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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-17 08:04:59.102757 | 2025-09-18 02:16:33.638221 | 12391482 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12391482 | Athletic Physical Therapy Inc | 1966-11-30 | 2025-09-18 | F | PT | SONDREAAL | WMC125993776001 | DIANE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536323/check_12391482_55ed92b2-54d6-45d6-89f3-d80c647b8d18.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | Preferred Provider Organization (PPO) | WUNDERLICH-MALEC ENGINEERING, INC. CORE GROUP (PLAN 1) ACTIVES | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 1966-11-30 | 725 | 10272720 | N/A | PR | false | SONDREAAL | N/A | PAUL | N/A | 9999-12-31 | 2023-05-01 | MED/SURG - PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810071781 | N/A | N/A | 5536323 | 2222 | 4793 | 12665594 | N/A | 4209086 | 2025-09-18 02:16:33.638221 | 2025-05-13 04:29:37.223507 |
| 2025-09-17 08:04:58.968972 | 2025-09-18 02:03:16.412047 | 12391476 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12391476 | Athletic Physical Therapy Inc | 1982-01-08 | 2025-09-18 | M | PT | CHRISTIAN | NCF767A52319 | SETH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536162/check_12391476_86757bde-a997-4ce6-9000-19e73a0d447a.json | N/A | N/A | N/A | N/A | N/A | NCF767A52319 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1982-01-08 | N/A | N/A | N/A | N/A | false | CHRISTIAN | N/A | SETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810071780 | N/A | N/A | 5536162 | 2222 | 4793 | 12662090 | N/A | 4208960 | 2025-09-18 02:03:16.412047 | 2025-07-11 19:38:20.011022 |
| 2025-09-17 08:04:58.877462 | 2025-09-18 02:21:01.878116 | 12391473 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12391473 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-09-19 | M | AE | ULLMAN | 3A76X26KQ40 | DAVID | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_12391473_81580da3-c035-438b-9d00-71a0c9a8c265.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 | 8810071779 | N/A | N/A | 5535838 | 2222 | 4801 | 12668768 | N/A | 4208696 | 2025-09-18 02:21:01.878116 | 2025-06-07 16:16:45.844566 |
| 2025-09-17 08:04:58.748692 | 2025-09-18 02:10:03.248152 | 12391470 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12391470 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-09-18 | F | AE | RYAN | 31026142401 | CAROL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_12391470_e4a0ad1e-bbb8-4139-bc49-16aeefabcc1c.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1941-04-16 | 2025H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810071778 | N/A | N/A | 5535455 | 2222 | 4793 | 12663571 | N/A | 4208375 | 2025-09-18 02:10:03.248152 | 2025-08-08 21:08:12.459471 |
| 2025-09-17 08:04:58.595944 | 2025-09-18 02:10:06.248553 | 12391463 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12391463 | N/A | 1952-12-16 | 2025-09-19 | F | AE | PORTER | 400282215401 | SHERIL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_12391463_9003dca0-6092-4b89-b5da-cdc32e74d079.json | N/A | N/A | N/A | N/A | N/A | 400282215401 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1952-12-16 | N/A | N/A | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810071777 | N/A | N/A | 5535434 | 2222 | 4793 | 12663588 | N/A | 4208356 | 2025-09-18 02:10:06.248553 | 2025-08-25 14:49:27.724897 |
| 2025-09-17 08:04:53.832487 | 2025-09-18 02:17:03.417469 | 12391276 | N/A | N/A | 60054 | Aetna | 1114042165 | 12391276 | Athletic Physical Therapy Inc | 1970-07-15 | 2025-09-19 | M | AE | BAKER | W225972262 | MATTHEW | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.110730062.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411210/check_12391276_7477e02c-7cb0-427f-b0e1-7a26bd13ca1f.json | N/A | N/A | N/A | N/A | N/A | W225972262 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 1970-07-15 | 0232495 | 023249501300055 | N/A | PS | false | HOBAN-BAKER | N/A | AMY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810108891 | N/A | N/A | 9411210 | 2222 | 4802 | 12665941 | N/A | 7880075 | 2025-09-18 02:17:03.417469 | 2025-10-01 14:29:57.963249 |
| 2025-09-17 08:04:46.338477 | 2025-09-18 02:33:51.974151 | 12391052 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12391052 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-09-18 | F | AE | GREER | 7H09HW9QG44 | ROBIN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.110730062.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_12391052_fd0b693b-70ed-4d44-aefd-2183afd41737.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 | 8810108885 | N/A | N/A | 9411083 | 2222 | 4802 | 12676655 | N/A | 7879863 | 2025-09-18 02:33:51.974151 | 2026-02-04 18:21:13.840230 |
