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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-12 09:52:33.081324 | 2025-09-12 09:52:37.089824 | 12287643 | 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_12287643_39f05f79-6677-4c47-9e1b-39831a40a460.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | 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 | N/A | N/A | 4750274 | 2025-09-12 09:52:37.089824 | 2025-06-12 22:26:37.845238 |
| 2025-09-12 09:52:29.901331 | 2025-09-12 09:52:30.441908 | 12287636 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-09-15 | M | AE | PT | N/A | SCOTT | 076810624-11 | GEORGE | 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 | 6105989 | 2222 | N/A | N/A | N/A | 4750274 | 2025-09-12 09:52:30.441908 | 2025-06-12 22:26:37.845238 |
| 2025-09-12 09:52:13.708530 | 2025-09-12 09:52:18.112955 | 12287603 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-09-15 | M | AE | PT | 6411 | STEIN | 317801903-11 | DONALD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538579/check_12287603_10255313-3cc5-4c66-9633-3b42a36b20d4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538579/check_12287603_384d9a7b-a941-41a1-afaa-3519df6577e2.json | N/A | N/A | N/A | N/A | N/A | 317801903 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1943-07-22 | N/A | N/A | N/A | N/A | false | STEIN | N/A | DONALD | 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 | 5538579 | 2222 | N/A | 12503057 | N/A | 4210984 | 2025-09-12 09:52:18.112955 | 2025-08-15 17:42:50.500189 |
| 2025-09-12 09:52:10.468895 | 2025-09-12 09:52:13.700631 | 12287598 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-09-15 | M | AE | PT | 6411 | STEIN | 317801903-11 | DONALD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538579/check_12287598_f0a26e73-f103-4b34-a62a-79009d278e9e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 317801903 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1943-07-22 | N/A | N/A | N/A | N/A | false | STEIN | N/A | DONALD | 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 | 5538579 | 2222 | N/A | N/A | N/A | 4210984 | 2025-09-12 09:52:13.700631 | 2025-08-15 17:42:50.500189 |
| 2025-09-12 09:52:08.121170 | 2025-09-12 09:52:08.488476 | 12287594 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-09-15 | M | AE | PT | N/A | STEIN | 317801903-11 | DONALD | 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 | 5538579 | 2222 | N/A | N/A | N/A | 4210984 | 2025-09-12 09:52:08.488476 | 2025-08-15 17:42:50.500189 |
| 2025-09-12 09:52:07.535081 | 2025-09-12 09:52:10.482416 | 12287593 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-08-03 | 2025-09-15 | M | AE | PT | 6397 | GORMLEY | 038936091 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536819/check_12287593_88e47b48-9a7b-4d8c-9991-0098cd8d200e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536819/check_12287593_f42f792d-5d19-4f10-8092-ec8d7d0a8ffc.json | N/A | N/A | N/A | N/A | N/A | 038936091 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1945-08-03 | N/A | N/A | N/A | N/A | false | GORMLEY | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536819 | 2222 | N/A | 12503049 | N/A | 4209498 | 2025-09-12 09:52:10.482416 | 2025-09-22 06:46:20.286658 |
| 2025-09-12 09:52:04.271169 | 2025-09-12 09:52:07.517835 | 12287590 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-08-03 | 2025-09-15 | M | AE | PT | 6397 | GORMLEY | 038936091 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536819/check_12287590_29617f20-f7dd-4e11-a123-45058aa79f26.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 038936091 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1945-08-03 | N/A | N/A | N/A | N/A | false | GORMLEY | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536819 | 2222 | N/A | N/A | N/A | 4209498 | 2025-09-12 09:52:07.517835 | 2025-09-22 06:46:20.286658 |
