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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-30 21:06:13.551111 | 2025-05-30 21:06:15.357404 | 8431387 | N/A | N/A | Z1073 | Medicare B California Southern | 1205397536 | N/A | Kevin Nakayama | 1951-05-08 | 2025-06-30 | F | PT | AE | 4497 | BERNASTIEN NOAH | 6HK3VD1GN77 | PAULA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8431387_ca23a949-fa57-446f-8a9b-415799f0f5c7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8431387_552a0373-eb05-4429-84e0-196039d8b225.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 | BERNASTIEN NOAH | N/A | PAULA | 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 | 8108410 | N/A | 4722556 | 2025-05-30 21:06:15.357404 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 21:06:11.655861 | 2025-05-30 21:06:13.470664 | 8431386 | 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 | 4497 | BERNASTIEN NOAH | 6HK3VD1GN77 | PAULA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8431386_02cbc9bb-fd7c-44dd-b04c-5a1dd853ad36.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8431386_455feaf8-0471-46f3-ba44-023bc27b608f.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 | BERNASTIEN NOAH | N/A | PAULA | 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 | 8108407 | N/A | 4722556 | 2025-05-30 21:06:13.470664 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 21:06:09.854385 | 2025-05-30 21:06:11.651963 | 8431385 | 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 | 4497 | BERNASTIEN NOAH | 6HK3VD1GN77 | PAULA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8431385_31ef4ca6-3a8b-4cb0-b195-bea93e590d17.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 | BERNASTIEN NOAH | N/A | PAULA | 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 21:06:11.651963 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 20:52:36.101391 | 2025-05-30 20:53:11.206400 | 8430168 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-06-06 | F | PT | AE | 6338 | YUNG | 0005301565 | MAYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_8430168_48fdd362-2836-492a-ad1c-b431aac3a69c.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 0005301565 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-05-30 20:53:11.206400 | 2025-05-13 04:29:37.229495 |
| 2025-05-30 20:51:16.726304 | 2025-05-30 20:51:19.854744 | 8429974 | N/A | N/A | Z1073 | Medicare B California Southern | 1205397536 | N/A | Kevin Nakayama | 1951-05-08 | 2025-06-30 | F | PT | AE | 4497 | BERNASTIEN NOAH | 6HK3VD1GN77 | PAULA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8429974_012e06fe-786f-467b-9232-1b3ae5378254.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8429974_993629b9-e832-4f6b-bf01-3a7076aef5ce.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 | BERNASTIEN NOAH | N/A | PAULA | 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 | 8107120 | N/A | 4722556 | 2025-05-30 20:51:19.854744 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 20:51:14.862351 | 2025-05-30 20:51:16.698267 | 8429969 | 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 | 4497 | BERNASTIEN NOAH | 6HK3VD1GN77 | PAULA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8429969_bd8b0703-8d66-4864-8ef6-4584287ac7fe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8429969_1b483ab4-ad97-4a0c-82d6-b471edb51df9.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 | BERNASTIEN NOAH | N/A | PAULA | 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 | 8107115 | N/A | 4722556 | 2025-05-30 20:51:16.698267 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 20:51:13.239185 | 2025-05-30 20:51:14.860690 | 8429961 | 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 | 4497 | BERNASTIEN NOAH | 6HK3VD1GN77 | PAULA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8429961_94fe2b3f-a754-4ae1-9e02-c4eece7a9f6b.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 | CMS | N/A | 1951-05-08 | N/A | N/A | N/A | N/A | false | BERNASTIEN NOAH | N/A | PAULA | 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 20:51:14.860690 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 20:49:06.107052 | 2025-05-30 20:49:09.854980 | 8429614 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-03-01 | 2025-05-30 | F | PT | AE | 6411 | KENNEDY | 9861433-02 | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543107/check_8429614_080a367c-93b6-4362-b554-e0fb0d0567cd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543107/check_8429614_53c01d3a-eb77-44b4-afdc-b0407d110a97.json | N/A | N/A | N/A | N/A | N/A | 009861433 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1987-03-01 | N/A | 147378 | N/A | C1 | false | N/A | N/A | N/A | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543107 | 2222 | N/A | 8106827 | N/A | 4214936 | 2025-05-30 20:49:09.854980 | 2025-05-13 04:29:37.229258 |
