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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-03 18:59:35.330527 | 2025-09-03 18:59:38.089283 | 11938521 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-04-13 | 2025-09-09 | F | AE | PT | 4497 | NATALI | 2XU8UK4DF50 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8979192/check_11938521_f5869522-8a63-4746-aff0-dbd4ff894dad.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979192/check_11938521_2f798634-b994-4085-9911-ff4b82a9bb07.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part B | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MB | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8711501455 | N/A | N/A | 8979192 | 2222 | N/A | 12125116 | N/A | 7498543 | 2025-09-03 18:59:38.089283 | 2025-10-14 17:13:32.178778 |
| 2025-09-03 18:57:21.085246 | 2025-09-03 18:57:24.047208 | 11938502 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-10-06 | 2025-09-11 | M | PT | N/A | 4184 | CRONIN | NSA00368979H | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/9063293/check_11938502_0e042575-69f4-4fb4-86d8-7809af473dd1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063293/check_11938502_e030bcf4-de30-4875-8f82-80f9b64060fd.json | N/A | N/A | N/A | N/A | N/A | 5TJ4AP6NM85 | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 1951-10-06 | 040 | L05927A001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2023-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8711482338 | N/A | N/A | 9063293 | 2222 | N/A | 12125097 | N/A | 7578088 | 2025-09-03 18:57:24.047208 | 2025-09-03 18:45:56.904111 |
| 2025-09-03 18:50:52.956095 | 2025-09-03 18:50:55.990790 | 11938463 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-02 | 2025-09-12 | F | AE | PT | 5538 | Andrieieva | 92598899G | Taisiia | https://storage.googleapis.com/normandy-eligibility-checks/2222/7881033/check_11938463_5fab26ed-691b-4d6d-ae9b-82e510d4cb69.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7881033/check_11938463_254579be-488f-44f9-b2a0-483abf77910b.json | N/A | N/A | N/A | N/A | N/A | 92598899G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1999-03-02 | MCLA | MWLLNMEG21 | N/A | N/A | false | ANDRIEIVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8711435504 | 9115 | N/A | 7881033 | 2222 | N/A | 12125049 | N/A | 6709145 | 2025-09-03 18:50:55.990790 | 2025-08-07 23:35:55.091438 |
| 2025-09-03 18:46:52.715851 | 2025-09-03 18:46:55.626633 | 11938438 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-09-23 | 2025-09-05 | F | PT | N/A | 4191 | Ostroff | THW36938870C | Rachel | https://storage.googleapis.com/normandy-eligibility-checks/2222/9060116/check_11938438_be28a246-04bb-4e88-852e-359a00ec234d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9060116/check_11938438_913560a5-b0a3-40ec-bc38-c3aa5f387e22.json | N/A | N/A | N/A | N/A | N/A | THW36938870C | Preferred Provider Organization (PPO) | THE WONDERFUL COMPANY SAP | BLUE SHIELD CALIFORNIA | N/A | 1990-09-23 | 1000PPOX0001 | W8003002 | N/A | PR | false | OSTROFF | N/A | RACHEL | N/A | N/A | N/A | THE WONDERFUL COMPANY SHARED ADVANTAGE PPO NATIO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8711408115 | N/A | N/A | 9060116 | 2222 | N/A | 12125013 | N/A | 7575424 | 2025-09-03 18:46:55.626633 | 2025-09-03 18:43:05.905105 |
| 2025-09-03 18:29:01.140858 | 2025-09-03 18:29:02.914768 | 11938330 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-02-16 | 2025-09-04 | F | AE | PT | 6237 | OSE | 40050866601 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537366/check_11938330_805d77c0-7568-483a-8c21-7e49d311b609.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537366/check_11938330_465e7004-d5bb-4d3d-bcd5-cd4bb32b09a6.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537366 | 2222 | N/A | 12124871 | N/A | 4209945 | 2025-09-03 18:29:02.914768 | 2025-08-13 22:24:17.841096 |
| 2025-09-03 18:28:58.395347 | 2025-09-03 18:29:01.132074 | 11938329 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-02-16 | 2025-09-04 | F | AE | PT | 6237 | OSE | 40050866601 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537366/check_11938329_5e149ae3-127c-4593-b54c-8197dd07ddc7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-04 | N/A | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537366 | 2222 | N/A | N/A | N/A | 4209945 | 2025-09-03 18:29:01.132074 | 2025-08-13 22:24:17.841096 |
