API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-16 03:20:12.022948 | 2025-08-16 03:20:13.624857 | 11059670 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-05-30 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059670_3618088d-df5e-43cb-8328-9301bc171191.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-08-16 03:20:13.624857 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:20:09.902236 | 2025-08-16 03:20:11.671946 | 11059663 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-05-30 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059663_c0707ddd-bf47-4a0a-b5fe-c593c91e1d7e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11059663_52caab3f-eeb3-4285-aa9e-c409004a8f00.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | 10826166 | N/A | 4215193 | 2025-08-16 03:20:11.671946 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:20:05.442348 | 2025-08-16 03:20:09.900771 | 11059647 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-05-30 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059647_8774dddf-7eb6-480b-b250-c70f0ff451f6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-08-16 03:20:09.900771 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:19:55.709127 | 2025-08-16 03:19:57.569511 | 11059621 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059621_38ca71a7-cea2-4969-91e6-7490fa6cf460.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11059621_d7bea4a1-c1af-4378-93ab-ec7dbfaba9c2.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | 10826122 | N/A | 4215193 | 2025-08-16 03:19:57.569511 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:19:54.103511 | 2025-08-16 03:19:55.706197 | 11059616 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059616_de01e017-ee54-4588-a948-937bd2991a4a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-08-16 03:19:55.706197 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:19:48.394709 | 2025-08-16 03:19:53.304537 | 11059601 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059601_fc0b85db-bd3c-4de1-8aa1-190a564efbc3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11059601_e586518c-73ef-4bf0-bdb7-10ba621078ea.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | 10826111 | N/A | 4215193 | 2025-08-16 03:19:53.304537 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:19:45.722846 | 2025-08-16 03:19:48.390699 | 11059594 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059594_1c34a2f4-f48b-47a4-a1e3-a618bd153dc5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-08-16 03:19:48.390699 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:19:43.457262 | 2025-08-16 03:19:45.219581 | 11059592 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059592_18aba9c7-c701-4987-913a-ce56a56de86e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11059592_d976fbb5-f3bb-4f2b-996e-bfa9ba844b0f.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | 10826093 | N/A | 4215193 | 2025-08-16 03:19:45.219581 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:19:41.893342 | 2025-08-16 03:19:43.448883 | 11059590 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059590_463da3ce-742a-46b8-9274-26430a0887c1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-08-16 03:19:43.448883 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:19:39.676994 | 2025-08-16 03:19:41.479052 | 11059585 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059585_ff639008-db54-4109-b125-8b07898f48d6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11059585_f013a800-1b53-4603-9baa-eba0e5fd58da.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | 10826088 | N/A | 4215193 | 2025-08-16 03:19:41.479052 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:19:34.887509 | 2025-08-16 03:19:39.670863 | 11059581 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059581_181aa97d-3766-4ba5-997c-cdfcc2254a3e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-08-16 03:19:39.670863 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:19:32.630670 | 2025-08-16 03:19:34.472269 | 11059579 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059579_abf07bce-a93e-46e4-a1d7-ce407533cee7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11059579_e3c623c2-5290-4fe6-ab0a-1f8c7d50c1bc.