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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-29 22:56:23.994814 | 2025-05-29 22:56:25.801202 | 8391785 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 4185 | BARNETT | JMV357TW05874 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391785_70acfa37-cdad-4eed-8021-a8feba3f317a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_8391785_289e49f9-4ea6-4b19-8ba4-c6749cac39fe.json | N/A | N/A | N/A | N/A | N/A | JMV357TW05874 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 2097 | N/A | 6078082 | 2222 | N/A | 8057914 | N/A | 4722340 | 2025-05-29 22:56:25.801202 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:56:21.141179 | 2025-05-29 22:56:23.990780 | 8391784 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 4185 | BARNETT | JMV357TW05874 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391784_0937e250-d610-4b3e-9f69-2bc5f44d3580.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | JMV357TW05874 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 2097 | N/A | 6078082 | 2222 | N/A | N/A | N/A | 4722340 | 2025-05-29 22:56:23.990780 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:55:08.450744 | 2025-05-29 22:55:10.281741 | 8391640 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 4185 | BARNETT | 357TW0587410 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391640_dc205cee-f2dc-4df9-bca7-71fdb057aa1c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_8391640_59b183c4-52a1-413b-b727-95e745da1a8c.json | N/A | N/A | N/A | N/A | N/A | 357TW0587410 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 2097 | N/A | 6078082 | 2222 | N/A | 8057768 | N/A | 4722340 | 2025-05-29 22:55:10.281741 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:54:55.600229 | 2025-05-29 22:55:08.448238 | 8391638 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 4185 | BARNETT | 357TW0587410 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391638_c28e13c2-813c-4013-b55c-1555d804ba02.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 357TW0587410 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 2097 | N/A | 6078082 | 2222 | N/A | N/A | N/A | 4722340 | 2025-05-29 22:55:08.448238 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:54:42.081772 | 2025-05-29 22:54:43.841553 | 8391637 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 4185 | BARNETT | 357TW05874-10 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391637_a1c8dc0e-cb64-4217-a6c9-d2ad3b692703.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_8391637_3cd3c73b-d7af-4282-ac3f-9c8154f7e3f8.json | N/A | N/A | N/A | N/A | N/A | 357TW05874-10 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 2097 | N/A | 6078082 | 2222 | N/A | 8057765 | N/A | 4722340 | 2025-05-29 22:54:43.841553 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:54:40.363485 | 2025-05-29 22:54:42.076669 | 8391636 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 4185 | BARNETT | 357TW05874-10 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391636_a3d93171-59cb-4417-8c2e-6a874535b9af.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 357TW05874-10 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 2097 | N/A | 6078082 | 2222 | N/A | N/A | N/A | 4722340 | 2025-05-29 22:54:42.076669 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:46:24.801079 | 2025-05-29 22:46:26.590220 | 8391330 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-12-06 | 2025-06-06 | F | PT | 4437 | Laraki | 109956659 00 | Zineb | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078110/check_8391330_457e7764-676a-4559-8b44-642d097315b8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078110/check_8391330_d3f6e22d-5131-4c22-a28b-a23cff3a8e96.json | N/A | N/A | N/A | N/A | N/A | 109956659 00 | 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 | N/A | 8057433 | N/A | 4722393 | 2025-05-29 22:46:26.590220 | 2025-05-29 22:37:40.791959 |
| 2025-05-29 22:46:22.181552 | 2025-05-29 22:46:24.798447 | 8391329 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-12-06 | 2025-06-06 | F | PT | 4437 | Laraki | 109956659 00 | Zineb | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078110/check_8391329_105dd816-8b15-4872-8dcb-7ad4eab78eb3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 109956659 00 | 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 | N/A | N/A | N/A | 4722393 | 2025-05-29 22:46:24.798447 | 2025-05-29 22:37:40.791959 |
