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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-17 09:22:14.927233 | 2025-09-17 09:22:17.996489 | 12413106 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-08-17 | 2025-09-17 | F | PT | 4191 | PANDYA | XEA913306283 | DHARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550845/check_12413106_5a52b91a-8354-48fb-a5ba-e1597dffa94c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_12413106_f28d071f-36f4-42dc-b5f7-425b5a93248b.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810384811 | N/A | N/A | 5550845 | 2222 | N/A | 12636440 | N/A | 4219713 | 2025-09-17 09:22:17.996489 | 2025-08-13 22:46:55.732965 |
| 2025-09-17 09:22:11.556313 | 2025-09-17 09:22:15.356227 | 12413100 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-13 | 2025-09-17 | F | PT | 4184 | ADRIANZEN FERNAN | MMA221W20054 | AURA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541944/check_12413100_ad620372-c3cf-49c5-836d-fe04eb462245.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_12413100_93bcac34-ce44-4345-b653-1a67dad35c61.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | 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 | 8810384708 | N/A | N/A | 5541944 | 2222 | N/A | 12636437 | N/A | 4213907 | 2025-09-17 09:22:15.356227 | 2025-05-13 04:29:37.228228 |
| 2025-09-17 09:22:10.937510 | 2025-09-17 09:22:14.262774 | 12413099 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-04-25 | 2025-09-17 | F | PT | 4191 | HASERJIAN | XED912403581 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542222/check_12413099_3f4c735c-900c-4a30-8437-389c656a0c30.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542222/check_12413099_a07670f4-001c-490b-b13a-87f218e4e9b3.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | 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 | 8810384690 | N/A | N/A | 5542222 | 2222 | N/A | 12636435 | N/A | 4214148 | 2025-09-17 09:22:14.262774 | 2025-05-13 04:29:37.228475 |
| 2025-09-17 09:22:10.229286 | 2025-09-17 09:22:13.672850 | 12413096 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-06-19 | 2025-09-17 | M | AE | 4709 | MILIAN GOMEZ | 93331019F | MIGUEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543555/check_12413096_16d53d5d-de39-4ff4-bc0c-e347cf979254.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_12413096_ffe7b20e-4391-414f-b64a-59240cb370a9.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810384667 | N/A | N/A | 5543555 | 2222 | N/A | 12636434 | N/A | 4215332 | 2025-09-17 09:22:13.672850 | 2025-08-06 16:15:15.716322 |
| 2025-09-17 09:22:07.823867 | 2025-09-17 09:22:09.687336 | 12413093 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-03-27 | 2025-09-17 | M | AE | 4211 | MCCOWAN | 93341440D | KEVIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543270/check_12413093_5ae932aa-f237-4f1d-8103-89250748fe5c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_12413093_cc9f4850-c9d1-40f6-bdcf-0166dffde30b.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810384562 | N/A | N/A | 5543270 | 2222 | N/A | 12636431 | N/A | 4215086 | 2025-09-17 09:22:09.687336 | 2025-05-13 04:29:37.229401 |
| 2025-09-17 09:22:07.687385 | 2025-09-17 09:22:10.797379 | 12413092 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-12-08 | 2025-09-17 | F | AE | 4709 | LARSEN | R06053944FD1 | LANA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542850/check_12413092_fa78f826-44d6-4250-af54-8726d21acddd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_12413092_fe6773a3-380c-423e-badc-74764881259e.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810384561 | N/A | N/A | 5542850 | 2222 | N/A | 12636432 | N/A | 4214714 | 2025-09-17 09:22:10.797379 | 2025-05-13 04:29:37.229031 |
| 2025-09-17 09:22:07.178372 | 2025-09-17 09:22:09.144056 | 12413091 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-02-01 | 2025-09-17 | M | AE | 23298 | YEE | 412922301 | HARRY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541972/check_12413091_0d1e0fff-42ee-402b-b8aa-0a76ca7bd976.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_12413091_984e6254-8ecf-476d-814f-e1f649ad215e.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810384528 | N/A | N/A | 5541972 | 2222 | N/A | 12636428 | N/A | 4213941 | 2025-09-17 09:22:09.144056 | 2025-05-13 04:29:37.228259 |
