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 03:41:08.663835 | 2025-09-12 03:41:11.159192 | 12250944 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12250944_29b2734c-1471-4d9e-bcdc-d2d5a5c00c73.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-09-12 03:41:11.159192 | 2025-05-13 04:29:37.228064 |
| 2025-09-12 03:41:02.903309 | 2025-09-12 03:41:06.493978 | 12250940 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12250940_8893fd24-0cac-4c7b-9c7e-6cef34a1779b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12250940_6186474b-04a9-4770-b860-ff277659daf3.json | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7504846 | 2222 | N/A | 12487918 | N/A | 4213743 | 2025-09-12 03:41:06.493978 | 2025-05-13 04:29:37.228064 |
| 2025-09-12 03:40:59.759604 | 2025-09-12 03:41:02.857667 | 12250937 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12250937_5b650dbd-b7e0-46dc-b959-cf15d7406c98.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-09-12 03:41:02.857667 | 2025-05-13 04:29:37.228064 |
| 2025-09-12 03:40:54.927466 | 2025-09-12 03:40:58.441586 | 12250934 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12250934_bfe30caf-c4d6-4ac1-bf3e-77f60644ab25.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12250934_941d5cb2-c599-45ca-a7fc-bb073f42e3cf.json | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7504846 | 2222 | N/A | 12487913 | N/A | 4213743 | 2025-09-12 03:40:58.441586 | 2025-05-13 04:29:37.228064 |
| 2025-09-12 03:40:52.168525 | 2025-09-12 03:40:54.856889 | 12250933 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12250933_2e61c419-c2fa-4d42-9027-2ca32a8ba0a8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-09-12 03:40:54.856889 | 2025-05-13 04:29:37.228064 |
| 2025-09-12 03:40:47.686686 | 2025-09-12 03:40:50.347787 | 12250930 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12250930_58bc0774-8b49-4921-8f0e-678ad8c54fa2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12250930_36a78c83-c4dd-41d8-a782-01a884cc5387.json | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7504846 | 2222 | N/A | 12487908 | N/A | 4213743 | 2025-09-12 03:40:50.347787 | 2025-05-13 04:29:37.228064 |
| 2025-09-12 03:40:44.017999 | 2025-09-12 03:40:47.672856 | 12250926 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12250926_1224b26c-5507-4ab6-b082-d116b9d1e9de.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-09-12 03:40:47.672856 | 2025-05-13 04:29:37.228064 |
| 2025-09-12 03:40:39.248805 | 2025-09-12 03:40:42.481884 | 12250923 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12250923_5289604e-8ac7-4ecc-bfa9-1930ccc72e59.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_12250923_ef61131f-e077-4412-a62b-c12ac9178240.json | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7504846 | 2222 | N/A | 12487901 | N/A | 4213743 | 2025-09-12 03:40:42.481884 | 2025-05-13 04:29:37.228064 |
| 2025-09-12 03:40:36.404354 | 2025-09-12 03:40:39.229277 | 12250921 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_12250921_d3dbf712-dc6a-4bc9-803e-79b38c7e12ff.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-09-12 03:40:39.229277 | 2025-05-13 04:29:37.228064 |
| 2025-09-12 00:19:08.584932 | 2025-09-12 00:19:12.454340 | 12250430 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-24 | 2025-09-17 | M | AE | PT | 23307 | LEVESQUE | 40062637301 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/2222/9323772/check_12250430_3cc5f189-f9e1-4f8e-b3cb-58cbe5df56ef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9323772/check_12250430_650b90fd-9b36-428f-b96e-cfb751e90946.json | N/A | N/A | N/A | N/A | N/A | 40062637301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1955-12-24 | 2025H5425001 | H5425M | N/A | N/A | false | LEVESQUE | N/A | PAUL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8775578765 | N/A | N/A | 9323772 | 2222 | N/A | 12477435 | N/A | 7822860 | 2025-09-12 00:19:12.454340 | 2025-09-12 00:10:53.277329 |