| 2025-05-29 22:40:43.081787 | 2025-05-29 22:40:56.901667 | 8391323 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-01 | 2025-05-30 | F | PT | 5505 | MIROBALLI | 000002447244 | KATHLEEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993939/check_8391323_4dd2abc3-8aa4-4370-ac7d-b25029040dc4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993939/check_8391323_f7c7e921-fa02-4183-b847-f62e86387023.json | N/A | N/A | N/A | N/A | N/A | 000002447244 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1949-03-01 | 3064746 | 101112 | N/A | N/A | false | MIROBALLI | N/A | KATHLEEN | N/A | N/A | N/A | DEPARTMENT OF WATER & POWER - ACTIVE EMPLOYEES DEP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5993939 | 2222 | N/A | 8057404 | N/A | 4642874 | 2025-05-29 22:40:56.901667 | 2025-05-29 22:38:22.995059 |
| 2025-05-29 22:40:37.043373 | 2025-05-29 22:40:38.840503 | 8391322 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 23277 | BARNETT | 357TW05874-10 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391322_342ffb1e-402b-4680-8e23-45855ac7fd31.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_8391322_20a2abc4-e8f4-4472-bdb8-c49f15253c24.json | N/A | N/A | N/A | N/A | N/A | 357TW05874-10 | 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 | 7927 | N/A | 6078082 | 2222 | N/A | 8057402 | N/A | 4722340 | 2025-05-29 22:40:38.840503 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:40:35.238613 | 2025-05-29 22:40:37.040451 | 8391321 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 23277 | BARNETT | 357TW05874-10 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391321_b92b2485-c530-41c6-9f01-f21232207c05.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 357TW05874-10 | 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 | 7927 | N/A | 6078082 | 2222 | N/A | N/A | N/A | 4722340 | 2025-05-29 22:40:37.040451 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:38:32.758891 | 2025-05-29 22:38:34.621339 | 8391200 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-01 | 2025-05-30 | F | PT | 5505 | MIROBALLI | 2447244 | KATHLEEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993939/check_8391200_a8b1ff1c-68bc-4361-b62b-ad6278bde4ad.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993939/check_8391200_b0ef04d4-074a-4694-8903-316629eef029.json | N/A | N/A | N/A | N/A | N/A | 2447244 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1949-03-01 | N/A | N/A | N/A | N/A | false | MIROBALLI | N/A | KATHLEEN | 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 | 5993939 | 2222 | N/A | 8057271 | N/A | 4642874 | 2025-05-29 22:38:34.621339 | 2025-05-29 22:38:22.995059 |
| 2025-05-29 22:38:31.023939 | 2025-05-29 22:38:32.756789 | 8391199 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-01 | 2025-05-30 | F | PT | 5505 | MIROBALLI | 2447244 | KATHLEEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993939/check_8391199_bcb163d4-778c-4a1d-b54d-d3ce2b1deec7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 2447244 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1949-03-01 | N/A | N/A | N/A | N/A | false | MIROBALLI | N/A | KATHLEEN | 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 | 5993939 | 2222 | N/A | N/A | N/A | 4642874 | 2025-05-29 22:38:32.756789 | 2025-05-29 22:38:22.995059 |
| 2025-05-29 22:37:47.037236 | 2025-05-29 22:37:48.822905 | 8391197 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 23277 | BARNETT | 357TW05874-10 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391197_683a6844-f42e-4f03-a4f2-538f3e715918.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_8391197_e6f51870-60f8-40e7-8192-09453b7f1ddd.json | N/A | N/A | N/A | N/A | N/A | 357TW05874-10 | 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 | 9482 | N/A | 6078082 | 2222 | N/A | 8057264 | N/A | 4722340 | 2025-05-29 22:37:48.822905 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:37:45.347924 | 2025-05-29 22:37:47.035145 | 8391196 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 23277 | BARNETT | 357TW05874-10 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391196_d3855ebd-d665-4207-adb8-017021613160.