| 2025-09-03 18:13:27.263016 | 2025-09-03 18:13:30.080364 | 11938202 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-10-02 | 2025-09-23 | M | AE | PT | 4497 | SAWAYA | 3R88YH3MG32 | PETER | https://storage.googleapis.com/normandy-eligibility-checks/2222/9033458/check_11938202_295b24b1-9cb4-45cd-82c0-67c5c1710aae.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033458/check_11938202_968e6978-fdbf-4f6d-a87b-a937545f771c.json | N/A | N/A | N/A | N/A | N/A | 3R88YH3MG32 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-10-02 | S9701 | N/A | N/A | MA | false | SAWAYA | N/A | PETER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8711079464 | N/A | N/A | 9033458 | 2222 | N/A | 12124719 | N/A | 7553607 | 2025-09-03 18:13:30.080364 | 2025-09-02 22:55:04.873891 |
| 2025-09-03 17:17:13.185077 | 2025-09-03 17:17:16.101754 | 11937554 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-31 | 2025-08-27 | F | PT | AE | 4191 | BARRERA | XEH903839121 | LOLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7203168/check_11937554_225451b0-b2cb-462c-bab7-72ced9078aeb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7203168/check_11937554_d0b3729a-d585-4aae-bd57-dead8ff49f9c.json | N/A | N/A | N/A | N/A | N/A | XEH903839121 | Health Maintenance Organization (HMO) | CVT MOORPARK USD | BLUE SHIELD CALIFORNIA | N/A | 1967-03-31 | 1000HMOX0005 | W0052266 | N/A | HM | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | CALIFORNIA S VALUED TRUST CUSTOM HMO 10 0 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8710600358 | 7694 | N/A | 7203168 | 2222 | N/A | 12124028 | N/A | 5230345 | 2025-09-03 17:17:16.101754 | 2025-07-11 20:32:03.183345 |
| 2025-09-03 16:20:54.474222 | 2025-09-03 16:20:57.631242 | 11936650 | N/A | N/A | SB040 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-16 | 2025-09-03 | F | PT | N/A | 23311 | GALVAN GUERRERO | MMA904W16717 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541035/check_11936650_5eabb17a-5bb2-4320-80ce-fb7a164b6ead.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541035/check_11936650_bf5373dc-a731-4709-ac45-0fa5576a86db.json | N/A | N/A | N/A | N/A | N/A | MMA904W16717 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-16 | 040 | CAMCRWP0 | N/A | MP | false | GALVAN-GUERRERO | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8709836662 | 161267 | N/A | 5541035 | 2222 | N/A | 12123067 | N/A | 4213091 | 2025-09-03 16:20:57.631242 | 2025-05-13 04:29:37.227417 |
| 2025-09-03 14:03:33.501290 | 2025-09-03 14:03:36.356039 | 11935599 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-05-03 | 2025-09-03 | F | PT | N/A | 4184 | Salant | Z6D461W08418 | Isabella | https://storage.googleapis.com/normandy-eligibility-checks/2222/8765709/check_11935599_627abb2b-b394-4a02-970a-52aa1b870ecc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8765709/check_11935599_fa47f36a-8849-4c2d-93b2-7d7dcec5caa4.json | N/A | N/A | N/A | N/A | N/A | Z6D461W08418 | Preferred Provider Organization (PPO) | DOORDASH INC | ANTHEM BLUE CROSS | N/A | 1996-05-03 | 040 | L03775M028 | N/A | PR | false | SALANT | N/A | ISABELLA | 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 | 8708038850 | N/A | N/A | 8765709 | 2222 | N/A | 12121918 | N/A | 7377649 | 2025-09-03 14:03:36.356039 | 2025-09-03 13:57:51.555585 |
| 2025-09-02 23:13:56.860712 | 2025-09-02 23:14:02.773079 | 11933451 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-03-04 | 2025-09-08 | F | AE | PT | 3939 | SCHAFFER | W25054420 | KRISTY | https://storage.googleapis.com/normandy-eligibility-checks/2222/9019325/check_11933451_c509a46c-6f3d-4ce1-8050-6e2c258a4a9e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9019325/check_11933451_e09e6948-2ec9-4bd8-9767-8f0e0d070d69.json | N/A | N/A | N/A | N/A | N/A | W265054420 | Point of Service (POS) | UBS FINANCIAL SERVICES INC. | AETNA | N/A | 1975-03-04 | 0880791 | 088079102500011 | N/A | PS | false | SCHAFFER | N/A | PATRICK | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8703043966 | N/A | N/A | 9019325 | 2222 | N/A | 12118359 | N/A | 7542823 | 2025-09-02 23:14:02.773079 | 2025-09-19 19:36:59.422230 |
