API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | service_type_codes_3 | service_type_codes_4 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-29 21:51:59.846266 | 2025-05-29 21:52:04.787093 | 8390217 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-08 | 2025-05-30 | U | PT | AE | 4497 | BERNASTIENNOAH | 6HK3VD1GN77 | PAULA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078301/check_8390217_6768eab7-e589-46c2-9915-2c53e4589209.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 21:52:04.787093 | 2025-06-04 18:06:16.300392 |
| 2025-05-29 21:51:01.856744 | 2025-05-29 21:51:04.823059 | 8390215 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-25 | 2025-05-30 | M | PT | AE | 4185 | JACOBS | JQE406W03039 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993913/check_8390215_422e023e-2dc6-483b-81c2-6b3bae139c8f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993913/check_8390215_311acd95-d50f-440a-b413-f4c01acfae57.json | N/A | N/A | N/A | N/A | N/A | JQE406W03039 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1939-06-25 | 040 | CASUPWP0 | N/A | N/A | false | JACOBS | N/A | PATRICIA | N/A | 9999-12-31 | 2019-12-11 | CA PLAN F INNOVATIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5993913 | 2222 | N/A | 8056061 | N/A | 4642852 | 2025-05-29 21:51:04.823059 | 2025-11-21 18:38:17.056437 |
| 2025-05-29 21:50:28.636895 | 2025-05-29 21:50:30.544945 | 8390214 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-25 | 2025-05-30 | U | PT | AE | 4185 | JACOBS | JQE406W03039 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993913/check_8390214_4ed3edb6-8ca7-453f-8bd2-53c21e59be33.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993913/check_8390214_19c756aa-0174-4a49-8d23-a404a337e46c.json | N/A | N/A | N/A | N/A | N/A | JQE406W03039 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1939-06-25 | N/A | N/A | N/A | N/A | false | JACOBS | 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 | 5993913 | 2222 | N/A | 8056059 | N/A | 4642852 | 2025-05-29 21:50:30.544945 | 2025-11-21 18:38:17.056437 |
| 2025-05-29 21:50:26.953784 | 2025-05-29 21:50:28.633742 | 8390213 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-25 | 2025-05-30 | U | PT | AE | 4185 | JACOBS | JQE406W03039 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993913/check_8390213_5ab07fa4-7799-4e18-ac10-1836ed195b3d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | JQE406W03039 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1939-06-25 | N/A | N/A | N/A | N/A | false | JACOBS | 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 | 5993913 | 2222 | N/A | N/A | N/A | 4642852 | 2025-05-29 21:50:28.633742 | 2025-11-21 18:38:17.056437 |
| 2025-05-29 21:49:26.175905 | 2025-05-29 21:49:34.039678 | 8390211 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-06-29 | 2025-05-30 | M | PT | AE | 6411 | PIENIKOWSKI | 996659662 | ALEXANDREA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078295/check_8390211_f158a237-3c69-4f76-be0d-d7114d6028a0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078295/check_8390211_28ad99cd-619c-4c3c-a1e1-ee6dea918430.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 | 5831 | N/A | 6078295 | 2222 | N/A | 8056053 | N/A | 4722548 | 2025-05-29 21:49:34.039678 | 2025-05-30 04:23:27.387333 |
| 2025-05-29 21:49:13.649118 | 2025-05-29 21:49:15.447907 | 8390209 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-06-29 | 2025-05-30 | U | PT | AE | 6411 | PIENIKOWSKI | 996659662 | ALEXANDREA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078295/check_8390209_522a190a-6c3d-4717-b17d-236c014e269a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078295/check_8390209_ece6a4ae-dc5f-4f5b-abb9-8ebe5cc73266.json | N/A | N/A | N/A | N/A | N/A | 996659662 | N/A | N/A | UNITED HEALTHCARE | N/A | 1997-06-29 | N/A | N/A | N/A | N/A | false | PIENIKOWSKI | N/A | ALEXANDREA | 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 | 6078295 | 2222 | N/A | 8056051 | N/A | 4722548 | 2025-05-29 21:49:15.447907 | 2025-05-30 04:23:27.387333 |