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 357TW05874-10 | 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 | 9482 | N/A | 6078082 | 2222 | N/A | N/A | N/A | 4722340 | 2025-05-29 22:37:47.035145 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:37:33.420054 | 2025-05-29 22:37:35.198379 | 8391192 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 23277 | BARNETT | 357TW05874 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391192_7d17c0b9-3239-48e9-8177-35591847426b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_8391192_91d1baa5-ac27-42e8-bd1f-a6b81dfbdead.json | N/A | N/A | N/A | N/A | N/A | 357TW05874 | 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 | 9482 | N/A | 6078082 | 2222 | N/A | 8057259 | N/A | 4722340 | 2025-05-29 22:37:35.198379 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:37:31.742774 | 2025-05-29 22:37:33.418368 | 8391191 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 23277 | BARNETT | 357TW05874 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391191_8ff4fb28-f910-482b-af44-f2c808f21070.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 357TW05874 | 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 | 9482 | N/A | 6078082 | 2222 | N/A | N/A | N/A | 4722340 | 2025-05-29 22:37:33.418368 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:37:17.580295 | 2025-05-29 22:37:19.823801 | 8391190 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 23277 | BARNETT | JMV357TW05874 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391190_a33fdda1-3f85-4ee2-a82b-ac75dc397dec.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_8391190_1e12080b-4bab-4b0d-9a47-a126e1463041.json | N/A | N/A | N/A | N/A | N/A | JMV357TW05874 | 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 | 9482 | N/A | 6078082 | 2222 | N/A | 8057254 | N/A | 4722340 | 2025-05-29 22:37:19.823801 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:37:15.767697 | 2025-05-29 22:37:17.578936 | 8391189 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 23277 | BARNETT | JMV357TW05874 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391189_66ab00dc-2fd4-46a3-927e-15f7c15619ff.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | JMV357TW05874 | 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 | 9482 | N/A | 6078082 | 2222 | N/A | N/A | N/A | 4722340 | 2025-05-29 22:37:17.578936 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:37:04.425946 | 2025-05-29 22:37:06.265508 | 8391188 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 23277 | BARNETT | JMV357TW05874 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391188_6939cad8-4b3f-4a62-862d-786a51e78c56.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_8391188_e8d28243-ffc8-460d-b047-0a4ceebafc98.json | N/A | N/A | N/A | N/A | N/A | JMV357TW05874 | 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 | 9482 | N/A | 6078082 | 2222 | N/A | 8057251 | N/A | 4722340 | 2025-05-29 22:37:06.265508 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:37:02.744583 | 2025-05-29 22:37:04.422361 | 8391187 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 23277 | BARNETT | JMV357TW05874 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391187_e1905a7a-44a4-4e5e-82a0-cf0008ccfd46.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | JMV357TW05874 | 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 | 9482 | N/A | 6078082 | 2222 | N/A | N/A | N/A | 4722340 | 2025-05-29 22:37:04.422361 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:36:52.933686 | 2025-05-29 22:36:55.887878 | 8391186 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-07-04 | 2025-05-30 | F | PT | 4191 | STOLZ | XED912573254 | ARDENN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543121/check_8391186_0326cb48-6b83-4776-9e0c-9c65f2fd2b55.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543121/check_8391186_bb8f55fa-39c6-4490-bed1-750757f0a2d9.json | N/A | N/A | N/A | N/A | N/A | XED912573254 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-07-04 | 2001ZK002186 | X0001004 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2025-01-01 | SILVER 73 PPO JAN25 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5543121 | 2222 | N/A | 8057248 | N/A | 4214948 | 2025-05-29 22:36:55.887878 | 2025-06-26 01:28:07.741882 |