| 2025-09-02 22:35:53.348725 | 2025-09-02 22:35:55.083919 | 11933085 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-13 | 2025-09-03 | F | AE | PT | 4497 | GRANT | 9JA3JK2TK87 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8493311/check_11933085_945e3092-b923-4924-973e-14f229995cf7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493311/check_11933085_78037d49-6786-4e67-bc5d-e11de9a7fc6f.json | N/A | N/A | N/A | N/A | N/A | 9JA3JK2TK87 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-13 | S4802 | N/A | N/A | MA | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8702822129 | N/A | N/A | 8493311 | 2222 | N/A | 12117927 | N/A | 7159835 | 2025-09-02 22:35:55.083919 | 2025-08-25 22:38:59.735145 |
| 2025-09-02 22:35:45.352737 | 2025-09-02 22:35:47.236424 | 11933084 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-13 | 2025-09-03 | F | AE | PT | 4497 | GRANT | 9JA3JK2TK87 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8493311/check_11933084_86adfffb-f951-473d-887a-19491a3f5d8a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493311/check_11933084_2d635f7a-f4ba-49a9-ac14-165447f7e250.json | N/A | N/A | N/A | N/A | N/A | 9JA3JK2TK87 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-13 | S4802 | N/A | N/A | MA | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8702821480 | N/A | N/A | 8493311 | 2222 | N/A | 12117926 | N/A | 7159835 | 2025-09-02 22:35:47.236424 | 2025-08-25 22:38:59.735145 |
| 2025-09-02 22:31:21.906743 | 2025-09-02 22:31:23.655474 | 11933044 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-13 | 2025-09-03 | F | AE | PT | 4497 | GRANT | 9JA3JK2TK87 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8493311/check_11933044_8bde0d78-8540-467b-994c-d7040bd8f4dc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493311/check_11933044_cfcfd1c1-00b7-4a9c-923b-521ceef7cd63.json | N/A | N/A | N/A | N/A | N/A | 9JA3JK2TK87 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-13 | S4802 | N/A | N/A | MA | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8702792160 | N/A | N/A | 8493311 | 2222 | N/A | 12117886 | N/A | 7159835 | 2025-09-02 22:31:23.655474 | 2025-08-25 22:38:59.735145 |
| 2025-09-02 22:31:04.677602 | 2025-09-02 22:31:07.442362 | 11933043 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-13 | 2025-09-03 | F | AE | PT | 4497 | GRANT | 9JA3JK2TK87 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/8493311/check_11933043_175f1425-e045-4abc-9a03-06d8c9c30dde.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493311/check_11933043_7085acbe-bb4d-43b7-9bbd-b0b3834f64dd.json | N/A | N/A | N/A | N/A | N/A | 9JA3JK2TK87 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-13 | S4802 | N/A | N/A | MA | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8702790266 | N/A | N/A | 8493311 | 2222 | N/A | 12117885 | N/A | 7159835 | 2025-09-02 22:31:07.442362 | 2025-08-25 22:38:59.735145 |
| 2025-09-02 21:54:50.386086 | 2025-09-02 21:54:52.124077 | 11932591 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-01-27 | 2025-09-11 | M | AE | PT | 3939 | Nawrot | W2452 82837 | Michael | https://storage.googleapis.com/normandy-eligibility-checks/2222/9025372/check_11932591_29fd9b2f-1b38-4021-a291-9af34927b019.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9025372/check_11932591_4d6cdf60-9ac6-4546-9e28-8b5808d8d600.json | N/A | N/A | N/A | N/A | N/A | W245282837 | N/A | N/A | AETNA INC | N/A | 1989-01-27 | N/A | N/A | N/A | N/A | false | NAWROT | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9025372 | 2222 | N/A | 12117385 | N/A | 7548299 | 2025-09-02 21:54:52.124077 | 2025-09-02 21:45:20.203692 |
| 2025-09-02 21:54:45.709859 | 2025-09-02 21:54:50.382760 | 11932590 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-01-27 | 2025-09-11 | M | AE | PT | 3939 | Nawrot | W2452 82837 | Michael | https://storage.googleapis.com/normandy-eligibility-checks/2222/9025372/check_11932590_a9044443-63f6-45ca-bc23-c142ff6aab7b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | W245282837 | N/A | N/A | AETNA INC | N/A | 1989-01-27 | N/A | N/A | N/A | N/A | false | NAWROT | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9025372 | 2222 | N/A | N/A | N/A | 7548299 | 2025-09-02 21:54:50.382760 | 2025-09-02 21:45:20.203692 |
