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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-19 09:10:00.195215 | 2025-05-20 02:02:27.451363 | 8173942 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8173942 | Athletic Physical Therapy Inc | 1965-01-06 | 2025-05-23 | F | PT | AE | PALMA DE SALGUER | 981W1538820 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541856/check_8173942_f992aec8-17fb-4d74-9cb1-e09a85541cda.json | N/A | N/A | N/A | N/A | N/A | 981W1538820 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-01-06 | N/A | N/A | N/A | N/A | false | PALMA DE SALGUER | N/A | JUDITH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541856 | 2222 | 4801 | 7845365 | N/A | 4213839 | 2025-05-20 02:02:27.451363 | 2025-05-13 04:29:37.228160 |
| 2025-05-19 09:09:59.911105 | 2025-05-20 02:11:14.351131 | 8173939 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8173939 | Athletic Physical Therapy Inc | 1963-10-30 | 2025-05-22 | M | AD | N/A | SCHIRO | U4234027401 | CRAIG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541834/check_8173939_5d87820e-e80e-4646-88b1-9238da27b4c3.json | N/A | N/A | N/A | N/A | N/A | U4234027401 | N/A | EQUIFAX INC. | CHLIC | PREFERRED CARE MANAGEMENT | 1963-10-30 | N/A | 3333787 | N/A | N/A | false | SCHIRO | N/A | CRAIG | 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 | 5541834 | 2222 | 4802 | 7852449 | N/A | 4213817 | 2025-05-20 02:11:14.351131 | 2025-05-13 04:29:37.228137 |
| 2025-05-19 09:09:59.762705 | 2025-05-20 02:02:28.073519 | 8173934 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8173934 | Athletic Physical Therapy Inc | 1962-09-10 | 2025-05-23 | F | PT | AE | QUIJANO CASTRO | H6217693700 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540973/check_8173934_d9359ca5-b2bc-4d5b-b3f2-44a083d7b7b7.json | N/A | N/A | N/A | N/A | N/A | H6217693700 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540973 | 2222 | 4801 | 7845372 | N/A | 4213051 | 2025-05-20 02:02:28.073519 | 2025-05-13 04:29:37.227377 |
| 2025-05-19 09:09:59.646067 | 2025-05-20 02:16:28.741824 | 8173933 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8173933 | Athletic Physical Therapy Inc | 1953-03-05 | 2025-05-23 | F | PT | AE | SESAR | JQE697M91288 | SHARON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540948/check_8173933_8bd2203d-9747-4651-ab49-6bbf0ea66325.json | N/A | N/A | N/A | N/A | N/A | JQE697M91288 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1953-03-05 | 040 | CASUPWP0 | N/A | N/A | false | SESAR | N/A | SHARON | N/A | 9999-12-31 | 2018-03-01 | CA PLAN F INNOVATIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540948 | 2222 | 4793 | 7857739 | N/A | 4213027 | 2025-05-20 02:16:28.741824 | 2025-06-25 17:17:00.282109 |
| 2025-05-19 09:09:59.512661 | 2025-05-20 02:02:23.304352 | 8173930 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8173930 | Athletic Physical Therapy Inc | 1957-01-09 | 2025-05-23 | F | PT | AE | COLEY | 022517801 | GWENDOLYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540939/check_8173930_e925f85e-f72e-4e3e-a3e5-f9d6ac589f17.json | N/A | N/A | N/A | N/A | N/A | 022517801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-01-09 | N/A | N/A | N/A | N/A | false | COLEY | N/A | GWENDOLYN | 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 | 5540939 | 2222 | 4802 | 7845338 | N/A | 4213018 | 2025-05-20 02:02:23.304352 | 2025-05-22 00:04:46.399580 |
| 2025-05-19 09:09:59.397009 | 2025-05-20 02:26:08.809993 | 8173927 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8173927 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-05-23 | F | PT | AE | GNAD | 9EM9VP4XX36 | MELANIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540676/check_8173927_0c778814-1c6e-4a5f-a806-d8898173f61c.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 | 5540676 | 2222 | 4801 | 7864317 | N/A | 4212792 | 2025-05-20 02:26:08.809993 | 2025-10-07 20:33:25.637997 |
