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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-18 09:05:01.439957 | 2025-05-19 02:02:24.663915 | 8149352 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149352 | Athletic Physical Therapy Inc | 1989-01-23 | 2025-05-22 | F | PT | AE | HINKLE | 051W0804620 | MARLENA | 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/2222/5550925/check_8149352_b592aedd-022c-4757-9b9d-9395acf7c9bc.json | N/A | N/A | N/A | N/A | N/A | 051W0804620 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1989-01-23 | N/A | N/A | N/A | N/A | false | HINKLE | N/A | MARLENA | 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 | 5550925 | 2222 | 4793 | 7815048 | N/A | 4219772 | 2025-05-19 02:02:24.663915 | 2025-11-18 00:45:16.378261 |
| 2025-05-18 09:05:01.391566 | 2025-05-19 02:17:15.836092 | 8149351 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8149351 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-05-22 | F | PT | N/A | WALTER | JXN523A76388 | KARA | 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/2222/5550923/check_8149351_852f2ffc-0102-426e-82c0-a5aae69fac5a.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550923 | 2222 | 4801 | 7824637 | N/A | 4219763 | 2025-05-19 02:17:15.836092 | 2025-05-13 04:29:37.230804 |
| 2025-05-18 09:05:01.241462 | 2025-05-19 02:02:31.155851 | 8149349 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149349 | Athletic Physical Therapy Inc | 1962-03-12 | 2025-05-22 | M | PT | AE | MCNAMARA | 93839431E | THOMAS | 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/2222/5550904/check_8149349_ae7fbd59-b429-4805-b56b-0d96b51ec648.json | N/A | N/A | N/A | N/A | N/A | 93839431E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-03-12 | N/A | N/A | N/A | N/A | false | MCNAMARA | 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 | 5550904 | 2222 | 4802 | 7815079 | N/A | 4219753 | 2025-05-19 02:02:31.155851 | 2025-05-13 04:29:37.230795 |
| 2025-05-18 09:05:00.975079 | 2025-05-19 02:02:23.098121 | 8149346 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149346 | Athletic Physical Therapy Inc | 1970-06-09 | 2025-05-22 | M | PT | AE | HELLER | 410A5502010 | FRANK | 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/2222/5550902/check_8149346_ac85d45d-50ec-42ce-8da0-365ad0974b40.json | N/A | N/A | N/A | N/A | N/A | 410A5502010 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1970-06-09 | N/A | N/A | N/A | N/A | false | HELLER | N/A | FRANK | 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 | 5550902 | 2222 | 4801 | 7815039 | N/A | 4219740 | 2025-05-19 02:02:23.098121 | 2025-05-13 04:29:37.230778 |
| 2025-05-18 09:05:00.588767 | 2025-05-19 02:26:51.597861 | 8149340 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8149340 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-05-22 | U | PT | AE | BRENNER | 8F12ED9EE92 | ROCIO FLORES | 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/2222/5550896/check_8149340_4f988bbc-d593-4257-a8ee-9d83fff79b62.json | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | 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 | 5550896 | 2222 | 4793 | 7829255 | N/A | 4219750 | 2025-05-19 02:26:51.597861 | 2025-06-06 02:15:39.377685 |
| 2025-05-18 09:05:00.106208 | 2025-05-19 02:17:14.734378 | 8149330 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8149330 | Athletic Physical Therapy Inc | 1940-08-30 | 2025-05-22 | F | PT | N/A | TRONESS | 347M0007720 | MARY | 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/2222/5550874/check_8149330_41a15fa9-3e26-4967-84d6-ee8796116530.json | N/A | N/A | N/A | N/A | N/A | 347M0007720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1940-08-30 | N/A | N/A | N/A | N/A | false | TRONESS | N/A | MARY | 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 | 5550874 | 2222 | 4793 | 7824633 | N/A | 4219731 | 2025-05-19 02:17:14.734378 | 2025-05-13 04:29:37.230771 |