| 2025-09-02 21:04:03.074090 | 2025-09-02 21:04:05.867926 | 11932257 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-02-10 | 2025-09-12 | M | AE | PT | 6798 | GARZA | 36183347 | LEO | https://storage.googleapis.com/normandy-eligibility-checks/2222/9024952/check_11932257_5ef8f168-6999-48e0-8cea-bfe856b180ac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9024952/check_11932257_fedeb50c-cf5e-42f4-acda-02157679b44c.json | N/A | N/A | N/A | N/A | N/A | 36183347 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-02-10 | 406-024-000 | N/A | N/A | N/A | false | GARZA | N/A | LEOVARDO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8702179241 | 9482 | N/A | 9024952 | 2222 | N/A | 12116969 | N/A | 7547856 | 2025-09-02 21:04:05.867926 | 2025-09-02 20:57:54.962485 |
| 2025-09-02 18:51:27.904035 | 2025-09-02 18:51:30.675683 | 11930924 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 4184 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_11930924_f3f911a1-b0ba-4419-9fd7-3169f401975d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_11930924_4faf4d25-6062-469d-856b-217e60209f73.json | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | 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 | 9022039 | 2222 | N/A | 12115469 | N/A | 7544773 | 2025-09-02 18:51:30.675683 | 2025-09-02 18:35:33.812098 |
| 2025-09-02 18:51:19.256180 | 2025-09-02 18:51:27.902062 | 11930922 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 4184 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_11930922_793c967c-8b73-4b93-b76d-27c77a198f05.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | 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 | 9022039 | 2222 | N/A | N/A | N/A | 7544773 | 2025-09-02 18:51:27.902062 | 2025-09-02 18:35:33.812098 |
| 2025-09-02 18:46:05.526156 | 2025-09-02 18:46:07.302103 | 11930880 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 4184 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_11930880_6f237cad-6074-4f90-9988-e1445c947193.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_11930880_7d68a663-ecb4-4faa-9ed2-07024a9710c6.json | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | 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 | 9022039 | 2222 | N/A | 12115424 | N/A | 7544773 | 2025-09-02 18:46:07.302103 | 2025-09-02 18:35:33.812098 |
| 2025-09-02 18:46:01.824200 | 2025-09-02 18:46:05.523312 | 11930879 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 4184 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_11930879_03e2c323-5e0e-4a4d-8e28-a1951868e56e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | 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 | 9022039 | 2222 | N/A | N/A | N/A | 7544773 | 2025-09-02 18:46:05.523312 | 2025-09-02 18:35:33.812098 |
| 2025-09-02 18:45:54.789661 | 2025-09-02 18:45:56.847267 | 11930876 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 4184 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_11930876_6c0354f3-8cb3-4d3e-b2e8-0ae8c3562358.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_11930876_576db555-4386-468c-a0cc-52ad49dbf5c0.json | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | 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 | 9022039 | 2222 | N/A | 12115420 | N/A | 7544773 | 2025-09-02 18:45:56.847267 | 2025-09-02 18:35:33.812098 |
| 2025-09-02 18:45:53.084502 | 2025-09-02 18:45:54.784839 | 11930874 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 4184 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_11930874_75d21173-7e4e-4479-96ae-2fbd7aba5edb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | 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 | 9022039 | 2222 | N/A | N/A | N/A | 7544773 | 2025-09-02 18:45:54.784839 | 2025-09-02 18:35:33.812098 |
| 2025-09-02 18:45:35.241441 | 2025-09-02 18:45:37.021353 | 11930873 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 4184 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_11930873_8596dee0-f3a2-45ee-8790-7a5729180625.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_11930873_08bca9bf-e3fe-46f5-b4c6-a48d8c2569cb.json | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | 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 | 9022039 | 2222 | N/A | 12115417 | N/A | 7544773 | 2025-09-02 18:45:37.021353 | 2025-09-02 18:35:33.812098 |