| 2025-05-19 09:09:59.170059 | 2025-05-20 02:18:06.203993 | 8173923 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8173923 | Athletic Physical Therapy Inc | 2008-07-13 | 2025-05-23 | F | PT | N/A | CONNOLLY | A5N1011264BL | ELAINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540674/check_8173923_bf3dded8-7216-4861-b7f9-9c9ce24b83f6.json | N/A | N/A | N/A | N/A | N/A | A5N1011264BL | N/A | CSC GENERATION PPO CA PLAN | BLUE SHIELD OF CALIFORNIA | N/A | 2008-07-13 | 040 | L08414M001 | N/A | N/A | false | HILL | N/A | JENNIFER | 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 | 5540674 | 2222 | 4793 | 7859262 | N/A | 4212786 | 2025-05-20 02:18:06.203993 | 2025-05-13 04:29:37.227120 |
| 2025-05-19 09:09:58.811463 | 2025-05-20 02:16:24.952468 | 8173916 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8173916 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-05-23 | M | PT | N/A | FINNLEY | M4R134071249001 | ZEV | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_8173916_8742523a-1758-4858-b221-62f34807541e.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539665 | 2222 | 4793 | 7857675 | N/A | 4211935 | 2025-05-20 02:16:24.952468 | 2025-05-13 04:29:37.226259 |
| 2025-05-19 09:09:58.475012 | 2025-05-20 02:02:21.368382 | 8173912 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8173912 | Athletic Physical Therapy Inc | 1945-04-26 | 2025-05-23 | M | PT | AE | BARKEY | 728M7845510 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539270/check_8173912_db7af31b-716f-42e3-82bc-f309181121e4.json | N/A | N/A | N/A | N/A | N/A | 728M7845510 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1945-04-26 | N/A | N/A | N/A | N/A | false | BARKEY | N/A | JOSEPH | 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 | 5539270 | 2222 | 4801 | 7845325 | N/A | 4211589 | 2025-05-20 02:02:21.368382 | 2025-05-13 04:29:37.225916 |
| 2025-05-19 09:09:58.234109 | 2025-05-20 02:05:00.150534 | 8173907 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8173907 | Athletic Physical Therapy Inc | 1941-11-29 | 2025-05-23 | F | PT | AE | GODBOLD | 33204792612 | SHARI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537863/check_8173907_2a2df960-232d-45ab-948f-870e9f184c53.json | N/A | N/A | N/A | N/A | N/A | 33204792612 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1941-11-29 | N/A | N/A | N/A | SP | false | GODBOLD | N/A | SHARI | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN N | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537863 | 2222 | 4802 | 7846977 | N/A | 4210360 | 2025-05-20 02:05:00.150534 | 2025-05-13 04:29:37.224766 |
| 2025-05-19 09:09:57.585563 | 2025-05-20 02:02:29.713023 | 8173898 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8173898 | Athletic Physical Therapy Inc | 1951-08-05 | 2025-05-23 | M | PT | AE | TRIGG | 27702672 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537784/check_8173898_611cec1e-9507-48fa-8702-5d5ccff4e286.json | N/A | N/A | N/A | N/A | N/A | 27702672 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-08-05 | N/A | N/A | N/A | N/A | false | TRIGG | N/A | WILLIAM | 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 | 5537784 | 2222 | 4793 | 7845387 | N/A | 4210290 | 2025-05-20 02:02:29.713023 | 2026-02-09 23:40:44.961074 |
| 2025-05-19 09:09:57.090850 | 2025-05-20 02:17:46.458322 | 8173890 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8173890 | Athletic Physical Therapy Inc | 1948-08-31 | 2025-05-23 | F | PT | AE | MIYATA | XEM904724382 | LARAINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537630/check_8173890_0a68258e-3df0-49a0-a766-6ffe42c560ba.json | N/A | N/A | N/A | N/A | N/A | XEM904724382 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1948-08-31 | 2002SD000004 | X0001002 | N/A | OT | false | MIYATA | N/A | LARAINE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537630 | 2222 | 4802 | 7858944 | N/A | 4210159 | 2025-05-20 02:17:46.458322 | 2025-05-13 04:29:37.224576 |
