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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-29 09:13:35.606527 | 2025-05-29 09:13:40.514285 | 8382399 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-02-09 | 2025-05-29 | F | PT | AE | SANABRIA CANO | W29037029102 | ISABELLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993269/check_8382399_1a5b26af-4822-4640-b34b-5a0df3cbb36b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993269/check_8382399_0d1ed0ba-b3f8-4966-ad5b-92dcb22d2065.json | N/A | N/A | N/A | N/A | N/A | W290370291 | Point of Service (POS) | PTC THERAPEUTICS, INC. | AETNA | N/A | 2009-02-09 | 0472568 | 047256801200001 | N/A | PS | false | CORA PLANADEBALL | N/A | KAREL | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993269 | 2222 | N/A | 8048091 | N/A | 4210321 | 2025-05-29 09:13:40.514285 | 2025-06-11 21:24:33.499500 |
| 2025-05-29 09:12:50.040470 | 2025-05-29 09:12:52.264841 | 8381913 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-07-05 | 2025-05-29 | M | PT | N/A | JACKSON OLISON | YGZ624W07431 | CHERYL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874450/check_8381913_0a374bd3-4119-4f4e-8507-9333d4813414.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874450/check_8381913_c78c33eb-a752-4784-bb3c-30167a29fe18.json | N/A | N/A | N/A | N/A | N/A | YGZ624W07431 | N/A | INSURANCE TRUST FOR DELTA RETIREES | ANTHEM BLUE CROSS | N/A | 1954-07-05 | 101 | GAEGR001 | N/A | N/A | false | JACKSON OLISON | N/A | CHERYL | N/A | 9999-12-31 | 2025-01-01 | GA GRS ITDR H4036-801 MEDICARE PREFERRED MAPD 10P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874450 | 2222 | N/A | 8047993 | N/A | 4534573 | 2025-05-29 09:12:52.264841 | 2025-05-29 21:21:34.077440 |
| 2025-05-29 09:12:49.034202 | 2025-05-29 09:12:55.614188 | 8381903 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2010-04-08 | 2025-05-29 | M | PT | AE | MARTINEZ | 000021732704 | OWEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874411/check_8381903_f283de52-36e7-44ba-a6e7-af2243e1a62e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874411/check_8381903_560c3fe7-583a-4a5b-b8bb-86e72107f680.json | N/A | N/A | N/A | N/A | N/A | 000021732704 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2010-04-08 | 4361949 | 101111 | N/A | N/A | false | MARTINEZ | N/A | OWEN | N/A | N/A | N/A | DEPARTMENT OF WATER & POWER - ACTIVE EMPLOYEES DEP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874411 | 2222 | N/A | 8048003 | N/A | 4534545 | 2025-05-29 09:12:55.614188 | 2025-05-14 18:55:09.994870 |
| 2025-05-29 09:12:17.499720 | 2025-05-29 09:12:20.436651 | 8381581 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-05-02 | 2025-05-29 | F | PT | AE | AFTERGOOD | 6R18D09UM38 | GAIL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676365/check_8381581_8b39c4a7-9c3b-4a0a-9ce4-53134ec89632.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676365/check_8381581_1b017213-c2d3-48bc-9fac-c6b53a0231a6.json | N/A | N/A | N/A | N/A | N/A | 6R18D09UM38 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-05-02 | S4802 | N/A | N/A | MB | false | AFTERGOOD | N/A | GAIL | 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 | 5676365 | 2222 | N/A | 8047926 | N/A | 4219754 | 2025-05-29 09:12:20.436651 | 2025-05-13 04:29:37.230796 |
| 2025-05-29 09:11:52.866892 | 2025-05-30 05:20:26.013201 | 8381317 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8381317 | Athletic Physical Therapy Inc | 1945-02-14 | 2025-06-04 | M | PT | AE | SLAUGHTER | 6V77P87YA36 | KAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543377/check_8381317_3c5c35a5-b359-4ce4-aec8-3e21f6a32032.json | N/A | N/A | N/A | N/A | N/A | 6V77P87YA36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-02-14 | S5601 | N/A | N/A | MA | false | SLAUGHTER | N/A | KAY | 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 | 5543377 | 2222 | 4802 | 8082514 | N/A | 4215177 | 2025-05-30 05:20:26.013201 | 2025-05-13 04:29:37.229493 |