| 2025-09-02 18:45:33.571718 | 2025-09-02 18:45:35.237982 | 11930872 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 4184 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_11930872_d313721e-d0c8-42a5-9dfd-0ba10d9aaadb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | 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 | 9022039 | 2222 | N/A | N/A | N/A | 7544773 | 2025-09-02 18:45:35.237982 | 2025-09-02 18:35:33.812098 |
| 2025-09-02 18:45:25.105651 | 2025-09-02 18:45:26.849745 | 11930870 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 4184 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_11930870_809e226e-fffa-4113-9f01-b6f32778c1c3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_11930870_650a0162-8f11-4155-ab8c-f980c9b80eea.json | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | 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 | 9022039 | 2222 | N/A | 12115414 | N/A | 7544773 | 2025-09-02 18:45:26.849745 | 2025-09-02 18:35:33.812098 |
| 2025-09-02 18:45:23.512988 | 2025-09-02 18:45:25.103688 | 11930869 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 4184 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_11930869_5bd21503-86d2-464e-8397-25f7fc6ebb59.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | 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 | 9022039 | 2222 | N/A | N/A | N/A | 7544773 | 2025-09-02 18:45:25.103688 | 2025-09-02 18:35:33.812098 |
| 2025-09-02 18:45:15.757438 | 2025-09-02 18:45:17.646546 | 11930868 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 4184 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_11930868_a80f13cf-5443-4a1b-b5a0-6965734dca58.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_11930868_bad2a74c-2af2-4a06-ad64-92ee266bb209.json | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | 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 | 9022039 | 2222 | N/A | 12115411 | N/A | 7544773 | 2025-09-02 18:45:17.646546 | 2025-09-02 18:35:33.812098 |
| 2025-09-02 18:45:13.095195 | 2025-09-02 18:45:15.755125 | 11930866 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | 4184 | POLK | MBL292M952257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/9022039/check_11930866_fd7b49d1-16dc-4d3e-a481-16ab4b0ed29d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | MBL292M952257 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | 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 | 9022039 | 2222 | N/A | N/A | N/A | 7544773 | 2025-09-02 18:45:15.755125 | 2025-09-02 18:35:33.812098 |
| 2025-09-02 18:31:39.323888 | 2025-09-02 18:31:41.105877 | 11930713 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-07-30 | 2025-08-29 | F | AE | PT | 4185 | ROSAS | 00063148820 | ODELI | https://storage.googleapis.com/normandy-eligibility-checks/2222/7661281/check_11930713_5f6777a4-fe42-4b43-958d-609f0c392570.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7661281/check_11930713_9086bfda-85bd-4480-ad7d-e3825aea67a3.json | N/A | N/A | N/A | N/A | N/A | 00063148820 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-07-30 | N/A | N/A | N/A | N/A | false | ROSAS | N/A | ODELI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 6189 | N/A | 7661281 | 2222 | N/A | 12114270 | N/A | 4211119 | 2025-09-02 18:31:41.105877 | 2025-06-06 02:30:29.873623 |
| 2025-09-02 18:31:37.613572 | 2025-09-02 18:31:39.321924 | 11930712 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-07-30 | 2025-08-29 | F | AE | PT | 4185 | ROSAS | 00063148820 | ODELI | https://storage.googleapis.com/normandy-eligibility-checks/2222/7661281/check_11930712_3dfce38a-0e01-47f1-9cef-6377f848430f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 00063148820 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-07-30 | N/A | N/A | N/A | N/A | false | ROSAS | N/A | ODELI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 6189 | N/A | 7661281 | 2222 | N/A | N/A | N/A | 4211119 | 2025-09-02 18:31:39.321924 | 2025-06-06 02:30:29.873623 |