| 2025-05-19 09:09:56.945439 | 2025-05-20 02:16:17.147991 | 8173886 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8173886 | Athletic Physical Therapy Inc | 1968-08-08 | 2025-05-23 | F | PT | N/A | VILLALOBOS | XDP152W12600 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568079/check_8173886_174c8090-a6f2-460d-8cf7-b5ccca019f62.json | N/A | N/A | N/A | N/A | N/A | XDP152W12600 | Preferred Provider Organization (PPO) | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | ANTHEM BLUE CROSS | N/A | 1968-08-08 | 040 | 1264LC | N/A | PR | false | VILLALOBOS | N/A | JOSEPH | N/A | 9999-12-31 | 2022-05-01 | PPO PBP INCENTIVE HOSPITAL / PBP PLUS PROFESSIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5568079 | 2222 | 4801 | 7857552 | N/A | 4218987 | 2025-05-20 02:16:17.147991 | 2025-05-13 04:29:37.230004 |
| 2025-05-19 09:09:56.641084 | 2025-05-20 02:15:06.123331 | 8173882 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 8173882 | Athletic Physical Therapy Inc | 1993-05-31 | 2025-05-23 | M | PT | N/A | LARSON | R13352452MM1 | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537530/check_8173882_407f9191-02bd-48d8-a7b6-831dedcc8fe2.json | N/A | N/A | N/A | N/A | N/A | R13352452MM1 | N/A | N/A | CENTENE CORPORATION | N/A | 1993-05-31 | N/A | N/A | N/A | N/A | false | LARSON | N/A | RYAN | N/A | N/A | N/A | PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537530 | 2222 | 4793 | 7856335 | N/A | 4210069 | 2025-05-20 02:15:06.123331 | 2025-05-13 04:29:37.224490 |
| 2025-05-19 09:09:56.160206 | 2025-05-20 02:16:27.390905 | 8173870 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8173870 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-05-23 | M | PT | AE | NIELSEN | XDP057A76330 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_8173870_bf2f2e9c-e56f-44f4-be66-0911b6bcc7ce.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629M421 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2025-06-01 | 2023-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537188 | 2222 | 4802 | 7857718 | N/A | 4209789 | 2025-05-20 02:16:27.390905 | 2025-05-13 04:29:37.224215 |
| 2025-05-19 09:09:55.832434 | 2025-05-20 02:16:24.252653 | 8173864 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8173864 | Athletic Physical Therapy Inc | 1960-01-26 | 2025-05-23 | F | PT | N/A | BARR BRIGHT | MPI01424345Q | CYNTHIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537144/check_8173864_6439a1f4-065d-4d88-9b03-921b71e0ac84.json | N/A | N/A | N/A | N/A | N/A | MPI01424345Q | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1960-01-26 | 040 | 277163M402 | N/A | N/A | false | BARR BRIGHT | N/A | CYNTHIA | 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 | 5537144 | 2222 | 4793 | 7857667 | N/A | 4209763 | 2025-05-20 02:16:24.252653 | 2025-05-14 09:05:42.724555 |
| 2025-05-19 09:09:55.360769 | 2025-05-20 02:02:25.359899 | 8173856 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8173856 | Athletic Physical Therapy Inc | 1982-12-17 | 2025-05-23 | M | PT | AE | KALINOWSKI | NCF047A22532 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536505/check_8173856_6c8ef54b-8d21-4f78-b019-9b2a4f0ac13c.json | N/A | N/A | N/A | N/A | N/A | NCF047A22532 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1982-12-17 | N/A | N/A | N/A | N/A | false | KALINOWSKI | N/A | THOMAS | 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 | 5536505 | 2222 | 4801 | 7845349 | N/A | 4209232 | 2025-05-20 02:02:25.359899 | 2025-05-13 04:29:37.223653 |
| 2025-05-19 09:09:55.149337 | 2025-05-20 02:05:00.654070 | 8173851 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8173851 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-05-23 | M | PT | AE | ULLMAN PP | 557489000 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.141420483.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_8173851_48bf4b7b-8475-4181-873a-64420a393028.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN PP | N/A | DAVID | 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 | 5535842 | 2222 | 4801 | 7846985 | N/A | 4208696 | 2025-05-20 02:05:00.654070 | 2025-06-07 16:16:45.844566 |