| 2025-05-29 21:49:07.781518 | 2025-05-29 21:49:13.640327 | 8390208 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-06-29 | 2025-05-30 | U | PT | AE | 6411 | PIENIKOWSKI | 996659662 | ALEXANDREA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078295/check_8390208_33d83a9a-ea52-4e37-ab37-a2c91ce83dd3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 996659662 | N/A | N/A | UNITED HEALTHCARE | N/A | 1997-06-29 | N/A | N/A | N/A | N/A | false | PIENIKOWSKI | N/A | ALEXANDREA | 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 | 6078295 | 2222 | N/A | N/A | N/A | 4722548 | 2025-05-29 21:49:13.640327 | 2025-05-30 04:23:27.387333 |
| 2025-05-29 21:46:53.314149 | 2025-05-29 21:46:55.323182 | 8390203 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-06 | 2025-05-29 | M | PT | AE | 23326 | WILSON | 31187497801 | MARVIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549707/check_8390203_6900dd4d-93ec-4ff0-88d1-702db5abda41.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_8390203_b93e3261-5c49-44d7-9e29-a432aa364de2.json | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-06-06 | N/A | N/A | N/A | N/A | false | WILSON | N/A | MARVIN | 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 | 5549707 | 2222 | N/A | 8056037 | N/A | 4219317 | 2025-05-29 21:46:55.323182 | 2025-05-13 04:29:37.230340 |
| 2025-05-29 21:46:51.664075 | 2025-05-29 21:46:53.312224 | 8390202 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-06 | 2025-05-29 | M | PT | AE | 23326 | WILSON | 31187497801 | MARVIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549707/check_8390202_f6f470a2-5cd4-432c-a392-e8e6925f55f6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-06-06 | N/A | N/A | N/A | N/A | false | WILSON | N/A | MARVIN | 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 | 5549707 | 2222 | N/A | N/A | N/A | 4219317 | 2025-05-29 21:46:53.312224 | 2025-05-13 04:29:37.230340 |
| 2025-05-29 21:40:42.855603 | 2025-05-29 21:40:44.729867 | 8390181 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-06 | 2025-05-29 | M | PT | AE | 23307 | WILSON | 31187497801 | MARVIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549707/check_8390181_5cae8dee-47a7-43a8-a94a-d87c3f82e691.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_8390181_8cd43382-dfe2-4928-8b3f-15897c8073ad.json | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1949-06-06 | N/A | N/A | N/A | N/A | false | WILSON | N/A | MARVIN | 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 | 5549707 | 2222 | N/A | 8055982 | N/A | 4219317 | 2025-05-29 21:40:44.729867 | 2025-05-13 04:29:37.230340 |
| 2025-05-29 21:40:40.131737 | 2025-05-29 21:40:42.852054 | 8390179 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-06 | 2025-05-29 | M | PT | AE | 23307 | WILSON | 31187497801 | MARVIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549707/check_8390179_715aabf0-744e-48e8-9315-70939d9595e7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1949-06-06 | N/A | N/A | N/A | N/A | false | WILSON | N/A | MARVIN | 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 | 5549707 | 2222 | N/A | N/A | N/A | 4219317 | 2025-05-29 21:40:42.852054 | 2025-05-13 04:29:37.230340 |
| 2025-05-29 21:39:11.339482 | 2025-05-29 21:39:13.109557 | 8390168 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-06 | 2025-05-29 | M | PT | AE | 23326 | WILSON | 31187497801 | MARVIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549707/check_8390168_9372fccd-9a6a-4e55-811c-f9a89ae94cc3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_8390168_22771600-dc5d-4ebb-903e-b00bf83d48a8.json | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-06-06 | N/A | N/A | N/A | N/A | false | WILSON | N/A | MARVIN | 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 | 5549707 | 2222 | N/A | 8055961 | N/A | 4219317 | 2025-05-29 21:39:13.109557 | 2025-05-13 04:29:37.230340 |
| 2025-05-29 21:39:09.683985 | 2025-05-29 21:39:11.334257 | 8390167 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-06 | 2025-05-29 | M | PT | AE | 23326 | WILSON | 31187497801 | MARVIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549707/check_8390167_6d2a4a26-7487-4ee4-9eb1-7694293f1805.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-06-06 | N/A | N/A | N/A | N/A | false | WILSON | N/A | MARVIN | 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 | 5549707 | 2222 | N/A | N/A | N/A | 4219317 | 2025-05-29 21:39:11.334257 | 2025-05-13 04:29:37.230340 |
