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 09:03:10.532708 | 2025-05-18 02:01:04.596914 | 8121068 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8121068 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-05-21 | M | PT | AE | LYGA | NCF819A58009 | FRANK | 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/2222/5550635/check_8121068_5730c639-96a3-4bca-8881-c0921b537425.json | N/A | N/A | N/A | N/A | N/A | NCF819A58009 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-11-29 | N/A | N/A | N/A | N/A | 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 | 5550635 | 2222 | 4801 | 7792336 | N/A | 4219584 | 2025-05-18 02:01:04.596914 | 2025-09-29 18:19:47.145731 |
| 2025-05-17 09:03:10.012501 | 2025-05-18 02:09:03.959031 | 8121051 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8121051 | Athletic Physical Therapy Inc | 2003-02-05 | 2025-05-21 | U | AD | N/A | DELFAU | 922531031 | ANAIS | 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/2222/5549683/check_8121051_93c44aef-98ba-4b74-b074-255b7dfa4fd9.json | N/A | N/A | N/A | N/A | N/A | 922531031 | N/A | N/A | UNITED HEALTHCARE | 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 | 5549683 | 2222 | 4802 | 7796427 | N/A | 4219297 | 2025-05-18 02:09:03.959031 | 2025-07-02 13:33:11.531569 |
| 2025-05-17 09:03:09.372678 | 2025-05-18 02:10:56.446905 | 8121034 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8121034 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-05-21 | F | PT | N/A | LUCZYWEK | XEA907100099 | DEBORA | 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/2222/5549318/check_8121034_d309cf93-348e-4be4-82dd-e9a7723c5ae0.json | N/A | N/A | N/A | N/A | N/A | XEA907100099 | Preferred Provider Organization (PPO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1962-01-25 | 1000PPOX0001 | W0067449 | N/A | PR | false | LUCZYWEK | N/A | DEBORA | N/A | 9999-12-31 | 2020-12-27 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549318 | 2222 | 4801 | 7797685 | N/A | 4219010 | 2025-05-18 02:10:56.446905 | 2026-01-09 18:32:07.618867 |
| 2025-05-17 09:03:09.084840 | 2025-05-18 02:01:01.200183 | 8121022 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8121022 | Athletic Physical Therapy Inc | 1948-01-29 | 2025-05-21 | F | PT | AE | BOWLDS | 31193263001 | BARBARA | 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/2222/5549003/check_8121022_1b0574bb-756f-4b83-9f0a-eb60b48fe88f.json | N/A | N/A | N/A | N/A | N/A | 31193263001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-29 | N/A | N/A | N/A | N/A | false | BOWLDS | N/A | BARBARA | 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 | 5549003 | 2222 | 4801 | 7792327 | N/A | 4218753 | 2025-05-18 02:01:01.200183 | 2025-05-13 04:29:37.229745 |
| 2025-05-17 09:03:08.864453 | 2025-05-18 02:02:43.893114 | 8121015 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8121015 | Athletic Physical Therapy Inc | 1956-02-09 | 2025-05-19 | F | PT | AE | DOUGLAS | 34470011211 | HEATHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141113426.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548966/check_8121015_049b7a2b-7f2c-4569-99d1-1803aba96320.json | N/A | N/A | N/A | N/A | N/A | 34470011211 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1956-02-09 | N/A | N/A | N/A | SP | false | DOUGLAS | N/A | HEATHER | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN K | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5548966 | 2222 | 4802 | 7792586 | N/A | 4218725 | 2025-05-18 02:02:43.893114 | 2025-05-13 04:29:37.229715 |
| 2025-05-17 09:03:05.277934 | 2025-05-18 02:01:05.551943 | 8120918 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8120918 | Athletic Physical Therapy Inc | 1946-12-21 | 2025-05-21 | F | PT | AE | MCMAHON | 970178801 | JUDITH | 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/2222/5543580/check_8120918_36c23d4b-9fd3-4205-bc26-226b179f5997.json | N/A | N/A | N/A | N/A | N/A | 970178801 | 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 | 5543580 | 2222 | 4801 | 7792338 | N/A | 4215353 | 2025-05-18 02:01:05.551943 | 2025-05-13 04:29:37.229674 |
