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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-13 03:50:35.743445 | 2025-09-13 03:50:37.578989 | 12298200 | 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_12298200_b753a39e-d3b4-4d3b-abc4-656413e044d5.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 | 2025-09-13 03:50:37.578989 | 2025-05-13 04:29:37.228064 |
| 2025-09-13 03:50:33.520291 | 2025-09-13 03:50:35.278756 | 12298197 | 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_12298197_6f4d2898-ab1c-45ce-80a5-6f27fee7a988.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12298197_ffdad1b4-f5f6-4503-ab66-3c848ae22030.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 | 12540190 | N/A | 4213743 | 2025-09-13 03:50:35.278756 | 2025-05-13 04:29:37.228064 |
| 2025-09-13 03:50:31.814982 | 2025-09-13 03:50:33.517372 | 12298195 | 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_12298195_bd03bc9a-6800-44ed-9d33-07f769c482ee.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 | 2025-09-13 03:50:33.517372 | 2025-05-13 04:29:37.228064 |
| 2025-09-13 03:50:29.375522 | 2025-09-13 03:50:31.259049 | 12298191 | 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_12298191_6eb93fa0-725f-4eff-a574-cfea0bc78bbd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12298191_c1207b71-b81f-445c-8df3-004714842f3b.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 | 12540184 | N/A | 4213743 | 2025-09-13 03:50:31.259049 | 2025-05-13 04:29:37.228064 |
| 2025-09-13 03:50:27.697764 | 2025-09-13 03:50:29.371960 | 12298189 | 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_12298189_ec5dc7cf-dd1a-456a-9c00-783ad0548c81.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 | 2025-09-13 03:50:29.371960 | 2025-05-13 04:29:37.228064 |
| 2025-09-13 03:50:25.476117 | 2025-09-13 03:50:27.338035 | 12298186 | 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_12298186_45d2f825-92c2-40cf-91c6-d071bed28ec3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12298186_1dec9ceb-98f5-4f14-8d02-1d6efcf6de3d.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 | 12540179 | N/A | 4213743 | 2025-09-13 03:50:27.338035 | 2025-05-13 04:29:37.228064 |
| 2025-09-13 03:50:23.714931 | 2025-09-13 03:50:25.462899 | 12298183 | 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_12298183_37f74c1f-4c01-41aa-9fcc-60091d06e446.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 | 2025-09-13 03:50:25.462899 | 2025-05-13 04:29:37.228064 |
| 2025-09-13 03:50:21.378098 | 2025-09-13 03:50:23.258629 | 12298181 | 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_12298181_582f3150-b227-4faa-9d6c-e29a9f48d67f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12298181_7234a15c-15f5-4334-82b0-794eac667afd.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 | 12540174 | N/A | 4213743 | 2025-09-13 03:50:23.258629 | 2025-05-13 04:29:37.228064 |
| 2025-09-13 03:50:19.527473 | 2025-09-13 03:50:21.368980 | 12298177 | 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_12298177_62b4ed89-03c9-45ef-b4c4-329961872fb8.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 | 2025-09-13 03:50:21.368980 | 2025-05-13 04:29:37.228064 |
| 2025-09-13 01:19:59.519730 | 2025-09-13 01:20:01.400352 | 12297838 | N/A | N/A | 84146 | CHAMPVA/VA-HAC | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-02 | 2025-09-09 | F | PT | N/A | 6708 | CHAMBERLIN | 551414043 | JULIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9140714/check_12297838_6de08d29-3f96-44e4-ad05-2a6430a3d0bc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9140714/check_12297838_a6a116a9-d2fa-4b8b-810e-ac1c73e683fd.json | N/A | N/A | N/A | N/A | N/A | 551414043 | N/A | N/A | VA HAC | N/A | 1960-09-02 | N/A | N/A | N/A | N/A | false | CHAMBERLIN | N/A | JULIE | 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 | 7929 | N/A | 9140714 | 2222 | N/A | 12514555 | N/A | 6499323 | 2025-09-13 01:20:01.400352 | 2025-07-30 18:54:36.603528 |