| 2025-09-17 09:22:07.102793 | 2025-09-17 09:22:09.612734 | 12413090 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-11-19 | 2025-09-17 | M | PT | 4191 | ZARIN | XEK905647080 | ELLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541582/check_12413090_fbc60892-6ed6-41da-ba6a-02ebdde7731e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541582/check_12413090_ca09a729-f928-4316-aa12-e986d7e0b5c1.json | N/A | N/A | N/A | N/A | N/A | XEK905647080 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-11-19 | 2001ZH002662 | X0001000 | N/A | PR | false | ZARIN | N/A | DORON | N/A | 2034-11-30 | 2025-01-01 | SILVER 70 OFF EXCHANGE PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810384524 | N/A | N/A | 5541582 | 2222 | N/A | 12636429 | N/A | 4213586 | 2025-09-17 09:22:09.612734 | 2025-05-28 20:44:53.527917 |
| 2025-09-17 09:22:06.041569 | 2025-09-17 09:22:09.662339 | 12413088 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-08-31 | 2025-09-17 | M | PT | 4185 | STEINBERG | MBL875M98441 | HARRIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541917/check_12413088_4d91cf22-9182-4390-a2bc-62c951ef7d35.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_12413088_2f804d6f-e952-49a5-b3b2-3352eb7891de.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | 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 | 8810384499 | N/A | N/A | 5541917 | 2222 | N/A | 12636430 | N/A | 4213891 | 2025-09-17 09:22:09.662339 | 2025-05-13 04:29:37.228207 |
| 2025-09-17 09:22:02.687966 | 2025-09-17 09:22:05.553651 | 12413085 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-03-25 | 2025-09-17 | F | PT | 4191 | HILLIGER | XEA902904791 | JENNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541730/check_12413085_43f840ff-728a-4f6e-8504-acc0377bfadb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_12413085_97381fbf-da98-4d9d-885a-37d42c2f7d38.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2017-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810384359 | N/A | N/A | 5541730 | 2222 | N/A | 12636423 | N/A | 4213725 | 2025-09-17 09:22:05.553651 | 2025-05-13 04:29:37.228045 |
| 2025-09-17 09:22:02.526456 | 2025-09-17 09:22:07.811111 | 12413084 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-25 | 2025-09-17 | F | AE | 23309 | BARON | H7986555300 | AIDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541086/check_12413084_13829c57-3b5e-42e5-bedc-b93345777daf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541086/check_12413084_06a04e7d-00cc-40b1-9bfc-16838491267f.json | N/A | N/A | N/A | N/A | N/A | H79865553 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 657 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1949-03-25 | N/A | 5A962001 | N/A | HN | false | BARON | N/A | AIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810384358 | N/A | N/A | 5541086 | 2222 | N/A | 12636425 | N/A | 4213141 | 2025-09-17 09:22:07.811111 | 2025-05-13 04:29:37.227470 |
| 2025-09-17 09:22:02.039760 | 2025-09-17 09:22:05.271794 | 12413082 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-05-29 | 2025-09-17 | F | PT | 4191 | KURTZ | XED906231353 | NINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541378/check_12413082_4481c250-dc1e-4e64-91af-73198014fd6b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541378/check_12413082_64240744-dcaa-4acf-963d-bb4526585078.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810384336 | N/A | N/A | 5541378 | 2222 | N/A | 12636422 | N/A | 4213405 | 2025-09-17 09:22:05.271794 | 2025-05-13 04:29:37.227726 |
| 2025-09-17 09:22:01.884417 | 2025-09-17 09:22:04.655850 | 12413081 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-07-14 | 2025-09-17 | M | PT | 4191 | SHERBETJIAN | XED910281081 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540558/check_12413081_aae05ed1-de18-4d56-9c7f-42f4c05c47ba.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_12413081_cacded26-d753-4eb9-98b9-2c7024c3b8b9.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | 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 | 8810384338 | N/A | N/A | 5540558 | 2222 | N/A | 12636421 | N/A | 4212698 | 2025-09-17 09:22:04.655850 | 2025-05-13 04:29:37.227042 |