| 2025-05-29 22:36:46.869659 | 2025-05-29 22:37:03.024603 | 8391185 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-07-04 | 2025-05-30 | F | PT | 4191 | STOLZ | XED912573254 | ARDENN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543121/check_8391185_4317b233-d04a-46f9-8bcf-79057a67d25b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543121/check_8391185_5fb3d4d8-39db-4766-a40b-17523089aa80.json | N/A | N/A | N/A | N/A | N/A | XED912573254 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-07-04 | 2001ZK002186 | X0001004 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2025-01-01 | SILVER 73 PPO JAN25 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 5543121 | 2222 | N/A | 8057249 | N/A | 4214948 | 2025-05-29 22:37:03.024603 | 2025-06-26 01:28:07.741882 |
| 2025-05-29 22:33:44.446737 | 2025-05-29 22:33:46.197700 | 8391064 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 4191 | BARNETT | JMV357TW05874 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391064_ff0b600f-6f19-4772-9de0-29b9ba3fcc23.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_8391064_5bae89e3-bdd0-4b8f-8cdb-340e6cb6a112.json | N/A | N/A | N/A | N/A | N/A | JMV357TW05874 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | 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 | 9482 | N/A | 6078082 | 2222 | N/A | 8057102 | N/A | 4722340 | 2025-05-29 22:33:46.197700 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:33:33.817860 | 2025-05-29 22:33:44.444486 | 8391063 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | 4191 | BARNETT | JMV357TW05874 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8391063_8a117b52-c9cd-44aa-ae87-85c2c3af58a3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | JMV357TW05874 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | 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 | 9482 | N/A | 6078082 | 2222 | N/A | N/A | N/A | 4722340 | 2025-05-29 22:33:44.444486 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 22:32:57.267592 | 2025-05-29 22:32:59.045411 | 8391061 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-14 | 2025-05-30 | F | PT | 3939 | UYGUR | GLA008101 | NUKHET | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543315/check_8391061_97fa8e57-84ac-4c87-abde-2361ca9bbda5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543315/check_8391061_7c3d1087-d933-43cc-8a61-0cd7fd00efda.json | N/A | N/A | N/A | N/A | N/A | GLA008101 | N/A | N/A | AETNA INC | N/A | 1947-04-14 | N/A | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | 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 | 5543315 | 2222 | N/A | 8057096 | N/A | 4215116 | 2025-05-29 22:32:59.045411 | 2025-05-29 22:32:19.748297 |
| 2025-05-29 22:32:54.499269 | 2025-05-29 22:32:57.264384 | 8391060 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-14 | 2025-05-30 | F | PT | 3939 | UYGUR | GLA008101 | NUKHET | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543315/check_8391060_3c0270cf-dd97-42cb-9c15-f772a900cb35.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | GLA008101 | N/A | N/A | AETNA INC | N/A | 1947-04-14 | N/A | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | 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 | 5543315 | 2222 | N/A | N/A | N/A | 4215116 | 2025-05-29 22:32:57.264384 | 2025-05-29 22:32:19.748297 |
| 2025-05-29 22:32:24.819867 | 2025-05-29 22:32:27.702771 | 8391058 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-14 | 2025-05-30 | F | PT | 4497 | UYGUR | 1VV2MA6GE80 | NUKHET | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543311/check_8391058_37f3ff17-9b59-4983-bca8-e76a94dd2a70.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543311/check_8391058_caaaa417-8609-4bf6-a8b1-b9a34a4426f4.json | N/A | N/A | N/A | N/A | N/A | 1VV2MA6GE80 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-04-14 | N/A | N/A | N/A | MA | false | UYGUR | N/A | NUKHET | 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 | 5543311 | 2222 | N/A | 8057089 | N/A | 4215116 | 2025-05-29 22:32:27.702771 | 2025-05-29 22:32:19.748297 |
