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 09:06:42.098027 | 2025-05-20 02:26:57.763103 | 8169430 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8169430 | Athletic Physical Therapy Inc | 1941-11-29 | 2025-05-23 | F | PT | AE | GODBOLD | 2J64V06CN85 | SHARI | 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/2222/5537856/check_8169430_73dc1e7d-f1ba-44d1-b627-2bdc1dc7ae4e.json | N/A | N/A | N/A | N/A | N/A | 2J64V06CN85 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-11-29 | S5921 | N/A | N/A | MA | false | GODBOLD | N/A | SHARI | 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 | 5537856 | 2222 | 4802 | 7864772 | N/A | 4210360 | 2025-05-20 02:26:57.763103 | 2025-05-13 04:29:37.224766 |
| 2025-05-19 09:06:41.516830 | 2025-05-20 02:16:02.349602 | 8169407 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8169407 | Athletic Physical Therapy Inc | 1985-10-24 | 2025-05-23 | F | PT | N/A | ARTHUR | JQU013A76182 | EMILY | 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/2222/5537835/check_8169407_0c348a00-c16f-4b24-8f36-6bfcd8813645.json | N/A | N/A | N/A | N/A | N/A | JQU013A76182 | Preferred Provider Organization (PPO) | FOCUSRITE GROUP US INC | ANTHEM BLUE CROSS | N/A | 1985-10-24 | 040 | 478491 | N/A | PR | false | BLISS | N/A | HANNAH | N/A | 2025-06-01 | 2024-06-01 | ANTHEM GOLD PPO 30/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537835 | 2222 | 4802 | 7857293 | N/A | 4210344 | 2025-05-20 02:16:02.349602 | 2025-05-13 04:29:37.224750 |
| 2025-05-19 09:06:41.076477 | 2025-05-20 02:03:10.035772 | 8169385 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8169385 | Athletic Physical Therapy Inc | 1951-08-05 | 2025-05-23 | M | PT | AE | TRIGG | 101822874900 | WILLIAM | 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/2222/5537781/check_8169385_960497fb-09e0-4a77-9950-e4b9200ca13f.json | N/A | N/A | N/A | N/A | N/A | 101822874900 | 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 | 5537781 | 2222 | 4793 | 7845684 | N/A | 4210290 | 2025-05-20 02:03:10.035772 | 2026-02-09 23:40:44.961074 |
| 2025-05-19 09:06:40.785655 | 2025-05-20 02:27:00.081669 | 8169371 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8169371 | Athletic Physical Therapy Inc | 1948-08-31 | 2025-05-23 | F | PT | AE | MIYATA | 3HJ1RG9AV22 | LARAINE | 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/2222/5537627/check_8169371_d656484e-0742-4824-8829-6614e09b4d8a.json | N/A | N/A | N/A | N/A | N/A | 3HJ1RG9AV22 | Medicare Part A | N/A | ONEBEACON INSURANCE GROUP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-31 | S4802 | DOL 05242017 | N/A | MA | false | MIYATA | N/A | LARAINE | 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 | 5537627 | 2222 | 4802 | 7864785 | N/A | 4210159 | 2025-05-20 02:27:00.081669 | 2025-05-13 04:29:37.224576 |
| 2025-05-19 09:06:40.397185 | 2025-05-20 02:17:04.571774 | 8169355 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8169355 | Athletic Physical Therapy Inc | 1993-05-31 | 2025-05-23 | M | PT | N/A | LARSON | XEK912707257 | RYAN | 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/2222/5537524/check_8169355_6dfb7691-ee0c-4447-9da4-702b87a0eaf3.json | N/A | N/A | N/A | N/A | N/A | XEK912707257 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-05-31 | 2001ZJ002648 | X0001000 | N/A | PR | false | LARSON | N/A | RYAN | 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 | 5537524 | 2222 | 4793 | 7858306 | N/A | 4210069 | 2025-05-20 02:17:04.571774 | 2025-05-13 04:29:37.224490 |
| 2025-05-19 09:06:39.932786 | 2025-05-20 02:03:05.658392 | 8169339 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8169339 | Athletic Physical Therapy Inc | 1966-02-09 | 2025-05-23 | M | PT | AE | RIVERA | 96111186F | JOSEPH | 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/2222/5537321/check_8169339_f88c31af-95c2-48da-9a64-a2818129fb63.json | N/A | N/A | N/A | N/A | N/A | 96111186F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1966-02-09 | N/A | N/A | N/A | N/A | false | RIVERA | 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 | 5537321 | 2222 | 4802 | 7845654 | N/A | 4209900 | 2025-05-20 02:03:05.658392 | 2025-05-13 04:29:37.224321 |