| 2025-05-19 09:07:43.710704 | 2025-05-20 02:16:03.086619 | 8171058 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8171058 | Athletic Physical Therapy Inc | 2008-06-03 | 2025-05-23 | M | PT | N/A | DATO | NGO555A50496 | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_8171058_09f35cfb-c777-4f71-b623-64f6e21dfa76.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 | 7857317 | N/A | 4219851 | 2025-05-20 02:16:03.086619 | 2025-05-13 04:29:37.230897 |
| 2025-05-19 09:07:43.069677 | 2025-05-20 02:16:12.854190 | 8171045 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8171045 | Athletic Physical Therapy Inc | 2014-12-31 | 2025-05-22 | F | PT | N/A | MADHAVAN | PQI909449886 | AARYA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551033/check_8171045_f561f5a8-bef7-480b-b9c6-777f575296ec.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 | 7857479 | N/A | 4219844 | 2025-05-20 02:16:12.854190 | 2025-05-14 17:48:46.320607 |
| 2025-05-19 09:07:42.705588 | 2025-05-20 02:06:35.314585 | 8171030 | N/A | N/A | 60054 | Aetna | 1114042165 | 8171030 | Athletic Physical Therapy Inc | 1953-04-10 | 2025-05-23 | F | PT | AE | BOWMAN | W260258759 | GLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551029/check_8171030_6b6a1b6c-29ba-4980-9d1a-8c10bb01a115.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 | 7848262 | N/A | 4219852 | 2025-05-20 02:06:35.314585 | 2025-05-13 04:29:37.230898 |
| 2025-05-19 09:07:42.321111 | 2025-05-20 02:02:48.193315 | 8171024 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8171024 | Athletic Physical Therapy Inc | 1962-10-31 | 2025-05-23 | M | PT | AE | COOK | NCF175A24389 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551027/check_8171024_50c6cee9-1cf2-4eff-882f-44f69b61f2e4.json | N/A | N/A | N/A | N/A | N/A | NCF175A24389 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-10-31 | N/A | N/A | N/A | N/A | false | COOK | N/A | JAMES | 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 | 5551027 | 2222 | 4801 | 7845533 | N/A | 4219848 | 2025-05-20 02:02:48.193315 | 2025-05-28 20:18:04.730900 |
| 2025-05-19 09:07:41.809307 | 2025-05-20 02:03:00.789807 | 8171010 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8171010 | Athletic Physical Therapy Inc | 1975-05-08 | 2025-05-23 | U | PT | AE | MAGHSOUDI | 96653287F | ALIAKBAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550997/check_8171010_ed214d88-c7e2-4d15-966b-4b14d758cd1a.json | N/A | N/A | N/A | N/A | N/A | 96653287F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-05-08 | N/A | N/A | N/A | N/A | false | MAGHSOUDI | N/A | ALIAKBAR | 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 | 5550997 | 2222 | 4802 | 7845618 | N/A | 4219820 | 2025-05-20 02:03:00.789807 | 2025-06-06 02:38:21.390199 |
| 2025-05-19 09:07:41.204971 | 2025-05-20 02:16:15.448955 | 8170995 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8170995 | Athletic Physical Therapy Inc | 1981-02-28 | 2025-05-23 | F | PT | N/A | CARROLL | JPU767A23997 | REBECCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550993/check_8170995_66572de3-29a9-4fef-b473-b153b5f03fe6.json | N/A | N/A | N/A | N/A | N/A | JPU767A23997 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | ANTHEM BLUE CROSS | N/A | 1981-02-28 | 040 | L12045M001 | N/A | PR | false | STAEVSKI | N/A | THOMAS | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550993 | 2222 | 4793 | 7857514 | N/A | 4219817 | 2025-05-20 02:16:15.448955 | 2025-05-13 04:29:37.230864 |
| 2025-05-19 09:07:40.953411 | 2025-05-20 02:02:49.925063 | 8170988 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8170988 | Athletic Physical Therapy Inc | 1959-12-02 | 2025-05-23 | M | PT | AE | DEL CID | H6125233200 | VIDAL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550987/check_8170988_874fae51-6c37-40e6-9235-408848dd8e12.json | N/A | N/A | N/A | N/A | N/A | H6125233200 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1959-12-02 | N/A | N/A | N/A | N/A | false | DEL CID | N/A | VIDAL | 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 | 5550987 | 2222 | 4793 | 7845545 | N/A | 4219812 | 2025-05-20 02:02:49.925063 | 2025-05-13 04:29:37.230859 |
