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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-17 09:09:07.908643 | 2025-05-18 05:11:40.338926 | 8131404 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8131404 | Athletic Physical Therapy Inc | 1944-01-31 | 2025-05-19 | M | PT | AE | DVORSKY | 000009483838 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141719157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_8131404_40bb999b-d51b-417d-a09f-28941e05b764.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 | 7808490 | N/A | 4534583 | 2025-05-18 05:11:40.338926 | 2025-05-27 21:59:00.919365 |
| 2025-05-17 09:09:07.779176 | 2025-05-18 05:11:40.075179 | 8131401 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8131401 | Athletic Physical Therapy Inc | 1943-03-06 | 2025-05-21 | U | PT | AE | VERNON | 000002577936 | MARSHALL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141719157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874456/check_8131401_bf958391-3c2c-4745-8481-033dcb4a569e.json | N/A | N/A | N/A | N/A | N/A | 000002577936 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1943-03-06 | N/A | N/A | N/A | N/A | false | VERNON | N/A | MARSHALL | 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 | 5874456 | 2222 | 4801 | 7808487 | N/A | 4534578 | 2025-05-18 05:11:40.075179 | 2025-05-14 09:08:45.849589 |
| 2025-05-17 09:09:07.654047 | 2025-05-18 05:04:33.538442 | 8131397 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8131397 | Athletic Physical Therapy Inc | 1958-08-20 | 2025-05-21 | U | PT | AE | HAILE MICHAEL | MISSINGPOLICYNUMBER | ABEBU | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141719157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874438/check_8131397_38c93d88-7f48-4f98-8a36-a2b699340712.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1958-08-20 | N/A | N/A | N/A | N/A | false | HAILE MICHAEL | N/A | ABEBU | 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 | 5874438 | 2222 | 4802 | 7805919 | N/A | 4534565 | 2025-05-18 05:04:33.538442 | 2026-03-10 20:57:14.661259 |
| 2025-05-17 09:09:07.532752 | 2025-05-18 05:10:46.801262 | 8131395 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8131395 | Athletic Physical Therapy Inc | 1939-08-09 | 2025-05-21 | F | PT | AE | MARBLE | 196183831 | MARIYLYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141719157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874424/check_8131395_74657bff-0fed-442d-9b87-2456cdceed06.json | N/A | N/A | N/A | N/A | N/A | 196183831 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1939-08-09 | N/A | N/A | N/A | N/A | false | MARBLE | N/A | MARILYN | 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 | 5874424 | 2222 | 4802 | 7808001 | N/A | 4534553 | 2025-05-18 05:10:46.801262 | 2025-05-14 18:56:59.717848 |
| 2025-05-17 09:09:07.304226 | 2025-05-18 05:15:18.925071 | 8131386 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8131386 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-05-21 | M | PT | AE | DERR | 4GK3GN5DV73 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141719157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_8131386_a1de3aa6-98ab-4b75-8112-01366280ca57.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874420 | 2222 | 4793 | 7810879 | N/A | 4534550 | 2025-05-18 05:15:18.925071 | 2025-10-15 18:36:58.255255 |
| 2025-05-17 09:09:06.986586 | 2025-05-18 05:10:47.087220 | 8131376 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8131376 | Athletic Physical Therapy Inc | 2013-08-17 | 2025-05-21 | F | PT | AE | RUEMMELE | 179409499 | MAKENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141719157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874412/check_8131376_12f7c16e-f6bd-4fac-aa46-55b2009e21d3.json | N/A | N/A | N/A | N/A | N/A | 17940949902 | Commercial | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | FUNDING TYPE = FULLY INSURED - LARGE GROUP LABORATORY DESIGNATED DIAGNOSTIC BENEFITS IMAGING DESIGNATED DIAGNOSTIC BENEFITS | 2013-08-17 | N/A | 1685837 | N/A | C1 | false | RUEMMELE | N/A | MAKENA | N/A | N/A | N/A | CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874412 | 2222 | 4793 | 7808003 | N/A | 4534546 | 2025-05-18 05:10:47.087220 | 2025-12-03 00:06:29.870228 |