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | 10826081 | N/A | 4215193 | 2025-08-16 03:19:34.472269 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:19:30.969773 | 2025-08-16 03:19:32.628028 | 11059576 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059576_6b1ba1c5-39e7-4b04-97af-a3656d2c04e6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-08-16 03:19:32.628028 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:19:28.793482 | 2025-08-16 03:19:30.569569 | 11059572 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059572_81fa19ed-2961-4460-a7a8-d1a7d7591805.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11059572_93981137-2574-40ae-bc82-b1b35e75569a.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | 10826075 | N/A | 4215193 | 2025-08-16 03:19:30.569569 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:19:27.215945 | 2025-08-16 03:19:28.790314 | 11059569 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059569_fd088ae3-ddd6-4872-bcef-069bf61532dd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-08-16 03:19:28.790314 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:19:24.719741 | 2025-08-16 03:19:26.705061 | 11059565 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059565_32f1adaa-6cf7-4f77-a219-d365b8ade84a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11059565_688b22b4-6ab8-46f2-8056-9c9d13fcbb55.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | 10826068 | N/A | 4215193 | 2025-08-16 03:19:26.705061 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:19:22.977120 | 2025-08-16 03:19:24.714311 | 11059563 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059563_7ec52cb0-df4f-439c-9ae4-0906aa8ca2ae.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-08-16 03:19:24.714311 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:19:20.576169 | 2025-08-16 03:19:22.358251 | 11059560 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059560_74f1be00-3f00-4220-9e26-5269a842f3ba.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_11059560_3067091e-38cb-43f4-be72-0e668b10a8a3.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | 10826062 | N/A | 4215193 | 2025-08-16 03:19:22.358251 | 2026-01-16 04:38:12.725481 |
| 2025-08-16 03:19:18.307113 | 2025-08-16 03:19:20.572829 | 11059557 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2025-06-06 | N/A | PT | AE | 2630 | SANKOVICH | 00000375069 | DEBORAH A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_11059557_91a4c871-76db-4d98-81d2-40bb8f0d8075.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2025-08-16 03:19:20.572829 | 2026-01-16 04:38:12.725481 |
| 2025-08-15 22:46:00.877197 | 2025-08-15 22:46:02.609902 | 11059086 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-07-16 | 2025-08-15 | F | PT | N/A | 4185 | POWELL | 61910259101 | WHITNEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540983/check_11059086_9c0b0623-9da0-4e4f-8ffc-f799b844a63e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540983/check_11059086_736bab6c-33eb-4db5-8558-d150710f8c94.json | N/A | N/A | N/A | N/A | N/A | 61910259101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2001-07-16 | N/A | N/A | N/A | N/A | false | POWELL | N/A | WHITNEY | 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 | 9482 | N/A | 5540983 | 2222 | N/A | 10810447 | N/A | 4213053 | 2025-08-15 22:46:02.609902 | 2025-08-05 22:50:43.277345 |
| 2025-08-15 22:45:58.252259 | 2025-08-15 22:46:00.875276 | 11059084 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-07-16 | 2025-08-15 | F | PT | N/A | 4185 | POWELL | 61910259101 | WHITNEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540983/check_11059084_d3926612-8847-42d9-befa-2cf92b6d7511.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | N/A | N/A | N/A | N/A | N/A | N/A | 61910259101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2001-07-16 | N/A | N/A | N/A | N/A | false | POWELL | N/A | WHITNEY | 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 | 9482 | N/A | 5540983 | 2222 | N/A | N/A | N/A | 4213053 | 2025-08-15 22:46:00.875276 | 2025-08-05 22:50:43.277345 |