| 2025-09-12 09:52:02.314913 | 2025-09-12 09:52:02.637406 | 12287588 | N/A | N/A | 87726 | UNITEDHEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-08-03 | 2025-09-15 | M | AE | PT | N/A | GORMLEY | 038936091 | MICHAEL | 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 | 5536819 | 2222 | N/A | N/A | N/A | 4209498 | 2025-09-12 09:52:02.637406 | 2025-09-22 06:46:20.286658 |
| 2025-09-12 09:44:32.935119 | 2025-09-12 09:44:37.915069 | 12286844 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-11-27 | 2025-09-15 | M | AE | PT | N/A | SHEMIAN | 975315828 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/9041184/check_12286844_50dcf474-a02f-4668-84f2-b228eca242b9.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9041184/check_12286844_fcc1746e-cf2c-4915-b3fc-4f9c75f787c6.json | N/A | N/A | N/A | N/A | N/A | 975315828 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2000-11-27 | N/A | 184514 | N/A | N/A | false | SHEMIAN | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9041184 | 2222 | N/A | 12502419 | N/A | 7559423 | 2025-09-12 09:44:37.915069 | 2025-09-03 00:01:07.192254 |
| 2025-09-12 09:43:15.065087 | 2025-09-12 09:43:32.083744 | 12286740 | 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_12286740_4bfeb641-80cc-44ce-97db-bbcbd5e0d129.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8971099/check_12286740_13c70d53-f11a-4af9-bff2-b404a4415e38.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 | N/A | N/A | 8971099 | 2222 | N/A | 12502347 | N/A | 7486549 | 2025-09-12 09:43:32.083744 | 2025-09-07 16:51:12.298737 |
| 2025-09-12 09:42:09.284422 | 2025-09-12 09:42:12.526928 | 12286641 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-12 | 2025-09-15 | F | AE | PT | N/A | GEFFNER | 1644434-01 | RANDI | https://storage.googleapis.com/normandy-eligibility-checks/2222/8650277/check_12286641_13c6019d-b6cd-4163-87d5-24fa29b19617.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650277/check_12286641_2969a846-fa6a-4d16-bd10-858fa1ec6f36.json | N/A | N/A | N/A | N/A | N/A | 164443401 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1960-04-12 | N/A | HCFA21 | N/A | N/A | false | GEFFNER | N/A | RANDI | 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 | 8650277 | 2222 | N/A | 12502232 | N/A | 4212388 | 2025-09-12 09:42:12.526928 | 2025-08-27 20:50:06.362473 |
| 2025-09-12 09:41:17.974771 | 2025-09-12 09:41:22.093114 | 12286561 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-03-27 | 2025-09-15 | F | AE | PT | N/A | Rosenberg | 946716588 | Michelle | https://storage.googleapis.com/normandy-eligibility-checks/2222/8423262/check_12286561_67d85086-7a28-4d3b-8b85-e5a4a1054e9c.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8423262/check_12286561_0443dd9c-7a50-47b8-bd90-29dfe1913744.json | N/A | N/A | N/A | N/A | N/A | 946716588 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1968-03-27 | N/A | 120789 | N/A | N/A | false | ROSENBERG | N/A | MICHELLE | 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 | 8423262 | 2222 | N/A | 12502163 | N/A | 7100313 | 2025-09-12 09:41:22.093114 | 2025-09-04 21:02:55.993025 |
| 2025-09-12 09:40:32.636669 | 2025-09-12 09:40:41.304659 | 12286491 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-06-06 | 2025-09-15 | F | AE | PT | N/A | GIESSINGER | 976913826 | OLIVIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8385973/check_12286491_1ceb9cc4-0c05-4eef-8510-5e3eef52b794.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8385973/check_12286491_9e3851e7-6c1d-4b85-a629-da6150ac8b04.json | N/A | N/A | N/A | N/A | N/A | 976913826 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2001-06-06 | N/A | 48656 | N/A | N/A | false | GIESSINGER | N/A | OLIVIA | 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 | 8385973 | 2222 | N/A | 12502103 | N/A | 7065184 | 2025-09-12 09:40:41.304659 | 2025-08-21 01:04:39.891389 |
