.com/normandy-eligibility-checks/2222/9415757/check_12437167_6e5f48ce-891a-474e-82d9-19d95788c09e.json | UHC | N/A | INSIGHTS | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415757/check_12437167_b3d48511-ea92-4ae9-b51d-da945126b1f3.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 | 12657615 | N/A | 7884645 | 2025-09-17 18:23:32.771030 | 2025-09-23 18:47:24.441583 |
| 2025-09-17 18:14:20.132216 | 2025-09-17 18:14:22.329036 | 12437033 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-20 | 2025-09-17 | F | AE | PT | 4185 | LANEUVILLE | MMA152W21217 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9478316/check_12437033_734c3b63-672d-4f21-9735-3c5a13de08d1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9478316/check_12437033_0aaf5f4c-0b9f-4f1c-9564-44da43c9ca8e.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 | 8814221621 | 161267 | N/A | 9478316 | 2222 | N/A | 12657472 | N/A | 6941976 | 2025-09-17 18:14:22.329036 | 2025-09-05 19:35:59.844269 |
| 2025-09-17 18:10:11.134735 | 2025-09-17 18:10:19.313528 | 12436975 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-20 | 2025-09-17 | F | AE | PT | 4185 | LANEUVILLE | MMA152W21217 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8174596/check_12436975_4c598469-6954-4417-be7a-9d370b083264.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8174596/check_12436975_a0b611be-18e7-44c8-9a22-5392aac1cca4.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 | 8814184649 | 161267 | N/A | 8174596 | 2222 | N/A | 12657421 | N/A | 6941976 | 2025-09-17 18:10:19.313528 | 2025-09-05 19:35:59.844269 |
| 2025-09-17 18:09:49.024368 | 2025-09-17 18:09:50.966834 | 12436967 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-20 | 2025-09-17 | F | AE | PT | 23277 | LANEUVILLE | MMA152W21217 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8174596/check_12436967_51eea658-ea3a-4450-972c-8dbd13e86ec4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8174596/check_12436967_896fe424-9b6e-4eee-b239-e5ce6f53adb0.json | N/A | N/A | N/A | N/A | N/A | MMA152W21217 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-08-20 | N/A | N/A | N/A | N/A | false | LANEUVILLE | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 8174596 | 2222 | N/A | 12657408 | N/A | 6941976 | 2025-09-17 18:09:50.966834 | 2025-09-05 19:35:59.844269 |
| 2025-09-17 18:09:47.089915 | 2025-09-17 18:09:49.015756 | 12436966 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-20 | 2025-09-17 | F | AE | PT | 23277 | LANEUVILLE | MMA152W21217 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8174596/check_12436966_783f3dc2-45b4-4963-bf5f-f2722e8170dc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-17 | N/A | N/A | N/A | N/A | N/A | N/A | MMA152W21217 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-08-20 | N/A | N/A | N/A | N/A | false | LANEUVILLE | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 8174596 | 2222 | N/A | N/A | N/A | 6941976 | 2025-09-17 18:09:49.015756 | 2025-09-05 19:35:59.844269 |
| 2025-09-17 18:08:49.089317 | 2025-09-17 18:08:51.086110 | 12436950 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-20 | 2025-09-17 | F | AE | PT | 23277 | LANEUVILLE | 152W21217-20 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8174596/check_12436950_e2202b46-b5bb-40ed-aa05-a51fa2c6e748.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8174596/check_12436950_eca59dd0-3b4b-494b-82be-b1092674540f.json | N/A | N/A | N/A | N/A | N/A | 152W21217-20 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-08-20 | N/A | N/A | N/A | N/A | false | LANEUVILLE | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 8174596 | 2222 | N/A | 12657393 | N/A | 6941976 | 2025-09-17 18:08:51.086110 | 2025-09-05 19:35:59.844269 |
| 2025-09-17 18:08:47.355731 | 2025-09-17 18:08:49.086264 | 12436949 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-20 | 2025-09-17 | F | AE | PT | 23277 | LANEUVILLE | 152W21217-20 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8174596/check_12436949_c5a8b457-ea4b-42cd-b6fd-89f93eaabe39.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-17 | N/A | N/A | N/A | N/A | N/A | N/A | 152W21217-20 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-08-20 | N/A | N/A | N/A | N/A | false | LANEUVILLE | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 8174596 | 2222 | N/A | N/A | N/A | 6941976 | 2025-09-17 18:08:49.086264 | 2025-09-05 19:35:59.844269 |
