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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-28 16:47:09.087235 | 2025-05-28 16:47:11.250018 | 8348794 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-03-04 | 2025-05-29 | M | PT | AE | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550751/check_8348794_7eac4bbd-b864-42ff-9b34-1ae1cc716310.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | 00000223568 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-03-04 | N/A | N/A | N/A | N/A | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 5550751 | 2222 | N/A | N/A | N/A | 4219640 | 2025-05-28 16:47:11.250018 | 2025-05-13 04:29:37.230682 |
| 2025-05-28 16:43:23.234504 | 2025-05-28 16:43:28.626357 | 8348786 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-03-04 | 2025-05-29 | M | PT | AE | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550751/check_8348786_bfce2b95-974b-4527-b763-278bba700b43.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_8348786_5ef83cf6-b1ad-4ee7-8ba4-6d74fcd3ebbe.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-03-04 | N/A | N/A | N/A | N/A | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 5550751 | 2222 | N/A | 8035067 | N/A | 4219640 | 2025-05-28 16:43:28.626357 | 2025-05-13 04:29:37.230682 |
| 2025-05-28 16:43:21.232438 | 2025-05-28 16:43:23.222915 | 8348785 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-03-04 | 2025-05-29 | M | PT | AE | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550751/check_8348785_4598bcce-7103-4f38-8f68-f287ae28b7eb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | 00000223568 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-03-04 | N/A | N/A | N/A | N/A | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 5550751 | 2222 | N/A | N/A | N/A | 4219640 | 2025-05-28 16:43:23.222915 | 2025-05-13 04:29:37.230682 |
| 2025-05-28 09:06:54.728430 | 2025-05-29 02:02:52.572263 | 8342711 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8342711 | Athletic Physical Therapy Inc | 1980-08-15 | 2025-05-29 | F | PT | N/A | SNELL | U9444034101 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250528.141031183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537747/check_8342711_9b28b7b1-717d-4d28-bab0-7946c7fb6745.json | N/A | N/A | N/A | N/A | N/A | U9444034101 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1980-08-15 | N/A | N/A | N/A | N/A | false | SNELL | N/A | NICOLE | 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 | 5537747 | 2222 | 4802 | 8039728 | N/A | 4210260 | 2025-05-29 02:02:52.572263 | 2025-05-13 04:29:37.224672 |
| 2025-05-28 09:05:38.962521 | 2025-05-29 02:03:58.651429 | 8342047 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | 8342047 | Athletic Physical Therapy Inc | 1959-01-15 | 2025-05-30 | F | PT | AE | LEPAGE | 00024069501 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250528.141145400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676393/check_8342047_ddd8eef2-5697-4ea7-b379-ba1642e0eec1.json | N/A | N/A | N/A | N/A | N/A | 00024069501 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 1959-01-15 | N/A | N/A | N/A | N/A | false | LEPAGE | N/A | LISA | 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 | 5676393 | 2222 | 4801 | 8039854 | N/A | 4343451 | 2025-05-29 02:03:58.651429 | 2025-05-13 04:29:37.230929 |
| 2025-05-28 09:04:24.744365 | 2025-05-29 02:03:57.386130 | 8340973 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | 8340973 | Athletic Physical Therapy Inc | 1984-04-05 | 2025-05-29 | M | PT | AE | HENLEY | 00025667702 | NICHOLAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250528.141145400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551011/check_8340973_4e5a66a4-a6d5-4ec3-b344-d5229388f06b.json | N/A | N/A | N/A | N/A | N/A | 00025667702 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 1984-04-05 | N/A | N/A | N/A | N/A | false | HENLEY | N/A | NICHOLAS | 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 | 5551011 | 2222 | 4801 | 8039851 | N/A | 4219836 | 2025-05-29 02:03:57.386130 | 2025-05-13 04:29:37.230881 |