| 2025-05-18 09:04:59.567422 | 2025-05-19 02:18:01.913975 | 8149317 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8149317 | Athletic Physical Therapy Inc | 1997-08-28 | 2025-05-22 | M | PT | N/A | KAUFMAN | XEK910972639 | ALEXIS | 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/2222/5550866/check_8149317_81ba9b98-e918-49b8-92b8-c00a2b8b0f04.json | N/A | N/A | N/A | N/A | N/A | XEK910972639 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-08-28 | 2001ZK002168 | X0001000 | N/A | PR | false | KAUFMAN | N/A | ALEXIS | N/A | 9999-12-31 | 2025-01-01 | 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 | 5550866 | 2222 | 4802 | 7825185 | N/A | 4219724 | 2025-05-19 02:18:01.913975 | 2025-06-02 15:55:15.666421 |
| 2025-05-18 09:04:59.248643 | 2025-05-19 02:17:55.630468 | 8149307 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8149307 | Athletic Physical Therapy Inc | 1986-08-03 | 2025-05-22 | M | PT | N/A | AMENT | XED913057951 | NATHAN | 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/2222/5550865/check_8149307_234e8267-9d2e-4e70-9785-bb45d2ed1100.json | N/A | N/A | N/A | N/A | N/A | XED913057951 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-08-03 | 2001ZK002185 | X0001004 | N/A | PR | false | AMENT | N/A | NATHAN | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550865 | 2222 | 4802 | 7825117 | N/A | 4215196 | 2025-05-19 02:17:55.630468 | 2025-05-13 04:29:37.229513 |
| 2025-05-18 09:04:58.983007 | 2025-05-19 02:17:06.159791 | 8149299 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8149299 | Athletic Physical Therapy Inc | 2012-12-22 | 2025-05-22 | F | PT | N/A | CASTRICIONES | DRC967695620 | AVA | 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/2222/5550851/check_8149299_67529bc2-bbfc-4d97-9cc9-b45e80cc5398.json | N/A | N/A | N/A | N/A | N/A | DRC967695620 | Preferred Provider Organization (PPO) | DSAC ENHANCED PLAN | ANTHEM BLUE CROSS | N/A | 2012-12-22 | N/A | 002337029 | N/A | PR | false | CASTRICIONES | N/A | ELMER | N/A | 9999-12-31 | 2010-01-01 | PPO - BLUE CARE ELECT PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550851 | 2222 | 4801 | 7824527 | N/A | 4219717 | 2025-05-19 02:17:06.159791 | 2025-05-13 04:29:37.230758 |
| 2025-05-18 09:04:56.582457 | 2025-05-19 02:17:06.960133 | 8149237 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8149237 | Athletic Physical Therapy Inc | 1975-05-11 | 2025-05-22 | F | PT | N/A | GALLO LUNA | CQP005A55866 | MARITZA | 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/2222/5550838/check_8149237_a0e7f75d-4b01-49a7-b32e-8edd16f324de.json | N/A | N/A | N/A | N/A | N/A | CQP005A55866 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-05-11 | N/A | N/A | N/A | N/A | false | GALLO LUNA | N/A | MARITZA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550838 | 2222 | 4801 | 7824535 | N/A | 4219709 | 2025-05-19 02:17:06.960133 | 2025-05-13 04:29:37.230752 |
| 2025-05-18 09:04:56.240603 | 2025-05-19 02:02:32.101830 | 8149225 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149225 | Athletic Physical Therapy Inc | 1977-06-05 | 2025-05-22 | F | PT | AE | MENDEZ | 811A2456920 | 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/2222/5550836/check_8149225_4019abb3-0b74-407d-a377-52b059ae5ad9.json | N/A | N/A | N/A | N/A | N/A | 811A2456920 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1977-06-05 | N/A | N/A | N/A | N/A | false | MENDEZ | 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 | 5550836 | 2222 | 4801 | 7815083 | N/A | 4219705 | 2025-05-19 02:02:32.101830 | 2025-05-13 04:29:37.230748 |
| 2025-05-18 09:04:55.970082 | 2025-05-19 02:17:58.916121 | 8149218 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8149218 | Athletic Physical Therapy Inc | 1979-05-08 | 2025-05-22 | F | PT | N/A | JEBBARI DELSHAD | XED913120799 | NEDA | 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/2222/5550827/check_8149218_e00f52ce-5af7-4121-8d88-20c72e2a4ea6.json | N/A | N/A | N/A | N/A | N/A | XED913120799 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-05-08 | 2001ZK002184 | X0001004 | N/A | PR | false | DELSHAD | N/A | ALLEN | N/A | 9999-12-31 | 2024-04-01 | 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 | 5550827 | 2222 | 4802 | 7825151 | N/A | 4219700 | 2025-05-19 02:17:58.916121 | 2025-05-13 04:29:37.230745 |