| 2025-09-17 09:22:00.586248 | 2025-09-17 09:22:03.876079 | 12413080 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-08-21 | 2025-09-17 | M | AE | 6798 | CUMMINGS | 29086032 | OVERSTONE | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539195/check_12413080_5ed1e11c-7a44-48dc-af8d-a69e4ffcb379.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539195/check_12413080_5b12dddf-c64a-4eb9-ad06-bfb546907a3d.json | N/A | N/A | N/A | N/A | N/A | 29086032 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-08-21 | 406-024-000 | N/A | N/A | N/A | false | CUMMINGS JR | N/A | OVERSTONE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810384285 | N/A | N/A | 5539195 | 2222 | N/A | 12636420 | N/A | 4211528 | 2025-09-17 09:22:03.876079 | 2025-05-29 22:30:24.728697 |
| 2025-09-17 09:21:57.343682 | 2025-09-17 09:22:24.631438 | 12413075 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-12-13 | 2025-09-17 | M | AE | 23412 | MIDDLETON | U3369221802 | BLAKE | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540185/check_12413075_9717fc6e-0261-4f77-abbe-5c894cde2cb7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540185/check_12413075_a35e067b-a890-4772-a889-7cfa32e8194f.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1967-12-13 | N/A | 3346355 | N/A | HM | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810384157 | N/A | N/A | 5540185 | 2222 | N/A | 12636449 | N/A | 4212381 | 2025-09-17 09:22:24.631438 | 2025-12-17 20:12:42.035054 |
| 2025-09-17 09:21:56.614404 | 2025-09-17 09:22:00.685529 | 12413074 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-21 | 2025-09-17 | M | AE | 23326 | KEARNS | 31193293201 | TIM | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539406/check_12413074_1115729b-a433-45e1-ae4d-232f020a56f0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539406/check_12413074_7b630917-383a-4012-9162-f48b8c342df4.json | N/A | N/A | N/A | N/A | N/A | 31193293201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-11-21 | 2025H5425001 | H5425M | N/A | N/A | false | KEARNS | N/A | TIMOTHY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810384138 | N/A | N/A | 5539406 | 2222 | N/A | 12636418 | N/A | 4211716 | 2025-09-17 09:22:00.685529 | 2025-12-05 19:31:54.715013 |
| 2025-09-17 09:21:52.686561 | 2025-09-17 09:21:56.624135 | 12413070 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-08-08 | 2025-09-17 | M | PT | 4185 | GINSBERG | JQU469A62630 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538693/check_12413070_97215216-5791-414f-b8fc-5257926fb803.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_12413070_0ef0b206-a04d-4b0b-95bd-790b8053a935.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810383995 | N/A | N/A | 5538693 | 2222 | N/A | 12636416 | N/A | 4211081 | 2025-09-17 09:21:56.624135 | 2025-05-13 04:29:37.225492 |
| 2025-09-17 09:21:52.445123 | 2025-09-17 09:21:55.219718 | 12413069 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-06-30 | 2025-09-17 | F | AE | 4497 | CHADORCHI | 8MR2X19XD04 | JAFFA | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537480/check_12413069_f91e7984-a15b-4ea5-b931-e4cfcaabdfa4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537480/check_12413069_a4d37799-0165-4915-99f9-c215646e40e5.json | N/A | N/A | N/A | N/A | N/A | 8MR2X19XD04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-30 | S5601 | N/A | N/A | MA | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810383987 | N/A | N/A | 5537480 | 2222 | N/A | 12636415 | N/A | 4210038 | 2025-09-17 09:21:55.219718 | 2025-06-02 14:57:36.820684 |
| 2025-09-17 09:21:51.421669 | 2025-09-17 09:21:54.203847 | 12413067 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-08-26 | 2025-09-17 | F | PT | 4191 | SOHRAB | XED914080628 | VIDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537456/check_12413067_0bfd91f2-e7d2-4d2e-961a-b466a43f62c4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537456/check_12413067_98e71514-cf12-4a6a-ab4b-2bee132e6acd.json | N/A | N/A | N/A | N/A | N/A | XED914080628 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-08-26 | 2001ZK002184 | X0001004 | N/A | PR | false | SOHRAB | N/A | VIDA | N/A | N/A | N/A | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810383937 | N/A | N/A | 5537456 | 2222 | N/A | 12636413 | N/A | 4210007 | 2025-09-17 09:21:54.203847 | 2025-05-13 04:29:37.224426 |