| 2025-05-19 09:06:39.631847 | 2025-05-20 02:06:38.050481 | 8169332 | N/A | N/A | 60054 | Aetna | 1114042165 | 8169332 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-05-23 | M | PT | AE | NIELSEN | W272380860 | ROY | 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/2222/5537178/check_8169332_2b652aef-773e-481b-bbdd-9ecfe308799b.json | N/A | N/A | N/A | N/A | N/A | W272380860 | N/A | N/A | AETNA | N/A | 1964-10-19 | 0176563 | 017656301100058 | N/A | N/A | false | NIELSEN | N/A | ROY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537178 | 2222 | 4802 | 7848300 | N/A | 4209789 | 2025-05-20 02:06:38.050481 | 2025-05-13 04:29:37.224215 |
| 2025-05-19 09:06:39.250591 | 2025-05-20 02:02:52.674407 | 8169319 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8169319 | Athletic Physical Therapy Inc | 1960-04-02 | 2025-05-23 | M | PT | AE | GOTLER | NCF018M77628 | RONALD | 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/2222/5536875/check_8169319_ead61851-6cb5-43ee-b711-966beb29bd5d.json | N/A | N/A | N/A | N/A | N/A | NCF018M77628 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-04-02 | N/A | N/A | N/A | N/A | false | GOTLER | N/A | RONALD | 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 | 5536875 | 2222 | 4802 | 7845561 | N/A | 4209547 | 2025-05-20 02:02:52.674407 | 2025-05-13 04:29:37.223974 |
| 2025-05-19 09:06:38.847765 | 2025-05-20 02:03:01.842144 | 8169308 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8169308 | Athletic Physical Therapy Inc | 1943-03-11 | 2025-05-23 | M | PT | AE | MATHEU | 00000270336 | CARLOS | 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/2222/5536371/check_8169308_85d043db-d31b-45e0-9f3f-e31af62417e8.json | N/A | N/A | N/A | N/A | N/A | 00000270336 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1943-03-11 | N/A | N/A | N/A | N/A | false | MATHEU | N/A | CARLOS | 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 | 5536371 | 2222 | 4801 | 7845626 | N/A | 4209126 | 2025-05-20 02:03:01.842144 | 2025-05-13 04:29:37.223551 |
| 2025-05-19 09:06:38.400134 | 2025-05-20 02:02:43.462763 | 8169288 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8169288 | Athletic Physical Therapy Inc | 1972-10-15 | 2025-05-23 | F | PT | AE | BAHGAT | R07659029FM1 | MONA | 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/2222/5536335/check_8169288_81fa6d27-f8d0-40dc-b5fa-da3933ac049f.json | N/A | N/A | N/A | N/A | N/A | R07659029FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1972-10-15 | N/A | N/A | N/A | N/A | false | BAHGAT | N/A | MONA | 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 | 5536335 | 2222 | 4802 | 7845498 | N/A | 4209098 | 2025-05-20 02:02:43.462763 | 2025-05-13 04:29:37.223519 |
| 2025-05-19 09:06:37.845854 | 2025-05-20 02:27:02.297494 | 8169265 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8169265 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-05-23 | M | PT | AE | ULLMAN PP | 3A76X26KQ40 | 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/2222/5535838/check_8169265_e2e1b425-6cad-40b1-84c1-f9942647a75e.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | 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 | 5535838 | 2222 | 4801 | 7864804 | N/A | 4208696 | 2025-05-20 02:27:02.297494 | 2025-06-07 16:16:45.844566 |
| 2025-05-19 09:04:28.222639 | 2025-05-20 02:15:43.398567 | 8165637 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8165637 | Athletic Physical Therapy Inc | 1961-08-22 | 2025-05-23 | U | PT | N/A | LY | ZYF589M98531 | FRANCIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.140928552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874462/check_8165637_32d3e0d3-b8c4-48d8-9425-760878ac6d8e.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 | 7856995 | N/A | 4534584 | 2025-05-20 02:15:43.398567 | 2025-06-02 22:12:48.722054 |
| 2025-05-19 09:04:28.158619 | 2025-05-20 02:15:53.185285 | 8165635 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8165635 | Athletic Physical Therapy Inc | 1970-03-11 | 2025-05-22 | F | PT | N/A | MANNING | WAG838721278 | TRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.140928552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874457/check_8165635_ab1f067e-b33a-40a3-aef5-90f036fac33e.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 | 7857152 | N/A | 4343472 | 2025-05-20 02:15:53.185285 | 2025-08-08 17:41:30.906097 |
