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 09:06:24.553026 | 2025-05-18 05:04:49.422656 | 8127469 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8127469 | Athletic Physical Therapy Inc | 1959-03-01 | 2025-05-21 | F | PT | AE | OSTIC | 00000398419 | CAROLYN | 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/2222/5543191/check_8127469_f6ac5b35-7ddc-4803-9b5a-7091561d1ef0.json | N/A | N/A | N/A | N/A | N/A | 00000398419 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1959-03-01 | N/A | N/A | N/A | N/A | false | OSTIC | N/A | CAROLYN | 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 | 5543191 | 2222 | 4801 | 7805958 | N/A | 4215017 | 2025-05-18 05:04:49.422656 | 2025-05-13 04:29:37.229335 |
| 2025-05-17 09:06:24.098562 | 2025-05-18 05:10:59.982499 | 8127457 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8127457 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-05-21 | U | PT | N/A | MICHAEL | JXN531M63256 | JUNITHA | 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/2222/5543190/check_8127457_5f955576-9b3f-4bce-9393-cb8c8a89d097.json | N/A | N/A | N/A | N/A | N/A | JXN531M63256 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1983-04-13 | N/A | N/A | N/A | N/A | false | MICHAEL | N/A | JUNITHA | 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 | 5543190 | 2222 | 4793 | 7808115 | N/A | 4215014 | 2025-05-18 05:10:59.982499 | 2025-06-01 22:57:55.386960 |
| 2025-05-17 09:06:23.732596 | 2025-05-18 05:11:11.799718 | 8127448 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8127448 | Athletic Physical Therapy Inc | 2003-07-09 | 2025-05-21 | M | PT | N/A | FEY | XED912890874 | 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/2222/5543173/check_8127448_342a6ea2-dc86-4356-a001-b3ac22a89747.json | N/A | N/A | N/A | N/A | N/A | XED912890874 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2003-07-09 | 2001ZK002185 | X0001004 | N/A | PR | false | FEY | N/A | JOSEPH | N/A | 9999-12-31 | 2024-01-01 | 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 | 5543173 | 2222 | 4793 | 7808220 | N/A | 4215000 | 2025-05-18 05:11:11.799718 | 2025-05-13 04:29:37.229320 |
| 2025-05-17 09:06:19.816281 | 2025-05-18 05:10:47.492872 | 8127354 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8127354 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-05-21 | F | PT | N/A | LAWSON | JXN663W00172 | MICHELLE | 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/2222/5543167/check_8127354_3bf0d080-f4e1-437b-8107-8dd14d296453.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543167 | 2222 | 4793 | 7808008 | N/A | 4214995 | 2025-05-18 05:10:47.492872 | 2025-05-13 04:29:37.229315 |
| 2025-05-17 09:06:19.156455 | 2025-05-18 05:10:46.227527 | 8127336 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8127336 | Athletic Physical Therapy Inc | 1963-02-18 | 2025-05-21 | M | PT | N/A | FRENCH | XDP573A61655 | JONATHAN | 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/2222/5543105/check_8127336_94c7600e-0561-4f9e-b79a-aef752f0e1c6.json | N/A | N/A | N/A | N/A | N/A | XDP573A61655 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-02-18 | N/A | N/A | N/A | N/A | false | FRENCH | N/A | JONATHAN | 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 | 5543105 | 2222 | 4793 | 7807995 | N/A | 4214943 | 2025-05-18 05:10:46.227527 | 2025-05-29 02:21:31.646077 |
| 2025-05-17 09:06:18.387359 | 2025-05-18 05:09:13.557963 | 8127322 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8127322 | Athletic Physical Therapy Inc | 1976-03-26 | 2025-05-21 | M | PT | AE | ORLOV | 23474362 | BORIS | 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/2222/5543098/check_8127322_2e3e7e8d-131d-4138-ab1f-fd0012dd96f7.json | N/A | N/A | N/A | N/A | N/A | 023474362 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1976-03-26 | N/A | N/A | N/A | N/A | false | ORLOV | N/A | BORIS | 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 | 5543098 | 2222 | 4802 | 7807265 | N/A | 4214932 | 2025-05-18 05:09:13.557963 | 2025-05-13 04:29:37.229254 |
