API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-16 05:26:31.805904 | 2025-09-16 05:26:33.956506 | 12374231 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12374231_2e8b7327-8cb9-4236-8396-4d7c6ecdba5a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12374231_bdb7f7f6-746e-4056-94f8-7ba02e0833f2.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 | 12580741 | N/A | 4213743 | 2025-09-16 05:26:33.956506 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 05:26:29.577836 | 2025-09-16 05:26:31.770748 | 12374230 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12374230_6745c3bd-4bd6-49af-9947-dc646c67297b.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 | 2025-09-16 05:26:31.770748 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 05:26:26.695558 | 2025-09-16 05:26:28.705292 | 12374229 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12374229_8271b19b-0331-44b9-b1dd-543085c620c3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12374229_16479407-2c3a-4e5e-84e1-75e85df49cf5.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 | 12580739 | N/A | 4213743 | 2025-09-16 05:26:28.705292 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 05:26:24.912504 | 2025-09-16 05:26:26.686568 | 12374228 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-09-05 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12374228_2e88c6ff-09e2-4375-9ae3-541d432c6cd2.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 | 2025-09-16 05:26:26.686568 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 05:05:41.554579 | 2025-09-16 05:05:43.409484 | 12373966 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-20 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373966_65d0a9c7-ddee-43e2-8d7d-4bb37801e90e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12373966_0bbb81e8-1f93-4f07-be14-b126293e276d.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 | 12580481 | N/A | 4213743 | 2025-09-16 05:05:43.409484 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 05:05:39.866027 | 2025-09-16 05:05:41.552651 | 12373964 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-20 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373964_586f0b6e-fbd2-4485-bfbd-dd1682a6979d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-20 | 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 | 2025-09-16 05:05:41.552651 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 05:05:37.565323 | 2025-09-16 05:05:39.499344 | 12373961 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-20 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373961_ce3132f4-7930-4db2-a032-23188589614f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12373961_ad3f3417-b7a5-4acf-b387-b9728e465bbc.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 | 12580477 | N/A | 4213743 | 2025-09-16 05:05:39.499344 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 05:05:35.824059 | 2025-09-16 05:05:37.562809 | 12373959 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-20 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373959_f92f738d-4442-4eea-86bf-54dd27748096.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-20 | 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 | 2025-09-16 05:05:37.562809 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 05:05:33.748865 | 2025-09-16 05:05:35.540593 | 12373958 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-20 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373958_864fc7a6-7227-4719-800f-c1eff5474003.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12373958_bd96b5ce-719b-49fb-9fcc-b9eb63a71c71.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 | 12580472 | N/A | 4213743 | 2025-09-16 05:05:35.540593 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 05:05:31.982602 | 2025-09-16 05:05:33.746265 | 12373954 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-20 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373954_849712ea-2853-4aa1-afe8-50ca5ac9a440.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-20 | 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 | 2025-09-16 05:05:33.746265 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 05:05:29.749406 | 2025-09-16 05:05:31.700588 | 12373951 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-20 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373951_d8022356-294b-42e8-a91b-6acebb9b5ee6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12373951_25eb141a-c3fa-4df2-ab0c-7706299de2ef.