| 2025-05-17 09:03:04.987637 | 2025-05-18 02:09:08.869091 | 8120906 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8120906 | Athletic Physical Therapy Inc | 1976-03-26 | 2025-05-21 | M | PT | AE | ORLOV | 23474362GEHA | BORIS | 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/2222/5543101/check_8120906_c2f20344-1d01-4872-b696-2be57ab0755f.json | N/A | N/A | N/A | N/A | N/A | 23474362GEHA | 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 | 5543101 | 2222 | 4802 | 7796477 | N/A | 4214932 | 2025-05-18 02:09:08.869091 | 2025-05-13 04:29:37.229254 |
| 2025-05-17 09:03:04.892071 | 2025-05-18 02:01:03.808980 | 8120902 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8120902 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-05-21 | F | PT | AE | LARSEN | R06053944FD1 | LANA | 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/2222/5542850/check_8120902_4cc5317a-eedc-41a4-8837-b2337641706b.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | 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 | 5542850 | 2222 | 4793 | 7792334 | N/A | 4214714 | 2025-05-18 02:01:03.808980 | 2025-05-13 04:29:37.229031 |
| 2025-05-17 09:03:04.760964 | 2025-05-18 02:01:05.020674 | 8120898 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8120898 | Athletic Physical Therapy Inc | 1954-09-17 | 2025-05-21 | F | PT | AE | MASON | 122W1688420 | EUGENIA | 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/2222/5542543/check_8120898_060e922a-0259-458c-8597-99c026b464fb.json | N/A | N/A | N/A | N/A | N/A | 122W1688420 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-09-17 | N/A | N/A | N/A | N/A | false | MASON | N/A | EUGENIA | 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 | 5542543 | 2222 | 4801 | 7792337 | N/A | 4214436 | 2025-05-18 02:01:05.020674 | 2025-05-13 04:29:37.228753 |
| 2025-05-17 09:03:04.291288 | 2025-05-18 02:01:02.375969 | 8120885 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8120885 | Athletic Physical Therapy Inc | 1962-11-12 | 2025-05-21 | M | PT | AE | DELGADO | 972788001 | MARIANO | 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/2222/5542338/check_8120885_f92762fc-46af-4e78-8dd9-6b5a846a9efc.json | N/A | N/A | N/A | N/A | N/A | 972788001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-11-12 | N/A | N/A | N/A | N/A | false | DELGADO | N/A | MARIANO | 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 | 5542338 | 2222 | 4793 | 7792331 | N/A | 4214261 | 2025-05-18 02:01:02.375969 | 2025-05-13 04:29:37.228594 |
| 2025-05-17 09:03:03.990520 | 2025-05-18 02:01:05.959946 | 8120878 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8120878 | Athletic Physical Therapy Inc | 1962-09-10 | 2025-05-21 | F | PT | AE | QUIJANO CASTRO | H6217693700 | PATRICIA | 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/2222/5540973/check_8120878_3598d0ba-2e57-4474-abbf-978c90d54549.json | N/A | N/A | N/A | N/A | N/A | H6217693700 | 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 | 5540973 | 2222 | 4801 | 7792339 | N/A | 4213051 | 2025-05-18 02:01:05.959946 | 2025-05-13 04:29:37.227377 |
| 2025-05-17 09:03:03.650630 | 2025-05-18 02:01:02.043372 | 8120866 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8120866 | Athletic Physical Therapy Inc | 1957-01-09 | 2025-05-21 | F | PT | AE | COLEY | 022517801 | GWENDOLYN | 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/2222/5540939/check_8120866_21f631d5-742c-402f-a787-592e9084ac28.json | N/A | N/A | N/A | N/A | N/A | 022517801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-01-09 | N/A | N/A | N/A | N/A | false | COLEY | N/A | GWENDOLYN | 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 | 5540939 | 2222 | 4802 | 7792330 | N/A | 4213018 | 2025-05-18 02:01:02.043372 | 2025-05-22 00:04:46.399580 |