| 2025-05-17 09:06:17.809646 | 2025-05-18 05:04:44.233702 | 8127312 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8127312 | Athletic Physical Therapy Inc | 1957-07-06 | 2025-05-21 | F | PT | AE | FRANKLIN | 40052319801 | ELISE | 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/2222/5543089/check_8127312_4c083613-a46b-4f53-959e-64098b757d34.json | N/A | N/A | N/A | N/A | N/A | 40052319801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-07-06 | N/A | N/A | N/A | N/A | false | FRANKLIN | N/A | ELISE | 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 | 5543089 | 2222 | 4801 | 7805944 | N/A | 4214926 | 2025-05-18 05:04:44.233702 | 2025-05-13 04:29:37.229247 |
| 2025-05-17 09:06:17.320442 | 2025-05-18 05:11:13.877104 | 8127301 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8127301 | Athletic Physical Therapy Inc | 1999-11-01 | 2025-05-21 | F | PT | N/A | MCCLEARY | XEA914008927 | ALEXANDRA | 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/2222/5543025/check_8127301_88d94268-88fa-4245-908f-3b58cda37d81.json | N/A | N/A | N/A | N/A | N/A | XEA914008927 | Preferred Provider Organization (PPO) | FIRST PACIFIC ADVISORS LP | BLUE SHIELD CALIFORNIA | N/A | 1999-11-01 | 1000VX000102 | W0109644 | N/A | PR | false | MCCLEARY | N/A | ALEXANDRA | N/A | N/A | N/A | PLATINUM FULL PPO 250 15 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543025 | 2222 | 4802 | 7808241 | N/A | 4214857 | 2025-05-18 05:11:13.877104 | 2025-05-13 04:29:37.229181 |
| 2025-05-17 09:06:16.762385 | 2025-05-18 05:04:41.418310 | 8127290 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8127290 | Athletic Physical Therapy Inc | 1986-06-02 | 2025-05-21 | M | PT | AE | BRIER ROESCHLAUB | U9560354201 | HUNTER | 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/2222/5542954/check_8127290_d02d27ef-fd13-4b92-a321-2727ebaf251d.json | N/A | N/A | N/A | N/A | N/A | U9560354201 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1986-06-02 | N/A | N/A | N/A | N/A | false | BRIER ROESCHLAUB | N/A | HUNTER | 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 | 5542954 | 2222 | 4802 | 7805936 | N/A | 4214805 | 2025-05-18 05:04:41.418310 | 2025-05-13 04:29:37.229129 |
| 2025-05-17 09:06:16.105166 | 2025-05-18 05:09:13.238900 | 8127273 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8127273 | Athletic Physical Therapy Inc | 2000-05-11 | 2025-05-21 | F | PT | AE | KRAUS | 16776997701 | MOLLIE | 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/2222/5542934/check_8127273_84829b6f-d244-4bc7-9551-a2a71a858158.json | N/A | N/A | N/A | N/A | N/A | 16776997701 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 2000-05-11 | N/A | 1687503 | N/A | C1 | false | KRAUS | N/A | MOLLIE | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542934 | 2222 | 4802 | 7807263 | N/A | 4214788 | 2025-05-18 05:09:13.238900 | 2025-05-13 04:29:37.229113 |
| 2025-05-17 09:06:15.877690 | 2025-05-18 05:04:56.584288 | 8127264 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8127264 | Athletic Physical Therapy Inc | 1954-10-02 | 2025-05-21 | M | PT | AE | TARDIF | 40037365501 | TEDD | 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/2222/5542894/check_8127264_313f5610-d047-401d-bce4-03317540f195.json | N/A | N/A | N/A | N/A | N/A | 40037365501 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-10-02 | N/A | N/A | N/A | N/A | false | TARDIF | N/A | TEDD | 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 | 5542894 | 2222 | 4801 | 7805974 | N/A | 4214757 | 2025-05-18 05:04:56.584288 | 2026-03-20 15:26:52.406374 |
| 2025-05-17 09:06:15.723969 | 2025-05-18 05:07:08.943569 | 8127259 | N/A | N/A | 60054 | Aetna | 1114042165 | 8127259 | Athletic Physical Therapy Inc | 1982-02-18 | 2025-05-21 | M | PT | AE | TORGAN | W291598583 | SPENCER | 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/2222/5542863/check_8127259_438d0cd5-fb06-4460-9144-206df2d5ef6a.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | 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 | 5542863 | 2222 | 4793 | 7806459 | N/A | 4214725 | 2025-05-18 05:07:08.943569 | 2025-05-13 04:29:37.229043 |