| 2025-05-29 09:11:52.618927 | 2025-05-30 05:12:31.987292 | 8381315 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8381315 | Athletic Physical Therapy Inc | 1985-06-18 | 2025-06-03 | F | PT | N/A | SCHULMAN | XDP423M94945 | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543362/check_8381315_09a32a29-c598-4d04-9fef-703ff167059b.json | N/A | N/A | N/A | N/A | N/A | XDP423M94945 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1985-06-18 | 040 | 280629MJ61 | N/A | PR | false | SCHULMAN | N/A | JESSICA | N/A | 2025-06-01 | 2024-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543362 | 2222 | 4793 | 8080317 | N/A | 4215155 | 2025-05-30 05:12:31.987292 | 2025-05-13 04:29:37.229472 |
| 2025-05-29 09:11:52.338616 | 2025-05-30 05:09:54.076846 | 8381308 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8381308 | Athletic Physical Therapy Inc | 2007-11-30 | 2025-05-30 | F | PT | AE | BIERNER | 941921536 | ISABEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543359/check_8381308_f4ed4185-c7ca-4267-9960-7405b10c4673.json | N/A | N/A | N/A | N/A | N/A | 941921536 | Commercial | APPLE INC. | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2007-11-30 | 1254 1254 | 700406 | N/A | C1 | false | BIERNER | N/A | JACOB | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543359 | 2222 | 4802 | 8079630 | N/A | 4215160 | 2025-05-30 05:09:54.076846 | 2025-05-13 04:29:37.229477 |
| 2025-05-29 09:11:52.219846 | 2025-05-30 05:12:26.045906 | 8381307 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8381307 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-06-04 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_8381307_38b1c4ac-3f41-4401-8e92-57e1edb02bea.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543355 | 2222 | 4793 | 8080289 | N/A | 4215158 | 2025-05-30 05:12:26.045906 | 2025-05-13 04:29:37.229475 |
| 2025-05-29 09:11:51.936147 | 2025-05-30 05:10:08.382756 | 8381303 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8381303 | Athletic Physical Therapy Inc | 1983-03-03 | 2025-06-02 | F | PT | AE | SULLIVAN | 997396315 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543346/check_8381303_58d9e9c8-ed00-43e9-ab09-a03205b2299b.json | N/A | N/A | N/A | N/A | N/A | 997396315 | Commercial | MEGA INTERNATIONAL LLC | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1983-03-03 | 0039 0039 | 927395 | N/A | C1 | false | TAYLOR | N/A | CHRISTOPHER | N/A | N/A | N/A | CHOICE PLUS PPO CA 2023 CUJP MOD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543346 | 2222 | 4802 | 8079678 | N/A | 4215149 | 2025-05-30 05:10:08.382756 | 2025-05-13 04:29:37.229465 |
| 2025-05-29 09:11:51.845400 | 2025-05-30 05:32:50.054209 | 8381300 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8381300 | Athletic Physical Therapy Inc | 1944-02-28 | 2025-06-03 | F | PT | AE | HANNA | D391F92CY27 | NELLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543339/check_8381300_25806513-12a8-4f69-983a-1797bb09e9a5.json | N/A | N/A | N/A | N/A | N/A | D391F92CY27 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1944-02-28 | N/A | N/A | N/A | N/A | false | HANNA | N/A | NELLY | 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 | 5543339 | 2222 | 4802 | 8084883 | N/A | 4215151 | 2025-05-30 05:32:50.054209 | 2025-05-13 04:29:37.229467 |
| 2025-05-29 09:11:51.608340 | 2025-05-29 09:11:53.539725 | 8381296 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-09-17 | 2025-05-29 | F | PT | AE | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568076/check_8381296_0253881a-ad36-4612-bfae-43d1af9b5954.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_8381296_a8c59cda-2b83-4947-a489-69fe20f53888.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-09-17 | N/A | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | 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 | 5568076 | 2222 | N/A | 8047869 | N/A | 4209480 | 2025-05-29 09:11:53.539725 | 2026-04-10 02:05:15.976484 |
| 2025-05-29 09:11:51.573982 | 2025-05-30 05:03:33.758203 | 8381295 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 8381295 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-06-02 | F | PT | AE | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_8381295_a6cfe82d-81be-4218-91e6-1a575c6fa2d0.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543335 | 2222 | 4802 | 8078175 | N/A | 4215139 | 2025-05-30 05:03:33.758203 | 2025-05-13 21:20:11.455022 |