| 2025-05-17 09:08:51.419384 | 2025-05-18 02:09:08.386139 | 8131009 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8131009 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-05-21 | M | PT | AE | DERR | 35335410011 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141113426.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_8131009_e99c015c-5a4e-4e37-9b92-159d5c4f689d.json | N/A | N/A | N/A | N/A | N/A | 353354100 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-09-28 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | 4793 | 7796473 | N/A | 4534550 | 2025-05-18 02:09:08.386139 | 2025-10-15 18:36:58.255255 |
| 2025-05-17 09:07:05.698779 | 2025-05-18 05:10:45.671235 | 8128454 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8128454 | Athletic Physical Therapy Inc | 2008-06-03 | 2025-05-21 | M | PT | N/A | DATO | NGO555A50496 | BRETT | 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/2222/5551045/check_8128454_2c076fd5-df68-429b-814a-6944021ff972.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2008-06-03 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551045 | 2222 | 4793 | 7807990 | N/A | 4219851 | 2025-05-18 05:10:45.671235 | 2025-05-13 04:29:37.230897 |
| 2025-05-17 09:07:05.438343 | 2025-05-18 05:09:13.851359 | 8128445 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8128445 | Athletic Physical Therapy Inc | 2004-08-14 | 2025-05-21 | M | PT | AE | SCHLUSSEL | 56938694804 | JACOB | 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/2222/5551000/check_8128445_8e50903a-257e-438a-acb5-adef72c72451.json | N/A | N/A | N/A | N/A | N/A | 56938694804 | Commercial | N/A | OXFORD HEALTH INSURANCE, INC. | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 2004-08-14 | N/A | 1345440 | N/A | C1 | false | SCHLUSSEL | N/A | JACOB | N/A | N/A | N/A | LIBERTY NETWORK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551000 | 2222 | 4802 | 7807267 | N/A | 4219818 | 2025-05-18 05:09:13.851359 | 2025-05-14 09:08:41.326595 |
| 2025-05-17 09:07:05.279203 | 2025-05-18 05:10:48.736752 | 8128438 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8128438 | Athletic Physical Therapy Inc | 1981-02-28 | 2025-05-21 | F | PT | N/A | CARROLL | JPU767A23997 | REBECCA | 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/2222/5550993/check_8128438_8e4505d9-9a40-4442-aee8-e73ff378551c.json | N/A | N/A | N/A | N/A | N/A | JPU767A23997 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | ANTHEM BLUE CROSS | N/A | 1981-02-28 | 040 | L12045M001 | N/A | PR | false | STAEVSKI | N/A | THOMAS | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550993 | 2222 | 4793 | 7808017 | N/A | 4219817 | 2025-05-18 05:10:48.736752 | 2025-05-13 04:29:37.230864 |
| 2025-05-17 09:07:04.989018 | 2025-05-18 05:10:49.306126 | 8128430 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8128430 | Athletic Physical Therapy Inc | 1966-02-01 | 2025-05-21 | M | PT | N/A | VARON | MPI101422173Q | BRETT | 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/2222/5550992/check_8128430_cd6d4261-25b4-406c-82c5-4fa84f50ed12.json | N/A | N/A | N/A | N/A | N/A | MPI101422173Q | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-02-01 | N/A | N/A | N/A | N/A | false | VARON | N/A | BRETT | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550992 | 2222 | 4793 | 7808023 | N/A | 4219816 | 2025-05-18 05:10:49.306126 | 2025-05-13 04:29:37.230863 |
| 2025-05-17 09:07:04.727422 | 2025-05-18 05:10:48.425785 | 8128422 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8128422 | Athletic Physical Therapy Inc | 1966-04-27 | 2025-05-21 | M | PT | N/A | MERTES | XED914030953 | CORY | 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/2222/5550989/check_8128422_37142ca8-0545-4776-b6f2-05b14fda5ea2.json | N/A | N/A | N/A | N/A | N/A | XED914030953 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | ANTHEM BLUE CROSS | N/A | 1966-04-27 | 2001ZK002184 | X0001004 | N/A | PR | false | MERTES | N/A | CORY | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550989 | 2222 | 4793 | 7808015 | N/A | 4219813 | 2025-05-18 05:10:48.425785 | 2025-05-13 04:29:37.230860 |