| 2025-05-18 09:04:55.634689 | 2025-05-19 02:06:58.445579 | 8149208 | N/A | N/A | 60054 | Aetna | 1114042165 | 8149208 | Athletic Physical Therapy Inc | 1970-02-16 | 2025-05-22 | M | PT | AE | OCHOA | W263373040 | JACK | 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/2222/5550823/check_8149208_574bc8e1-5283-47f8-b197-c676079f6987.json | N/A | N/A | N/A | N/A | N/A | W263373040 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1970-02-16 | 0160879 | 016087905000013 | N/A | PR | false | OCHOA | N/A | JACK | N/A | N/A | N/A | OPEN CHOICE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550823 | 2222 | 4801 | 7817251 | N/A | 4219698 | 2025-05-19 02:06:58.445579 | 2025-05-13 04:29:37.230743 |
| 2025-05-18 09:04:55.142891 | 2025-05-19 02:02:26.241086 | 8149196 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149196 | Athletic Physical Therapy Inc | 1956-12-13 | 2025-05-22 | F | PT | AE | INOUE | H7732226800 | PAMELA | 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/2222/5550805/check_8149196_d4ca799e-6542-4aff-8306-7ea8c1928db5.json | N/A | N/A | N/A | N/A | N/A | H7732226800 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-12-13 | N/A | N/A | N/A | N/A | false | INOUE | N/A | PAMELA | 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 | 5550805 | 2222 | 4802 | 7815056 | N/A | 4219687 | 2025-05-19 02:02:26.241086 | 2025-05-13 04:29:37.230731 |
| 2025-05-18 09:04:54.888010 | 2025-05-19 02:26:54.969605 | 8149187 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8149187 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-05-22 | F | PT | AE | MARTIN | 5YV3RT3TA75 | DOLLY | 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/2222/5550797/check_8149187_3362a335-d5cc-4acc-9725-8a83afa04e5e.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MB | false | MARTIN | N/A | DOLLY | 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 | 5550797 | 2222 | 4793 | 7829281 | N/A | 4219681 | 2025-05-19 02:26:54.969605 | 2026-01-14 20:54:02.193776 |
| 2025-05-18 09:04:54.648879 | 2025-05-19 02:02:14.447573 | 8149180 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149180 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-05-22 | M | PT | AE | ARUJO | 00000223568 | RAMON | 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/2222/5550751/check_8149180_77728401-5a72-4d49-840e-4ad97bc33d96.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-03-04 | N/A | N/A | N/A | N/A | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550751 | 2222 | 4801 | 7814984 | N/A | 4219640 | 2025-05-19 02:02:14.447573 | 2025-05-13 04:29:37.230682 |
| 2025-05-18 09:04:54.476157 | 2025-05-19 02:02:20.813536 | 8149176 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149176 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-05-22 | F | PT | AE | FINE | 00000272194 | MICHELLE | 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/2222/5550729/check_8149176_869f6ebd-b6b4-472c-9cec-5346464223ee.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-03-27 | N/A | N/A | N/A | N/A | false | FINE | N/A | MICHELLE | 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 | 5550729 | 2222 | 4801 | 7815019 | N/A | 4219630 | 2025-05-19 02:02:20.813536 | 2025-05-13 04:29:37.230672 |
| 2025-05-18 09:04:54.310555 | 2025-05-19 02:26:54.520912 | 8149170 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8149170 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-05-22 | F | PT | AE | JOEL | 9TY9VF4DK26 | CANDACE | 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/2222/5550243/check_8149170_8dabe595-28aa-4cd9-9280-1c0e560dd357.json | N/A | N/A | N/A | N/A | N/A | 9TY9VF4DK26 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-08-07 | S4802 | N/A | N/A | MA | 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 | 5550243 | 2222 | 4801 | 7829273 | N/A | 4212766 | 2025-05-19 02:26:54.520912 | 2025-05-13 04:29:37.227101 |
| 2025-05-18 09:04:54.131576 | 2025-05-19 02:02:15.442167 | 8149166 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149166 | Athletic Physical Therapy Inc | 1947-04-26 | 2025-05-22 | F | PT | AE | BARCENES | 101198878000 | IRENE | 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/2222/5549354/check_8149166_bb50af20-fbb6-4b6e-b0a1-befb552a2949.json | N/A | N/A | N/A | N/A | N/A | 101198878000 | 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 | 5549354 | 2222 | 4801 | 7814987 | N/A | 4219033 | 2025-05-19 02:02:15.442167 | 2025-05-13 04:29:37.230052 |