| 2025-09-02 18:10:13.020257 | 2025-09-02 18:10:15.868713 | 11930513 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-06 | 2025-09-02 | F | AE | PT | 3939 | FRITH-SMITH | 0AT0025978 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6998368/check_11930513_02407fee-d2c9-4ce3-9e67-e576446ba591.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6998368/check_11930513_c2492fd7-1784-4c9f-a507-69e001f03242.json | N/A | N/A | N/A | N/A | N/A | 0AT0025978 | N/A | N/A | AETNA INC | N/A | 1948-01-06 | N/A | N/A | N/A | N/A | false | FRITH-SMITH | N/A | BARBARA | 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 | 6998368 | 2222 | N/A | 12111650 | N/A | 6017959 | 2025-09-02 18:10:15.868713 | 2025-07-14 18:22:35.995798 |
| 2025-09-02 18:10:10.079834 | 2025-09-02 18:10:13.013905 | 11930511 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-06 | 2025-09-02 | F | AE | PT | 3939 | FRITH SMITH | 0AT0025978 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6998368/check_11930511_c0dab540-44d1-4950-b1b6-2e5d5b347a62.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | N/A | N/A | N/A | N/A | N/A | N/A | 0AT0025978 | N/A | N/A | AETNA INC | N/A | 1948-01-06 | N/A | N/A | N/A | N/A | false | FRITH SMITH | N/A | BARBARA | 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 | 6998368 | 2222 | N/A | N/A | N/A | 6017959 | 2025-09-02 18:10:13.013905 | 2025-07-14 18:22:35.995798 |
| 2025-09-02 17:30:52.641967 | 2025-09-02 17:30:54.484000 | 11930197 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-31 | 2025-08-25 | F | PT | AE | 4191 | BARRERA | XEH903389121 | LOLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7591668/check_11930197_21feb3cd-44e6-44bb-a174-78e3f661a6b8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7591668/check_11930197_99ec1d0c-92a1-434a-a22a-374e78abf2e6.json | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7692 | N/A | 7591668 | 2222 | N/A | 12110725 | N/A | 5230345 | 2025-09-02 17:30:54.484000 | 2025-07-11 20:32:03.183345 |
| 2025-09-02 17:30:37.624776 | 2025-09-02 17:30:52.638802 | 11930193 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-31 | 2025-08-25 | F | PT | AE | 4191 | BARRERA | XEH903389121 | LOLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7591668/check_11930193_c183fc4e-7100-4fca-aa02-70159f1c0e36.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-25 | N/A | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7692 | N/A | 7591668 | 2222 | N/A | N/A | N/A | 5230345 | 2025-09-02 17:30:52.638802 | 2025-07-11 20:32:03.183345 |
| 2025-09-02 17:25:45.055074 | 2025-09-02 17:25:57.988629 | 11930058 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-08 | 2025-09-02 | F | AE | PT | 4497 | STERINA | 5G17E95JX47 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8632769/check_11930058_54e93580-c7eb-4b67-9039-1f156f49ec67.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632769/check_11930058_aed58e50-5204-4363-a09e-413037d3d3af.json | N/A | N/A | N/A | N/A | N/A | 5G17E95JX47 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-08 | S4802 | N/A | N/A | MA | false | STERINA | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8700120973 | N/A | N/A | 8632769 | 2222 | N/A | 12110174 | N/A | 7278220 | 2025-09-02 17:25:57.988629 | 2025-08-26 15:52:58.453727 |
| 2025-09-02 17:25:25.442521 | 2025-09-02 17:25:27.246889 | 11930054 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-08 | 2025-09-02 | F | AE | PT | 4497 | STERINA | 5G17E95JX47 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8632769/check_11930054_d94cf28a-6cce-4023-8870-69038600e030.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632769/check_11930054_4b80d2bf-a93e-4375-ad65-c8fe167188d2.json | N/A | N/A | N/A | N/A | N/A | 5G17E95JX47 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-08 | S4802 | N/A | N/A | MB | false | STERINA | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8700118035 | N/A | N/A | 8632769 | 2222 | N/A | 12110107 | N/A | 7278220 | 2025-09-02 17:25:27.246889 | 2025-08-26 15:52:58.453727 |