| 2025-05-28 04:59:10.157986 | 2025-05-28 04:59:13.218526 | 8337494 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-08-15 | 2025-05-29 | F | PT | N/A | SNELL | U9444034101 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537747/check_8337494_14a2c8a1-e6e6-434e-9f67-34e340199b06.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537747/check_8337494_ff15f445-e3a8-46cb-a95c-c5dcd633f11b.json | N/A | N/A | N/A | N/A | N/A | U9444034101 | N/A | N/A | CENTENE CORPORATION | N/A | 1980-08-15 | N/A | N/A | N/A | N/A | false | SNELL | N/A | NICOLE | N/A | N/A | N/A | CA SILVER 87 HMO - ON EXCHANGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5537747 | 2222 | N/A | 8028409 | N/A | 4210260 | 2025-05-28 04:59:13.218526 | 2025-05-13 04:29:37.224672 |
| 2025-05-28 04:57:12.411875 | 2025-05-28 04:57:14.203876 | 8337493 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-08-15 | 2025-05-29 | F | PT | N/A | SNELL | U9444034101 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537747/check_8337493_04505377-75f0-44d6-8551-90ce7441317e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537747/check_8337493_1128ecd5-2fe8-471f-a6e9-c44c908b8cf4.json | N/A | N/A | N/A | N/A | N/A | U9444034101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-08-15 | N/A | N/A | N/A | N/A | false | SNELL | N/A | NICOLE | 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 | 5831 | N/A | 5537747 | 2222 | N/A | 8028408 | N/A | 4210260 | 2025-05-28 04:57:14.203876 | 2025-05-13 04:29:37.224672 |
| 2025-05-28 04:56:11.582931 | 2025-05-28 04:57:12.407717 | 8337492 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-08-15 | 2025-05-29 | F | PT | N/A | SNELL | U9444034101 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537747/check_8337492_e4c1f1b7-48f6-4a67-91d6-85e6952ff7da.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | U9444034101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1980-08-15 | N/A | N/A | N/A | N/A | false | SNELL | N/A | NICOLE | 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 | 5831 | N/A | 5537747 | 2222 | N/A | N/A | N/A | 4210260 | 2025-05-28 04:57:12.407717 | 2025-05-13 04:29:37.224672 |
| 2025-05-28 04:55:37.624966 | 2025-05-28 04:55:42.439184 | 8337491 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-08-15 | 2025-05-29 | F | PT | N/A | SNELL | U9444034101 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537747/check_8337491_c459e540-243b-4395-a3c5-51c417b746cd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537747/check_8337491_e59a99d7-62ea-4b53-9eb6-803c17b21f0c.json | N/A | N/A | N/A | N/A | N/A | U9444034101 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | N/A | N/A | N/A | N/A | false | SNELL | N/A | NICOLE | 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 | 5831 | N/A | 5537747 | 2222 | N/A | 8028406 | N/A | 4210260 | 2025-05-28 04:55:42.439184 | 2025-05-13 04:29:37.224672 |
| 2025-05-28 04:55:35.787864 | 2025-05-28 04:55:37.621869 | 8337490 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-08-15 | 2025-05-29 | F | PT | N/A | SNELL | U9444034101 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537747/check_8337490_c26170dd-0273-4c0e-86f9-53331432c82f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | U9444034101 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | N/A | N/A | N/A | N/A | false | SNELL | N/A | NICOLE | 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 | 5831 | N/A | 5537747 | 2222 | N/A | N/A | N/A | 4210260 | 2025-05-28 04:55:37.621869 | 2025-05-13 04:29:37.224672 |
| 2025-05-28 04:55:12.823416 | 2025-05-28 04:55:14.630426 | 8337489 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-08-15 | 2025-05-29 | F | PT | N/A | SNELL | U9444034101 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537747/check_8337489_900da7e7-9ac9-453f-9999-8e1945caac52.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537747/check_8337489_3691c5e0-528d-4beb-87f3-f47122be2391.json | N/A | N/A | N/A | N/A | N/A | U9444034101 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | N/A | N/A | N/A | N/A | false | SNELL | N/A | NICOLE | 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 | 5831 | N/A | 5537747 | 2222 | N/A | 8028404 | N/A | 4210260 | 2025-05-28 04:55:14.630426 | 2025-05-13 04:29:37.224672 |