| 2025-09-17 18:08:31.360199 | 2025-09-17 18:08:33.255335 | 12436945 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-20 | 2025-09-17 | F | AE | PT | 4497 | LANEUVILLE | 152W2121720 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8174596/check_12436945_acf70017-2c24-416f-83b7-347363f21269.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8174596/check_12436945_45f6046f-34be-4e1c-a00f-c4629a1fcc80.json | N/A | N/A | N/A | N/A | N/A | 152W2121720 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-08-20 | N/A | N/A | N/A | N/A | false | LANEUVILLE | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 8174596 | 2222 | N/A | 12657386 | N/A | 6941976 | 2025-09-17 18:08:33.255335 | 2025-09-05 19:35:59.844269 |
| 2025-09-17 18:08:29.593819 | 2025-09-17 18:08:31.357246 | 12436944 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-20 | 2025-09-17 | F | AE | PT | 4497 | LANEUVILLE | 152W2121720 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8174596/check_12436944_4b371b70-7b27-4717-b3ac-6c636e6970d7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-17 | N/A | N/A | N/A | N/A | N/A | N/A | 152W2121720 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-08-20 | N/A | N/A | N/A | N/A | false | LANEUVILLE | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 8174596 | 2222 | N/A | N/A | N/A | 6941976 | 2025-09-17 18:08:31.357246 | 2025-09-05 19:35:59.844269 |
| 2025-09-17 18:07:47.048077 | 2025-09-17 18:07:48.978768 | 12436937 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-20 | 2025-09-17 | F | AE | PT | 23277 | LANEUVILLE | 152W2121720 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8174596/check_12436937_e416c315-fda0-4ca5-a920-5bae34594018.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8174596/check_12436937_e25bd98c-e9c0-4cac-a295-9310dcda45d7.json | N/A | N/A | N/A | N/A | N/A | 152W2121720 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-08-20 | N/A | N/A | N/A | N/A | false | LANEUVILLE | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 8174596 | 2222 | N/A | 12657382 | N/A | 6941976 | 2025-09-17 18:07:48.978768 | 2025-09-05 19:35:59.844269 |
| 2025-09-17 18:07:45.182885 | 2025-09-17 18:07:47.043598 | 12436936 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-20 | 2025-09-17 | F | AE | PT | 23277 | LANEUVILLE | 152W2121720 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8174596/check_12436936_a4186704-d089-431e-abc6-439713a34fed.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-17 | N/A | N/A | N/A | N/A | N/A | N/A | 152W2121720 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-08-20 | N/A | N/A | N/A | N/A | false | LANEUVILLE | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 8174596 | 2222 | N/A | N/A | N/A | 6941976 | 2025-09-17 18:07:47.043598 | 2025-09-05 19:35:59.844269 |
| 2025-09-17 16:48:43.502338 | 2025-09-17 16:48:48.906875 | 12435588 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-02-27 | 2025-09-18 | F | AE | PT | 3948 | BOBRIAKOVA | W2643 81279 | ANNA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9321970/check_12435588_1902140a-11c0-4b83-8b83-9a061dbfef4f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321970/check_12435588_2a30ade4-77a2-4108-92b9-94683f5817d5.json | N/A | N/A | N/A | N/A | N/A | W264381279 | Point of Service (POS) | APPLE INC. | AETNA | N/A | 1988-02-27 | 0109286 | 010928602000001 | N/A | PS | false | PLITT | N/A | ALEXANDER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8813395067 | N/A | N/A | 9321970 | 2222 | N/A | 12656006 | N/A | 7821456 | 2025-09-17 16:48:48.906875 | 2025-09-17 16:37:33.338131 |
| 2025-09-17 16:47:36.411021 | 2025-09-17 16:47:39.165714 | 12435576 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-02-06 | 2025-09-18 | F | AE | PT | N/A | Nogawski | 916031325 | Emily | https://storage.googleapis.com/normandy-eligibility-checks/2222/9476201/check_12435576_44c8c7e7-3421-476a-ad43-dde860081a83.json | UHC | N/A | INSIGHTS | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9476201/check_12435576_97a8b60f-678a-4a1e-9982-b1019c891bd6.json | N/A | N/A | N/A | N/A | N/A | 916031325 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1971-02-06 | N/A | 708744 | N/A | N/A | false | NOGAWSKI | N/A | EMILY | 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 | 9476201 | 2222 | N/A | 12655993 | N/A | 7927016 | 2025-09-17 16:47:39.165714 | 2025-09-17 16:40:46.434893 |
| 2025-09-17 16:46:49.534793 | 2025-09-17 16:46:55.516531 | 12435573 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-02-06 | 2025-09-18 | F | AE | PT | N/A | Nogawski | 916031325 | Emily | https://storage.googleapis.com/normandy-eligibility-checks/2222/9476201/check_12435573_ce7b8023-39ac-42d2-88cc-f7b032df9276.json | UHC | N/A | INSIGHTS | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9476201/check_12435573_d2238563-f4ad-47d9-8355-a56f6c354a1b.json | N/A | N/A | N/A | N/A | N/A | 916031325 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1971-02-06 | N/A | 708744 | N/A | N/A | false | NOGAWSKI | N/A | EMILY | 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 | 9476201 | 2222 | N/A | 12655991 | N/A | 7927016 | 2025-09-17 16:46:55.516531 | 2025-09-17 16:40:46.434893 |