| 2025-09-11 23:03:39.343426 | 2025-09-11 23:03:41.451662 | 12249810 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-04-20 | 2025-09-15 | M | AE | PT | 6798 | HAUSMAN | 34751866 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/9280203/check_12249810_0279d295-a876-4243-ab70-8e739475b9e3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_12249810_8471d7bf-fb66-473f-9282-59f12d25e620.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-024-000 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8775315858 | 9482 | N/A | 9280203 | 2222 | N/A | 12476541 | N/A | 7788651 | 2025-09-11 23:03:41.451662 | 2025-09-10 18:50:22.494063 |
| 2025-09-11 23:03:25.062987 | 2025-09-11 23:03:28.207596 | 12249809 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-04-20 | 2025-09-15 | M | AE | PT | 6798 | HAUSMAN | 34751866 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/9280203/check_12249809_9978b23f-2181-46ea-bde9-031340199005.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_12249809_4594a4c4-5a87-4d74-9cb0-ac81aeed9191.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-024-000 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8775315276 | 9482 | N/A | 9280203 | 2222 | N/A | 12476538 | N/A | 7788651 | 2025-09-11 23:03:28.207596 | 2025-09-10 18:50:22.494063 |
| 2025-09-11 22:56:38.438359 | 2025-09-11 22:56:40.203368 | 12249781 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 23325 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12249781_9698ad66-60eb-4dda-a319-1418202d5600.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253541/check_12249781_0b54c640-e4a1-405f-9ee8-9b25a05116a3.json | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9253541 | 2222 | N/A | 12476483 | N/A | 7764252 | 2025-09-11 22:56:40.203368 | 2025-09-11 22:35:02.402934 |
| 2025-09-11 22:56:36.559380 | 2025-09-11 22:56:38.436389 | 12249780 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 23325 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12249780_041f3f3b-6588-4b09-bbbf-1069e1df00d1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | N/A | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9253541 | 2222 | N/A | N/A | N/A | 7764252 | 2025-09-11 22:56:38.436389 | 2025-09-11 22:35:02.402934 |
| 2025-09-11 22:54:27.206021 | 2025-09-11 22:54:29.249068 | 12249775 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-28 | 2025-09-11 | F | AE | PT | 4497 | NANVAR | 9H60FA1UD17 | GUITY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8650848/check_12249775_bc5ce9da-cb4d-4adb-8a8f-3a7a79b84092.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650848/check_12249775_060d09e5-eef7-40e8-8af4-df9eac28ad74.json | N/A | N/A | N/A | N/A | N/A | 9H60FA1UD17 | N/A | N/A | CMS | N/A | 1957-07-28 | N/A | N/A | N/A | N/A | false | NANVAR | N/A | GUITY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 8650848 | 2222 | N/A | 12476469 | N/A | 7292786 | 2025-09-11 22:54:29.249068 | 2025-09-04 04:11:35.031790 |
| 2025-09-11 22:54:16.087816 | 2025-09-11 22:54:27.202463 | 12249774 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-28 | 2025-09-11 | F | AE | PT | 4497 | NANVAR | 9H60FA1UD17 | GUITY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8650848/check_12249774_74580755-02d4-44a7-936a-eec753362aab.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | 9H60FA1UD17 | N/A | N/A | CMS | N/A | 1957-07-28 | N/A | N/A | N/A | N/A | false | NANVAR | N/A | GUITY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 8650848 | 2222 | N/A | N/A | N/A | 7292786 | 2025-09-11 22:54:27.202463 | 2025-09-04 04:11:35.031790 |
| 2025-09-11 22:52:58.209080 | 2025-09-11 22:53:00.192694 | 12249767 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 23325 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12249767_be43177e-d6fe-4429-8482-bc3c2e6b758e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253541/check_12249767_8117dcfb-f6ae-4265-b041-29834ab7b4f1.json | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9253541 | 2222 | N/A | 12476456 | N/A | 7764252 | 2025-09-11 22:53:00.192694 | 2025-09-11 22:35:02.402934 |