| 2025-05-29 21:35:58.474365 | 2025-05-29 21:36:02.700731 | 8390157 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-07-10 | 2025-05-29 | F | PT | AE | 3842 | PRAGER | 39909324111 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537357/check_8390157_69a8c787-b4da-4aca-a1a5-df2fe7b39256.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537357/check_8390157_a19e8925-aa09-4f4c-a186-b06ed5b494b5.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 | 7927 | N/A | 5537357 | 2222 | N/A | 8055939 | N/A | 4209932 | 2025-05-29 21:36:02.700731 | 2025-05-14 09:05:51.551805 |
| 2025-05-29 21:34:36.204573 | 2025-05-29 21:34:39.962761 | 8390150 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-07-10 | 2025-05-29 | F | PT | AE | 6411 | PRAGER | 8003423129 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537357/check_8390150_2e731642-a95e-4d74-971a-98d00685410d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537357/check_8390150_bbbd8722-2675-45c1-afcc-22f4d30d9f4a.json | N/A | N/A | N/A | N/A | N/A | 8003423129 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1942-07-10 | N/A | N/A | N/A | N/A | false | PRAGER | N/A | JUDITH | 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 | 5537357 | 2222 | N/A | 8055930 | N/A | 4209932 | 2025-05-29 21:34:39.962761 | 2025-05-14 09:05:51.551805 |
| 2025-05-29 21:34:33.531985 | 2025-05-29 21:34:36.200996 | 8390149 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-07-10 | 2025-05-29 | F | PT | AE | 6411 | PRAGER | 8003423129 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537357/check_8390149_58e8f093-17c2-4af9-95ec-c3e51d61103a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | 8003423129 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1942-07-10 | N/A | N/A | N/A | N/A | false | PRAGER | N/A | JUDITH | 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 | 5537357 | 2222 | N/A | N/A | N/A | 4209932 | 2025-05-29 21:34:36.200996 | 2025-05-14 09:05:51.551805 |
| 2025-05-29 21:30:35.545626 | 2025-05-29 21:30:38.437345 | 8390134 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-02 | 2025-05-29 | M | PT | AE | 3842 | BALLETTA | 33147912211 | EDWARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_8390134_6ed16d7c-2029-4bce-b296-d4437a79b12e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993962/check_8390134_1458629f-2052-413a-84f2-0aeacd0f517a.json | N/A | N/A | N/A | N/A | N/A | 33147912211 | 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. | 1959-07-02 | N/A | N/A | N/A | SP | false | BALLETTA | N/A | EDWARD | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5993962 | 2222 | N/A | 8055906 | N/A | 4642893 | 2025-05-29 21:30:38.437345 | 2025-05-28 20:58:29.913655 |
| 2025-05-29 21:30:03.499406 | 2025-05-29 21:30:07.332140 | 8390133 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-02 | 2025-05-29 | M | PT | AE | 6397 | BALLETTA | 331479122-11 | EDWARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_8390133_63deaf48-5366-4345-8d07-7d4a42a753f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993962/check_8390133_eec51bcf-c2d9-4343-b8b1-32197e69a0c3.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 | 7927 | N/A | 5993962 | 2222 | N/A | 8055905 | N/A | 4642893 | 2025-05-29 21:30:07.332140 | 2025-05-28 20:58:29.913655 |
| 2025-05-29 21:29:49.640960 | 2025-05-29 21:30:03.496319 | 8390131 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-02 | 2025-05-29 | M | PT | AE | 6397 | BALLETTA | 331479122-11 | EDWARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_8390131_cf0373db-f579-40b2-9ebe-40752a746d82.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | 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 | 7927 | N/A | 5993962 | 2222 | N/A | N/A | N/A | 4642893 | 2025-05-29 21:30:03.496319 | 2025-05-28 20:58:29.913655 |