| 2025-09-17 15:29:49.297396 | 2025-09-17 15:29:51.286478 | 12434681 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2010-03-12 | 2025-09-17 | F | PT | N/A | 4184 | MARASHLIAN | XED913752380 | SOPHIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9474588/check_12434681_d4cf287d-b4bf-4df5-8b34-e83590f2482d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9474588/check_12434681_e4dd51b7-43fc-4cae-a4b7-839a59123b77.json | N/A | N/A | N/A | N/A | N/A | XED913752380 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | ANTHEM BLUE CROSS | N/A | 2010-03-12 | 2001ZK002187 | X0001004 | N/A | PR | false | MARASHLIAN | N/A | EVALYN | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8812792030 | N/A | N/A | 9474588 | 2222 | N/A | 12655018 | N/A | 7925405 | 2025-09-17 15:29:51.286478 | 2025-09-17 15:25:05.446530 |
| 2025-09-17 15:26:12.332816 | 2025-09-17 15:26:21.907432 | 12434644 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2010-03-12 | 2025-09-17 | F | PT | N/A | 4184 | MARASHLIAN | XED913752380 | SOPHIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9474588/check_12434644_39df1a3c-4674-429c-93f5-c04e1f6561c9.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9474588/check_12434644_adfeb85c-fdfb-4990-afe5-cbd5c2862a7c.json | N/A | N/A | N/A | N/A | N/A | XED913752380 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | ANTHEM BLUE CROSS | N/A | 2010-03-12 | 2001ZK002187 | X0001004 | N/A | PR | false | MARASHLIAN | N/A | EVALYN | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8812765872 | N/A | N/A | 9474588 | 2222 | N/A | 12654984 | N/A | 7925405 | 2025-09-17 15:26:21.907432 | 2025-09-17 15:25:05.446530 |
| 2025-09-17 13:54:22.943632 | 2025-09-17 13:54:25.761193 | 12433497 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-04-03 | 2025-09-19 | M | AE | PT | 6411 | SNEGAROFF | 46770409 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8651246/check_12433497_494468e4-8950-4aa2-a827-92990f1d9a71.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8651246/check_12433497_27c805a9-abe5-417d-80ef-68c118483473.json | N/A | N/A | N/A | N/A | N/A | 46770409 | N/A | COMCAST CORPORATION | UMR | N/A | 1962-04-03 | 767000416942003 | 76416942 | N/A | N/A | false | SNEGAROFF | 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 | 8812020795 | N/A | N/A | 8651246 | 2222 | N/A | 12653813 | N/A | 7293021 | 2025-09-17 13:54:25.761193 | 2025-09-12 15:33:16.590396 |
| 2025-09-17 13:54:19.690774 | 2025-09-17 13:54:20.180224 | 12433493 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-04-03 | 2025-09-19 | M | AE | PT | N/A | SNEGAROFF | 46770409 | GARY | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-19 | 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 | 8651246 | 2222 | N/A | N/A | N/A | 7293021 | 2025-09-17 13:54:20.180224 | 2025-09-12 15:33:16.590396 |
| 2025-09-17 13:53:28.321084 | 2025-09-17 13:53:30.605004 | 12433390 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-08-14 | 2025-09-19 | F | AE | PT | 21981 | LIN | G44715088 | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541550/check_12433390_ff867e45-4166-4d20-9b01-4d7d63428676.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541550/check_12433390_0fe9a4bf-bd9c-497f-912e-4697034481c6.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 | 8812014554 | N/A | N/A | 5541550 | 2222 | N/A | 12653712 | N/A | 4213560 | 2025-09-17 13:53:30.605004 | 2025-05-13 04:29:37.227892 |
| 2025-09-17 13:53:25.692454 | 2025-09-17 13:53:26.439514 | 12433385 | N/A | N/A | 39026 | United Healthcare Shared Services | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-08-14 | 2025-09-19 | F | AE | PT | N/A | LIN | G44715088 | JESSICA | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-19 | 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 | 2025-09-17 13:53:26.439514 | 2025-05-13 04:29:37.227892 |
| 2025-09-17 13:53:07.907783 | 2025-09-17 13:53:13.170521 | 12433357 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-31 | 2025-09-19 | F | AE | PT | 21981 | GUEVARA | G45053839 | DIANE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550940/check_12433357_71271865-a5a7-4558-b364-ad84181c476b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550940/check_12433357_3d2f57bb-e261-416e-85cc-9b081b733046.json | N/A | N/A | N/A | N/A | N/A | G45053839 | N/A | G.E.H.A MEDICAL FEHB/PSHB | UMR | N/A | 1965-07-31 | 767000416933001 | 76416933 | N/A | N/A | false | GUEVARA | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8812012423 | N/A | N/A | 5550940 | 2222 | N/A | 12653687 | N/A | 4219779 | 2025-09-17 13:53:13.170521 | 2025-05-13 04:29:37.230820 |
