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 09:04:29.934763 | 2025-05-19 02:02:33.804044 | 8148498 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148498 | Athletic Physical Therapy Inc | 2004-06-11 | 2025-05-22 | M | PT | AE | ORTEGA | 319441605 | TAYLOR | 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/2222/5542310/check_8148498_4c83be80-491d-41ab-a706-00a55d16a1e5.json | N/A | N/A | N/A | N/A | N/A | 319441605 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2004-06-11 | N/A | N/A | N/A | N/A | false | ORTEGA | N/A | TAYLOR | 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 | 5542310 | 2222 | 4801 | 7815091 | N/A | 4214237 | 2025-05-19 02:02:33.804044 | 2025-05-23 18:06:57.303604 |
| 2025-05-18 09:04:29.648284 | 2025-05-19 02:13:07.377274 | 8148491 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8148491 | Athletic Physical Therapy Inc | 1985-01-26 | 2025-05-22 | U | PT | AE | VASEF | 982356788 | IDEAN | 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/2222/5542264/check_8148491_5b55cea1-b393-49ca-a169-fb1b640547a8.json | N/A | N/A | N/A | N/A | N/A | 982356788 | N/A | N/A | UNITED HEALTHCARE | N/A | 1985-01-26 | N/A | N/A | N/A | N/A | false | VASEF | N/A | IDEAN | 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 | 5542264 | 2222 | 4802 | 7821510 | N/A | 4214205 | 2025-05-19 02:13:07.377274 | 2025-06-27 18:49:28.826549 |
| 2025-05-18 09:04:29.341816 | 2025-05-19 02:18:00.519358 | 8148485 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8148485 | Athletic Physical Therapy Inc | 1968-11-30 | 2025-05-22 | M | PT | N/A | GORDON | XED908839966 | LAURI | 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/2222/5542256/check_8148485_87a96ffd-be36-446f-b26c-7a26ea3d5812.json | N/A | N/A | N/A | N/A | N/A | XED908839966 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1968-11-30 | 2001ZK002187 | X0001004 | N/A | PR | false | GORDON | N/A | MICHAEL | N/A | 9999-12-31 | 2019-01-01 | 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 | 5542256 | 2222 | 4802 | 7825178 | N/A | 4214193 | 2025-05-19 02:18:00.519358 | 2025-05-13 04:29:37.228527 |
| 2025-05-18 09:04:29.080890 | 2025-05-19 02:17:11.734825 | 8148474 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8148474 | Athletic Physical Therapy Inc | 2008-04-12 | 2025-05-22 | M | PT | N/A | PULS | XTS068A69201 | LUKE | 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/2222/5542214/check_8148474_67cf1e1a-f891-49ee-92fb-3b3db5df3709.json | N/A | N/A | N/A | N/A | N/A | XTS068A69201 | Preferred Provider Organization (PPO) | SEMTECH CORPORATION CA/OOS | ANTHEM BLUE CROSS | N/A | 2008-04-12 | 040 | 277405M037 | N/A | PR | false | PULS | N/A | TIMOTHY | N/A | 9999-12-31 | 2023-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542214 | 2222 | 4793 | 7824591 | N/A | 4214158 | 2025-05-19 02:17:11.734825 | 2025-05-13 04:29:37.228486 |
| 2025-05-18 09:04:28.852349 | 2025-05-19 02:02:37.656867 | 8148467 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148467 | Athletic Physical Therapy Inc | 1981-08-30 | 2025-05-22 | F | PT | AE | SUMBY | 905944609001 | ANNIKA | 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/2222/5542158/check_8148467_456ec6e4-1563-42c9-90de-36f2b92491c6.json | N/A | N/A | N/A | N/A | N/A | 905944609001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1981-08-30 | N/A | N/A | N/A | N/A | false | SUMBY | N/A | ANNIKA | 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 | 5542158 | 2222 | 4801 | 7815110 | N/A | 4214108 | 2025-05-19 02:02:37.656867 | 2025-05-13 04:29:37.228423 |
| 2025-05-18 09:04:28.479598 | 2025-05-19 02:02:32.809518 | 8148456 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148456 | Athletic Physical Therapy Inc | 2000-02-29 | 2025-05-22 | M | PT | AE | MILLER | 622A6204150 | WILLIAM | 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/2222/5542028/check_8148456_83338bfd-40ac-4d02-9f43-057cc155d151.json | N/A | N/A | N/A | N/A | N/A | 622A6204150 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2000-02-29 | N/A | N/A | N/A | N/A | false | MILLER | 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 | 5542028 | 2222 | 4801 | 7815087 | N/A | 4213985 | 2025-05-19 02:02:32.809518 | 2025-05-13 04:29:37.228303 |
