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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | 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 20:27:11.320591 | 2025-05-31 05:17:46.989709 | 8412613 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8412613 | Athletic Physical Therapy Inc | 2009-02-09 | 2025-06-06 | F | PT | AE | SANABRIA CANO | U8180342003 | ISABELLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537809/check_8412613_079c3b39-2a76-4355-b0ad-c27bd4ccc83c.json | N/A | N/A | N/A | N/A | N/A | U8180342003 | N/A | TRAVERE THERAPEUTICS, INC. | CGLIC | N/A | 2009-02-09 | N/A | 3344539 | N/A | N/A | false | SANABRIA-CORA | N/A | ISABELLA | N/A | N/A | N/A | OPEN ACCESS 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 | 5537809 | 2222 | 4801 | 8118582 | N/A | 4210321 | 2025-05-31 05:17:46.989709 | 2025-06-11 21:24:33.499500 |
| 2025-05-30 20:27:11.156364 | 2025-05-31 05:30:45.548725 | 8412601 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8412601 | Athletic Physical Therapy Inc | 1948-08-31 | 2025-06-03 | F | PT | AE | MIYATA | XEM904724382 | LARAINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537630/check_8412601_c49ebe32-55a6-42ba-ad02-11678a9c3e30.json | N/A | N/A | N/A | N/A | N/A | XEM904724382 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1948-08-31 | 2002SD000004 | X0001002 | N/A | OT | false | MIYATA | N/A | LARAINE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN 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 | 5537630 | 2222 | 4802 | 8124525 | N/A | 4210159 | 2025-05-31 05:30:45.548725 | 2025-05-13 04:29:37.224576 |
| 2025-05-30 20:27:11.010139 | 2025-05-31 05:07:07.069777 | 8412591 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8412591 | Athletic Physical Therapy Inc | 1942-07-10 | 2025-06-05 | F | PT | AE | PRAGER | 39909324111 | JUDITH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537357/check_8412591_5f95e8bf-b44c-494c-80d5-936df4dd47f1.json | N/A | N/A | N/A | N/A | N/A | 39909324111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1942-07-10 | N/A | N/A | N/A | SP | false | PRAGER | N/A | JUDITH | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN 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 | 5537357 | 2222 | 4793 | 8113686 | N/A | 4209932 | 2025-05-31 05:07:07.069777 | 2025-05-14 09:05:51.551805 |
| 2025-05-30 20:27:10.905532 | 2025-05-31 05:27:59.601734 | 8412585 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8412585 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-06-06 | M | PT | AE | NIELSEN | XDP057A76330 | ROY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_8412585_88ae1a6e-933a-4ba6-b964-1fe4f773b40f.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629M421 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2025-06-01 | 2023-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537188 | 2222 | 4802 | 8123745 | N/A | 4209789 | 2025-05-31 05:27:59.601734 | 2025-05-13 04:29:37.224215 |
| 2025-05-30 20:27:10.797561 | 2025-05-31 05:32:06.062438 | 8412581 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8412581 | Athletic Physical Therapy Inc | 1966-11-30 | 2025-06-02 | F | PT | N/A | SONDREAAL | WMC125993776001 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536323/check_8412581_12b54df3-ea85-41ef-b47b-6ee415fa3c05.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | Preferred Provider Organization (PPO) | WUNDERLICH-MALEC ENGINEERING, INC. CORE GROUP (PLAN 1) ACTIVES | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 1966-11-30 | 725 | 10272720 | N/A | PR | false | SONDREAAL | N/A | PAUL | N/A | 9999-12-31 | 2023-05-01 | MED/SURG - PPO | 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 | 5536323 | 2222 | 4793 | 8124871 | N/A | 4209086 | 2025-05-31 05:32:06.062438 | 2025-05-13 04:29:37.223507 |
| 2025-05-30 20:27:10.724962 | 2025-05-31 05:37:48.172916 | 8412573 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8412573 | Athletic Physical Therapy Inc | 1945-09-15 | 2025-06-06 | U | PT | AE | KHORSANDI | 3CF4YQ5UH79 | PARIVASH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536012/check_8412573_58b08942-eeb7-472e-95b0-70bc589b81fd.json | N/A | N/A | N/A | N/A | N/A | 3CF4YQ5UH79 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-09-15 | S5921 | N/A | N/A | MA | false | KHORSANDI | N/A | PARIVASH | 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 | 5536012 | 2222 | 4802 | 8127453 | N/A | 4208831 | 2025-05-31 05:37:48.172916 | 2025-10-30 22:42:31.399473 |
