API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-27 16:30:54.150494 | 2025-08-27 16:30:56.628060 | 11653241 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-10-24 | 2025-08-27 | F | AE | PT | WATKINS | 9118772604 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542927/check_11653241_b146485f-68fe-4baa-8da3-3e651d043048.json | UHC | N/A | GOOGLE_CLOUD | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542927/check_11653241_e4c6ab05-73b4-4999-b6b4-514eefca276c.json | N/A | N/A | N/A | N/A | N/A | 988607756 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1957-10-24 | N/A | 15896 | N/A | N/A | false | WATKINS | N/A | ANDREA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542927 | 2222 | N/A | 11625364 | N/A | 4214777 | 2025-08-27 16:30:56.628060 | 2025-05-13 04:29:37.229103 |
| 2025-08-27 16:28:40.090058 | 2025-08-27 16:29:15.883779 | 11652249 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-07 | 2025-08-29 | M | AE | PT | WALLACH | 006908882 | CHARLES | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7821426/check_11652249_05b0a5f7-834d-4a2a-a2fb-ef5964128aa6.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 006908882 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7821426 | 2222 | N/A | N/A | N/A | 6660003 | 2025-08-27 16:29:15.883779 | 2026-06-01 17:03:48.982724 |
| 2025-08-27 16:14:24.764504 | 2025-08-28 05:26:23.746149 | 11651411 | N/A | N/A | 60054 | Aetna | 1114042165 | 11651411 | Athletic Physical Therapy Inc | 1996-10-14 | 2025-08-28 | F | AE | PT | HU | W290798901 | KERRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.193710224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676395/check_11651411_1031af79-b3fa-409c-a81f-88ef59a83c8b.json | N/A | N/A | N/A | N/A | N/A | W290798901 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1996-10-14 | 0247086 | 024708602300010 | N/A | PS | false | HU | N/A | KERRY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8658003148 | N/A | N/A | 5676395 | 2222 | 4802 | 11673842 | N/A | 4343450 | 2025-08-28 05:26:23.746149 | 2025-05-13 04:29:37.230928 |
| 2025-08-27 16:14:14.665087 | 2025-08-28 05:33:04.457968 | 11651339 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11651339 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-08-29 | F | PT | N/A | BARAJAS | NCF425A56241 | EMMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.193710224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_11651339_a261fe82-0fe7-4002-8b96-220ecd04463a.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677WR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 2025-09-01 | 2024-07-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8658002333 | N/A | N/A | 5543324 | 2222 | 4801 | 11675748 | 4184 | 4215131 | 2025-08-28 05:33:04.457968 | 2025-08-11 16:45:52.816842 |
| 2025-08-27 16:10:55.879931 | 2025-08-27 16:11:29.775981 | 11649573 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-08-29 | F | AE | PT | YUNG | 00854676304 | MAYA | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_11649573_247bcd17-1678-4b06-93de-c585588c5c15.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-08-27 16:11:29.775981 | 2025-05-13 04:29:37.229495 |
| 2025-08-27 16:10:07.785630 | 2025-08-28 05:53:02.497043 | 11649176 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11649176 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-08-28 | F | AE | PT | SHETH | XEA914147448 | SHAIVALINI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.192118251.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145898/check_11649176_87d702b9-609e-46c6-bc63-d6440239ee9b.json | N/A | N/A | N/A | N/A | N/A | XAN914147448 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1959-07-13 | 1002VX000001 | W0051411 | N/A | PR | false | SHETH | N/A | OJAS | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8657995142 | N/A | N/A | 6145898 | 2222 | 4801 | 11681095 | N/A | 4786709 | 2025-08-28 05:53:02.497043 | 2025-06-20 18:28:02.399027 |