| 2025-05-18 09:04:28.123410 | 2025-05-19 02:13:22.694591 | 8148443 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8148443 | Athletic Physical Therapy Inc | 1969-05-06 | 2025-05-22 | F | PT | AE | IRIZARRY | 950883047 | BERNADETTE | 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/2222/5541827/check_8148443_d91f2882-aa76-418e-9ed4-b495237ba75f.json | N/A | N/A | N/A | N/A | N/A | 950883047 | Commercial | DHL | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1969-05-06 | 0001 0001 | 905224 | N/A | C1 | false | BOERSMA | N/A | PITER | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541827 | 2222 | 4802 | 7821660 | N/A | 4213806 | 2025-05-19 02:13:22.694591 | 2025-05-13 04:29:37.228124 |
| 2025-05-18 09:04:27.800201 | 2025-05-19 02:02:36.729098 | 8148436 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148436 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-05-22 | F | PT | AE | SHEPHERD | 93180838F | EMILY | 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/2222/5541519/check_8148436_3c8dfd17-62d3-4958-acf8-a1accfcc976d.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | 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 | 5541519 | 2222 | 4802 | 7815105 | N/A | 4213530 | 2025-05-19 02:02:36.729098 | 2025-05-13 04:29:37.227860 |
| 2025-05-18 09:04:27.597129 | 2025-05-19 02:02:30.235487 | 8148428 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148428 | Athletic Physical Therapy Inc | 2012-06-25 | 2025-05-22 | F | PT | AE | LORD | 822A5374070 | ALYSSA | 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/2222/5541409/check_8148428_df190d58-81e0-405e-93fb-cba7a0f3387a.json | N/A | N/A | N/A | N/A | N/A | 822A5374070 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2012-06-25 | N/A | N/A | N/A | N/A | false | LORD | N/A | ALYSSA | 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 | 5541409 | 2222 | 4793 | 7815074 | N/A | 4213435 | 2025-05-19 02:02:30.235487 | 2025-05-13 04:29:37.227756 |
| 2025-05-18 09:04:27.447428 | 2025-05-19 02:06:57.076341 | 8148420 | N/A | N/A | 60054 | Aetna | 1114042165 | 8148420 | Athletic Physical Therapy Inc | 2003-08-09 | 2025-05-22 | F | PT | AE | CHORSKE | W279473475 | GABRIELLE | 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/2222/5541384/check_8148420_1a1a5b72-beaf-4041-8078-dc84eafc7f78.json | N/A | N/A | N/A | N/A | N/A | W279473475 | Point of Service (POS) | WESTERN ALLIANCE BANK | AETNA | N/A | 2003-08-09 | 0237851 | 023785101200005 | N/A | PS | false | CHORSKE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541384 | 2222 | 4793 | 7817222 | N/A | 4213412 | 2025-05-19 02:06:57.076341 | 2025-05-13 04:29:37.227734 |
| 2025-05-18 09:04:27.392895 | 2025-05-19 02:02:12.938700 | 8148418 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148418 | Athletic Physical Therapy Inc | 2007-03-22 | 2025-05-22 | M | PT | AE | ADELMAN | 173W1504650 | NOAH | 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/2222/5541198/check_8148418_bb9b5a0c-3e69-4e19-b750-4664a0eab48b.json | N/A | N/A | N/A | N/A | N/A | 173W1504650 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2007-03-22 | N/A | N/A | N/A | N/A | false | ADELMAN | N/A | NOAH | 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 | 5541198 | 2222 | 4802 | 7814977 | N/A | 4213240 | 2025-05-19 02:02:12.938700 | 2025-05-13 04:29:37.227566 |
| 2025-05-18 09:04:27.267976 | 2025-05-19 02:02:20.418584 | 8148411 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148411 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-05-22 | M | PT | AE | FARAHMAND | 91957675E | ALEX | 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/2222/5541163/check_8148411_8855e475-f3af-42cf-a896-dfb8835d4ece.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | 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 | 5541163 | 2222 | 4802 | 7815015 | N/A | 4213207 | 2025-05-19 02:02:20.418584 | 2025-05-13 04:29:37.227536 |