| 2025-05-18 09:04:53.934871 | 2025-05-19 02:17:07.868655 | 8149160 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8149160 | 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/272741.20250518.140934834.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_8149160_9a7aeccc-80c6-4347-adb3-55e26b323e8d.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1962-01-25 | N/A | N/A | N/A | N/A | false | LUCZYWEK | N/A | DEBORA | 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 | 5549317 | 2222 | 4801 | 7824552 | N/A | 4219010 | 2025-05-19 02:17:07.868655 | 2026-01-09 18:32:07.618867 |
| 2025-05-18 09:04:53.687044 | 2025-05-19 02:26:52.732118 | 8149150 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8149150 | Athletic Physical Therapy Inc | 1956-02-09 | 2025-05-22 | F | PT | AE | DOUGLAS | 6RW0R23KU11 | HEATHER | 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/2222/5548965/check_8149150_cb9d5ee4-d902-4119-8e95-8fd85859cfc1.json | N/A | N/A | N/A | N/A | N/A | 6RW0R23KU11 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-09 | S5596 | N/A | N/A | MA | false | DOUGLAS | N/A | HEATHER | 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 | 5548965 | 2222 | 4802 | 7829261 | N/A | 4218725 | 2025-05-19 02:26:52.732118 | 2025-05-13 04:29:37.229715 |
| 2025-05-18 09:04:53.411108 | 2025-05-19 02:02:13.547534 | 8149140 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8149140 | Athletic Physical Therapy Inc | 1955-09-16 | 2025-05-22 | M | PT | AE | ARCHULETA | 00000367146 | JAN | 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/2222/5548962/check_8149140_2698a41b-5778-4ad9-b29e-1b094a8ac698.json | N/A | N/A | N/A | N/A | N/A | 00000367146 | 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 | 5548962 | 2222 | 4793 | 7814980 | N/A | 4208438 | 2025-05-19 02:02:13.547534 | 2025-06-03 23:28:44.457715 |
| 2025-05-18 09:04:39.676324 | 2025-05-19 02:13:21.412990 | 8148752 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8148752 | Athletic Physical Therapy Inc | 1976-12-05 | 2025-05-22 | F | PT | AE | BIERNER | 941921536 | RACHEL | 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/2222/5543373/check_8148752_3e3a6dc9-65c0-4af7-9fab-d101ce2eaffc.json | N/A | N/A | N/A | N/A | N/A | 941921536 | Commercial | APPLE INC. | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1976-12-05 | 1254 1254 | 700406 | N/A | C1 | false | BIERNER | N/A | JACOB | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543373 | 2222 | 4802 | 7821650 | N/A | 4215173 | 2025-05-19 02:13:21.412990 | 2025-05-13 04:29:37.229490 |
| 2025-05-18 09:04:39.428432 | 2025-05-19 02:02:27.436645 | 8148742 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148742 | Athletic Physical Therapy Inc | 1947-01-24 | 2025-05-22 | F | PT | AE | KAGAN | H9809922800 | 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/2222/5543367/check_8148742_4f1bae86-0b2f-45fe-8c76-96d62f2dc0ea.json | N/A | N/A | N/A | N/A | N/A | H9809922800 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1947-01-24 | N/A | N/A | N/A | N/A | false | KAGAN | 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 | 5543367 | 2222 | 4793 | 7815060 | N/A | 4215166 | 2025-05-19 02:02:27.436645 | 2025-05-08 20:21:06.065519 |
| 2025-05-18 09:04:39.267457 | 2025-05-19 02:17:13.505958 | 8148736 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8148736 | Athletic Physical Therapy Inc | 1985-06-18 | 2025-05-22 | F | PT | N/A | SCHULMAN | XDP423M94945 | JESSICA | 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/2222/5543362/check_8148736_18fc42b2-2cba-4b52-a1e2-7a49c4fa960f.json | N/A | N/A | N/A | N/A | N/A | XDP423M94945 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1985-06-18 | 040 | 280629MJ61 | N/A | PR | false | SCHULMAN | N/A | JESSICA | N/A | 2025-06-01 | 2024-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543362 | 2222 | 4793 | 7824611 | N/A | 4215155 | 2025-05-19 02:17:13.505958 | 2025-05-13 04:29:37.229472 |