| 2025-09-11 22:52:56.430921 | 2025-09-11 22:52:58.207354 | 12249766 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 23325 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12249766_2b0b2f19-01d6-4bf8-9dd9-ca55e916fed0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | N/A | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9253541 | 2222 | N/A | N/A | N/A | 7764252 | 2025-09-11 22:52:58.207354 | 2025-09-11 22:35:02.402934 |
| 2025-09-11 22:52:43.346752 | 2025-09-11 22:52:47.601572 | 12249760 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 23325 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12249760_c3fab0cc-9dfb-4ab7-ba8d-47404360d53f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253541/check_12249760_0ffcb681-6710-4509-b688-1b449d0df7fe.json | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9253541 | 2222 | N/A | 12476446 | N/A | 7764252 | 2025-09-11 22:52:47.601572 | 2025-09-11 22:35:02.402934 |
| 2025-09-11 22:52:41.466766 | 2025-09-11 22:52:43.335236 | 12249757 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 23325 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12249757_6d6759da-2697-4bff-9d4b-ac005e39372f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | N/A | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9253541 | 2222 | N/A | N/A | N/A | 7764252 | 2025-09-11 22:52:43.335236 | 2025-09-11 22:35:02.402934 |
| 2025-09-11 22:52:16.368399 | 2025-09-11 22:52:18.754785 | 12249709 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 23325 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12249709_3414e979-581f-416a-b3ff-c183c855b3f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253541/check_12249709_4a8e3a1e-53b2-4497-b43b-2212d5c2401d.json | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9253541 | 2222 | N/A | 12476411 | N/A | 7764252 | 2025-09-11 22:52:18.754785 | 2025-09-11 22:35:02.402934 |
| 2025-09-11 22:52:14.504701 | 2025-09-11 22:52:16.363100 | 12249705 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 23325 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12249705_c630f389-1a82-4073-9d6b-f24c389a9f3b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | N/A | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9253541 | 2222 | N/A | N/A | N/A | 7764252 | 2025-09-11 22:52:16.363100 | 2025-09-11 22:35:02.402934 |
| 2025-09-11 22:51:30.792873 | 2025-09-11 22:51:32.675767 | 12249696 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 23325 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12249696_698b4e78-dfc5-43f5-ad5c-ae6dc6152861.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253541/check_12249696_3c69dc57-05a5-4fce-94e4-9b8df0689db8.json | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9253541 | 2222 | N/A | 12476402 | N/A | 7764252 | 2025-09-11 22:51:32.675767 | 2025-09-11 22:35:02.402934 |
| 2025-09-11 22:51:28.902179 | 2025-09-11 22:51:30.789619 | 12249695 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 23325 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12249695_e6da32ef-1317-447e-b481-a04e9112a14b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | N/A | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9253541 | 2222 | N/A | N/A | N/A | 7764252 | 2025-09-11 22:51:30.789619 | 2025-09-11 22:35:02.402934 |
| 2025-09-11 22:51:08.615076 | 2025-09-11 22:51:10.648266 | 12249692 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 23325 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12249692_c677c93a-b23d-4e28-942e-3b1189c37943.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253541/check_12249692_56e72b69-1e72-483c-ae14-5aa50ced0da3.json | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9253541 | 2222 | N/A | 12476395 | N/A | 7764252 | 2025-09-11 22:51:10.648266 | 2025-09-11 22:35:02.402934 |
| 2025-09-11 22:51:06.669886 | 2025-09-11 22:51:08.611758 | 12249691 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 23325 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12249691_81fa4647-874b-4c76-a284-5c54817f9aab.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | N/A | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9253541 | 2222 | N/A | N/A | N/A | 7764252 | 2025-09-11 22:51:08.611758 | 2025-09-11 22:35:02.402934 |