| 2025-09-02 17:24:32.524972 | 2025-09-02 17:24:41.439524 | 11930043 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-08 | 2025-09-02 | F | AE | PT | 4497 | STERINA | 5G17E95JX47 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8632769/check_11930043_a5679f8a-0469-4085-ad7a-e9d64229e486.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632769/check_11930043_e1a7d461-cf04-4bc0-8fc6-b61c8bfa0e8c.json | N/A | N/A | N/A | N/A | N/A | 5G17E95JX47 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-08 | S4802 | N/A | N/A | MA | false | STERINA | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8700110285 | N/A | N/A | 8632769 | 2222 | N/A | 12109956 | N/A | 7278220 | 2025-09-02 17:24:41.439524 | 2025-08-26 15:52:58.453727 |
| 2025-09-02 17:08:36.118256 | 2025-09-02 17:08:41.029423 | 11929499 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-02-11 | 2025-09-08 | F | AE | PT | 3948 | BELL | W29376563901 | FRANCESCA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9020239/check_11929499_48e10da6-2b18-4744-a571-8aa857889f8f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9020239/check_11929499_941c7311-17a2-4b74-a764-3ec58e249746.json | N/A | N/A | N/A | N/A | N/A | W293765639 | Point of Service (POS) | VINSON & ELKINS LLP | AETNA | N/A | 1997-02-11 | 0882904 | 088290401200015 | N/A | PS | false | BELL | N/A | FRANCESCA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8699953949 | N/A | N/A | 9020239 | 2222 | N/A | 12107219 | N/A | 7543693 | 2025-09-02 17:08:41.029423 | 2025-10-06 20:52:39.651223 |
| 2025-09-02 16:51:56.347476 | 2025-09-02 16:51:58.340177 | 11929270 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-14 | 2025-09-02 | F | AE | PT | 4185 | REGAN | MMA578W21807 | DOROTHY | https://storage.googleapis.com/normandy-eligibility-checks/2222/9020190/check_11929270_5b602ad9-979d-4260-b718-17a7bd893a91.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9020190/check_11929270_4c820951-c9ff-476a-82e1-849026b5c96a.json | N/A | N/A | N/A | N/A | N/A | MMA578W21807 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-12-14 | 040 | CAMCRWP0 | N/A | MP | false | REGAN | N/A | DOROTHY | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8699792681 | 161267 | N/A | 9020190 | 2222 | N/A | 12106830 | N/A | 4219408 | 2025-09-02 16:51:58.340177 | 2025-09-02 14:18:09.545751 |
| 2025-09-02 16:49:37.776257 | 2025-09-02 16:49:40.739483 | 11929253 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-27 | 2025-09-02 | F | PT | N/A | 4185 | BERARDI | JQU360A51420 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543161/check_11929253_49d68c2b-4911-46c9-9bd0-f1f893b9eab4.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543161/check_11929253_d8dccbfc-d725-4f86-9183-4ec178dee578.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 9999-12-31 | 2025-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8699770490 | N/A | N/A | 5543161 | 2222 | N/A | 12106813 | N/A | 4214989 | 2025-09-02 16:49:40.739483 | 2025-05-13 04:29:37.229310 |
| 2025-09-02 16:48:22.997514 | 2025-09-02 16:48:26.643446 | 11929248 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-14 | 2025-09-02 | F | AE | PT | 4185 | REGAN | MMA578W21807 | DOROTHY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549863/check_11929248_8d167518-019e-4453-a288-5667b70498e8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549863/check_11929248_1104479b-37c1-4f9c-a0b4-00c67a538438.json | N/A | N/A | N/A | N/A | N/A | MMA578W21807 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-12-14 | 040 | CAMCRWP0 | N/A | MP | false | REGAN | N/A | DOROTHY | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8699758750 | 161267 | N/A | 5549863 | 2222 | N/A | 12106806 | N/A | 4219408 | 2025-09-02 16:48:26.643446 | 2025-09-02 14:18:09.545751 |
| 2025-09-02 16:31:15.976106 | 2025-09-02 16:31:17.835000 | 11929068 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-14 | 2025-09-02 | F | AE | PT | 4185 | REGAN | 578W21807-20 | DOROTHY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549863/check_11929068_b75ae732-fb76-4dcc-a4ac-588a220ffd0f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549863/check_11929068_2d622263-d21f-451e-bd51-6dfe1713fce9.json | N/A | N/A | N/A | N/A | N/A | 578W21807-20 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-12-14 | N/A | N/A | N/A | N/A | false | REGAN | N/A | DOROTHY | 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 | 5549863 | 2222 | N/A | 12106617 | N/A | 4219408 | 2025-09-02 16:31:17.835000 | 2025-09-02 14:18:09.545751 |
