API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | service_type_codes_3 | service_type_codes_4 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-01 09:02:35.333163 | 2025-06-02 02:02:49.009524 | 8445471 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8445471 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-06-04 | M | PT | AE | DERR | 35335410011 | DENNIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.140710715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_8445471_aab0c4c9-8557-4961-9c51-7f5437738a44.json | N/A | N/A | N/A | N/A | N/A | 353354100 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-09-28 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | 4793 | 8142400 | N/A | 4534550 | 2025-06-02 02:02:49.009524 | 2025-10-15 18:36:58.255255 |
| 2025-06-01 09:01:25.079342 | 2025-06-02 02:03:26.499917 | 8440754 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8440754 | Athletic Physical Therapy Inc | 1944-11-13 | 2025-06-05 | M | PT | AE | HACKBARTH | 27593277 | HAROLD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141025470.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_8440754_8e088b7a-c9fa-49b7-955d-b2558a121dd0.json | N/A | N/A | N/A | N/A | N/A | 27593277 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1944-11-13 | N/A | N/A | N/A | N/A | false | HACKBARTH | N/A | HAROLD | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5568081 | 2222 | 4801 | 8143110 | N/A | 4212656 | 2025-06-02 02:03:26.499917 | 2025-08-12 21:09:57.607033 |
| 2025-06-01 00:05:53.883065 | 2025-06-01 00:05:56.860373 | 8438307 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-05-30 | M | PT | AE | TAMAYO | KXJ559A68155 | ERENDIRA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8438307_dc875ac4-a890-42c0-b5cf-f74245ee28dd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543155/check_8438307_cb8ca9eb-a41e-4d01-a484-1b4df85c3c3a.json | N/A | N/A | N/A | N/A | N/A | KXJ559A68155 | Health Maintenance Organization (HMO) | R&A ALEXANDER INVESTMENT LLC | ANTHEM BLUE CROSS | N/A | 1980-09-16 | 040 | L11310H004 | N/A | HM | false | TAMAYO MORALES | N/A | OSCAR | N/A | 9999-12-31 | 2024-07-01 | ELEMENTS CHOICE HMO SELECT | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | 8136384 | N/A | 4214980 | 2025-06-01 00:05:56.860373 | 2025-05-31 23:59:39.365475 |
| 2025-05-31 23:59:50.130749 | 2025-05-31 23:59:51.946234 | 8438306 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-05-30 | M | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8438306_f427e476-de97-4825-865f-8343a561fb7c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543155/check_8438306_85197078-fff5-4ab5-a074-44a5e97063dd.json | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | 8136383 | N/A | 4214980 | 2025-05-31 23:59:51.946234 | 2025-05-31 23:59:39.365475 |
| 2025-05-31 23:59:48.454216 | 2025-05-31 23:59:50.127242 | 8438305 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-05-30 | M | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8438305_70d792d5-07ca-4b8a-812c-5ea44fb39b61.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | N/A | N/A | 4214980 | 2025-05-31 23:59:50.127242 | 2025-05-31 23:59:39.365475 |
| 2025-05-31 23:59:11.274104 | 2025-05-31 23:59:15.156085 | 8438304 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-05-30 | M | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8438304_f67b7c80-2fd5-460e-90fa-e989275e6ecb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543155/check_8438304_39a0f87d-d237-4557-93e9-39a4cf6f767b.json | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | 8136381 | N/A | 4214980 | 2025-05-31 23:59:15.156085 | 2025-05-31 23:59:39.365475 |
| 2025-05-31 23:59:09.637078 | 2025-05-31 23:59:11.272112 | 8438303 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-05-30 | M | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8438303_b68e6b87-ee6e-48bf-9549-d9b44d394ca6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | N/A | N/A | 4214980 | 2025-05-31 23:59:11.272112 | 2025-05-31 23:59:39.365475 |