| 2025-05-29 22:29:49.671663 | 2025-05-29 22:29:51.516496 | 8390936 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-14 | 2025-05-30 | U | PT | 4497 | UYGUR | 1VVZMAGGE80 | NUKHET | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543311/check_8390936_832c9081-373f-4e08-a947-6155dcc1701d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543311/check_8390936_5cbb5386-1f9d-4546-8a81-d76e60b9ac7e.json | N/A | N/A | N/A | N/A | N/A | 1VVZMAGGE80 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1947-04-14 | N/A | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | 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 | 5543311 | 2222 | N/A | 8056959 | N/A | 4215116 | 2025-05-29 22:29:51.516496 | 2025-05-29 22:32:19.748297 |
| 2025-05-29 22:29:48.015739 | 2025-05-29 22:29:49.669764 | 8390935 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-14 | 2025-05-30 | U | PT | 4497 | UYGUR | 1VVZMAGGE80 | NUKHET | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543311/check_8390935_3b9a891e-f949-4149-a0f7-4370227bdacc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 1VVZMAGGE80 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1947-04-14 | N/A | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | 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 | 5543311 | 2222 | N/A | N/A | N/A | 4215116 | 2025-05-29 22:29:49.669764 | 2025-05-29 22:32:19.748297 |
| 2025-05-29 22:27:21.322277 | 2025-05-29 22:27:23.204377 | 8390921 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-03-28 | 2025-05-30 | U | PT | 4437 | FAGMAN | U9205101701 | SYDNEY | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078312/check_8390921_4ee45e02-1f42-44bd-8589-ee425d781f20.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_8390921_213717be-2035-4516-a3fb-f3e8c40753bb.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 6078312 | 2222 | N/A | 8056931 | N/A | 4722569 | 2025-05-29 22:27:23.204377 | 2025-08-26 00:16:35.895658 |
| 2025-05-29 22:09:26.445992 | 2025-05-29 22:09:31.361084 | 8390487 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-08-18 | 2025-06-30 | F | PT | 6411 | DABBY JOYCE | MISSINGPOLICYNUMBER | LISA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535625/check_8390487_028431b6-6bc7-4acb-b990-0958706a39c0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535625/check_8390487_f4168adc-58d9-497d-8a6d-752720fbb03e.json | N/A | N/A | N/A | N/A | N/A | 69863444000 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1978-08-18 | N/A | 1671793 | N/A | C1 | false | DABBY JOYCE | N/A | LISA | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 5535625 | 2222 | N/A | 8056420 | N/A | 4208516 | 2025-05-29 22:09:31.361084 | 2025-05-13 04:29:37.222951 |
| 2025-05-29 22:07:12.756676 | 2025-05-29 22:07:14.490796 | 8390469 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-03-26 | F | PT | 2630 | QUIJANO CASTRO | 00000259543 | PATRICIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540970/check_8390469_b0fb50ea-f2ad-42d5-9d15-b4e15cab5dce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540970/check_8390469_6b5f1930-03c8-4d7d-9a3c-e909189fa9a9.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 | 5831 | N/A | 5540970 | 2222 | N/A | 8056381 | N/A | 4213051 | 2025-05-29 22:07:14.490796 | 2025-05-13 04:29:37.227377 |
| 2025-05-29 22:07:08.841724 | 2025-05-29 22:07:12.754053 | 8390468 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-10 | 2025-03-26 | F | PT | 2630 | QUIJANO CASTRO | 00000259543 | PATRICIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540970/check_8390468_a6cc13f1-f32b-4e8e-9578-e0ebea67284a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-26 | 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 | 5831 | N/A | 5540970 | 2222 | N/A | N/A | N/A | 4213051 | 2025-05-29 22:07:12.754053 | 2025-05-13 04:29:37.227377 |
| 2025-05-29 22:06:57.140403 | 2025-05-29 22:06:58.914216 | 8390467 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-05-30 | F | PT | 4211 | OROZCO | 22483267 | ODILIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8390467_2e048c55-a6d4-4015-a519-dcb98f4458ed.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8390467_f0398436-de56-4de9-9fca-5a2a1b1e3d10.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6068063 | 2222 | N/A | 8056375 | N/A | 4713004 | 2025-05-29 22:06:58.914216 | 2025-05-29 21:14:47.925641 |
| 2025-05-29 22:06:54.349915 | 2025-05-29 22:06:57.138745 | 8390466 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-05-30 | F | PT | 4211 | OROZCO | 22483267 | ODILIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8390466_231cabaa-000c-4e81-ba49-213d2d438133.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6068063 | 2222 | N/A | N/A | N/A | 4713004 | 2025-05-29 22:06:57.138745 | 2025-05-29 21:14:47.925641 |