| 2025-05-18 09:04:27.198350 | 2025-05-19 02:13:24.570661 | 8148407 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8148407 | Athletic Physical Therapy Inc | 1972-08-02 | 2025-05-22 | F | PT | AE | RAMSEY | 804015480 | JENNIFER | 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/2222/5541155/check_8148407_e50db139-b46f-4076-9e68-84b76ec68835.json | N/A | N/A | N/A | N/A | N/A | 804015480 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1972-08-02 | N/A | N/A | N/A | N/A | false | RAMSEY | N/A | JENNIFER | 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 | 5541155 | 2222 | 4802 | 7821680 | N/A | 4213204 | 2025-05-19 02:13:24.570661 | 2025-05-28 20:17:37.873556 |
| 2025-05-18 09:04:27.096510 | 2025-05-19 02:02:21.687052 | 8148402 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148402 | Athletic Physical Therapy Inc | 1999-01-11 | 2025-05-22 | M | PT | AE | GLIKSMAN | 99049128F | DANIEL | 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/2222/5541038/check_8148402_ff99e9de-04a1-44aa-8fa8-450ee5a43416.json | N/A | N/A | N/A | N/A | N/A | 99049128F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1999-01-11 | N/A | N/A | N/A | N/A | false | GLIKSMAN | N/A | DANIEL | 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 | 5541038 | 2222 | 4802 | 7815025 | N/A | 4213108 | 2025-05-19 02:02:21.687052 | 2025-05-13 04:29:37.227432 |
| 2025-05-18 09:04:26.940709 | 2025-05-19 02:02:28.645080 | 8148399 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148399 | Athletic Physical Therapy Inc | 1971-04-24 | 2025-05-22 | F | PT | AE | KHOUW | 906189934000 | YVONNE | 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/2222/5540701/check_8148399_c1590893-83d6-4da8-a9b0-1fdb2a84c902.json | N/A | N/A | N/A | N/A | N/A | 906189934000 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1971-04-24 | N/A | N/A | N/A | N/A | false | KHOUW | N/A | YVONNE | 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 | 5540701 | 2222 | 4801 | 7815064 | N/A | 4212810 | 2025-05-19 02:02:28.645080 | 2025-05-13 04:29:37.227141 |
| 2025-05-18 09:04:26.705314 | 2025-05-19 02:02:25.287930 | 8148391 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148391 | Athletic Physical Therapy Inc | 1956-12-04 | 2025-05-22 | U | PT | AE | HUH | 5851983001 | SOON | 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/2222/5540683/check_8148391_9bc811e3-2f12-4953-9305-676b93e2b754.json | N/A | N/A | N/A | N/A | N/A | 5851983001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-12-04 | N/A | N/A | N/A | N/A | false | HUH | N/A | SOON | 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 | 5540683 | 2222 | 4801 | 7815052 | N/A | 4212802 | 2025-05-19 02:02:25.287930 | 2025-05-27 20:48:04.588198 |
| 2025-05-18 09:04:26.527524 | 2025-05-19 02:26:51.275652 | 8148385 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8148385 | Athletic Physical Therapy Inc | 1948-09-11 | 2025-05-22 | M | PT | AE | BAKSHI | 8PU2T62JR27 | ALFRED | 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/2222/5540447/check_8148385_dea2f88d-a1d7-4f73-8f7f-5611876b4aca.json | N/A | N/A | N/A | N/A | N/A | 8PU2T62JR27 | Medicare Part A | N/A | AAA INSURANCE GROUP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-09-11 | S5617 | DOL 01032023 | N/A | MA | false | BAKSHI | N/A | ALFRED | 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 | 5540447 | 2222 | 4802 | 7829249 | N/A | 4212608 | 2025-05-19 02:26:51.275652 | 2025-05-13 04:29:37.226956 |
| 2025-05-18 09:04:26.281312 | 2025-05-19 02:02:38.911935 | 8148378 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148378 | Athletic Physical Therapy Inc | 1957-11-26 | 2025-05-22 | F | PT | AE | VESALGA | 35473231 | DEBRA | 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/2222/5540301/check_8148378_ec19629b-92a8-4bce-a918-8508d7c5ad9a.json | N/A | N/A | N/A | N/A | N/A | 35473231 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-11-26 | N/A | N/A | N/A | N/A | false | VESALGA | N/A | DEBRA | 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 | 5540301 | 2222 | 4801 | 7815113 | N/A | 4212475 | 2025-05-19 02:02:38.911935 | 2025-05-13 04:29:37.226811 |