| 2025-05-30 20:27:10.631515 | 2025-05-31 05:07:08.026900 | 8412568 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8412568 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-06-06 | M | PT | AE | ULLMAN PP | 557489000 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231615238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_8412568_e3ae5c26-2b98-47c2-b6cd-f657b73054c2.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN PP | N/A | DAVID | 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 | 5535842 | 2222 | 4801 | 8113692 | N/A | 4208696 | 2025-05-31 05:07:08.026900 | 2025-06-07 16:16:45.844566 |
| 2025-05-30 20:26:17.145096 | 2025-05-31 02:04:19.014982 | 8408934 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8408934 | Athletic Physical Therapy Inc | 1963-03-09 | 2025-06-03 | M | PT | N/A | GILLETTE | ZZA129013396001 | GRADY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.171218257.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539753/check_8408934_217aad3c-1ea7-4a2d-8769-5a3d8aa455a1.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 | 5539753 | 2222 | 4801 | 8110307 | N/A | 4212009 | 2025-05-31 02:04:19.014982 | 2025-05-13 04:29:37.226332 |
| 2025-05-30 20:26:09.720672 | 2025-05-31 02:03:47.475963 | 8408231 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8408231 | Athletic Physical Therapy Inc | 2025-05-29 | 2025-06-05 | F | PT | AE | Hugh | 35577967011 | Debra | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.171218257.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074820/check_8408231_94c5943d-90b1-4d6b-87ef-39096b563ac7.json | N/A | N/A | N/A | N/A | N/A | 355779670 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1957-05-22 | N/A | N/A | N/A | N/A | false | HUGH | N/A | DEBRA | 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 | 6074820 | 2222 | 4801 | 8110248 | N/A | 4718946 | 2025-05-31 02:03:47.475963 | 2025-06-04 21:27:14.065817 |
| 2025-05-30 20:26:05.343383 | 2025-05-31 02:05:45.708679 | 8407829 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8407829 | Athletic Physical Therapy Inc | 1958-01-24 | 2025-06-03 | M | PT | AE | SAUER | 4A29E05KW20 | MARCOS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.171218257.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068055/check_8407829_31c45aa6-f32e-43a3-807f-5fc5f7f59903.json | N/A | N/A | N/A | N/A | N/A | 4A29E05KW20 | Medicare Part B | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-01-24 | H0294 | N/A | N/A | MB | false | SAUER | N/A | MARCOS | 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 | 6068055 | 2222 | 4793 | 8110452 | N/A | 4212024 | 2025-05-31 02:05:45.708679 | 2025-05-28 20:17:35.019662 |
| 2025-05-30 20:25:53.086063 | 2025-05-31 02:03:46.906642 | 8406738 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8406738 | Athletic Physical Therapy Inc | 1959-07-02 | 2025-06-05 | M | PT | AE | BALLETTA | 33147912211 | EDWARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.171218257.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993962/check_8406738_b9c61c79-a377-4480-9bf6-a3ebd2ff3cca.json | N/A | N/A | N/A | N/A | N/A | 331479122 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1959-07-02 | N/A | N/A | N/A | N/A | false | BALLETTA | N/A | EDWARD | 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 | 5993962 | 2222 | 4793 | 8110247 | N/A | 4642893 | 2025-05-31 02:03:46.906642 | 2025-05-28 20:58:29.913655 |
| 2025-05-30 20:25:53.011754 | 2025-05-31 02:04:36.031075 | 8406730 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8406730 | Athletic Physical Therapy Inc | 1941-01-22 | 2025-06-04 | U | PT | AE | CAMRAS | XEM911589219 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.171218257.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993923/check_8406730_ba5bbd6e-9873-4c29-84ed-10c496e476f4.json | N/A | N/A | N/A | N/A | N/A | XEM911589219 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1941-01-22 | N/A | N/A | N/A | N/A | false | CAMRAS | N/A | LINDA | 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 | 5993923 | 2222 | 4802 | 8110335 | N/A | 4642858 | 2025-05-31 02:04:36.031075 | 2025-06-04 17:40:37.742950 |