| 2025-05-19 09:04:28.100062 | 2025-05-20 02:09:38.218617 | 8165630 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8165630 | 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/272741.20250519.140928552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874435/check_8165630_65075861-bc38-4b0f-8d9a-bf007b081427.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 | 5874435 | 2222 | 4802 | 7850835 | N/A | 4213817 | 2025-05-20 02:09:38.218617 | 2025-05-13 04:29:37.228137 |
| 2025-05-19 09:04:28.033615 | 2025-05-20 02:15:20.908321 | 8165629 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8165629 | Athletic Physical Therapy Inc | 1954-07-06 | 2025-05-23 | U | PT | N/A | WONG | MBL238A51912 | LOIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.140928552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874429/check_8165629_c636262a-3195-4543-8891-73a65151d2c8.json | N/A | N/A | N/A | N/A | N/A | MBL238A51912 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1954-07-06 | N/A | N/A | N/A | N/A | false | WONG | N/A | LOIS | 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 | 5874429 | 2222 | 4802 | 7856592 | N/A | 4534558 | 2025-05-20 02:15:20.908321 | 2025-06-02 02:24:50.975707 |
| 2025-05-19 09:04:27.963393 | 2025-05-20 02:24:01.494673 | 8165625 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8165625 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-05-23 | M | PT | AE | DERR | 4GK3GN5DV73 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.140928552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_8165625_425c9d7b-18db-47ef-b6ac-c75913104b5f.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | 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 | 5874420 | 2222 | 4793 | 7863092 | N/A | 4534550 | 2025-05-20 02:24:01.494673 | 2025-10-15 18:36:58.255255 |
| 2025-05-19 09:04:27.911705 | 2025-05-20 02:14:29.140423 | 8165623 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8165623 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-05-23 | F | PT | AE | BOHL | 0000020836823 | JULIANNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250519.140928552.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874418/check_8165623_6667118a-5657-4bde-a2fa-4d0ceaffd898.json | N/A | N/A | N/A | N/A | N/A | 0000020836823 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2009-01-14 | N/A | N/A | N/A | N/A | false | BOHL | N/A | JULIANNA | 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 | 5874418 | 2222 | 4793 | 7855691 | N/A | 4343448 | 2025-05-20 02:14:29.140423 | 2025-05-13 04:29:37.230925 |
| 2025-05-18 09:06:40.022160 | 2025-05-19 02:13:06.862421 | 8152228 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8152228 | Athletic Physical Therapy Inc | 1958-12-30 | 2025-05-22 | F | PT | AE | MEDINA | 35703327111 | CHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676389/check_8152228_e661eb1c-c280-4343-a3fa-5273cb3d9758.json | N/A | N/A | N/A | N/A | N/A | 357033271 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-12-30 | N/A | N/A | N/A | N/A | false | MEDINA | N/A | CHRISTINE | 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 | 5676389 | 2222 | 4793 | 7821503 | N/A | 4343445 | 2025-05-19 02:13:06.862421 | 2025-05-14 09:06:09.407736 |
| 2025-05-18 09:06:39.896510 | 2025-05-19 02:15:16.298987 | 8152225 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8152225 | Athletic Physical Therapy Inc | 1943-08-11 | 2025-05-22 | M | PT | AE | VELAZQUEZ | 825A50913 | NELSON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676370/check_8152225_79072f3d-d699-4a4d-a769-bfa37ab46cd1.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 | 7823063 | N/A | 4219819 | 2025-05-19 02:15:16.298987 | 2026-04-16 20:37:54.612915 |