| 2025-05-31 23:58:47.022722 | 2025-05-31 23:58:48.750332 | 8438302 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-05-30 | U | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8438302_e25b7362-7f43-4917-b038-f5a0db497698.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543155/check_8438302_d60606a2-0fe6-42d2-b8cd-9a130b6d8543.json | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | 8136379 | N/A | 4214980 | 2025-05-31 23:58:48.750332 | 2025-05-31 23:59:39.365475 |
| 2025-05-31 23:58:45.054795 | 2025-05-31 23:58:47.020150 | 8438301 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-05-30 | U | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8438301_470bc702-56a6-4083-8f84-60def68e9736.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | N/A | N/A | 4214980 | 2025-05-31 23:58:47.020150 | 2025-05-31 23:59:39.365475 |
| 2025-05-31 23:47:32.036764 | 2025-05-31 23:47:35.778219 | 8438296 | N/A | N/A | 74227 | UnitedHealthcare StudentResources | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-08-20 | 2025-06-03 | F | PT | AE | SAUCERMAN | 970528002 | ALEXIS | 6906 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538771/check_8438296_68347708-3a26-420f-8c95-85d0ba7db104.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538771/check_8438296_fed62f1d-1499-401d-b12a-53874833358f.json | N/A | N/A | N/A | N/A | N/A | 970528002 | N/A | N/A | UHC STUDENT RESOURCES | N/A | 2000-08-20 | N/A | N/A | N/A | N/A | false | SAUCERMAN | N/A | ALEXIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5538771 | 2222 | N/A | 8136373 | N/A | 4211143 | 2025-05-31 23:47:35.778219 | 2025-05-31 20:12:37.092503 |
| 2025-05-31 23:47:20.096568 | 2025-05-31 23:47:32.034260 | 8438295 | N/A | N/A | 74227 | UnitedHealthcare StudentResources | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-08-20 | 2025-06-03 | F | PT | AE | SAUCERMAN | 970528002 | ALEXIS | 6906 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538771/check_8438295_a41fdb81-0742-4134-bc44-4509742eb540.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | 970528002 | N/A | N/A | UHC STUDENT RESOURCES | N/A | 2000-08-20 | N/A | N/A | N/A | N/A | false | SAUCERMAN | N/A | ALEXIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5538771 | 2222 | N/A | N/A | N/A | 4211143 | 2025-05-31 23:47:32.034260 | 2025-05-31 20:12:37.092503 |
| 2025-05-31 23:44:15.249860 | 2025-05-31 23:44:19.371295 | 8438294 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-08-20 | 2025-04-28 | F | PT | AE | SAUCERMAN | 970528002 | ALEXIS | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538771/check_8438294_bbba91f5-827c-4ae8-95d5-6a2a79cc413c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538771/check_8438294_bbad0cec-762c-499e-8865-887db703d951.json | N/A | N/A | N/A | N/A | N/A | 970528002 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2000-08-20 | N/A | N/A | N/A | N/A | false | SAUCERMAN | N/A | DEANNE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5538771 | 2222 | N/A | 8136371 | N/A | 4211143 | 2025-05-31 23:44:19.371295 | 2025-05-31 20:12:37.092503 |
| 2025-05-31 23:37:57.028695 | 2025-05-31 23:37:58.896784 | 8438291 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-08-20 | 2025-04-28 | F | PT | AE | SAUCERMAN | 9705280-02 | ALEXIS | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538771/check_8438291_50a8a049-8520-40d2-b646-fa0b6910fab0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538771/check_8438291_30e4ed16-ef8e-4e04-a577-adcc0bb1bd9e.json | N/A | N/A | N/A | N/A | N/A | 009705280 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2000-08-20 | 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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5538771 | 2222 | N/A | 8136368 | N/A | 4211143 | 2025-05-31 23:37:58.896784 | 2025-05-31 20:12:37.092503 |
| 2025-05-31 23:37:44.179014 | 2025-05-31 23:37:47.206883 | 8438290 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-08-20 | 2025-04-28 | F | PT | AE | SAUCERMAN | 9705280-02 | ALEXIS | 21981 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538771/check_8438290_b89ac609-5345-4365-b3fb-387af85265f4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538771/check_8438290_107e9b75-9972-4f81-ba5b-31a8b6ad8cf5.json | N/A | N/A | N/A | N/A | N/A | 009705280 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2000-08-20 | 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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5538771 | 2222 | N/A | 8136367 | N/A | 4211143 | 2025-05-31 23:37:47.206883 | 2025-05-31 20:12:37.092503 |