| 2025-05-29 22:06:48.420928 | 2025-05-29 22:06:50.330477 | 8390464 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-04-03 | 2025-05-29 | F | PT | 23311 | OBLINGER | JQS491M78254 | MARIA DEL CARMEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538056/check_8390464_7391acd7-d0d1-4914-9e14-60d8588908ce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538056/check_8390464_b69911b8-c772-4b93-a1db-710331cfd9bd.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1946-04-03 | N/A | N/A | N/A | N/A | false | OBLINGER | N/A | MARIA DEL CARMEN | 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 | 5538056 | 2222 | N/A | 8056368 | N/A | 4210531 | 2025-05-29 22:06:50.330477 | 2025-12-09 17:09:13.960610 |
| 2025-05-29 22:06:46.611419 | 2025-05-29 22:06:48.418525 | 8390463 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-04-03 | 2025-05-29 | F | PT | 23311 | OBLINGER | JQS491M78254 | MARIA DEL CARMEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538056/check_8390463_741fd01f-1de9-4a9d-98bd-520fd33f4ed5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1946-04-03 | N/A | N/A | N/A | N/A | false | OBLINGER | N/A | MARIA DEL CARMEN | 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 | 5538056 | 2222 | N/A | N/A | N/A | 4210531 | 2025-05-29 22:06:48.418525 | 2025-12-09 17:09:13.960610 |
| 2025-05-29 22:06:14.659715 | 2025-05-29 22:06:17.678481 | 8390381 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-10-19 | 2025-05-30 | M | PT | 3937 | NIELSEN | W272380860 | ROY | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537178/check_8390381_fe7ca13b-1454-42bc-aa18-05e9a547f4fa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537178/check_8390381_7531725d-9fe2-4783-99a9-24e5e1d7850c.json | N/A | N/A | N/A | N/A | N/A | W272380860 | N/A | N/A | AETNA | N/A | 1964-10-19 | 0176563 | 017656301100058 | N/A | N/A | false | NIELSEN | N/A | ROY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 5537178 | 2222 | N/A | 8056295 | N/A | 4209789 | 2025-05-29 22:06:17.678481 | 2025-05-13 04:29:37.224215 |
| 2025-05-29 22:03:44.230985 | 2025-05-29 22:03:47.085790 | 8390363 | N/A | N/A | Z1073 | Medicare B California Southern | 1205397536 | N/A | Kevin Nakayama | 1951-05-08 | 2025-05-30 | F | PT | 4497 | BERNASTIENNOAH | 6HK3VD1GN77 | PAULA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8390363_58c4f678-134f-476a-9d1d-8fa66d2a7931.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8390363_ccb37a69-082f-4586-a6a6-c70555129b00.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 | BERNASTIENNOAH | 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 | 8056267 | N/A | 4722556 | 2025-05-29 22:03:47.085790 | 2025-06-04 18:06:16.300392 |
| 2025-05-29 22:03:42.346570 | 2025-05-29 22:03:44.132409 | 8390362 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-08 | 2025-05-30 | F | PT | 4497 | BERNASTIENNOAH | 6HK3VD1GN77 | PAULA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8390362_9dbdf4e7-d5d4-423b-bf06-1a69360f1c87.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8390362_55e63366-1a87-4c8f-af3d-0f6a15cba0b0.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 | BERNASTIENNOAH | 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 | 8056262 | N/A | 4722556 | 2025-05-29 22:03:44.132409 | 2025-06-04 18:06:16.300392 |
| 2025-05-29 22:03:34.883034 | 2025-05-29 22:03:42.344677 | 8390355 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-08 | 2025-05-30 | F | PT | 4497 | BERNASTIENNOAH | 6HK3VD1GN77 | PAULA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8390355_57176ec1-2283-42e9-bbc6-0ae079d083b2.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 | BERNASTIENNOAH | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6078301 | 2222 | N/A | N/A | N/A | 4722556 | 2025-05-29 22:03:42.344677 | 2025-06-04 18:06:16.300392 |
| 2025-05-29 22:02:44.839288 | 2025-05-29 22:02:47.598621 | 8390353 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-03-28 | 2025-05-30 | F | PT | 4437 | FAGMAN | U9205101701 | SYDNEY | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078312/check_8390353_8d27954d-90ce-49fe-9484-38ee578035d1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_8390353_395a7246-3ff3-46ad-ac74-ea9ea4c0c5f4.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6078312 | 2222 | N/A | 8056250 | N/A | 4722569 | 2025-05-29 22:02:47.598621 | 2025-08-26 00:16:35.895658 |