| 2025-05-17 09:06:15.559470 | 2025-05-18 05:11:12.083646 | 8127253 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8127253 | Athletic Physical Therapy Inc | 1968-02-13 | 2025-05-21 | M | PT | N/A | CUNNINGHAM | XEK904867660 | JAMES | 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/2222/5542829/check_8127253_71e567d7-f00f-4303-a278-4dd8de9e193c.json | N/A | N/A | N/A | N/A | N/A | XEK904867660 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1968-02-13 | 2001ZJ002648 | X0001000 | N/A | PR | false | GREEN | N/A | DEBRA | N/A | 9999-12-31 | 2024-01-01 | 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 | 5542829 | 2222 | 4802 | 7808224 | N/A | 4214694 | 2025-05-18 05:11:12.083646 | 2025-05-13 04:29:37.229011 |
| 2025-05-17 09:06:15.341054 | 2025-05-18 05:11:13.583450 | 8127247 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8127247 | Athletic Physical Therapy Inc | 2000-07-25 | 2025-05-21 | F | PT | N/A | MAGHSOUDLOO | XEA913772161 | SAHAR | 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/2222/5542822/check_8127247_ac2d1dc0-281d-4b6a-9f7a-c337d616b27e.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2000-07-25 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542822 | 2222 | 4793 | 7808238 | N/A | 4214688 | 2025-05-18 05:11:13.583450 | 2025-06-25 17:57:14.838266 |
| 2025-05-17 09:06:15.126789 | 2025-05-18 05:10:14.333516 | 8127242 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8127242 | Athletic Physical Therapy Inc | 2008-07-01 | 2025-05-19 | M | PT | AE | GREENBAUM | 000022303593 | ARIEL | 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/2222/5542809/check_8127242_ffd1fbab-38a8-43f6-beba-fe07b080c026.json | N/A | N/A | N/A | N/A | N/A | 000022303593 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2008-07-01 | 4332645 | 1650095001 | N/A | N/A | false | GREENBAUM | N/A | ARIEL | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542809 | 2222 | 4793 | 7807739 | N/A | 4214676 | 2025-05-18 05:10:14.333516 | 2025-05-09 04:56:21.107808 |
| 2025-05-17 09:06:14.878972 | 2025-05-18 05:10:59.696292 | 8127236 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8127236 | Athletic Physical Therapy Inc | 2009-08-28 | 2025-05-21 | U | PT | N/A | GARCIA | FJB21294792M | STARR | 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/2222/5542769/check_8127236_36b92dc1-1f2d-43fc-a2cd-324c72b8587e.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 2009-08-28 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | STARR | 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 | 5542769 | 2222 | 4801 | 7808111 | N/A | 4214641 | 2025-05-18 05:10:59.696292 | 2025-12-09 08:50:02.875071 |
| 2025-05-17 09:06:14.595729 | 2025-05-18 05:07:08.684735 | 8127231 | N/A | N/A | 60054 | Aetna | 1114042165 | 8127231 | Athletic Physical Therapy Inc | 2005-11-23 | 2025-05-21 | F | PT | AE | FERRELL | W285064666 | AMELIA | 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/2222/5542678/check_8127231_42324be7-3389-4cc0-ad13-8cabbdadabab.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000051 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542678 | 2222 | 4802 | 7806457 | N/A | 4214560 | 2025-05-18 05:07:08.684735 | 2025-05-13 04:29:37.228883 |
| 2025-05-17 09:06:14.207482 | 2025-05-18 05:04:37.371838 | 8127224 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8127224 | Athletic Physical Therapy Inc | 1951-09-06 | 2025-05-21 | M | PT | AE | BLANKENSHIP | 40014799001 | PAUL | 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/2222/5542652/check_8127224_7618947a-48e8-4d63-ae28-13dd2f9f42ca.json | N/A | N/A | N/A | N/A | N/A | 40014799001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-09-06 | N/A | N/A | N/A | N/A | false | BLANKENSHIP | N/A | PAUL | 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 | 5542652 | 2222 | 4801 | 7805930 | N/A | 4214528 | 2025-05-18 05:04:37.371838 | 2025-05-13 04:29:37.228843 |
| 2025-05-17 09:06:13.207057 | 2025-05-18 05:11:12.411593 | 8127203 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8127203 | Athletic Physical Therapy Inc | 1983-04-25 | 2025-05-21 | F | PT | N/A | HASERJIAN | XED912403581 | RENEE | 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/2222/5542222/check_8127203_bffbe66e-0db9-4951-852f-fad538141eb5.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | N/A | 9999-12-31 | 2023-08-01 | 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 | 5542222 | 2222 | 4793 | 7808225 | N/A | 4214148 | 2025-05-18 05:11:12.411593 | 2025-05-13 04:29:37.228475 |