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 | 12580466 | N/A | 4213743 | 2025-09-16 05:05:31.700588 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 05:05:28.040794 | 2025-09-16 05:05:29.745991 | 12373949 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-20 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373949_e2edbb40-591d-4e06-967b-960c6b2482f5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-20 | 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 | 2025-09-16 05:05:29.745991 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 05:05:25.762380 | 2025-09-16 05:05:27.671146 | 12373945 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-20 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373945_aed58a6c-acf1-420c-a47a-707e022df344.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12373945_41badb98-5be3-4e04-a10b-c921dcf9089c.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 | 12580461 | N/A | 4213743 | 2025-09-16 05:05:27.671146 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 05:05:23.974922 | 2025-09-16 05:05:25.759502 | 12373943 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-08-20 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373943_4d52520f-7e5e-45b0-8dce-0a531974e7ca.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-20 | 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 | 2025-09-16 05:05:25.759502 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 04:45:39.982342 | 2025-09-16 04:45:42.081227 | 12373763 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-07-17 | N/A | PT | AE | 23277 | Yiannakakis | 913624039 | Kathy | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_12373763_64b33845-4993-423f-83f5-800a1342191f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6589127/check_12373763_8b8a000b-adb4-4134-b3c4-5355f468a407.json | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | 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 | 6589127 | 2222 | N/A | 12580281 | N/A | 4766950 | 2025-09-16 04:45:42.081227 | 2025-06-03 22:10:54.646473 |
| 2025-09-16 04:45:37.646006 | 2025-09-16 04:45:39.975986 | 12373762 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-14 | 2025-07-17 | N/A | PT | AE | 23277 | Yiannakakis | 913624039 | Kathy | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_12373762_fbf40b38-708e-42a7-bc69-ade8619ca152.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | N/A | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | 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 | 6589127 | 2222 | N/A | N/A | N/A | 4766950 | 2025-09-16 04:45:39.975986 | 2025-06-03 22:10:54.646473 |
| 2025-09-16 04:45:18.173663 | 2025-09-16 04:45:22.126912 | 12373761 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373761_26f73806-fc9c-4156-8132-4863ba1d1945.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12373761_a4927d13-97d9-4654-8da2-e40087b2d315.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 | 12580279 | N/A | 4213743 | 2025-09-16 04:45:22.126912 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 04:45:14.326720 | 2025-09-16 04:45:18.164763 | 12373760 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373760_a22f6940-f4a3-400a-a3e5-7eb2c210932b.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 | 2025-09-16 04:45:18.164763 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 04:45:06.966981 | 2025-09-16 04:45:11.434657 | 12373758 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373758_5a952d1f-13d4-4a93-b4fc-58e19f4d1545.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12373758_d991a3a9-9f65-4a9e-b755-19b93201084d.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 | 12580277 | N/A | 4213743 | 2025-09-16 04:45:11.434657 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 04:45:03.677656 | 2025-09-16 04:45:06.944023 | 12373757 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373757_8d8ac22f-8790-42a5-8588-03be8c621a16.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 | 2025-09-16 04:45:06.944023 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 04:44:56.968865 | 2025-09-16 04:45:00.658437 | 12373756 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373756_110cb614-5d47-437a-8c1b-37ca0729a287.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12373756_c1dbe47e-3567-4cfd-8a6d-ba50179cde7d.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 | 12580274 | N/A | 4213743 | 2025-09-16 04:45:00.658437 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 04:44:52.655631 | 2025-09-16 04:44:56.947448 | 12373753 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373753_ea777fbd-b9fc-460a-8275-8b6ee4d842b0.