| 2025-09-13 01:19:56.434538 | 2025-09-13 01:19:59.515745 | 12297837 | N/A | N/A | 84146 | CHAMPVA/VA-HAC | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-02 | 2025-09-09 | F | PT | N/A | 6708 | CHAMBERLIN | 551414043 | JULIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9140714/check_12297837_85675725-83f0-43fe-8279-d48083fb1b21.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-09 | N/A | N/A | N/A | N/A | N/A | N/A | 551414043 | N/A | N/A | VA HAC | N/A | 1960-09-02 | N/A | N/A | N/A | N/A | false | CHAMBERLIN | N/A | JULIE | 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 | 7929 | N/A | 9140714 | 2222 | N/A | N/A | N/A | 6499323 | 2025-09-13 01:19:59.515745 | 2025-07-30 18:54:36.603528 |
| 2025-09-12 23:03:25.369276 | 2025-09-12 23:03:28.541667 | 12297631 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2025-08-27 | F | PT | AE | 4185 | Moore | 788W15745 | Jeana | https://storage.googleapis.com/normandy-eligibility-checks/2222/7899162/check_12297631_182693f2-0b20-4ce2-b830-c20d4ab90fbb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7899162/check_12297631_117151d2-3ea0-41e4-9850-8ccc4d4dd4dd.json | N/A | N/A | N/A | N/A | N/A | MNL788W15745 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-03-21 | 040 | CAMCRWP0 | N/A | MP | false | MOORE | N/A | JEAN | N/A | 9999-12-31 | 2024-01-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8782378121 | 5686 | N/A | 7899162 | 2222 | N/A | 12514238 | N/A | 6725117 | 2025-09-12 23:03:28.541667 | 2026-02-18 22:27:04.950292 |
| 2025-09-12 22:43:01.993190 | 2025-09-12 22:43:03.813612 | 12297558 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-11 | F | PT | N/A | 4185 | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542750/check_12297558_ef8df47f-d0d7-4a7b-9777-09ae2ccac220.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542750/check_12297558_f717e374-7257-4f41-85ab-393966f0ec6f.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | 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 | 9481 | N/A | 5542750 | 2222 | N/A | 12514121 | N/A | 4214623 | 2025-09-12 22:43:03.813612 | 2025-08-28 22:11:32.536994 |
| 2025-09-12 22:43:00.153490 | 2025-09-12 22:43:01.991164 | 12297557 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-11 | F | PT | N/A | 4185 | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542750/check_12297557_1d298707-d527-42c3-b1ab-1f3d8a32aa9b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | 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 | 9481 | N/A | 5542750 | 2222 | N/A | N/A | N/A | 4214623 | 2025-09-12 22:43:01.991164 | 2025-08-28 22:11:32.536994 |
| 2025-09-12 22:32:25.260568 | 2025-09-12 22:32:28.261704 | 12297496 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-16 | F | PT | N/A | 4185 | Samuels | JXN688W13372 | JANELLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542750/check_12297496_335d62a5-b57d-4da6-92f0-1504edebf58b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542750/check_12297496_5a5d7a70-41d0-435e-ac3f-8b3f5838564f.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1993-06-20 | 040 | 174222M8A1 | N/A | PR | false | SAMUELS | N/A | JANELLE | N/A | 9999-12-31 | 2023-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8782270221 | 2182 | N/A | 5542750 | 2222 | N/A | 12514047 | N/A | 4214623 | 2025-09-12 22:32:28.261704 | 2025-08-28 22:11:32.536994 |
| 2025-09-12 22:31:21.447020 | 2025-09-12 22:31:23.283531 | 12297492 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-16 | F | PT | N/A | 4185 | REYES Samuels | JXN688W13372 | JANELLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542750/check_12297492_51acadb2-e999-40e1-b04c-9b0b0086f4da.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542750/check_12297492_a678a96e-22ef-448b-adf7-6fd2de61d828.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | REYES SAMUELS | N/A | JANELLE | 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 | 2182 | N/A | 5542750 | 2222 | N/A | 12514041 | N/A | 4214623 | 2025-09-12 22:31:23.283531 | 2025-08-28 22:11:32.536994 |
| 2025-09-12 22:31:18.770441 | 2025-09-12 22:31:21.443404 | 12297491 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-16 | F | PT | N/A | 4185 | REYES Samuels | JXN688W13372 | JANELLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542750/check_12297491_7c856df1-f3d8-411a-8cd8-3f113258b550.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-16 | N/A | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | REYES SAMUELS | N/A | JANELLE | 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 | 2182 | N/A | 5542750 | 2222 | N/A | N/A | N/A | 4214623 | 2025-09-12 22:31:21.443404 | 2025-08-28 22:11:32.536994 |