| 2025-05-17 09:07:04.269723 | 2025-05-18 05:04:42.725683 | 8128411 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8128411 | Athletic Physical Therapy Inc | 1959-12-02 | 2025-05-21 | M | PT | AE | DEL CID | H6125233200 | VIDAL | 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/2222/5550987/check_8128411_a33ee9d4-620d-4f22-84e3-43f55346a14c.json | N/A | N/A | N/A | N/A | N/A | H6125233200 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1959-12-02 | N/A | N/A | N/A | N/A | false | DEL CID | N/A | VIDAL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550987 | 2222 | 4793 | 7805940 | N/A | 4219812 | 2025-05-18 05:04:42.725683 | 2025-05-13 04:29:37.230859 |
| 2025-05-17 09:07:03.655516 | 2025-05-18 05:13:51.510624 | 8128393 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8128393 | Athletic Physical Therapy Inc | 1978-11-15 | 2025-05-21 | F | PT | AE | LEVIN | 8UF4J49FH09 | SHANNON | 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/2222/5550976/check_8128393_0695c373-8a36-4422-982f-d06876c719d4.json | N/A | N/A | N/A | N/A | N/A | 8UF4J49FH09 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1978-11-15 | S4802 | N/A | N/A | MA | false | LEVIN | N/A | SHANNON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550976 | 2222 | 4801 | 7809843 | N/A | 4219800 | 2025-05-18 05:13:51.510624 | 2025-05-13 04:29:37.230840 |
| 2025-05-17 09:07:03.166161 | 2025-05-18 05:11:21.564296 | 8128382 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8128382 | Athletic Physical Therapy Inc | 1982-12-12 | 2025-05-21 | F | PT | N/A | BAUMGARTEN | RGF10353870400 | KIMBERLY | 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/2222/5550969/check_8128382_4b7b3cdb-3b75-4bfb-af03-9fe96791c01b.json | N/A | N/A | N/A | N/A | N/A | RGF10353870400 | Preferred Provider Organization (PPO) | EPIC GAMES, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1986-12-12 | FACETS | 14167203 | N/A | PR | false | BAUMGARTEN | N/A | KIMBERLY | N/A | 2026-08-31 | 2025-03-01 | BLUE OPTIONS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550969 | 2222 | 4802 | 7808312 | N/A | 4219801 | 2025-05-18 05:11:21.564296 | 2025-05-13 04:29:37.230841 |
| 2025-05-17 09:07:02.871182 | 2025-05-18 05:13:50.918673 | 8128374 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8128374 | Athletic Physical Therapy Inc | 1954-12-06 | 2025-05-21 | M | PT | AE | HILL | 2KA9XN7JT23 | CAMERON | 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/2222/5550964/check_8128374_eb2bd946-147d-4f53-a537-fcb15918bd16.json | N/A | N/A | N/A | N/A | N/A | 2KA9XN7JT23 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-12-06 | S4802 | N/A | N/A | MA | false | HILL | N/A | CAMERON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550964 | 2222 | 4801 | 7809836 | N/A | 4219795 | 2025-05-18 05:13:50.918673 | 2025-05-13 04:29:37.230834 |
| 2025-05-17 09:07:02.474163 | 2025-05-18 05:10:13.738321 | 8128363 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8128363 | Athletic Physical Therapy Inc | 1984-05-04 | 2025-05-19 | M | PT | AE | ABARANOK | 000024783014 | JEREMY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141621925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550961/check_8128363_02296723-8c69-48fb-9232-d243780d8827.json | N/A | N/A | N/A | N/A | N/A | 000024783014 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1984-05-04 | 4362482 | 1650095001 | N/A | N/A | false | ABARANOK | N/A | JEREMY | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550961 | 2222 | 4802 | 7807733 | N/A | 4219793 | 2025-05-18 05:10:13.738321 | 2025-05-21 21:25:09.468886 |
| 2025-05-17 09:07:02.106083 | 2025-05-18 05:13:52.058622 | 8128354 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8128354 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-05-21 | F | PT | AE | SCHLEIKORN | 4WT5NH8WR56 | MARIETTE | 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/2222/5550958/check_8128354_2dd80d57-bc39-496f-acf6-32afaed3e5d9.json | N/A | N/A | N/A | N/A | N/A | 4WT5NH8WR56 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-20 | N/A | N/A | N/A | MA | false | SCHLEIKORN | N/A | MARIETTE | 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 | 5550958 | 2222 | 4793 | 7809848 | N/A | 4219792 | 2025-05-18 05:13:52.058622 | 2025-05-13 04:29:37.230832 |