| 2025-05-19 09:07:40.689951 | 2025-05-20 02:26:59.292206 | 8170980 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8170980 | Athletic Physical Therapy Inc | 1978-11-15 | 2025-05-23 | F | PT | AE | LEVIN | 8UF4J49FH09 | SHANNON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550976/check_8170980_9741d8e4-45f1-4926-9d49-ad2010429af0.json | N/A | N/A | N/A | N/A | N/A | 8UF4J49FH09 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1978-11-15 | S4802 | N/A | N/A | MB | false | LEVIN | N/A | SHANNON | 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 | 5550976 | 2222 | 4801 | 7864781 | N/A | 4219800 | 2025-05-20 02:26:59.292206 | 2025-05-13 04:29:37.230840 |
| 2025-05-19 09:07:40.512165 | 2025-05-20 02:03:06.539918 | 8170976 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8170976 | Athletic Physical Therapy Inc | 1968-04-09 | 2025-05-23 | F | PT | AE | SHAUGHNESSY | U9219243801 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550965/check_8170976_9e6ce25f-1936-495a-b138-96321bf6d979.json | N/A | N/A | N/A | N/A | N/A | U9219243801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-04-09 | N/A | N/A | N/A | N/A | false | SHAUGHNESSY | N/A | MARGARET | 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 | 5550965 | 2222 | 4793 | 7845660 | N/A | 4219798 | 2025-05-20 02:03:06.539918 | 2025-05-13 04:29:37.230838 |
| 2025-05-19 09:07:40.211893 | 2025-05-20 02:16:08.211023 | 8170967 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8170967 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-05-23 | F | PT | N/A | HARDING | XDP157A51099 | MICHELE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_8170967_4efec692-3035-4957-9da8-a01cc4bf7b67.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1962-04-09 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | 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 | 5550953 | 2222 | 4801 | 7857397 | N/A | 4219788 | 2025-05-20 02:16:08.211023 | 2025-06-06 22:01:46.271450 |
| 2025-05-19 09:07:39.798450 | 2025-05-20 02:27:01.252513 | 8170958 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8170958 | Athletic Physical Therapy Inc | 1958-07-03 | 2025-05-23 | M | PT | AE | NOVORR | 8UK6F04XX74 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550906/check_8170958_34f1c6a0-1f6c-4c86-b408-fecc663d8942.json | N/A | N/A | N/A | N/A | N/A | 8UK6F04XX74 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-03 | S9701 | N/A | N/A | MA | false | NOVORR | N/A | TERRY | 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 | 5550906 | 2222 | 4801 | 7864794 | N/A | 4219758 | 2025-05-20 02:27:01.252513 | 2025-05-13 04:29:37.230800 |
| 2025-05-19 09:07:39.265864 | 2025-05-20 02:03:11.363811 | 8170945 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8170945 | Athletic Physical Therapy Inc | 1966-02-05 | 2025-05-23 | F | PT | AE | VANCELETTE | 99775204F | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550875/check_8170945_4e71a448-0d97-40d4-a509-81fd2929ddf4.json | N/A | N/A | N/A | N/A | N/A | 99775204F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1966-02-05 | N/A | N/A | N/A | N/A | false | VANCELETTE | N/A | DEBORAH | 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 | 5550875 | 2222 | 4802 | 7845692 | N/A | 4219732 | 2025-05-20 02:03:11.363811 | 2025-05-13 04:29:37.230772 |
| 2025-05-19 09:07:38.933151 | 2025-05-20 02:17:08.109574 | 8170937 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8170937 | Athletic Physical Therapy Inc | 2005-05-27 | 2025-05-23 | F | PT | N/A | PARVIZI | XED914141701 | SIMONE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550844/check_8170937_beaa371f-c81d-4688-b254-0f3deadb10fc.json | N/A | N/A | N/A | N/A | N/A | XED914141701 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2005-05-27 | 2001ZK002187 | X0001004 | N/A | PR | false | PARVIZI | N/A | SIMONE | 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 | 5550844 | 2222 | 4802 | 7858375 | N/A | 4215184 | 2025-05-20 02:17:08.109574 | 2025-05-13 04:29:37.229500 |