| 2025-05-28 04:55:03.922797 | 2025-05-28 04:55:12.821342 | 8337488 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-08-15 | 2025-05-29 | F | PT | N/A | SNELL | U9444034101 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537747/check_8337488_c6458a92-9e64-4ef8-af79-2b1ddeb16874.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | U9444034101 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | N/A | N/A | N/A | N/A | false | SNELL | N/A | NICOLE | 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 | 5831 | N/A | 5537747 | 2222 | N/A | N/A | N/A | 4210260 | 2025-05-28 04:55:12.821342 | 2025-05-13 04:29:37.224672 |
| 2025-05-28 04:34:00.716661 | 2025-05-28 04:34:02.537519 | 8337487 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-03-21 | 2025-05-27 | F | PT | AE | WEBB | 041M7788320 | ALICE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542904/check_8337487_fc6bfa1e-44ac-4d58-b0a4-5542b9ef4fd4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542904/check_8337487_192336eb-5d2b-4815-9ece-79554bfc1ccd.json | N/A | N/A | N/A | N/A | N/A | 041M7788320 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1944-03-21 | N/A | N/A | N/A | N/A | false | WEBB | N/A | ALICE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542904 | 2222 | N/A | 8028402 | N/A | 4214765 | 2025-05-28 04:34:02.537519 | 2025-05-13 04:29:37.229089 |
| 2025-05-28 04:33:56.058124 | 2025-05-28 04:34:00.713610 | 8337486 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-03-21 | 2025-05-27 | F | PT | AE | WEBB | 041M7788320 | ALICE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542904/check_8337486_06996026-2de1-406e-8207-91fd4e781861.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-27 | N/A | N/A | N/A | N/A | N/A | N/A | 041M7788320 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1944-03-21 | N/A | N/A | N/A | N/A | false | WEBB | N/A | ALICE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542904 | 2222 | N/A | N/A | N/A | 4214765 | 2025-05-28 04:34:00.713610 | 2025-05-13 04:29:37.229089 |
| 2025-05-28 01:30:05.940759 | 2025-05-28 01:30:07.770633 | 8336504 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-05-30 | U | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676359/check_8336504_36d3779e-14c5-4aa3-83f3-2a71f8ce737b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676359/check_8336504_5cc53000-f874-4cf0-93ee-b84a6e0c3f84.json | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5676359 | 2222 | N/A | 8020402 | N/A | 4214980 | 2025-05-28 01:30:07.770633 | 2025-05-31 23:59:39.365475 |
| 2025-05-28 01:30:04.191616 | 2025-05-28 01:30:05.937059 | 8336503 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-16 | 2025-05-30 | U | PT | AE | TAMAYO | 559A6815540 | ERENDIRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676359/check_8336503_29452ebb-3d92-44bc-b2a8-27579f6f88dd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 559A6815540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1980-09-16 | N/A | N/A | N/A | N/A | false | TAMAYO | N/A | ERENDIRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5676359 | 2222 | N/A | N/A | N/A | 4214980 | 2025-05-28 01:30:05.937059 | 2025-05-31 23:59:39.365475 |
| 2025-05-28 01:25:40.122796 | 2025-05-28 01:25:41.980955 | 8336500 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-17 | 2025-05-30 | F | PT | AE | MARCUS | 6WF2KC0GC14 | LISSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542313/check_8336500_5b81c4e8-dcb4-4fee-85a8-044200856e66.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542313/check_8336500_0e52f4f9-a877-40e4-a854-ef8c65c89495.json | N/A | N/A | N/A | N/A | N/A | 6WF2KC0GC14 | N/A | N/A | CMS | N/A | 1953-03-17 | N/A | N/A | N/A | N/A | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542313 | 2222 | N/A | 8020398 | N/A | 4214241 | 2025-05-28 01:25:41.980955 | 2025-05-13 04:29:37.228574 |
| 2025-05-28 01:25:37.332146 | 2025-05-28 01:25:40.116500 | 8336499 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-17 | 2025-05-30 | F | PT | AE | MARCUS | 6WF2KC0GC14 | LISSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542313/check_8336499_a8fa8291-173f-490c-9e6e-68cf82313bf7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 6WF2KC0GC14 | N/A | N/A | CMS | N/A | 1953-03-17 | N/A | N/A | N/A | N/A | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542313 | 2222 | N/A | N/A | N/A | 4214241 | 2025-05-28 01:25:40.116500 | 2025-05-13 04:29:37.228574 |