| 2025-08-27 16:08:15.075225 | 2025-08-28 02:08:14.882433 | 11647882 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 11647882 | N/A | 1986-05-15 | 2025-08-29 | M | PT | N/A | Chizever | SBN015146 | Geoffrey | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.193701522.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471737/check_11647882_7d43cd22-d071-46b0-a3b3-b1724f4b8dff.json | N/A | N/A | N/A | N/A | N/A | SBN015146 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1986-05-15 | N/A | N/A | N/A | N/A | false | CHIZEVER | N/A | GEOFFREY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8657957074 | N/A | N/A | 8471737 | 2222 | 4802 | 11637839 | N/A | 7142683 | 2025-08-28 02:08:14.882433 | 2026-01-12 20:01:37.957097 |
| 2025-08-27 16:07:49.182737 | 2025-08-28 05:33:45.982368 | 11647363 | N/A | N/A | 60054 | Aetna | 1114042165 | 11647363 | Athletic Physical Therapy Inc | 2006-09-03 | 2025-08-29 | M | AE | PT | WARD | W264086653 | LEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.192146852.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6996539/check_11647363_07a75559-a330-4b66-bb82-b01c0251fdbf.json | N/A | N/A | N/A | N/A | N/A | W264086653 | Point of Service (POS) | HASA, INC. | AETNA | N/A | 2006-09-03 | 0170664 | 017066401300008 | N/A | PS | false | WARD | N/A | KENNETH | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8657965157 | N/A | N/A | 6996539 | 2222 | 4801 | 11675987 | N/A | 6016721 | 2025-08-28 05:33:45.982368 | 2025-07-23 14:06:47.503419 |
| 2025-08-27 16:07:44.508173 | 2025-08-28 02:09:48.006766 | 11647269 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11647269 | Athletic Physical Therapy Inc | 2000-12-17 | 2025-08-28 | M | AE | PT | Ke | N/A | Haozhe | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.193701522.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8405192/check_11647269_a1623df4-134a-4600-9d36-1d11a12198bc.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2000-12-17 | N/A | N/A | N/A | N/A | false | KE | N/A | HAOZHE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8657958275 | N/A | N/A | 8405192 | 2222 | 4802 | 11639838 | N/A | 7083453 | 2025-08-28 02:09:48.006766 | 2025-08-26 19:33:12.586504 |
| 2025-08-27 16:07:28.637758 | 2025-08-28 02:11:02.056245 | 11646920 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11646920 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-08-29 | F | PT | N/A | MENDELSON | XEK913483846 | SHARON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.193701522.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_11646920_79df0d4d-6844-40e9-af1b-b55c02fbae45.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2024-10-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8657956967 | N/A | N/A | 8224045 | 2222 | 4802 | 11641424 | N/A | 6981160 | 2025-08-28 02:11:02.056245 | 2025-08-26 21:16:15.557856 |
| 2025-08-27 16:04:29.464271 | 2025-08-28 05:33:45.427536 | 11643262 | N/A | N/A | 60054 | Aetna | 1114042165 | 11643262 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-08-29 | M | AE | PT | TORIO | W287278504 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.192146852.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_11643262_335f05f6-3f8e-430f-b387-3c0e68eb6476.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000026 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8657966286 | N/A | N/A | 6235883 | 2222 | 4802 | 11675983 | N/A | 4883697 | 2025-08-28 05:33:45.427536 | 2025-07-08 14:55:53.397662 |
| 2025-08-27 16:04:07.603560 | 2025-08-28 05:55:46.148641 | 11642967 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11642967 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-08-28 | F | AE | PT | SHETH | 4T52DU0KY22 | SHAIVALINI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.192146852.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145897/check_11642967_61b88e22-f709-4eaa-bc3a-cbe0a864583b.json | N/A | N/A | N/A | N/A | N/A | 4T52DU0KY22 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-13 | N/A | N/A | N/A | MB | false | SHETH | N/A | SHAIVALINI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8657965853 | N/A | N/A | 6145897 | 2222 | 4801 | 11681662 | N/A | 4786709 | 2025-08-28 05:55:46.148641 | 2025-06-20 18:28:02.399027 |