| 2025-05-31 20:13:28.942599 | 2025-05-31 20:13:31.938871 | 8438247 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-08-20 | 2025-06-03 | F | PT | AE | SAUCERMAN | 9705280-02 | ALEXIS | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538771/check_8438247_33e8acd6-c20d-4b59-9fe1-1d7cbbb96f30.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538771/check_8438247_8d2bfc39-b4f8-475a-9ec4-6c2bee976026.json | N/A | N/A | N/A | N/A | N/A | 009705280 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2000-08-20 | 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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5538771 | 2222 | N/A | 8136324 | N/A | 4211143 | 2025-05-31 20:13:31.938871 | 2025-05-31 20:12:37.092503 |
| 2025-05-31 20:07:03.845742 | 2025-05-31 20:07:07.950086 | 8438245 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-08-20 | 2025-06-03 | M | PT | AE | SAUCERMAN | 288A5573570 | ALEXIS | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538771/check_8438245_5690fc39-e6a8-4241-b722-53850bc9f907.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538771/check_8438245_c9291518-ff8c-4a3a-a54e-1eca2c6f1521.json | N/A | N/A | N/A | N/A | N/A | 009705280 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2000-08-20 | 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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5538771 | 2222 | N/A | 8136322 | N/A | 4211143 | 2025-05-31 20:07:07.950086 | 2025-05-31 20:12:37.092503 |
| 2025-05-31 14:31:12.670026 | 2025-05-31 14:31:14.367684 | 8438070 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-02-25 | 2025-06-09 | F | PT | AE | ROBERTS | 00000402630 | DEBRA | 23299 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085762/check_8438070_abbe60d8-2417-48f9-bfd5-3b185398faa3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_8438070_1f488209-091d-46b0-b9a9-7112ce20219e.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-02-25 | N/A | N/A | N/A | N/A | false | ROBERTS | N/A | DEBRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6085762 | 2222 | N/A | 8136147 | N/A | 4729138 | 2025-05-31 14:31:14.367684 | 2025-05-31 14:20:56.156252 |
| 2025-05-31 14:31:10.916345 | 2025-05-31 14:31:12.667546 | 8438069 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-02-25 | 2025-06-09 | F | PT | AE | ROBERTS | 00000402630 | DEBRA | 23299 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085762/check_8438069_3127d167-167b-4ec5-9f51-9f2b4e127475.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 00000402630 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-02-25 | N/A | N/A | N/A | N/A | false | ROBERTS | N/A | DEBRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6085762 | 2222 | N/A | N/A | N/A | 4729138 | 2025-05-31 14:31:12.667546 | 2025-05-31 14:20:56.156252 |
| 2025-05-31 00:28:01.903053 | 2025-05-31 00:28:03.748918 | 8432383 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-05-30 | U | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8432383_c20ac9ab-8075-410c-b094-8162059105d5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543155/check_8432383_896f2cec-8ac3-4f57-9313-63d2e62ddb40.json | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | 8110005 | N/A | 4214980 | 2025-05-31 00:28:03.748918 | 2025-05-31 23:59:39.365475 |
| 2025-05-31 00:28:00.195689 | 2025-05-31 00:28:01.898468 | 8432382 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-05-30 | U | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8432382_67a605b7-706a-4d69-b9a7-2b52c64a15b1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | N/A | N/A | 4214980 | 2025-05-31 00:28:01.898468 | 2025-05-31 23:59:39.365475 |
| 2025-05-31 00:27:48.701320 | 2025-05-31 00:27:50.520861 | 8432381 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-05-30 | M | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8432381_4ebddad1-7a87-4ceb-acc1-0124601c26bf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543155/check_8432381_3795a175-45e5-4637-8ed1-095ae27b36ef.json | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | 8110003 | N/A | 4214980 | 2025-05-31 00:27:50.520861 | 2025-05-31 23:59:39.365475 |