| 2025-05-28 01:14:52.652036 | 2025-05-28 01:14:54.403208 | 8336479 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-08-15 | 2025-05-29 | F | PT | N/A | SNELL | U9444034101 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537747/check_8336479_2e74e1f8-983a-44bc-8658-428f3c8112fd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537747/check_8336479_9d5cb7f0-8d23-404c-a634-c9aadf897bd0.json | N/A | N/A | N/A | N/A | N/A | U9444034101 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1980-08-15 | N/A | N/A | N/A | N/A | false | SNELL | N/A | NICOLE | 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 | 7927 | N/A | 5537747 | 2222 | N/A | 8020376 | N/A | 4210260 | 2025-05-28 01:14:54.403208 | 2025-05-13 04:29:37.224672 |
| 2025-05-28 01:14:50.988721 | 2025-05-28 01:14:52.649084 | 8336477 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-08-15 | 2025-05-29 | F | PT | N/A | SNELL | U9444034101 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537747/check_8336477_cbd7093e-8f4b-4b7d-a5c5-9d82a3668fc4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | U9444034101 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1980-08-15 | N/A | N/A | N/A | N/A | false | SNELL | N/A | NICOLE | 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 | 7927 | N/A | 5537747 | 2222 | N/A | N/A | N/A | 4210260 | 2025-05-28 01:14:52.649084 | 2025-05-13 04:29:37.224672 |
| 2025-05-28 01:09:51.767940 | 2025-05-28 01:09:53.538658 | 8336466 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-08-15 | 2025-05-29 | F | PT | N/A | SNELL | U9444034101 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537747/check_8336466_009dce60-bd54-4c8f-bc89-85597cf22cf4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537747/check_8336466_5be8594d-6418-4b10-b643-dd52921da96d.json | N/A | N/A | N/A | N/A | N/A | U9444034101 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1980-08-15 | N/A | N/A | N/A | N/A | false | SNELL | N/A | NICOLE | 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 | 7927 | N/A | 5537747 | 2222 | N/A | 8020364 | N/A | 4210260 | 2025-05-28 01:09:53.538658 | 2025-05-13 04:29:37.224672 |
| 2025-05-28 01:09:50.137010 | 2025-05-28 01:09:51.765762 | 8336465 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-08-15 | 2025-05-29 | F | PT | N/A | SNELL | U9444034101 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537747/check_8336465_13d3a486-fbc7-4c82-b83f-0ad617d5bcfc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | N/A | N/A | N/A | N/A | N/A | N/A | U9444034101 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1980-08-15 | N/A | N/A | N/A | N/A | false | SNELL | N/A | NICOLE | 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 | 7927 | N/A | 5537747 | 2222 | N/A | N/A | N/A | 4210260 | 2025-05-28 01:09:51.765762 | 2025-05-13 04:29:37.224672 |
| 2025-05-27 22:04:18.414280 | 2025-05-27 22:04:21.220620 | 8335255 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-08-07 | 2025-05-29 | M | PT | N/A | SCHAAFF | LDU8O5A55743 | MIKE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543334/check_8335255_a358a4ce-73e9-424f-85c9-b2f0fbd989c7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543334/check_8335255_f1ac5f4b-d790-4b63-bb57-0845d3a2bcd8.json | N/A | N/A | N/A | N/A | N/A | LDU8O5A55743 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1962-08-07 | N/A | N/A | N/A | N/A | false | SCHAAFF | N/A | MIKE | 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 | 5831 | N/A | 5543334 | 2222 | N/A | 8018654 | N/A | 4215145 | 2025-05-27 22:04:21.220620 | 2025-05-13 04:29:37.229458 |
| 2025-05-27 22:02:41.422527 | 2025-05-27 22:02:44.537211 | 8335249 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-08-07 | 2025-05-29 | M | PT | N/A | SCHAAFF | LDU805A55743 | MIKE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543334/check_8335249_a6f94f15-83db-4fad-9e40-a4126f158348.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543334/check_8335249_6a45eb0f-ef5a-46e7-9b19-8aa7b530ff4c.json | N/A | N/A | N/A | N/A | N/A | LDU805A55743 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1962-08-07 | N/A | N/A | N/A | N/A | false | SCHAAFF | N/A | MIKE | 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 | 5831 | N/A | 5543334 | 2222 | N/A | 8018641 | N/A | 4215145 | 2025-05-27 22:02:44.537211 | 2025-05-13 04:29:37.229458 |