| 2025-05-18 09:04:26.009091 | 2025-05-19 02:02:24.307725 | 8148372 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148372 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-05-22 | M | PT | AE | HERMAN | 95836743G | BRETT | 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/2222/5540113/check_8148372_a697c4d4-8306-4aec-9b1d-9d5f01d7b884.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | 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 | 5540113 | 2222 | 4801 | 7815046 | N/A | 4212315 | 2025-05-19 02:02:24.307725 | 2025-12-29 21:20:15.158611 |
| 2025-05-18 09:04:25.663852 | 2025-05-19 02:17:05.419196 | 8148364 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8148364 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-05-22 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | 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/2222/5540074/check_8148364_bc59ff50-845f-4cfd-97fe-58a71500ba0d.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540074 | 2222 | 4802 | 7824514 | N/A | 4212282 | 2025-05-19 02:17:05.419196 | 2025-05-13 04:29:37.226623 |
| 2025-05-18 09:04:25.326778 | 2025-05-19 02:02:23.886450 | 8148350 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148350 | Athletic Physical Therapy Inc | 1963-01-15 | 2025-05-22 | M | PT | AE | HENRIKSEN | 903688912001 | TONI | 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/2222/5539967/check_8148350_07585327-0893-41f9-bd48-04175a5e84e4.json | N/A | N/A | N/A | N/A | N/A | 903688912001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1963-01-15 | N/A | N/A | N/A | N/A | false | HENRIKSEN | N/A | TONI | 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 | 5539967 | 2222 | 4801 | 7815043 | N/A | 4212197 | 2025-05-19 02:02:23.886450 | 2025-05-22 18:11:36.422353 |
| 2025-05-18 09:04:25.012073 | 2025-05-19 02:18:00.039347 | 8148339 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8148339 | Athletic Physical Therapy Inc | 1963-03-09 | 2025-05-22 | M | PT | N/A | GILLETTE | ZZA129013396001 | GRADY | 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/2222/5539749/check_8148339_bf41ee81-c43b-4d2b-9ca8-d3be2ef29ea0.json | N/A | N/A | N/A | N/A | N/A | ZZA129013396001 | N/A | N/A | BLUE SHIELD CALIFORNIA | 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 | 5539749 | 2222 | 4801 | 7825171 | N/A | 4212009 | 2025-05-19 02:18:00.039347 | 2025-05-13 04:29:37.226332 |
| 2025-05-18 09:04:24.710471 | 2025-05-19 02:02:39.926473 | 8148327 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148327 | Athletic Physical Therapy Inc | 1951-02-23 | 2025-05-22 | F | PT | AE | WENSEL | 101886203800 | KAREN | 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/2222/5539711/check_8148327_22173d16-ec7c-4c56-9296-e939df2bb4db.json | N/A | N/A | N/A | N/A | N/A | 101886203800 | 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 | 5539711 | 2222 | 4793 | 7815118 | N/A | 4211977 | 2025-05-19 02:02:39.926473 | 2025-05-13 04:29:37.226299 |
| 2025-05-18 09:04:24.562220 | 2025-05-19 02:17:14.144707 | 8148324 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8148324 | Athletic Physical Therapy Inc | 1965-02-23 | 2025-05-22 | M | PT | N/A | TALMAN | LSA820A55237 | TIMOTHY | 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/2222/5539399/check_8148324_7347a120-e375-4aaf-a9a3-cd335154ac3f.json | N/A | N/A | N/A | N/A | N/A | LSA820A55237 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1965-02-23 | 040 | 1841AC | N/A | PR | false | TALMAN | N/A | TIMOTHY | N/A | 9999-12-31 | 2018-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539399 | 2222 | 4801 | 7824623 | N/A | 4211713 | 2025-05-19 02:17:14.144707 | 2025-05-13 04:29:37.226032 |
| 2025-05-18 09:04:24.278619 | 2025-05-19 02:02:18.226687 | 8148315 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148315 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-05-22 | M | PT | AE | CHADIDA | 40060913601 | DAVID | 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/2222/5538674/check_8148315_0b741109-c7b6-414d-8d56-2bd9d87651f3.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | 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 | 5538674 | 2222 | 4793 | 7815003 | N/A | 4211039 | 2025-05-19 02:02:18.226687 | 2025-05-13 04:29:37.225444 |