| 2025-09-12 09:32:57.710120 | 2025-09-12 09:33:01.172754 | 12285738 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-11-11 | 2025-09-15 | F | AE | PT | 6411 | Masukawa | 468150694 | Cherise | https://storage.googleapis.com/normandy-eligibility-checks/2222/7320838/check_12285738_8ea9347d-3519-4b2d-b2b1-455ae5c475d6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7320838/check_12285738_5b52d705-3d25-41e3-9958-a552f8756379.json | N/A | N/A | N/A | N/A | N/A | 468150694 | N/A | N/A | UMR | N/A | 1991-11-11 | N/A | N/A | N/A | N/A | false | MASUKAWA | N/A | CHERISE | 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 | 7320838 | 2222 | N/A | 12501402 | N/A | 6276632 | 2025-09-12 09:33:01.172754 | 2025-08-07 21:02:06.809748 |
| 2025-09-12 09:32:52.633539 | 2025-09-12 09:32:57.699956 | 12285731 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-11-11 | 2025-09-15 | F | AE | PT | 6411 | Masukawa | 468150694 | Cherise | https://storage.googleapis.com/normandy-eligibility-checks/2222/7320838/check_12285731_6762bbb3-e70d-4c63-b8e3-edb480ae4d9a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 468150694 | N/A | N/A | UMR | N/A | 1991-11-11 | N/A | N/A | N/A | N/A | false | MASUKAWA | N/A | CHERISE | 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 | 7320838 | 2222 | N/A | N/A | N/A | 6276632 | 2025-09-12 09:32:57.699956 | 2025-08-07 21:02:06.809748 |
| 2025-09-12 09:32:50.255298 | 2025-09-12 09:32:50.589486 | 12285730 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-11-11 | 2025-09-15 | F | AE | PT | N/A | Masukawa | 468150694 | Cherise | 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 | 7320838 | 2222 | N/A | N/A | N/A | 6276632 | 2025-09-12 09:32:50.589486 | 2025-08-07 21:02:06.809748 |
| 2025-09-12 09:30:15.943785 | 2025-09-12 09:30:21.874884 | 12285512 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-07-29 | 2025-09-15 | M | AE | PT | N/A | Cappello | 45750956400 | Benjamin | https://storage.googleapis.com/normandy-eligibility-checks/2222/6938506/check_12285512_b6d975ae-2aef-43fc-ba78-1daf2bf8f89d.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6938506/check_12285512_0786b8f3-4069-4893-9e94-3b8c84fe8844.json | N/A | N/A | N/A | N/A | N/A | 45750956400 | N/A | N/A | UnitedHealthcare Benefits Plan of California | N/A | 1987-07-29 | N/A | 1664558 | N/A | N/A | false | Cappello | N/A | Benjamin | 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 | 6938506 | 2222 | N/A | 12501195 | N/A | 5969183 | 2025-09-12 09:30:21.874884 | 2025-07-09 21:28:58.856145 |
| 2025-09-12 09:27:40.061415 | 2025-09-12 09:27:44.051798 | 12285223 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-08-12 | 2025-09-15 | M | AE | PT | 6411 | MILLER | Y21933352 | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554009/check_12285223_db6d621c-d1fa-4ed1-8c5c-bdf3f9ecf880.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554009/check_12285223_b15aaa9f-ead0-4b97-ba9e-f6c2014e7c20.json | N/A | N/A | N/A | N/A | N/A | Y21933352 | N/A | AMERICAN ORTHODONTICS CORPORATION | UMR | N/A | 1988-08-12 | 767000410285001 | 76410285 | N/A | N/A | false | MILLER | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8777207751 | N/A | N/A | 6554009 | 2222 | N/A | 12500919 | N/A | 5177173 | 2025-09-12 09:27:44.051798 | 2025-06-23 20:51:27.090412 |
| 2025-09-12 09:27:37.855721 | 2025-09-12 09:27:38.284654 | 12285220 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-08-12 | 2025-09-15 | M | AE | PT | N/A | MILLER | Y21933352 | MATTHEW | 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 | 6554009 | 2222 | N/A | N/A | N/A | 5177173 | 2025-09-12 09:27:38.284654 | 2025-06-23 20:51:27.090412 |
| 2025-09-12 09:26:16.719218 | 2025-09-12 09:26:21.809751 | 12285080 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-02-03 | 2025-09-15 | F | AE | PT | N/A | MCKAY | 93518017100 | JEANNETTE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398744/check_12285080_09d97151-ae4d-4203-8632-ea20a8c174b4.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398744/check_12285080_e81986cb-cbbc-4e41-a148-7219c16a5f62.json | N/A | N/A | N/A | N/A | N/A | 935180171 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1953-02-03 | N/A | 15725 | N/A | N/A | false | MCKAY | N/A | JEANNETTE | 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 | 6398744 | 2222 | N/A | 12500787 | N/A | 5046297 | 2025-09-12 09:26:21.809751 | 2025-06-17 15:15:28.403654 |