| 2025-05-27 21:59:22.072863 | 2025-05-27 21:59:26.825908 | 8335196 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-01-31 | 2025-05-29 | F | PT | AE | DVORSKY | 000009483838 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874461/check_8335196_70f8a1d5-2937-438b-af1e-3ebe1eb1e981.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_8335196_6e04953c-07c9-4bfa-aee6-9084db605958.json | N/A | N/A | N/A | N/A | N/A | 000009483838 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1944-01-31 | 3003378 | 1650095001 | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | KPSA CONVERSION - SOUTH KPSA CONVERSION - SOUTH | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5874461 | 2222 | N/A | 8018578 | N/A | 4534583 | 2025-05-27 21:59:26.825908 | 2025-05-27 21:59:00.919365 |
| 2025-05-27 21:59:07.560616 | 2025-05-27 21:59:09.617587 | 8335194 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-01-31 | 2025-05-29 | F | PT | AE | DVORSKY | 0009483838 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874461/check_8335194_ee812023-777a-4f4e-9378-33355657b960.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_8335194_9fe4110d-b826-4938-9b83-17506f2f3043.json | N/A | N/A | N/A | N/A | N/A | 0009483838 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1944-01-31 | N/A | N/A | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5874461 | 2222 | N/A | 8018574 | N/A | 4534583 | 2025-05-27 21:59:09.617587 | 2025-05-27 21:59:00.919365 |
| 2025-05-27 21:58:41.990369 | 2025-05-27 21:58:43.854270 | 8335192 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-01-31 | 2025-05-29 | F | PT | AE | DVORSKY | 0009483838 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874461/check_8335192_59f040d6-0b38-4084-b1fc-98d599397d10.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_8335192_2193474a-a8d2-4063-9add-015f689ee639.json | N/A | N/A | N/A | N/A | N/A | 0009483838 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1944-01-31 | N/A | N/A | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5874461 | 2222 | N/A | 8018571 | N/A | 4534583 | 2025-05-27 21:58:43.854270 | 2025-05-27 21:59:00.919365 |
| 2025-05-27 21:58:23.646406 | 2025-05-27 21:58:25.538354 | 8335190 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-01-31 | 2025-05-29 | M | PT | AE | DVORSKY | 0009483838 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874461/check_8335190_b97294f8-9d06-4e9c-9352-f8d922f5ce8d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_8335190_745c41fa-eb69-477d-bf41-72046e1f80d7.json | N/A | N/A | N/A | N/A | N/A | 0009483838 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1944-01-31 | N/A | N/A | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5874461 | 2222 | N/A | 8018569 | N/A | 4534583 | 2025-05-27 21:58:25.538354 | 2025-05-27 21:59:00.919365 |
| 2025-05-27 21:45:36.563019 | 2025-05-27 21:45:38.492012 | 8335142 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-04-17 | 2025-05-29 | M | PT | N/A | LINVILLE | JQU190A50426 | MEIKA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543250/check_8335142_c5f448ec-8e09-4a14-857f-443fd2d51a15.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543250/check_8335142_416650b3-d214-4ea8-9fac-dc1afa0ead38.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 | 5831 | N/A | 5543250 | 2222 | N/A | 8018487 | N/A | 4215068 | 2025-05-27 21:45:38.492012 | 2025-07-22 17:55:02.066796 |
| 2025-05-27 21:45:19.378648 | 2025-05-27 21:45:21.604633 | 8335141 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-04-17 | 2025-05-29 | M | PT | N/A | LINVILLE | JQU190A50426 | MEIKA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543250/check_8335141_2b07a736-3eee-4ad4-abb7-9bc779f269fd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543250/check_8335141_70d7cbbd-7a11-42a6-a2ef-a318715d9a55.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 | 5831 | N/A | 5543250 | 2222 | N/A | 8018486 | N/A | 4215068 | 2025-05-27 21:45:21.604633 | 2025-07-22 17:55:02.066796 |
| 2025-05-27 21:41:55.148604 | 2025-05-27 21:41:58.003881 | 8335122 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-04-17 | 2025-05-29 | M | PT | N/A | LINVILLE | JQU190A50426 | MEIKA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543250/check_8335122_3dbc1fc0-3cbf-487d-bead-6461183c8194.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543250/check_8335122_c8cc312f-338a-42e5-a2fb-d350a87277bf.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 | 5831 | N/A | 5543250 | 2222 | N/A | 8018456 | N/A | 4215068 | 2025-05-27 21:41:58.003881 | 2025-07-22 17:55:02.066796 |