| 2025-05-30 20:44:23.200982 | 2025-05-30 20:44:25.259645 | 8428986 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-08 | 2025-05-30 | M | PT | AE | 4497 | KORY | MISSINGPOLICYNUMBER | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542868/check_8428986_5e116ce5-2bd1-41a2-ada2-347bafe6914e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542868/check_8428986_fef6e01e-e0f7-438e-9531-c99d8c9b8afd.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-05-08 | N/A | N/A | N/A | N/A | false | KORY | N/A | MICHAEL | 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 | 5542868 | 2222 | N/A | 8106288 | N/A | 4214732 | 2025-05-30 20:44:25.259645 | 2025-06-24 20:13:53.579048 |
| 2025-05-30 20:44:22.955299 | 2025-05-30 20:44:24.635426 | 8428983 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-17 | 2025-05-30 | F | PT | AE | 4191 | MARCUS | MISSINGPOLICYNUMBER | LISSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542318/check_8428983_1318fa6c-44e9-4b09-88a8-446830dd2d11.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_8428983_591c786c-4b41-42b7-86e3-2f639f514ca6.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1953-03-17 | N/A | N/A | N/A | N/A | false | MARCUS | N/A | LISSA | 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 | 5542318 | 2222 | N/A | 8106286 | N/A | 4214241 | 2025-05-30 20:44:24.635426 | 2025-05-13 04:29:37.228574 |
| 2025-05-30 20:44:21.427667 | 2025-05-30 20:44:22.952116 | 8428977 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-17 | 2025-05-30 | F | PT | AE | 4191 | MARCUS | MISSINGPOLICYNUMBER | LISSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542318/check_8428977_ba744d10-6772-480c-a84c-7d8779ae5c96.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1953-03-17 | N/A | N/A | N/A | N/A | false | MARCUS | N/A | LISSA | 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 | 5542318 | 2222 | N/A | N/A | N/A | 4214241 | 2025-05-30 20:44:22.952116 | 2025-05-13 04:29:37.228574 |
| 2025-05-30 20:44:21.346147 | 2025-05-30 20:44:23.193084 | 8428976 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-08 | 2025-05-30 | M | PT | AE | 4497 | KORY | MISSINGPOLICYNUMBER | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542868/check_8428976_fdf7de60-1962-4be8-b8d4-cedbfb58cf8b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-05-08 | N/A | N/A | N/A | N/A | false | KORY | N/A | MICHAEL | 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 | 5542868 | 2222 | N/A | N/A | N/A | 4214732 | 2025-05-30 20:44:23.193084 | 2025-06-24 20:13:53.579048 |
| 2025-05-30 20:44:20.781467 | 2025-05-30 20:44:25.172276 | 8428975 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1935-06-20 | 2025-05-30 | F | PT | AE | 6411 | GOLDMAN | 949158511-00 | MARALYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535982/check_8428975_60a00205-2388-479b-bf6d-28f12be41e41.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535982/check_8428975_1da3709d-a9db-4211-a268-7a62bdc64fe7.json | N/A | N/A | N/A | N/A | N/A | 949158511 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1935-06-20 | N/A | 15306 | N/A | PR | false | GOLDMAN | N/A | MARALYN | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535982 | 2222 | N/A | 8106287 | N/A | 4208807 | 2025-05-30 20:44:25.172276 | 2025-05-13 04:29:37.223234 |