| 2025-09-12 09:25:39.087004 | 2025-09-12 09:25:44.597336 | 12285021 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-15 | 2025-09-15 | F | AE | PT | N/A | SKLAR | 997341869 | ANDREA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124041/check_12285021_f3f7ead0-fe29-49ce-ab25-24cbaab05938.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124041/check_12285021_c163dfe9-72a9-4e51-a2a5-a1faa3aeda48.json | N/A | N/A | N/A | N/A | N/A | 997341869 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1975-07-15 | N/A | 183644 | N/A | N/A | false | SKLAR | N/A | ANDREA | 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 | 6124041 | 2222 | N/A | 12500729 | N/A | 4766742 | 2025-09-12 09:25:44.597336 | 2025-06-04 15:23:35.717260 |
| 2025-09-12 09:25:13.196783 | 2025-09-12 09:25:33.165501 | 12284974 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-08-18 | 2025-09-15 | F | AE | PT | N/A | DABBY JOYCE | 69863444000 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068059/check_12284974_b384eb4a-a36a-4d9f-afeb-f98ea13f73ec.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068059/check_12284974_26a85586-381d-4fbb-8dbe-7c8b3dca4d15.json | N/A | N/A | N/A | N/A | N/A | 69863444000 | N/A | N/A | UnitedHealthcare Benefits Plan of California | N/A | 1978-08-18 | N/A | 1671793 | N/A | N/A | false | DABBY JOYCE | N/A | LISA | 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 | 6068059 | 2222 | N/A | 12500689 | N/A | 4713001 | 2025-09-12 09:25:33.165501 | 2025-10-23 14:37:36.593472 |
| 2025-09-12 09:24:36.684219 | 2025-09-12 09:24:43.082798 | 12284909 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-08-17 | 2025-09-15 | F | AE | PT | N/A | RUEMMELE | 17940949900 | MAKENA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874412/check_12284909_9148a552-6564-4fbd-93fa-6c77d955860e.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874412/check_12284909_5d2a098b-8cbc-4713-8bfc-13c5ebc32efa.json | N/A | N/A | N/A | N/A | N/A | 17940949902 | N/A | N/A | UnitedHealthcare Insurance Company | N/A | 2013-08-17 | N/A | 1685837 | N/A | N/A | false | Ruemmele | N/A | Makena | 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 | 5874412 | 2222 | N/A | 12500627 | N/A | 4534546 | 2025-09-12 09:24:43.082798 | 2025-12-03 00:06:29.870228 |
| 2025-09-12 09:23:56.848125 | 2025-09-12 09:24:00.189617 | 12284832 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-09-05 | 2025-09-15 | M | AE | PT | 6411 | GHULMAN | 9213389 | MOAYYAD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541673/check_12284832_10c3a9a9-17e8-4563-8838-ea43f540ce96.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541673/check_12284832_1cacfc01-8e12-4a41-98c1-ec75e18a48d4.json | N/A | N/A | N/A | N/A | N/A | 1089248858 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1995-09-05 | N/A | N/A | N/A | N/A | false | GHULMAN | N/A | MOAYYAD | 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 | 5541673 | 2222 | N/A | 12500551 | N/A | 4213671 | 2025-09-12 09:24:00.189617 | 2025-09-08 15:29:33.394811 |
| 2025-09-12 09:23:53.876228 | 2025-09-12 09:23:56.842427 | 12284826 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-09-05 | 2025-09-15 | M | AE | PT | 6411 | GHULMAN | 9213389 | MOAYYAD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541673/check_12284826_b3845d8e-6ac8-4c65-aeb0-935a4783f9bc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 1089248858 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1995-09-05 | N/A | N/A | N/A | N/A | false | GHULMAN | N/A | MOAYYAD | 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 | 5541673 | 2222 | N/A | N/A | N/A | 4213671 | 2025-09-12 09:23:56.842427 | 2025-09-08 15:29:33.394811 |