| 2025-05-27 20:52:42.232810 | 2025-05-27 20:52:50.142779 | 8334910 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-04-06 | 2025-05-22 | M | PT | AE | HARRAKA | 992737509 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874440/check_8334910_4138f51a-20b9-4e9e-9756-85cd10b2cac5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874440/check_8334910_fd6ca443-c067-4135-8332-14b872104641.json | N/A | N/A | N/A | N/A | N/A | 992737509 | Commercial | FIG LLC (FORTRESS) | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2001-04-06 | 0009 0009 | 704441 | N/A | C1 | false | HARRAKA | N/A | ROBERT | 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 | 5831 | N/A | 5874440 | 2222 | N/A | 8018000 | N/A | 4534568 | 2025-05-27 20:52:50.142779 | 2025-05-27 20:53:12.991758 |
| 2025-05-27 20:52:30.710064 | 2025-05-27 20:52:32.602901 | 8334909 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-04-06 | 2025-05-22 | U | PT | AE | HARRAKA | 992737509 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874440/check_8334909_3900fdcc-0838-45cb-8990-1c0057b308f3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874440/check_8334909_81243521-fd7b-4086-b34e-c7c013235bba.json | N/A | N/A | N/A | N/A | N/A | 992737509 | N/A | N/A | UNITED HEALTHCARE | N/A | 2001-04-06 | N/A | N/A | N/A | N/A | false | HARRAKA | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5874440 | 2222 | N/A | 8017998 | N/A | 4534568 | 2025-05-27 20:52:32.602901 | 2025-05-27 20:53:12.991758 |
| 2025-05-27 20:48:40.598508 | 2025-05-27 20:48:55.536496 | 8334900 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-01-31 | 2025-05-29 | M | PT | AE | DVORSKY | 000009483838 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874461/check_8334900_2d76a34b-3709-4fa3-b4b8-21c71fda479e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_8334900_cd1e7ddb-5bcd-4353-9293-12e8eea2ebb4.json | N/A | N/A | N/A | N/A | N/A | 000009483838 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1944-01-31 | N/A | N/A | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5874461 | 2222 | N/A | 8017972 | N/A | 4534583 | 2025-05-27 20:48:55.536496 | 2025-05-27 21:59:00.919365 |
| 2025-05-27 15:08:56.804490 | 2025-05-27 15:09:17.835382 | 8333433 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-09-10 | 2025-05-27 | M | AD | N/A | WARD | OSC7756691101 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538121/check_8333433_253ed193-b384-4671-acaf-b27d2708ec8c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538121/check_8333433_8551a637-0be9-42b0-b4ab-7fd82eca4adc.json | N/A | N/A | N/A | N/A | N/A | OSC775669110100 | N/A | N/A | OSCAR | PATIENT IS NOT COVERED BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1993-09-10 | N/A | N/A | N/A | N/A | false | WARD | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5538121 | 2222 | N/A | 8015892 | N/A | 4210590 | 2025-05-27 15:09:17.835382 | 2025-05-13 04:29:37.225004 |
| 2025-05-26 09:09:57.548675 | 2025-05-27 02:21:41.430092 | 8320170 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8320170 | Athletic Physical Therapy Inc | 1961-08-22 | 2025-05-30 | U | PT | N/A | LY | ZYF589M98531 | FRANCIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115931104.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874462/check_8320170_3b277cfe-f644-4bd6-b4f3-81acf5e4cb1d.json | N/A | N/A | N/A | N/A | N/A | ZYF589M98531 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1961-08-22 | N/A | N/A | N/A | N/A | false | LY | N/A | FRANCIS | 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 | 5874462 | 2222 | 4801 | 8002720 | N/A | 4534584 | 2025-05-27 02:21:41.430092 | 2025-06-02 22:12:48.722054 |
| 2025-05-26 09:09:57.432119 | 2025-05-27 02:22:03.399565 | 8320168 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8320168 | Athletic Physical Therapy Inc | 1970-03-11 | 2025-05-29 | F | PT | N/A | MANNING | WAG838721278 | TRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115931104.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874457/check_8320168_32cd5b5c-a2b0-47d2-bfdf-4d26c2c4acca.json | N/A | N/A | N/A | N/A | N/A | WAG838721278 | Preferred Provider Organization (PPO) | ACTIVE WAG | BLUE SHIELD OF CALIFORNIA | N/A | 1970-03-11 | N/A | 328059 | N/A | PR | false | MANNING | N/A | TRICIA | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874457 | 2222 | 4801 | 8002902 | N/A | 4343472 | 2025-05-27 02:22:03.399565 | 2025-08-08 17:41:30.906097 |