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 | 2025-09-16 04:44:56.947448 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 04:44:46.028164 | 2025-09-16 04:44:49.806980 | 12373751 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373751_f02871e5-d093-426b-9c41-94836b7050af.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12373751_c568cc82-8b82-46a4-b3c3-df5d939a357c.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 | 12580269 | N/A | 4213743 | 2025-09-16 04:44:49.806980 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 04:44:42.421902 | 2025-09-16 04:44:46.018074 | 12373750 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373750_0bb017d5-ab0c-418f-9182-9ade2d6c830a.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 | 2025-09-16 04:44:46.018074 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 04:44:34.081039 | 2025-09-16 04:44:38.738378 | 12373749 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373749_5f834fd4-dffd-4053-810d-5620ee4b9db3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12373749_e5586e74-4ad5-4d11-b02a-c7e9d64b392b.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 | 12580267 | N/A | 4213743 | 2025-09-16 04:44:38.738378 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 04:44:29.613175 | 2025-09-16 04:44:34.063375 | 12373746 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12373746_9bbdc5f9-483b-4950-b83c-5948daf5dd27.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 | 2025-09-16 04:44:34.063375 | 2025-05-13 04:29:37.228064 |
| 2025-09-16 03:12:50.743428 | 2025-09-16 03:12:59.513370 | 12373288 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-01-07 | 2025-09-17 | F | AE | PT | N/A | BUCHLER | 941436830 | Miroslava | https://storage.googleapis.com/normandy-eligibility-checks/2222/9277476/check_12373288_d5939e16-ee7a-490d-a02c-41c7a26f2b09.json | UHC | N/A | INSIGHTS | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9277476/check_12373288_3e2790fc-003b-447a-b788-d6886f1c402c.json | N/A | N/A | N/A | N/A | N/A | 941436830 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1976-01-07 | N/A | 701444 | N/A | N/A | false | BUCHLER | N/A | MIROSLAVA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9277476 | 2222 | N/A | 12579815 | N/A | 7785772 | 2025-09-16 03:12:59.513370 | 2025-09-16 03:06:31.754909 |
| 2025-09-16 00:28:36.556325 | 2025-09-16 00:28:39.500667 | 12372948 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-16 | F | AE | PT | 6798 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12372948_f63cc00f-e7e9-446a-9f9c-f51e6ae47547.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253541/check_12372948_f129e376-8fa9-4cb9-9156-fd0898387c9e.json | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1948-01-19 | 406-024-000 | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8799225642 | 9340 | N/A | 9253541 | 2222 | N/A | 12579477 | N/A | 7764252 | 2025-09-16 00:28:39.500667 | 2025-09-11 22:35:02.402934 |
| 2025-09-15 21:20:50.208559 | 2025-09-15 21:20:59.240168 | 12370898 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-07-15 | 2025-09-19 | M | AE | PT | 3948 | BAKER | W2259 72262 | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/2222/9411210/check_12370898_8db8f1d7-8be8-4411-af1b-a9b3c9e5171c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411210/check_12370898_317a5bfd-7c8d-4825-bd06-5557347ee9a8.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 | 8798184656 | N/A | N/A | 9411210 | 2222 | N/A | 12577041 | N/A | 7880075 | 2025-09-15 21:20:59.240168 | 2025-10-01 14:29:57.963249 |
| 2025-09-15 20:51:16.556367 | 2025-09-15 20:51:19.405826 | 12370656 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-04-20 | 2025-09-15 | M | AE | PT | 6798 | HAUSMAN | 34751866 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/9280203/check_12370656_e5f886c3-cd5a-4f70-a6f3-f8809e661032.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_12370656_67d21c08-a9ee-4083-bd3b-d892b3761167.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-024-000 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8797872681 | 9482 | N/A | 9280203 | 2222 | N/A | 12576743 | N/A | 7788651 | 2025-09-15 20:51:19.405826 | 2025-09-10 18:50:22.494063 |