| 2025-09-12 09:23:52.981532 | 2025-09-12 09:23:57.095592 | 12284824 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-04-08 | 2025-09-15 | F | AE | PT | N/A | GILREATH | 917909250 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550715/check_12284824_2dfe1a69-93ce-4c17-ab45-72c18104fdaa.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550715/check_12284824_60efba8b-fd52-414a-ae19-a401ef791bdf.json | N/A | N/A | N/A | N/A | N/A | 917909250 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1989-04-08 | N/A | 936200 | N/A | N/A | false | GILREATH | N/A | LINDA | 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 | 5550715 | 2222 | N/A | 12500545 | N/A | 4219623 | 2025-09-12 09:23:57.095592 | 2026-01-16 19:11:44.707402 |
| 2025-09-12 09:23:52.286266 | 2025-09-12 09:23:52.753105 | 12284822 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-09-05 | 2025-09-15 | M | AE | PT | N/A | GHULMAN | 9213389 | MOAYYAD | 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 | 5541673 | 2222 | N/A | N/A | N/A | 4213671 | 2025-09-12 09:23:52.753105 | 2025-09-08 15:29:33.394811 |
| 2025-09-12 09:15:25.581828 | 2025-09-12 09:15:29.754713 | 12283861 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-12 | 2025-09-12 | M | AE | PT | 6411 | SAPATNEKAR | 14388918 | AMEYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6551060/check_12283861_289b6f56-101a-4b3f-9db8-b7673f4ed168.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6551060/check_12283861_0d1746d6-50ae-42a8-92a3-aed5f629fd1b.json | N/A | N/A | N/A | N/A | N/A | 14388918 | N/A | ZS ASSOCIATES, INC. | UMR | N/A | 1980-09-12 | 417007411289001 | 76411289 | N/A | N/A | false | SAPATNEKAR | N/A | AMEYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8777174354 | N/A | N/A | 6551060 | 2222 | N/A | 12499685 | N/A | 5174307 | 2025-09-12 09:15:29.754713 | 2025-07-31 17:40:30.683427 |
| 2025-09-12 09:15:23.214252 | 2025-09-12 09:15:23.717414 | 12283856 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-12 | 2025-09-12 | M | AE | PT | N/A | SAPATNEKAR | 14388918 | AMEYA | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-12 | 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 | 6551060 | 2222 | N/A | N/A | N/A | 5174307 | 2025-09-12 09:15:23.717414 | 2025-07-31 17:40:30.683427 |
| 2025-09-12 09:08:32.415792 | 2025-09-12 09:08:41.801910 | 12283418 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-10-01 | 2025-09-15 | M | AE | PT | 6338 | IMPELLIZZERI | 154-46-1677 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535554/check_12283418_06e3cbe4-e930-4453-958f-7bd7e2803d70.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535554/check_12283418_27eb9ab9-5184-48cc-ab52-cbf5fbdc3e31.json | N/A | N/A | N/A | N/A | N/A | 154461677 | Group Policy | N/A | TRICARE FOR LIFE | N/A | 1952-10-01 | N/A | N/A | N/A | GP | false | IMPELLIZZERI | N/A | ROBERT | N/A | N/A | N/A | TRICARE FOR LIFE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535554 | 2222 | N/A | 12499254 | N/A | 4208460 | 2025-09-12 09:08:41.801910 | 2026-01-01 00:19:01.120151 |
| 2025-09-12 09:04:27.285665 | 2025-09-12 09:04:35.260459 | 12283187 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-07 | 2025-09-12 | M | AE | PT | 6341 | WALLACH | 006908882 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/7821426/check_12283187_cdb4dcf9-073d-4bc7-8f88-d2f9a94e76fc.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7821426/check_12283187_59a0a9ff-87ba-4e29-99fe-c41ea1cdd884.json | N/A | N/A | N/A | N/A | N/A | 006908882 | N/A | N/A | TRIWEST - TRICARE | N/A | 1971-12-07 | N/A | N/A | N/A | N/A | false | WALLACH | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7821426 | 2222 | N/A | 12499024 | N/A | 6660003 | 2025-09-12 09:04:35.260459 | 2026-06-01 17:03:48.982724 |
| 2025-09-12 08:36:35.066396 | 2025-09-12 08:36:38.848378 | 12281541 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-02-25 | 2025-09-12 | F | AE | PT | 4497 | Segal | 9XA2J80PT02 | Jodi | https://storage.googleapis.com/normandy-eligibility-checks/2222/8493404/check_12281541_aec1573b-d19a-4d47-ba2b-aace1a0afc70.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493404/check_12281541_ec17fbf4-e2ee-4bde-a40b-19b3ceb708a4.json | N/A | N/A | N/A | N/A | N/A | 9XA2J80PT02 | Medicare Part A | N/A | STATE FUND - CLAIMS PROCESSING C | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-02-25 | N/A | DOL 03201995 | N/A | MA | false | SEGAL | 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 | 8777002312 | N/A | N/A | 8493404 | 2222 | N/A | 12497392 | N/A | 7159935 | 2025-09-12 08:36:38.848378 | 2025-09-09 21:26:40.265997 |