| 2025-09-17 08:04:40.349560 | 2025-09-18 05:04:41.349590 | 12390887 | N/A | N/A | 60054 | Aetna | 1114042165 | 12390887 | Athletic Physical Therapy Inc | 1974-05-07 | 2025-09-19 | M | AE | VIDAL | W28518662101 | THOMAS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112035252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8959871/check_12390887_547a595f-493f-4f77-8394-8eb5c58e3270.json | N/A | N/A | N/A | N/A | N/A | W285186621 | Point of Service (POS) | PRYOR CASHMAN LLP | AETNA | N/A | 1974-05-07 | 0237510 | 023751001000003 | N/A | PS | false | VIDAL | N/A | THOMAS | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810131868 | N/A | N/A | 8959871 | 2222 | 4802 | 12680055 | N/A | 4210349 | 2025-09-18 05:04:41.349590 | 2025-05-13 04:29:37.224755 |
| 2025-09-17 08:04:33.577188 | 2025-09-18 02:34:10.444668 | 12390651 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12390651 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-09-19 | F | AE | CHOOBIN | 6F99G11UV44 | KEFAYAT | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.111919236.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205054/check_12390651_8b5b3c06-761e-4339-982e-00dea9be0533.json | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-05-22 | S4802 | N/A | N/A | MB | false | CHOOBIN | N/A | KEFAYAT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810143792 | N/A | N/A | 8205054 | 2222 | 4793 | 12676750 | N/A | 6967073 | 2025-09-18 02:34:10.444668 | 2025-08-26 17:15:30.662072 |
| 2025-09-17 08:04:29.316540 | 2025-09-18 02:14:04.129657 | 12390501 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12390501 | Athletic Physical Therapy Inc | 1959-03-09 | 2025-09-18 | F | AE | BALLETTA | 33147912212 | LYNDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112017632.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7037220/check_12390501_1c736579-35cd-43e3-8cd2-9ba363d0a118.json | N/A | N/A | N/A | N/A | N/A | 33147912212 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1959-03-09 | N/A | N/A | N/A | SP | false | BALLETTA | N/A | LYNDA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810145441 | N/A | N/A | 7037220 | 2222 | 4793 | 12664560 | N/A | 6048781 | 2025-09-18 02:14:04.129657 | 2025-07-22 23:03:15.103027 |
| 2025-09-17 08:04:22.363520 | 2025-09-18 05:11:51.966672 | 12390235 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12390235 | Athletic Physical Therapy Inc | 1992-09-26 | 2025-09-19 | F | PT | WU | 60277172101 | ZEQIU | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.110128550.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9106039/check_12390235_bb3025d1-f742-4916-a7ff-ee64955b55a5.json | N/A | N/A | N/A | N/A | N/A | 60277172101 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1992-09-26 | N/A | N/A | N/A | N/A | false | WU | N/A | ZEQIU | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810085121 | N/A | N/A | 9106039 | 2222 | 4802 | 12682112 | N/A | 7625945 | 2025-09-18 05:11:51.966672 | 2025-09-26 19:56:46.569009 |
| 2025-09-17 08:04:20.576934 | 2025-09-18 02:21:34.631888 | 12390164 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12390164 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-09-18 | F | AE | MCALISTER | SFZ846186424 | BONNIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112017632.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024102/check_12390164_482bd12d-4807-4fe6-b1e8-47967eccdd46.json | N/A | N/A | N/A | N/A | N/A | SFZ846186424 | Preferred Provider Organization (PPO) | RETIREE 50 AS OF 1112 HIRED 1107 | MEDICARE | N/A | 1968-07-21 | N/A | 021104 | N/A | PR | false | MCALISTER | N/A | BONNIE | N/A | 9999-12-31 | 2013-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810145415 | N/A | N/A | 7024102 | 2222 | 4801 | 12669222 | N/A | 6038562 | 2025-09-18 02:21:34.631888 | 2025-07-30 21:46:09.369299 |
| 2025-09-17 08:04:17.017917 | 2025-09-18 05:09:56.101158 | 12389996 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12389996 | Athletic Physical Therapy Inc | 1999-03-02 | 2025-09-19 | F | AE | Andrieieva | 92598899G | Taisiia | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.110128550.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104487/check_12389996_042f76dd-0426-4694-9fdb-d57efb59e4f7.json | N/A | N/A | N/A | N/A | N/A | 92598899G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1999-03-02 | MCLA | MWLLNMEG21 | N/A | N/A | false | ANDRIEIVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810085827 | N/A | N/A | 9104487 | 2222 | 4802 | 12681598 | N/A | 6709145 | 2025-09-18 05:09:56.101158 | 2025-08-07 23:35:55.091438 |