| 2025-08-15 22:28:53.868018 | 2025-08-15 22:28:55.600881 | 11059024 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-05-11 | 2025-08-15 | F | PT | N/A | 4185 | GALLO-LUNA | CQP005A55866 | MARITZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550838/check_11059024_ae37f013-4a49-4e69-b845-c535cdf9e244.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550838/check_11059024_75d038e3-ef66-45cb-b432-4f1d9ea6a1b5.json | N/A | N/A | N/A | N/A | N/A | CQP005A55866 | Preferred Provider Organization (PPO) | CENTENE CORPORATION | ANTHEM BLUE CROSS | N/A | 1975-05-11 | 241 | 230043M21A | N/A | PR | false | GALLO-LUNA | N/A | MARITZA | N/A | 9999-12-31 | 2025-01-01 | CDHP MISSOURI HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8562313265 | 161267 | N/A | 5550838 | 2222 | N/A | 10810386 | N/A | 4219709 | 2025-08-15 22:28:55.600881 | 2025-05-13 04:29:37.230752 |
| 2025-08-15 22:28:52.195900 | 2025-08-15 22:28:53.865890 | 11059023 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-05-11 | 2025-08-15 | F | PT | N/A | 4185 | GALLO LUNA | CQP005A55866 | MARITZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550838/check_11059023_9972cf8f-a865-4d4c-972c-3adbf2e94f0a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | N/A | N/A | N/A | N/A | N/A | N/A | CQP005A55866 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-05-11 | N/A | N/A | N/A | N/A | false | GALLO LUNA | N/A | MARITZA | 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 | 161267 | N/A | 5550838 | 2222 | N/A | N/A | N/A | 4219709 | 2025-08-15 22:28:53.865890 | 2025-05-13 04:29:37.230752 |
| 2025-08-15 22:27:15.612218 | 2025-08-15 22:27:18.498489 | 11059013 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-05-11 | 2025-08-15 | F | PT | AE | 4185 | GALLO-LUNA | CQP005A55866 | MARITZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550838/check_11059013_4a5f12d5-d06a-4ae8-9b5c-a8a388b1db26.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550838/check_11059013_40700efc-2416-445c-90d3-4fcc1bbfde00.json | N/A | N/A | N/A | N/A | N/A | CQP005A55866 | Preferred Provider Organization (PPO) | CENTENE CORPORATION | ANTHEM BLUE CROSS | N/A | 1975-05-11 | 241 | 230043M21A | N/A | PR | false | GALLO-LUNA | N/A | MARITZA | N/A | 9999-12-31 | 2025-01-01 | CDHP MISSOURI HEALTH SAVINGS ACCOUNT | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8562307188 | 161267 | N/A | 5550838 | 2222 | N/A | 10810375 | N/A | 4219709 | 2025-08-15 22:27:18.498489 | 2025-05-13 04:29:37.230752 |
| 2025-08-15 22:27:09.902427 | 2025-08-15 22:27:15.605889 | 11059012 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-05-11 | 2025-08-15 | F | PT | AE | 4185 | GALLO LUNA | CQP005A55866 | MARITZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550838/check_11059012_fd91bc2c-e159-4328-92ad-98c898e9b2e3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | N/A | N/A | N/A | N/A | N/A | N/A | CQP005A55866 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-05-11 | N/A | N/A | N/A | N/A | false | GALLO LUNA | N/A | MARITZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 5550838 | 2222 | N/A | N/A | N/A | 4219709 | 2025-08-15 22:27:15.605889 | 2025-05-13 04:29:37.230752 |
| 2025-08-15 22:12:44.911062 | 2025-08-15 22:12:58.787932 | 11058906 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-08-22 | M | AE | PT | 6411 | STEIN | 317801190311 | DONALD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538579/check_11058906_8ebbc7bf-01d3-46bc-b6c9-19277bbfca7e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538579/check_11058906_3720df02-bbff-4033-8378-4daeb652ea55.json | N/A | N/A | N/A | N/A | N/A | 67685201 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1943-07-22 | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5538579 | 2222 | N/A | 10810275 | N/A | 4210984 | 2025-08-15 22:12:58.787932 | 2025-08-15 17:42:50.500189 |