| 2025-05-29 09:11:51.341262 | 2025-05-30 05:32:51.012053 | 8381292 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8381292 | Athletic Physical Therapy Inc | 1947-04-14 | 2025-05-30 | U | PT | AE | UYGUR | 1VVZMAGGE80 | NUKHET | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543311/check_8381292_0bbae50f-4fc8-4791-bbbc-806b76e1892f.json | N/A | N/A | N/A | N/A | N/A | 1VVZMAGGE80 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1947-04-14 | N/A | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543311 | 2222 | 4802 | 8084885 | N/A | 4215116 | 2025-05-30 05:32:51.012053 | 2025-05-29 22:32:19.748297 |
| 2025-05-29 09:11:51.177578 | 2025-05-30 05:03:33.348064 | 8381289 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 8381289 | Athletic Physical Therapy Inc | 1991-07-22 | 2025-06-02 | U | PT | AE | AZIM | 627771249 | FAIYAZ | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543304/check_8381289_2e8c7678-43f8-4a5b-9d4a-8a2784c948d1.json | N/A | N/A | N/A | N/A | N/A | 627771249 | N/A | N/A | MOLINA HEALTHCARE OF CALIFORNIA | N/A | 1991-07-22 | N/A | N/A | N/A | N/A | false | AZIM | N/A | FAIYAZ | 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 | 5543304 | 2222 | 4802 | 8078172 | N/A | 4215118 | 2025-05-30 05:03:33.348064 | 2025-06-02 01:41:59.668874 |
| 2025-05-29 09:11:50.998649 | 2025-05-30 05:20:18.768426 | 8381287 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8381287 | Athletic Physical Therapy Inc | 1937-05-27 | 2025-06-04 | F | PT | AE | LANGINGER | 8T45CA9CE85 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543302/check_8381287_dcf285cf-6802-4411-a7a8-0118b412a471.json | N/A | N/A | N/A | N/A | N/A | 8T45CA9CE85 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-27 | S5596 | N/A | N/A | MA | false | LANGINGER | N/A | BARBARA | 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 | 5543302 | 2222 | 4793 | 8082492 | N/A | 4215107 | 2025-05-30 05:20:18.768426 | 2025-05-13 04:29:37.229419 |
| 2025-05-29 09:11:50.724990 | 2025-05-30 05:10:03.573082 | 8381281 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8381281 | Athletic Physical Therapy Inc | 2009-05-06 | 2025-06-02 | M | PT | AE | MYER | 992215076 | REMSEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543288/check_8381281_57aad7dd-ae25-4f70-8b42-28acd11eaa2c.json | N/A | N/A | N/A | N/A | N/A | 992215076 | Commercial | TRINET B | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2009-05-06 | 0999 0999 | 911528 | N/A | C1 | false | MYER | N/A | JARRET | 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 | 5543288 | 2222 | 4802 | 8079661 | N/A | 4215102 | 2025-05-30 05:10:03.573082 | 2025-06-02 22:31:17.941501 |
| 2025-05-29 09:11:50.513427 | 2025-05-30 05:10:02.662867 | 8381278 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8381278 | Athletic Physical Therapy Inc | 1984-01-20 | 2025-06-02 | M | PT | AE | MARSHALL | 771821563 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543275/check_8381278_1e19060a-70e3-4cc3-b1fb-720bb099113a.json | N/A | N/A | N/A | N/A | N/A | 77182156300 | Commercial | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | FUNDING TYPE = FULLY INSURED - SMALL GROUP LABORATORY DESIGNATED DIAGNOSTIC BENEFITS IMAGING DESIGNATED DIAGNOSTIC BENEFITS | 1984-01-20 | N/A | 1682006 | N/A | C1 | false | MARSHALL | N/A | STEVEN | N/A | N/A | N/A | CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543275 | 2222 | 4802 | 8079659 | N/A | 4215090 | 2025-05-30 05:10:02.662867 | 2025-05-13 04:29:37.229405 |
| 2025-05-29 09:11:50.414759 | 2025-05-30 05:20:29.953474 | 8381276 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8381276 | Athletic Physical Therapy Inc | 1972-04-17 | 2025-06-04 | F | PT | AE | STOLLA | 2W84AU0UK74 | HILARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543274/check_8381276_9d3d1e4e-f9e5-48cc-9d30-15064f3b7458.json | N/A | N/A | N/A | N/A | N/A | 2W84AU0UK74 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1972-04-17 | S4802 | N/A | N/A | MB | false | STOLLA | N/A | HILARY | 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 | 5543274 | 2222 | 4801 | 8082520 | N/A | 4215089 | 2025-05-30 05:20:29.953474 | 2025-05-13 04:29:37.229404 |