| 2025-05-18 09:04:24.200612 | 2025-05-19 02:26:53.342223 | 8148311 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8148311 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-05-22 | F | PT | AE | FINCH | 3YV4XM6FP06 | DAWN | 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/2222/5538472/check_8148311_7fbb7561-a612-4617-a2ac-0bde44ccf603.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S8841 | N/A | N/A | MA | false | FINCH | N/A | DAWN | 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 | 5538472 | 2222 | 4802 | 7829267 | N/A | 4210886 | 2025-05-19 02:26:53.342223 | 2025-05-13 04:29:37.225284 |
| 2025-05-18 09:04:24.116226 | 2025-05-19 02:02:22.220416 | 8148308 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148308 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-05-22 | M | PT | AE | GOMES | 00000285293 | NEMESIO | 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/2222/5537439/check_8148308_5d29a96c-5e6e-4f39-b8b4-49400dabbc76.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | 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 | 5537439 | 2222 | 4801 | 7815029 | N/A | 4210001 | 2025-05-19 02:02:22.220416 | 2025-05-13 04:29:37.224421 |
| 2025-05-18 09:04:24.041574 | 2025-05-19 02:26:56.438492 | 8148304 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8148304 | Athletic Physical Therapy Inc | 1942-07-10 | 2025-05-22 | F | PT | AE | PRAGER | 7X06K44HK56 | JUDITH | 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/2222/5537356/check_8148304_2de2ea99-f32d-495b-8fed-21abc693e917.json | N/A | N/A | N/A | N/A | N/A | 7X06K44HK56 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-07-10 | S5921 | N/A | N/A | MA | 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 | 5537356 | 2222 | 4793 | 7829291 | N/A | 4209932 | 2025-05-19 02:26:56.438492 | 2025-05-14 09:05:51.551805 |
| 2025-05-18 09:04:23.987291 | 2025-05-19 02:17:10.935429 | 8148303 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8148303 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-05-22 | M | PT | N/A | MILES | MBL835W05431 | KEITH | 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/2222/5536896/check_8148303_8b469898-2dc6-43b3-a428-649dc90e1fe9.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536896 | 2222 | 4793 | 7824579 | N/A | 4209567 | 2025-05-19 02:17:10.935429 | 2025-05-13 04:29:37.223990 |
| 2025-05-18 09:04:23.939373 | 2025-05-19 02:02:41.123268 | 8148300 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148300 | Athletic Physical Therapy Inc | 1951-12-20 | 2025-05-22 | F | PT | AE | WHEELER | 343741201 | LYNN | 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/2222/5536326/check_8148300_5d6e8ebd-05f0-4ca6-8e60-268b0f7ee056.json | N/A | N/A | N/A | N/A | N/A | 343741201 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-12-20 | N/A | N/A | N/A | N/A | false | WHEELER | N/A | LYNN | 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 | 5536326 | 2222 | 4793 | 7815124 | N/A | 4209091 | 2025-05-19 02:02:41.123268 | 2025-05-13 04:29:37.223512 |
| 2025-05-18 09:04:23.628980 | 2025-05-19 02:02:21.225281 | 8148292 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148292 | Athletic Physical Therapy Inc | 1950-03-18 | 2025-05-22 | F | PT | AE | FLORES | 101153747900 | ALEXANDRA | 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/2222/5536094/check_8148292_eccf3847-5b8b-4f32-ac78-d248a765c191.json | N/A | N/A | N/A | N/A | N/A | 101153747900 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1950-03-18 | N/A | N/A | N/A | N/A | false | FLORES | N/A | ALEXANDRA | 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 | 5536094 | 2222 | 4793 | 7815022 | N/A | 4208905 | 2025-05-19 02:02:21.225281 | 2025-05-13 04:29:37.223331 |
| 2025-05-18 09:04:23.452569 | 2025-05-19 02:02:35.597817 | 8148287 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148287 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-05-22 | F | PT | AE | RYAN | 31026142401 | CAROL | 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/2222/5535455/check_8148287_e4814fcd-c8a0-4842-a8ac-210cb2ca7827.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1941-04-16 | N/A | N/A | N/A | N/A | false | RYAN | N/A | CAROL | 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 | 5535455 | 2222 | 4793 | 7815099 | N/A | 4208375 | 2025-05-19 02:02:35.597817 | 2025-08-08 21:08:12.459471 |