| 2025-05-30 20:25:52.929756 | 2025-05-31 02:04:36.387394 | 8406723 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8406723 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-06-04 | U | PT | AE | KESHAVARZIAN | JQE128W05540 | AMIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.171218257.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993911/check_8406723_08710b48-3e50-4835-ac1d-1291381cf9ea.json | N/A | N/A | N/A | N/A | N/A | JQE128W05540 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1953-05-16 | N/A | N/A | N/A | N/A | false | KESHAVARZIAN | N/A | AMIR | 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 | 5993911 | 2222 | 4801 | 8110336 | N/A | 4534577 | 2025-05-31 02:04:36.387394 | 2025-06-18 18:41:30.608585 |
| 2025-05-30 20:25:52.842789 | 2025-05-31 02:00:49.744011 | 8406717 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8406717 | Athletic Physical Therapy Inc | 1988-01-04 | 2025-06-05 | F | PT | AE | CATALDO | 909320518000 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.171218257.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993812/check_8406717_be6c14ea-6eda-4942-a93f-89d084fa087a.json | N/A | N/A | N/A | N/A | N/A | 909320518000 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1988-01-04 | N/A | N/A | N/A | N/A | false | CATALDO | N/A | NATALIE | 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 | 5993812 | 2222 | 4801 | 8110022 | N/A | 4219581 | 2025-05-31 02:00:49.744011 | 2025-05-21 21:23:40.415030 |
| 2025-05-30 20:25:51.303667 | 2025-05-31 05:26:28.437614 | 8406579 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8406579 | Athletic Physical Therapy Inc | 1997-06-29 | 2025-06-02 | F | PT | AE | Pienkowski | 996659662 | Alexandra | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231544263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078295/check_8406579_a4b63b08-d800-4979-b6c3-797b1b4f80bb.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 | 4802 | 8122958 | N/A | 4722548 | 2025-05-31 05:26:28.437614 | 2025-05-30 04:23:27.387333 |
| 2025-05-30 20:25:51.112450 | 2025-05-31 05:24:01.442528 | 8406563 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8406563 | Athletic Physical Therapy Inc | 1989-12-06 | 2025-06-06 | F | PT | AE | Laraki | 10995665900 | Zineb | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231544263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078110/check_8406563_b5e0f286-64c0-4a5e-a335-d46b671dcd74.json | N/A | N/A | N/A | N/A | N/A | 10995665900 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1989-12-06 | N/A | N/A | N/A | N/A | false | LARAKI | N/A | ZINEB | 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 | 6078110 | 2222 | 4802 | 8121584 | N/A | 4722393 | 2025-05-31 05:24:01.442528 | 2025-05-29 22:37:40.791959 |
| 2025-05-30 20:25:50.896481 | 2025-05-31 05:06:07.865347 | 8406544 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8406544 | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | N/A | BARNETT | JMV357W05874 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231544263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_8406544_776841b5-a4b1-440d-84ed-8b4e33f0c27a.json | N/A | N/A | N/A | N/A | N/A | JMV357W05874 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1972-03-17 | N/A | N/A | N/A | N/A | false | BARNETT | N/A | MARK | 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 | 6078082 | 2222 | 4793 | 8113170 | N/A | 4722340 | 2025-05-31 05:06:07.865347 | 2025-06-06 20:33:59.683125 |
| 2025-05-30 20:25:49.962320 | 2025-05-31 05:26:28.072128 | 8406469 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8406469 | Athletic Physical Therapy Inc | 1965-02-14 | 2025-06-02 | F | PT | AE | GOLDSTEIN | 000603457 | SHARON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231544263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077490/check_8406469_0c02e1a9-2b74-456f-9434-8d9166e36ca4.json | N/A | N/A | N/A | N/A | N/A | 000603457 | Commercial | US BANK | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1965-02-14 | 0162 0162 | 186359 | N/A | C1 | false | GOLDSTEIN | N/A | SHARON | N/A | N/A | N/A | UNITEDHEALTHCARE 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 | 6077490 | 2222 | 4793 | 8122954 | N/A | 4721602 | 2025-05-31 05:26:28.072128 | 2025-06-03 23:36:44.592003 |