| 2025-08-27 16:02:04.905529 | 2025-08-28 06:02:32.816226 | 11641377 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11641377 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-08-28 | F | AE | PT | SHETH | XEA914147448 | SHAIVALINI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.193645020.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145898/check_11641377_50986b60-db2f-4e8a-bab5-27647f6f4df9.json | N/A | N/A | N/A | N/A | N/A | XAN914147448 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1959-07-13 | 1002VX000001 | W0051411 | N/A | PR | false | SHETH | N/A | OJAS | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8657951997 | N/A | N/A | 6145898 | 2222 | 4801 | 11683824 | N/A | 4786709 | 2025-08-28 06:02:32.816226 | 2025-06-20 18:28:02.399027 |
| 2025-08-27 15:59:41.462963 | 2025-08-28 05:03:08.216621 | 11640140 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 11640140 | N/A | 1986-05-15 | 2025-08-29 | M | PT | N/A | Chizever | SBN015146 | Geoffrey | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.193621888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471737/check_11640140_6ce7e81b-d64b-4504-9947-654aa2dceec9.json | N/A | N/A | N/A | N/A | N/A | SBN015146 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1986-05-15 | N/A | N/A | N/A | N/A | false | CHIZEVER | N/A | GEOFFREY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8657896216 | N/A | N/A | 8471737 | 2222 | 4802 | 11663397 | N/A | 7142683 | 2025-08-28 05:03:08.216621 | 2026-01-12 20:01:37.957097 |
| 2025-08-27 15:59:22.596716 | 2025-08-28 05:15:38.163680 | 11639863 | N/A | N/A | 60054 | Aetna | 1114042165 | 11639863 | Athletic Physical Therapy Inc | 2006-09-03 | 2025-08-29 | M | AE | PT | WARD | W264086653 | LEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.193646015.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6996539/check_11639863_6bc5f4e7-e863-4dce-bc84-d6c8fd05d43a.json | N/A | N/A | N/A | N/A | N/A | W264086653 | Point of Service (POS) | HASA, INC. | AETNA | N/A | 2006-09-03 | 0170664 | 017066401300008 | N/A | PS | false | WARD | N/A | KENNETH | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8657908526 | N/A | N/A | 6996539 | 2222 | 4801 | 11669741 | N/A | 6016721 | 2025-08-28 05:15:38.163680 | 2025-07-23 14:06:47.503419 |
| 2025-08-27 15:58:57.533985 | 2025-08-28 05:04:33.510455 | 11639527 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 11639527 | Athletic Physical Therapy Inc | 2000-12-17 | 2025-08-28 | M | AE | PT | Ke | N/A | Haozhe | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.193621888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8405192/check_11639527_7c12bfde-6cee-4d8d-a90a-d7eea9b3b6ba.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2000-12-17 | N/A | N/A | N/A | N/A | false | KE | N/A | HAOZHE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8657895470 | N/A | N/A | 8405192 | 2222 | 4802 | 11663872 | N/A | 7083453 | 2025-08-28 05:04:33.510455 | 2025-08-26 19:33:12.586504 |
| 2025-08-27 15:58:27.755709 | 2025-08-28 05:05:49.887278 | 11639202 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 11639202 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-08-29 | F | PT | N/A | MENDELSON | XEK913483846 | SHARON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.193621888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_11639202_095b6807-9b29-4683-b0f6-659f7616701e.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2024-10-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8657895607 | N/A | N/A | 8224045 | 2222 | 4802 | 11664468 | N/A | 6981160 | 2025-08-28 05:05:49.887278 | 2025-08-26 21:16:15.557856 |
| 2025-08-27 15:57:05.303246 | 2025-08-28 02:02:35.393929 | 11638223 | N/A | N/A | 60054 | Aetna | 1114042165 | 11638223 | Athletic Physical Therapy Inc | 1996-10-14 | 2025-08-28 | F | AE | PT | HU | W290798901 | KERRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.193632646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676395/check_11638223_667a8612-a456-412c-97ff-924677c1e6df.json | N/A | N/A | N/A | N/A | N/A | W290798901 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1996-10-14 | 0247086 | 024708602300010 | N/A | PS | false | HU | N/A | KERRY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8657879479 | N/A | N/A | 5676395 | 2222 | 4802 | 11631860 | N/A | 4343450 | 2025-08-28 02:02:35.393929 | 2025-05-13 04:29:37.230928 |