| 2025-05-30 20:44:20.752168 | 2025-05-30 20:44:22.587073 | 8428974 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-03-09 | 2025-05-30 | M | PT | N/A | 4185 | GILLETTE | ZZA129013396001 | GRADY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539749/check_8428974_73fc0676-97c2-43ac-851b-9d50d6f36856.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539749/check_8428974_7eda2ced-99fe-4515-9ed5-909ed5ef2b91.json | N/A | N/A | N/A | N/A | N/A | ZZA129013396001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-03-09 | 725 | 10527566 | N/A | N/A | false | GILLETTE | N/A | VICTORIA | 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 | N/A | N/A | 5539749 | 2222 | N/A | 8106282 | N/A | 4212009 | 2025-05-30 20:44:22.587073 | 2025-05-13 04:29:37.226332 |
| 2025-05-30 20:43:03.695861 | 2025-05-30 20:43:05.995270 | 8428713 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-07-13 | 2025-05-30 | M | PT | N/A | 4185 | FINNLEY | M4R134071249001 | ZEV | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539665/check_8428713_e210f401-0e48-4516-9814-709beeb443ab.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_8428713_9810b7d2-2af6-4c2f-8d12-eb2d0ef85346.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539665 | 2222 | N/A | 8106011 | N/A | 4211935 | 2025-05-30 20:43:05.995270 | 2025-05-13 04:29:37.226259 |
| 2025-05-30 20:43:02.855389 | 2025-05-30 20:43:04.824279 | 8428710 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-17 | 2025-05-30 | F | PT | AE | 4191 | MARCUS | XEM909523924 | LISSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542318/check_8428710_089a7e54-97f6-421f-a7c4-21fda74cdabb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_8428710_64d9b3e7-d175-452f-8cf5-bc307330f820.json | N/A | N/A | N/A | N/A | N/A | XEM909523924 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-03-17 | 2002SE000029 | X0001002 | N/A | OT | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542318 | 2222 | N/A | 8106006 | N/A | 4214241 | 2025-05-30 20:43:04.824279 | 2025-05-13 04:29:37.228574 |
| 2025-05-30 20:40:32.944498 | 2025-05-30 20:40:35.747303 | 8428308 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-02-28 | 2025-05-30 | F | PT | AE | 6798 | KUYAT | 27367124 | FAYE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550758/check_8428308_3a8d6ac3-6abe-4102-a31c-123e5422c9e1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550758/check_8428308_d4081e05-45dd-4eac-8fc7-e57bea11b840.json | N/A | N/A | N/A | N/A | N/A | 27367124 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1946-02-28 | 406-024-000 | N/A | N/A | N/A | false | KUYAT | N/A | FAYE | 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 | 5550758 | 2222 | N/A | 8105593 | N/A | 4219656 | 2025-05-30 20:40:35.747303 | 2025-05-13 04:29:37.230700 |
| 2025-05-30 20:40:16.772848 | 2025-05-30 20:40:24.603845 | 8428260 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-12-31 | 2025-07-02 | M | PT | AE | 4184 | BRUNO | SZY359W18776 | JOSHUA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085066/check_8428260_9f7fee90-073a-4e35-b0b6-e164fae07607.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085066/check_8428260_607d1d6e-3bdf-4ea9-890c-01016dca7af0.json | N/A | N/A | N/A | N/A | N/A | SZY359W18776 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-12-31 | N/A | N/A | N/A | N/A | false | BRUNO | N/A | JOSHUA | 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 | 6085066 | 2222 | N/A | 8105557 | N/A | 4728416 | 2025-05-30 20:40:24.603845 | 2025-05-30 20:40:23.873354 |
| 2025-05-30 20:40:02.090425 | 2025-05-30 20:40:16.770090 | 8428224 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-12-31 | 2025-07-02 | M | PT | AE | 4184 | BRUNO | SZY359W18776 | JOSHUA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085066/check_8428224_1e214a0d-38d2-4063-93f4-6ea79be3da07.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | SZY359W18776 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-12-31 | N/A | N/A | N/A | N/A | false | BRUNO | N/A | JOSHUA | 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 | 6085066 | 2222 | N/A | N/A | N/A | 4728416 | 2025-05-30 20:40:16.770090 | 2025-05-30 20:40:23.873354 |