| 2025-05-29 09:11:50.137815 | 2025-05-30 05:06:26.891242 | 8381272 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8381272 | Athletic Physical Therapy Inc | 1995-03-21 | 2025-06-03 | F | AD | N/A | PATEL | U8560212501 | RONAK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543267/check_8381272_494dfcae-205b-4959-8b3e-d437cf886c88.json | N/A | N/A | N/A | N/A | N/A | U8560212501 | N/A | SOCIAL FINANCE, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PREFERRED CARE MANAGEMENT | 1995-03-21 | N/A | 3342825 | N/A | N/A | false | PATEL | N/A | RONAK | N/A | N/A | N/A | OPEN ACCESS PLUS HDHP | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543267 | 2222 | 4793 | 8078843 | N/A | 4215084 | 2025-05-30 05:06:26.891242 | 2025-05-13 04:29:37.229400 |
| 2025-05-29 09:11:49.799975 | 2025-05-30 05:20:05.402103 | 8381266 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8381266 | Athletic Physical Therapy Inc | 1949-12-17 | 2025-05-30 | M | PT | AE | GEVURTZ | 3UF3GW6KC04 | IRWIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543260/check_8381266_51618f85-8d85-4002-81cf-60b0150bd15c.json | N/A | N/A | N/A | N/A | N/A | 3UF3GW6KC04 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-17 | N/A | N/A | N/A | MA | false | GEVURTZ | N/A | IRWIN | 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 | 5543260 | 2222 | 4802 | 8082447 | N/A | 4215069 | 2025-05-30 05:20:05.402103 | 2025-05-13 04:29:37.229385 |
| 2025-05-29 09:11:49.666566 | 2025-05-29 09:11:51.593627 | 8381265 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-09-17 | 2025-05-29 | F | PT | AE | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568076/check_8381265_3a650008-9bf7-4677-be40-faf3a3d81d5d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-09-17 | N/A | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | 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 | 5568076 | 2222 | N/A | N/A | N/A | 4209480 | 2025-05-29 09:11:51.593627 | 2026-04-10 02:05:15.976484 |
| 2025-05-29 09:11:49.576900 | 2025-05-30 05:12:29.541652 | 8381262 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8381262 | Athletic Physical Therapy Inc | 2009-04-17 | 2025-06-02 | M | PT | N/A | LINVILLE | JQU190A50426 | MEIKA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543250/check_8381262_9b84b2aa-b0f3-485c-8a79-0982be3dd8c0.json | N/A | N/A | N/A | N/A | N/A | JQU190A50426 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-04-17 | N/A | N/A | N/A | N/A | false | LINVILLE | N/A | MEIKA | 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 | 5543250 | 2222 | 4793 | 8080304 | N/A | 4215068 | 2025-05-30 05:12:29.541652 | 2025-07-22 17:55:02.066796 |
| 2025-05-29 09:11:49.491243 | 2025-05-30 05:20:24.424177 | 8381258 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8381258 | Athletic Physical Therapy Inc | 1953-05-17 | 2025-06-02 | F | PT | AE | SINGER | 8XN3QF1XM78 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543247/check_8381258_71a39694-9fbf-4a66-baed-780e36ebefdc.json | N/A | N/A | N/A | N/A | N/A | 8XN3QF1XM78 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-17 | S5601 | N/A | N/A | MA | false | SINGER | N/A | KAREN | 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 | 5543247 | 2222 | 4793 | 8082506 | N/A | 4215066 | 2025-05-30 05:20:24.424177 | 2025-05-13 04:29:37.229384 |
| 2025-05-29 09:11:49.374506 | 2025-05-30 05:06:32.331756 | 8381254 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8381254 | Athletic Physical Therapy Inc | 2010-06-04 | 2025-06-03 | M | AD | N/A | STARINA | 108916125 | SHAYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543243/check_8381254_fe023d89-fa41-48dc-98d9-3a0baf749732.json | N/A | N/A | N/A | N/A | N/A | 10891612504 | N/A | EMBASSY OF GERMANY | CHLIC | COMPLETE CARE MANAGEMENT | 2010-06-14 | N/A | 00618835 | N/A | N/A | false | STARINA | N/A | SHAYAN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543243 | 2222 | 4793 | 8078857 | N/A | 4215061 | 2025-05-30 05:06:32.331756 | 2025-05-13 21:01:49.585235 |