| 2025-09-11 22:50:58.324107 | 2025-09-11 22:51:00.074350 | 12249688 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 23325 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12249688_64a31eee-e67f-4d8e-a2d4-a157bc8863f6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253541/check_12249688_eda25c47-60f5-41b3-be9d-2e14d0aea717.json | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9253541 | 2222 | N/A | 12476392 | N/A | 7764252 | 2025-09-11 22:51:00.074350 | 2025-09-11 22:35:02.402934 |
| 2025-09-11 22:50:56.687279 | 2025-09-11 22:50:58.320780 | 12249687 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 23325 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12249687_b6fefd2b-58ce-4cf7-ab0a-88eca25be6a3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | N/A | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9253541 | 2222 | N/A | N/A | N/A | 7764252 | 2025-09-11 22:50:58.320780 | 2025-09-11 22:35:02.402934 |
| 2025-09-11 22:50:39.547884 | 2025-09-11 22:50:41.462503 | 12249685 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 23325 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12249685_234139d5-0471-4671-b158-54a833e8b5d5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253541/check_12249685_cbf55aad-32c0-405a-b3fd-410598751ba5.json | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9253541 | 2222 | N/A | 12476389 | N/A | 7764252 | 2025-09-11 22:50:41.462503 | 2025-09-11 22:35:02.402934 |
| 2025-09-11 22:50:37.995580 | 2025-09-11 22:50:39.546491 | 12249684 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-12 | F | AE | PT | 23325 | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253541/check_12249684_71768405-2b58-4a1c-b1f0-03e219c8910a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | N/A | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9253541 | 2222 | N/A | N/A | N/A | 7764252 | 2025-09-11 22:50:39.546491 | 2025-09-11 22:35:02.402934 |
| 2025-09-11 22:47:04.786704 | 2025-09-11 22:47:06.810449 | 12249667 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-04 | 2025-09-15 | M | PT | N/A | 4184 | CLANCY | XDMO30503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9194927/check_12249667_213d07f4-1881-45bc-9446-cb7e1c64f7d5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_12249667_d924c25d-02ae-4670-b143-1506f68f9ef7.json | N/A | N/A | N/A | N/A | N/A | XDMO30503879 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-12-04 | N/A | N/A | N/A | N/A | false | CLANCY | N/A | JOSEPH | 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 | 9482 | N/A | 9194927 | 2222 | N/A | 12476360 | N/A | 7712549 | 2025-09-11 22:47:06.810449 | 2025-09-10 17:29:28.945035 |
| 2025-09-11 22:47:02.894626 | 2025-09-11 22:47:04.784329 | 12249666 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-04 | 2025-09-15 | M | PT | N/A | 4184 | CLANCY | XDMO30503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9194927/check_12249666_a5f7349c-cd33-4bd8-ab1c-45bcb0b875d7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | XDMO30503879 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-12-04 | N/A | N/A | N/A | N/A | false | CLANCY | N/A | JOSEPH | 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 | 9482 | N/A | 9194927 | 2222 | N/A | N/A | N/A | 7712549 | 2025-09-11 22:47:04.784329 | 2025-09-10 17:29:28.945035 |
| 2025-09-11 22:46:56.446461 | 2025-09-11 22:46:58.519722 | 12249665 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-04 | 2025-09-15 | M | PT | N/A | 4184 | CLANCY | XDMO30503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9194927/check_12249665_f5b26cf0-a906-4ea8-a693-02f7cc71923b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_12249665_b9f00e37-87dc-40b4-9075-3addded16501.json | N/A | N/A | N/A | N/A | N/A | XDMO30503879 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-12-04 | N/A | N/A | N/A | N/A | false | CLANCY | N/A | JOSEPH | 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 | 9482 | N/A | 9194927 | 2222 | N/A | 12476358 | N/A | 7712549 | 2025-09-11 22:46:58.519722 | 2025-09-10 17:29:28.945035 |