| 2025-05-30 20:39:27.019507 | 2025-05-30 20:39:28.885122 | 8428115 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-05-24 | 2025-05-30 | M | PT | N/A | 4191 | TIDMORE | XOX826489646 | FRED | https://storage.googleapis.com/normandy-eligibility-checks/2222/6079116/check_8428115_bb9dbf1d-7ddc-4b63-bcad-6cefb2f303ed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079116/check_8428115_c27126b2-0c0c-4cf1-8411-95f2124e34eb.json | N/A | N/A | N/A | N/A | N/A | XOX826489646 | Preferred Provider Organization (PPO) | SODICK, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1961-05-24 | N/A | 327914 | N/A | PR | false | TIDMORE | N/A | FRED | N/A | 9999-12-31 | 2024-10-01 | BLUEOPTIONS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6079116 | 2222 | N/A | 8105398 | N/A | 4723148 | 2025-05-30 20:39:28.885122 | 2025-05-30 15:53:57.629593 |
| 2025-05-30 20:39:26.048018 | 2025-05-30 20:39:28.825118 | 8428109 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-03-28 | 2025-05-30 | F | PT | AE | 4437 | FAGMAN | U9205101701 | SYDNEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078312/check_8428109_41f4d533-99dd-4420-8bf8-68fc101b28db.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_8428109_2342e404-f6f7-43d0-bd96-9cbd0f2095f5.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6078312 | 2222 | N/A | 8105397 | N/A | 4722569 | 2025-05-30 20:39:28.825118 | 2025-08-26 00:16:35.895658 |
| 2025-05-30 20:39:25.860583 | 2025-05-30 20:39:27.605386 | 8428108 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-06-29 | 2025-05-30 | F | PT | AE | 6411 | Pienkowski | 996659662 | Alexandra | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078295/check_8428108_73e4e661-041f-432e-96d1-9b576ea85590.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078295/check_8428108_25bb8d70-c16f-4510-b2c0-6473ac358389.json | N/A | N/A | N/A | N/A | N/A | 996659662 | Commercial | THE INTERPUBLIC GROUP OF CO | UNITEDHEALTHCARE | PROVIDER IS OUT NETWORK FOR MEMBER FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1997-06-29 | 3142 3142 | 702551 | N/A | C1 | false | PIENKOWSKI | N/A | ALEXANDRA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6078295 | 2222 | N/A | 8105394 | N/A | 4722548 | 2025-05-30 20:39:27.605386 | 2025-05-30 04:23:27.387333 |
| 2025-05-30 20:38:30.522642 | 2025-05-30 20:38:32.497589 | 8427973 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-01-08 | 2025-05-30 | F | PT | AE | 23322 | ALROMAIH | 91237812E | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993940/check_8427973_97710085-dd79-487c-8632-fd2e1a0232da.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_8427973_c5f05571-d784-4b03-a518-e73d2cb0cf64.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | 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 | 5993940 | 2222 | N/A | 8105245 | N/A | 4642877 | 2025-05-30 20:38:32.497589 | 2025-12-23 23:49:16.627667 |
| 2025-05-30 20:38:26.210454 | 2025-05-30 20:38:30.515573 | 8427960 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-01-08 | 2025-05-30 | F | PT | AE | 23322 | ALROMAIH | 91237812E | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993940/check_8427960_11e358b2-7226-4e32-849f-2ce8436072bd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | 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 | 5993940 | 2222 | N/A | N/A | N/A | 4642877 | 2025-05-30 20:38:30.515573 | 2025-12-23 23:49:16.627667 |
| 2025-05-30 20:37:45.541022 | 2025-05-30 20:37:47.600144 | 8427846 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-07-01 | 2025-05-30 | M | PT | AE | 5505 | GREENBAUM | 22303593 | ARIEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858722/check_8427846_f3354fd6-3cc7-4772-9feb-939dcc491693.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858722/check_8427846_da151054-45d6-4adc-981f-b1cfc2b7abf8.json | N/A | N/A | N/A | N/A | N/A | 22303593 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2008-07-01 | N/A | N/A | N/A | N/A | false | GREENBAUM | N/A | ARIEL | 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 | 5858722 | 2222 | N/A | 8105115 | N/A | 4214676 | 2025-05-30 20:37:47.600144 | 2025-05-09 04:56:21.107808 |
| 2025-05-30 20:37:44.927186 | 2025-05-30 20:37:47.847720 | 8427843 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-12-31 | 2025-06-03 | M | PT | N/A | 4184 | BRUNO | SZY359W18776 | JOSHUA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085066/check_8427843_99387afc-dd99-4415-a9ff-9956626c6629.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085066/check_8427843_bca1ac51-f117-4e54-be14-3443215372f9.json | N/A | N/A | N/A | N/A | N/A | SZY359W18776 | Preferred Provider Organization (PPO) | PATH CCM INC | ANTHEM BLUE CROSS | N/A | 1986-12-31 | 040 | 277727U553 | N/A | PR | false | BRUNO | N/A | JOSHUA | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6085066 | 2222 | N/A | 8105116 | N/A | 4728416 | 2025-05-30 20:37:47.847720 | 2025-05-30 20:40:23.873354 |