| 2025-09-12 22:31:03.662838 | 2025-09-12 22:31:05.487087 | 12297490 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-16 | F | PT | N/A | 4185 | REYES Samuels | JXN688W13372 | JANELLE LOPEZ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542750/check_12297490_b5d86f06-de19-4db1-bcef-9acde26e90e1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542750/check_12297490_923514bb-817f-4c55-823a-a7414af08971.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | REYES SAMUELS | N/A | JANELLE LOPEZ | 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 | 2182 | N/A | 5542750 | 2222 | N/A | 12514037 | N/A | 4214623 | 2025-09-12 22:31:05.487087 | 2025-08-28 22:11:32.536994 |
| 2025-09-12 22:31:01.909300 | 2025-09-12 22:31:03.657352 | 12297489 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-16 | F | PT | N/A | 4185 | REYES Samuels | JXN688W13372 | JANELLE LOPEZ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542750/check_12297489_8c97896d-25d8-4a0b-ad56-8000ff2e00bf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-16 | N/A | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | REYES SAMUELS | N/A | JANELLE LOPEZ | 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 | 2182 | N/A | 5542750 | 2222 | N/A | N/A | N/A | 4214623 | 2025-09-12 22:31:03.657352 | 2025-08-28 22:11:32.536994 |
| 2025-09-12 22:30:48.655474 | 2025-09-12 22:30:50.487409 | 12297487 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-16 | F | PT | N/A | 4185 | DELOS REYES Samuels | JXN688W13372 | JANELLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542750/check_12297487_0307caa8-47cd-411f-952c-3fd4c4acc85e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542750/check_12297487_a672e8c7-a3d2-4fb1-b4c7-bd9517b87b45.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES SAMUELS | N/A | JANELLE | 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 | 2182 | N/A | 5542750 | 2222 | N/A | 12514035 | N/A | 4214623 | 2025-09-12 22:30:50.487409 | 2025-08-28 22:11:32.536994 |
| 2025-09-12 22:30:46.052859 | 2025-09-12 22:30:48.652886 | 12297486 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-16 | F | PT | N/A | 4185 | DELOS REYES Samuels | JXN688W13372 | JANELLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542750/check_12297486_c019b55c-bd64-4a41-ac54-4be69b874a3b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-16 | N/A | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES SAMUELS | N/A | JANELLE | 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 | 2182 | N/A | 5542750 | 2222 | N/A | N/A | N/A | 4214623 | 2025-09-12 22:30:48.652886 | 2025-08-28 22:11:32.536994 |
| 2025-09-12 22:30:11.559626 | 2025-09-12 22:30:13.429403 | 12297480 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-16 | F | PT | N/A | 4185 | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542750/check_12297480_a823d621-cc60-48a5-b5d4-d7d17496c053.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542750/check_12297480_a05088b2-345e-4c88-959a-e437fc60e934.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | 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 | 2182 | N/A | 5542750 | 2222 | N/A | 12514027 | N/A | 4214623 | 2025-09-12 22:30:13.429403 | 2025-08-28 22:11:32.536994 |
| 2025-09-12 22:30:09.602543 | 2025-09-12 22:30:11.557301 | 12297479 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-16 | F | PT | N/A | 4185 | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542750/check_12297479_0c465e20-363f-4a88-a1ce-e42d2c6252f3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-16 | N/A | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | 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 | 2182 | N/A | 5542750 | 2222 | N/A | N/A | N/A | 4214623 | 2025-09-12 22:30:11.557301 | 2025-08-28 22:11:32.536994 |
| 2025-09-12 22:29:46.358288 | 2025-09-12 22:29:48.143660 | 12297478 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-16 | F | PT | N/A | 4185 | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542750/check_12297478_5ab7b1a8-dca0-48f6-b2b3-a75de02d90bf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542750/check_12297478_2f00a23f-8d22-403d-80c1-63bb58303f3a.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | 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 | 2182 | N/A | 5542750 | 2222 | N/A | 12514025 | N/A | 4214623 | 2025-09-12 22:29:48.143660 | 2025-08-28 22:11:32.536994 |