| 2025-05-18 09:05:20.116711 | 2025-05-19 02:03:25.169638 | 8149782 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149782 | Athletic Physical Therapy Inc | 1953-04-10 | 2025-05-22 | F | PT | AE | BOWMAN | 00000386100 | GLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551030/check_8149782_7d815065-e9c4-4e41-840a-2197b48122b5.json | N/A | N/A | N/A | N/A | N/A | 00000386100 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-04-10 | N/A | N/A | N/A | N/A | false | BOWMAN | N/A | GLORIA | 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 | 5551030 | 2222 | 4801 | 7815402 | N/A | 4219852 | 2025-05-19 02:03:25.169638 | 2025-05-13 04:29:37.230898 |
| 2025-05-18 09:05:20.025302 | 2025-05-19 02:15:14.139558 | 8149777 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8149777 | Athletic Physical Therapy Inc | 1950-05-02 | 2025-05-22 | F | PT | AE | AFTERGOOD | JQE813M79678 | GAIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550899/check_8149777_07cad074-d3e0-480a-9ca1-342a092b6d42.json | N/A | N/A | N/A | N/A | N/A | JQE813M79678 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-05-02 | 040 | CASUPWP0 | N/A | N/A | false | AFTERGOOD | N/A | GAIL | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550899 | 2222 | 4793 | 7823026 | N/A | 4219754 | 2025-05-19 02:15:14.139558 | 2025-05-13 04:29:37.230796 |
| 2025-05-18 09:05:19.853469 | 2025-05-19 02:10:23.323030 | 8149771 | N/A | N/A | 62118 | Aetna Senior Supplemental Insurance | 1114042165 | 8149771 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-05-22 | U | PT | AE | BRENNER | TER6252245 | ROCIO FLORES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550897/check_8149771_9c7e3b08-5c07-4188-b60f-aa135b750548.json | N/A | N/A | N/A | N/A | N/A | TER6252245 | N/A | N/A | AETNA ADMINISTRATOR MEDICARE SUPPLEMENT ELIGIBILITY REMITS O | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | 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 | 5550897 | 2222 | 4793 | 7819723 | N/A | 4219750 | 2025-05-19 02:10:23.323030 | 2025-06-06 02:15:39.377685 |
| 2025-05-18 09:05:19.630731 | 2025-05-19 02:15:15.710736 | 8149765 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8149765 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-05-22 | F | PT | AE | MARTIN | DGA11867912J | DOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550799/check_8149765_1222863e-4a49-446a-8b73-af6289fe0dbb.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | MEDICARE B | N/A | 1944-09-13 | 040 | 276945M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550799 | 2222 | 4793 | 7823050 | N/A | 4219681 | 2025-05-19 02:15:15.710736 | 2026-01-14 20:54:02.193776 |
| 2025-05-18 09:05:19.377352 | 2025-05-19 02:03:24.779886 | 8149757 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149757 | Athletic Physical Therapy Inc | 1947-04-26 | 2025-05-22 | F | PT | AE | BARCENES | H9209970900 | IRENE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549355/check_8149757_4237dee2-dc6b-4d7a-a4f4-343768d2a54d.json | N/A | N/A | N/A | N/A | N/A | H9209970900 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1947-04-26 | N/A | N/A | N/A | N/A | false | BARCENES | N/A | IRENE | 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 | 5549355 | 2222 | 4801 | 7815396 | N/A | 4219033 | 2025-05-19 02:03:24.779886 | 2025-05-13 04:29:37.230052 |
| 2025-05-18 09:05:18.930612 | 2025-05-19 02:05:08.745807 | 8149746 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8149746 | Athletic Physical Therapy Inc | 1956-02-09 | 2025-05-22 | F | PT | AE | DOUGLAS | 34470011211 | HEATHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548966/check_8149746_db847184-adc7-42bb-8e16-573b76d0adbc.json | N/A | N/A | N/A | N/A | N/A | 34470011211 | 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. | 1956-02-09 | N/A | N/A | N/A | SP | false | DOUGLAS | N/A | HEATHER | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN K | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5548966 | 2222 | 4802 | 7816216 | N/A | 4218725 | 2025-05-19 02:05:08.745807 | 2025-05-13 04:29:37.229715 |