| 2025-09-17 09:21:50.877531 | 2025-09-17 09:21:53.453458 | 12413066 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-09-17 | M | AE | 4497 | ULLMAN | 3A76X26KQ40 | DAVID | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535838/check_12413066_4780e802-a5a6-40f1-8e55-7990f196c9fe.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_12413066_39f74c68-1ea9-46f1-ac4e-63c60289e8db.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | 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 | 5535838 | 2222 | N/A | 12636411 | N/A | 4208696 | 2025-09-17 09:21:53.453458 | 2025-06-07 16:16:45.844566 |
| 2025-09-17 09:21:48.669509 | 2025-09-17 09:21:52.350363 | 12413063 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-10-14 | 2025-09-17 | M | AE | 2630 | CHISARI | 00000386684 | THOMAS | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536007/check_12413063_76bf1451-2ec5-41c1-b7ca-d7a86cbb79fb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_12413063_69946835-f374-472a-a4b8-80d0047b73f4.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810383850 | N/A | N/A | 5536007 | 2222 | N/A | 12636409 | N/A | 4208829 | 2025-09-17 09:21:52.350363 | 2025-06-03 01:05:45.663969 |
| 2025-09-17 09:21:48.582836 | 2025-09-17 09:21:54.717726 | 12413062 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 2008-04-07 | 2025-09-17 | M | PT | 4197 | HERRERA | LCB831759896 | JAIRO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537418/check_12413062_ed64e7d0-4c24-4511-b92f-50444d89022f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537418/check_12413062_1499ff7e-a94f-4715-a30b-adc9bc54920f.json | N/A | N/A | N/A | N/A | N/A | LCB831759896 | Preferred Provider Organization (PPO) | LINE CONSTRUCTION BENEFIT FUND | LINECO | N/A | 2008-04-07 | N/A | P14602 | N/A | PR | false | TATUM | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2020-04-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810383832 | N/A | N/A | 5537418 | 2222 | N/A | 12636414 | N/A | 4209986 | 2025-09-17 09:21:54.717726 | 2025-05-13 04:29:37.224406 |
| 2025-09-17 09:21:47.605612 | 2025-09-17 09:21:50.800645 | 12413059 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-09-17 | M | AE | 4497 | ULLMAN | 3A76X26KQ40 | DAVID | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535838/check_12413059_e89e3da2-a19b-4709-89b8-61caaa06bfa8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | N/A | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | 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 | 5535838 | 2222 | N/A | N/A | N/A | 4208696 | 2025-09-17 09:21:50.800645 | 2025-06-07 16:16:45.844566 |
| 2025-09-17 09:21:46.363393 | 2025-09-17 09:21:50.481466 | 12413058 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-12-16 | 2025-09-17 | F | AE | 6237 | PORTER | 400282215401 | SHERIL | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535434/check_12413058_5254bae6-0b0d-4e74-937b-4d9ff25b7fcb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_12413058_e628cd65-1290-4e6b-8c65-2025dd0101ee.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810383759 | N/A | N/A | 5535434 | 2222 | N/A | 12636408 | N/A | 4208356 | 2025-09-17 09:21:50.481466 | 2025-08-25 14:49:27.724897 |
| 2025-09-17 09:10:50.321711 | 2025-09-17 09:10:57.916276 | 12412481 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 12412481 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-09-19 | M | AE | N/A | HILTSER | 208616901 | LORNE | PT | N/A | WAYSTAR | N/A | BATCH | 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 | 8048052 | 2222 | 4802 | N/A | N/A | 6844134 | 2025-09-17 09:10:57.916276 | 2025-08-29 16:18:21.978739 |
| 2025-09-17 09:06:21.722943 | 2025-09-18 05:12:05.781710 | 12412345 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12412345 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-09-19 | M | AE | N/A | KORY | MISSINGPOLICYNUMBER | MICHAEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.122454270.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858721/check_12412345_c69d327c-a7df-4e5c-a048-0d44999bd537.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-05-08 | N/A | N/A | N/A | N/A | false | KORY | 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 | 8810286946 | N/A | N/A | 5858721 | 2222 | 4793 | 12682175 | N/A | 4214732 | 2025-09-18 05:12:05.781710 | 2025-06-24 20:13:53.579048 |