| 2025-05-30 20:37:43.703130 | 2025-05-30 20:37:45.536278 | 8427842 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-07-01 | 2025-05-30 | M | PT | AE | 5505 | GREENBAUM | 22303593 | ARIEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858722/check_8427842_045033a4-bbfe-4f69-b0f1-9e4c7eb448bd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 22303593 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2008-07-01 | N/A | N/A | N/A | N/A | false | GREENBAUM | N/A | ARIEL | 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 | 5858722 | 2222 | N/A | N/A | N/A | 4214676 | 2025-05-30 20:37:45.536278 | 2025-05-09 04:56:21.107808 |
| 2025-05-30 20:36:44.656596 | 2025-05-30 20:36:46.579819 | 8427684 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-07-28 | 2025-05-30 | M | PT | AE | 23298 | LOGAN | 1989081-01 | SIDNEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535427/check_8427684_67fc47c5-3922-4776-98da-a3af04de8894.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535427/check_8427684_5c32d916-0415-4a55-81d6-699910154aaa.json | N/A | N/A | N/A | N/A | N/A | 1989081-01 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1946-07-28 | N/A | N/A | N/A | N/A | false | LOGAN | N/A | SIDNEY | 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 | 5535427 | 2222 | N/A | 8104949 | N/A | 4208354 | 2025-05-30 20:36:46.579819 | 2025-05-13 04:29:37.222775 |
| 2025-05-30 20:36:42.925544 | 2025-05-30 20:36:44.920549 | 8427679 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-07-13 | 2025-05-30 | M | PT | N/A | 4185 | FINNLEY | NGO832M81089 | ZEV | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539664/check_8427679_2ac02387-c090-4703-8e75-5e17b739c648.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539664/check_8427679_f2c075dd-0d1b-4435-a088-89ac0ff81221.json | N/A | N/A | N/A | N/A | N/A | 474M92023 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539664 | 2222 | N/A | 8104948 | N/A | 4211935 | 2025-05-30 20:36:44.920549 | 2025-05-13 04:29:37.226259 |
| 2025-05-30 20:36:42.810334 | 2025-05-30 20:36:44.632815 | 8427678 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-07-28 | 2025-05-30 | M | PT | AE | 23298 | LOGAN | 1989081-01 | SIDNEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535427/check_8427678_03b3793f-158b-4897-92ba-1e46ff688592.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 1989081-01 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1946-07-28 | N/A | N/A | N/A | N/A | false | LOGAN | N/A | SIDNEY | 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 | 5535427 | 2222 | N/A | N/A | N/A | 4208354 | 2025-05-30 20:36:44.632815 | 2025-05-13 04:29:37.222775 |
| 2025-05-30 20:32:24.356636 | 2025-05-31 05:28:14.390836 | 8424031 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8424031 | Athletic Physical Therapy Inc | 1965-06-20 | 2025-06-06 | F | PT | AE | N/A | TRUE | 000019461014 | MYRNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068073/check_8424031_a7d95246-05fe-47f4-8db4-ccf771b832c3.json | N/A | N/A | N/A | N/A | N/A | 000019461014 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1965-06-20 | 3055890 | 100200 | N/A | N/A | false | TRUE | N/A | MYRNA | N/A | N/A | N/A | KAISER FOUNDATION HEALTH PLAN KPHP - PHARMACISTS F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6068073 | 2222 | 4801 | 8123815 | N/A | 4713010 | 2025-05-31 05:28:14.390836 | 2025-05-28 23:30:35.802750 |
| 2025-05-30 20:32:24.030635 | 2025-05-31 05:02:55.025529 | 8424025 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8424025 | Athletic Physical Therapy Inc | 1993-12-11 | 2025-06-06 | F | PT | AE | N/A | FREEMAN | XDM000900795 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068071/check_8424025_d543ead0-dac9-44d3-9191-cf02bd4e9fa6.json | N/A | N/A | N/A | N/A | N/A | XDM000900795 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1993-12-11 | N/A | N/A | N/A | N/A | false | FREEMAN | N/A | NICOLE | 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 | 6068071 | 2222 | 4801 | 8111780 | N/A | 4713009 | 2025-05-31 05:02:55.025529 | 2025-05-30 17:56:41.585988 |