| 2025-05-29 21:26:14.350578 | 2025-05-29 21:26:16.334052 | 8390115 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-07-10 | 2025-05-29 | F | PT | AE | 3842 | PRAGER | 8003423129 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537357/check_8390115_93512e92-bdd0-4fe6-b82f-a8d419e69d9e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537357/check_8390115_c2599a71-45d4-44ff-bc7b-f9db18f46d78.json | N/A | N/A | N/A | N/A | N/A | 8003423129 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1942-07-10 | N/A | N/A | N/A | N/A | false | PRAGER | N/A | JUDITH | 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 | 5537357 | 2222 | N/A | 8055877 | N/A | 4209932 | 2025-05-29 21:26:16.334052 | 2025-05-14 09:05:51.551805 |
| 2025-05-29 21:26:11.652704 | 2025-05-29 21:26:14.347679 | 8390114 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-07-10 | 2025-05-29 | F | PT | AE | 3842 | PRAGER | 8003423129 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537357/check_8390114_2d01d8fb-c587-400b-9969-f2de6f7fcc48.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | 8003423129 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1942-07-10 | N/A | N/A | N/A | N/A | false | PRAGER | N/A | JUDITH | 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 | 5537357 | 2222 | N/A | N/A | N/A | 4209932 | 2025-05-29 21:26:14.347679 | 2025-05-14 09:05:51.551805 |
| 2025-05-29 21:15:43.206604 | 2025-05-29 21:15:44.952329 | 8390076 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-05-30 | F | PT | AE | 4211 | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8390076_7a989a3f-2ffb-4cef-9b81-7cc29640e0b2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8390076_41d2f9bb-d658-45d1-8900-d94854d1fdc3.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 | 5831 | N/A | 6068063 | 2222 | N/A | 8055813 | N/A | 4713004 | 2025-05-29 21:15:44.952329 | 2025-05-29 21:14:47.925641 |
| 2025-05-29 21:15:39.553869 | 2025-05-29 21:15:43.203254 | 8390074 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-14 | 2025-05-30 | F | PT | AE | 4211 | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068063/check_8390074_396fc74d-6a29-418e-a880-c7b8ec3a0c42.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 | 5831 | N/A | 6068063 | 2222 | N/A | N/A | N/A | 4713004 | 2025-05-29 21:15:43.203254 | 2025-05-29 21:14:47.925641 |
| 2025-05-29 21:08:10.080602 | 2025-05-29 21:08:15.127890 | 8390043 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-04-14 | 2025-06-13 | M | PT | AE | 3939 | FAGAN | W275345811 | ARIEH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078250/check_8390043_7d3c9d65-0e0a-4059-ba8b-acce1ef5677a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078250/check_8390043_e684d5fe-c832-466e-8863-c42e1ead37cc.json | N/A | N/A | N/A | N/A | N/A | W275345811 | Point of Service (POS) | ARUP US, INC. | AETNA | N/A | 1999-04-14 | 0847223 | 084722301300002 | N/A | PS | false | FAGAN | N/A | ARIEH | N/A | N/A | N/A | HSA 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 | 6078250 | 2222 | N/A | 8055754 | N/A | 4722504 | 2025-05-29 21:08:15.127890 | 2025-06-19 03:19:24.165458 |
| 2025-05-29 20:40:24.786424 | 2025-05-29 20:40:26.607022 | 8389951 | 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 | AE | 4437 | LARAKI | 109965659600 | VINEB | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078110/check_8389951_a1665718-1b14-4d26-adc4-b07be3eb32e3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078110/check_8389951_cf6aa554-ab9d-4909-82cb-4636c6857455.json | N/A | N/A | N/A | N/A | N/A | 109965659600 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1989-12-06 | N/A | N/A | N/A | N/A | false | LARAKI | N/A | VINEB | 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 | 6078110 | 2222 | N/A | 8055564 | N/A | 4722393 | 2025-05-29 20:40:26.607022 | 2025-05-29 22:37:40.791959 |