| 2025-05-17 09:06:12.507106 | 2025-05-18 05:11:12.702108 | 8127189 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8127189 | Athletic Physical Therapy Inc | 2009-02-24 | 2025-05-21 | M | PT | N/A | WREDE | XEK911131692 | KENDRICK | 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/2222/5542032/check_8127189_ef6a5a75-b10a-4b32-8a5e-d581278ac2fa.json | N/A | N/A | N/A | N/A | N/A | XEK911131692 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2009-02-24 | 2001ZJ002648 | X0001000 | N/A | PR | false | HILL | N/A | RANLYN | N/A | 2028-02-29 | 2022-01-01 | 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 | 5542032 | 2222 | 4802 | 7808229 | N/A | 4213989 | 2025-05-18 05:11:12.702108 | 2025-05-13 04:29:37.228307 |
| 2025-05-17 09:06:12.106402 | 2025-05-18 05:04:36.978581 | 8127181 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8127181 | Athletic Physical Therapy Inc | 1995-10-02 | 2025-05-21 | M | PT | AE | BERTAGLIA | 91060218G | ITALO | 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/2222/5541989/check_8127181_540effd6-087e-447c-b9da-05ab2c427917.json | N/A | N/A | N/A | N/A | N/A | 91060218G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1995-10-02 | N/A | N/A | N/A | N/A | false | BERTAGLIA | N/A | ITALO | 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 | 5541989 | 2222 | 4802 | 7805929 | N/A | 4213956 | 2025-05-18 05:04:36.978581 | 2025-05-13 04:29:37.228274 |
| 2025-05-17 09:06:11.640237 | 2025-05-18 05:04:57.532588 | 8127169 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8127169 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-05-21 | M | PT | AE | YEE | 412922301 | HARRY | 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/2222/5541972/check_8127169_f160c0f4-4da9-4de0-9d0e-b1b4618ac807.json | N/A | N/A | N/A | N/A | N/A | 412922301 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1947-02-01 | N/A | N/A | N/A | N/A | false | YEE | N/A | HARRY | 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 | 5541972 | 2222 | 4793 | 7805976 | N/A | 4213941 | 2025-05-18 05:04:57.532588 | 2025-05-13 04:29:37.228259 |
| 2025-05-17 09:06:11.158653 | 2025-05-18 05:10:49.025810 | 8127159 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8127159 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-05-21 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | 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/2222/5541917/check_8127159_bcfcdd20-44bd-4c6f-a293-5f6388eadacd.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | 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 | 5541917 | 2222 | 4793 | 7808021 | N/A | 4213891 | 2025-05-18 05:10:49.025810 | 2025-05-13 04:29:37.228207 |
| 2025-05-17 09:06:10.528880 | 2025-05-18 05:04:47.535845 | 8127141 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8127141 | Athletic Physical Therapy Inc | 2011-02-22 | 2025-05-21 | F | PT | AE | LOCKWOOD | R07647848FD1 | BROOKLYNN | 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/2222/5541907/check_8127141_ea4051dc-d843-4888-958b-003e4b425ab1.json | N/A | N/A | N/A | N/A | N/A | R07647848FD1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2011-02-22 | N/A | N/A | N/A | N/A | false | LOCKWOOD | N/A | BROOKLYNN | 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 | 5541907 | 2222 | 4793 | 7805953 | N/A | 4213883 | 2025-05-18 05:04:47.535845 | 2025-05-13 04:29:37.228198 |
| 2025-05-17 09:06:09.910417 | 2025-05-18 05:11:13.313418 | 8127116 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8127116 | Athletic Physical Therapy Inc | 1969-04-26 | 2025-05-21 | F | PT | N/A | LYBRAND | TGX909078723 | TONYA | 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/2222/5541852/check_8127116_c6841172-4059-4203-bee8-a0189e3ef6b4.json | N/A | N/A | N/A | N/A | N/A | TGX909078723 | Preferred Provider Organization (PPO) | TRINET HR III INC | BLUE SHIELD CALIFORNIA | N/A | 1969-04-26 | 1001PPOX0030 | W0051486 | N/A | PR | false | LYBRAND | N/A | TONYA | N/A | N/A | N/A | TRINET HR III INC CUSTOM PPO 1500 FF | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541852 | 2222 | 4793 | 7808235 | N/A | 4213837 | 2025-05-18 05:11:13.313418 | 2025-05-13 04:29:37.228158 |