| 2025-05-18 09:05:14.205927 | 2025-05-19 02:03:28.130969 | 8149655 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149655 | Athletic Physical Therapy Inc | 1944-03-21 | 2025-05-22 | F | PT | AE | WEBB | 041M7788320 | ALICE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542906/check_8149655_3643a3f8-960d-4f3d-a4ee-e9f0f7403a9f.json | N/A | N/A | N/A | N/A | N/A | 041M7788320 | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | N/A | N/A | 5542906 | 2222 | 4801 | 7815432 | N/A | 4214765 | 2025-05-19 02:03:28.130969 | 2025-05-13 04:29:37.229089 |
| 2025-05-18 09:05:13.794629 | 2025-05-19 02:09:34.212470 | 8149645 | N/A | N/A | 60054 | Aetna | 1114042165 | 8149645 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-05-22 | M | PT | AE | KORY | 102161581800 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_8149645_11a2149f-ab37-4d56-8d53-ec382c169efb.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542870 | 2222 | 4793 | 7819076 | N/A | 4214732 | 2025-05-19 02:09:34.212470 | 2025-06-24 20:13:53.579048 |
| 2025-05-18 09:05:13.531029 | 2025-05-19 02:03:27.023802 | 8149636 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149636 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-05-22 | F | PT | AE | HEYES | 95596436F | DARCIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542236/check_8149636_91b4e133-e044-41e7-9bfc-8f2ead036acd.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | 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 | 5542236 | 2222 | 4793 | 7815419 | N/A | 4214178 | 2025-05-19 02:03:27.023802 | 2025-05-13 04:29:37.228506 |
| 2025-05-18 09:05:13.251105 | 2025-05-19 02:11:05.718741 | 8149626 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8149626 | 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/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541834/check_8149626_b840d62e-5706-4cdb-b27b-8dc44331e067.json | N/A | N/A | N/A | N/A | N/A | U4234027401 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1963-10-30 | N/A | N/A | N/A | N/A | false | SCHIRO | N/A | CRAIG | 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 | N/A | N/A | 5541834 | 2222 | 4802 | 7820226 | N/A | 4213817 | 2025-05-19 02:11:05.718741 | 2025-05-13 04:29:37.228137 |
| 2025-05-18 09:05:13.004554 | 2025-05-19 02:13:05.944793 | 8149620 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8149620 | Athletic Physical Therapy Inc | 1972-08-02 | 2025-05-22 | F | PT | AE | RAMSEY | 778790241 | JENNIFER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541156/check_8149620_57aeb6b4-9992-408b-82fc-11c504ccdfde.json | N/A | N/A | N/A | N/A | N/A | 77879024100 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1972-08-02 | N/A | 1687339 | N/A | C1 | false | KANZAWA | N/A | JENNIFER | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541156 | 2222 | 4802 | 7821494 | N/A | 4213204 | 2025-05-19 02:13:05.944793 | 2025-05-28 20:17:37.873556 |
| 2025-05-18 09:05:12.895579 | 2025-05-19 02:03:27.375492 | 8149618 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149618 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-05-22 | F | PT | AE | JOEL | 27340894 | CANDACE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540651/check_8149618_5462e9c6-ccca-46a6-964f-3bde3cb22cfa.json | N/A | N/A | N/A | N/A | N/A | 27340894 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-08-07 | N/A | N/A | N/A | N/A | false | JOEL | N/A | CANDACE | 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 | 5540651 | 2222 | 4801 | 7815424 | N/A | 4212766 | 2025-05-19 02:03:27.375492 | 2025-05-13 04:29:37.227101 |
| 2025-05-18 09:05:12.781584 | 2025-05-19 02:14:36.202657 | 8149614 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 8149614 | Athletic Physical Therapy Inc | 1948-09-11 | 2025-05-22 | M | PT | AE | BAKSHI | 96558021D | ALFRED | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540448/check_8149614_cef6e259-d5cd-4cb0-8c1a-c3c289194dfa.json | N/A | N/A | N/A | N/A | N/A | 96558021D | N/A | N/A | MEDICARE | N/A | 1948-09-11 | N/A | N/A | N/A | N/A | false | BAKSHI | N/A | ALFRED | N/A | N/A | N/A | KCW MCALSTD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540448 | 2222 | 4802 | 7822515 | N/A | 4212608 | 2025-05-19 02:14:36.202657 | 2025-05-13 04:29:37.226956 |