| 2025-05-17 09:07:01.819649 | 2025-05-18 05:10:46.894877 | 8128345 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8128345 | Athletic Physical Therapy Inc | 1969-02-19 | 2025-05-21 | F | PT | N/A | HARRIS | AER805281513 | LYNNE | 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/2222/5550952/check_8128345_10dc9ed6-5e1b-49da-921f-3184380d5540.json | N/A | N/A | N/A | N/A | N/A | AER805281513 | Preferred Provider Organization (PPO) | GLOBAL MEDICAL RESPONSE INC. | ANTHEM BLUE CROSS | N/A | 1969-02-19 | N/A | 275619 | N/A | PR | false | HARRIS | N/A | KENNETH | N/A | 9999-12-31 | 2023-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550952 | 2222 | 4801 | 7808002 | N/A | 4219786 | 2025-05-18 05:10:46.894877 | 2025-07-28 00:01:15.733373 |
| 2025-05-17 09:07:01.571296 | 2025-05-18 05:15:34.997890 | 8128340 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8128340 | Athletic Physical Therapy Inc | 1951-05-24 | 2025-05-21 | F | PT | AE | LINDSEY | 5NMOND0FT32 | CHRISTIE | 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/2222/5550951/check_8128340_80d1bfe8-89ff-4fb3-9ca6-cb4f28d21952.json | N/A | N/A | N/A | N/A | N/A | 5NMOND0FT32 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1951-05-24 | N/A | N/A | N/A | N/A | false | LINDSEY | N/A | CHRISTIE | 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 | 5550951 | 2222 | 4801 | 7811085 | N/A | 4219787 | 2025-05-18 05:15:34.997890 | 2025-05-13 04:29:37.230828 |
| 2025-05-17 09:07:01.220169 | 2025-05-18 05:04:56.046338 | 8128332 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8128332 | Athletic Physical Therapy Inc | 1949-07-21 | 2025-05-21 | M | PT | AE | SNEEP | 31177581801 | TIM | 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/2222/5550903/check_8128332_f43febc9-364c-4ee3-b571-b9554172ad56.json | N/A | N/A | N/A | N/A | N/A | 31177581801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-07-21 | N/A | N/A | N/A | N/A | false | SNEEP | N/A | TIM | 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 | 5550903 | 2222 | 4801 | 7805973 | N/A | 4219756 | 2025-05-18 05:04:56.046338 | 2025-05-13 04:29:37.230798 |
| 2025-05-17 09:07:00.875919 | 2025-05-18 05:11:14.230633 | 8128323 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8128323 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-05-21 | M | PT | N/A | PANDYA | XEA913306283 | DHARA | 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/2222/5550845/check_8128323_afcb5040-a020-4d7a-937e-9a9538c206e1.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550845 | 2222 | 4801 | 7808244 | N/A | 4219713 | 2025-05-18 05:11:14.230633 | 2025-08-13 22:46:55.732965 |
| 2025-05-17 09:07:00.651205 | 2025-05-18 05:10:46.566967 | 8128319 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8128319 | Athletic Physical Therapy Inc | 1975-05-11 | 2025-05-21 | F | PT | N/A | GALLO LUNA | CQP005A55866 | MARITZA | 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/2222/5550838/check_8128319_9e47f225-930c-412e-842d-09e2e30eda99.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 | 7807998 | N/A | 4219709 | 2025-05-18 05:10:46.566967 | 2025-05-13 04:29:37.230752 |
| 2025-05-17 09:07:00.295429 | 2025-05-18 05:04:46.750848 | 8128312 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8128312 | Athletic Physical Therapy Inc | 1946-02-28 | 2025-05-21 | F | PT | AE | KUYAT | 27367124 | FAYE | 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/2222/5550758/check_8128312_660263cd-b68c-429f-bbdc-a4c3b9bfbd09.json | N/A | N/A | N/A | N/A | N/A | 27367124 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1946-02-28 | N/A | N/A | N/A | N/A | false | KUYAT | N/A | FAYE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550758 | 2222 | 4801 | 7805951 | N/A | 4219656 | 2025-05-18 05:04:46.750848 | 2025-05-13 04:29:37.230700 |