| 2025-05-30 20:25:47.004056 | 2025-05-31 05:40:42.027153 | 8406210 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8406210 | Athletic Physical Therapy Inc | 2025-05-29 | 2025-06-05 | F | PT | AE | Hugh | 8H19UT2PE13 | Debra | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231544263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074786/check_8406210_9e393daf-66e3-47c5-9412-ed497346b23e.json | N/A | N/A | N/A | N/A | N/A | 8H19UT2PE13 | N/A | N/A | CMS | N/A | 2025-05-29 | N/A | N/A | N/A | N/A | false | HUGH | N/A | DEBRA | 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 | 6074786 | 2222 | 4801 | 8128795 | N/A | 4718946 | 2025-05-31 05:40:42.027153 | 2025-06-04 21:27:14.065817 |
| 2025-05-30 20:25:46.874448 | 2025-05-31 05:36:48.699194 | 8406196 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8406196 | Athletic Physical Therapy Inc | 1949-06-20 | 2025-06-02 | F | PT | AE | MORALES | XEM904136832 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231544263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074748/check_8406196_e5281ea3-1b38-4fc8-a5a5-a6c51b34cbfe.json | N/A | N/A | N/A | N/A | N/A | XEM904136832 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-20 | 2002SD000004 | X0001002 | N/A | OT | false | MORALES | N/A | ANA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN 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 | 6074748 | 2222 | 4793 | 8126944 | N/A | 4718913 | 2025-05-31 05:36:48.699194 | 2025-05-29 22:23:40.462913 |
| 2025-05-30 20:25:46.345534 | 2025-05-31 05:05:35.625237 | 8406142 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8406142 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-06-05 | F | PT | AE | KAUFMAN | R05917930FM1 | AMANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231544263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_8406142_431eb459-8ad6-4407-9a23-7bc038ef6393.json | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | 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 | 6074035 | 2222 | 4801 | 8112912 | N/A | 4718592 | 2025-05-31 05:05:35.625237 | 2025-05-29 20:00:22.627186 |
| 2025-05-30 20:25:46.303574 | 2025-05-31 05:32:03.419747 | 8406136 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8406136 | Athletic Physical Therapy Inc | 2005-11-11 | 2025-06-05 | M | PT | N/A | GORMLEY | SIF727A55596 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231544263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074031/check_8406136_6c333a1b-5b63-40df-ae7a-1aa5a46a50ed.json | N/A | N/A | N/A | N/A | N/A | SIF727A55596 | Preferred Provider Organization (PPO) | SISC - SANTA MONICA MALIBU UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2005-11-11 | 040 | 40963A | N/A | PR | false | GORMLEY | N/A | BRYNN | N/A | 9999-12-31 | 2023-01-01 | 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 | N/A | N/A | 6074031 | 2222 | 4802 | 8124860 | N/A | 4718585 | 2025-05-31 05:32:03.419747 | 2025-05-29 22:33:31.881575 |
| 2025-05-30 20:25:46.258277 | 2025-05-31 05:23:07.235840 | 8406133 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8406133 | Athletic Physical Therapy Inc | 1994-01-07 | 2025-06-02 | M | PT | AE | CHEN | R11196645MM1 | JONATHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250530.231544263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074008/check_8406133_62e9ace5-39e1-4719-a352-44cee1a6a90a.json | N/A | N/A | N/A | N/A | N/A | R11196645MM100 | N/A | N/A | HEALTH NET OF CALIFORNIA, INC. | PATIENT HAS ACTIVE COVERAGE BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1994-01-07 | N/A | N/A | N/A | N/A | false | CHIEN | N/A | JONATHAN | 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 | 6074008 | 2222 | 4802 | 8121184 | N/A | 4718558 | 2025-05-31 05:23:07.235840 | 2025-05-29 22:37:20.400127 |