| 2025-05-29 09:11:49.290732 | 2025-05-30 05:10:05.742245 | 8381250 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8381250 | Athletic Physical Therapy Inc | 1999-09-11 | 2025-05-30 | M | PT | AE | PETERSON | 987565290 | CONNOR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543238/check_8381250_a26caa8c-d4b3-4591-80ba-a71d28d1cf8b.json | N/A | N/A | N/A | N/A | N/A | 987565290 | Commercial | ORACLE | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1999-09-11 | 0181 0181 | 228485 | N/A | C1 | false | PETERSON | N/A | CONNOR | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543238 | 2222 | 4802 | 8079670 | N/A | 4215055 | 2025-05-30 05:10:05.742245 | 2025-05-13 04:29:37.229376 |
| 2025-05-29 09:11:49.199862 | 2025-05-30 05:13:09.590205 | 8381248 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8381248 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-06-02 | F | PT | N/A | PAUL | XEK914147727 | SARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_8381248_0dfcc9df-214e-4a75-a065-41519742cb28.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543211 | 2222 | 4801 | 8080535 | N/A | 4215028 | 2025-05-30 05:13:09.590205 | 2025-05-13 04:29:37.229346 |
| 2025-05-29 09:11:49.118763 | 2025-05-30 05:12:27.767924 | 8381245 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8381245 | Athletic Physical Therapy Inc | 1981-10-08 | 2025-06-03 | F | PT | N/A | GOULD | M9Z806734456 | HEATHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543209/check_8381245_d680a50e-8c67-41b1-a4d3-13f8bdbc6525.json | N/A | N/A | N/A | N/A | N/A | M9Z806734456 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1981-10-08 | N/A | 55060 | N/A | PR | false | GOULD | N/A | HEATHER | N/A | N/A | N/A | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543209 | 2222 | 4793 | 8080298 | N/A | 4215027 | 2025-05-30 05:12:27.767924 | 2025-05-13 04:29:37.229345 |
| 2025-05-29 09:11:49.024898 | 2025-05-30 05:12:28.651933 | 8381242 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8381242 | Athletic Physical Therapy Inc | 1980-10-15 | 2025-06-05 | M | PT | N/A | JONOVIC | JQU042A71575 | ANDREJ | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543198/check_8381242_8a262d25-f111-403b-95fa-52fb6f7b21f3.json | N/A | N/A | N/A | N/A | N/A | JQU042A71575 | Preferred Provider Organization (PPO) | HANDSON VENTURES LLC | ANTHEM BLUE CROSS | N/A | 1980-10-15 | 040 | 327252 | N/A | PR | false | JONOVIC | N/A | SARAH | N/A | 9999-12-31 | 2024-12-01 | ANTHEM GOLD PPO 30/500/20% RXD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543198 | 2222 | 4802 | 8080301 | N/A | 4215023 | 2025-05-30 05:12:28.651933 | 2025-05-13 04:29:37.229341 |
| 2025-05-29 09:11:48.938395 | 2025-05-30 05:12:51.125218 | 8381239 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8381239 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-06-03 | U | PT | N/A | MICHAEL | JXN531M63256 | JUNITHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543190/check_8381239_f210a5b3-72da-430e-98e7-0a488ff2b1d1.json | N/A | N/A | N/A | N/A | N/A | JXN531M63256 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1983-04-13 | N/A | N/A | N/A | N/A | false | MICHAEL | N/A | JUNITHA | 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 | 5543190 | 2222 | 4793 | 8080422 | N/A | 4215014 | 2025-05-30 05:12:51.125218 | 2025-06-01 22:57:55.386960 |
| 2025-05-29 09:11:48.869193 | 2025-05-30 05:06:31.523900 | 8381237 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8381237 | Athletic Physical Therapy Inc | 1999-02-08 | 2025-06-04 | F | AD | N/A | SMALLWOOD | 109798591 | CORINNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543189/check_8381237_ec5e08dd-f90d-4c4b-899e-877c9d85c87c.json | N/A | N/A | N/A | N/A | N/A | 10979859100 | N/A | STUBHUB HOLDINGS, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1999-02-08 | N/A | 00636303 | N/A | N/A | false | SMALLWOOD | N/A | CORINNE | N/A | N/A | N/A | OPEN ACCESS PLUS IN-NETWORK | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543189 | 2222 | 4802 | 8078853 | N/A | 4215016 | 2025-05-30 05:06:31.523900 | 2025-05-13 04:29:37.229333 |