| 2025-09-17 08:04:16.619434 | 2025-09-18 05:07:13.700558 | 12389980 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12389980 | Athletic Physical Therapy Inc | 1972-01-18 | 2025-09-19 | F | AE | EDELMAN | 10958328801 | MARINA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.110128550.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104367/check_12389980_0be60c29-2bca-4637-a514-c9d13190ec64.json | N/A | N/A | N/A | N/A | N/A | 10958328801 | N/A | TIXR, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1972-01-18 | N/A | 00651893 | N/A | N/A | false | EDELMAN | N/A | MARINA | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810085825 | N/A | N/A | 9104367 | 2222 | 4793 | 12680747 | N/A | 7624210 | 2025-09-18 05:07:13.700558 | 2025-12-10 17:00:45.860910 |
| 2025-09-17 08:04:08.908831 | 2025-09-18 05:10:16.674236 | 12389705 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12389705 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-09-18 | F | PT | OBACZ | JQV897A63197 | KLOIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.110128550.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_12389705_c72c1c7c-3063-4eb2-b9ea-32b35f4a0cc2.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 9999-12-31 | 2025-01-01 | CA SG SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810084780 | N/A | N/A | 9102655 | 2222 | 4801 | 12681690 | N/A | 7621062 | 2025-09-18 05:10:16.674236 | 2025-09-12 19:10:20.936695 |
| 2025-09-17 08:04:07.638984 | 2025-09-18 05:11:37.546623 | 12389654 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12389654 | Athletic Physical Therapy Inc | 1968-08-30 | 2025-09-18 | M | PT | Ashley | XDM123A50756 | Dennis | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112035252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8958011/check_12389654_55a14729-11ac-4f2e-9d04-300ea9c4ca4f.json | N/A | N/A | N/A | N/A | N/A | XDM123A50756 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1968-08-30 | 040 | 57ARJB | N/A | HM | false | THAMES | N/A | KRISTEN | N/A | 2025-10-01 | 2022-01-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810131813 | N/A | N/A | 8958011 | 2222 | 4801 | 12682049 | N/A | 7475081 | 2025-09-18 05:11:37.546623 | 2025-09-11 04:52:37.545129 |
| 2025-09-17 08:04:06.376827 | 2025-09-18 02:28:02.571211 | 12389602 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12389602 | Athletic Physical Therapy Inc | 2014-01-08 | 2025-09-19 | F | PT | DIAZ | XEA902904791 | MCKINLEY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.111919236.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202983/check_12389602_77440380-a74e-42ea-b224-3ca00a44832e.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 2014-01-08 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 2033-01-31 | 2019-06-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810143626 | N/A | N/A | 8202983 | 2222 | 4793 | 12674094 | N/A | 6965635 | 2025-09-18 02:28:02.571211 | 2025-09-05 19:59:40.463785 |
| 2025-09-17 08:04:05.642727 | 2025-09-18 02:20:54.958149 | 12389573 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12389573 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-09-18 | M | PT | MARSHALL | AGSAH0066119 | THOMAS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112017632.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003223/check_12389573_1135a29c-423b-4a7e-86e7-1c4865168a84.json | N/A | N/A | N/A | N/A | N/A | AGSAH0066119 | N/A | PEPPERDINE UNIVERSITY | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | 276500MG04 | N/A | N/A | false | MARSHALL | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810145349 | N/A | N/A | 7003223 | 2222 | 4793 | 12668670 | N/A | 6021448 | 2025-09-18 02:20:54.958149 | 2025-07-14 23:05:51.728886 |
| 2025-09-17 08:04:02.790178 | 2025-09-18 02:24:03.015293 | 12389457 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12389457 | Athletic Physical Therapy Inc | 1944-01-31 | 2025-09-18 | F | AE | DVORSKY | 000009483838 | LINDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112024285.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_12389457_872f2375-dc6d-4694-81ab-09463c474936.json | N/A | N/A | N/A | N/A | N/A | 000009483838 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1944-01-31 | 3003378 | 1650095001 | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | SEARS HOLDINGS CORPORATION SEARS EARLY RETIREES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810132166 | N/A | N/A | 5874461 | 2222 | 4801 | 12671209 | N/A | 4534583 | 2025-09-18 02:24:03.015293 | 2025-05-27 21:59:00.919365 |