| 2025-09-17 13:53:02.646506 | 2025-09-17 13:53:03.208205 | 12433350 | N/A | N/A | 39026 | United Healthcare Shared Services | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-31 | 2025-09-19 | F | AE | PT | N/A | GUEVARA | G45053839 | DIANE | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-19 | 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 | 5550940 | 2222 | N/A | N/A | N/A | 4219779 | 2025-09-17 13:53:03.208205 | 2025-05-13 04:29:37.230820 |
| 2025-09-17 13:25:00.950519 | 2025-09-17 13:25:04.466554 | 12431866 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-12-06 | 2025-09-17 | F | AE | PT | 23324 | KLOSSOWSKI | 98920892C | TRESSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7019712/check_12431866_056447db-3df4-4dad-b993-6b97b058479c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019712/check_12431866_ad5a4472-d48c-4eb1-851e-f03d2e5bc00b.json | N/A | N/A | N/A | N/A | N/A | 98920892C | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1967-12-06 | N/A | N/A | N/A | N/A | false | KLOSSOWSKI | N/A | TRESSA | 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 | 7019712 | 2222 | N/A | 12652260 | N/A | 6034714 | 2025-09-17 13:25:04.466554 | 2025-07-15 18:02:59.670156 |
| 2025-09-17 13:24:57.752432 | 2025-09-17 13:25:00.943622 | 12431863 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-12-06 | 2025-09-17 | F | AE | PT | 23324 | KLOSSOWSKI | 98920892C | TRESSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7019712/check_12431863_5ba42ab8-66c5-4c22-ac03-e76c55f8fe3c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | N/A | N/A | N/A | N/A | N/A | N/A | 98920892C | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1967-12-06 | N/A | N/A | N/A | N/A | false | KLOSSOWSKI | N/A | TRESSA | 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 | 7019712 | 2222 | N/A | N/A | N/A | 6034714 | 2025-09-17 13:25:00.943622 | 2025-07-15 18:02:59.670156 |
| 2025-09-17 13:24:01.535998 | 2025-09-17 13:24:03.857584 | 12431784 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-08-31 | 2025-09-17 | M | AE | PT | 4497 | NADRICH | 1NJ2V04GK04 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538990/check_12431784_2f495c18-af16-4316-a8c9-379eaaaad474.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538990/check_12431784_4da966d5-49de-4265-8827-65ecd669238f.json | N/A | N/A | N/A | N/A | N/A | 1NJ2V04GK04 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-08-31 | S5601 | N/A | N/A | MB | false | NADRICH | N/A | JEFF | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8811785007 | N/A | N/A | 5538990 | 2222 | N/A | 12652170 | N/A | 4211316 | 2025-09-17 13:24:03.857584 | 2025-05-13 04:29:37.225679 |
| 2025-09-17 13:14:28.153317 | 2025-09-17 13:14:31.319514 | 12430866 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-09-19 | F | AE | PT | 6411 | FABER | 331524986-11 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522948/check_12430866_884efd7f-3fc4-4b8d-96a3-ce2cc73e0717.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522948/check_12430866_0bfdfff1-8759-44e1-b7ae-855aaaeae7e2.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 | 12651326 | N/A | 5146127 | 2025-09-17 13:14:31.319514 | 2025-06-20 17:58:23.371130 |
| 2025-09-17 13:14:25.093598 | 2025-09-17 13:14:28.140980 | 12430862 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-09-19 | F | AE | PT | 6411 | FABER | 331524986-11 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522948/check_12430862_8811bab7-11a8-4e03-9924-977340b53ed5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-19 | 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 | 2025-09-17 13:14:28.140980 | 2025-06-20 17:58:23.371130 |
| 2025-09-17 13:14:22.246490 | 2025-09-17 13:14:22.574763 | 12430854 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-09-19 | F | AE | PT | N/A | FABER | 331524986-11 | LINDA | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-19 | 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 | 2025-09-17 13:14:22.574763 | 2025-06-20 17:58:23.371130 |
| 2025-09-17 13:13:59.019770 | 2025-09-17 13:14:05.827268 | 12430812 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-09-19 | M | AE | PT | 6411 | STEIN | 317801903-11 | DONALD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538579/check_12430812_0d95cb8d-8610-4b12-9acb-883fce16d437.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538579/check_12430812_92c1fa86-4dce-43df-9784-db81e1ee66c1.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 | 12651282 | N/A | 4210984 | 2025-09-17 13:14:05.827268 | 2025-08-15 17:42:50.500189 |