| 2025-05-18 09:04:23.281090 | 2025-05-19 02:02:29.464275 | 8148285 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8148285 | Athletic Physical Therapy Inc | 1980-09-25 | 2025-05-22 | M | PT | AE | LAPORTE | 182595640 | THIBAULT | 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/2222/5535446/check_8148285_0a068988-3e1a-4efa-9165-3bcd4dda5470.json | N/A | N/A | N/A | N/A | N/A | 182595640 | 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 | 5535446 | 2222 | 4802 | 7815071 | N/A | 4208370 | 2025-05-19 02:02:29.464275 | 2025-05-13 04:29:37.222790 |
| 2025-05-18 09:04:10.181398 | 2025-05-19 02:19:44.783254 | 8147880 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8147880 | Athletic Physical Therapy Inc | 1944-01-31 | 2025-05-21 | M | PT | AE | DVORSKY | 000009483838 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140519578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_8147880_ab4c7f40-3b9d-4ab5-a7e4-55cf9f7f120e.json | N/A | N/A | N/A | N/A | N/A | 000009483838 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1944-01-31 | N/A | N/A | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874461 | 2222 | 4801 | 7826033 | N/A | 4534583 | 2025-05-19 02:19:44.783254 | 2025-05-27 21:59:00.919365 |
| 2025-05-18 09:04:09.865303 | 2025-05-19 02:21:35.241756 | 8147871 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8147871 | 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/272741.20250518.140519578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874457/check_8147871_f16b1bfd-c73d-4d20-8ae8-24d5d3bfc5e4.json | N/A | N/A | N/A | N/A | N/A | WAG838721278 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1970-03-11 | N/A | N/A | N/A | N/A | false | MANNING | N/A | TRICIA | 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 | 5874457 | 2222 | 4801 | 7826969 | N/A | 4343472 | 2025-05-19 02:21:35.241756 | 2025-08-08 17:41:30.906097 |
| 2025-05-18 09:04:09.760868 | 2025-05-19 02:16:39.070478 | 8147868 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8147868 | Athletic Physical Therapy Inc | 2001-04-06 | 2025-05-22 | U | PT | AE | HARRAKA | 992737509 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140519578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874440/check_8147868_39009c05-bfd2-4b37-9f59-ef8cf60b49b4.json | N/A | N/A | N/A | N/A | N/A | 992737509 | N/A | N/A | UNITED HEALTHCARE | N/A | 2001-04-06 | N/A | N/A | N/A | N/A | false | HARRAKA | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874440 | 2222 | 4802 | 7824237 | N/A | 4534568 | 2025-05-19 02:16:39.070478 | 2025-05-27 20:53:12.991758 |
| 2025-05-18 09:04:09.714736 | 2025-05-19 02:30:13.543927 | 8147867 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8147867 | Athletic Physical Therapy Inc | 1958-03-16 | 2025-05-22 | U | PT | AE | SCHILLER | 4NG7R64EW31 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140519578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874437/check_8147867_b61cc8c6-87ec-4831-9d90-512d1f2d14cc.json | N/A | N/A | N/A | N/A | N/A | 4NG7R64EW31 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-03-16 | S4802 | N/A | N/A | MA | false | SCHILLER | N/A | JUDY | 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 | 5874437 | 2222 | 4802 | 7830584 | N/A | 4534564 | 2025-05-19 02:30:13.543927 | 2025-05-22 18:42:12.452816 |
| 2025-05-18 09:04:09.657649 | 2025-05-19 02:13:45.826588 | 8147865 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8147865 | 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/272741.20250518.140519578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874435/check_8147865_d0636e5a-4eb3-4069-84da-6c6d7d3045ad.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 | 5874435 | 2222 | 4802 | 7821896 | N/A | 4213817 | 2025-05-19 02:13:45.826588 | 2025-05-13 04:29:37.228137 |