| 2025-08-15 22:12:41.291257 | 2025-08-15 22:12:44.908495 | 11058904 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-08-22 | M | AE | PT | 6411 | STEIN | 317801190311 | DONALD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538579/check_11058904_a38db9f7-1559-4e94-8c58-7472314f9cd9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-22 | N/A | N/A | N/A | N/A | N/A | N/A | 67685201 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1943-07-22 | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5538579 | 2222 | N/A | N/A | N/A | 4210984 | 2025-08-15 22:12:44.908495 | 2025-08-15 17:42:50.500189 |
| 2025-08-15 22:12:39.796859 | 2025-08-15 22:12:41.289025 | 11058903 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-08-22 | M | AE | PT | N/A | STEIN | 317801190311 | DONALD | N/A | UHC | N/A | INSIGHTS | 2025-08-22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5538579 | 2222 | N/A | N/A | N/A | 4210984 | 2025-08-15 22:12:41.289025 | 2025-08-15 17:42:50.500189 |
| 2025-08-15 22:11:21.577746 | 2025-08-15 22:11:23.311531 | 11058876 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-08-22 | M | AE | PT | 3842 | STEIN | 317801190311 | DONALD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538579/check_11058876_3d20b868-0513-455b-83d3-5a0f9f46fae7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538579/check_11058876_32987569-3c25-4816-bffa-36947e73df5a.json | N/A | N/A | N/A | N/A | N/A | 317801190311 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1943-07-22 | N/A | N/A | N/A | N/A | false | STEIN | N/A | DONALD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5538579 | 2222 | N/A | 10810246 | N/A | 4210984 | 2025-08-15 22:11:23.311531 | 2025-08-15 17:42:50.500189 |
| 2025-08-15 22:11:11.748612 | 2025-08-15 22:11:21.575328 | 11058874 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-08-22 | M | AE | PT | 3842 | STEIN | 317801190311 | DONALD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538579/check_11058874_7fe34825-ed55-42b9-bc51-69def211b169.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-22 | N/A | N/A | N/A | N/A | N/A | N/A | 317801190311 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1943-07-22 | N/A | N/A | N/A | N/A | false | STEIN | N/A | DONALD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5538579 | 2222 | N/A | N/A | N/A | 4210984 | 2025-08-15 22:11:21.575328 | 2025-08-15 17:42:50.500189 |
| 2025-08-15 22:08:29.037382 | 2025-08-15 22:08:30.874048 | 11058852 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-03-24 | 2025-08-18 | F | AE | PT | 4497 | STOPSKY | 2PX4AH7PT91 | LIDIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540229/check_11058852_4a0f371a-2ffe-4e31-b005-bff985a5d512.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540229/check_11058852_e993b877-e7b3-44fb-8c01-4ed4fd6c012d.json | N/A | N/A | N/A | N/A | N/A | 2PX4AH7PT91 | N/A | N/A | CMS | N/A | 1937-03-24 | N/A | N/A | N/A | N/A | false | STOPSKY | N/A | LIDIA | 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 | 5540229 | 2222 | N/A | 10810222 | N/A | 4212423 | 2025-08-15 22:08:30.874048 | 2025-05-13 04:29:37.226755 |
| 2025-08-15 22:08:27.466257 | 2025-08-15 22:08:29.033718 | 11058851 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-03-24 | 2025-08-18 | F | AE | PT | 4497 | STOPSKY | 2PX4AH7PT91 | LIDIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540229/check_11058851_0e9ef93b-8597-4b51-a250-77b66e08c479.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-18 | N/A | N/A | N/A | N/A | N/A | N/A | 2PX4AH7PT91 | N/A | N/A | CMS | N/A | 1937-03-24 | N/A | N/A | N/A | N/A | false | STOPSKY | N/A | LIDIA | 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 | 5540229 | 2222 | N/A | N/A | N/A | 4212423 | 2025-08-15 22:08:29.033718 | 2025-05-13 04:29:37.226755 |
| 2025-08-15 21:59:58.998341 | 2025-08-15 22:00:00.848324 | 11058758 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-10-12 | 2025-08-18 | F | AE | PT | 6411 | HUNTER | 90709689A | DONNA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6226287/check_11058758_c1fae645-4725-4f2d-85dd-d2e158a2f61e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6226287/check_11058758_ea22a48b-7fcc-4693-b6ee-8a046e96a643.json | N/A | N/A | N/A | N/A | N/A | 90709689A | N/A | N/A | UNITEDHEALTHCARE | N/A | 1968-10-12 | N/A | N/A | N/A | N/A | false | HUNTER | N/A | DONNA | 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 | 6226287 | 2222 | N/A | 10810130 | N/A | 4873813 | 2025-08-15 22:00:00.848324 | 2025-08-26 16:53:16.253156 |