| 2025-08-27 15:56:46.579400 | 2025-08-28 02:04:54.696704 | 11637980 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 11637980 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-08-29 | F | PT | N/A | BARAJAS | NCF425A56241 | EMMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.193632646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_11637980_71fca9c7-10c0-4e7d-8cd7-f194b6083307.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677WR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 2025-09-01 | 2024-07-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8657880495 | N/A | N/A | 5543324 | 2222 | 4801 | 11633931 | 4184 | 4215131 | 2025-08-28 02:04:54.696704 | 2025-08-11 16:45:52.816842 |
| 2025-08-27 15:53:50.357236 | 2025-08-27 15:53:53.434852 | 11636182 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-08-14 | 2025-08-27 | F | PT | N/A | NADELLA | FJB22183182M | SAILAJA | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540468/check_11636182_5fa9dabc-fc77-483b-8bb1-f3d19ee6b7cf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540468/check_11636182_d73f3d2b-6e18-458b-9c20-91bfbeaeac55.json | N/A | N/A | N/A | N/A | N/A | FJB22183182M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1971-08-14 | 101 | 174549M411 | N/A | PR | false | NADELLA | N/A | SAILAJA | N/A | 9999-12-31 | 2023-01-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8657848195 | N/A | N/A | 5540468 | 2222 | N/A | 11622750 | N/A | 4212621 | 2025-08-27 15:53:53.434852 | 2025-08-22 20:49:20.901833 |
| 2025-08-27 15:52:44.636559 | 2025-08-28 05:15:36.513345 | 11635554 | N/A | N/A | 60054 | Aetna | 1114042165 | 11635554 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-08-29 | M | AE | PT | TORIO | W287278504 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.193646015.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_11635554_4d213d90-8ac9-4c26-be20-27e5d31e2f52.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000026 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8657908005 | N/A | N/A | 6235883 | 2222 | 4802 | 11669733 | N/A | 4883697 | 2025-08-28 05:15:36.513345 | 2025-07-08 14:55:53.397662 |
| 2025-08-27 15:50:24.019047 | 2025-08-28 05:59:19.954566 | 11634294 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 11634294 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-08-28 | F | AE | PT | SHETH | 4T52DU0KY22 | SHAIVALINI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250827.193646015.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-08-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145897/check_11634294_0c2ed6c4-4369-4e96-84ff-173713c25b70.json | N/A | N/A | N/A | N/A | N/A | 4T52DU0KY22 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-13 | N/A | N/A | N/A | MB | false | SHETH | N/A | SHAIVALINI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8657907607 | N/A | N/A | 6145897 | 2222 | 4801 | 11682642 | N/A | 4786709 | 2025-08-28 05:59:19.954566 | 2025-06-20 18:28:02.399027 |
| 2025-08-27 12:39:59.825239 | 2025-08-27 12:40:01.932214 | 11631456 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-01 | N/A | M | PT | AE | TOOCH | JPU633M84536 | PETER | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538874/check_11631456_2d239c2f-867e-4bb7-a919-33d0712e5a5a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_11631456_d1dff628-09e6-447f-92f1-c82deb3ad1cb.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8655336176 | N/A | N/A | 5538874 | 2222 | N/A | 11620711 | N/A | 4211227 | 2025-08-27 12:40:01.932214 | 2025-05-13 04:29:37.225625 |
| 2025-08-27 10:49:51.193501 | 2025-08-27 10:49:52.993662 | 11631068 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-01 | N/A | M | PT | AE | TOOCH | JPU633M84536 | PETER | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538874/check_11631068_8046e401-f680-40fc-a6b1-3c47817f8b76.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_11631068_65317f67-5114-45c2-ad85-6fddb3bb0420.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8654366183 | N/A | N/A | 5538874 | 2222 | N/A | 11620137 | N/A | 4211227 | 2025-08-27 10:49:52.993662 | 2025-05-13 04:29:37.225625 |
| 2025-08-27 09:55:32.899477 | 2025-08-27 09:55:34.733237 | 11630480 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-01 | N/A | M | PT | AE | TOOCH | JPU633M84536 | PETER | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538874/check_11630480_d3c02a05-69c9-42e0-b62b-ad0dce8d4bcd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_11630480_12b20bae-5d0d-4442-8819-83eb28805f56.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8654227795 | N/A | N/A | 5538874 | 2222 | N/A | 11619465 | N/A | 4211227 | 2025-08-27 09:55:34.733237 | 2025-05-13 04:29:37.225625 |