| 2025-05-17 09:06:59.896692 | 2025-05-18 05:04:45.005414 | 8128301 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8128301 | Athletic Physical Therapy Inc | 1951-06-06 | 2025-05-21 | F | PT | AE | HEMS | 40064724701 | MARILYN | 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/2222/5550702/check_8128301_943aa9b6-8015-4387-915b-4313ede56565.json | N/A | N/A | N/A | N/A | N/A | 40064724701 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-06-06 | N/A | N/A | N/A | N/A | false | HEMS | N/A | MARILYN | 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 | 5550702 | 2222 | 4801 | 7805947 | N/A | 4219615 | 2025-05-18 05:04:45.005414 | 2025-05-13 04:29:37.230657 |
| 2025-05-17 09:06:59.537006 | 2025-05-18 05:13:51.791889 | 8128293 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8128293 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-05-21 | M | PT | AE | LYGA | 9E33A44VQ74 | FRANK | 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/2222/5550634/check_8128293_db3f7940-9042-41d1-8f95-885a89911257.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MA | false | LYGA | 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 | 5550634 | 2222 | 4801 | 7809846 | N/A | 4219584 | 2025-05-18 05:13:51.791889 | 2025-09-29 18:19:47.145731 |
| 2025-05-17 09:06:59.095484 | 2025-05-18 05:04:46.032923 | 8128279 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8128279 | Athletic Physical Therapy Inc | 1984-01-25 | 2025-05-21 | M | PT | AE | KASSBAUM | 803A7005010 | DEVIN | 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/2222/5550356/check_8128279_a4fec164-35e2-4ed9-a0b7-cd7e8b43cf46.json | N/A | N/A | N/A | N/A | N/A | 803A7005010 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1984-01-25 | N/A | N/A | N/A | N/A | false | KASSBAUM | N/A | DEVIN | 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 | 5550356 | 2222 | 4801 | 7805950 | N/A | 4219533 | 2025-05-18 05:04:46.032923 | 2025-05-28 20:18:05.111344 |
| 2025-05-17 09:06:58.500463 | 2025-05-18 05:10:49.704952 | 8128260 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8128260 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-05-21 | F | PT | N/A | WORDEN | XDPCA8058549 | SARAH | 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/2222/5550106/check_8128260_f544c865-1df6-4af2-853d-6dbdabc9190a.json | N/A | N/A | N/A | N/A | N/A | XDPCA8058549 | N/A | UCLA - GRAD | ANTHEM BLUE CROSS | N/A | 1996-01-20 | 040 | 275958P700 | N/A | N/A | false | WORDEN | N/A | SARAH | 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 | 5550106 | 2222 | 4801 | 7808026 | N/A | 4219476 | 2025-05-18 05:10:49.704952 | 2025-05-28 20:18:04.039855 |
| 2025-05-17 09:06:57.940032 | 2025-05-18 05:04:44.610035 | 8128250 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8128250 | Athletic Physical Therapy Inc | 1961-07-17 | 2025-05-21 | F | PT | AE | GONZALEZ | 114M9989520 | TERESA | 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/2222/5549748/check_8128250_f9897473-b07f-4ea2-8e52-afef7f6f75cd.json | N/A | N/A | N/A | N/A | N/A | 114M9989520 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-07-17 | N/A | N/A | N/A | N/A | false | GONZALEZ | N/A | TERESA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549748 | 2222 | 4801 | 7805946 | N/A | 4219347 | 2025-05-18 05:04:44.610035 | 2025-05-13 04:29:37.230372 |
| 2025-05-17 09:06:57.533315 | 2025-05-18 05:08:27.337757 | 8128241 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8128241 | Athletic Physical Therapy Inc | 2003-02-05 | 2025-05-21 | U | AD | N/A | DELFAU | U0882541003 | ANAIS | 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/2222/5549681/check_8128241_cd394a02-5f25-4320-bd37-5bb11bfcf702.json | N/A | N/A | N/A | N/A | N/A | U0882541003 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2003-02-05 | N/A | N/A | N/A | N/A | false | DELFAU | N/A | ANAIS | 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 | 5549681 | 2222 | 4802 | 7806922 | N/A | 4219297 | 2025-05-18 05:08:27.337757 | 2025-07-02 13:33:11.531569 |