| 2025-08-15 21:59:57.248547 | 2025-08-15 21:59:58.989169 | 11058757 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-10-12 | 2025-08-18 | F | AE | PT | 6411 | HUNTER | 90709689A | DONNA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6226287/check_11058757_bb884643-c6fa-44af-9040-48d521f76fed.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-18 | N/A | N/A | N/A | N/A | N/A | N/A | 90709689A | N/A | N/A | UNITEDHEALTHCARE | N/A | 1968-10-12 | N/A | N/A | N/A | N/A | false | HUNTER | N/A | DONNA | 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 | 6226287 | 2222 | N/A | N/A | N/A | 4873813 | 2025-08-15 21:59:58.989169 | 2025-08-26 16:53:16.253156 |
| 2025-08-15 21:59:55.653022 | 2025-08-15 21:59:57.245657 | 11058755 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-10-12 | 2025-08-18 | F | AE | PT | N/A | HUNTER | 90709689A | DONNA | N/A | UHC | N/A | INSIGHTS | 2025-08-18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 6226287 | 2222 | N/A | N/A | N/A | 4873813 | 2025-08-15 21:59:57.245657 | 2025-08-26 16:53:16.253156 |
| 2025-08-15 21:49:12.957964 | 2025-08-15 21:49:16.738074 | 11058718 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-08-15 | M | AE | PT | 6411 | STEIN | 3178011903-11 | DONALD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538579/check_11058718_a14fcf69-8d80-4287-b8b6-1c603480bd37.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538579/check_11058718_d00cdccd-f61c-40a4-add0-61933841c060.json | N/A | N/A | N/A | N/A | N/A | 67685201 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1943-07-22 | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | 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 | 5538579 | 2222 | N/A | 10810093 | N/A | 4210984 | 2025-08-15 21:49:16.738074 | 2025-08-15 17:42:50.500189 |
| 2025-08-15 21:49:04.312413 | 2025-08-15 21:49:12.954482 | 11058716 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-08-15 | M | AE | PT | 6411 | STEIN | 3178011903-11 | DONALD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538579/check_11058716_d919fc57-8584-4a29-943a-bb4912443fd4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | N/A | N/A | N/A | N/A | N/A | N/A | 67685201 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1943-07-22 | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | 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 | 5538579 | 2222 | N/A | N/A | N/A | 4210984 | 2025-08-15 21:49:12.954482 | 2025-08-15 17:42:50.500189 |
| 2025-08-15 21:49:02.488750 | 2025-08-15 21:49:04.310184 | 11058715 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-08-15 | M | AE | PT | N/A | STEIN | 3178011903-11 | DONALD | N/A | UHC | N/A | INSIGHTS | 2025-08-15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5538579 | 2222 | N/A | N/A | N/A | 4210984 | 2025-08-15 21:49:04.310184 | 2025-08-15 17:42:50.500189 |
| 2025-08-15 20:00:38.261985 | 2025-08-15 20:00:40.022293 | 11058272 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-08-06 | 2025-08-15 | F | PT | N/A | 4191 | TREADWELL | XEA913799731 | LORRAINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6916203/check_11058272_8bddd4f1-dea6-48fa-9460-867db7665955.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6916203/check_11058272_7933ff4b-c94b-43eb-973e-70e254b59e76.json | N/A | N/A | N/A | N/A | N/A | XAN913799731 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1963-08-06 | 1477PPOX0002 | W0051411 | N/A | PR | false | TREADWELL | N/A | LORRAINE | 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 | 8561633367 | N/A | N/A | 6916203 | 2222 | N/A | 10809625 | N/A | 5947437 | 2025-08-15 20:00:40.022293 | 2025-08-15 04:38:01.128159 |