| 2025-05-17 09:03:03.299565 | 2025-05-18 02:14:40.653601 | 8120854 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8120854 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-05-21 | F | PT | AE | GNAD | 9EM9VP4XX36 | MELANIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141113426.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540676/check_8120854_59360d92-4f8f-4532-96b6-f589ca09d2f8.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MB | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540676 | 2222 | 4801 | 7799942 | N/A | 4212792 | 2025-05-18 02:14:40.653601 | 2025-10-07 20:33:25.637997 |
| 2025-05-17 09:03:02.906546 | 2025-05-18 02:01:04.191696 | 8120836 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8120836 | Athletic Physical Therapy Inc | 1958-02-06 | 2025-05-21 | M | PT | AE | LAUBENDER | 169942701 | JOHN | 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/2222/5540271/check_8120836_9fa8ca3f-fc89-467c-9e5a-857e2b2fa995.json | N/A | N/A | N/A | N/A | N/A | 169942701 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1958-02-06 | N/A | N/A | N/A | N/A | false | LAUBENDER | N/A | JOHN | 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 | 5540271 | 2222 | 4793 | 7792335 | N/A | 4212456 | 2025-05-18 02:01:04.191696 | 2025-05-13 04:29:37.226786 |
| 2025-05-17 09:03:02.619131 | 2025-05-18 02:14:40.278106 | 8120827 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8120827 | Athletic Physical Therapy Inc | 1945-04-13 | 2025-05-21 | F | PT | AE | BLUM | 5G57RW1XT38 | BONNIE | 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/2222/5539302/check_8120827_64acb251-b2d9-40f8-a1ff-3242e362181d.json | N/A | N/A | N/A | N/A | N/A | 5G57RW1XT38 | N/A | N/A | CMS | N/A | 1945-04-13 | N/A | N/A | N/A | N/A | 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 | 5539302 | 2222 | 4802 | 7799939 | N/A | 4211624 | 2025-05-18 02:14:40.278106 | 2025-05-13 04:29:37.225953 |
| 2025-05-17 09:03:02.280803 | 2025-05-18 02:05:43.579306 | 8120813 | N/A | N/A | 39026 | UMR | 1114042165 | 8120813 | Athletic Physical Therapy Inc | 1978-01-15 | 2025-05-21 | M | AD | N/A | VERRONE | 34165931 | JOSEPH | 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/2222/5539211/check_8120813_80241e94-ca20-4851-833d-a5b8cacca2b8.json | N/A | N/A | N/A | N/A | N/A | 34165931 | N/A | MEMORIAL HEALTH SERVICES | UMR | N/A | 1978-01-15 | 767000415574001 | 76415574 | N/A | N/A | false | IEM | N/A | GARY | N/A | 2025-03-31 | 2023-01-01 | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539211 | 2222 | 4802 | 7794533 | N/A | 4211547 | 2025-05-18 02:05:43.579306 | 2025-05-13 04:29:37.225884 |
| 2025-05-17 09:03:01.610086 | 2025-05-18 02:07:44.258999 | 8120785 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8120785 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-05-21 | M | AD | N/A | WARD | U7734372001 | WILLIAM | 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/2222/5538124/check_8120785_79aa41fd-c018-49a5-83bb-fde0e902bccf.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 | 5538124 | 2222 | 4802 | 7795689 | N/A | 4210590 | 2025-05-18 02:07:44.258999 | 2025-05-13 04:29:37.225004 |
| 2025-05-17 09:03:01.113677 | 2025-05-18 02:02:44.560909 | 8120767 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8120767 | Athletic Physical Therapy Inc | 1941-11-29 | 2025-05-19 | F | PT | AE | GODBOLD | 33204792612 | SHARI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250517.141113426.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537863/check_8120767_f1b0f896-5989-43da-bf3c-75d9130f0ea9.json | N/A | N/A | N/A | N/A | N/A | 33204792612 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1941-11-29 | N/A | N/A | N/A | SP | false | GODBOLD | N/A | SHARI | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN N | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537863 | 2222 | 4802 | 7792590 | N/A | 4210360 | 2025-05-18 02:02:44.560909 | 2025-05-13 04:29:37.224766 |