| 2025-05-30 20:32:23.657679 | 2025-05-31 05:02:35.419580 | 8424017 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8424017 | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-04 | F | PT | AE | N/A | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8424017_d16400ac-13f6-4024-9fa7-d2244fc01b00.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | 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 | 6068063 | 2222 | 4802 | 8111700 | N/A | 4713004 | 2025-05-31 05:02:35.419580 | 2025-05-29 21:14:47.925641 |
| 2025-05-30 20:32:23.291379 | 2025-05-31 05:35:49.862917 | 8424009 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8424009 | Athletic Physical Therapy Inc | 1943-02-13 | 2025-06-05 | U | PT | AE | N/A | DAVIS | 3M07R08AX76 | HOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068062/check_8424009_1422e9aa-6189-422d-b07d-716a08c08e5f.json | N/A | N/A | N/A | N/A | N/A | 3M07R08AX76 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-02-13 | S5596 | N/A | N/A | MB | false | DAVIS | N/A | HOLLY | 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 | 6068062 | 2222 | 4802 | 8126489 | N/A | 4713002 | 2025-05-31 05:35:49.862917 | 2025-06-03 01:39:13.971712 |
| 2025-05-30 20:32:22.912065 | 2025-05-31 05:20:06.547280 | 8423999 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8423999 | Athletic Physical Therapy Inc | 1978-08-18 | 2025-06-03 | F | PT | AE | N/A | DABBY JOYCE | 698634440 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068059/check_8423999_45011ac8-9458-42de-8daa-15cfbaab0288.json | N/A | N/A | N/A | N/A | N/A | 69863444000 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1978-08-18 | N/A | 1671793 | N/A | C1 | false | DABBY JOYCE | N/A | LISA | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6068059 | 2222 | 4802 | 8119855 | N/A | 4713001 | 2025-05-31 05:20:06.547280 | 2025-10-23 14:37:36.593472 |
| 2025-05-30 20:32:22.629346 | 2025-05-31 05:04:34.682601 | 8423990 | N/A | N/A | 60054 | Aetna | 1114042165 | 8423990 | Athletic Physical Therapy Inc | 2001-03-02 | 2025-06-06 | U | PT | AE | N/A | PIZER | W285953446 | SYDNEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068058/check_8423990_176e027e-d86c-41f2-bba1-3d8abb7ccc4b.json | N/A | N/A | N/A | N/A | N/A | W285953446 | N/A | N/A | AETNA | N/A | 2001-03-02 | N/A | N/A | N/A | N/A | false | PIZER | N/A | SYDNEY | 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 | 6068058 | 2222 | 4802 | 8112444 | N/A | 4713000 | 2025-05-31 05:04:34.682601 | 2025-07-28 15:44:05.090945 |
| 2025-05-30 20:32:22.418349 | 2025-05-31 05:18:59.106887 | 8423985 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8423985 | Athletic Physical Therapy Inc | 1991-12-02 | 2025-06-06 | U | PT | AE | N/A | ESTRADA | MISSINGPOLICYNUMBER | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068057/check_8423985_18555379-0b95-4bb1-888b-727ddb8a528b.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | UNITED HEALTHCARE | N/A | 1991-12-02 | N/A | N/A | N/A | N/A | false | ESTRADA | N/A | MARIA | 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 | 6068057 | 2222 | 4802 | 8119296 | N/A | 4712999 | 2025-05-31 05:18:59.106887 | 2025-06-04 23:08:46.086169 |
| 2025-05-30 20:32:22.142596 | 2025-05-31 05:18:59.949847 | 8423978 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8423978 | Athletic Physical Therapy Inc | 1977-02-20 | 2025-06-05 | U | PT | AE | N/A | GILBERT | 285349402 | KRISTEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068054/check_8423978_97d0b62a-507b-4718-bcd9-f762a9d27381.json | N/A | N/A | N/A | N/A | N/A | 285349402 | N/A | N/A | UNITED HEALTHCARE | N/A | 1977-02-20 | N/A | N/A | N/A | N/A | false | GILBERT | N/A | KRISTEN | 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 | 6068054 | 2222 | 4793 | 8119309 | N/A | 4712996 | 2025-05-31 05:18:59.949847 | 2025-06-02 22:05:23.180693 |