| 2025-08-27 09:23:15.868370 | 2025-08-27 09:23:17.736284 | 11630451 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-01 | N/A | M | PT | AE | TOOCH | JPU633M84536 | PETER | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538874/check_11630451_017e66c7-829b-4694-8ff4-65773d45643f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_11630451_f93e77ff-7527-40b8-baa2-896a1c68057f.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8654104293 | N/A | N/A | 5538874 | 2222 | N/A | 11619346 | N/A | 4211227 | 2025-08-27 09:23:17.736284 | 2025-05-13 04:29:37.225625 |
| 2025-08-27 09:21:25.773686 | 2025-08-27 09:21:27.534760 | 11630448 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-06-30 | 2025-08-27 | F | AE | PT | LLANERAS | 96140472C | ILIANA | 23304 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8204466/check_11630448_5ddfdc4d-85f2-48d6-814c-3fdbdf4fddd3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8204466/check_11630448_5d21db05-4037-49e6-8428-f28f1ec4e7cb.json | N/A | N/A | N/A | N/A | N/A | 96140472C | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1963-06-30 | N/A | N/A | N/A | N/A | false | LLANERAS | N/A | ILIANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8204466 | 2222 | N/A | 11619338 | N/A | 6966514 | 2025-08-27 09:21:27.534760 | 2025-08-19 23:04:17.833312 |
| 2025-08-27 09:21:22.125107 | 2025-08-27 09:21:25.771139 | 11630447 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-06-30 | 2025-08-27 | F | AE | PT | LLANERAS | 96140472C | ILIANA | 23304 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8204466/check_11630447_c979bf7a-f697-4987-a5fe-2015c5c9a4e1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-27 | N/A | N/A | N/A | N/A | N/A | N/A | 96140472C | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1963-06-30 | N/A | N/A | N/A | N/A | false | LLANERAS | N/A | ILIANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8204466 | 2222 | N/A | N/A | N/A | 6966514 | 2025-08-27 09:21:25.771139 | 2025-08-19 23:04:17.833312 |
| 2025-08-27 09:16:29.365592 | 2025-08-27 09:16:31.183270 | 11630439 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-01 | N/A | M | PT | AE | TOOCH | JPU633M84536 | PETER | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538874/check_11630439_56b66c4e-387d-477e-942a-343223895cc3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_11630439_71af1efb-dd2d-4d10-aec2-c940fc9e46f5.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8654085820 | N/A | N/A | 5538874 | 2222 | N/A | 11619319 | N/A | 4211227 | 2025-08-27 09:16:31.183270 | 2025-05-13 04:29:37.225625 |
| 2025-08-27 07:36:18.937442 | 2025-08-27 07:36:20.898075 | 11630251 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-01 | N/A | M | PT | AE | TOOCH | JPU633M84536 | PETER | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538874/check_11630251_89705432-d340-4d5d-a01e-1e6d75aaa3fd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_11630251_30bbaf19-991c-4d55-8e7a-461799f977fa.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8653702028 | N/A | N/A | 5538874 | 2222 | N/A | 11618917 | N/A | 4211227 | 2025-08-27 07:36:20.898075 | 2025-05-13 04:29:37.225625 |
| 2025-08-27 07:33:51.677078 | 2025-08-27 07:33:53.496454 | 11630250 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-01 | N/A | M | PT | AE | TOOCH | JPU633M84536 | PETER | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538874/check_11630250_c0a23c4e-7417-458b-8170-6724e6761b6d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_11630250_1fcac0d0-4b9e-449b-a17b-702875c056ff.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8653686215 | N/A | N/A | 5538874 | 2222 | N/A | 11618907 | N/A | 4211227 | 2025-08-27 07:33:53.496454 | 2025-05-13 04:29:37.225625 |