| 2025-05-26 09:09:57.295164 | 2025-05-27 02:17:14.706839 | 8320167 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8320167 | Athletic Physical Therapy Inc | 2001-04-06 | 2025-05-30 | U | PT | AE | HARRAKA | 992737509 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115931104.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874440/check_8320167_00a97347-dad6-4862-b163-c4044e31111f.json | N/A | N/A | N/A | N/A | N/A | 992737509 | N/A | N/A | UNITED HEALTHCARE | N/A | 2001-04-06 | N/A | N/A | N/A | N/A | false | HARRAKA | N/A | ROBERT | 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 | 5874440 | 2222 | 4802 | 7999911 | N/A | 4534568 | 2025-05-27 02:17:14.706839 | 2025-05-27 20:53:12.991758 |
| 2025-05-26 09:09:57.160644 | 2025-05-27 02:21:42.324954 | 8320165 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8320165 | Athletic Physical Therapy Inc | 1994-05-07 | 2025-05-30 | U | PT | N/A | RAFFERTY | XED913453119 | ZOE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115931104.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_8320165_7747da63-3826-457f-a100-beb17483f3d6.json | N/A | N/A | N/A | N/A | N/A | XED913453119 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1994-05-07 | N/A | N/A | N/A | N/A | false | RAFFERTY | N/A | ZOE | 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 | 5874430 | 2222 | 4802 | 8002726 | N/A | 4534559 | 2025-05-27 02:21:42.324954 | 2025-06-06 02:13:35.698378 |
| 2025-05-26 09:04:13.922803 | 2025-05-27 02:33:10.235849 | 8313033 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8313033 | Athletic Physical Therapy Inc | 1943-08-11 | 2025-05-30 | M | PT | AE | VELASQUEZ | 7RA2UD6VM18 | NELSON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115931104.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676369/check_8313033_46397542-0595-4072-9f7b-683a1ed5483c.json | N/A | N/A | N/A | N/A | N/A | 7RA2UD6VM18 | N/A | N/A | CMS | N/A | 1943-08-11 | N/A | N/A | N/A | N/A | false | VELASQUEZ | N/A | NELSON | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676369 | 2222 | 4801 | 8007768 | N/A | 4219819 | 2025-05-27 02:33:10.235849 | 2026-04-16 20:37:54.612915 |
| 2025-05-26 09:04:13.342642 | 2025-05-27 02:33:09.729786 | 8313004 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8313004 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-05-30 | F | PT | AE | GNAD | 9EM9VP4XX36 | MELANIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115931104.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676353/check_8313004_2874fe32-0c1f-4d62-ab4f-6d1c666b958c.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MA | false | GNAD | N/A | MELANIE | 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 | 5676353 | 2222 | 4801 | 8007764 | N/A | 4212792 | 2025-05-27 02:33:09.729786 | 2025-10-07 20:33:25.637997 |
| 2025-05-26 09:03:59.784434 | 2025-05-27 02:17:30.031290 | 8312207 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8312207 | Athletic Physical Therapy Inc | 1943-08-11 | 2025-05-30 | M | PT | AE | VELASQUEZ | 825A50913 | NELSON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115314143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676370/check_8312207_7166e8ea-95e1-4803-870e-8d866fee55de.json | N/A | N/A | N/A | N/A | N/A | MBL825A50913 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1943-08-11 | 040 | CA039GRS | N/A | N/A | false | VELAZQUEZ | N/A | NELSON | N/A | 9999-12-31 | 2022-01-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676370 | 2222 | 4801 | 8000124 | N/A | 4219819 | 2025-05-27 02:17:30.031290 | 2026-04-16 20:37:54.612915 |
| 2025-05-26 09:03:25.231592 | 2025-05-27 02:27:07.721806 | 8310553 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310553 | Athletic Physical Therapy Inc | 2008-06-03 | 2025-05-30 | M | PT | N/A | DATO | NGO555A50496 | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_8310553_97b97d43-69bd-479b-adff-0d78d95f7444.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2008-06-03 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551045 | 2222 | 4793 | 8005860 | N/A | 4219851 | 2025-05-27 02:27:07.721806 | 2025-05-13 04:29:37.230897 |