| 2025-05-31 00:27:46.930681 | 2025-05-31 00:27:48.698836 | 8432380 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-05-30 | M | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8432380_6543ec7c-a29a-4c2e-a8a5-fcd36e252b9f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | N/A | N/A | 4214980 | 2025-05-31 00:27:48.698836 | 2025-05-31 23:59:39.365475 |
| 2025-05-31 00:24:11.116015 | 2025-05-31 00:24:12.847375 | 8432379 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-05-30 | M | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8432379_6c4fe267-b415-4e60-bb97-c5e61f8e8f07.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543155/check_8432379_0c7b301e-cacd-47ea-b7b1-25bc168273f7.json | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | 8110001 | N/A | 4214980 | 2025-05-31 00:24:12.847375 | 2025-05-31 23:59:39.365475 |
| 2025-05-31 00:24:09.447439 | 2025-05-31 00:24:11.114246 | 8432378 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-05-30 | M | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8432378_6f6d9e11-4d05-400a-a094-fac7ca2a4259.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | N/A | N/A | 4214980 | 2025-05-31 00:24:11.114246 | 2025-05-31 23:59:39.365475 |
| 2025-05-31 00:21:58.693454 | 2025-05-31 00:22:01.571139 | 8432376 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-28 | 2025-05-30 | M | PT | N/A | GARCIA | FJB21294792M | STARR | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542769/check_8432376_67175b6f-489d-4e3d-996d-e0f63453e19b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542769/check_8432376_659faa89-11ea-4843-a56b-92d12249c760.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | Preferred Provider Organization (PPO) | BANK OF AMERICA CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-08-28 | 101 | 174549M111 | N/A | PR | false | RAY | N/A | ALLISON | N/A | 9999-12-31 | 2016-01-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542769 | 2222 | N/A | 8109997 | N/A | 4214641 | 2025-05-31 00:22:01.571139 | 2025-12-09 08:50:02.875071 |
| 2025-05-31 00:21:46.937586 | 2025-05-31 00:21:48.639156 | 8432374 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-28 | 2025-05-30 | U | PT | N/A | GARCIA | FJB21294792M | STARR | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542769/check_8432374_d2d52fc7-af24-4c4e-930e-33cc8d4638df.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542769/check_8432374_78cbcbf4-6029-4729-b3f1-665b35b3f3ab.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 2009-08-28 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | STARR | 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 | 5831 | N/A | 5542769 | 2222 | N/A | 8109996 | N/A | 4214641 | 2025-05-31 00:21:48.639156 | 2025-12-09 08:50:02.875071 |
| 2025-05-31 00:21:45.184234 | 2025-05-31 00:21:46.936183 | 8432373 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-28 | 2025-05-30 | U | PT | N/A | GARCIA | FJB21294792M | STARR | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542769/check_8432373_3c70f55a-a620-4157-b566-f57de86c50c5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | FJB21294792M | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 2009-08-28 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | STARR | 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 | 5831 | N/A | 5542769 | 2222 | N/A | N/A | N/A | 4214641 | 2025-05-31 00:21:46.936183 | 2025-12-09 08:50:02.875071 |
| 2025-05-30 23:35:33.420924 | 2025-05-30 23:35:38.187797 | 8432347 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-04-09 | 2025-06-03 | F | PT | AE | LIGONDE | W292325041 | KANDICE | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6084294/check_8432347_09ff2231-2ccf-4cc1-a34e-08cde48e7a4b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6084294/check_8432347_3480c7fa-43fd-4a5e-9e49-12f74384b17d.json | N/A | N/A | N/A | N/A | N/A | W292325041 | Point of Service (POS) | ADVOCATE INC., DBA NAVA BENEFITS | AETNA | N/A | 1986-04-09 | 0194013 | 019401301000001 | N/A | PS | false | LIGONDE | N/A | EDWIGE | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6084294 | 2222 | N/A | 8109902 | N/A | 4727372 | 2025-05-30 23:35:38.187797 | 2025-06-03 17:00:01.144712 |