| 2025-09-11 22:46:54.796048 | 2025-09-11 22:46:56.443793 | 12249664 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-04 | 2025-09-15 | M | PT | N/A | 4184 | CLANCY | XDMO30503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9194927/check_12249664_6081dde1-1571-45b4-b257-00a3f89f31eb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | XDMO30503879 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-12-04 | N/A | N/A | N/A | N/A | false | CLANCY | N/A | JOSEPH | 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 | 9482 | N/A | 9194927 | 2222 | N/A | N/A | N/A | 7712549 | 2025-09-11 22:46:56.443793 | 2025-09-10 17:29:28.945035 |
| 2025-09-11 22:42:41.980349 | 2025-09-11 22:42:44.067474 | 12249648 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-04 | 2025-09-15 | M | PT | N/A | 4184 | CLANCY | XDM030503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9194927/check_12249648_6915a994-37de-43d9-aabe-f48595ceb24c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_12249648_f18ddbc8-5d16-469f-93ce-6e926d23ef20.json | N/A | N/A | N/A | N/A | N/A | XDM030503879 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-12-04 | N/A | N/A | N/A | N/A | false | CLANCY | N/A | JOSEPH | 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 | 9482 | N/A | 9194927 | 2222 | N/A | 12476330 | N/A | 7712549 | 2025-09-11 22:42:44.067474 | 2025-09-10 17:29:28.945035 |
| 2025-09-11 22:42:39.097589 | 2025-09-11 22:42:41.977773 | 12249647 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-04 | 2025-09-15 | M | PT | N/A | 4184 | CLANCY | XDM030503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9194927/check_12249647_27d75b1a-5841-4f0b-bbcd-7e3062fcfe36.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | XDM030503879 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-12-04 | N/A | N/A | N/A | N/A | false | CLANCY | N/A | JOSEPH | 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 | 9482 | N/A | 9194927 | 2222 | N/A | N/A | N/A | 7712549 | 2025-09-11 22:42:41.977773 | 2025-09-10 17:29:28.945035 |
| 2025-09-11 22:35:33.783462 | 2025-09-11 22:35:35.629889 | 12249608 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-04 | 2025-09-15 | M | PT | N/A | 4184 | CLANCY | XDM0E0503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9194927/check_12249608_9ba5a980-bf91-43b2-9aba-394893eeaeb0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_12249608_ca0fb57a-d8e1-41ab-bbee-d407011c43e5.json | N/A | N/A | N/A | N/A | N/A | XDM0E0503879 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-12-04 | N/A | N/A | N/A | N/A | false | CLANCY | N/A | JOSEPH | 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 | 9482 | N/A | 9194927 | 2222 | N/A | 12476268 | N/A | 7712549 | 2025-09-11 22:35:35.629889 | 2025-09-10 17:29:28.945035 |
| 2025-09-11 22:35:31.859247 | 2025-09-11 22:35:33.777750 | 12249607 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-04 | 2025-09-15 | M | PT | N/A | 4184 | CLANCY | XDM0E0503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9194927/check_12249607_81e52bca-2827-4b68-9a17-758c6db73271.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | XDM0E0503879 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-12-04 | N/A | N/A | N/A | N/A | false | CLANCY | N/A | JOSEPH | 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 | 9482 | N/A | 9194927 | 2222 | N/A | N/A | N/A | 7712549 | 2025-09-11 22:35:33.777750 | 2025-09-10 17:29:28.945035 |
| 2025-09-11 22:35:15.750654 | 2025-09-11 22:35:19.221142 | 12249604 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-04 | 2025-09-15 | M | PT | N/A | 4184 | CLANCY | XDM0E0503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9194927/check_12249604_043b1f47-10da-4795-9519-2b0cbfa1a24a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_12249604_8d137060-5328-4e6b-b7a1-e9551870cafe.json | N/A | N/A | N/A | N/A | N/A | XDM0E0503879 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-12-04 | N/A | N/A | N/A | N/A | false | CLANCY | N/A | JOSEPH | 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 | 9482 | N/A | 9194927 | 2222 | N/A | 12476261 | N/A | 7712549 | 2025-09-11 22:35:19.221142 | 2025-09-10 17:29:28.945035 |