| 2025-09-17 08:04:02.031245 | 2025-09-18 02:27:47.237471 | 12389422 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12389422 | Athletic Physical Therapy Inc | 1994-05-07 | 2025-09-18 | F | PT | RAFFERTY | XED913453119 | ZOE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112024285.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_12389422_a5e75c23-4627-4e68-bb8b-8fa90eeb442d.json | N/A | N/A | N/A | N/A | N/A | XED913453119 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1994-05-07 | 2001ZK002187 | X0001004 | N/A | PR | false | RAFFERTY | N/A | ZOE | 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 | 8810132165 | N/A | N/A | 5874430 | 2222 | 4802 | 12673901 | N/A | 4534559 | 2025-09-18 02:27:47.237471 | 2025-06-06 02:13:35.698378 |
| 2025-09-17 08:04:01.342908 | 2025-09-18 02:22:11.992779 | 12389401 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12389401 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-09-18 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112024285.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_12389401_d41683a5-2b19-4c6d-af12-2ca812eaeb96.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810132164 | N/A | N/A | 5874423 | 2222 | 4802 | 12669710 | N/A | 4534552 | 2025-09-18 02:22:11.992779 | 2025-05-30 18:01:03.324126 |
| 2025-09-17 08:04:00.796311 | 2025-09-18 02:32:55.618084 | 12389379 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12389379 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-09-18 | M | AE | DERR | 4GK3GN5DV73 | DENNIS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112024285.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_12389379_461de31b-6f35-40ff-b59a-3227560ea608.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810132163 | N/A | N/A | 5874420 | 2222 | 4793 | 12676437 | N/A | 4534550 | 2025-09-18 02:32:55.618084 | 2025-10-15 18:36:58.255255 |
| 2025-09-17 08:03:56.976216 | 2025-09-18 05:04:38.709771 | 12389207 | N/A | N/A | 60054 | Aetna | 1114042165 | 12389207 | Athletic Physical Therapy Inc | 1999-02-07 | 2025-09-19 | M | AE | ELZAYN | AH2912772 | ANDREW | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112035252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8767675/check_12389207_6bc4f426-695e-4a5f-ab4c-3a0c46edfed2.json | N/A | N/A | N/A | N/A | N/A | AH2912772 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1999-02-07 | 0868778 | 086877802000001 | N/A | N/A | false | ELZAYN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810131766 | N/A | N/A | 8767675 | 2222 | 4802 | 12680039 | N/A | 7383774 | 2025-09-18 05:04:38.709771 | 2025-08-28 18:43:11.156565 |
| 2025-09-17 08:03:37.308802 | 2025-09-18 05:03:49.292548 | 12388327 | N/A | N/A | 22384 | Administrative Concepts, Inc | 1114042165 | 12388327 | Athletic Physical Therapy Inc | 1996-05-03 | 2025-09-19 | F | AE | Salant | Z6D461W08418 | Isabella | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112035252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8765709/check_12388327_8a12172e-9b0c-4871-8881-5127806152be.json | N/A | N/A | N/A | N/A | N/A | Z6D461W08418 | N/A | N/A | ACI | N/A | 1996-05-03 | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810131145 | N/A | N/A | 8765709 | 2222 | 4802 | 12679793 | N/A | 7377649 | 2025-09-18 05:03:49.292548 | 2025-09-03 13:57:51.555585 |
| 2025-09-17 08:02:55.579294 | 2025-09-18 05:10:18.424652 | 12386763 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12386763 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-09-18 | F | PT | SCHOLEFIELD | TRJNP1055193 | ROBIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.110128550.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9087505/check_12386763_e949fe19-4254-4861-ab3a-fb6975afb421.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M007 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 9999-12-31 | 2020-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810084847 | N/A | N/A | 9087505 | 2222 | 4793 | 12681698 | N/A | 7605100 | 2025-09-18 05:10:18.424652 | 2025-09-11 15:07:41.965017 |
| 2025-09-17 04:38:14.733391 | 2025-09-17 04:38:22.619111 | 12386066 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2004-03-30 | 2025-09-05 | N/A | PT | BUCKLE | W276209560 | MADALYN | AE | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8427149/check_12386066_9fe252bf-6f9b-4d78-8a70-813e583ca520.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8427149/check_12386066_5f4315e4-3326-4877-8875-5605fe52d07a.json | N/A | N/A | N/A | N/A | N/A | W276209560 | Point of Service (POS) | JPMORGAN CHASE & CO. | AETNA | N/A | 2004-03-30 | 0192643 | 019264301100001 | N/A | PS | false | BUCKLE | N/A | NANCY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8809297571 | 1275 | N/A | 8427149 | 2222 | N/A | 12630299 | N/A | 6227714 | 2025-09-17 04:38:22.619111 | 2025-07-21 23:13:31.723269 |