| 2025-05-30 22:07:27.123639 | 2025-05-30 22:07:33.028141 | 8431684 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-08-08 | 2025-05-30 | M | PT | N/A | GINSBERG | JQU469A62630 | STEVEN | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538693/check_8431684_acdecaf1-dcd6-4e9f-974a-d2994ba92457.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_8431684_193052a2-ba86-4d33-b9c2-5bc364185953.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5538693 | 2222 | N/A | 8108924 | N/A | 4211081 | 2025-05-30 22:07:33.028141 | 2025-05-13 04:29:37.225492 |
| 2025-05-30 21:20:58.862712 | 2025-05-30 21:21:02.694758 | 8431458 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-06-02 | M | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 23311 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8431458_84ec3c66-7bb5-4970-9539-302f43f188d4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543155/check_8431458_53003d89-6ebe-4693-a4b7-2026d87ac656.json | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | 8108536 | N/A | 4214980 | 2025-05-30 21:21:02.694758 | 2025-05-31 23:59:39.365475 |
| 2025-05-30 21:20:57.239507 | 2025-05-30 21:20:58.860283 | 8431457 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-06-02 | M | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 23311 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8431457_c1979514-e846-4818-b401-82c3faf50d70.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | N/A | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | N/A | N/A | 4214980 | 2025-05-30 21:20:58.860283 | 2025-05-31 23:59:39.365475 |
| 2025-05-30 21:20:42.592083 | 2025-05-30 21:20:44.462467 | 8431456 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-06-02 | U | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 23311 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8431456_bbe14ede-02a8-40ed-91a5-691ecf646f0e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543155/check_8431456_32e0d46e-4436-41b1-acda-99759326d2dd.json | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | 8108532 | N/A | 4214980 | 2025-05-30 21:20:44.462467 | 2025-05-31 23:59:39.365475 |
| 2025-05-30 21:20:40.887833 | 2025-05-30 21:20:42.588905 | 8431455 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-06-02 | U | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 23311 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8431455_e3442b82-9709-46b0-96fe-900621c76da9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | N/A | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | N/A | N/A | 4214980 | 2025-05-30 21:20:42.588905 | 2025-05-31 23:59:39.365475 |
| 2025-05-30 21:20:29.065988 | 2025-05-30 21:20:30.833213 | 8431452 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-06-02 | M | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8431452_d399e65e-607b-4eb6-9c6c-cd9450035734.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543155/check_8431452_1115cf30-161e-40b0-874a-92c2fa772a50.json | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | 8108529 | N/A | 4214980 | 2025-05-30 21:20:30.833213 | 2025-05-31 23:59:39.365475 |
| 2025-05-30 21:20:27.437338 | 2025-05-30 21:20:29.062407 | 8431451 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-06-02 | M | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543155/check_8431451_e3926733-1dbe-47a0-8ff8-59310c8a5b66.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | N/A | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543155 | 2222 | N/A | N/A | N/A | 4214980 | 2025-05-30 21:20:29.062407 | 2025-05-31 23:59:39.365475 |
| 2025-05-30 21:20:00.808274 | 2025-05-30 21:20:02.619809 | 8431449 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-04-27 | 2025-05-30 | M | PT | AE | TEDDER | 00000390480 | CHARLES | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676415/check_8431449_91c27a53-e91a-4342-9cec-a385127255f9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_8431449_4572b6dc-a421-4d53-9472-89efd856e589.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5676415 | 2222 | N/A | 8108525 | N/A | 4343470 | 2025-05-30 21:20:02.619809 | 2025-05-13 04:29:37.230947 |