| 2025-05-18 09:04:39.102292 | 2025-05-19 02:13:26.312591 | 8148732 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8148732 | Athletic Physical Therapy Inc | 1983-03-03 | 2025-05-22 | F | PT | AE | SULLIVAN | 997396315 | MARY | 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/2222/5543346/check_8148732_2b89043d-7072-4bbb-813e-3af81997e851.json | N/A | N/A | N/A | N/A | N/A | 997396315 | Commercial | MEGA INTERNATIONAL LLC | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1983-03-03 | 0039 0039 | 927395 | N/A | C1 | false | TAYLOR | N/A | CHRISTOPHER | N/A | N/A | N/A | CHOICE PLUS PPO CA 2023 CUJP MOD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543346 | 2222 | 4802 | 7821689 | N/A | 4215149 | 2025-05-19 02:13:26.312591 | 2025-05-13 04:29:37.229465 |
| 2025-05-18 09:04:39.041734 | 2025-05-19 02:17:12.325130 | 8148730 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8148730 | Athletic Physical Therapy Inc | 1962-08-07 | 2025-05-22 | M | PT | N/A | SCHAAFF | LDU805A55743 | MIKE | 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/2222/5543334/check_8148730_90a47d4a-89af-41d0-a289-4b3b2775f0d6.json | N/A | N/A | N/A | N/A | N/A | LDU805A55743 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1962-08-07 | N/A | N/A | N/A | N/A | false | SCHAAFF | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543334 | 2222 | 4793 | 7824601 | N/A | 4215145 | 2025-05-19 02:17:12.325130 | 2025-05-13 04:29:37.229458 |
| 2025-05-18 09:04:38.910992 | 2025-05-19 02:26:57.721255 | 8148725 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8148725 | Athletic Physical Therapy Inc | 1938-03-08 | 2025-05-22 | M | PT | AE | TEAGUE | 1T39QJ8JV30 | LEWIS | 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/2222/5543292/check_8148725_da0cc057-38a9-4dbf-a6a6-96d73fc8bfeb.json | N/A | N/A | N/A | N/A | N/A | 1T39QJ8JV30 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1938-03-08 | N/A | N/A | N/A | MA | false | TEAGUE | N/A | LEWIS | 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 | 5543292 | 2222 | 4802 | 7829305 | N/A | 4215104 | 2025-05-19 02:26:57.721255 | 2025-05-13 04:29:37.229416 |
| 2025-05-18 09:04:38.546691 | 2025-05-19 02:13:06.007889 | 8148711 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8148711 | Athletic Physical Therapy Inc | 2009-05-06 | 2025-05-22 | U | PT | AE | MYER | 992215076 | REMSEN | 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/2222/5543288/check_8148711_4ce5178e-6fb7-472c-a6b7-4d7d2abe1b65.json | N/A | N/A | N/A | N/A | N/A | 992215076 | N/A | N/A | UNITED HEALTHCARE | N/A | 2009-05-06 | N/A | N/A | N/A | N/A | false | MYER | N/A | REMSEN | 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 | 5543288 | 2222 | 4802 | 7821497 | N/A | 4215102 | 2025-05-19 02:13:06.007889 | 2025-06-02 22:31:17.941501 |
| 2025-05-18 09:04:38.150645 | 2025-05-19 02:26:57.264209 | 8148701 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8148701 | Athletic Physical Therapy Inc | 1972-04-17 | 2025-05-22 | F | PT | AE | STOLLA | 2W84AU0UK74 | HILARY | 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/2222/5543274/check_8148701_8f351bae-caac-4ff6-94b0-11afeb7d9ec2.json | N/A | N/A | N/A | N/A | N/A | 2W84AU0UK74 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1972-04-17 | S4802 | N/A | N/A | MB | false | STOLLA | N/A | HILARY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543274 | 2222 | 4801 | 7829298 | N/A | 4215089 | 2025-05-19 02:26:57.264209 | 2025-05-13 04:29:37.229404 |
| 2025-05-18 09:04:37.738766 | 2025-05-19 02:10:20.673752 | 8148692 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8148692 | 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/272741.20250518.140934834.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543267/check_8148692_0614f763-c0c2-4362-a211-f5857ded36cf.json | N/A | N/A | N/A | N/A | N/A | U8560212501 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1995-03-21 | N/A | N/A | N/A | N/A | false | PATEL | N/A | RONAK | 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 | 5543267 | 2222 | 4793 | 7819687 | N/A | 4215084 | 2025-05-19 02:10:20.673752 | 2025-05-13 04:29:37.229400 |