| 2025-05-30 19:39:01.449227 | 2025-05-30 19:39:03.200090 | 8405601 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-08 | 2025-05-30 | F | PT | AE | BERNASTIEN NOAH | 6HK3VD1GN77 | PAULA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8405601_4845ccaa-0c8f-40c7-803b-7d98fd1acb2b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8405601_45e931ae-202c-4e48-88ae-527e8086a337.json | 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 | 5831 | N/A | 6078301 | 2222 | N/A | 8103130 | N/A | 4722556 | 2025-05-30 19:39:03.200090 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 19:38:59.783636 | 2025-05-30 19:39:01.446113 | 8405600 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-08 | 2025-05-30 | F | PT | AE | BERNASTIEN NOAH | 6HK3VD1GN77 | PAULA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8405600_9b93ddea-03e1-4db6-9a29-bc2cf8d6fd5f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | 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 | 5831 | N/A | 6078301 | 2222 | N/A | N/A | N/A | 4722556 | 2025-05-30 19:39:01.446113 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 19:38:01.342548 | 2025-05-30 19:38:03.130057 | 8405589 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-08 | 2025-05-30 | F | PT | AE | BERNASTIEN NOAH | 6HK3VD1GN77 | PAULA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8405589_17c16221-98f6-43ba-8e96-8642472c90f4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8405589_4b2d39d5-54b3-44f2-8c43-621b39528403.json | 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 | 5831 | N/A | 6078301 | 2222 | N/A | 8103115 | N/A | 4722556 | 2025-05-30 19:38:03.130057 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 19:37:58.643698 | 2025-05-30 19:38:01.338390 | 8405588 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-08 | 2025-05-30 | F | PT | AE | BERNASTIEN NOAH | 6HK3VD1GN77 | PAULA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8405588_16078964-7d5c-4a80-a805-12f5b47d0b20.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | 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 | 5831 | N/A | 6078301 | 2222 | N/A | N/A | N/A | 4722556 | 2025-05-30 19:38:01.338390 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 19:35:22.624194 | 2025-05-30 19:35:26.399759 | 8405580 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-07-28 | 2025-05-30 | M | PT | AE | LOGAN | 1989081-01 | SIDNEY | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535427/check_8405580_f7fc29e7-b0bd-45fd-90ac-7fb77e2db188.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535427/check_8405580_b9ed95da-3fe9-4f83-9dcf-057e08574a20.json | N/A | N/A | N/A | N/A | N/A | 198908101 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1946-07-28 | N/A | HCFA21 | N/A | HN | false | LOGAN | N/A | SIDNEY | 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 | 5831 | N/A | 5535427 | 2222 | N/A | 8103098 | N/A | 4208354 | 2025-05-30 19:35:26.399759 | 2025-05-13 04:29:37.222775 |
| 2025-05-30 17:50:56.567091 | 2025-05-30 17:50:58.390848 | 8405259 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-04-30 | 2025-06-04 | U | PT | AE | URBACH | 986803155 | MARY | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068052/check_8405259_51d2f6f4-3a8c-4249-be2f-0e3ec895d5f5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068052/check_8405259_fe583fb0-4969-45ae-a91d-6dfa637b898c.json | N/A | N/A | N/A | N/A | N/A | 986803155 | N/A | N/A | UNITED HEALTHCARE | N/A | 1941-04-30 | N/A | N/A | N/A | N/A | false | URBACH | N/A | MARY | 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 | 9482 | N/A | 6068052 | 2222 | N/A | 8102519 | N/A | 4712993 | 2025-05-30 17:50:58.390848 | 2025-06-12 23:03:47.433557 |
| 2025-05-30 17:50:54.723116 | 2025-05-30 17:50:56.562774 | 8405258 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-04-30 | 2025-06-04 | U | PT | AE | URBACH | 986803155 | MARY | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068052/check_8405258_c13dfb18-74bd-4b08-afec-68be4fd9114e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-04 | N/A | N/A | N/A | N/A | N/A | N/A | 986803155 | N/A | N/A | UNITED HEALTHCARE | N/A | 1941-04-30 | N/A | N/A | N/A | N/A | false | URBACH | N/A | MARY | 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 | 9482 | N/A | 6068052 | 2222 | N/A | N/A | N/A | 4712993 | 2025-05-30 17:50:56.562774 | 2025-06-12 23:03:47.433557 |