| 2025-05-30 21:19:58.194296 | 2025-05-30 21:20:00.805734 | 8431448 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-04-27 | 2025-05-30 | M | PT | AE | TEDDER | 00000390480 | CHARLES | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676415/check_8431448_430166e5-a0e9-44e6-92dd-2543b48cd7f9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5676415 | 2222 | N/A | N/A | N/A | 4343470 | 2025-05-30 21:20:00.805734 | 2025-05-13 04:29:37.230947 |
| 2025-05-30 21:19:41.350201 | 2025-05-30 21:19:44.217106 | 8431446 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-04-27 | 2025-06-02 | M | PT | AE | TEDDER | 00000390480 | CHARLES | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676415/check_8431446_60f07a91-991c-4d40-b384-eebec43f12f0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_8431446_aa780b53-f54c-4c6e-b2f4-0c6aac09ef79.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5676415 | 2222 | N/A | 8108519 | N/A | 4343470 | 2025-05-30 21:19:44.217106 | 2025-05-13 04:29:37.230947 |
| 2025-05-30 21:19:38.755251 | 2025-05-30 21:19:41.348098 | 8431444 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-04-27 | 2025-06-02 | M | PT | AE | TEDDER | 00000390480 | CHARLES | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676415/check_8431444_3ac0ad26-e769-4135-a16f-380631ce6fa5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | N/A | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5676415 | 2222 | N/A | N/A | N/A | 4343470 | 2025-05-30 21:19:41.348098 | 2025-05-13 04:29:37.230947 |
| 2025-05-30 21:16:54.656587 | 2025-05-30 21:16:57.479763 | 8431443 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-02-18 | 2025-05-30 | M | PT | AE | ZHAO | 916547548 | CHARLIE | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550983/check_8431443_93b7a5e7-ed86-489b-8a43-34b7376ee50c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550983/check_8431443_2101f82c-f4af-40b1-896e-ba6f2d2111b9.json | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5550983 | 2222 | N/A | 8108508 | N/A | 4219811 | 2025-05-30 21:16:57.479763 | 2025-05-13 04:29:37.230858 |
| 2025-05-30 21:16:52.037557 | 2025-05-30 21:16:54.654162 | 8431441 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-02-18 | 2025-05-30 | M | PT | AE | ZHAO | 916547548 | CHARLIE | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550983/check_8431441_401b7bfb-a20a-4177-9a08-655a70ad9e3d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5550983 | 2222 | N/A | N/A | N/A | 4219811 | 2025-05-30 21:16:54.654162 | 2025-05-13 04:29:37.230858 |
| 2025-05-30 21:16:39.823716 | 2025-05-30 21:16:42.649668 | 8431438 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-02-18 | 2025-05-30 | M | PT | AE | ZHAO | 916547548 | CHARLIE | 3937 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550983/check_8431438_da6f1ede-2670-48d6-9f56-94b7194f7767.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550983/check_8431438_a601d230-efcf-4474-8a90-d4f142791f91.json | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5550983 | 2222 | N/A | 8108502 | N/A | 4219811 | 2025-05-30 21:16:42.649668 | 2025-05-13 04:29:37.230858 |
| 2025-05-30 21:16:37.124313 | 2025-05-30 21:16:39.821166 | 8431436 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-02-18 | 2025-05-30 | M | PT | AE | ZHAO | 916547548 | CHARLIE | 3937 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550983/check_8431436_3809ff6f-8a33-41cc-a44a-b025c2c75d9a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5550983 | 2222 | N/A | N/A | N/A | 4219811 | 2025-05-30 21:16:39.821166 | 2025-05-13 04:29:37.230858 |
| 2025-05-30 21:15:37.162373 | 2025-05-30 21:15:38.943650 | 8431431 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-30 | 2025-05-30 | M | PT | AE | REYES | 00000381803 | MANUEL | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858699/check_8431431_c2fc09a0-dfd8-4422-98b5-3a211f2e5c30.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858699/check_8431431_711d07d3-11a3-41a0-8a0b-3b6578f53438.json | N/A | N/A | N/A | N/A | N/A | 00000381803 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1939-06-30 | N/A | N/A | N/A | N/A | false | REYES | N/A | MANUEL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5858699 | 2222 | N/A | 8108494 | N/A | 4214831 | 2025-05-30 21:15:38.943650 | 2025-05-13 04:29:37.229152 |