| 2025-05-17 09:06:57.206425 | 2025-05-18 05:13:51.232962 | 8128233 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8128233 | Athletic Physical Therapy Inc | 1942-04-09 | 2025-05-21 | F | PT | AE | JALLAD | 7AY7QW7EK46 | IKRAM | 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/2222/5549454/check_8128233_2623f75a-2f4f-4590-b1e2-7ff374d28a0e.json | N/A | N/A | N/A | N/A | N/A | 7AY7QW7EK46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-04-09 | S5617 | N/A | N/A | MA | false | JALLAD | N/A | IKRAM | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549454 | 2222 | 4801 | 7809839 | N/A | 4219116 | 2025-05-18 05:13:51.232962 | 2025-05-16 16:43:35.854220 |
| 2025-05-17 09:06:56.551849 | 2025-05-18 05:10:45.386532 | 8128218 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8128218 | Athletic Physical Therapy Inc | 1960-01-26 | 2025-05-21 | F | PT | N/A | BARR BRIGHT | MBL402W23066 | CYNTHIA | 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/2222/5549321/check_8128218_72906ee5-a0e6-4d74-941d-62a7f582a537.json | N/A | N/A | N/A | N/A | N/A | MBL402W23066 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1960-01-26 | 040 | CAEGR002 | N/A | N/A | false | BARR-BRIGHT | N/A | CYNTHIA | N/A | 9999-12-31 | 2025-02-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549321 | 2222 | 4793 | 7807987 | N/A | 4209763 | 2025-05-18 05:10:45.386532 | 2025-05-14 09:05:42.724555 |
| 2025-05-17 09:06:52.249480 | 2025-05-18 05:10:48.041000 | 8128131 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8128131 | 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/272741.20250517.141621925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_8128131_19b23bba-d967-4ab6-9605-aaca2261750f.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 | 7808012 | N/A | 4219010 | 2025-05-18 05:10:48.041000 | 2026-01-09 18:32:07.618867 |
| 2025-05-17 09:06:51.748117 | 2025-05-18 05:04:45.497450 | 8128120 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8128120 | Athletic Physical Therapy Inc | 1982-12-17 | 2025-05-21 | M | PT | AE | KALINOWSKI | 047A2253210 | THOMAS | 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/2222/5549123/check_8128120_5505d1c7-ad82-4fe5-82a8-e1cb517f8414.json | N/A | N/A | N/A | N/A | N/A | 047A2253210 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1982-12-17 | N/A | N/A | N/A | N/A | false | KALINOWSKI | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549123 | 2222 | 4801 | 7805948 | N/A | 4209232 | 2025-05-18 05:04:45.497450 | 2025-05-13 04:29:37.223653 |
| 2025-05-17 09:06:51.260491 | 2025-05-18 05:04:54.777280 | 8128109 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8128109 | Athletic Physical Therapy Inc | 1941-05-24 | 2025-05-21 | F | PT | AE | REGGIANI | 41813758 | SUSANA | 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/2222/5549015/check_8128109_c139f19b-a8f6-474e-8b31-dd7a87d8b57e.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1941-05-24 | N/A | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | 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 | 5549015 | 2222 | 4801 | 7805964 | N/A | 4208849 | 2025-05-18 05:04:54.777280 | 2025-05-13 04:29:37.223279 |
| 2025-05-17 09:06:30.057754 | 2025-05-18 05:04:48.554229 | 8127650 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8127650 | Athletic Physical Therapy Inc | 1946-12-21 | 2025-05-21 | F | PT | AE | MCMAHON | 00000165136 | JUDITH | 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/2222/5543576/check_8127650_3bfe8e23-b8f4-4b03-a466-626e7de78962.json | N/A | N/A | N/A | N/A | N/A | 00000165136 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1946-12-21 | N/A | N/A | N/A | N/A | false | MCMAHON | 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 | 5543576 | 2222 | 4801 | 7805955 | N/A | 4215353 | 2025-05-18 05:04:48.554229 | 2025-05-13 04:29:37.229674 |
| 2025-05-17 09:06:29.465192 | 2025-05-18 05:04:43.784284 | 8127635 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8127635 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-05-21 | M | PT | AE | FORTIN | R14644640MS1 | NATHANIEL | 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/2222/5543425/check_8127635_11e60b39-dd0a-4fff-9b11-9de1a7c02446.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543425 | 2222 | 4801 | 7805943 | N/A | 4215211 | 2025-05-18 05:04:43.784284 | 2026-04-02 22:30:20.020246 |