| 2025-05-29 20:40:23.163166 | 2025-05-29 20:40:24.783181 | 8389950 | 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 | AE | 4437 | LARAKI | 109965659600 | VINEB | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078110/check_8389950_0d6514f0-d7d0-4663-9859-9d875887f868.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 109965659600 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1989-12-06 | N/A | N/A | N/A | N/A | false | LARAKI | N/A | VINEB | 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 | 6078110 | 2222 | N/A | N/A | N/A | 4722393 | 2025-05-29 20:40:24.783181 | 2025-05-29 22:37:40.791959 |
| 2025-05-29 20:36:31.301439 | 2025-05-29 20:36:33.093676 | 8389942 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | N/A | 23277 | BARNETT | JMV357TW05874 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8389942_9794db44-9791-48b0-96f9-39893442e7a9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_8389942_666866cb-f658-44c0-9e1f-1b7006c4ff0f.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 | N/A | N/A | 6078082 | 2222 | N/A | 8055546 | N/A | 4722340 | 2025-05-29 20:36:33.093676 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 20:36:29.555247 | 2025-05-29 20:36:31.292373 | 8389941 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-06 | M | PT | N/A | 23277 | BARNETT | JMV357TW05874 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078082/check_8389941_70cfb59d-0490-44e7-be53-4f882c6aaf67.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 | N/A | N/A | 6078082 | 2222 | N/A | N/A | N/A | 4722340 | 2025-05-29 20:36:31.292373 | 2025-06-06 20:33:59.683125 |
| 2025-05-29 19:52:43.451300 | 2025-05-29 19:52:45.219087 | 8389812 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-10-04 | 2025-05-29 | F | PT | AE | 22839 | CAHN | MISSINGPOLICYNUMBER | JENNA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542489/check_8389812_6da5e314-7e8a-4662-8f10-d649db146640.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542489/check_8389812_0f43a5e1-5a05-4f91-9e64-111480317d98.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MISSING INSURANCE NAME | N/A | 1989-10-04 | N/A | N/A | N/A | N/A | false | CAHN | N/A | JENNA | 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 | 5542489 | 2222 | N/A | 8055272 | N/A | 4214385 | 2025-05-29 19:52:45.219087 | 2025-05-13 04:29:37.228711 |
| 2025-05-29 19:52:41.743844 | 2025-05-29 19:52:43.449279 | 8389811 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-10-04 | 2025-05-29 | F | PT | AE | 22839 | CAHN | MISSINGPOLICYNUMBER | JENNA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542489/check_8389811_be1e7e1c-34a8-4ec1-8d0d-a3f3dac3e1c8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MISSING INSURANCE NAME | N/A | 1989-10-04 | N/A | N/A | N/A | N/A | false | CAHN | N/A | JENNA | 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 | 5542489 | 2222 | N/A | N/A | N/A | 4214385 | 2025-05-29 19:52:43.449279 | 2025-05-13 04:29:37.228711 |
| 2025-05-29 19:46:17.503228 | 2025-05-29 19:46:19.278759 | 8389797 | N/A | N/A | Z1073 | Medicare B California Southern | 1972047595 | N/A | Jasmine Martin | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 35539785812 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389797_843d914f-df6a-4933-ae8d-c7efda1edb6c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077784/check_8389797_19b63369-6da9-4cb5-acaa-e66838bcd67f.json | N/A | N/A | N/A | N/A | N/A | 35539785812 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1958-08-03 | N/A | N/A | N/A | N/A | false | MENAGER | N/A | STEPHANIE | 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 | N/A | N/A | 6077784 | 2222 | N/A | 8055234 | N/A | 4721874 | 2025-05-29 19:46:19.278759 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:46:14.666287 | 2025-05-29 19:46:17.356761 | 8389796 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 35539785812 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389796_141c2db8-0f36-4d57-b424-1a083178b8bd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077784/check_8389796_574c5ac0-7ce2-4626-8107-1472ddfae7cf.json | N/A | N/A | N/A | N/A | N/A | 35539785812 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1958-08-03 | N/A | N/A | N/A | N/A | false | MENAGER | N/A | STEPHANIE | 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 | 6077784 | 2222 | N/A | 8055233 | N/A | 4721874 | 2025-05-29 19:46:17.356761 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:46:13.065778 | 2025-05-29 19:46:14.664476 | 8389795 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 35539785812 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389795_28d2073b-dedf-4797-9be1-2104e44a9545.