| 2025-05-18 09:05:12.684116 | 2025-05-19 02:03:26.079776 | 8149609 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149609 | Athletic Physical Therapy Inc | 1963-03-09 | 2025-05-22 | M | PT | N/A | GILLETTE | NCF227A55787 | GRADY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539751/check_8149609_6bc445e2-f65b-4536-b8b5-266329e3f733.json | N/A | N/A | N/A | N/A | N/A | NCF227A55787 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1963-03-09 | N/A | N/A | N/A | N/A | false | GILLETTE | N/A | GRADY | 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 | 5539751 | 2222 | 4801 | 7815411 | N/A | 4212009 | 2025-05-19 02:03:26.079776 | 2025-05-13 04:29:37.226332 |
| 2025-05-18 09:05:12.504657 | 2025-05-19 02:03:28.601097 | 8149603 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149603 | Athletic Physical Therapy Inc | 1951-02-23 | 2025-05-22 | F | PT | AE | WENSEL | 27367103 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539718/check_8149603_f80eb2ab-c974-490d-98b6-1db57b3d73e0.json | N/A | N/A | N/A | N/A | N/A | 27367103 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-02-23 | N/A | N/A | N/A | N/A | false | WENSEL | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539718 | 2222 | 4793 | 7815437 | N/A | 4211977 | 2025-05-19 02:03:28.601097 | 2025-05-13 04:29:37.226299 |
| 2025-05-18 09:05:11.946355 | 2025-05-19 02:03:25.565404 | 8149590 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149590 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-05-22 | M | PT | AE | CHADIDA | XEE980517790 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538682/check_8149590_1085dbed-475b-451f-9d25-48ba84d8c4b7.json | N/A | N/A | N/A | N/A | N/A | XEE980517790 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-08-02 | N/A | N/A | N/A | N/A | false | CHADIDA | 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 | 5538682 | 2222 | 4793 | 7815406 | N/A | 4211039 | 2025-05-19 02:03:25.565404 | 2025-05-13 04:29:37.225444 |
| 2025-05-18 09:05:11.703094 | 2025-05-19 02:15:14.905411 | 8149585 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8149585 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-05-22 | F | PT | AE | FINCH | XDD909A67880 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538474/check_8149585_c9b513cc-6c06-466e-b438-b78cf412d392.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | N/A | CALPERS PERS PLATINUM MSUPP RETIREES(PA) REGION3 | MEDICARE B | N/A | 1954-01-12 | 040 | BS270I | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538474 | 2222 | 4802 | 7823038 | N/A | 4210886 | 2025-05-19 02:15:14.905411 | 2025-05-13 04:29:37.225284 |
| 2025-05-18 09:05:11.438369 | 2025-05-19 02:03:26.665507 | 8149578 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149578 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-05-22 | M | PT | AE | GOMES | 27163193 | NEMESIO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537442/check_8149578_e8cbfbee-da11-4397-ad49-a817332b9dfe.json | N/A | N/A | N/A | N/A | N/A | 27163193 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-09-13 | N/A | N/A | N/A | N/A | false | GOMES | N/A | NEMESIO | 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 | 5537442 | 2222 | 4801 | 7815414 | N/A | 4210001 | 2025-05-19 02:03:26.665507 | 2025-05-13 04:29:37.224421 |
| 2025-05-18 09:05:11.057360 | 2025-05-19 02:05:09.807363 | 8149570 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8149570 | Athletic Physical Therapy Inc | 1942-07-10 | 2025-05-22 | F | PT | AE | PRAGER | 8003423129 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537357/check_8149570_7914bd55-2003-4c6f-9490-b9f9cf4baa36.json | N/A | N/A | N/A | N/A | N/A | 8003423129 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1942-07-10 | N/A | N/A | N/A | N/A | false | PRAGER | 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 | 5537357 | 2222 | 4793 | 7816230 | N/A | 4209932 | 2025-05-19 02:05:09.807363 | 2025-05-14 09:05:51.551805 |