| 2025-05-18 09:04:37.476308 | 2025-05-19 02:02:17.618696 | 8148684 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148684 | Athletic Physical Therapy Inc | 1970-06-17 | 2025-05-22 | M | PT | AE | CATTAR | 563411955 | ANTHONY | 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/2222/5543261/check_8148684_06d5f35e-3e77-4343-ad0a-ff59a34838d4.json | N/A | N/A | N/A | N/A | N/A | 563411955 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1970-06-17 | N/A | N/A | N/A | N/A | false | CATTAR | N/A | ANTHONY | 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 | 5543261 | 2222 | 4802 | 7814998 | N/A | 4215076 | 2025-05-19 02:02:17.618696 | 2025-05-13 04:29:37.229391 |
| 2025-05-18 09:04:37.021994 | 2025-05-19 02:16:27.892022 | 8148673 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8148673 | Athletic Physical Therapy Inc | 1935-03-23 | 2025-05-21 | F | PT | AE | ARENTZOFF | 000002831946 | ROBERTA | 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/2222/5543257/check_8148673_10fd8804-6fd4-4763-a4e8-a375f4423da3.json | N/A | N/A | N/A | N/A | N/A | 000002831946 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1935-03-23 | 3080916 | 1650095002 | N/A | N/A | false | ARENTZOFF | N/A | ROBERTA | N/A | N/A | N/A | LOCKHEED MARTIN RETIREES (SCR) MEDICARE RETIREES 6 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543257 | 2222 | 4793 | 7824098 | N/A | 4215073 | 2025-05-19 02:16:27.892022 | 2025-05-09 04:59:02.290462 |
| 2025-05-18 09:04:36.741525 | 2025-05-19 02:10:21.395785 | 8148668 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8148668 | Athletic Physical Therapy Inc | 2010-06-04 | 2025-05-22 | M | AD | N/A | STARINA | 108916125 | SHAYAN | 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/2222/5543243/check_8148668_8e2f1ebe-0bd2-44d9-8b7d-306c51b399ba.json | N/A | N/A | N/A | N/A | N/A | 108916125 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2010-06-04 | N/A | N/A | N/A | N/A | false | STARINA | N/A | SHAYAN | 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 | 5543243 | 2222 | 4793 | 7819697 | N/A | 4215061 | 2025-05-19 02:10:21.395785 | 2025-05-13 21:01:49.585235 |
| 2025-05-18 09:04:36.388195 | 2025-05-19 02:05:12.941726 | 8148657 | N/A | N/A | 39026 | UMR | 1114042165 | 8148657 | Athletic Physical Therapy Inc | 1997-01-26 | 2025-05-22 | M | PT | AE | MESSINGER | 43687468 | BEN | 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/2222/5543233/check_8148657_b8903ed3-541a-4b21-b498-53bfa0ac7da8.json | N/A | N/A | N/A | N/A | N/A | 43687468 | N/A | CARVANA, LLC | UMR | N/A | 1997-01-26 | 767000416387002 | 76416387 | N/A | N/A | false | MESSINGER | N/A | BEN | 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 | 5543233 | 2222 | 4802 | 7816260 | N/A | 4215051 | 2025-05-19 02:05:12.941726 | 2025-05-13 04:29:37.229373 |
| 2025-05-18 09:04:36.145811 | 2025-05-19 02:17:09.044185 | 8148651 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8148651 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-05-22 | F | PT | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | 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/2222/5543178/check_8148651_c66a126e-62b7-4ff5-be94-8067abb5b64f.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543178 | 2222 | 4802 | 7824560 | N/A | 4215006 | 2025-05-19 02:17:09.044185 | 2025-05-13 04:29:37.229325 |
| 2025-05-18 09:04:35.844328 | 2025-05-19 02:10:20.172306 | 8148645 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8148645 | Athletic Physical Therapy Inc | 1986-09-12 | 2025-05-22 | M | AD | N/A | DE WIT | U9012934201 | MICHAEL | 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/2222/5543137/check_8148645_490a2c16-0dfe-4137-84ea-7d0412bfbc63.json | N/A | N/A | N/A | N/A | N/A | U9012934201 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1986-09-12 | N/A | N/A | N/A | N/A | false | DE WIT | N/A | MICHAEL | 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 | 5543137 | 2222 | 4802 | 7819676 | N/A | 4214968 | 2025-05-19 02:10:20.172306 | 2025-05-13 04:29:37.229290 |