| 2025-09-15 18:08:34.738905 | 2025-09-15 18:08:40.708174 | 12369071 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 4185 | POLK | MBL292M95257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_12369071_003e9387-328a-46b0-a1b9-cc80e05d064e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_12369071_3d6b58f8-aa67-41c4-a406-c0882238b4dd.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8796426607 | 161267 | N/A | 9022039 | 2222 | N/A | 12574879 | N/A | 7544773 | 2025-09-15 18:08:40.708174 | 2025-09-02 18:35:33.812098 |
| 2025-09-15 18:07:45.212634 | 2025-09-15 18:07:47.128008 | 12369063 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 4185 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_12369063_201327b3-891f-4bed-9321-27731b44ca3f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_12369063_f8dd4a14-41de-4acc-b6c0-76d68533e7e1.json | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 9022039 | 2222 | N/A | 12574868 | N/A | 7544773 | 2025-09-15 18:07:47.128008 | 2025-09-02 18:35:33.812098 |
| 2025-09-15 18:07:42.454611 | 2025-09-15 18:07:45.209716 | 12369062 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 4185 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_12369062_30c860e7-d32e-4b1d-8cb6-140a3d5620a8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 9022039 | 2222 | N/A | N/A | N/A | 7544773 | 2025-09-15 18:07:45.209716 | 2025-09-02 18:35:33.812098 |
| 2025-09-15 16:19:17.393576 | 2025-09-15 16:19:22.291573 | 12367159 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-15 | 2025-09-08 | M | PT | AE | 4191 | Chizever | SBN015146 | Geoffrey | https://storage.googleapis.com/normandy-eligibility-checks/2222/9129353/check_12367159_d5f3edc1-9535-442a-b77b-6533311eb2e3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9129353/check_12367159_1239a94a-205e-47b4-ba88-d1b96e7651a9.json | N/A | N/A | N/A | N/A | N/A | SBN015146 | Preferred Provider Organization (PPO) | SBN STANDARD OPTION | BLUE SHIELD OF CALIFORNIA | N/A | 1986-05-15 | N/A | SBN | N/A | PR | false | CHIZEVER | N/A | GEOFFREY | N/A | 9999-12-31 | 2020-01-01 | SBN STANDARD OPTION | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8795328642 | 7687 | N/A | 9129353 | 2222 | N/A | 12572831 | N/A | 7142683 | 2025-09-15 16:19:22.291573 | 2026-01-12 20:01:37.957097 |
| 2025-09-15 16:12:40.126006 | 2025-09-15 16:12:53.057479 | 12367103 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-06-14 | 2025-09-09 | F | PT | AE | 4191 | VERWEY | R61817302 | CAREN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9094348/check_12367103_262c6190-1999-4a15-859a-0fd0504dabfa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9094348/check_12367103_b2c21fc0-2b71-47e5-a71c-853fbaa33461.json | N/A | N/A | N/A | N/A | N/A | R61817302 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1960-06-14 | N/A | 35C | N/A | PR | false | VERWEY | N/A | CAREN | N/A | 9999-12-31 | 2025-01-01 | FEP BLUE FOCUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8795282135 | 7687 | N/A | 9094348 | 2222 | N/A | 12572762 | N/A | 6826965 | 2025-09-15 16:12:53.057479 | 2025-08-13 02:28:19.717631 |
| 2025-09-15 16:01:49.428057 | 2025-09-15 16:01:51.320674 | 12366975 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-05-10 | 2025-09-15 | F | AE | PT | 23322 | NEPALI | R14157930FM1 | THILY | https://storage.googleapis.com/normandy-eligibility-checks/2222/9105461/check_12366975_b4f045c9-c7fd-468b-a618-52f6f8a81516.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9105461/check_12366975_1bb42679-af04-4db6-8ad3-92fa82feed27.json | N/A | N/A | N/A | N/A | N/A | R14157930FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1991-05-10 | N/A | N/A | N/A | N/A | false | NEPALI | N/A | THILY | N/A | N/A | N/A | M53 COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8795201241 | N/A | N/A | 9105461 | 2222 | N/A | 12572620 | N/A | 7625402 | 2025-09-15 16:01:51.320674 | 2025-09-15 23:06:48.101835 |
| 2025-09-15 16:00:12.163752 | 2025-09-15 16:00:14.728633 | 12366966 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-09-01 | 2025-09-15 | M | AE | PT | N/A | BROWNELL | 937841928 | JASON | https://storage.googleapis.com/normandy-eligibility-checks/2222/8971099/check_12366966_f98e6f26-c0dc-4dcc-80cd-1a0f11410161.json | UHC | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8971099/check_12366966_54acfab0-db68-4572-ab05-7e77ee4bfc55.json | N/A | N/A | N/A | N/A | N/A | 937841928 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1973-09-01 | N/A | 942154 | N/A | N/A | false | BROWNELL | N/A | JASON | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 8971099 | 2222 | N/A | 12572607 | N/A | 7486549 | 2025-09-15 16:00:14.728633 | 2025-09-07 16:51:12.298737 |