| 2025-05-17 09:06:09.463768 | 2025-05-18 05:09:12.943100 | 8127103 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8127103 | Athletic Physical Therapy Inc | 1978-02-23 | 2025-05-21 | F | PT | AE | CHVATIKOVA | 99518696 | MONIKA | 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/2222/5541499/check_8127103_18a27edd-0d0a-4829-ba60-eac3c8c28b96.json | N/A | N/A | N/A | N/A | N/A | 995186969 | Commercial | ABC FITNESS SOLUTIONS LLC | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1978-02-23 | 0002 0002 | 929625 | N/A | C1 | false | CHVATIKOVA | N/A | MONIKA | 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 | 5541499 | 2222 | 4802 | 7807261 | N/A | 4213512 | 2025-05-18 05:09:12.943100 | 2025-05-09 03:59:22.501514 |
| 2025-05-17 09:06:08.495235 | 2025-05-18 05:11:13.017225 | 8127051 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8127051 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-05-21 | F | PT | N/A | KURTZ | XED906231353 | NINA | 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/2222/5541378/check_8127051_f9badab2-a017-4c70-9fb6-8139e6432237.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541378 | 2222 | 4793 | 7808232 | N/A | 4213405 | 2025-05-18 05:11:13.017225 | 2025-05-13 04:29:37.227726 |
| 2025-05-17 09:06:07.881546 | 2025-05-18 05:11:15.313982 | 8127013 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8127013 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-05-21 | F | PT | N/A | SHAPIRO | XEA901579979 | ANDREA | 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/2222/5541315/check_8127013_617357b9-93fa-4078-bd66-85369e7bb645.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541315 | 2222 | 4793 | 7808254 | N/A | 4213344 | 2025-05-18 05:11:15.313982 | 2025-05-13 04:29:37.227667 |
| 2025-05-17 09:06:07.553507 | 2025-05-18 05:11:15.909773 | 8127001 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8127001 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-05-21 | U | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | 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/2222/5541314/check_8127001_35524fcd-e08b-4bcf-a9ed-884b005432a1.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | N/A | N/A | N/A | N/A | false | ZIA AMIRHOSSEINI | N/A | PARNIAN | 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 | 5541314 | 2222 | 4793 | 7808258 | N/A | 4213343 | 2025-05-18 05:11:15.909773 | 2025-06-06 02:21:37.603701 |
| 2025-05-17 09:06:07.252695 | 2025-05-18 05:04:36.657851 | 8126989 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8126989 | Athletic Physical Therapy Inc | 1949-03-25 | 2025-05-21 | F | PT | AE | BARON | H7986555300 | AIDA | 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/2222/5541086/check_8126989_c46f9f17-35c0-4d07-b74d-c16d2c809584.json | N/A | N/A | N/A | N/A | N/A | H7986555300 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-03-25 | N/A | N/A | N/A | N/A | false | BARON | N/A | AIDA | 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 | 5541086 | 2222 | 4793 | 7805928 | N/A | 4213141 | 2025-05-18 05:04:36.657851 | 2025-05-13 04:29:37.227470 |
| 2025-05-17 09:06:07.105438 | 2025-05-18 05:04:50.669549 | 8126978 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8126978 | Athletic Physical Therapy Inc | 1962-09-10 | 2025-05-21 | F | PT | AE | QUIJANO CASTRO | 00000259543 | PATRICIA | 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/2222/5540970/check_8126978_1b68c9e2-c725-49a5-8a3b-ca2de2cee3a8.json | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540970 | 2222 | 4801 | 7805962 | N/A | 4213051 | 2025-05-18 05:04:50.669549 | 2025-05-13 04:29:37.227377 |
| 2025-05-17 09:06:06.987149 | 2025-05-18 05:07:06.947047 | 8126973 | N/A | N/A | 60054 | Aetna | 1114042165 | 8126973 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-05-21 | U | PT | AE | BOKHTIER | W275493875 | GOLAM | 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/2222/5540723/check_8126973_57ef16fa-d86b-43c1-af4d-e78816ae0a6f.json | N/A | N/A | N/A | N/A | N/A | W275493875 | N/A | N/A | AETNA | N/A | 1982-07-27 | N/A | N/A | N/A | N/A | false | BOKHTIER | N/A | GOLAM | 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 | 5540723 | 2222 | 4793 | 7806447 | N/A | 4212833 | 2025-05-18 05:07:06.947047 | 2025-05-28 20:46:35.079848 |