| 2025-09-12 08:35:38.811152 | 2025-09-12 08:35:41.771136 | 12281441 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-05-22 | 2025-09-12 | F | AE | PT | 5538 | CHOOBIN | 91331250G | KEFAYAT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8205059/check_12281441_5b0f2a6c-15b4-43b3-ab3e-62d97adb600f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205059/check_12281441_2ab48e6b-789e-4b4e-9188-2f6ab8a5d2d3.json | N/A | N/A | N/A | N/A | N/A | 91331250G | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1956-05-22 | MCLA | MWLLDAGG21 | N/A | N/A | false | CHOOBIN | N/A | KEFAYAT | N/A | 2078-12-31 | 2021-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776999814 | N/A | N/A | 8205059 | 2222 | N/A | 12497290 | N/A | 6967073 | 2025-09-12 08:35:41.771136 | 2025-08-26 17:15:30.662072 |
| 2025-09-12 08:22:08.889080 | 2025-09-12 08:22:10.924122 | 12279772 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-05-22 | 2025-09-12 | M | AE | PT | 23304 | SMITH | 99688004H | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/2222/7022680/check_12279772_f1e3379f-d726-47fd-bbf8-2c84a3534c7f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022680/check_12279772_9824da54-b87e-4539-8631-c8e6a983bed5.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7022680 | 2222 | N/A | 12495587 | N/A | 6037802 | 2025-09-12 08:22:10.924122 | 2025-07-22 17:48:16.997014 |
| 2025-09-12 08:22:07.300266 | 2025-09-12 08:22:08.885828 | 12279767 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-05-22 | 2025-09-12 | M | AE | PT | 23304 | SMITH | 99688004H | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/2222/7022680/check_12279767_707881fb-9fa5-4486-b065-2d7ab03d1f19.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | N/A | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7022680 | 2222 | N/A | N/A | N/A | 6037802 | 2025-09-12 08:22:08.885828 | 2025-07-22 17:48:16.997014 |
| 2025-09-12 08:21:25.598968 | 2025-09-12 08:21:27.590261 | 12279678 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-04-03 | 2025-09-12 | F | AE | PT | 2630 | NIAZI | 00000388782 | RAHIMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6958289/check_12279678_fd1bf8ec-d539-48fa-9b70-bf0e912988ee.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6958289/check_12279678_68b5de4e-35f5-406b-97af-a45a360181f3.json | N/A | N/A | N/A | N/A | N/A | 00000388782 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-04-03 | H3815028 | N/A | N/A | HM | false | NIAZI | N/A | RAHIMA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776962659 | N/A | N/A | 6958289 | 2222 | N/A | 12495491 | N/A | 5983606 | 2025-09-12 08:21:27.590261 | 2025-07-18 18:03:17.155924 |
| 2025-09-12 08:21:20.833983 | 2025-09-12 08:21:22.675305 | 12279671 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-23 | 2025-09-12 | F | PT | N/A | 4185 | BURNS | JQW418W16911 | MARY BETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6956492/check_12279671_a7b0c27a-a42e-42e3-9b81-abe4f7d2455f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6956492/check_12279671_84149204-2cf3-42fa-bffe-ac709e8d0a0e.json | N/A | N/A | N/A | N/A | N/A | JQW418W16911 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-23 | 040 | CAMCRWP0 | N/A | MP | false | BURNS | N/A | MARY | 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 | 8776962498 | N/A | N/A | 6956492 | 2222 | N/A | 12495481 | N/A | 4209247 | 2025-09-12 08:21:22.675305 | 2025-07-22 18:58:10.876206 |
| 2025-09-12 08:20:40.199222 | 2025-09-12 08:20:43.244097 | 12279613 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-01-12 | 2025-09-12 | M | PT | N/A | 4184 | MAGEN | B6YE01199897 | OFIR | https://storage.googleapis.com/normandy-eligibility-checks/2222/6917703/check_12279613_cd562ed9-b172-42ec-99d1-027a423e3957.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917703/check_12279613_65dbf3e5-d15d-4fd7-83c4-169802f11c66.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 1972-01-12 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776960909 | N/A | N/A | 6917703 | 2222 | N/A | 12495422 | N/A | 5949095 | 2025-09-12 08:20:43.244097 | 2025-07-28 22:15:30.266976 |