| 2025-05-26 09:03:25.129040 | 2025-05-27 02:27:14.174854 | 8310551 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310551 | Athletic Physical Therapy Inc | 2014-12-31 | 2025-05-29 | F | PT | N/A | MADHAVAN | PQI909449886 | AARYA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551033/check_8310551_ef8607ff-eae2-422d-ab2d-ab8c419889bf.json | N/A | N/A | N/A | N/A | N/A | PQI909449886 | Preferred Provider Organization (PPO) | PREMISE HEALTH HOLDING CORPORATION | ANTHEM BLUE CROSS | N/A | 2014-12-31 | MBPX3094 | 130432 | N/A | PR | false | MADHAVAN | N/A | STEVEN | N/A | 2026-06-30 | 2025-01-01 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551033 | 2222 | 4793 | 8005902 | N/A | 4219844 | 2025-05-27 02:27:14.174854 | 2025-05-14 17:48:46.320607 |
| 2025-05-26 09:03:25.064282 | 2025-05-27 02:14:06.065720 | 8310547 | N/A | N/A | 60054 | Aetna | 1114042165 | 8310547 | Athletic Physical Therapy Inc | 1953-04-10 | 2025-05-30 | F | PT | AE | BOWMAN | W260258759 | GLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551029/check_8310547_f4a680c6-3dd0-4693-89df-ca998cec3e86.json | N/A | N/A | N/A | N/A | N/A | W260258759 | N/A | N/A | AETNA | N/A | 1953-04-10 | 0141473 | 014147301500001 | N/A | N/A | false | BOWMAN | N/A | GEORGE | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551029 | 2222 | 4801 | 7997701 | N/A | 4219852 | 2025-05-27 02:14:06.065720 | 2025-05-13 04:29:37.230898 |
| 2025-05-26 09:03:24.983719 | 2025-05-27 02:14:12.346249 | 8310541 | N/A | N/A | 60054 | Aetna | 1114042165 | 8310541 | Athletic Physical Therapy Inc | 1983-11-15 | 2025-05-30 | M | PT | AE | TODOROV | W254693067 | LYUBOMIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551001/check_8310541_0e33dee1-c4ec-4376-aaf4-24a30a6ed668.json | N/A | N/A | N/A | N/A | N/A | W254693067 | Point of Service (POS) | AMAZON.COM SERVICES, INC. | AETNA | N/A | 1983-11-15 | 0868403 | 086840303200001 | N/A | PS | false | TODOROV | N/A | LYUBOMIR | N/A | N/A | N/A | AHF CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551001 | 2222 | 4802 | 7997766 | N/A | 4219821 | 2025-05-27 02:14:12.346249 | 2025-05-13 04:29:37.230867 |
| 2025-05-26 09:03:24.896492 | 2025-05-27 02:27:19.680332 | 8310538 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8310538 | Athletic Physical Therapy Inc | 1966-02-01 | 2025-05-30 | M | PT | N/A | VARON | MPI101422173Q | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550992/check_8310538_1a06070f-df8f-4ff6-ae33-6afc782b45c2.json | N/A | N/A | N/A | N/A | N/A | MPI101422173Q | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-02-01 | N/A | N/A | N/A | N/A | false | VARON | N/A | BRETT | 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 | 5550992 | 2222 | 4793 | 8005938 | N/A | 4219816 | 2025-05-27 02:27:19.680332 | 2025-05-13 04:29:37.230863 |
| 2025-05-26 09:03:24.834460 | 2025-05-27 02:14:13.560682 | 8310534 | N/A | N/A | 60054 | Aetna | 1114042165 | 8310534 | Athletic Physical Therapy Inc | 1962-02-18 | 2025-05-30 | M | PT | AE | ZHAO | 916547548 | CHARLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550983/check_8310534_192c8996-404f-48f0-bc5d-ae955410eb8f.json | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | 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 | 5550983 | 2222 | 4801 | 7997779 | N/A | 4219811 | 2025-05-27 02:14:13.560682 | 2025-05-13 04:29:37.230858 |
| 2025-05-26 09:03:24.763368 | 2025-05-27 02:47:17.073961 | 8310525 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8310525 | Athletic Physical Therapy Inc | 1954-12-06 | 2025-05-30 | M | PT | AE | HILL | 2KA9XN7JT23 | CAMERON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250526.115326146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550964/check_8310525_b4326e21-d13d-4216-a4a2-c8a7ade661e8.json | N/A | N/A | N/A | N/A | N/A | 2KA9XN7JT23 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-12-06 | S4802 | N/A | N/A | MB | false | HILL | N/A | CAMERON | 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 | 5550964 | 2222 | 4801 | 8010609 | N/A | 4219795 | 2025-05-27 02:47:17.073961 | 2025-05-13 04:29:37.230834 |