| 2025-05-18 09:04:35.677910 | 2025-05-19 02:12:49.043994 | 8148642 | N/A | N/A | 81264 | Nippon Life Insurance Company of America | 1114042165 | 8148642 | Athletic Physical Therapy Inc | 1974-01-11 | 2025-05-22 | F | PT | AE | TSUKINO | N10109768 | YOSHIKO | 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/2222/5543128/check_8148642_4237e109-e5d4-4599-8d0b-81e538c75c1a.json | N/A | N/A | N/A | N/A | N/A | N10109768-01 | Preferred Provider Organization (PPO) | NIPPON | NIPPON LIFE BENEFITS | N/A | 1974-01-11 | 4208 | R73200 | N/A | PR | false | TSUKINO | N/A | HIROAKI | N/A | N/A | N/A | AETNA SIGNATURE ADMIN, AETNA DENTAL ADMIN | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543128 | 2222 | 4802 | 7821342 | N/A | 4214959 | 2025-05-19 02:12:49.043994 | 2025-05-13 04:29:37.229282 |
| 2025-05-18 09:04:35.295414 | 2025-05-19 02:17:07.458914 | 8148635 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8148635 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-05-22 | F | PT | N/A | HUGGINS | JXN261A50994 | DEE DEE | 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/2222/5543043/check_8148635_5970381f-95b1-433f-9074-5e4020300d28.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543043 | 2222 | 4801 | 7824543 | N/A | 4214884 | 2025-05-19 02:17:07.458914 | 2025-11-12 00:46:10.301659 |
| 2025-05-18 09:04:35.071464 | 2025-05-19 02:18:02.442170 | 8148628 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8148628 | Athletic Physical Therapy Inc | 1986-05-27 | 2025-05-22 | F | PT | N/A | KAYE | XEA904717279 | ASHLEY | 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/2222/5542941/check_8148628_7b72128b-267b-4749-afe5-64a1f182e8eb.json | N/A | N/A | N/A | N/A | N/A | XEA904717279 | Preferred Provider Organization (PPO) | SCIENTIFIC CUTTING TOOLS INC | BLUE SHIELD CALIFORNIA | N/A | 1986-05-27 | 1000VX000102 | W0077611 | N/A | PR | false | KAYE | N/A | BRANDON | N/A | 9999-12-31 | 2021-08-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542941 | 2222 | 4801 | 7825193 | N/A | 4214795 | 2025-05-19 02:18:02.442170 | 2025-05-13 04:29:37.229121 |
| 2025-05-18 09:04:34.912215 | 2025-05-19 02:06:57.780967 | 8148622 | N/A | N/A | 60054 | Aetna | 1114042165 | 8148622 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-05-22 | M | PT | AE | KORY | 10216158100 | MICHAEL | 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/2222/5542868/check_8148622_d5cefae4-7df2-4b26-a19c-33bc13dab1da.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542868 | 2222 | 4793 | 7817236 | N/A | 4214732 | 2025-05-19 02:06:57.780967 | 2025-06-24 20:13:53.579048 |
| 2025-05-18 09:04:34.564553 | 2025-05-19 02:13:23.638115 | 8148613 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8148613 | Athletic Physical Therapy Inc | 1997-01-04 | 2025-05-22 | M | PT | AE | GERSHMAN | 987203340 | TYLER | 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/2222/5542830/check_8148613_a850fb35-55d5-4a08-b11d-08734ea6c6d2.json | N/A | N/A | N/A | N/A | N/A | 987203340 | Consolidated Omnibus Budget Reconciliation Act (COBRA) | ORACLE | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1997-01-04 | 0169 0169 | 228485 | N/A | CO | false | GERSHMAN | N/A | TYLER | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542830 | 2222 | 4802 | 7821672 | N/A | 4214699 | 2025-05-19 02:13:23.638115 | 2025-05-13 04:29:37.229016 |
| 2025-05-18 09:04:34.219270 | 2025-05-19 02:16:28.644028 | 8148599 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8148599 | Athletic Physical Therapy Inc | 2008-07-01 | 2025-05-21 | M | PT | AE | GREENBAUM | 000022303593 | ARIEL | 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/2222/5542809/check_8148599_98c089bb-7de6-4d26-b2c2-a5ce325376c4.json | N/A | N/A | N/A | N/A | N/A | 000022303593 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2008-07-01 | 4332645 | 1650095001 | N/A | N/A | false | GREENBAUM | N/A | ARIEL | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542809 | 2222 | 4793 | 7824111 | N/A | 4214676 | 2025-05-19 02:16:28.644028 | 2025-05-09 04:56:21.107808 |