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | 35539785812 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1958-08-03 | N/A | N/A | N/A | N/A | false | MENAGER | N/A | STEPHANIE | 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 | 6077784 | 2222 | N/A | N/A | N/A | 4721874 | 2025-05-29 19:46:14.664476 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:46:01.862509 | 2025-05-29 19:46:05.611895 | 8389794 | N/A | N/A | Z1073 | Medicare B California Southern | 1972047595 | N/A | Jasmine Martin | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 35539785812 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389794_072eb6f4-a635-4c09-9a14-6903bdf80cda.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077784/check_8389794_58314cbd-33a7-456c-85ed-c83b86df7ee3.json | N/A | N/A | N/A | N/A | N/A | 35539785812 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1958-08-03 | N/A | N/A | N/A | N/A | false | MENAGER | N/A | STEPHANIE | 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 | N/A | N/A | 6077784 | 2222 | N/A | 8055231 | N/A | 4721874 | 2025-05-29 19:46:05.611895 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:45:59.866483 | 2025-05-29 19:46:01.737546 | 8389793 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 35539785812 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389793_748eaea4-412a-40e7-b94f-b15f277b4810.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077784/check_8389793_b095d99a-c5ff-4b1f-9584-ce5eac4bd3f9.json | N/A | N/A | N/A | N/A | N/A | 35539785812 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1958-08-03 | N/A | N/A | N/A | N/A | false | MENAGER | N/A | STEPHANIE | 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 | 6077784 | 2222 | N/A | 8055230 | N/A | 4721874 | 2025-05-29 19:46:01.737546 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:45:58.237730 | 2025-05-29 19:45:59.864357 | 8389792 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 35539785812 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389792_7ea3aa2f-51d7-40ed-9bb9-d6ab8fa20cb4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | 35539785812 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1958-08-03 | N/A | N/A | N/A | N/A | false | MENAGER | N/A | STEPHANIE | 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 | 6077784 | 2222 | N/A | N/A | N/A | 4721874 | 2025-05-29 19:45:59.864357 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:45:46.753925 | 2025-05-29 19:45:50.554168 | 8389791 | N/A | N/A | Z1073 | Medicare B California Southern | 1972047595 | N/A | Jasmine Martin | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 35539785812 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389791_175165cf-aec2-4002-934f-9552dfaa15cf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077784/check_8389791_a556f41e-5223-437b-a289-06333fe35af1.json | N/A | N/A | N/A | N/A | N/A | 35539785812 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1958-08-03 | N/A | N/A | N/A | N/A | false | MENAGER | N/A | STEPHANIE | 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 | N/A | N/A | 6077784 | 2222 | N/A | 8055227 | N/A | 4721874 | 2025-05-29 19:45:50.554168 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:45:44.871247 | 2025-05-29 19:45:46.676469 | 8389790 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 35539785812 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389790_f46f5aad-f229-4f02-9871-3e154b67b3fa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077784/check_8389790_c5d59227-0f52-48b7-91f1-1ab2c0720025.json | N/A | N/A | N/A | N/A | N/A | 35539785812 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1958-08-03 | N/A | N/A | N/A | N/A | false | MENAGER | N/A | STEPHANIE | 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 | 6077784 | 2222 | N/A | 8055226 | N/A | 4721874 | 2025-05-29 19:45:46.676469 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:45:43.307285 | 2025-05-29 19:45:44.869244 | 8389789 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 35539785812 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389789_be3c9399-4a92-455d-bb36-592a8cac5151.