| 2025-05-17 09:06:28.608161 | 2025-05-18 05:10:45.935646 | 8127606 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8127606 | Athletic Physical Therapy Inc | 1972-07-25 | 2025-05-21 | M | PT | N/A | FLOOD | GIE138M92464 | ALEX | 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/2222/5543399/check_8127606_068700c6-4e8a-44a5-be8d-b08132a2c236.json | N/A | N/A | N/A | N/A | N/A | GIE138M92464 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1972-07-25 | N/A | N/A | N/A | N/A | false | FLOOD | N/A | ALEX | 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 | 5543399 | 2222 | 4801 | 7807992 | N/A | 4215199 | 2025-05-18 05:10:45.935646 | 2025-05-13 04:29:37.229516 |
| 2025-05-17 09:06:27.973366 | 2025-05-18 05:04:55.592504 | 8127587 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8127587 | Athletic Physical Therapy Inc | 1953-09-04 | 2025-05-21 | F | PT | AE | SANKOVICH | 00000375069 | DEBORAH ANN | 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/2222/5543396/check_8127587_4046ca19-57af-4dfb-8414-b4568e8c6b08.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-09-04 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH ANN | 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 | 5543396 | 2222 | 4793 | 7805972 | N/A | 4215193 | 2025-05-18 05:04:55.592504 | 2026-01-16 04:38:12.725481 |
| 2025-05-17 09:06:27.643204 | 2025-05-18 05:04:49.044889 | 8127575 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8127575 | Athletic Physical Therapy Inc | 1955-08-30 | 2025-05-21 | F | PT | AE | MEJIA | H7198936000 | ROSA | 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/2222/5543392/check_8127575_5c86cf6a-d0eb-486a-a51d-4c5738f99375.json | N/A | N/A | N/A | N/A | N/A | H7198936000 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-08-30 | N/A | N/A | N/A | N/A | false | MEJIA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543392 | 2222 | 4793 | 7805957 | N/A | 4215192 | 2025-05-18 05:04:49.044889 | 2025-05-13 04:29:37.229508 |
| 2025-05-17 09:06:27.416584 | 2025-05-18 05:13:52.335336 | 8127567 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8127567 | Athletic Physical Therapy Inc | 1945-02-14 | 2025-05-21 | M | PT | AE | SLAUGHTER | 6V77P87YA36 | KAY | 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/2222/5543377/check_8127567_c0dff9a8-f70d-4481-8b2b-0874f1dde1e0.json | N/A | N/A | N/A | N/A | N/A | 6V77P87YA36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-02-14 | S5601 | N/A | N/A | MA | false | SLAUGHTER | N/A | KAY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543377 | 2222 | 4802 | 7809851 | N/A | 4215177 | 2025-05-18 05:13:52.335336 | 2025-05-13 04:29:37.229493 |
| 2025-05-17 09:06:27.258001 | 2025-05-18 05:06:16.211428 | 8127562 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 8127562 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-05-21 | F | PT | AE | SILVERS | 1866968 | JOIEMAY | 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/2222/5543335/check_8127562_dab80084-395f-4fee-a5ac-8d04376a0ed8.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543335 | 2222 | 4802 | 7806217 | N/A | 4215139 | 2025-05-18 05:06:16.211428 | 2025-05-13 21:20:11.455022 |
| 2025-05-17 09:06:27.137727 | 2025-05-18 05:04:50.243263 | 8127556 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8127556 | Athletic Physical Therapy Inc | 1970-01-17 | 2025-05-21 | F | PT | AE | POLACCO | U9216987501 | LAURA | 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/2222/5543296/check_8127556_58fe0fd1-871a-4818-9b22-98a4fd885331.json | N/A | N/A | N/A | N/A | N/A | U9216987501 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1970-01-17 | N/A | N/A | N/A | N/A | false | POLACCO | N/A | LAURA | 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 | 5543296 | 2222 | 4793 | 7805961 | N/A | 4215110 | 2025-05-18 05:04:50.243263 | 2025-05-13 04:29:37.229423 |