| 2025-05-18 09:04:33.899800 | 2025-05-19 02:10:22.384013 | 8148588 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8148588 | Athletic Physical Therapy Inc | 2011-05-03 | 2025-05-22 | F | AD | N/A | ZISKIN | U5838130501 | AVA | 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/2222/5542654/check_8148588_4a12f481-df9b-45d3-844e-e30439a8ff15.json | N/A | N/A | N/A | N/A | N/A | U5838130501 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2011-05-03 | N/A | N/A | N/A | N/A | false | ZISKIN | N/A | AVA | 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 | 5542654 | 2222 | 4793 | 7819708 | N/A | 4214539 | 2025-05-19 02:10:22.384013 | 2025-05-13 04:29:37.228865 |
| 2025-05-18 09:04:33.547128 | 2025-05-19 02:02:22.615156 | 8148578 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148578 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-05-22 | F | PT | AE | HAMI | 92932800G | FARIBA | 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/2222/5542611/check_8148578_f1967459-fe56-472b-9992-eb89904fbe0a.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | 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 | 5542611 | 2222 | 4802 | 7815035 | N/A | 4214490 | 2025-05-19 02:02:22.615156 | 2025-05-13 04:29:37.228806 |
| 2025-05-18 09:04:31.150985 | 2025-05-19 02:26:55.404473 | 8148533 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8148533 | Athletic Physical Therapy Inc | 1946-12-12 | 2025-05-22 | F | PT | AE | MILLER | 4T87TH0QY36 | LINDA | 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/2222/5542573/check_8148533_e8fe4f5e-60ed-4b62-890c-8e8cf8369e1d.json | N/A | N/A | N/A | N/A | N/A | 4T87TH0QY36 | N/A | N/A | CMS | N/A | 1946-12-12 | N/A | N/A | N/A | N/A | false | MILLER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542573 | 2222 | 4802 | 7829287 | N/A | 4214465 | 2025-05-19 02:26:55.404473 | 2025-06-04 19:00:43.001374 |
| 2025-05-18 09:04:30.961551 | 2025-05-19 02:02:16.181749 | 8148526 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148526 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-05-22 | M | PT | AE | BLANCHFIELD | 780A5554110 | THOMAS | 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/2222/5542555/check_8148526_2a5c0bb7-6ce1-4671-b7c3-60aea33a19eb.json | N/A | N/A | N/A | N/A | N/A | 780A5554110 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542555 | 2222 | 4793 | 7814992 | N/A | 4214447 | 2025-05-19 02:02:16.181749 | 2026-04-23 20:11:34.441054 |
| 2025-05-18 09:04:30.789111 | 2025-05-19 02:17:59.643809 | 8148521 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8148521 | Athletic Physical Therapy Inc | 1983-10-27 | 2025-05-22 | M | PT | N/A | FEDERER | XEA911365031 | MITCH | 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/2222/5542512/check_8148521_e61fdb78-84f7-45a1-aa2d-77c04f36fe1d.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2025-05-01 | GOLD FULL PPO 750 30 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542512 | 2222 | 4793 | 7825163 | N/A | 4214416 | 2025-05-19 02:17:59.643809 | 2025-05-13 04:29:37.228740 |
| 2025-05-18 09:04:30.480012 | 2025-05-19 02:02:19.445331 | 8148511 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148511 | Athletic Physical Therapy Inc | 1964-04-05 | 2025-05-22 | M | PT | AE | ESCOVER | R04636394MM1 | JAY | 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/2222/5542461/check_8148511_1462621c-7e1a-4d53-a340-2b8a0a3f2a52.json | N/A | N/A | N/A | N/A | N/A | R04636394MM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-04-05 | N/A | N/A | N/A | N/A | false | ESCOVER | N/A | JAY | 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 | 5542461 | 2222 | 4793 | 7815009 | N/A | 4214367 | 2025-05-19 02:02:19.445331 | 2025-05-13 04:29:37.228692 |
| 2025-05-18 09:04:30.203776 | 2025-05-19 02:02:16.921274 | 8148505 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148505 | Athletic Physical Therapy Inc | 1940-12-23 | 2025-05-22 | U | PT | AE | BUI | 556M7810510 | KHIET | 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/2222/5542429/check_8148505_83831045-121e-465e-bc41-e84fbab78c75.json | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | 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 | 5542429 | 2222 | 4793 | 7814996 | N/A | 4214340 | 2025-05-19 02:02:16.921274 | 2025-06-16 23:14:10.518236 |