| 2025-09-17 09:03:10.034381 | 2025-09-18 05:06:25.179055 | 12412121 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12412121 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-09-18 | F | AE | N/A | GREER | XEM909858 | ROBIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.122454270.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411084/check_12412121_6ca6eee0-606f-4135-9282-53248d31355d.json | N/A | N/A | N/A | N/A | N/A | XEM909858 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1955-07-01 | N/A | N/A | N/A | N/A | 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 | 8810286309 | N/A | N/A | 9411084 | 2222 | 4802 | 12680524 | N/A | 7879863 | 2025-09-18 05:06:25.179055 | 2026-02-04 18:21:13.840230 |
| 2025-09-17 09:01:14.905259 | 2025-09-18 02:14:47.383975 | 12411964 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12411964 | Athletic Physical Therapy Inc | 1950-06-19 | 2025-09-19 | M | PT | N/A | SMITH | JQE149M79948 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.125809399.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7173793/check_12411964_cec5022a-31c3-445e-9b23-1235fcacceb7.json | N/A | N/A | N/A | N/A | N/A | JQE149M79948 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-06-19 | 040 | CASUPWP0 | N/A | N/A | false | SMITH | N/A | WILLIAM | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810563128 | N/A | N/A | 7173793 | 2222 | 4793 | 12664862 | N/A | 6149539 | 2025-09-18 02:14:47.383975 | 2025-07-17 20:34:26.073953 |
| 2025-09-17 08:46:45.691228 | 2025-09-17 08:46:52.184218 | 12411324 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12411324 | Athletic Physical Therapy Inc | 2014-05-21 | 2025-09-18 | M | PT | N/A | CHYNOWETH | JQU148M89680 | DAMIAN | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-18 | 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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8027485 | 2222 | 4793 | N/A | N/A | 6828971 | 2025-09-17 08:46:52.184218 | 2025-09-02 17:27:57.794692 |
| 2025-09-17 08:45:54.055062 | 2025-09-17 08:46:01.622435 | 12411283 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12411283 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-09-18 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-18 | 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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8026951 | 2222 | 4801 | N/A | N/A | 6828511 | 2025-09-17 08:46:01.622435 | 2025-08-14 00:23:35.929152 |
| 2025-09-17 08:45:23.084457 | 2025-09-17 08:45:31.669270 | 12411255 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12411255 | Athletic Physical Therapy Inc | 1997-05-14 | 2025-09-19 | F | PT | N/A | SCHRODT | XDP041W16673 | CLARE | N/A | N/A | WAYSTAR | N/A | BATCH | 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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8026784 | 2222 | 4802 | N/A | N/A | 6828383 | 2025-09-17 08:45:31.669270 | 2025-08-12 22:27:19.278771 |
| 2025-09-17 08:44:24.872695 | 2025-09-18 02:24:47.419937 | 12411197 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12411197 | Athletic Physical Therapy Inc | 1959-03-09 | 2025-09-18 | F | AE | N/A | BALLETTA | 4JJ4X54RC07 | LYNDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.125809399.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7035993/check_12411197_c00496ab-6942-4d57-8773-d78a4c1acd2a.json | N/A | N/A | N/A | N/A | N/A | 4JJ4X54RC07 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-03-09 | S5617 | N/A | N/A | MA | false | BALLETTA | N/A | LYNDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810562028 | N/A | N/A | 7035993 | 2222 | 4793 | 12671667 | N/A | 6048781 | 2025-09-18 02:24:47.419937 | 2025-07-22 23:03:15.103027 |
| 2025-09-17 08:42:31.565853 | 2025-09-17 08:42:39.843628 | 12411082 | N/A | N/A | 60054 | Aetna | 1114042165 | 12411082 | Athletic Physical Therapy Inc | 2005-12-05 | 2025-09-18 | M | AE | N/A | LEE | W46967828 | MICAH | PT | N/A | WAYSTAR | N/A | BATCH | 2025-09-18 | 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 | 8025873 | 2222 | 4802 | N/A | N/A | 6827370 | 2025-09-17 08:42:39.843628 | 2025-08-19 17:52:17.507801 |