| 2025-09-15 15:59:16.192921 | 2025-09-15 15:59:18.090421 | 12366961 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-05-10 | 2025-09-15 | F | AE | PT | 23322 | NEPALI | R14157930FM1 | THILY | https://storage.googleapis.com/normandy-eligibility-checks/2222/9105461/check_12366961_30f245b5-9af8-4e2d-a079-45ddcf146b9e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9105461/check_12366961_9b1b0bd3-c278-4b00-bac4-322c2b0f97c5.json | N/A | N/A | N/A | N/A | N/A | R14157930FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1991-05-10 | N/A | N/A | N/A | N/A | false | NEPALI | N/A | THILY | N/A | N/A | N/A | M53 COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8795182441 | N/A | N/A | 9105461 | 2222 | N/A | 12572602 | N/A | 7625402 | 2025-09-15 15:59:18.090421 | 2025-09-15 23:06:48.101835 |
| 2025-09-15 15:58:13.140787 | 2025-09-15 15:58:16.190186 | 12366955 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-01-13 | 2025-09-15 | M | PT | N/A | 4185 | BLANCO ESCOBAR | JQW106W18304 | SAMUEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/9134245/check_12366955_ca63e5a4-2d6c-463c-81d5-7873c10ec55a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9134245/check_12366955_53278f74-6807-4abc-9235-8ae10e8261d5.json | N/A | N/A | N/A | N/A | N/A | JQW106W18304 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-01-13 | 040 | CAMCRWP0 | N/A | MP | false | BLANCO ESCOBAR | N/A | SAMUEL | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8795175233 | 161267 | N/A | 9134245 | 2222 | N/A | 12572595 | N/A | 7655426 | 2025-09-15 15:58:16.190186 | 2025-09-08 18:14:46.984181 |
| 2025-09-15 15:58:03.236799 | 2025-09-15 15:58:05.124982 | 12366951 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-01-13 | 2025-09-15 | M | PT | N/A | 23277 | BLANCO ESCOBAR | JQW106W18304 | SAMUEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/9134245/check_12366951_d8914de4-4fe8-423d-acc8-a203c206d281.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9134245/check_12366951_32c27c44-3048-4db5-963e-a510c01b542f.json | N/A | N/A | N/A | N/A | N/A | JQW106W18304 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1952-01-13 | N/A | N/A | N/A | N/A | false | BLANCO ESCOBAR | N/A | SAMUEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 9134245 | 2222 | N/A | 12572590 | N/A | 7655426 | 2025-09-15 15:58:05.124982 | 2025-09-08 18:14:46.984181 |
| 2025-09-15 15:58:01.512736 | 2025-09-15 15:58:03.226280 | 12366950 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-01-13 | 2025-09-15 | M | PT | N/A | 23277 | BLANCO ESCOBAR | JQW106W18304 | SAMUEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/9134245/check_12366950_93bd0a7a-79b0-44d1-b5b5-5859236529a4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | JQW106W18304 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1952-01-13 | N/A | N/A | N/A | N/A | false | BLANCO ESCOBAR | N/A | SAMUEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 9134245 | 2222 | N/A | N/A | N/A | 7655426 | 2025-09-15 15:58:03.226280 | 2025-09-08 18:14:46.984181 |
| 2025-09-15 15:32:00.729075 | 2025-09-15 15:32:02.580746 | 12366722 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 3939 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_12366722_da3fe108-3515-47d9-8a71-5a145554b43e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_12366722_0bed7db8-eca4-4e84-b024-15169b7191e0.json | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | AETNA INC | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 9022039 | 2222 | N/A | 12572310 | N/A | 7544773 | 2025-09-15 15:32:02.580746 | 2025-09-02 18:35:33.812098 |
| 2025-09-15 15:31:58.910649 | 2025-09-15 15:32:00.725785 | 12366721 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 3939 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_12366721_867c01e9-c6ee-459f-bac8-1d77b3e95efb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | AETNA INC | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 9022039 | 2222 | N/A | N/A | N/A | 7544773 | 2025-09-15 15:32:00.725785 | 2025-09-02 18:35:33.812098 |