| 2025-05-19 09:07:38.475560 | 2025-05-20 02:06:27.016744 | 8170927 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | 8170927 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-05-23 | M | PT | AE | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550812/check_8170927_745c001f-18ba-4918-9d45-62c0dceda903.json | N/A | N/A | N/A | N/A | N/A | 15831U29031 | N/A | N/A | MEDI-SHARE | N/A | 1960-10-21 | N/A | N/A | N/A | N/A | false | UPSON | N/A | MARK | 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 | 5550812 | 2222 | 4801 | 7848145 | N/A | 4219691 | 2025-05-20 02:06:27.016744 | 2025-05-13 04:29:37.230736 |
| 2025-05-19 09:07:37.953449 | 2025-05-20 02:02:55.173600 | 8170913 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8170913 | Athletic Physical Therapy Inc | 1946-02-28 | 2025-05-23 | F | PT | AE | KUYAT | 27367124 | FAYE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550758/check_8170913_d7be6179-bef1-420e-9a9e-15f0316729d4.json | N/A | N/A | N/A | N/A | N/A | 27367124 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1946-02-28 | N/A | N/A | N/A | N/A | false | KUYAT | N/A | FAYE | 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 | 5550758 | 2222 | 4801 | 7845578 | N/A | 4219656 | 2025-05-20 02:02:55.173600 | 2025-05-13 04:29:37.230700 |
| 2025-05-19 09:07:37.440294 | 2025-05-20 02:13:16.235160 | 8170903 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8170903 | Athletic Physical Therapy Inc | 1954-11-23 | 2025-05-23 | F | PT | AE | REYNOLDS | 989167788 | NANCY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550750/check_8170903_c76388dd-e720-48a7-9065-d0fad3456ac8.json | N/A | N/A | N/A | N/A | N/A | 989167788 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1954-11-23 | N/A | 15458 | N/A | PR | false | REYNOLDS | N/A | NANCY | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550750 | 2222 | 4801 | 7854436 | N/A | 4219649 | 2025-05-20 02:13:16.235160 | 2025-05-13 04:29:37.230695 |
| 2025-05-19 09:07:36.886953 | 2025-05-20 02:02:57.618668 | 8170894 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8170894 | Athletic Physical Therapy Inc | 1980-10-31 | 2025-05-23 | F | PT | AE | LOCKWOOD | R07647848FS1 | ROSE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550674/check_8170894_acf221a3-67c8-48df-9b5b-d7d286ee3cb1.json | N/A | N/A | N/A | N/A | N/A | R07647848FS1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1980-10-31 | N/A | N/A | N/A | N/A | false | LOCKWOOD | N/A | ROSE | 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 | 5550674 | 2222 | 4793 | 7845595 | N/A | 4219601 | 2025-05-20 02:02:57.618668 | 2025-05-13 04:29:37.230642 |
| 2025-05-19 09:07:36.385681 | 2025-05-20 02:26:57.014528 | 8170884 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8170884 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-05-23 | F | PT | AE | BRADBURY | 5W31MW6FP03 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_8170884_88805655-2d5a-4297-9842-1ad46b58855d.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | N/A | BONNIE | 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 | 5550534 | 2222 | 4801 | 7864765 | N/A | 4219556 | 2025-05-20 02:26:57.014528 | 2025-05-13 04:29:37.230592 |
| 2025-05-19 09:07:36.106107 | 2025-05-20 02:02:51.787028 | 8170876 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8170876 | Athletic Physical Therapy Inc | 1961-07-17 | 2025-05-23 | F | PT | AE | GONZALEZ | 114M9989520 | TERESA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549748/check_8170876_c603f473-9fe6-4ff5-87ed-58e4f34070d8.json | N/A | N/A | N/A | N/A | N/A | 114M9989520 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-07-17 | N/A | N/A | N/A | N/A | false | GONZALEZ | N/A | TERESA | 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 | 5549748 | 2222 | 4801 | 7845557 | N/A | 4219347 | 2025-05-20 02:02:51.787028 | 2025-05-13 04:29:37.230372 |