| 2025-08-27 07:23:33.748580 | 2025-08-27 07:23:35.654689 | 11630245 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-01 | N/A | M | PT | AE | TOOCH | JPU633M84536 | PETER | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538874/check_11630245_5e5c21a8-e5ea-4df4-812a-c754b3503aff.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_11630245_417628c7-8c4b-47ae-bf43-540ed14a10b9.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8653649799 | N/A | N/A | 5538874 | 2222 | N/A | 11618867 | N/A | 4211227 | 2025-08-27 07:23:35.654689 | 2025-05-13 04:29:37.225625 |
| 2025-08-27 07:04:31.089700 | 2025-08-27 07:04:36.303783 | 11630221 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-01 | N/A | M | PT | AE | TOOCH | JPU633M84536 | PETER | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538874/check_11630221_75b49059-2c5d-4f34-9b57-130e13865355.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_11630221_cf666efc-98ef-43f3-930a-7fdcb0877187.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8653581412 | N/A | N/A | 5538874 | 2222 | N/A | 11618765 | N/A | 4211227 | 2025-08-27 07:04:36.303783 | 2025-05-13 04:29:37.225625 |
| 2025-08-27 02:50:24.747977 | 2025-08-27 02:50:27.504889 | 11630072 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-03-10 | 2025-09-02 | M | AE | PT | MOTALEBI | 93336750G | RABIN | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8425050/check_11630072_792c95b8-2eb1-4970-9736-2567449bdbab.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8425050/check_11630072_320037f4-1717-4b2d-8388-11c1a631c741.json | N/A | N/A | N/A | N/A | N/A | 93336750G | N/A | N/A | CENTENE CORPORATION | N/A | 2013-03-10 | N/A | N/A | N/A | N/A | false | MOTALEBI | N/A | RABIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 8425050 | 2222 | N/A | 11603767 | N/A | 7101742 | 2025-08-27 02:50:27.504889 | 2025-09-03 19:52:48.345325 |
| 2025-08-27 02:50:23.084620 | 2025-08-27 02:50:24.744329 | 11630071 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-03-10 | 2025-09-02 | M | AE | PT | MOTALEBI | 93336750G | RABIN | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8425050/check_11630071_08cc4ac3-87a9-4406-9445-e255c60ce2a0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | N/A | N/A | N/A | N/A | N/A | N/A | 93336750G | N/A | N/A | CENTENE CORPORATION | N/A | 2013-03-10 | N/A | N/A | N/A | N/A | false | MOTALEBI | N/A | RABIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 8425050 | 2222 | N/A | N/A | N/A | 7101742 | 2025-08-27 02:50:24.744329 | 2025-09-03 19:52:48.345325 |
| 2025-08-27 02:50:12.659992 | 2025-08-27 02:50:14.421241 | 11630069 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-03-10 | 2025-09-02 | M | AE | PT | MOTALEBI | 93336750G | RABIN | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8425050/check_11630069_97159aae-d2c3-44c1-bff7-1d7433d948f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8425050/check_11630069_0a173865-15cd-4a60-8ebc-793114bc900e.json | N/A | N/A | N/A | N/A | N/A | 93336750G | N/A | N/A | CENTENE CORPORATION | N/A | 2013-03-10 | N/A | N/A | N/A | N/A | false | MOTALEBI | N/A | RABIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 8425050 | 2222 | N/A | 11603659 | N/A | 7101742 | 2025-08-27 02:50:14.421241 | 2025-09-03 19:52:48.345325 |
| 2025-08-27 02:50:00.727478 | 2025-08-27 02:50:12.657480 | 11630068 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-03-10 | 2025-09-02 | M | AE | PT | MOTALEBI | 93336750G | RABIN | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8425050/check_11630068_8571eee2-7b7c-411a-a9bf-f76f5417f947.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | N/A | N/A | N/A | N/A | N/A | N/A | 93336750G | N/A | N/A | CENTENE CORPORATION | N/A | 2013-03-10 | N/A | N/A | N/A | N/A | false | MOTALEBI | N/A | RABIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 8425050 | 2222 | N/A | N/A | N/A | 7101742 | 2025-08-27 02:50:12.657480 | 2025-09-03 19:52:48.345325 |
| 2025-08-27 02:49:50.653469 | 2025-08-27 02:49:52.450531 | 11630067 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-03-10 | 2025-09-02 | M | AE | PT | MOTALEBI | 93336750G | RABIN | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8425050/check_11630067_c2322310-7c29-4d9d-a040-db9135fcf724.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8425050/check_11630067_89e3e9ad-9f63-4c26-b73d-534503d9624b.json | N/A | N/A | N/A | N/A | N/A | 93336750G | N/A | N/A | CENTENE CORPORATION | N/A | 2013-03-10 | N/A | N/A | N/A | N/A | false | MOTALEBI | N/A | RABIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 8425050 | 2222 | N/A | 11603508 | N/A | 7101742 | 2025-08-27 02:49:52.450531 | 2025-09-03 19:52:48.345325 |