| 2025-05-17 09:06:06.846494 | 2025-05-18 05:04:58.184209 | 8126962 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8126962 | Athletic Physical Therapy Inc | 1947-02-11 | 2025-05-21 | F | PT | AE | ZEE YEE | 411210001 | GRACE | 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/2222/5540601/check_8126962_1c7080cc-277a-4b16-9aab-79f589de449f.json | N/A | N/A | N/A | N/A | N/A | 411210001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1947-02-11 | N/A | N/A | N/A | N/A | false | ZEE YEE | N/A | GRACE | 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 | 5540601 | 2222 | 4793 | 7805980 | N/A | 4212732 | 2025-05-18 05:04:58.184209 | 2025-05-13 04:29:37.227072 |
| 2025-05-17 09:06:06.682272 | 2025-05-18 05:10:47.770316 | 8126954 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8126954 | Athletic Physical Therapy Inc | 1979-10-01 | 2025-05-21 | M | PT | N/A | LOPATY | SIF545W21388 | CLINT | 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/2222/5540566/check_8126954_5284d79b-575f-4874-8769-b31b2114ea32.json | N/A | N/A | N/A | N/A | N/A | SIF545W21388 | Preferred Provider Organization (PPO) | SISC - PASADENA CITY COLLEGE | ANTHEM BLUE CROSS | N/A | 1979-10-01 | 040 | 40868B | N/A | PR | false | LOPATY | N/A | CLINT | N/A | 9999-12-31 | 2024-09-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540566 | 2222 | 4801 | 7808010 | N/A | 4212709 | 2025-05-18 05:10:47.770316 | 2025-05-13 04:29:37.227054 |
| 2025-05-17 09:06:06.596884 | 2025-05-18 05:04:57.830431 | 8126944 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8126944 | Athletic Physical Therapy Inc | 1990-10-01 | 2025-05-21 | M | PT | AE | YODER | 94383214G | PAUL | 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/2222/5539662/check_8126944_c873747f-5cbc-4fa2-a75d-ae256eaf6124.json | N/A | N/A | N/A | N/A | N/A | 94383214G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1990-10-01 | N/A | N/A | N/A | N/A | false | YODER | N/A | PAUL | 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 | 5539662 | 2222 | 4802 | 7805977 | N/A | 4211931 | 2025-05-18 05:04:57.830431 | 2025-05-13 04:29:37.226255 |
| 2025-05-17 09:06:06.500995 | 2025-05-18 05:11:11.505554 | 8126937 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8126937 | Athletic Physical Therapy Inc | 1974-08-29 | 2025-05-21 | F | PT | N/A | AGUILAR | IPET50076164 | STEPHANIE | 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/2222/5539378/check_8126937_cf67ac6d-6f6f-4590-bfa3-31b5364fd8c0.json | N/A | N/A | N/A | N/A | N/A | IPET50076164 | Preferred Provider Organization (PPO) | SOUTHERN CALIFORNIA PIPE TRADES | BLUE SHIELD CALIFORNIA | N/A | 1974-08-29 | 1000PPOX0001 | W0051523 | N/A | PR | false | AGUILAR | N/A | TODD | N/A | N/A | N/A | SOUTHERN CALIFORNIA PIPE TRADES SHARED ADVANTAGE P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539378 | 2222 | 4801 | 7808217 | N/A | 4211703 | 2025-05-18 05:11:11.505554 | 2025-05-13 04:29:37.226025 |
| 2025-05-17 09:06:06.339808 | 2025-05-18 05:04:41.902131 | 8126926 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8126926 | Athletic Physical Therapy Inc | 2009-03-19 | 2025-05-21 | F | PT | AE | BRIGGS | 906130448002 | SLOANE | 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/2222/5539306/check_8126926_c12d4c3b-830c-4bc9-a08d-843db3104192.json | N/A | N/A | N/A | N/A | N/A | 906130448002 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2009-03-19 | N/A | N/A | N/A | N/A | false | BRIGGS | N/A | SLOANE | 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 | 5539306 | 2222 | 4793 | 7805937 | N/A | 4211630 | 2025-05-18 05:04:41.902131 | 2025-06-06 14:52:22.575054 |
| 2025-05-17 09:06:05.765782 | 2025-05-18 05:13:50.280761 | 8126898 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8126898 | Athletic Physical Therapy Inc | 1945-04-13 | 2025-05-21 | F | PT | AE | BLUM | 4TT3J24RG08 | BONNIE | 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/2222/5539301/check_8126898_a32b433a-5864-4bfe-b429-373624727e32.json | N/A | N/A | N/A | N/A | N/A | 4TT3J24RG08 | Medicare Part A | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-04-13 | S5820 | N/A | N/A | MA | false | BLUM | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539301 | 2222 | 4802 | 7809830 | N/A | 4211624 | 2025-05-18 05:13:50.280761 | 2025-05-13 04:29:37.225953 |