| 2025-05-17 09:03:00.819044 | 2025-05-18 02:01:06.970126 | 8120755 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8120755 | Athletic Physical Therapy Inc | 1951-08-05 | 2025-05-21 | M | PT | AE | TRIGG | 27702672 | WILLIAM | 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/2222/5537784/check_8120755_930714c9-b53e-47d2-a7db-6fbee44115fa.json | N/A | N/A | N/A | N/A | N/A | 27702672 | 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 | 5537784 | 2222 | 4793 | 7792341 | N/A | 4210290 | 2025-05-18 02:01:06.970126 | 2026-02-09 23:40:44.961074 |
| 2025-05-17 09:03:00.542889 | 2025-05-18 02:02:45.078237 | 8120745 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8120745 | Athletic Physical Therapy Inc | 1942-07-10 | 2025-05-20 | F | PT | AE | PRAGER | 8003423129 | JUDITH | 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/2222/5537357/check_8120745_59c84307-8f85-48dd-aba3-42675e27105a.json | N/A | N/A | N/A | N/A | N/A | 8003423129 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1942-07-10 | N/A | N/A | N/A | N/A | false | PRAGER | N/A | JUDITH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537357 | 2222 | 4793 | 7792594 | N/A | 4209932 | 2025-05-18 02:02:45.078237 | 2025-05-14 09:05:51.551805 |
| 2025-05-17 09:03:00.299321 | 2025-05-18 02:10:20.918135 | 8120732 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8120732 | Athletic Physical Therapy Inc | 1960-01-26 | 2025-05-21 | F | PT | N/A | BARR BRIGHT | MPI01424345Q | CYNTHIA | 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/2222/5537144/check_8120732_7f462de8-9b22-4ea9-a1a9-6f6cf0b9df69.json | N/A | N/A | N/A | N/A | N/A | MPI01424345Q | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1960-01-26 | 040 | 277163M402 | N/A | N/A | false | BARR BRIGHT | N/A | CYNTHIA | 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 | 5537144 | 2222 | 4793 | 7797313 | N/A | 4209763 | 2025-05-18 02:10:20.918135 | 2025-05-14 09:05:42.724555 |
| 2025-05-17 09:02:59.897565 | 2025-05-18 02:01:03.293258 | 8120720 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8120720 | Athletic Physical Therapy Inc | 1982-12-17 | 2025-05-21 | M | PT | AE | KALINOWSKI | NCF047A22532 | THOMAS | 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/2222/5536505/check_8120720_fb672983-1b94-452c-b346-a220a9b6a161.json | N/A | N/A | N/A | N/A | N/A | NCF047A22532 | 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 | 5536505 | 2222 | 4801 | 7792333 | N/A | 4209232 | 2025-05-18 02:01:03.293258 | 2025-05-13 04:29:37.223653 |
| 2025-05-17 09:02:59.593094 | 2025-05-18 02:01:02.711178 | 8120709 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8120709 | Athletic Physical Therapy Inc | 2009-12-30 | 2025-05-21 | U | PT | AE | DICKSON | R0733778FD1 | CAILEY | 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/2222/5536230/check_8120709_5b02680f-ba37-4446-99e5-678aa4bcfd8a.json | N/A | N/A | N/A | N/A | N/A | R0733778FD1 | 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 | 5536230 | 2222 | 4793 | 7792332 | N/A | 4209013 | 2025-05-18 02:01:02.711178 | 2025-06-03 20:19:45.253620 |
| 2025-05-17 09:02:59.352256 | 2025-05-18 02:01:06.408599 | 8120697 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8120697 | Athletic Physical Therapy Inc | 1941-05-24 | 2025-05-21 | F | PT | AE | REGGIANI | 962178301 | SUSANA | 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/2222/5536027/check_8120697_938eef25-22a9-4747-bcf0-abf8e45a5640.json | N/A | N/A | N/A | N/A | N/A | 962178301 | 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 | 5536027 | 2222 | 4801 | 7792340 | N/A | 4208849 | 2025-05-18 02:01:06.408599 | 2025-05-13 04:29:37.223279 |