| 2025-09-12 22:29:44.563381 | 2025-09-12 22:29:46.354329 | 12297477 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-16 | F | PT | N/A | 4185 | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542750/check_12297477_169d598a-1e28-4110-9d09-6fbf578af2b8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-16 | N/A | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | 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 | 2182 | N/A | 5542750 | 2222 | N/A | N/A | N/A | 4214623 | 2025-09-12 22:29:46.354329 | 2025-08-28 22:11:32.536994 |
| 2025-09-12 22:22:41.764221 | 2025-09-12 22:22:45.681114 | 12297437 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-02-27 | 2025-09-12 | M | AE | PT | 4211 | SHRIVER | 90771207E | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541984/check_12297437_34c3456c-f993-4733-aef7-c02e21524538.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_12297437_fe25b9ea-cdc9-4219-9c23-459f209d021c.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8782245838 | 9481 | N/A | 5541984 | 2222 | N/A | 12513967 | N/A | 4213934 | 2025-09-12 22:22:45.681114 | 2026-01-27 23:36:44.802366 |
| 2025-09-12 21:46:35.026362 | 2025-09-12 21:46:36.869727 | 12297151 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-01-14 | 2025-09-12 | F | PT | N/A | 4185 | OBACZ | JQV897A63197 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9102655/check_12297151_0c6d6f98-4ae4-494c-be69-9e65f22a19ce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_12297151_dc12d2e3-1587-40b0-a596-5c6d312c58d7.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 | 8782106574 | 161267 | N/A | 9102655 | 2222 | N/A | 12513568 | N/A | 7621062 | 2025-09-12 21:46:36.869727 | 2025-09-12 19:10:20.936695 |
| 2025-09-12 21:46:08.318941 | 2025-09-12 21:46:11.124073 | 12297147 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-01-14 | 2025-09-12 | F | PT | N/A | 4185 | OBACZ | JQV897A63197 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9102655/check_12297147_4d61c0c2-31c4-411b-800b-502833468f19.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_12297147_cb6956ba-e0c5-4ba5-8e5c-91cc54e84952.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 | 8782103628 | 161267 | N/A | 9102655 | 2222 | N/A | 12513561 | N/A | 7621062 | 2025-09-12 21:46:11.124073 | 2025-09-12 19:10:20.936695 |
| 2025-09-12 21:45:50.280389 | 2025-09-12 21:45:53.140806 | 12297142 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-01-14 | 2025-09-12 | F | PT | N/A | 4185 | OBACZ | 897A63197 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9102655/check_12297142_6c4bdc1b-2ae4-4ec2-9df0-a9818670bd4e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_12297142_76e728e1-a25d-4dd9-a96e-472417909269.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 | 8782101815 | 161267 | N/A | 9102655 | 2222 | N/A | 12513555 | N/A | 7621062 | 2025-09-12 21:45:53.140806 | 2025-09-12 19:10:20.936695 |
| 2025-09-12 21:45:14.144603 | 2025-09-12 21:45:17.997090 | 12297135 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-01-14 | 2025-09-12 | F | PT | N/A | 23277 | OBACZ | JQV897A63197 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9102655/check_12297135_a4789326-d0bf-4348-9583-40178f4ad4c0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_12297135_1ab8b0bd-19e7-4b13-9d5f-5225282f485e.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2009-01-14 | N/A | N/A | N/A | N/A | false | OBACZ | N/A | KLOIE | 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 | 9102655 | 2222 | N/A | 12513544 | N/A | 7621062 | 2025-09-12 21:45:17.997090 | 2025-09-12 19:10:20.936695 |
| 2025-09-12 21:45:11.502781 | 2025-09-12 21:45:14.141248 | 12297133 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-01-14 | 2025-09-12 | F | PT | N/A | 23277 | OBACZ | JQV897A63197 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9102655/check_12297133_a72a07cc-436d-40a1-9424-474b26bbfff0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | N/A | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2009-01-14 | N/A | N/A | N/A | N/A | false | OBACZ | N/A | KLOIE | 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 | 9102655 | 2222 | N/A | N/A | N/A | 7621062 | 2025-09-12 21:45:14.141248 | 2025-09-12 19:10:20.936695 |