| 2025-05-30 17:15:59.439502 | 2025-05-30 17:16:05.506815 | 8405122 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-10-13 | 2025-06-30 | M | PT | AE | BOGNER | W293460341 | NOAH | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993959/check_8405122_0a577803-6bd5-478b-8425-da3919bdeb66.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993959/check_8405122_f9f605fe-0fd3-40d5-be6a-c8b13464b7e7.json | N/A | N/A | N/A | N/A | N/A | W293460341 | Point of Service (POS) | APPLE INC. | AETNA | N/A | 1997-10-13 | 0109286 | 010928602000001 | N/A | PS | false | BOGNER | N/A | NOAH | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 5993959 | 2222 | N/A | 8102349 | N/A | 4642891 | 2025-05-30 17:16:05.506815 | 2025-05-30 16:16:44.304215 |
| 2025-05-30 17:14:12.813994 | 2025-05-30 17:14:14.681815 | 8405099 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-10-13 | 2025-05-30 | M | PT | AE | BOGNER | W293460341 | NOAH | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993959/check_8405099_84c02e0c-38ef-4291-a82a-233f4fb92b9d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993959/check_8405099_ba741e69-8859-4ba8-83a2-4d1b74b5df0e.json | N/A | N/A | N/A | N/A | N/A | W293460341 | Point of Service (POS) | APPLE INC. | AETNA | N/A | 1997-10-13 | 0109286 | 010928602000001 | N/A | PS | false | BOGNER | N/A | NOAH | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 5993959 | 2222 | N/A | 8102322 | N/A | 4642891 | 2025-05-30 17:14:14.681815 | 2025-05-30 16:16:44.304215 |
| 2025-05-30 17:13:45.768592 | 2025-05-30 17:13:50.552801 | 8405095 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-10-13 | 2025-05-30 | M | PT | AE | BOGNER | W293460341 | NOAH | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993959/check_8405095_29bdecd0-4e7e-4f22-8e79-8261c2eb1ea9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993959/check_8405095_0d45cdbd-e222-43b7-be72-a92f97307bb9.json | N/A | N/A | N/A | N/A | N/A | W293460341 | Point of Service (POS) | APPLE INC. | AETNA | N/A | 1997-10-13 | 0109286 | 010928602000001 | N/A | PS | false | BOGNER | N/A | NOAH | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 5993959 | 2222 | N/A | 8102318 | N/A | 4642891 | 2025-05-30 17:13:50.552801 | 2025-05-30 16:16:44.304215 |
| 2025-05-30 17:00:33.274046 | 2025-05-30 17:00:36.240757 | 8404971 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-11-26 | 2025-05-30 | F | PT | AE | VESALGA | 35473231 | DEBRA | 6798 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540301/check_8404971_b736c28b-b9b8-40d8-a02a-1ae2b7e9365c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540301/check_8404971_5c4993e8-21cf-4a0f-82dc-ab092af5352d.json | N/A | N/A | N/A | N/A | N/A | 35473231 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1957-11-26 | 406-024-000 | N/A | N/A | N/A | false | VESALGA | N/A | DEBRA | 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 | 5540301 | 2222 | N/A | 8102181 | N/A | 4212475 | 2025-05-30 17:00:36.240757 | 2025-05-13 04:29:37.226811 |
| 2025-05-30 16:21:37.236094 | 2025-05-30 16:21:39.005375 | 8404869 | N/A | N/A | Z1073 | Medicare B California Southern | 1205397536 | N/A | Kevin Nakayama | 1951-05-08 | 2025-05-30 | F | PT | AE | NOAH | 6HK3VD1GN77 | PAULA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8404869_af407d68-9dfe-4bde-8ded-829f02958437.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8404869_83774c6f-5e4f-4d05-be90-76a6929d7f99.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 | 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 | 2097 | N/A | 6078301 | 2222 | N/A | 8101984 | N/A | 4722556 | 2025-05-30 16:21:39.005375 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 16:21:35.425484 | 2025-05-30 16:21:37.174286 | 8404867 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-08 | 2025-05-30 | F | PT | AE | NOAH | 6HK3VD1GN77 | PAULA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8404867_0520633c-985f-418c-887f-b44dd6c8cc84.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8404867_e3e8278c-a841-4694-a4ec-c314428c62b0.