| 2025-05-17 09:06:05.181084 | 2025-05-18 05:08:07.897932 | 8126871 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8126871 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-05-21 | M | AD | N/A | WARD | OSC7756691101 | WILLIAM | 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/2222/5538121/check_8126871_542e721b-9ac8-4191-b706-27691f82a206.json | N/A | N/A | N/A | N/A | N/A | OSC775669110100 | N/A | N/A | OSCAR | PATIENT IS NOT COVERED BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1993-09-10 | N/A | N/A | N/A | N/A | false | WARD | N/A | WILLIAM | 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 | 5538121 | 2222 | 4802 | 7806776 | N/A | 4210590 | 2025-05-18 05:08:07.897932 | 2025-05-13 04:29:37.225004 |
| 2025-05-17 09:06:04.719783 | 2025-05-18 05:04:57.090623 | 8126854 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8126854 | Athletic Physical Therapy Inc | 1951-08-05 | 2025-05-21 | M | PT | AE | TRIGG | 101822874900 | WILLIAM | 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/2222/5537781/check_8126854_634059ca-e183-4e7c-b9ad-238334a5f399.json | N/A | N/A | N/A | N/A | N/A | 101822874900 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-08-05 | N/A | N/A | N/A | N/A | false | TRIGG | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537781 | 2222 | 4793 | 7805975 | N/A | 4210290 | 2025-05-18 05:04:57.090623 | 2026-02-09 23:40:44.961074 |
| 2025-05-17 09:06:04.185584 | 2025-05-18 05:04:55.290917 | 8126825 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8126825 | Athletic Physical Therapy Inc | 1966-02-09 | 2025-05-21 | M | PT | AE | RIVERA | 96111186F | 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/2222/5537321/check_8126825_9063368a-5586-462c-9e5d-5305de1ca481.json | N/A | N/A | N/A | N/A | N/A | 96111186F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1966-02-09 | N/A | N/A | N/A | N/A | false | RIVERA | N/A | JOSEPH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537321 | 2222 | 4802 | 7805970 | N/A | 4209900 | 2025-05-18 05:04:55.290917 | 2025-05-13 04:29:37.224321 |
| 2025-05-17 09:06:00.063539 | 2025-05-18 05:10:47.182524 | 8126649 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8126649 | Athletic Physical Therapy Inc | 1969-03-28 | 2025-05-21 | M | PT | N/A | KOSTER | DGA11321380J | KEVIN | 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/2222/5536722/check_8126649_54018722-9417-4863-9575-ba17cdd14f3c.json | N/A | N/A | N/A | N/A | N/A | DGA11321380J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 276945M001 | N/A | PR | false | KOSTER | N/A | KEVIN | N/A | 9999-12-31 | 2025-04-01 | 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 | 5536722 | 2222 | 4802 | 7808004 | N/A | 4209420 | 2025-05-18 05:10:47.182524 | 2025-05-13 04:29:37.223843 |
| 2025-05-17 09:05:59.502304 | 2025-05-18 05:04:48.048194 | 8126621 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8126621 | Athletic Physical Therapy Inc | 1943-03-11 | 2025-05-21 | M | PT | AE | MATHEU | 00000270336 | CARLOS | 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/2222/5536371/check_8126621_26b34976-2578-4b88-b6dd-c7c90f7d67ce.json | N/A | N/A | N/A | N/A | N/A | 00000270336 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1943-03-11 | N/A | N/A | N/A | N/A | false | MATHEU | N/A | CARLOS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536371 | 2222 | 4801 | 7805954 | N/A | 4209126 | 2025-05-18 05:04:48.048194 | 2025-05-13 04:29:37.223551 |
| 2025-05-17 09:05:59.006277 | 2025-05-18 05:04:43.242142 | 8126607 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8126607 | Athletic Physical Therapy Inc | 2009-12-30 | 2025-05-21 | U | PT | AE | DICKSON | R07337778FD1 | CAILEY | 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/2222/5536227/check_8126607_02958679-73f7-4757-aa6f-fc46a9713da1.json | N/A | N/A | N/A | N/A | N/A | R07337778FD1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2009-12-30 | N/A | N/A | N/A | N/A | false | DICKSON | N/A | CAILEY | 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 | 5536227 | 2222 | 4793 | 7805941 | N/A | 4209013 | 2025-05-18 05:04:43.242142 | 2025-06-03 20:19:45.253620 |