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | 35539785812 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1958-08-03 | N/A | N/A | N/A | N/A | false | MENAGER | N/A | STEPHANIE | 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 | 6077784 | 2222 | N/A | N/A | N/A | 4721874 | 2025-05-29 19:45:44.869244 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:45:34.130095 | 2025-05-29 19:45:36.954577 | 8389788 | N/A | N/A | Z1073 | Medicare B California Southern | 1972047595 | N/A | Jasmine Martin | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 35539785812 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389788_990f13e2-395f-4e17-974a-beac97c56503.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077784/check_8389788_c718f265-b7f7-41d3-bfa0-926e4a255282.json | N/A | N/A | N/A | N/A | N/A | 35539785812 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1958-08-03 | N/A | N/A | N/A | N/A | false | MENAGER | N/A | STEPHANIE | 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 | N/A | N/A | 6077784 | 2222 | N/A | 8055223 | N/A | 4721874 | 2025-05-29 19:45:36.954577 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:45:32.349387 | 2025-05-29 19:45:34.074796 | 8389787 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 35539785812 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389787_b06bb489-33e7-4a1c-99c3-51efc5996eb0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077784/check_8389787_fa43bab6-5f5a-4a3f-a3bf-1ed2f4d411aa.json | N/A | N/A | N/A | N/A | N/A | 35539785812 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1958-08-03 | N/A | N/A | N/A | N/A | false | MENAGER | N/A | STEPHANIE | 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 | 6077784 | 2222 | N/A | 8055222 | N/A | 4721874 | 2025-05-29 19:45:34.074796 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:45:30.831386 | 2025-05-29 19:45:32.347986 | 8389786 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 35539785812 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389786_e3ea3ba1-0114-4363-9ffc-2dc189722b1d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | 35539785812 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1958-08-03 | N/A | N/A | N/A | N/A | false | MENAGER | N/A | STEPHANIE | 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 | 6077784 | 2222 | N/A | N/A | N/A | 4721874 | 2025-05-29 19:45:32.347986 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:45:22.398154 | 2025-05-29 19:45:24.156947 | 8389785 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 35539785812 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389785_38976cc4-a51c-4688-b87f-64877d6ad3a7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077784/check_8389785_b22aaf38-8f88-4897-8e0c-aa45219d75bd.json | N/A | N/A | N/A | N/A | N/A | 35539785812 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1958-08-03 | N/A | N/A | N/A | N/A | false | MENAGER | N/A | STEPHANIE | 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 | 6077784 | 2222 | N/A | 8055218 | N/A | 4721874 | 2025-05-29 19:45:24.156947 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:45:20.826316 | 2025-05-29 19:45:22.396593 | 8389784 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 35539785812 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389784_16e66054-9366-4f9e-8dbd-77ca7664fb35.