| 2025-09-12 08:20:07.157923 | 2025-09-12 08:20:10.107832 | 12279565 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-09-20 | 2025-09-12 | M | PT | N/A | 4191 | Bolton | XEK910377236 | Stephen | https://storage.googleapis.com/normandy-eligibility-checks/2222/6814151/check_12279565_5a7906e4-b423-4a06-a9eb-08c79e3711b7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_12279565_7bd1ca97-f6c6-4355-9c23-63288bfeb01c.json | N/A | N/A | N/A | N/A | N/A | XEK910377236 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOLTON | N/A | STEPHEN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776957558 | N/A | N/A | 6814151 | 2222 | N/A | 12495375 | N/A | 5856522 | 2025-09-12 08:20:10.107832 | 2025-07-10 02:16:48.328344 |
| 2025-09-12 08:19:41.593408 | 2025-09-12 08:19:44.583917 | 12279518 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-12-19 | 2025-09-12 | F | PT | N/A | 4184 | Taggart | MBL830M95233 | Rita | https://storage.googleapis.com/normandy-eligibility-checks/2222/6780011/check_12279518_256a578f-409f-47be-8897-4553eb169693.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6780011/check_12279518_35cc6b17-82cd-43c1-8828-5e5908fec544.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | 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 | 8776956568 | N/A | N/A | 6780011 | 2222 | N/A | 12495330 | N/A | 5811238 | 2025-09-12 08:19:44.583917 | 2025-07-03 18:24:56.520298 |
| 2025-09-12 08:17:10.790116 | 2025-09-12 08:17:15.728982 | 12279238 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-02-06 | 2025-09-12 | F | PT | N/A | 4191 | MANALO LAMANNA | GSC134174111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554790/check_12279238_f2aea382-f87a-4a06-9993-4aab24f84fc9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_12279238_2716d504-28dd-4972-b201-3fc2881b13b3.json | N/A | N/A | N/A | N/A | N/A | GSC134174111001 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 2002-02-06 | 363 | 022039304 | N/A | PR | false | MANALOLAMANNA | N/A | ANDREW | N/A | 9999-12-31 | 2022-01-01 | BLUE CARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776950693 | N/A | N/A | 6554790 | 2222 | N/A | 12495050 | N/A | 5177947 | 2025-09-12 08:17:15.728982 | 2026-05-11 21:31:25.186699 |
| 2025-09-12 08:15:21.254582 | 2025-09-12 08:15:24.888574 | 12278877 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-12-16 | 2025-09-12 | F | AE | PT | 4625 | DE FELICE | R07457624FM1 | CHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6140436/check_12278877_f3abcb70-31f7-4485-919c-d1b111672aea.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_12278877_5036c123-3a32-4fc3-bcf6-2a26f628b06b.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | KA9 SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776938519 | N/A | N/A | 6140436 | 2222 | N/A | 12494809 | N/A | 4781417 | 2025-09-12 08:15:24.888574 | 2025-06-06 17:03:19.078153 |
| 2025-09-12 08:15:03.572944 | 2025-09-13 02:41:03.343615 | 12278506 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12278506 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-09-15 | F | AE | PT | N/A | GRANT | 9JA3JK2TK87 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110639184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493311/check_12278506_7b5fc092-5973-4a25-b604-7e7beefceb98.json | N/A | N/A | N/A | N/A | N/A | 9JA3JK2TK87 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-13 | S4802 | N/A | N/A | MA | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776943459 | N/A | N/A | 8493311 | 2222 | 4802 | 12529848 | N/A | 7159835 | 2025-09-13 02:41:03.343615 | 2025-08-25 22:38:59.735145 |