| 2025-08-27 02:49:47.922909 | 2025-08-27 02:49:50.649156 | 11630066 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-03-10 | 2025-09-02 | M | AE | PT | MOTALEBI | 93336750G | RABIN | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8425050/check_11630066_b6818e2c-170b-4bf6-950b-a0263b367439.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-02 | N/A | N/A | N/A | N/A | N/A | N/A | 93336750G | N/A | N/A | CENTENE CORPORATION | N/A | 2013-03-10 | N/A | N/A | N/A | N/A | false | MOTALEBI | N/A | RABIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 8425050 | 2222 | N/A | N/A | N/A | 7101742 | 2025-08-27 02:49:50.649156 | 2025-09-03 19:52:48.345325 |
| 2025-08-26 23:10:25.230896 | 2025-08-26 23:10:27.048029 | 11629716 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-03-27 | 2025-08-27 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | 23324 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543270/check_11629716_bc4fbe2e-d8c3-4b52-9e0c-3a24a916c847.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_11629716_6bd228c7-1c23-4f51-8503-bb0f7bc29f52.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543270 | 2222 | N/A | 11536536 | N/A | 4215086 | 2025-08-26 23:10:27.048029 | 2025-05-13 04:29:37.229401 |
| 2025-08-26 23:10:11.518869 | 2025-08-26 23:10:25.228246 | 11629714 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-03-27 | 2025-08-27 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | 23324 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543270/check_11629714_86697866-4064-4968-8522-444cfcd1fdf7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-27 | N/A | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543270 | 2222 | N/A | N/A | N/A | 4215086 | 2025-08-26 23:10:25.228246 | 2025-05-13 04:29:37.229401 |
| 2025-08-26 22:40:26.654934 | 2025-08-26 22:40:29.266662 | 11629517 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-10-24 | 2025-08-27 | F | AE | PT | WATKINS | 9118772604 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542927/check_11629517_bf43fa42-35e9-4677-ad94-1d8048ccdf5d.json | UHC | N/A | INSIGHTS | 2025-08-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542927/check_11629517_288c8c7c-de09-420d-acc5-b9558c464ae6.json | N/A | N/A | N/A | N/A | N/A | 988607756 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1957-10-24 | N/A | 15896 | N/A | N/A | false | WATKINS | N/A | ANDREA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542927 | 2222 | N/A | 11536274 | N/A | 4214777 | 2025-08-26 22:40:29.266662 | 2025-05-13 04:29:37.229103 |
| 2025-08-26 22:34:38.967259 | 2025-08-26 22:34:42.759917 | 11629478 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-10-08 | 2025-08-26 | F | AE | PT | CHAVEZ | 94986484A | RAFAELA | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7879085/check_11629478_03d5c258-d3f6-4c88-a0a2-937cb8711e5d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7879085/check_11629478_b90c2fe9-ca57-41ca-b2d8-8164aeb1d9fd.json | N/A | N/A | N/A | N/A | N/A | 94986484A | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1967-10-08 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | CHAVEZ | N/A | RAFAELA | N/A | 2078-12-31 | 2024-05-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8652085638 | 9482 | N/A | 7879085 | 2222 | N/A | 11536223 | N/A | 6276688 | 2025-08-26 22:34:42.759917 | 2025-08-07 22:51:00.572173 |
| 2025-08-26 22:34:27.225919 | 2025-08-26 22:34:29.016612 | 11629467 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-10-08 | 2025-08-26 | F | AE | PT | CHAVEZ | 94986484A | RAFAELA | 23324 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7879085/check_11629467_967ab013-82c5-41b4-a05b-9b62d940f783.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7879085/check_11629467_ea613284-325b-4255-a571-a2f0990fbb3e.json | N/A | N/A | N/A | N/A | N/A | 94986484A | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1967-10-08 | N/A | N/A | N/A | N/A | false | CHAVEZ | N/A | RAFAELA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 7879085 | 2222 | N/A | 11536211 | N/A | 6276688 | 2025-08-26 22:34:29.016612 | 2025-08-07 22:51:00.572173 |