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | 35539785812 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1958-08-03 | N/A | N/A | N/A | N/A | false | MENAGER | N/A | STEPHANIE | 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 | 6077784 | 2222 | N/A | N/A | N/A | 4721874 | 2025-05-29 19:45:22.396593 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:45:01.848299 | 2025-05-29 19:45:04.672456 | 8389782 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 35539785812 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389782_6f645f58-4e23-4259-bfed-a4156e34da2d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077784/check_8389782_931c62b9-ae56-4971-a5c1-51096e0243a8.json | N/A | N/A | N/A | N/A | N/A | 35539785812 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1958-08-03 | N/A | N/A | N/A | N/A | false | MENAGER | N/A | STEPHANIE | 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 | 6077784 | 2222 | N/A | 8055212 | N/A | 4721874 | 2025-05-29 19:45:04.672456 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:45:00.075597 | 2025-05-29 19:45:01.846350 | 8389781 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 35539785812 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389781_88424f56-3c5e-48fb-9009-23f085ad3b3f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | 35539785812 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1958-08-03 | N/A | N/A | N/A | N/A | false | MENAGER | N/A | STEPHANIE | 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 | 6077784 | 2222 | N/A | N/A | N/A | 4721874 | 2025-05-29 19:45:01.846350 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:38:56.355199 | 2025-05-29 19:38:59.728774 | 8389759 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-03 | 2025-05-29 | F | PT | AE | 4497 | MENAGER | 1MK0RN2JW14 | STEPHANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077784/check_8389759_066d51ab-19e9-43db-8d70-c58113df9d86.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077784/check_8389759_57046252-ca64-4858-aac0-6ca208f51014.json | N/A | N/A | N/A | N/A | N/A | 1MK0RN2JW14 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-08-03 | S4802 | N/A | N/A | MA | false | MENAGER | N/A | STEPHANIE | 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 | 6077784 | 2222 | N/A | 8055170 | N/A | 4721874 | 2025-05-29 19:38:59.728774 | 2025-05-29 19:40:54.475674 |
| 2025-05-29 19:19:20.414793 | 2025-05-29 19:19:24.760427 | 8389644 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-02-14 | 2025-05-29 | F | PT | AE | 6411 | GOLDSTEIN | 000603457 | SHARON | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077490/check_8389644_a22e83db-b3e2-4f5e-8dbe-50c849b8fa4c.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077490/check_8389644_40cf03d9-2963-4f74-83eb-ecb08cfbfcb7.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 | N/A | 8054979 | N/A | 4721602 | 2025-05-29 19:19:24.760427 | 2025-06-03 23:36:44.592003 |
| 2025-05-29 18:17:06.994014 | 2025-05-29 18:17:08.825014 | 8389387 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-09-10 | 2025-05-29 | M | AD | N/A | 4191 | WARD | XED913389013 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538129/check_8389387_f91e367f-8f2e-439c-aa2a-2946aff17dce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538129/check_8389387_4a372f29-ab32-4f3a-8850-fa690cbbf5a7.json | N/A | N/A | N/A | N/A | N/A | XED913389013 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-09-10 | 2001ZK002169 | X0001004 | N/A | PR | false | WARD | N/A | WILLIAM | N/A | 9999-12-31 | 2024-08-01 | IFP EMB PED VISION | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9344 | N/A | 5538129 | 2222 | N/A | 8054499 | N/A | 4210590 | 2025-05-29 18:17:08.825014 | 2025-05-13 04:29:37.225004 |
| 2025-05-29 18:11:50.771220 | 2025-05-29 18:11:53.613235 | 8389365 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-09-10 | 2025-05-29 | M | AD | N/A | N/A | WARD | XED913389013 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538129/check_8389365_62dc701b-2722-48bb-93d1-50a600a05b56.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538129/check_8389365_a1c56121-ab94-4f9b-8a03-862cef811fdb.json | N/A | N/A | N/A | N/A | N/A | XED913389013 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-09-10 | 2001ZK002169 | X0001004 | N/A | PR | false | WARD | N/A | WILLIAM | N/A | 9999-12-31 | 2024-08-01 | IFP EMB PED VISION | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9344 | N/A | 5538129 | 2222 | N/A | 8054465 | N/A | 4210590 | 2025-05-29 18:11:53.613235 | 2025-05-13 04:29:37.225004 |