| 2025-09-12 21:40:45.612517 | 2025-09-12 21:40:48.595587 | 12297110 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2010-01-19 | 2025-09-22 | M | PT | N/A | 4184 | RIEMER | NSA00184555H | AUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9321401/check_12297110_41c9c5fb-a7fa-4eb1-9ba3-bc6547e21715.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321401/check_12297110_f4368ba4-ec0a-4007-8c97-31d135222ee3.json | N/A | N/A | N/A | N/A | N/A | NSA00184555H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 2010-01-19 | 040 | L05927A001 | N/A | PR | false | RIEMER | N/A | JUSTIN | N/A | 9999-12-31 | 2023-01-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8782087278 | N/A | N/A | 9321401 | 2222 | N/A | 12513506 | N/A | 7820673 | 2025-09-12 21:40:48.595587 | 2025-09-12 21:33:53.471523 |
| 2025-09-12 21:18:16.539026 | 2025-09-12 21:18:18.699684 | 12297054 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 6798 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12297054_51eb9526-1b9f-49c2-9111-5ded9f68acd6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253541/check_12297054_46b99697-9d58-4848-be8f-664d59590e4b.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 | 8781991192 | 9482 | N/A | 9253541 | 2222 | N/A | 12513376 | N/A | 7764252 | 2025-09-12 21:18:18.699684 | 2025-09-11 22:35:02.402934 |
| 2025-09-12 21:17:16.960329 | 2025-09-12 21:17:19.031931 | 12297046 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 6798 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12297046_4b6428bc-72d7-402f-ae2e-feb97f7e494b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253541/check_12297046_43a4f41e-e77b-409e-ac90-2d8c0d75cd08.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 | 8781982950 | 9482 | N/A | 9253541 | 2222 | N/A | 12513365 | N/A | 7764252 | 2025-09-12 21:17:19.031931 | 2025-09-11 22:35:02.402934 |
| 2025-09-12 21:14:37.029216 | 2025-09-12 21:14:40.085119 | 12297032 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 6798 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12297032_cbac905c-3a3c-4393-8c8c-c9fbccb7fdab.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253541/check_12297032_32ddb6bd-899f-48ed-8153-a73fdffd7dbc.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 | 8781966467 | 9482 | N/A | 9253541 | 2222 | N/A | 12513349 | N/A | 7764252 | 2025-09-12 21:14:40.085119 | 2025-09-11 22:35:02.402934 |
| 2025-09-12 20:25:17.625947 | 2025-09-12 20:25:21.632409 | 12296798 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-03-06 | 2025-09-10 | M | PT | AE | 4199 | REGAN | 948131328E28295 | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541349/check_12296798_d4bf7347-3181-41c4-ae67-24d74ac88c5f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541349/check_12296798_3f1e81fd-2f54-435e-b304-7ceff9d50298.json | N/A | N/A | N/A | N/A | N/A | 948131328E28295 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 2007-03-06 | N/A | N/A | N/A | N/A | false | REGAN | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5687 | N/A | 5541349 | 2222 | N/A | 12512990 | N/A | 4213376 | 2025-09-12 20:25:21.632409 | 2025-09-22 23:59:39.068790 |
| 2025-09-12 20:25:15.871841 | 2025-09-12 20:25:17.617596 | 12296796 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-03-06 | 2025-09-10 | M | PT | AE | 4199 | REGAN | 948131328E28295 | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541349/check_12296796_7ebe6fab-7a94-49e8-919c-461c77468f41.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-10 | N/A | N/A | N/A | N/A | N/A | N/A | 948131328E28295 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 2007-03-06 | N/A | N/A | N/A | N/A | false | REGAN | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5687 | N/A | 5541349 | 2222 | N/A | N/A | N/A | 4213376 | 2025-09-12 20:25:17.617596 | 2025-09-22 23:59:39.068790 |