| 2025-05-17 09:06:27.007783 | 2025-05-18 05:07:08.408906 | 8127550 | N/A | N/A | 60054 | Aetna | 1114042165 | 8127550 | Athletic Physical Therapy Inc | 1994-09-02 | 2025-05-21 | F | PT | AE | CHEN | W286265318 | KELLY | 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/2222/5543266/check_8127550_f8a8f0b4-d4eb-4d87-ba39-3678fbe1f1b6.json | N/A | N/A | N/A | N/A | N/A | W286265318 | Point of Service (POS) | ADOBE INC. | AETNA | N/A | 1994-09-02 | 0660819 | 066081901600001 | N/A | PS | false | CHEN | N/A | KELLY | 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 | 5543266 | 2222 | 4802 | 7806456 | N/A | 4215081 | 2025-05-18 05:07:08.408906 | 2025-05-13 04:29:37.229396 |
| 2025-05-17 09:06:26.917043 | 2025-05-18 05:10:14.033436 | 8127548 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8127548 | Athletic Physical Therapy Inc | 1935-03-23 | 2025-05-19 | F | PT | AE | ARENTZOFF | 000002831946 | ROBERTA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141621925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543257/check_8127548_2dc0cbd8-19a6-4ecd-b244-a6b0baa21feb.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 | 7807736 | N/A | 4215073 | 2025-05-18 05:10:14.033436 | 2025-05-09 04:59:02.290462 |
| 2025-05-17 09:06:26.815753 | 2025-05-18 05:11:15.634959 | 8127542 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8127542 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-05-21 | M | PT | N/A | VIRGIL | XEK905426435 | NICHOLAS | 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/2222/5543237/check_8127542_75ea9518-3846-4994-bca1-7daec2cb462a.json | N/A | N/A | N/A | N/A | N/A | XEK905426435 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2002-06-02 | 2001ZK002195 | X0001000 | N/A | PR | false | VIRGIL | N/A | JEFF | N/A | 9999-12-31 | 2021-07-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543237 | 2222 | 4802 | 7808257 | N/A | 4215054 | 2025-05-18 05:11:15.634959 | 2025-05-13 04:29:37.229375 |
| 2025-05-17 09:06:26.566508 | 2025-05-18 05:06:17.911076 | 8127535 | N/A | N/A | 39026 | UMR | 1114042165 | 8127535 | Athletic Physical Therapy Inc | 1997-01-26 | 2025-05-19 | M | PT | AE | MESSINGER | 43687468 | BEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141621925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543233/check_8127535_914fafce-1251-400d-a4e3-20ea9c0b1143.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 | 7806226 | N/A | 4215051 | 2025-05-18 05:06:17.911076 | 2025-05-13 04:29:37.229373 |
| 2025-05-17 09:06:26.297739 | 2025-05-18 05:04:42.310271 | 8127524 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8127524 | Athletic Physical Therapy Inc | 1956-11-10 | 2025-05-21 | M | PT | AE | CRISSMAN | MMA936W17755 | OLIVER | 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/2222/5543218/check_8127524_98f004c6-0ef7-4d66-8c36-bf311b6cffdd.json | N/A | N/A | N/A | N/A | N/A | MMA936W17755 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-11-10 | N/A | N/A | N/A | N/A | false | CRISSMAN | N/A | OLIVER | 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 | 5543218 | 2222 | 4793 | 7805939 | N/A | 4215022 | 2025-05-18 05:04:42.310271 | 2025-05-13 04:29:37.229340 |
| 2025-05-17 09:06:25.845839 | 2025-05-18 05:11:14.573703 | 8127504 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8127504 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-05-21 | F | PT | N/A | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_8127504_0ddd573f-9351-4d86-973b-eb67dd1fe0cd.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543211 | 2222 | 4801 | 7808246 | N/A | 4215028 | 2025-05-18 05:11:14.573703 | 2025-05-13 04:29:37.229346 |
| 2025-05-17 09:06:25.301197 | 2025-05-18 05:04:49.734735 | 8127490 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8127490 | Athletic Physical Therapy Inc | 1964-01-01 | 2025-05-21 | U | PT | AE | PHAN | 00000332445 | TUYEN | 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/2222/5543208/check_8127490_28b63f34-a744-4bc3-b55c-762cb02e7aab.json | N/A | N/A | N/A | N/A | N/A | 00000332445 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-01-01 | N/A | N/A | N/A | N/A | false | PHAN | N/A | TUYEN | 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 | 5543208 | 2222 | 4793 | 7805959 | N/A | 4215011 | 2025-05-18 05:04:49.734735 | 2025-04-29 21:12:55.627979 |