| 2025-05-30 21:15:33.519587 | 2025-05-30 21:15:37.158492 | 8431430 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-30 | 2025-05-30 | M | PT | AE | REYES | 00000381803 | MANUEL | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858699/check_8431430_3f243184-de2e-4d13-8187-ddd93476d2fb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00000381803 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1939-06-30 | N/A | N/A | N/A | N/A | false | REYES | N/A | MANUEL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5858699 | 2222 | N/A | N/A | N/A | 4214831 | 2025-05-30 21:15:37.158492 | 2025-05-13 04:29:37.229152 |
| 2025-05-30 21:15:08.276071 | 2025-05-30 21:15:21.122154 | 8431428 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-30 | 2025-05-30 | M | PT | AE | REYES | 381803 | MANUEL | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858699/check_8431428_ca1e4e79-d276-4241-aad7-25c3574822f1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858699/check_8431428_5beb527f-0da9-4bdd-9df9-24aa4c31608b.json | N/A | N/A | N/A | N/A | N/A | 381803 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1939-06-30 | N/A | N/A | N/A | N/A | false | REYES | N/A | MANUEL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5858699 | 2222 | N/A | 8108491 | N/A | 4214831 | 2025-05-30 21:15:21.122154 | 2025-05-13 04:29:37.229152 |
| 2025-05-30 21:15:02.516469 | 2025-05-30 21:15:08.272369 | 8431427 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-30 | 2025-05-30 | M | PT | AE | REYES | 381803 | MANUEL | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858699/check_8431427_7a28ce07-5563-46bf-9d58-0d92f3acfb73.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 381803 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1939-06-30 | N/A | N/A | N/A | N/A | false | REYES | N/A | MANUEL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5858699 | 2222 | N/A | N/A | N/A | 4214831 | 2025-05-30 21:15:08.272369 | 2025-05-13 04:29:37.229152 |
| 2025-05-30 21:07:02.252692 | 2025-05-30 21:07:06.126449 | 8431400 | N/A | N/A | Z1073 | Medicare B California Southern | 1205397536 | N/A | Kevin Nakayama | 1951-05-08 | 2025-06-30 | F | PT | AE | NOAH | 6HK3VD1GN77 | PAULA BERNASTIEN | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8431400_1c45dd3b-7340-448c-a296-bab68527b21a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8431400_a9a308e6-39f0-4d54-8772-f639d50ab565.json | N/A | N/A | N/A | N/A | N/A | 6HK3VD1GN77 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1951-05-08 | N/A | N/A | N/A | N/A | false | NOAH | N/A | PAULA BERNASTIEN | N/A | N/A | N/A | N/A | N/A | PT | AE | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6078301 | 2222 | N/A | 8108429 | N/A | 4722556 | 2025-05-30 21:07:06.126449 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 21:06:57.397210 | 2025-05-30 21:07:02.198961 | 8431398 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-08 | 2025-06-30 | F | PT | AE | NOAH | 6HK3VD1GN77 | PAULA BERNASTIEN | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8431398_1cc1d86b-3fd9-4fdf-992f-380140a36f5f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8431398_ac4a7d79-f37b-45c3-9ff7-5ea57ddb6be0.json | N/A | N/A | N/A | N/A | N/A | 6HK3VD1GN77 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1951-05-08 | N/A | N/A | N/A | N/A | false | NOAH | N/A | PAULA BERNASTIEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6078301 | 2222 | N/A | 8108426 | N/A | 4722556 | 2025-05-30 21:07:02.198961 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 21:06:55.656563 | 2025-05-30 21:06:57.394595 | 8431397 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-08 | 2025-06-30 | F | PT | AE | NOAH | 6HK3VD1GN77 | PAULA BERNASTIEN | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8431397_0510052c-9598-4999-9baa-d61a0d75cb7a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | N/A | N/A | N/A | N/A | N/A | N/A | 6HK3VD1GN77 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1951-05-08 | N/A | N/A | N/A | N/A | false | NOAH | N/A | PAULA BERNASTIEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6078301 | 2222 | N/A | N/A | N/A | 4722556 | 2025-05-30 21:06:57.394595 | 2025-06-04 18:06:16.300392 |