| 2025-05-18 09:04:09.603827 | 2025-05-19 02:21:36.207498 | 8147862 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8147862 | Athletic Physical Therapy Inc | 1994-05-07 | 2025-05-22 | U | PT | N/A | RAFFERTY | XED913453119 | ZOE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140519578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_8147862_b1d11f36-32c8-45b9-b891-964e7937868d.json | N/A | N/A | N/A | N/A | N/A | XED913453119 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1994-05-07 | N/A | N/A | N/A | N/A | false | RAFFERTY | N/A | ZOE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874430 | 2222 | 4802 | 7826976 | N/A | 4534559 | 2025-05-19 02:21:36.207498 | 2025-06-06 02:13:35.698378 |
| 2025-05-18 09:04:09.532854 | 2025-05-19 02:06:35.301425 | 8147858 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | 8147858 | Athletic Physical Therapy Inc | 1947-06-13 | 2025-05-22 | U | PT | AE | FERRY | MISSINGPOLICYNUMBER | MAUREEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140519578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874426/check_8147858_b564d165-69a7-4a0c-ad96-627e2bd531c4.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MISSING INSURANCE NAME | N/A | 1947-06-13 | N/A | N/A | N/A | N/A | false | FERRY | N/A | MAUREEN | 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 | 5874426 | 2222 | 4802 | 7816983 | N/A | 4534555 | 2025-05-19 02:06:35.301425 | 2025-10-06 22:18:22.957561 |
| 2025-05-18 09:04:09.446584 | 2025-05-19 02:21:34.388123 | 8147853 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8147853 | Athletic Physical Therapy Inc | 1999-07-07 | 2025-05-22 | U | PT | AE | AMATO | MISSINGPOLICYNUMBER | OLIVIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140519578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874425/check_8147853_d9e1d1fa-fbd8-440e-a7b3-fcc3323a8df1.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1999-07-07 | N/A | N/A | N/A | N/A | false | AMATO | N/A | OLIVIA | 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 | 5874425 | 2222 | 4802 | 7826966 | N/A | 4534554 | 2025-05-19 02:21:34.388123 | 2025-06-06 02:36:05.744741 |
| 2025-05-18 09:02:27.720921 | 2025-05-19 02:30:12.831376 | 8142382 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8142382 | Athletic Physical Therapy Inc | 1958-12-30 | 2025-05-22 | F | PT | AE | MEDINA | 6QE6PJ0WV58 | CHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140519578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676388/check_8142382_c1455dd7-923a-40c8-8fb8-8043fca893e6.json | N/A | N/A | N/A | N/A | N/A | 6QE6PJ0WV58 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-12-30 | S4802 | N/A | N/A | MA | 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 | 5676388 | 2222 | 4793 | 7830581 | N/A | 4343445 | 2025-05-19 02:30:12.831376 | 2025-05-14 09:06:09.407736 |
| 2025-05-18 09:02:27.582112 | 2025-05-19 02:30:11.755490 | 8142371 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8142371 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-05-22 | M | PT | AE | LANE | 4CA5FX1PJ56 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140519578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676372/check_8142371_0c6d45d8-8793-4a89-9812-9cb99c5b63ae.json | N/A | N/A | N/A | N/A | N/A | 4CA5FX1PJ56 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-25 | S4802 | N/A | N/A | MA | false | LANE | N/A | STEVEN | 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 | 5676372 | 2222 | 4802 | 7830575 | N/A | 4219832 | 2025-05-19 02:30:11.755490 | 2025-05-13 04:29:37.230877 |
| 2025-05-18 09:02:27.357230 | 2025-05-19 02:30:14.953793 | 8142355 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8142355 | Athletic Physical Therapy Inc | 1943-08-11 | 2025-05-22 | M | PT | AE | VELAZQUEZ | 7RA2UD6VM18 | NELSON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140519578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676369/check_8142355_cf1d0ce4-0740-4d9f-a45c-7b9a1fd6f015.json | N/A | N/A | N/A | N/A | N/A | 7RA2UD6VM18 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-08-11 | H4036 | N/A | N/A | MA | false | VELAZQUEZ | N/A | NELSON | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676369 | 2222 | 4801 | 7830588 | N/A | 4219819 | 2025-05-19 02:30:14.953793 | 2026-04-16 20:37:54.612915 |