| 2025-05-30 20:32:21.840807 | 2025-05-31 05:20:01.528124 | 8423972 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8423972 | Athletic Physical Therapy Inc | 1945-06-27 | 2025-06-06 | M | PT | AE | N/A | BROOK | 202232501 | NATASHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232142654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068053/check_8423972_0f9aa6cf-38fe-47d3-88dc-22de2d729dc0.json | N/A | N/A | N/A | N/A | N/A | 002022325 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1945-06-27 | N/A | HCFA21 | N/A | HN | false | N/A | N/A | N/A | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6068053 | 2222 | 4793 | 8119827 | N/A | 4712995 | 2025-05-31 05:20:01.528124 | 2025-05-28 21:04:24.752114 |
| 2025-05-30 20:32:06.266247 | 2025-05-31 09:04:44.494911 | 8423548 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8423548 | Athletic Physical Therapy Inc | 1944-11-13 | 2025-06-03 | M | PT | AE | N/A | HACKBARTH | 27593277 | HAROLD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_8423548_07e201f3-81ae-42f3-bd43-a36caa2e4e56.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 | 8132176 | N/A | 4212656 | 2025-05-31 09:04:44.494911 | 2025-08-12 21:09:57.607033 |
| 2025-05-30 20:31:18.869980 | 2025-05-31 05:01:23.683284 | 8422184 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8422184 | Athletic Physical Therapy Inc | 1967-03-12 | 2025-06-04 | M | PT | AE | N/A | HALLMAN | 492365901 | RANDALL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232123763.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874452/check_8422184_954b30b0-8277-4e70-bb07-ff7d06239314.json | N/A | N/A | N/A | N/A | N/A | 492365901 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1967-03-12 | N/A | N/A | N/A | N/A | false | HALLMAN | N/A | RANDALL | 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 | 5874452 | 2222 | 4801 | 8111416 | N/A | 4534575 | 2025-05-31 05:01:23.683284 | 2025-05-29 22:25:30.383440 |
| 2025-05-30 20:31:18.676113 | 2025-05-31 05:11:39.873783 | 8422178 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8422178 | Athletic Physical Therapy Inc | 1954-07-05 | 2025-06-04 | M | PT | N/A | N/A | JACKSON OLISON | YGZ624W07431 | CHERYL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232123763.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874450/check_8422178_f335ecb7-f723-452e-ad76-acbf0ea45f0c.json | N/A | N/A | N/A | N/A | N/A | YGZ624W07431 | N/A | INSURANCE TRUST FOR DELTA RETIREES | ANTHEM BLUE CROSS | N/A | 1954-07-05 | 101 | GAEGR001 | N/A | N/A | false | JACKSON OLISON | N/A | CHERYL | N/A | 9999-12-31 | 2025-01-01 | GA GRS ITDR H4036-801 MEDICARE PREFERRED MAPD 10P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874450 | 2222 | 4801 | 8115911 | N/A | 4534573 | 2025-05-31 05:11:39.873783 | 2025-05-29 21:21:34.077440 |
| 2025-05-30 20:31:18.469015 | 2025-05-31 05:20:08.620963 | 8422171 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8422171 | Athletic Physical Therapy Inc | 1958-03-16 | 2025-06-05 | F | PT | AE | N/A | SCHILLER | 4NG7R64EW31 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232123763.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874437/check_8422171_bc10b291-8b01-437d-8f3c-5650023f5ad5.json | N/A | N/A | N/A | N/A | N/A | 4NG7R64EW31 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-03-16 | S4802 | N/A | N/A | MB | false | SCHILLER | N/A | JUDY | 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 | 5874437 | 2222 | 4802 | 8119902 | N/A | 4534564 | 2025-05-31 05:20:08.620963 | 2025-05-22 18:42:12.452816 |
| 2025-05-30 20:31:18.321737 | 2025-05-31 05:05:47.771925 | 8422167 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8422167 | Athletic Physical Therapy Inc | 1963-10-30 | 2025-06-06 | M | AD | N/A | N/A | SCHIRO | U4234027401 | CRAIG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232123763.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874435/check_8422167_76cbeef5-3ff0-4e46-973b-379ad251cea9.json | N/A | N/A | N/A | N/A | N/A | U4234027401 | N/A | EQUIFAX INC. | CHLIC | PREFERRED CARE MANAGEMENT | 1963-10-30 | N/A | 3333787 | N/A | N/A | false | SCHIRO | N/A | CRAIG | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874435 | 2222 | 4802 | 8113015 | N/A | 4213817 | 2025-05-31 05:05:47.771925 | 2025-05-13 04:29:37.228137 |