| 2025-05-18 09:05:10.758382 | 2025-05-19 02:03:24.407654 | 8149564 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149564 | Athletic Physical Therapy Inc | 1955-09-16 | 2025-05-22 | M | PT | AE | ARCHULETA | 015108101 | JAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535525/check_8149564_50cadc97-4fe6-4644-bdee-f0852b9d32d3.json | N/A | N/A | N/A | N/A | N/A | 015108101 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-09-16 | N/A | N/A | N/A | N/A | false | ARCHULETA | N/A | JAN | 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 | 5535525 | 2222 | 4793 | 7815392 | N/A | 4208438 | 2025-05-19 02:03:24.407654 | 2025-06-03 23:28:44.457715 |
| 2025-05-18 09:05:10.358629 | 2025-05-19 02:03:27.703282 | 8149556 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149556 | Athletic Physical Therapy Inc | 1980-09-25 | 2025-05-22 | M | PT | AE | LAPORTE | 96636971G | THIBAULT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140916805.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535449/check_8149556_dc055f3d-5a8f-416c-b209-4cb4de506aae.json | N/A | N/A | N/A | N/A | N/A | 96636971G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1980-09-25 | N/A | N/A | N/A | N/A | false | LAPORTE | N/A | THIBAULT | 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 | 5535449 | 2222 | 4802 | 7815429 | N/A | 4208370 | 2025-05-19 02:03:27.703282 | 2025-05-13 04:29:37.222790 |
| 2025-05-18 09:05:02.815543 | 2025-05-19 02:17:57.611288 | 8149381 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8149381 | Athletic Physical Therapy Inc | 1962-03-14 | 2025-05-22 | M | PT | N/A | CORNETT | XED906177097 | BRUCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140934834.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551042/check_8149381_a2b18bff-c3b5-43ac-9ca4-b4aa8d8960fb.json | N/A | N/A | N/A | N/A | N/A | XED906177097 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1962-03-14 | 2001ZK002186 | X0001004 | N/A | PR | false | CORNETT | N/A | BRUCE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551042 | 2222 | 4793 | 7825139 | N/A | 4219846 | 2025-05-19 02:17:57.611288 | 2025-05-13 04:29:37.230893 |
| 2025-05-18 09:05:02.607908 | 2025-05-19 02:17:09.631887 | 8149377 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8149377 | 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/272741.20250518.140934834.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551033/check_8149377_f3e002d1-fb26-407a-9579-df3107eebe1b.json | N/A | N/A | N/A | N/A | N/A | PQI909449886 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2014-12-31 | N/A | N/A | N/A | N/A | false | MADHAVAN | N/A | AARYA | 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 | 5551033 | 2222 | 4793 | 7824570 | N/A | 4219844 | 2025-05-19 02:17:09.631887 | 2025-05-14 17:48:46.320607 |
| 2025-05-18 09:05:02.352659 | 2025-05-19 02:06:55.704222 | 8149373 | N/A | N/A | 60054 | Aetna | 1114042165 | 8149373 | Athletic Physical Therapy Inc | 1953-04-10 | 2025-05-22 | F | PT | AE | BOWMAN | W260258759 | GLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140934834.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551029/check_8149373_969df457-45d6-4381-a3a4-7b2324efe37f.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 | 7817211 | N/A | 4219852 | 2025-05-19 02:06:55.704222 | 2025-05-13 04:29:37.230898 |
| 2025-05-18 09:05:02.091355 | 2025-05-19 02:17:56.912695 | 8149367 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8149367 | Athletic Physical Therapy Inc | 2002-06-03 | 2025-05-22 | U | PT | N/A | CASTANEDA | XED914279551 | AZMIRE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140934834.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551019/check_8149367_3becbc6a-4035-41e9-968b-56438db4760c.json | N/A | N/A | N/A | N/A | N/A | XED914279551 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2002-06-03 | N/A | N/A | N/A | N/A | false | CASTANEDA | N/A | AZMIRE | 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 | 5551019 | 2222 | 4793 | 7825128 | N/A | 4219842 | 2025-05-19 02:17:56.912695 | 2025-04-30 01:22:51.698621 |