| 2025-05-29 22:02:35.777760 | 2025-05-29 22:02:41.640852 | 8390352 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-04-03 | 2025-05-29 | F | PT | 23311 | OBLINGER | JQS491M78254 | MARIA DEL CARMEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538056/check_8390352_be331c9c-977a-4dff-ba79-cb6e4151739f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538056/check_8390352_6061039a-f05d-4b1f-b0b3-e5ba7d8ac94c.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1946-04-03 | N/A | N/A | N/A | N/A | false | OBLINGER | N/A | MARIA DEL CARMEN | 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 | 5538056 | 2222 | N/A | 8056242 | N/A | 4210531 | 2025-05-29 22:02:41.640852 | 2025-12-09 17:09:13.960610 |
| 2025-05-29 22:02:34.074967 | 2025-05-29 22:02:35.773470 | 8390351 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-04-03 | 2025-05-29 | F | PT | 23311 | OBLINGER | JQS491M78254 | MARIA DEL CARMEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538056/check_8390351_9c893dda-7a78-49e1-bb0e-3a1184334d64.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1946-04-03 | N/A | N/A | N/A | N/A | false | OBLINGER | N/A | MARIA DEL CARMEN | 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 | 5538056 | 2222 | N/A | N/A | N/A | 4210531 | 2025-05-29 22:02:35.773470 | 2025-12-09 17:09:13.960610 |
| 2025-05-29 21:55:07.521217 | 2025-05-29 21:55:09.405504 | 8390235 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-01-04 | 2025-05-29 | F | PT | 23306 | CATALDO | 909320518-000 | NATALIE | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993812/check_8390235_a02bf421-d390-44b4-9561-440212a48922.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993812/check_8390235_5b8278aa-0ad8-4d82-b966-26f025ac816a.json | N/A | N/A | N/A | N/A | N/A | 909320518-000 | 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 | 7927 | N/A | 5993812 | 2222 | N/A | 8056101 | N/A | 4219581 | 2025-05-29 21:55:09.405504 | 2025-05-21 21:23:40.415030 |
| 2025-05-29 21:55:05.723726 | 2025-05-29 21:55:07.517215 | 8390234 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-01-04 | 2025-05-29 | F | PT | 23306 | CATALDO | 909320518-000 | NATALIE | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993812/check_8390234_097c8630-c270-4cfa-928f-4ac85bbe7b5f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | 909320518-000 | 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 | 7927 | N/A | 5993812 | 2222 | N/A | N/A | N/A | 4219581 | 2025-05-29 21:55:07.517215 | 2025-05-21 21:23:40.415030 |
| 2025-05-29 21:52:15.065279 | 2025-05-29 21:52:17.895444 | 8390221 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-08 | 2025-05-30 | M | PT | 4497 | BERNASTIENNOAH | 6HK3VD1GN77 | PAULA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8390221_904113fc-f4a0-47fd-854b-818aa23d051d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8390221_6dbd74fe-6a81-4149-9e04-c9e44cd400c9.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 | BERNASTIENNOAH | 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 | 8056073 | N/A | 4722556 | 2025-05-29 21:52:17.895444 | 2025-06-04 18:06:16.300392 |
| 2025-05-29 21:52:12.327165 | 2025-05-29 21:52:15.060833 | 8390220 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-08 | 2025-05-30 | M | PT | 4497 | BERNASTIENNOAH | 6HK3VD1GN77 | PAULA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8390220_768055a3-7889-4742-8cab-7e8842f6c33e.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 | BERNASTIENNOAH | 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 | 2025-05-29 21:52:15.060833 | 2025-06-04 18:06:16.300392 |
| 2025-05-29 21:52:04.791246 | 2025-05-29 21:52:07.850927 | 8390218 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-08 | 2025-05-30 | U | PT | 4497 | BERNASTIENNOAH | 6HK3VD1GN77 | PAULA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8390218_caaf01ba-1280-41d3-9bf9-628a8dd28217.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8390218_6a8fe503-e2da-4c02-be16-e85d0b1e1212.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 | BERNASTIENNOAH | 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 | 8056067 | N/A | 4722556 | 2025-05-29 21:52:07.850927 | 2025-06-04 18:06:16.300392 |