| 2025-09-12 20:08:06.884747 | 2025-09-12 20:08:10.670322 | 12296716 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-01-14 | 2025-09-12 | F | PT | N/A | 4185 | OBACZ | 897A63197-70 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9102655/check_12296716_970e6def-ddbe-4072-8839-5975c72840b3.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_12296716_2485839f-d581-453e-a407-30c5f2a4472c.json | N/A | N/A | N/A | N/A | N/A | 897A63197-70 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-01-14 | N/A | N/A | N/A | N/A | false | OBACZ | N/A | KLOIE | 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 | 9102655 | 2222 | N/A | 12512871 | N/A | 7621062 | 2025-09-12 20:08:10.670322 | 2025-09-12 19:10:20.936695 |
| 2025-09-12 20:08:01.441952 | 2025-09-12 20:08:06.690288 | 12296715 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-01-14 | 2025-09-12 | F | PT | N/A | 4185 | OBACZ | 897A63197-70 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9102655/check_12296715_956f0b61-6077-41ac-b1c1-1b9e47a39205.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-09-12 | N/A | N/A | N/A | N/A | N/A | N/A | 897A63197-70 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-01-14 | N/A | N/A | N/A | N/A | false | OBACZ | N/A | KLOIE | 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 | 9102655 | 2222 | N/A | N/A | N/A | 7621062 | 2025-09-12 20:08:06.690288 | 2025-09-12 19:10:20.936695 |
| 2025-09-12 20:07:41.522260 | 2025-09-12 20:07:43.424979 | 12296713 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-01-14 | 2025-09-12 | F | PT | N/A | 23277 | OBACZ | 897A63197-70 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9102655/check_12296713_bd80548b-3d8b-48e0-8c1a-34b4319c364f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_12296713_e3ea4a8a-df92-48f3-a58b-7d3fb571c865.json | N/A | N/A | N/A | N/A | N/A | 897A63197-70 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2009-01-14 | N/A | N/A | N/A | N/A | false | OBACZ | N/A | KLOIE | 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 | 9102655 | 2222 | N/A | 12512868 | N/A | 7621062 | 2025-09-12 20:07:43.424979 | 2025-09-12 19:10:20.936695 |
| 2025-09-12 20:07:39.755106 | 2025-09-12 20:07:41.519048 | 12296712 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-01-14 | 2025-09-12 | F | PT | N/A | 23277 | OBACZ | 897A63197-70 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9102655/check_12296712_f2d7a94c-9c85-4e95-a79d-87569298a8b9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | N/A | N/A | N/A | N/A | N/A | N/A | 897A63197-70 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2009-01-14 | N/A | N/A | N/A | N/A | false | OBACZ | N/A | KLOIE | 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 | 9102655 | 2222 | N/A | N/A | N/A | 7621062 | 2025-09-12 20:07:41.519048 | 2025-09-12 19:10:20.936695 |
| 2025-09-12 16:41:35.654849 | 2025-09-12 16:41:39.624071 | 12294728 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-06 | 2025-09-12 | F | AE | PT | 6798 | TURKUS | 40298472 | JODI | https://storage.googleapis.com/normandy-eligibility-checks/2222/9312786/check_12294728_addd8bff-edd5-4e99-bedf-8a8132508e5f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9312786/check_12294728_7bc1d8d5-0788-4695-beab-72ead621166d.json | N/A | N/A | N/A | N/A | N/A | 40298472 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1959-04-06 | 406-024-000 | N/A | N/A | N/A | false | TURKUS | N/A | JODI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8779754525 | 161267 | N/A | 9312786 | 2222 | N/A | 12510592 | N/A | 6889064 | 2025-09-12 16:41:39.624071 | 2025-09-02 22:23:13.939670 |
| 2025-09-12 16:36:52.573667 | 2025-09-12 16:36:55.454679 | 12294630 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-06 | 2025-09-12 | F | AE | PT | 6798 | TURKUS | 402984792 | JODI | https://storage.googleapis.com/normandy-eligibility-checks/2222/8111935/check_12294630_253cc31f-0c3c-41ff-819b-eea4025d1bdb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8111935/check_12294630_792c5ee2-9f59-4584-8588-84f3fb494d14.json | N/A | N/A | N/A | N/A | N/A | 40298472 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1959-04-06 | 406-024-000 | N/A | N/A | N/A | false | TURKUS | N/A | JODI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8779730034 | 161267 | N/A | 8111935 | 2222 | N/A | 12510500 | N/A | 6889064 | 2025-09-12 16:36:55.454679 | 2025-09-02 22:23:13.939670 |