| 2025-08-15 20:00:25.225065 | 2025-08-15 20:00:26.994159 | 11058271 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-08-06 | 2025-08-15 | F | PT | N/A | 4191 | TREADWELL | XEA913799731 | LORRAINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6916203/check_11058271_abd7c801-4cd4-4408-b008-2d4812365d52.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6916203/check_11058271_10091665-ce2f-453f-b7b9-d1ea26b3531e.json | N/A | N/A | N/A | N/A | N/A | XAN913799731 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1963-08-06 | 1477PPOX0002 | W0051411 | N/A | PR | false | TREADWELL | N/A | LORRAINE | 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 | 8561632231 | N/A | N/A | 6916203 | 2222 | N/A | 10809624 | N/A | 5947437 | 2025-08-15 20:00:26.994159 | 2025-08-15 04:38:01.128159 |
| 2025-08-15 20:00:01.500886 | 2025-08-15 20:00:03.336212 | 11058270 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-08-06 | 2025-08-15 | F | PT | N/A | 4191 | TREADWELL | XEA913799731 | LORRAINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6916203/check_11058270_f6ef684a-a080-4dad-a914-c2d86f5d981c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6916203/check_11058270_62d9cc6a-d71f-44cb-8939-4ae9f166b8db.json | N/A | N/A | N/A | N/A | N/A | XAN913799731 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1963-08-06 | 1477PPOX0002 | W0051411 | N/A | PR | false | TREADWELL | N/A | LORRAINE | 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 | 8561630041 | N/A | N/A | 6916203 | 2222 | N/A | 10809623 | N/A | 5947437 | 2025-08-15 20:00:03.336212 | 2025-08-15 04:38:01.128159 |
| 2025-08-15 19:58:47.130384 | 2025-08-15 19:58:48.955194 | 11058265 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-08-06 | 2025-08-15 | F | PT | N/A | 4191 | TREADWELL | XEA913799731 | LORRAINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6916203/check_11058265_b5d3d13d-7370-4c5e-aec5-da4218b75dcb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6916203/check_11058265_ab2f5868-e066-4426-8eac-39ca2c9f6e58.json | N/A | N/A | N/A | N/A | N/A | XAN913799731 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1963-08-06 | 1477PPOX0002 | W0051411 | N/A | PR | false | TREADWELL | N/A | LORRAINE | 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 | 8561623154 | N/A | N/A | 6916203 | 2222 | N/A | 10809618 | N/A | 5947437 | 2025-08-15 19:58:48.955194 | 2025-08-15 04:38:01.128159 |
| 2025-08-15 19:58:33.686320 | 2025-08-15 19:58:35.366365 | 11058264 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-08-06 | 2025-08-15 | F | PT | N/A | 4191 | TREADWELL | XEA913799731 | LORRAINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6916203/check_11058264_27bfd3fc-1754-45f4-abaa-dbe8c49be246.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6916203/check_11058264_4af38186-1e6a-4dd2-8d1d-cdf1f4aa5fe4.json | N/A | N/A | N/A | N/A | N/A | XAN913799731 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1963-08-06 | 1477PPOX0002 | W0051411 | N/A | PR | false | TREADWELL | N/A | LORRAINE | 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 | 8561621971 | N/A | N/A | 6916203 | 2222 | N/A | 10809617 | N/A | 5947437 | 2025-08-15 19:58:35.366365 | 2025-08-15 04:38:01.128159 |
| 2025-08-15 19:58:16.543007 | 2025-08-15 19:58:18.392326 | 11058260 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-08-06 | 2025-08-15 | F | PT | N/A | 4191 | TREADWELL | XEA913799731 | LORRAINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6916203/check_11058260_bfa26aa6-4c0e-4872-935a-6674abec4547.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6916203/check_11058260_00698b9f-abed-464f-b70b-f637c6e599ce.json | N/A | N/A | N/A | N/A | N/A | XAN913799731 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1963-08-06 | 1477PPOX0002 | W0051411 | N/A | PR | false | TREADWELL | N/A | LORRAINE | 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 | 8561620438 | N/A | N/A | 6916203 | 2222 | N/A | 10809613 | N/A | 5947437 | 2025-08-15 19:58:18.392326 | 2025-08-15 04:38:01.128159 |
| 2025-08-15 19:58:06.480688 | 2025-08-15 19:58:08.316327 | 11058259 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-08-06 | 2025-08-15 | F | PT | N/A | 4191 | TREADWELL | XEA913799731 | LORRAINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6916203/check_11058259_ac06ddf3-fc2c-4990-a0bc-41a9f7859468.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6916203/check_11058259_184411af-3133-4613-9947-6c9010126fb1.json | N/A | N/A | N/A | N/A | N/A | XAN913799731 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1963-08-06 | 1477PPOX0002 | W0051411 | N/A | PR | false | TREADWELL | N/A | LORRAINE | 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 | 8561619490 | N/A | N/A | 6916203 | 2222 | N/A | 10809612 | N/A | 5947437 | 2025-08-15 19:58:08.316327 | 2025-08-15 04:38:01.128159 |