| 2025-09-17 08:42:15.143072 | 2025-09-17 08:42:23.007188 | 12411062 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 12411062 | N/A | 1960-06-14 | 2025-09-18 | F | PT | N/A | VERWEY | R61817302 | CAREN | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-18 | 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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8025542 | 2222 | 4801 | N/A | N/A | 6826965 | 2025-09-17 08:42:23.007188 | 2025-08-13 02:28:19.717631 |
| 2025-09-17 08:35:53.908377 | 2025-09-18 02:24:48.591176 | 12410698 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12410698 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-09-18 | F | AE | N/A | MCALISTER | 4TU6H11QQ85 | BONNIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.125809399.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024101/check_12410698_68d726de-a365-43b2-8535-644887e7e547.json | N/A | N/A | N/A | N/A | N/A | 4TU6H11QQ85 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-07-21 | N/A | N/A | N/A | MA | false | MCALISTER | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810562745 | N/A | N/A | 7024101 | 2222 | 4801 | 12671683 | N/A | 6038562 | 2025-09-18 02:24:48.591176 | 2025-07-30 21:46:09.369299 |
| 2025-09-17 08:35:04.511528 | 2025-09-18 02:13:52.433297 | 12410610 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12410610 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-09-19 | M | AE | N/A | SMITH | 99688004H | MATTHEW | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.125809399.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022680/check_12410610_0937391e-b7d6-4587-89ec-44df2a76b3fb.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | 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 | 8810562733 | N/A | N/A | 7022680 | 2222 | 4793 | 12664535 | N/A | 6037802 | 2025-09-18 02:13:52.433297 | 2025-07-22 17:48:16.997014 |
| 2025-09-17 08:34:32.997123 | 2025-09-17 08:34:35.061055 | 12410557 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-02 | N/A | PT | 23277 | AZUCENA | 382516401 | ESPERANZA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12410557_5dd63bed-54a7-4dc5-9ef0-6c731a3fb77a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12410557_0d21dbc1-8c1f-480d-8f2f-60c0717ffe99.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 | 12635468 | N/A | 4213743 | 2025-09-17 08:34:35.061055 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 08:34:31.580845 | 2025-09-17 08:34:33.496085 | 12410554 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-27 | N/A | PT | 23277 | AZUCENA | 382516401 | ESPERANZA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12410554_9cd54ca1-958d-4a32-9eec-e31717e2abbd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12410554_90813fba-540e-474e-bbd7-49cccead287d.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 | 12635465 | N/A | 4213743 | 2025-09-17 08:34:33.496085 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 08:34:31.165991 | 2025-09-17 08:34:32.992572 | 12410552 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-02 | N/A | PT | 23277 | AZUCENA | 382516401 | ESPERANZA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12410552_5aabdf86-f4fc-4ab6-bf7d-b44d74640268.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | 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 | 2025-09-17 08:34:32.992572 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 08:34:29.746734 | 2025-09-17 08:34:31.571011 | 12410550 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-27 | N/A | PT | 23277 | AZUCENA | 382516401 | ESPERANZA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12410550_8b6596cd-1858-441e-a37e-2428fb7ef8e0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-27 | 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 | 2025-09-17 08:34:31.571011 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 08:34:28.620968 | 2025-09-17 08:34:30.698237 | 12410547 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-02 | N/A | PT | 23277 | AZUCENA | 382516401 | ESPERANZA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12410547_78e190bf-0e42-4973-bdb1-1ca5a6dd2381.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12410547_468bd916-8f7e-4c26-9db8-cc3c845117a9.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 | 12635458 | N/A | 4213743 | 2025-09-17 08:34:30.698237 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 08:34:27.233935 | 2025-09-17 08:34:29.263930 | 12410545 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-27 | N/A | PT | 23277 | AZUCENA | 382516401 | ESPERANZA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12410545_2118224a-0470-4369-9aaa-0c3df977909d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12410545_bef51c76-e659-4f1b-89de-4fbcf14811ad.