| 2025-05-30 20:31:18.162632 | 2025-05-31 05:12:38.045904 | 8422161 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8422161 | Athletic Physical Therapy Inc | 1954-07-06 | 2025-06-05 | U | PT | N/A | N/A | WONG | MBL238A51912 | LOIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232123763.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874429/check_8422161_86d5fd7b-6155-432c-82ac-b510eb1a3f0c.json | N/A | N/A | N/A | N/A | N/A | MBL238A51912 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1954-07-06 | N/A | N/A | N/A | N/A | false | WONG | N/A | LOIS | 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 | N/A | N/A | 5874429 | 2222 | 4802 | 8116331 | N/A | 4534558 | 2025-05-31 05:12:38.045904 | 2025-06-02 02:24:50.975707 |
| 2025-05-30 20:31:17.972557 | 2025-05-31 05:01:16.651173 | 8422155 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8422155 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-06-04 | F | PT | AE | N/A | BIKOULOVA | 92040499F | ALEXANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232123763.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_8422155_dfcc95ca-bdb6-4624-b11c-493e09596724.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | 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 | 5874423 | 2222 | 4802 | 8111393 | N/A | 4534552 | 2025-05-31 05:01:16.651173 | 2025-05-30 18:01:03.324126 |
| 2025-05-30 20:31:17.691177 | 2025-05-31 05:20:05.500722 | 8422147 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8422147 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-06-02 | M | PT | AE | N/A | DERR | 4GK3GN5DV73 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232123763.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_8422147_85cc9d61-5b36-49ba-b1d2-e38b94e5db8c.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874420 | 2222 | 4793 | 8119875 | N/A | 4534550 | 2025-05-31 05:20:05.500722 | 2025-10-15 18:36:58.255255 |
| 2025-05-30 20:31:17.355288 | 2025-05-31 05:11:42.013737 | 8422134 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8422134 | Athletic Physical Therapy Inc | 1964-12-25 | 2025-06-06 | M | PT | N/A | N/A | KELL | MPI30318532Q | KRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232123763.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874414/check_8422134_3b5fde04-f86f-4da4-9b2e-80c14e4a68f1.json | N/A | N/A | N/A | N/A | N/A | MPI30318532Q | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1964-12-25 | N/A | N/A | N/A | N/A | false | KELL | N/A | KRISTINA | 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 | N/A | N/A | 5874414 | 2222 | 4793 | 8115918 | N/A | 4534548 | 2025-05-31 05:11:42.013737 | 2025-05-28 20:55:34.257011 |
| 2025-05-30 20:31:16.989094 | 2025-05-31 05:07:29.067185 | 8422123 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8422123 | Athletic Physical Therapy Inc | 2013-08-17 | 2025-06-05 | F | PT | AE | N/A | RUEMMELE | 179409499 | MAKENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.232123763.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874412/check_8422123_15b1fdb4-9b1b-42bc-9ab7-b4d6c4c681e1.json | N/A | N/A | N/A | N/A | N/A | 17940949902 | Commercial | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | FUNDING TYPE = FULLY INSURED - LARGE GROUP LABORATORY DESIGNATED DIAGNOSTIC BENEFITS IMAGING DESIGNATED DIAGNOSTIC BENEFITS | 2013-08-17 | N/A | 1685837 | N/A | C1 | false | RUEMMELE | N/A | MAKENA | N/A | N/A | N/A | CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874412 | 2222 | 4793 | 8113896 | N/A | 4534546 | 2025-05-31 05:07:29.067185 | 2025-12-03 00:06:29.870228 |
| 2025-05-30 20:31:08.066368 | 2025-05-31 09:20:01.001066 | 8421824 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8421824 | Athletic Physical Therapy Inc | 2008-06-03 | 2025-06-04 | M | PT | N/A | N/A | DATO | NGO555A50496 | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250531.030101513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_8421824_80fab50d-0a49-421f-acd4-fb98d9c47992.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2008-06-03 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551045 | 2222 | 4793 | 8133154 | N/A | 4219851 | 2025-05-31 09:20:01.001066 | 2025-05-13 04:29:37.230897 |