| 2025-05-19 09:07:35.842362 | 2025-05-20 02:03:07.377023 | 8170871 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8170871 | Athletic Physical Therapy Inc | 1946-07-28 | 2025-05-23 | F | PT | AE | SPAULDING | 00000393732 | DIANNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549493/check_8170871_d554be1b-df07-41ac-a8da-c17791e29dbe.json | N/A | N/A | N/A | N/A | N/A | 00000393732 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1946-07-28 | N/A | N/A | N/A | N/A | false | SPAULDING | N/A | DIANNA | 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 | 5549493 | 2222 | 4801 | 7845666 | N/A | 4219146 | 2025-05-20 02:03:07.377023 | 2025-05-13 04:29:37.230163 |
| 2025-05-19 09:07:35.485962 | 2025-05-20 02:02:59.056304 | 8170863 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8170863 | Athletic Physical Therapy Inc | 1975-03-31 | 2025-05-23 | M | PT | AE | LOPEZ | 787A5482410 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549492/check_8170863_e48d2baf-0f76-404e-90ba-8e834d66b3ac.json | N/A | N/A | N/A | N/A | N/A | 787A5482410 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-03-31 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | DAVID | 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 | 5549492 | 2222 | 4801 | 7845601 | N/A | 4219143 | 2025-05-20 02:02:59.056304 | 2025-05-13 04:29:37.230161 |
| 2025-05-19 09:07:35.174293 | 2025-05-20 02:26:58.521206 | 8170854 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8170854 | Athletic Physical Therapy Inc | 1942-04-09 | 2025-05-23 | F | PT | AE | JALLAD | 7AY7QW7EK46 | IKRAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_8170854_ee2a2c21-49a8-4b8d-a8d2-2daf92449ed8.json | N/A | N/A | N/A | N/A | N/A | 7AY7QW7EK46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-04-09 | S5617 | N/A | N/A | MA | false | JALLAD | N/A | IKRAM | 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 | 5549454 | 2222 | 4801 | 7864778 | N/A | 4219116 | 2025-05-20 02:26:58.521206 | 2025-05-16 16:43:35.854220 |
| 2025-05-19 09:07:34.816694 | 2025-05-20 02:16:00.991797 | 8170846 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8170846 | Athletic Physical Therapy Inc | 1960-01-26 | 2025-05-23 | F | PT | N/A | BARR BRIGHT | MBL402W23066 | CYNTHIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549321/check_8170846_f4155aa6-b81d-4934-b928-887da711a80e.json | N/A | N/A | N/A | N/A | N/A | MBL402W23066 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1960-01-26 | 040 | CAEGR002 | N/A | N/A | false | BARR-BRIGHT | N/A | CYNTHIA | N/A | 9999-12-31 | 2025-02-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549321 | 2222 | 4793 | 7857271 | N/A | 4209763 | 2025-05-20 02:16:00.991797 | 2025-05-14 09:05:42.724555 |
| 2025-05-19 09:07:34.470317 | 2025-05-20 02:16:12.195309 | 8170839 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8170839 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-05-21 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_8170839_9dae61ff-4002-4e80-bf85-2c97f89c486d.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | IF THE MEMBER QUALIFIES FOR COBRA COVERAGE,THE POLICY MAY BE SUBJECT TO RETROACTIVE CANCELLATION OR REINSTATEMENT, BASED ON THE PLAN DESIGN AND THE MEMBER COBRA ELECTION. FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR USPSTF A AND B RECOMMENDATIONS. | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549317 | 2222 | 4801 | 7857466 | N/A | 4219010 | 2025-05-20 02:16:12.195309 | 2026-01-09 18:32:07.618867 |
| 2025-05-19 09:07:34.149914 | 2025-05-20 02:02:54.308633 | 8170829 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8170829 | Athletic Physical Therapy Inc | 1982-12-17 | 2025-05-23 | M | PT | AE | KALINOWSKI | 047A2253210 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549123/check_8170829_d240c372-1764-4790-a072-92b83f8f5be0.json | N/A | N/A | N/A | N/A | N/A | 047A2253210 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1982-12-17 | N/A | N/A | N/A | N/A | false | KALINOWSKI | N/A | THOMAS | 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 | 5549123 | 2222 | 4801 | 7845570 | N/A | 4209232 | 2025-05-20 02:02:54.308633 | 2025-05-13 04:29:37.223653 |