| 2025-05-29 09:11:48.773632 | 2025-05-30 05:12:30.543935 | 8381232 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8381232 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-06-02 | F | PT | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_8381232_25bed630-feaa-437c-96d9-917b8a199d87.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543178 | 2222 | 4802 | 8080307 | N/A | 4215006 | 2025-05-30 05:12:30.543935 | 2025-05-13 04:29:37.229325 |
| 2025-05-29 09:11:48.544997 | 2025-05-30 05:06:25.920111 | 8381230 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8381230 | Athletic Physical Therapy Inc | 2015-02-07 | 2025-06-02 | M | AD | N/A | HENRY | 11097761501 | KIRAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543175/check_8381230_093d4ac8-c3c8-4311-9efd-85037848ae90.json | N/A | N/A | N/A | N/A | N/A | 11097761501 | N/A | TELESTREAM 2 LLC | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 2015-02-07 | N/A | 00656153 | N/A | N/A | false | HENRY | N/A | KIRAN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543175 | 2222 | 4793 | 8078841 | N/A | 4215004 | 2025-05-30 05:06:25.920111 | 2025-05-16 02:19:23.134024 |
| 2025-05-29 09:11:48.324499 | 2025-05-30 05:13:04.917528 | 8381225 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8381225 | Athletic Physical Therapy Inc | 2003-07-09 | 2025-06-02 | M | PT | N/A | FEY | XED912890874 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543173/check_8381225_e8509784-76e6-43d5-878a-cdd6a8f7dc83.json | N/A | N/A | N/A | N/A | N/A | XED912890874 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2003-07-09 | 2001ZK002185 | X0001004 | N/A | PR | false | FEY | N/A | JOSEPH | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543173 | 2222 | 4793 | 8080505 | N/A | 4215000 | 2025-05-30 05:13:04.917528 | 2025-05-13 04:29:37.229320 |
| 2025-05-29 09:11:48.094901 | 2025-05-30 05:06:25.454549 | 8381221 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8381221 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-05-30 | F | PT | AE | FERRERAS | U6570615702 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_8381221_efb972e2-d094-47b2-a71c-e61cb7a3d53b.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543171 | 2222 | 4793 | 8078839 | N/A | 4214998 | 2025-05-30 05:06:25.454549 | 2025-05-13 04:29:37.229318 |
| 2025-05-29 09:11:47.876376 | 2025-05-30 05:13:11.030242 | 8381213 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8381213 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-06-02 | U | PT | AE | STOLZ | MISSINGPOLICYNUMBER | ARDENN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543118/check_8381213_b886fc12-fbc0-4506-8498-f6036d828c3c.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1996-07-04 | N/A | N/A | N/A | N/A | false | STOLZ | N/A | ARDENN | 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 | 5543118 | 2222 | 4802 | 8080544 | N/A | 4214948 | 2025-05-30 05:13:11.030242 | 2025-06-26 01:28:07.741882 |
| 2025-05-29 09:11:47.740525 | 2025-05-30 05:10:04.628823 | 8381211 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8381211 | Athletic Physical Therapy Inc | 1976-03-26 | 2025-06-02 | M | PT | AE | ORLOV | 23474362 | BORIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543098/check_8381211_f841abda-4955-46ae-be26-ec088ff10f30.json | N/A | N/A | N/A | N/A | N/A | 023474362 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1976-03-26 | N/A | N/A | N/A | N/A | false | ORLOV | N/A | BORIS | 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 | 5543098 | 2222 | 4802 | 8079665 | N/A | 4214932 | 2025-05-30 05:10:04.628823 | 2025-05-13 04:29:37.229254 |
| 2025-05-29 09:11:47.689249 | 2025-05-30 05:13:09.102483 | 8381209 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8381209 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-06-02 | F | PT | N/A | NAFTZGER | XEK900854258 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543048/check_8381209_225a461e-7c0a-4de6-b38f-cf8384af0818.json | N/A | N/A | N/A | N/A | N/A | XEK900854258 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1960-07-20 | 2001ZK002171 | X0001000 | N/A | PR | false | NAFTZGER | N/A | SANDRA | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543048 | 2222 | 4802 | 8080532 | N/A | 4214889 | 2025-05-30 05:13:09.102483 | 2025-05-13 04:29:37.229212 |