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 | 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 | 2097 | N/A | 6078301 | 2222 | N/A | 8101983 | N/A | 4722556 | 2025-05-30 16:21:37.174286 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 16:21:33.862140 | 2025-05-30 16:21:35.423868 | 8404866 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-08 | 2025-05-30 | F | PT | AE | NOAH | 6HK3VD1GN77 | PAULA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8404866_68a2be78-e351-4623-9930-eeac84880739.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | 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 | 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 | 2097 | N/A | 6078301 | 2222 | N/A | N/A | N/A | 4722556 | 2025-05-30 16:21:35.423868 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 16:20:19.187857 | 2025-05-30 16:20:20.964695 | 8404855 | N/A | N/A | Z1073 | Medicare B California Southern | 1205397536 | N/A | Kevin Nakayama | 1951-05-08 | 2025-05-30 | F | PT | AE | BERNASTIEN NOAH | 6HK3VD1GN77 | PAULA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8404855_810256f8-3c56-4d27-8f61-c46006cdd685.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8404855_5b736bb1-5ca5-4755-911e-ac5e865b5dd6.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 | 2097 | N/A | 6078301 | 2222 | N/A | 8101969 | N/A | 4722556 | 2025-05-30 16:20:20.964695 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 16:20:17.302612 | 2025-05-30 16:20:19.103686 | 8404854 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-08 | 2025-05-30 | F | PT | AE | BERNASTIEN NOAH | 6HK3VD1GN77 | PAULA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8404854_faad372e-1483-42a3-a815-7e122d13874f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8404854_699ef94a-2d07-4059-97aa-dcfa26ff1a98.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 | 2097 | N/A | 6078301 | 2222 | N/A | 8101968 | N/A | 4722556 | 2025-05-30 16:20:19.103686 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 16:20:15.591172 | 2025-05-30 16:20:17.298720 | 8404853 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-08 | 2025-05-30 | F | PT | AE | BERNASTIEN NOAH | 6HK3VD1GN77 | PAULA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8404853_8d8d0411-42ab-4761-b9b9-99e9deb11bef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | 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 | 2097 | N/A | 6078301 | 2222 | N/A | N/A | N/A | 4722556 | 2025-05-30 16:20:17.298720 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 16:19:25.030118 | 2025-05-30 16:19:28.938411 | 8404849 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-05-30 | F | PT | AE | QUIJANO CASTRO | H62176937 | PATRICIA | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540973/check_8404849_e9923729-5e49-4c9e-9ade-25e1bc0508ce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540973/check_8404849_a4d01c82-6bb6-4ed3-aec7-c8b6e91e3de6.json | N/A | N/A | N/A | N/A | N/A | H62176937 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 GOLD+/EMP HMO - ALL OTHR WA MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1962-09-10 | N/A | 0B635001 | N/A | HN | false | QUIJANO CASTRO | N/A | PATRICIA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5540973 | 2222 | N/A | 8101961 | N/A | 4213051 | 2025-05-30 16:19:28.938411 | 2025-05-13 04:29:37.227377 |
| 2025-05-30 16:18:59.938451 | 2025-05-30 16:19:01.731691 | 8404848 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-05-30 | F | PT | AE | QUIJANO CASTRO | 00000259543 | PATRICIA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540973/check_8404848_7cec2c13-5449-4720-95c0-49c4ab7b121b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540973/check_8404848_e92972dc-23b4-4516-b0fb-6eec70234a47.json | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | 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 | 2097 | N/A | 5540973 | 2222 | N/A | 8101958 | N/A | 4213051 | 2025-05-30 16:19:01.731691 | 2025-05-13 04:29:37.227377 |
| 2025-05-30 16:18:58.373739 | 2025-05-30 16:18:59.936331 | 8404847 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-05-30 | F | PT | AE | QUIJANO CASTRO | 00000259543 | PATRICIA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540973/check_8404847_fd640fe7-7654-4451-a42e-dda6c140734a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | 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 | 2097 | N/A | 5540973 | 2222 | N/A | N/A | N/A | 4213051 | 2025-05-30 16:18:59.936331 | 2025-05-13 04:29:37.227377 |