| 2025-09-15 15:08:57.189508 | 2025-09-15 15:09:00.236410 | 12366444 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-06-23 | 2025-09-10 | F | PT | AE | 4191 | MAGHSOUDLOO | XAN913772161 | FARIBAB | https://storage.googleapis.com/normandy-eligibility-checks/2222/8605480/check_12366444_e609b3bc-7402-44df-9a24-5bdca6a7c045.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8605480/check_12366444_f85fb6cc-475d-4f55-9f9f-965913508e20.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1965-06-23 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8794749739 | 7693 | N/A | 8605480 | 2222 | N/A | 12572001 | N/A | 5788398 | 2025-09-15 15:09:00.236410 | 2025-07-31 22:52:15.686379 |
| 2025-09-15 14:17:51.006399 | 2025-09-15 14:18:25.086216 | 12363820 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-05-14 | 2025-09-16 | M | AE | PT | 6341 | Torian | 011836255-00 | Keason | https://storage.googleapis.com/normandy-eligibility-checks/2222/8063625/check_12363820_38833e53-018b-4e9f-98fe-fae45bcf9739.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-09-16 | N/A | N/A | N/A | N/A | N/A | N/A | 01183625500 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8063625 | 2222 | N/A | N/A | N/A | 6853458 | 2025-09-15 14:18:25.086216 | 2025-08-19 16:08:37.293894 |
| 2025-09-15 14:06:20.616536 | 2025-09-15 14:06:23.868610 | 12362833 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-05-10 | 2025-09-15 | F | AE | PT | 23322 | NEPALI | R14157930FM1 | THILY | https://storage.googleapis.com/normandy-eligibility-checks/2222/9105461/check_12362833_8945de15-3661-4c67-851e-5e9bb69a222b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9105461/check_12362833_195b8084-99a8-49d1-af56-28cf9643e64a.json | N/A | N/A | N/A | N/A | N/A | R14157930FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1991-05-10 | N/A | N/A | N/A | N/A | false | NEPALI | N/A | THILY | N/A | N/A | N/A | M53 COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8794170296 | N/A | N/A | 9105461 | 2222 | N/A | 12568530 | N/A | 7625402 | 2025-09-15 14:06:23.868610 | 2025-09-15 23:06:48.101835 |
| 2025-09-15 14:04:28.515051 | 2025-09-15 14:04:30.321759 | 12362628 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-06-15 | 2025-09-15 | M | AE | PT | 3948 | SCHECHTER | 102181433800 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9026590/check_12362628_98d53640-58b6-4c83-a192-3e1f35a0ac85.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9026590/check_12362628_6d4561d0-1cce-4d23-a9d9-585187bcc4dc.json | N/A | N/A | N/A | N/A | N/A | 102181433800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1946-06-15 | 000003-CA000027 | 000003-CA | N/A | PR | false | SCHECHTER | N/A | STEVEN | N/A | 2026-01-01 | 2025-07-01 | AETNA MEDICARE CHOICE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8794147991 | N/A | N/A | 9026590 | 2222 | N/A | 12568321 | N/A | 7549031 | 2025-09-15 14:04:30.321759 | 2026-05-22 23:37:03.098359 |
| 2025-09-15 14:03:45.524801 | 2025-09-15 14:03:47.422673 | 12362554 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 3939 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_12362554_114a3441-d01c-446f-8316-4e668d776efc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_12362554_a7bd6f29-f576-419d-9c56-c4193b2cc0af.json | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | AETNA INC | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | 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 | 9022039 | 2222 | N/A | 12568248 | N/A | 7544773 | 2025-09-15 14:03:47.422673 | 2025-09-02 18:35:33.812098 |
| 2025-09-15 14:03:42.654571 | 2025-09-15 14:03:45.516839 | 12362549 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 3939 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_12362549_04cef2a5-2ac5-4c49-8485-04f40530b637.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | AETNA INC | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | 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 | 9022039 | 2222 | N/A | N/A | N/A | 7544773 | 2025-09-15 14:03:45.516839 | 2025-09-02 18:35:33.812098 |
| 2025-09-15 13:58:17.261077 | 2025-09-15 13:58:33.788890 | 12361973 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-10-03 | 2025-09-15 | F | AE | PT | 4497 | CAVELLA | 3QD6Q97VV77 | EMIL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6203310/check_12361973_cf2fb38a-9f95-4682-a392-49529529b590.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203310/check_12361973_20eb1897-910d-481b-a35e-367cdc212f64.json | N/A | N/A | N/A | N/A | N/A | 3QD6Q97VV77 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-10-03 | S8841 | N/A | N/A | MA | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8794093970 | N/A | N/A | 6203310 | 2222 | N/A | 12567681 | N/A | 4846213 | 2025-09-15 13:58:33.788890 | 2025-06-10 21:58:09.734801 |