| 2025-09-17 04:36:31.714593 | 2025-09-17 04:38:14.730594 | 12386048 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2004-03-30 | 2025-09-05 | N/A | PT | BUCKLE | W276209560 | MADALYN | AE | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8427149/check_12386048_a3da5a1a-6840-405e-936b-433217be6c8e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-05 | N/A | N/A | N/A | N/A | N/A | N/A | W276209560 | N/A | N/A | AETNA | N/A | 2004-03-30 | N/A | N/A | N/A | N/A | false | BUCKLE | N/A | MADALYN | 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 | 8427149 | 2222 | N/A | N/A | N/A | 6227714 | 2025-09-17 04:38:14.730594 | 2025-07-21 23:13:31.723269 |
| 2025-09-17 04:34:49.650099 | 2025-09-17 04:36:31.705297 | 12386031 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2004-03-30 | 2025-09-05 | N/A | PT | BUCKLE | W276209560 | MADALYN | AE | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8427149/check_12386031_5e452563-b69e-434f-90e7-59d8d3ea2b33.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-05 | N/A | N/A | N/A | N/A | N/A | N/A | W276209560 | N/A | N/A | AETNA | N/A | 2004-03-30 | N/A | N/A | N/A | N/A | false | BUCKLE | N/A | MADALYN | 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 | 8427149 | 2222 | N/A | N/A | N/A | 6227714 | 2025-09-17 04:36:31.705297 | 2025-07-21 23:13:31.723269 |
| 2025-09-17 04:31:18.673405 | 2025-09-17 04:31:20.618247 | 12385892 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385892_17a6c0f3-3515-49c0-85f6-c1c145697135.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12385892_523387fd-3f39-40a4-84cc-255a8d055dc4.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 | 12630124 | N/A | 4213743 | 2025-09-17 04:31:20.618247 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:31:16.879910 | 2025-09-17 04:31:18.669745 | 12385889 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385889_88636bb8-9c37-40c0-a6f6-6e8e51d1463c.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 | 2025-09-17 04:31:18.669745 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:31:14.498892 | 2025-09-17 04:31:16.463289 | 12385887 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385887_8dcc46fa-ab46-44d2-84ca-5302ed2ea6bb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12385887_9b73ca63-1acf-474e-b2d1-e502168b6baa.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 | 12630120 | N/A | 4213743 | 2025-09-17 04:31:16.463289 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:31:12.742651 | 2025-09-17 04:31:14.490054 | 12385885 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385885_44b795f5-be2e-447e-b695-6d2a48d67d59.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 | 2025-09-17 04:31:14.490054 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:31:10.474483 | 2025-09-17 04:31:12.346695 | 12385882 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385882_4a815baf-8138-4fde-bb54-ab3ff944fa5f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12385882_5cdd00ca-fb5a-4846-9995-b95bb7373301.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 | 12630115 | N/A | 4213743 | 2025-09-17 04:31:12.346695 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:31:08.720106 | 2025-09-17 04:31:10.472024 | 12385879 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385879_688b8f8e-4e83-4b09-8c66-22fa04c51945.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 | 2025-09-17 04:31:10.472024 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:31:06.476827 | 2025-09-17 04:31:08.313497 | 12385876 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385876_c514eb98-5894-4caf-8e8f-aa80365aa30e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12385876_a5141289-7825-4eb5-943c-3005719dda16.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 | 12630109 | N/A | 4213743 | 2025-09-17 04:31:08.313497 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:31:04.763805 | 2025-09-17 04:31:06.473322 | 12385872 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385872_640a4b18-eb76-44ca-86a1-41958520db7e.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 | 2025-09-17 04:31:06.473322 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:31:02.287152 | 2025-09-17 04:31:04.251633 | 12385870 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385870_5b7277d8-1456-4877-b70f-e094852bb6e9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12385870_c742a25f-897c-4d8e-bf45-4130ee00c0fa.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 | 12630104 | N/A | 4213743 | 2025-09-17 04:31:04.251633 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:31:00.157187 | 2025-09-17 04:31:02.276501 | 12385868 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385868_adc07e2a-e0aa-4963-adc9-1fbda65aec24.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 | 2025-09-17 04:31:02.276501 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:19:58.213856 | 2025-09-17 04:20:00.059489 | 12385736 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385736_972334de-6ea4-4065-ab19-aeb7d524cc14.