| 2025-05-17 09:05:58.288235 | 2025-05-18 05:04:37.845021 | 8126571 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8126571 | Athletic Physical Therapy Inc | 1961-06-27 | 2025-05-21 | F | PT | AE | BRACKEN | 378A6769240 | CELINA | 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/2222/5535853/check_8126571_30da7a9a-8327-4701-8636-8a50d7e0ec25.json | N/A | N/A | N/A | N/A | N/A | 378A6769240 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-06-27 | N/A | N/A | N/A | N/A | false | BRACKEN | N/A | CELINA | 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 | 5535853 | 2222 | 4793 | 7805932 | N/A | 4208702 | 2025-05-18 05:04:37.845021 | 2025-05-13 04:29:37.223129 |
| 2025-05-17 09:05:57.561258 | 2025-05-18 05:13:52.606011 | 8126533 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8126533 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-05-21 | M | PT | AE | ULLMAN PP | 3A76X26KQ40 | DAVID | 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/2222/5535838/check_8126533_1eb9b81b-52ed-44d9-8a73-a2f72ff2bdaf.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN PP | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535838 | 2222 | 4801 | 7809855 | N/A | 4208696 | 2025-05-18 05:13:52.606011 | 2025-06-07 16:16:45.844566 |
| 2025-05-17 09:03:12.128192 | 2025-05-18 02:01:01.501278 | 8121136 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8121136 | Athletic Physical Therapy Inc | 1953-04-10 | 2025-05-20 | F | PT | AE | BOWMAN | 00000386100 | GLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141113426.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551030/check_8121136_89a658e1-bb63-474e-babe-6d103fdb25e4.json | N/A | N/A | N/A | N/A | N/A | 00000386100 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-04-10 | N/A | N/A | N/A | N/A | false | BOWMAN | N/A | GLORIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551030 | 2222 | 4801 | 7792328 | N/A | 4219852 | 2025-05-18 02:01:01.501278 | 2025-05-13 04:29:37.230898 |
| 2025-05-17 09:03:11.618686 | 2025-05-18 02:07:58.019139 | 8121119 | N/A | N/A | 71412 | Mutual of Omaha Insurance Company | 1114042165 | 8121119 | Athletic Physical Therapy Inc | 1954-12-06 | 2025-05-21 | M | PT | AE | HILL | 36606496 | CAMERON | 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/2222/5550970/check_8121119_080cbd34-4ced-450e-a41d-dd5025d8b3c6.json | N/A | N/A | N/A | N/A | N/A | 366064-96 | N/A | N/A | MUTUAL OF OMAHA | MUTUAL OF OMAHA OFFERS ONLINE ACCESS TO ELIGIBILITY, BENEFITS AND DETAILED CLAIM STATUS INFORMATION AT WWW.MUTUALOFOMAHA.COM/PROVIDERACCESS | 1954-12-06 | N/A | N/A | N/A | N/A | false | HILL | N/A | CAMERON | N/A | N/A | N/A | MEDICARE SUPPLEMENT - PLAN TYPE G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550970 | 2222 | 4801 | 7795805 | N/A | 4219795 | 2025-05-18 02:07:58.019139 | 2025-05-13 04:29:37.230834 |
| 2025-05-17 09:03:11.247490 | 2025-05-18 02:10:21.258562 | 8121105 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8121105 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-05-21 | F | PT | AE | SCHLEIKORN | XDD664W08200 | MARIETTE | 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/2222/5550960/check_8121105_e3cbbb2a-c041-42bb-83da-ae6f19bec9b0.json | N/A | N/A | N/A | N/A | N/A | XDD664W08200 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | ANTHEM BLUE CROSS | N/A | 1956-01-20 | 040 | 1264MD | N/A | SP | false | SCHLEIKORN | N/A | MARIETTE | N/A | 9999-12-31 | 2024-03-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550960 | 2222 | 4793 | 7797320 | N/A | 4219792 | 2025-05-18 02:10:21.258562 | 2025-05-13 04:29:37.230832 |
| 2025-05-17 09:03:11.022828 | 2025-05-18 02:10:55.906484 | 8121093 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8121093 | Athletic Physical Therapy Inc | 1951-05-24 | 2025-05-21 | F | PT | AE | LINDSEY | XEM905211597 | CHRISTIE | 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/2222/5550956/check_8121093_a68f0fc2-218e-4f5e-9808-b2dab228dc1f.json | N/A | N/A | N/A | N/A | N/A | XEM905211597 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1951-05-24 | 2002SD000004 | X0001002 | N/A | OT | false | LINDSEY | N/A | CHRISTIE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550956 | 2222 | 4801 | 7797678 | N/A | 4219787 | 2025-05-18 02:10:55.906484 | 2025-05-13 04:29:37.230828 |