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 | 12635457 | N/A | 4213743 | 2025-09-17 08:34:29.263930 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 08:34:26.780017 | 2025-09-17 08:34:28.614516 | 12410543 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-02 | N/A | PT | 23277 | AZUCENA | 382516401 | ESPERANZA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12410543_b55b0996-21b4-4fc7-b0b4-490486edf93a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | 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 | 2025-09-17 08:34:28.614516 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 08:34:25.519060 | 2025-09-17 08:34:27.228690 | 12410539 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-27 | N/A | PT | 23277 | AZUCENA | 382516401 | ESPERANZA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12410539_3b6cfe2d-be0c-4427-97b9-95ad805feec6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-27 | 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 | 2025-09-17 08:34:27.228690 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 08:34:23.633990 | 2025-09-17 08:34:25.840905 | 12410536 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-02 | N/A | PT | 23277 | AZUCENA | 382516401 | ESPERANZA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12410536_8f1676f5-6a87-4364-895a-d35ecb69d187.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12410536_2de13adc-8852-4241-8ba0-200263c36107.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 | 12635450 | N/A | 4213743 | 2025-09-17 08:34:25.840905 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 08:34:22.988149 | 2025-09-17 08:34:25.064728 | 12410534 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-27 | N/A | PT | 23277 | AZUCENA | 382516401 | ESPERANZA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12410534_1ec9556f-0087-4449-93ea-129a1a522e0f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12410534_94c907e5-4d44-4ff0-9245-604bf57ecf82.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 | 12635449 | N/A | 4213743 | 2025-09-17 08:34:25.064728 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 08:34:21.795218 | 2025-09-17 08:34:23.629354 | 12410532 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-02 | N/A | PT | 23277 | AZUCENA | 382516401 | ESPERANZA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12410532_9e415571-5600-49f7-9656-91dc4fefd02e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | 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 | 2025-09-17 08:34:23.629354 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 08:34:21.043044 | 2025-09-17 08:34:22.977894 | 12410531 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-27 | N/A | PT | 23277 | AZUCENA | 382516401 | ESPERANZA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12410531_99592ec6-031d-487a-9629-c0bf2e7e08e6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-27 | 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 | 2025-09-17 08:34:22.977894 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 08:34:18.729785 | 2025-09-17 08:34:20.748521 | 12410524 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-02 | N/A | PT | 23277 | AZUCENA | 382516401 | ESPERANZA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12410524_66e8d326-f412-49ca-9237-b37e3f19c040.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12410524_799fc75e-d5e2-400f-8666-23bac8b9d87a.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 | 12635440 | N/A | 4213743 | 2025-09-17 08:34:20.748521 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 08:34:18.328715 | 2025-09-17 08:34:20.501457 | 12410521 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-27 | N/A | PT | 23277 | AZUCENA | 382516401 | ESPERANZA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12410521_f8319d76-6e2e-4b2c-8f58-03e7c31ae6f4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12410521_3d9d4cb3-0ac7-47f5-84f1-8fd892fbba26.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 | 12635439 | N/A | 4213743 | 2025-09-17 08:34:20.501457 | 2025-05-13 04:29:37.228064 |