| 2025-08-26 22:34:25.657451 | 2025-08-26 22:34:27.224338 | 11629466 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-10-08 | 2025-08-26 | F | AE | PT | CHAVEZ | 94986484A | RAFAELA | 23324 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7879085/check_11629466_602d7616-71cf-4a0e-98df-fd5486c63f67.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-26 | N/A | N/A | N/A | N/A | N/A | N/A | 94986484A | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1967-10-08 | N/A | N/A | N/A | N/A | false | CHAVEZ | N/A | RAFAELA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 7879085 | 2222 | N/A | N/A | N/A | 6276688 | 2025-08-26 22:34:27.224338 | 2025-08-07 22:51:00.572173 |
| 2025-08-26 22:33:25.253272 | 2025-08-26 22:33:28.111165 | 11629458 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-06-30 | 2025-09-10 | M | PT | N/A | GAMLOWSKI | XEH906942906 | JOHN | 23312 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8650498/check_11629458_d4f0c78f-7f8d-491c-9aa7-4ba2dc2bee5a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650498/check_11629458_f774ea6c-d0a8-40a8-a0fe-b74be481ead3.json | N/A | N/A | N/A | N/A | N/A | XEH906942906 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-06-30 | N/A | N/A | N/A | N/A | false | GAMLOWSKI | N/A | JOHN | 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 | 8650498 | 2222 | N/A | 11536200 | N/A | 7292599 | 2025-08-26 22:33:28.111165 | 2025-08-26 22:09:31.664811 |
| 2025-08-26 22:33:23.666863 | 2025-08-26 22:33:25.250178 | 11629457 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-06-30 | 2025-09-10 | M | PT | N/A | GAMLOWSKI | XEH906942906 | JOHN | 23312 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8650498/check_11629457_a7918bb4-e032-473b-83ef-37d536cbb82a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-10 | N/A | N/A | N/A | N/A | N/A | N/A | XEH906942906 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-06-30 | N/A | N/A | N/A | N/A | false | GAMLOWSKI | N/A | JOHN | 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 | 8650498 | 2222 | N/A | N/A | N/A | 7292599 | 2025-08-26 22:33:25.250178 | 2025-08-26 22:09:31.664811 |
| 2025-08-26 22:30:05.192543 | 2025-08-26 22:30:06.989695 | 11629441 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-06-30 | 2025-09-10 | M | PT | N/A | GAMLOWSKI | XEH906942906 | JOHN | 23312 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8650498/check_11629441_3a090efa-c0b1-4e43-97ad-bb1277071b3e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650498/check_11629441_60259b08-5ba9-40f3-a399-9150b52d7753.json | N/A | N/A | N/A | N/A | N/A | XEH906942906 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-06-30 | N/A | N/A | N/A | N/A | false | GAMLOWSKI | N/A | JOHN | 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 | 8650498 | 2222 | N/A | 11536179 | N/A | 7292599 | 2025-08-26 22:30:06.989695 | 2025-08-26 22:09:31.664811 |
| 2025-08-26 22:30:02.570140 | 2025-08-26 22:30:05.188417 | 11629440 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-06-30 | 2025-09-10 | M | PT | N/A | GAMLOWSKI | XEH906942906 | JOHN | 23312 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8650498/check_11629440_2d897832-bf48-4dbf-8713-10868752a75d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-10 | N/A | N/A | N/A | N/A | N/A | N/A | XEH906942906 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-06-30 | N/A | N/A | N/A | N/A | false | GAMLOWSKI | N/A | JOHN | 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 | 8650498 | 2222 | N/A | N/A | N/A | 7292599 | 2025-08-26 22:30:05.188417 | 2025-08-26 22:09:31.664811 |
| 2025-08-26 22:14:54.853331 | 2025-08-26 22:14:56.578646 | 11629204 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-28 | 2025-09-04 | F | AE | PT | NANVAR | 9H60FA1UD17 | GUITY | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8650849/check_11629204_a82289ab-be49-42b5-8b7f-f7c2dde16a2b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650849/check_11629204_338c7fff-bd95-430a-9258-f181ce3972c0.json | N/A | N/A | N/A | N/A | N/A | 9H60FA1UD17 | N/A | N/A | CMS | N/A | 1957-07-28 | N/A | N/A | N/A | N/A | false | NANVAR | N/A | GUITY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 8650849 | 2222 | N/A | 11535918 | N/A | 7292786 | 2025-08-26 22:14:56.578646 | 2025-09-04 04:11:35.031790 |