| 2025-09-11 22:35:13.967028 | 2025-09-11 22:35:15.748304 | 12249603 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-04 | 2025-09-15 | M | PT | N/A | 4184 | CLANCY | XDM0E0503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9194927/check_12249603_7ccf8855-6a95-4ba9-ad2e-37e3e66b6c15.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | XDM0E0503879 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-12-04 | N/A | N/A | N/A | N/A | false | CLANCY | N/A | JOSEPH | 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 | 9482 | N/A | 9194927 | 2222 | N/A | N/A | N/A | 7712549 | 2025-09-11 22:35:15.748304 | 2025-09-10 17:29:28.945035 |
| 2025-09-11 22:33:33.429837 | 2025-09-11 22:33:35.478429 | 12249588 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-04 | 2025-09-15 | M | PT | N/A | 4184 | CLANCY | XDM0E0503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9194927/check_12249588_930dcc90-639c-4b5b-b266-5c0aa6955837.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_12249588_b2430dd4-b1e4-4441-afc8-2e5f943d0153.json | N/A | N/A | N/A | N/A | N/A | XDM0E0503879 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-12-04 | N/A | N/A | N/A | N/A | false | CLANCY | N/A | JOSEPH | 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 | 9482 | N/A | 9194927 | 2222 | N/A | 12476243 | N/A | 7712549 | 2025-09-11 22:33:35.478429 | 2025-09-10 17:29:28.945035 |
| 2025-09-11 22:33:31.400637 | 2025-09-11 22:33:33.419785 | 12249587 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-04 | 2025-09-15 | M | PT | N/A | 4184 | CLANCY | XDM0E0503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9194927/check_12249587_5c6bf0b0-6abe-43fe-a316-be0b8a5919fe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | XDM0E0503879 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-12-04 | N/A | N/A | N/A | N/A | false | CLANCY | N/A | JOSEPH | 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 | 9482 | N/A | 9194927 | 2222 | N/A | N/A | N/A | 7712549 | 2025-09-11 22:33:33.419785 | 2025-09-10 17:29:28.945035 |
| 2025-09-11 22:10:05.708624 | 2025-09-11 22:10:08.017584 | 12249283 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-09 | 2025-09-11 | F | AE | PT | 23412 | OSTERHOUDT | U21565067 | TRACY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8471577/check_12249283_3992a5fc-e3b4-420e-8bde-50d2be79fb26.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471577/check_12249283_835cad4c-c10f-4ecc-8666-6d44bfb27ca7.json | N/A | N/A | N/A | N/A | N/A | U2156506701 | Health Maintenance Organization (HMO) | CAPITAL GROUP | CGLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1971-12-09 | N/A | 3173816 | N/A | HM | false | OSTERHOUDT | N/A | TRACY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8775125862 | 161267 | N/A | 8471577 | 2222 | N/A | 12475883 | N/A | 7142472 | 2025-09-11 22:10:08.017584 | 2025-09-06 16:19:59.701160 |
| 2025-09-11 22:09:23.717283 | 2025-09-11 22:09:27.776949 | 12249279 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-09 | 2025-09-11 | F | AE | PT | 23412 | OSTERHOUDT | U21565067 | TRACY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8471577/check_12249279_6664ffc9-8b2e-49ec-b786-2f6711f076c6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471577/check_12249279_79e78759-35aa-47aa-88e7-fccbc76c48c4.json | N/A | N/A | N/A | N/A | N/A | U2156506701 | Health Maintenance Organization (HMO) | CAPITAL GROUP | CGLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1971-12-09 | N/A | 3173816 | N/A | HM | false | OSTERHOUDT | N/A | TRACY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8775123517 | 161267 | N/A | 8471577 | 2222 | N/A | 12475878 | N/A | 7142472 | 2025-09-11 22:09:27.776949 | 2025-09-06 16:19:59.701160 |