| 2025-09-02 16:31:14.314920 | 2025-09-02 16:31:15.974862 | 11929067 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-14 | 2025-09-02 | F | AE | PT | 4185 | REGAN | 578W21807-20 | DOROTHY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549863/check_11929067_227a0008-1d8d-4267-8160-cd1b542cabdc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | N/A | N/A | N/A | N/A | N/A | N/A | 578W21807-20 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-12-14 | N/A | N/A | N/A | N/A | false | REGAN | N/A | DOROTHY | 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 | 5549863 | 2222 | N/A | N/A | N/A | 4219408 | 2025-09-02 16:31:15.974862 | 2025-09-02 14:18:09.545751 |
| 2025-09-02 16:24:30.324602 | 2025-09-02 16:24:32.151093 | 11928986 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-14 | 2025-09-02 | F | AE | PT | 23277 | REGAN | 578W21807-20 | DOROTHY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549863/check_11928986_218732f3-f3b5-4083-8d05-5cab4040483d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549863/check_11928986_77de2ca2-19d7-482d-93ae-b84c93c2d0e4.json | N/A | N/A | N/A | N/A | N/A | 578W21807-20 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1955-12-14 | N/A | N/A | N/A | N/A | false | REGAN | N/A | DOROTHY | 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 | 5549863 | 2222 | N/A | 12106527 | N/A | 4219408 | 2025-09-02 16:24:32.151093 | 2025-09-02 14:18:09.545751 |
| 2025-09-02 16:24:28.616773 | 2025-09-02 16:24:30.322034 | 11928985 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-14 | 2025-09-02 | F | AE | PT | 23277 | REGAN | 578W21807-20 | DOROTHY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549863/check_11928985_0e3c1166-5a88-4ef8-a69f-698c18b2c6cb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | N/A | N/A | N/A | N/A | N/A | N/A | 578W21807-20 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1955-12-14 | N/A | N/A | N/A | N/A | false | REGAN | N/A | DOROTHY | 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 | 5549863 | 2222 | N/A | N/A | N/A | 4219408 | 2025-09-02 16:24:30.322034 | 2025-09-02 14:18:09.545751 |
| 2025-09-02 16:10:13.972189 | 2025-09-02 16:10:20.997077 | 11928830 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-03 | M | AE | PT | 23307 | AKHTARI | 400454213-01 | SHAHROKH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_11928830_889d7d1a-2817-4926-807c-363a7a5e3285.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_11928830_1381653a-ae3e-4c25-8391-ad7bb1a555d6.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8699387211 | 9482 | N/A | 5543493 | 2222 | N/A | 12106355 | N/A | 4215273 | 2025-09-02 16:10:20.997077 | 2025-05-13 04:29:37.229594 |
| 2025-09-02 16:03:33.972185 | 2025-09-02 16:03:39.870776 | 11928730 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-04-01 | 2025-09-02 | M | AE | PT | 6237 | ISRAEL | 311777740-01 | BRIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537769/check_11928730_211f4353-b7be-42b1-925c-6b68c704bd29.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537769/check_11928730_20cad42a-abb0-45b0-9318-4ad8223ce106.json | N/A | N/A | N/A | N/A | N/A | 31177774001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1948-04-01 | 2025H5425001 | H5425M | N/A | N/A | false | ISRAEL | N/A | BRIAN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8699302535 | 161267 | N/A | 5537769 | 2222 | N/A | 12106250 | N/A | 4210284 | 2025-09-02 16:03:39.870776 | 2025-05-13 04:29:37.224693 |
| 2025-09-02 15:38:20.882439 | 2025-09-02 15:38:24.977600 | 11928485 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2025-08-27 | F | PT | AE | 4497 | Moore | 8V70PQ9EF39 | Jeana | https://storage.googleapis.com/normandy-eligibility-checks/2222/8044093/check_11928485_959881dd-0bc9-4d4f-a09a-5509e5f99154.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8044093/check_11928485_a9f5dd19-e1dd-4e6e-8b7f-6fe777d58126.json | N/A | N/A | N/A | N/A | N/A | 8V70PQ9EF39 | Medicare Part B | N/A | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-03-21 | H4471 | N/A | N/A | MB | false | MOORE | N/A | JEAN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8699020522 | 9487 | N/A | 8044093 | 2222 | N/A | 12105977 | N/A | 6725117 | 2025-09-02 15:38:24.977600 | 2026-02-18 22:27:04.950292 |