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12385736_4c11402f-d2b0-471f-9e7c-47704cd3876b.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 | 12629973 | N/A | 4213743 | 2025-09-17 04:20:00.059489 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:19:56.580184 | 2025-09-17 04:19:58.211704 | 12385735 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385735_40f82c46-a700-4a7f-811f-bf66441c56d8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-05 | 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 04:19:58.211704 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:19:54.376603 | 2025-09-17 04:19:56.294505 | 12385733 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385733_fefce766-4d8c-4d25-b04f-dd676d4e2240.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12385733_52ef216c-b58d-4e41-bc50-4faf35f2ed3c.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 | 12629970 | N/A | 4213743 | 2025-09-17 04:19:56.294505 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:19:52.723177 | 2025-09-17 04:19:54.374518 | 12385732 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385732_a91eeadf-880e-4b56-9f07-678ae3a5da61.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-05 | 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 04:19:54.374518 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:19:50.573624 | 2025-09-17 04:19:52.443039 | 12385730 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385730_482bfa6f-0125-4189-bf4b-a4634ead8954.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12385730_662ad9d1-e90b-49c9-b686-b4b9f4b6df78.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 | 12629967 | N/A | 4213743 | 2025-09-17 04:19:52.443039 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:19:48.795087 | 2025-09-17 04:19:50.571391 | 12385729 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385729_da2fb5d6-897b-4da0-be19-642e07b10578.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-05 | 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 04:19:50.571391 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:19:46.618644 | 2025-09-17 04:19:48.479564 | 12385728 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385728_2d892668-4e0f-4443-aad3-36134c7e60a6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12385728_41f1bb0b-ffb3-479b-8649-7935c8eed37f.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 | 12629965 | N/A | 4213743 | 2025-09-17 04:19:48.479564 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:19:44.645233 | 2025-09-17 04:19:46.616092 | 12385727 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385727_2904c962-d0fd-48fc-90f4-98d281a7a891.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-05 | 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 04:19:46.616092 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:19:41.718201 | 2025-09-17 04:19:43.887714 | 12385726 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385726_57830736-19c1-4b59-8f33-c6b15d763bad.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12385726_099559cc-c161-440c-96f9-cd6c3d9b0ea9.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 | 12629963 | N/A | 4213743 | 2025-09-17 04:19:43.887714 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:19:39.753754 | 2025-09-17 04:19:41.715825 | 12385724 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385724_a4abfa36-3ee4-4f12-baff-4478194e1d11.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-05 | 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 04:19:41.715825 | 2025-05-13 04:29:37.228064 |
| 2025-09-17 04:19:09.296278 | 2025-09-17 04:19:15.188650 | 12385716 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-09-10 | N/A | PT | ULLMAN | 8HC8F35AX50 | DAVID | AE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_12385716_7979bc74-ae56-4765-a0c8-7bc030a535dd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_12385716_6ab806a6-4969-423f-94b9-edb547449ff7.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MA | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8809245604 | 1275 | N/A | 5543201 | 2222 | N/A | 12629954 | N/A | 4215026 | 2025-09-17 04:19:15.188650 | 2025-06-07 16:16:41.178119 |
| 2025-09-17 04:09:33.901583 | 2025-09-17 04:09:36.418979 | 12385636 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-20 | N/A | PT | AZUCENA | 382516401 | ESPERANZA | AE | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12385636_72786335-7cf0-4060-954c-a910b1f4452e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12385636_8248bbfc-8309-472b-b4cb-9009cb095f25.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 | 12629874 | N/A | 4213743 | 2025-09-17 04:09:36.418979 | 2025-05-13 04:29:37.228064 |