| 2025-05-18 09:05:01.923448 | 2025-05-19 02:02:41.923760 | 8149364 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149364 | Athletic Physical Therapy Inc | 1952-08-05 | 2025-05-22 | F | PT | AE | WOOTEN | 40041245701 | GAYLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140934834.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551018/check_8149364_034683f4-549f-4654-ac2e-896ca742eb05.json | N/A | N/A | N/A | N/A | N/A | 40041245701 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-08-05 | N/A | N/A | N/A | N/A | false | WOOTEN | N/A | GAYLE | 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 | 5551018 | 2222 | 4801 | 7815128 | N/A | 4219841 | 2025-05-19 02:02:41.923760 | 2025-05-13 04:29:37.230890 |
| 2025-05-18 09:05:01.847510 | 2025-05-19 02:02:34.629939 | 8149362 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149362 | Athletic Physical Therapy Inc | 1998-01-10 | 2025-05-22 | F | PT | AE | PALACIOS | JMV542W22700 | JASMIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140934834.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551010/check_8149362_8ae6f8b0-584a-4889-a154-533f6e099e07.json | N/A | N/A | N/A | N/A | N/A | JMV542W22700 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1998-01-10 | N/A | N/A | N/A | N/A | false | PALACIOS | N/A | JASMIN | 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 | 5551010 | 2222 | 4802 | 7815097 | N/A | 4219831 | 2025-05-19 02:02:34.629939 | 2025-05-13 04:29:37.230876 |
| 2025-05-18 09:05:01.768458 | 2025-05-19 02:02:18.666877 | 8149360 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149360 | Athletic Physical Therapy Inc | 1956-11-24 | 2025-05-22 | F | PT | AE | ELIZONDO | 00000386521 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140934834.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550998/check_8149360_5677771c-3b25-47da-b679-2ecfd8701e81.json | N/A | N/A | N/A | N/A | N/A | 00000386521 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-11-24 | N/A | N/A | N/A | N/A | false | ELIZONDO | N/A | SANDRA | 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 | 5550998 | 2222 | 4801 | 7815007 | N/A | 4219830 | 2025-05-19 02:02:18.666877 | 2025-06-16 22:37:31.389993 |
| 2025-05-18 09:05:01.666888 | 2025-05-19 02:18:03.780028 | 8149358 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8149358 | Athletic Physical Therapy Inc | 1974-03-02 | 2025-05-22 | F | PT | N/A | TRAGESSER | XED913992617 | HOPE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140934834.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550985/check_8149358_ed9c2d64-aeab-4c4a-8d14-508a2dd4899f.json | N/A | N/A | N/A | N/A | N/A | XED913992617 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-03-02 | 2001ZK002186 | X0001004 | N/A | PR | false | TRAGESSER | N/A | DENNIS | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550985 | 2222 | 4801 | 7825202 | N/A | 4219807 | 2025-05-19 02:18:03.780028 | 2025-05-13 04:29:37.230853 |
| 2025-05-18 09:05:01.602459 | 2025-05-19 02:16:26.848908 | 8149357 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8149357 | Athletic Physical Therapy Inc | 1984-05-04 | 2025-05-21 | M | PT | AE | ABARANOK | 000024783014 | JEREMY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140934834.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550961/check_8149357_edcd758a-1be9-407b-8152-730cd9ce33fc.json | N/A | N/A | N/A | N/A | N/A | 000024783014 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1984-05-04 | 4362482 | 1650095001 | N/A | N/A | false | ABARANOK | N/A | JEREMY | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550961 | 2222 | 4802 | 7824086 | N/A | 4219793 | 2025-05-19 02:16:26.848908 | 2025-05-21 21:25:09.468886 |
| 2025-05-18 09:05:01.497709 | 2025-05-19 02:12:58.398370 | 8149356 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8149356 | Athletic Physical Therapy Inc | 1965-07-31 | 2025-05-22 | F | PT | AE | GUEVARA | G45053839 | DIANE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140934834.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550940/check_8149356_13bfcb5b-e7c6-40ab-8e60-c811eea483d8.json | N/A | N/A | N/A | N/A | N/A | G45053839 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1965-07-31 | 767000416933001 | 76416933 | N/A | N/A | false | GUEVARA | N/A | DIANE | 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 | 5550940 | 2222 | 4793 | 7821432 | N/A | 4219779 | 2025-05-19 02:12:58.398370 | 2025-05-13 04:29:37.230820 |