| 2025-08-15 19:57:43.798242 | 2025-08-15 19:57:45.600811 | 11058256 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-08-06 | 2025-08-15 | F | PT | N/A | 4191 | TREADWELL | XEA913799731 | LORRAINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6916203/check_11058256_c55bb576-552e-4c64-a1cd-482ec10d6140.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6916203/check_11058256_21744839-f3e4-45e4-8743-4e4272f52fd0.json | N/A | N/A | N/A | N/A | N/A | XAN913799731 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1963-08-06 | 1477PPOX0002 | W0051411 | N/A | PR | false | TREADWELL | N/A | LORRAINE | 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 | 8561617659 | N/A | N/A | 6916203 | 2222 | N/A | 10809609 | N/A | 5947437 | 2025-08-15 19:57:45.600811 | 2025-08-15 04:38:01.128159 |
| 2025-08-15 18:37:36.786307 | 2025-08-15 18:37:41.450340 | 11057654 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-08-02 | 2025-08-15 | M | AE | PT | N/A | HILTSER | 2086169-01 | LORNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8048052/check_11057654_73d058d3-ca5b-4387-aa71-61dca0af2b2b.json | UHC | N/A | INSIGHTS | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048052/check_11057654_2a72ae3f-e20a-4596-a9a0-ab0b37eb3e03.json | N/A | N/A | N/A | N/A | N/A | 208616901 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1980-08-02 | N/A | 265486 | N/A | N/A | false | HILTSER | N/A | LORNE | 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 | 8048052 | 2222 | N/A | 10809020 | N/A | 6844134 | 2025-08-15 18:37:41.450340 | 2025-08-29 16:18:21.978739 |
| 2025-08-15 17:52:14.811952 | 2025-08-15 17:52:16.507794 | 11057365 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-08-02 | 2025-08-15 | M | AE | PT | 23298 | HILTSER | 2086169-01 | LORNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8048052/check_11057365_c78a042d-43ec-411f-9f8f-cb261fc1caea.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048052/check_11057365_db895efd-1042-48ec-8a0d-a6c469d75960.json | N/A | N/A | N/A | N/A | N/A | 2086169-01 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1980-08-02 | N/A | N/A | N/A | N/A | false | HILTSER | N/A | LORNE | 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 | 8048052 | 2222 | N/A | 10808746 | N/A | 6844134 | 2025-08-15 17:52:16.507794 | 2025-08-29 16:18:21.978739 |
| 2025-08-15 17:52:13.136677 | 2025-08-15 17:52:14.808714 | 11057364 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-08-02 | 2025-08-15 | M | AE | PT | 23298 | HILTSER | 2086169-01 | LORNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/8048052/check_11057364_2cf18fcc-6f94-4460-8ce0-a2ab715470ae.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | N/A | N/A | N/A | N/A | N/A | N/A | 2086169-01 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1980-08-02 | N/A | N/A | N/A | N/A | false | HILTSER | N/A | LORNE | 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 | 8048052 | 2222 | N/A | N/A | N/A | 6844134 | 2025-08-15 17:52:14.808714 | 2025-08-29 16:18:21.978739 |
| 2025-08-15 17:15:51.374257 | 2025-08-15 17:15:53.208490 | 11057071 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-09-27 | 2025-08-15 | F | AE | PT | 4497 | THOMSEN | 9K20UN5RX19 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537950/check_11057071_4dd345f3-5e55-43f2-a3ff-680ff9e5c9be.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537950/check_11057071_f54938a3-da8a-47b8-8789-cc0f2f700889.json | N/A | N/A | N/A | N/A | N/A | 9K20UN5RX19 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-27 | S4802 | N/A | N/A | MB | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8560526584 | N/A | N/A | 5537950 | 2222 | N/A | 10808459 | N/A | 4210450 | 2025-08-15 17:15:53.208490 | 2026-05-04 21:51:25.248197 |