| 2025-05-29 09:11:47.621198 | 2025-05-30 05:12:28.171780 | 8381206 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8381206 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-06-03 | F | PT | N/A | HUGGINS | JXN261A50994 | DEE DEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_8381206_1eae3bae-5c88-4935-ad37-57494099ae90.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543043 | 2222 | 4801 | 8080300 | N/A | 4214884 | 2025-05-30 05:12:28.171780 | 2025-11-12 00:46:10.301659 |
| 2025-05-29 09:11:47.562192 | 2025-05-30 05:13:04.045890 | 8381203 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8381203 | Athletic Physical Therapy Inc | 1982-12-07 | 2025-06-03 | M | PT | N/A | DADON | XEK909417015 | JACOB | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543040/check_8381203_d6be173d-7d27-4af4-bc7c-109d97b7b2a1.json | N/A | N/A | N/A | N/A | N/A | XEK909417015 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-12-07 | 2001ZK002171 | X0001000 | N/A | PR | false | DADON | N/A | JACOB | N/A | 9999-12-31 | 2020-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543040 | 2222 | 4802 | 8080500 | N/A | 4214878 | 2025-05-30 05:13:04.045890 | 2025-05-13 04:29:37.229202 |
| 2025-05-29 09:11:47.501233 | 2025-05-30 05:06:24.937708 | 8381201 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8381201 | Athletic Physical Therapy Inc | 1991-03-12 | 2025-06-05 | M | AD | N/A | ARDERN | 109840605 | LEWIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543007/check_8381201_ae25de33-bb29-4c18-8db9-5773507b15e7.json | N/A | N/A | N/A | N/A | N/A | 10984060500 | N/A | SEMGREP, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1991-03-12 | N/A | 00652007 | N/A | N/A | false | ARDERN | N/A | LEWIS | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543007 | 2222 | 4802 | 8078835 | N/A | 4214851 | 2025-05-30 05:06:24.937708 | 2025-06-26 00:38:34.754169 |
| 2025-05-29 09:11:47.447803 | 2025-05-30 05:13:06.929891 | 8381198 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8381198 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-06-03 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_8381198_2272151a-8789-4c48-ab43-d08fa90e393b.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542952 | 2222 | 4802 | 8080517 | N/A | 4214804 | 2025-05-30 05:13:06.929891 | 2025-05-13 20:09:53.786482 |
| 2025-05-29 09:11:47.389534 | 2025-05-30 05:10:01.742253 | 8381195 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8381195 | Athletic Physical Therapy Inc | 2000-05-11 | 2025-06-03 | F | PT | AE | KRAUS | 16776997701 | MOLLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542934/check_8381195_cec9c52b-c781-4c77-adef-c37081ce907a.json | N/A | N/A | N/A | N/A | N/A | 16776997701 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 2000-05-11 | N/A | 1687503 | N/A | C1 | false | KRAUS | N/A | MOLLIE | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542934 | 2222 | 4802 | 8079654 | N/A | 4214788 | 2025-05-30 05:10:01.742253 | 2025-05-13 04:29:37.229113 |
| 2025-05-29 09:11:47.334807 | 2025-05-30 05:13:08.677436 | 8381192 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8381192 | Athletic Physical Therapy Inc | 1971-05-30 | 2025-06-03 | M | PT | N/A | MATTHEWS | KTP903824736 | LARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542899/check_8381192_99619355-25a8-450c-a4a9-efb7d6f7f261.json | N/A | N/A | N/A | N/A | N/A | KTP903824736 | Preferred Provider Organization (PPO) | TUTOR PERINI CORPORATION | BLUE SHIELD CALIFORNIA | N/A | 1971-05-30 | 1004PPOX0004 | W0051664 | N/A | PR | false | MATTHEWS | N/A | REGINA | N/A | N/A | N/A | FSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542899 | 2222 | 4793 | 8080529 | N/A | 4214758 | 2025-05-30 05:13:08.677436 | 2025-05-13 04:29:37.229078 |
| 2025-05-29 09:11:47.279773 | 2025-05-30 05:04:09.311877 | 8381190 | N/A | N/A | 60054 | Aetna | 1114042165 | 8381190 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-06-02 | M | PT | AE | KORY | 10216158100 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542868/check_8381190_f97edc35-9fc7-4734-a409-07a07e244d54.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542868 | 2222 | 4793 | 8078303 | N/A | 4214732 | 2025-05-30 05:04:09.311877 | 2025-06-24 20:13:53.579048 |