| 2025-09-12 08:14:59.617813 | 2025-09-13 02:41:03.673699 | 12278396 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12278396 | Athletic Physical Therapy Inc | 1950-03-25 | 2025-09-15 | F | AE | PT | N/A | YEKTA | 4YG0TU5XH49 | AZAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110639184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8491192/check_12278396_0a6ddaa9-8b3c-4cc0-a589-a00ecd66a14b.json | N/A | N/A | N/A | N/A | N/A | 4YG0TU5XH49 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-03-25 | S4802 | N/A | N/A | MB | false | YEKTA | N/A | AZAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776942983 | N/A | N/A | 8491192 | 2222 | 4801 | 12529851 | N/A | 7158284 | 2025-09-13 02:41:03.673699 | 2025-08-25 22:00:30.718611 |
| 2025-09-12 08:14:59.583553 | 2025-09-12 08:15:00.047555 | 12278393 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12278393 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-09-15 | M | PT | N/A | N/A | CLANCY | XDMOE0503879 | JOSEPH | N/A | WAYSTAR | N/A | BATCH | 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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9194927 | 2222 | 4793 | N/A | 4184 | 7712549 | 2025-09-12 08:15:00.047555 | 2025-09-10 17:29:28.945035 |
| 2025-09-12 08:14:58.426629 | 2025-09-13 02:30:17.012268 | 12278357 | N/A | N/A | 60054 | Aetna | 1114042165 | 12278357 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-09-15 | M | AE | PT | N/A | RAMIREZ | 9537353099 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110719970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6865171/check_12278357_62d545ae-6164-4066-9f80-e27b4e94c860.json | N/A | N/A | N/A | N/A | N/A | 9537353099 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1976-05-10 | A01 | 20086 | N/A | GP | false | RAMIREZ | N/A | ROY | N/A | N/A | N/A | SP1 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776940038 | N/A | N/A | 6865171 | 2222 | 4801 | 12522537 | N/A | 5902840 | 2025-09-13 02:30:17.012268 | 2025-07-28 18:58:27.354873 |
| 2025-09-12 08:14:57.601452 | 2025-09-12 08:14:57.938501 | 12278333 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12278333 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-09-15 | F | PT | N/A | N/A | HARDING | XDP157A51099 | MICHELE | N/A | WAYSTAR | N/A | BATCH | 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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550953 | 2222 | 4801 | N/A | N/A | 4219788 | 2025-09-12 08:14:57.938501 | 2025-06-06 22:01:46.271450 |
| 2025-09-12 08:14:57.267859 | 2025-09-12 08:14:57.593802 | 12278326 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12278326 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-09-15 | F | PT | N/A | N/A | WALTER | JXN523A76388 | KARA | N/A | WAYSTAR | N/A | BATCH | 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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550923 | 2222 | 4801 | N/A | N/A | 4219763 | 2025-09-12 08:14:57.593802 | 2025-05-13 04:29:37.230804 |
| 2025-09-12 08:14:57.002706 | 2025-09-13 02:35:31.535888 | 12278319 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12278319 | Athletic Physical Therapy Inc | 1948-06-02 | 2025-09-15 | M | AE | PT | N/A | DIAZ GONZALEZ | 00000162490 | ERASMO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110639184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8481461/check_12278319_efd5c536-71f2-44f2-8a96-46f9bda82d23.json | N/A | N/A | N/A | N/A | N/A | 00000162490 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1948-06-02 | H3815028 | N/A | N/A | HM | false | DIAZ GONZALEZ | N/A | ERASMO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776942966 | N/A | N/A | 8481461 | 2222 | 4801 | 12526116 | 2630 | 7150693 | 2025-09-13 02:35:31.535888 | 2025-08-25 20:10:31.213285 |
| 2025-09-12 08:14:56.876973 | 2025-09-12 08:14:57.239337 | 12278317 | N/A | N/A | 60054 | Aetna | 1114042165 | 12278317 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-09-15 | F | AE | PT | N/A | CARDINALI | W286606913 | NICOLE | N/A | WAYSTAR | N/A | BATCH | 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 | 5550850 | 2222 | 4802 | N/A | N/A | 4215195 | 2025-09-12 08:14:57.239337 | 2025-05-14 09:08:40.751930 |