| 2025-05-19 09:07:12.153539 | 2025-05-20 02:03:02.717142 | 8170263 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8170263 | Athletic Physical Therapy Inc | 1955-08-30 | 2025-05-23 | F | PT | AE | MEJIA | H7198936000 | ROSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543392/check_8170263_081b6a5a-792b-4a29-9b6e-c8e0420a4085.json | N/A | N/A | N/A | N/A | N/A | H7198936000 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-08-30 | N/A | N/A | N/A | N/A | false | MEJIA | N/A | ROSA | 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 | 5543392 | 2222 | 4793 | 7845631 | N/A | 4215192 | 2025-05-20 02:03:02.717142 | 2025-05-13 04:29:37.229508 |
| 2025-05-19 09:07:11.693336 | 2025-05-20 02:10:59.286389 | 8170257 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8170257 | Athletic Physical Therapy Inc | 2006-07-18 | 2025-05-23 | U | PT | AE | RAMAFWAMY KAFI VASU | U4896088401 | VAIBHAV | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543386/check_8170257_50d39223-ff01-438b-90f0-11b1611ce62d.json | N/A | N/A | N/A | N/A | N/A | U4896088401 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2006-07-18 | N/A | N/A | N/A | N/A | false | RAMAFWAMY KAFI VASU | N/A | VAIBHAV | 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 | 5543386 | 2222 | 4802 | 7852153 | N/A | 4215176 | 2025-05-20 02:10:59.286389 | 2025-06-09 20:47:50.067306 |
| 2025-05-19 09:07:11.444403 | 2025-05-20 02:25:27.026561 | 8170250 | N/A | N/A | TDDIR | Tricare for Life | 1114042165 | 8170250 | Athletic Physical Therapy Inc | 2011-05-18 | 2025-05-23 | F | PT | AE | YUNG | 0005301565 | MAYA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543379/check_8170250_c1a2e959-0d3d-432c-9a1e-cf907d59adb7.json | N/A | N/A | N/A | N/A | N/A | 0005301565 | N/A | N/A | TRICARE FOR LIFE | N/A | N/A | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | 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 | 5543379 | 2222 | 4793 | 7863945 | N/A | 4215179 | 2025-05-20 02:25:27.026561 | 2025-05-13 04:29:37.229495 |
| 2025-05-19 09:07:11.062110 | 2025-05-20 02:27:01.892983 | 8170242 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8170242 | Athletic Physical Therapy Inc | 1945-02-14 | 2025-05-23 | M | PT | AE | SLAUGHTER | 6V77P87YA36 | KAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543377/check_8170242_5fd62313-3adb-42e9-a27c-d0222ff9ae20.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 | 7864801 | N/A | 4215177 | 2025-05-20 02:27:01.892983 | 2025-05-13 04:29:37.229493 |
| 2025-05-19 09:07:10.791535 | 2025-05-20 02:26:58.118416 | 8170233 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8170233 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-05-23 | F | PT | AE | HOWARD | 6JJ9KX0PY45 | JUDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543348/check_8170233_40bef418-57ba-4212-bada-d1507e8cf75d.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MA | false | HOWARD | N/A | JUDI | 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 | 5543348 | 2222 | 4793 | 7864775 | N/A | 4215147 | 2025-05-20 02:26:58.118416 | 2025-05-13 04:29:37.229464 |
| 2025-05-19 09:07:10.599633 | 2025-05-20 02:26:58.939260 | 8170231 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8170231 | Athletic Physical Therapy Inc | 1937-05-27 | 2025-05-23 | F | PT | AE | LANGINGER | 8T45CA9CE85 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543302/check_8170231_ddf75eb9-59df-47f4-b42b-1703cd6360d6.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 | 7864780 | N/A | 4215107 | 2025-05-20 02:26:58.939260 | 2025-05-13 04:29:37.229419 |
| 2025-05-19 09:07:10.229766 | 2025-05-20 02:09:41.962453 | 8170221 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8170221 | Athletic Physical Therapy Inc | 1995-03-21 | 2025-05-22 | F | AD | N/A | PATEL | U8560212501 | RONAK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.142228441.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543267/check_8170221_5541a18c-eb04-4982-a801-71897c86abb8.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 | 7850883 | N/A | 4215084 | 2025-05-20 02:09:41.962453 | 2025-05-13 04:29:37.229400 |