| 2025-05-30 16:18:12.719082 | 2025-05-30 16:18:14.534505 | 8404842 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-05-30 | F | PT | AE | QUIJANO CASTRO | 00000259543 | PATRICIA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540973/check_8404842_2f37542b-1495-4b59-aaac-cbfcbe94ba14.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540973/check_8404842_26ffc694-89c3-464c-b6fd-3828a7ac5560.json | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | 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 | 2097 | N/A | 5540973 | 2222 | N/A | 8101950 | N/A | 4213051 | 2025-05-30 16:18:14.534505 | 2025-05-13 04:29:37.227377 |
| 2025-05-30 16:18:06.005240 | 2025-05-30 16:18:12.716403 | 8404841 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-05-30 | F | PT | AE | QUIJANO CASTRO | 00000259543 | PATRICIA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540973/check_8404841_749fceea-a846-46b4-a14a-49336291aeef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | 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 | 2097 | N/A | 5540973 | 2222 | N/A | N/A | N/A | 4213051 | 2025-05-30 16:18:12.716403 | 2025-05-13 04:29:37.227377 |
| 2025-05-30 16:00:42.011930 | 2025-05-30 16:00:46.221405 | 8404732 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-01-08 | 2025-05-30 | F | PT | AE | ALROMAIH | 91237812E | SARAH | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993940/check_8404732_aec7b8bc-6bf7-433e-a8ed-1b95c8ecb57c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_8404732_83c83e28-c666-4bb4-9b7b-297270292cd8.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5993940 | 2222 | N/A | 8101797 | N/A | 4642877 | 2025-05-30 16:00:46.221405 | 2025-12-23 23:49:16.627667 |
| 2025-05-30 16:00:12.239028 | 2025-05-30 16:00:42.006647 | 8404729 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-01-08 | 2025-05-30 | F | PT | AE | ALROMAIH | 91237812E | SARAH | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993940/check_8404729_dc610e16-e5b2-463c-8e2d-6960748b1e3b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | 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 | 5831 | N/A | 5993940 | 2222 | N/A | N/A | N/A | 4642877 | 2025-05-30 16:00:42.006647 | 2025-12-23 23:49:16.627667 |
| 2025-05-30 15:43:06.457059 | 2025-05-30 15:43:16.369365 | 8404673 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-05-24 | 2025-05-30 | M | PT | AE | TIDMORE | XOX826489646 | FRED | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6079116/check_8404673_188ed6e6-2d47-437d-a9bb-62015a21a13a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079116/check_8404673_e5dad631-5002-468f-8e0b-e6d60aa76e1c.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 | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6079116 | 2222 | N/A | 8101689 | N/A | 4723148 | 2025-05-30 15:43:16.369365 | 2025-05-30 15:53:57.629593 |
| 2025-05-30 15:40:16.942343 | 2025-05-30 15:40:19.005494 | 8404656 | N/A | N/A | Z1073 | Medicare B California Southern | 1205397536 | N/A | Kevin Nakayama | 1951-05-08 | 2025-06-30 | F | PT | AE | NOAH | 6HK3VD1GN77 | PAULA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8404656_53205163-005e-43ba-97dc-659bcd11e727.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8404656_fe8d1155-d4c4-4b0b-94ad-06f49d1398f9.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 | 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 | 8101664 | N/A | 4722556 | 2025-05-30 15:40:19.005494 | 2025-06-04 18:06:16.300392 |
| 2025-05-30 15:40:15.102421 | 2025-05-30 15:40:16.917763 | 8404655 | 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 | NOAH | 6HK3VD1GN77 | PAULA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8404655_dcbeaea9-d449-4be0-a664-d0c5c3b3c7c3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8404655_f851c3dc-11eb-4faf-be47-1b9b8e3c3d6d.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 | 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 | 8101663 | N/A | 4722556 | 2025-05-30 15:40:16.917763 | 2025-06-04 18:06:16.300392 |