| 2025-05-29 09:11:47.221878 | 2025-05-30 05:04:08.130295 | 8381188 | N/A | N/A | 60054 | Aetna | 1114042165 | 8381188 | Athletic Physical Therapy Inc | 1997-05-24 | 2025-06-02 | M | PT | AE | DIAZ | W290801952 | SHAWN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542855/check_8381188_89ba0a98-b931-4050-9580-9072740b881c.json | N/A | N/A | N/A | N/A | N/A | W290801952 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-05-24 | 0247086 | 024708602300010 | N/A | PS | false | DIAZ | N/A | SHAWN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542855 | 2222 | 4802 | 8078297 | N/A | 4214719 | 2025-05-30 05:04:08.130295 | 2025-05-13 04:29:37.229037 |
| 2025-05-29 09:11:47.162687 | 2025-05-30 05:09:56.627319 | 8381186 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8381186 | Athletic Physical Therapy Inc | 1997-01-04 | 2025-06-02 | M | PT | AE | GERSHMAN | 987203340 | TYLER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542830/check_8381186_6a0ffb55-bc4a-4687-af5b-36b8d98241e3.json | N/A | N/A | N/A | N/A | N/A | 987203340 | Consolidated Omnibus Budget Reconciliation Act (COBRA) | ORACLE | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1997-01-04 | 0169 0169 | 228485 | N/A | CO | false | GERSHMAN | N/A | TYLER | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542830 | 2222 | 4802 | 8079636 | N/A | 4214699 | 2025-05-30 05:09:56.627319 | 2025-05-13 04:29:37.229016 |
| 2025-05-29 09:11:47.093910 | 2025-05-30 05:13:08.264354 | 8381183 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8381183 | Athletic Physical Therapy Inc | 2000-07-25 | 2025-06-02 | F | PT | N/A | MAGHSOUDLOO | XEA913772161 | SAHAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542822/check_8381183_0783fc0f-14e0-4dbf-97dc-19b0f723042c.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2000-07-25 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542822 | 2222 | 4793 | 8080526 | N/A | 4214688 | 2025-05-30 05:13:08.264354 | 2025-06-25 17:57:14.838266 |
| 2025-05-29 09:11:47.024225 | 2025-05-30 05:03:55.057067 | 8381180 | N/A | N/A | 45564 | Centivo | 1114042165 | 8381180 | Athletic Physical Therapy Inc | 1987-11-13 | 2025-05-30 | U | PT | AE | ERNST | ACTBL000283 | KENDALL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542811/check_8381180_609c0d0f-dc75-4be8-9cbb-b9a6f025c155.json | N/A | N/A | N/A | N/A | N/A | ACTBL000283 | N/A | N/A | CENTIVO | N/A | 1987-11-13 | N/A | N/A | N/A | N/A | false | ERNST | N/A | KENDALL | 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 | 5542811 | 2222 | 4802 | 8078250 | N/A | 4214678 | 2025-05-30 05:03:55.057067 | 2025-06-30 00:49:32.759299 |
| 2025-05-29 09:11:46.959055 | 2025-05-30 05:12:50.801264 | 8381178 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8381178 | Athletic Physical Therapy Inc | 2009-08-28 | 2025-06-03 | U | PT | N/A | GARCIA | FJB21294792M | STARR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542769/check_8381178_7944c53c-42e5-4748-b5a3-528e3d37a923.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 2009-08-28 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | STARR | 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 | 5542769 | 2222 | 4801 | 8080421 | N/A | 4214641 | 2025-05-30 05:12:50.801264 | 2025-12-09 08:50:02.875071 |
| 2025-05-29 09:11:46.881934 | 2025-05-30 05:06:33.391608 | 8381176 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8381176 | Athletic Physical Therapy Inc | 2011-05-03 | 2025-06-05 | F | AD | N/A | ZISKIN | U5838130501 | AVA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250529.115830813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542654/check_8381176_12ea5021-e86c-49d1-8a11-408557975db9.json | N/A | N/A | N/A | N/A | N/A | U5838130504 | N/A | EQUITABLE FINANCIAL LIFE INSURANCE COMPA | CHLIC | COMPLETE CARE MANAGEMENT | 2011-05-03 | N/A | 3339125 | N/A | N/A | false | ZISKIN | N/A | AVA | N/A | N/A | N/A | LOCALPLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542654 | 2222 | 4793 | 8078864 | N/A | 4214539 | 2025-05-30 05:06:33.391608 | 2025-05-13 04:29:37.228865 |