| 2025-09-12 16:06:40.021432 | 2025-09-12 16:06:41.890451 | 12294395 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-02-28 | 2025-09-12 | F | AE | PT | 4497 | DIAZ | 9MR0M18DW19 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9336219/check_12294395_10deb1b1-f183-45b6-acdc-e21273e6f6e4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9336219/check_12294395_fe68cb70-e0a8-45a2-9707-0560d173f69d.json | N/A | N/A | N/A | N/A | N/A | 9MR0M18DW19 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1979-02-28 | S4802 | N/A | N/A | MA | false | DIAZ | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8779561220 | 161267 | N/A | 9336219 | 2222 | N/A | 12510249 | N/A | 4211301 | 2025-09-12 16:06:41.890451 | 2025-05-13 04:29:37.225660 |
| 2025-09-12 15:22:57.198784 | 2025-09-12 15:22:59.121387 | 12294118 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-02-28 | 2025-09-12 | F | AE | PT | 4497 | DIAZ | 9MR0M18DW19 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8650850/check_12294118_f38a471d-e62c-4e5b-92f4-32ef94d4e16e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650850/check_12294118_53b09ee1-64ba-4289-980a-ad542cc66020.json | N/A | N/A | N/A | N/A | N/A | 9MR0M18DW19 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1979-02-28 | S4802 | N/A | N/A | MB | false | DIAZ | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8779283801 | N/A | N/A | 8650850 | 2222 | N/A | 12509927 | N/A | 4211301 | 2025-09-12 15:22:59.121387 | 2025-05-13 04:29:37.225660 |
| 2025-09-12 09:57:15.337738 | 2025-09-12 09:57:18.512243 | 12288124 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-18 | 2025-09-12 | F | PT | N/A | 4184 | BELL | MNL880M78427 | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536041/check_12288124_629f5638-a1a3-4fe0-9fae-d2b749c89ce9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_12288124_a2bed7c8-85d3-4b8c-993c-c114bbb0b619.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 9999-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8777293961 | N/A | N/A | 5536041 | 2222 | N/A | 12503477 | N/A | 4208856 | 2025-09-12 09:57:18.512243 | 2025-05-13 04:29:37.223284 |
| 2025-09-12 09:55:19.463542 | 2025-09-12 09:55:25.281831 | 12287936 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-28 | 2025-09-15 | M | AE | PT | 6411 | WALROTH | 342501887-11 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7785551/check_12287936_7b0a647e-1139-47b4-8aaa-bee46dff17d4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7785551/check_12287936_b36236db-7e11-4c1f-a59e-94a7a5bfb474.json | N/A | N/A | N/A | N/A | N/A | 342501887 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1949-10-28 | N/A | N/A | N/A | N/A | false | WALROTH | N/A | TERRY | 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 | 7785551 | 2222 | N/A | 12503317 | N/A | 6629682 | 2025-09-12 09:55:25.281831 | 2025-08-05 17:28:10.392410 |
| 2025-09-12 09:55:12.035978 | 2025-09-12 09:55:19.216887 | 12287923 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-28 | 2025-09-15 | M | AE | PT | 6411 | WALROTH | 342501887-11 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/2222/7785551/check_12287923_31892f1a-0789-4536-8231-34ad9987418d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 342501887 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1949-10-28 | N/A | N/A | N/A | N/A | false | WALROTH | N/A | TERRY | 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 | 7785551 | 2222 | N/A | N/A | N/A | 6629682 | 2025-09-12 09:55:19.216887 | 2025-08-05 17:28:10.392410 |
| 2025-09-12 09:55:05.657087 | 2025-09-12 09:55:06.510517 | 12287912 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-28 | 2025-09-15 | M | AE | PT | N/A | WALROTH | 342501887-11 | TERRY | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7785550 | 2222 | N/A | N/A | N/A | 6629682 | 2025-09-12 09:55:06.510517 | 2025-08-05 17:28:10.392410 |
| 2025-09-12 09:52:37.095568 | 2025-09-12 09:52:46.300444 | 12287647 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-09-15 | M | AE | PT | 6411 | SCOTT | 076810624-11 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105990/check_12287647_1ff9ea5f-0b1c-4d70-8562-abac16c289d0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105990/check_12287647_d3e4a2fd-d098-4743-a560-8ab55712cbea.json | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | 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 | 6105990 | 2222 | N/A | 12503092 | N/A | 4750274 | 2025-09-12 09:52:46.300444 | 2025-06-12 22:26:37.845238 |