| 2025-05-18 09:02:27.146404 | 2025-05-19 02:30:10.909843 | 8142337 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8142337 | Athletic Physical Therapy Inc | 1950-05-02 | 2025-05-22 | F | PT | AE | AFTERGOOD | 6R18D09UM38 | GAIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250518.140519578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676365/check_8142337_2e17ea20-ed35-4c5f-ad06-c4f372289e20.json | N/A | N/A | N/A | N/A | N/A | 6R18D09UM38 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-05-02 | S4802 | N/A | N/A | MA | false | AFTERGOOD | N/A | GAIL | 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 | 5676365 | 2222 | 4793 | 7830569 | N/A | 4219754 | 2025-05-19 02:30:10.909843 | 2025-05-13 04:29:37.230796 |
| 2025-05-17 09:13:13.112706 | 2025-05-18 05:04:47.230087 | 8136939 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8136939 | Athletic Physical Therapy Inc | 1953-05-12 | 2025-05-21 | M | PT | AE | LECHUGA | ICA047449 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141621925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676413/check_8136939_84136747-7878-468f-ab8a-6f0855584394.json | N/A | N/A | N/A | N/A | N/A | ICA047449 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-05-12 | N/A | N/A | N/A | N/A | false | LECHUGA | 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 | 5676413 | 2222 | 4801 | 7805952 | N/A | 4343471 | 2025-05-18 05:04:47.230087 | 2025-05-13 04:29:37.230948 |
| 2025-05-17 09:13:12.899561 | 2025-05-18 05:06:18.213554 | 8136937 | N/A | N/A | 39026 | UMR | 1114042165 | 8136937 | Athletic Physical Therapy Inc | 1998-08-12 | 2025-05-20 | M | PT | AE | YOUNG | 46629327 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141621925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676405/check_8136937_43371a4c-80ee-48ef-ba58-fe0601d68545.json | N/A | N/A | N/A | N/A | N/A | 46629327 | N/A | UNITED TALENT AGENCY, LLC. | UMR | N/A | 1998-08-12 | 767000416652002 | 76416652 | N/A | N/A | false | YOUNG | N/A | CHRISTOPHER | 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 | 5676405 | 2222 | 4802 | 7806229 | N/A | 4343460 | 2025-05-18 05:06:18.213554 | 2025-05-13 04:29:37.230938 |
| 2025-05-17 09:13:12.792470 | 2025-05-18 05:11:15.006568 | 8136934 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8136934 | Athletic Physical Therapy Inc | 1989-01-09 | 2025-05-21 | F | PT | N/A | SELTER | XEA906445770 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141621925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676380/check_8136934_bf70ccf6-961d-4356-982e-3cc9b188df7b.json | N/A | N/A | N/A | N/A | N/A | XEA906445770 | Preferred Provider Organization (PPO) | AV SQUAD LP | BLUE SHIELD CALIFORNIA | N/A | 1989-01-09 | 1000PPOX0001 | W0066517 | N/A | PR | false | SELTER | N/A | BRANDON | N/A | N/A | N/A | SMILE SM SPECTRUM 50 1500 NO ORTHO MAC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676380 | 2222 | 4793 | 7808250 | N/A | 4343435 | 2025-05-18 05:11:15.006568 | 2025-05-13 04:29:37.230915 |
| 2025-05-17 09:13:12.556770 | 2025-05-18 05:13:50.567124 | 8136932 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8136932 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-05-21 | F | PT | AE | GNAD | 9EM9VP4XX36 | MELANIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141621925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676353/check_8136932_2c507af1-f270-4c39-b0c4-8e37fdf840ef.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MB | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676353 | 2222 | 4801 | 7809833 | N/A | 4212792 | 2025-05-18 05:13:50.567124 | 2025-10-07 20:33:25.637997 |
| 2025-05-17 09:13:11.789841 | 2025-05-18 05:08:27.623978 | 8136922 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8136922 | Athletic Physical Therapy Inc | 1978-01-15 | 2025-05-21 | M | AD | N/A | VERRONE | 00276044200 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141621925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676345/check_8136922_4df77035-09f5-4c48-bb91-d2e67708440b.json | N/A | N/A | N/A | N/A | N/A | 00276044200 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1978-01-15 | N/A | N/A | N/A | N/A | false | VERRONE | N/A | JOSEPH | 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 | 5676345 | 2222 | 4802 | 7806924 | N/A | 4211547 | 2025-05-18 05:08:27.623978 | 2025-05-13 04:29:37.225884 |