| 2025-09-11 22:08:30.007431 | 2025-09-11 22:08:31.791013 | 12249261 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-09 | 2025-09-11 | F | AE | PT | 23295 | OSTERHOUDT | U125506701 | TRACY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8471577/check_12249261_c21ed392-0d30-4686-90c1-58a2ca1f49b2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471577/check_12249261_8956c05a-1da3-4254-8b17-4ed0ba07c10e.json | N/A | N/A | N/A | N/A | N/A | U125506701 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1971-12-09 | N/A | N/A | N/A | N/A | false | OSTERHOUDT | N/A | TRACY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 8471577 | 2222 | N/A | 12475855 | N/A | 7142472 | 2025-09-11 22:08:31.791013 | 2025-09-06 16:19:59.701160 |
| 2025-09-11 22:08:27.968339 | 2025-09-11 22:08:30.005043 | 12249259 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-09 | 2025-09-11 | F | AE | PT | 23295 | OSTERHOUDT | U125506701 | TRACY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8471577/check_12249259_fd929c9e-8e78-47a9-b288-940c9c50373b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | U125506701 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1971-12-09 | N/A | N/A | N/A | N/A | false | OSTERHOUDT | N/A | TRACY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 8471577 | 2222 | N/A | N/A | N/A | 7142472 | 2025-09-11 22:08:30.005043 | 2025-09-06 16:19:59.701160 |
| 2025-09-11 22:02:17.529256 | 2025-09-11 22:02:20.437144 | 12249209 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-12-27 | 2025-09-11 | F | PT | N/A | 4185 | VALENCIA | NCF972A20708 | NEVAEH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8639700/check_12249209_162bacaf-4005-4f9e-940b-16231635cc34.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8639700/check_12249209_a49712dc-aba5-4d49-a891-7b3d904d7e7f.json | N/A | N/A | N/A | N/A | N/A | NCF972A20708 | Health Maintenance Organization (HMO) | HARBOR FREIGHT TOOLS USA INC | ANTHEM BLUE CROSS | N/A | 2009-12-27 | 040 | C20881H1A1 | N/A | HM | false | VALENCIA | N/A | ERIC | N/A | 9999-12-31 | 2024-10-16 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8775100761 | 161267 | N/A | 8639700 | 2222 | N/A | 12475794 | N/A | 7100343 | 2025-09-11 22:02:20.437144 | 2025-08-26 17:30:26.978462 |
| 2025-09-11 22:02:06.355441 | 2025-09-11 22:02:08.224652 | 12249208 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-12-27 | 2025-09-11 | F | PT | N/A | 23277 | VALENCIA | NCF972A20708 | NEVAEH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8639700/check_12249208_a9bae2b3-de97-484d-ab29-bb2d05ff32d7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8639700/check_12249208_2014b283-7dcb-4e04-8b18-882d29e3f80e.json | N/A | N/A | N/A | N/A | N/A | NCF972A20708 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2009-12-27 | N/A | N/A | N/A | N/A | false | VALENCIA | N/A | NEVAEH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 8639700 | 2222 | N/A | 12475793 | N/A | 7100343 | 2025-09-11 22:02:08.224652 | 2025-08-26 17:30:26.978462 |
| 2025-09-11 22:02:04.077331 | 2025-09-11 22:02:06.352757 | 12249207 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-12-27 | 2025-09-11 | F | PT | N/A | 23277 | VALENCIA | NCF972A20708 | NEVAEH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8639700/check_12249207_a74a9ef4-7d71-4cf8-801e-a24790c0fffa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | NCF972A20708 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2009-12-27 | N/A | N/A | N/A | N/A | false | VALENCIA | N/A | NEVAEH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 8639700 | 2222 | N/A | N/A | N/A | 7100343 | 2025-09-11 22:02:06.352757 | 2025-08-26 17:30:26.978462 |
| 2025-09-11 22:01:51.628469 | 2025-09-11 22:01:53.713178 | 12249206 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-12-27 | 2025-09-11 | F | PT | N/A | 23277 | VALENCIA | NCF972A2070870 | NEVAEH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8639700/check_12249206_9d43de1b-7d5d-42cd-9c46-7f2b83122332.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8639700/check_12249206_8588b818-437e-4503-b326-b582b508a9ce.json | N/A | N/A | N/A | N/A | N/A | NCF972A2070870 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2009-12-27 | N/A | N/A | N/A | N/A | false | VALENCIA | N/A | NEVAEH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 8639700 | 2222 | N/A | 12475791 | N/A | 7100343 | 2025-09-11 22:01:53.713178 | 2025-08-26 17:30:26.978462 |