| 2025-05-17 09:02:59.109887 | 2025-05-18 02:01:01.766175 | 8120684 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8120684 | Athletic Physical Therapy Inc | 1961-06-27 | 2025-05-21 | F | PT | AE | BRACKEN | NCF378A67692 | CELINA | 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/2222/5535857/check_8120684_c97742cf-dac4-43e8-8dca-aa80b53f9e57.json | N/A | N/A | N/A | N/A | N/A | NCF378A67692 | 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 | 5535857 | 2222 | 4793 | 7792329 | N/A | 4208702 | 2025-05-18 02:01:01.766175 | 2025-05-13 04:29:37.223129 |
| 2025-05-17 09:02:58.936441 | 2025-05-18 02:02:45.628706 | 8120677 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8120677 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-05-21 | M | PT | AE | ULLMAN PP | 557489000 | DAVID | 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/2222/5535842/check_8120677_4f800ec0-81b4-4ad5-91fd-da2892cb5bf6.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | 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 | 5535842 | 2222 | 4801 | 7792598 | N/A | 4208696 | 2025-05-18 02:02:45.628706 | 2025-06-07 16:16:45.844566 |
| 2025-05-17 00:16:45.391082 | 2025-05-17 00:16:52.373641 | 8115928 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-05-23 | F | PT | AE | PENATE | 100200006880 | VIANCA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8115928_1129d258-feea-46ab-90e8-022965dea1f6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8115928_2896c5ba-1b19-4aac-80c8-3e2133d219f1.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5543301 | 2222 | N/A | 7770223 | N/A | 4215112 | 2025-05-17 00:16:52.373641 | 2026-02-20 19:52:51.272757 |
| 2025-05-16 23:59:08.812282 | 2025-05-16 23:59:12.532189 | 8115921 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-01-31 | 2025-05-29 | M | PT | AE | DVORSKY | 000009483838 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874461/check_8115921_ee6dd721-ae6d-4453-8473-c09fbc2aa4b2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_8115921_33be50ed-074b-4330-9a3b-257ce2a3098f.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 | 5831 | N/A | 5874461 | 2222 | N/A | 7770205 | N/A | 4534583 | 2025-05-16 23:59:12.532189 | 2025-05-27 21:59:00.919365 |
| 2025-05-16 23:58:32.019168 | 2025-05-16 23:58:34.828644 | 8115920 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-08-17 | 2025-05-29 | M | PT | N/A | PANDYA | XEA913306283 | DHARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550845/check_8115920_8321bdef-dc7a-44d3-86da-57d9d657e55f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_8115920_f53793ad-c3ea-428f-879c-76c2d797b163.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 | 5831 | N/A | 5550845 | 2222 | N/A | 7770203 | N/A | 4219713 | 2025-05-16 23:58:34.828644 | 2025-08-13 22:46:55.732965 |
| 2025-05-16 23:58:22.447939 | 2025-05-16 23:58:24.278895 | 8115918 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-08-17 | 2025-05-29 | U | PT | N/A | PANDYA | XEA913306283 | DHARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550845/check_8115918_f6e7fef5-66d5-4f42-9200-8117304a8287.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_8115918_6a531e60-dd92-4b8e-a714-6db1c71726ec.json | N/A | N/A | N/A | N/A | N/A | XEA913306283 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | N/A | N/A | N/A | N/A | false | PANDYA | N/A | DHARA | 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 | 5831 | N/A | 5550845 | 2222 | N/A | 7770202 | N/A | 4219713 | 2025-05-16 23:58:24.278895 | 2025-08-13 22:46:55.732965 |
| 2025-05-16 23:57:40.839517 | 2025-05-16 23:57:43.604122 | 8115917 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-12 | 2025-05-29 | F | PT | AE | FINCH | XDD909A67880 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538474/check_8115917_27f3747b-9e77-47e5-a728-0fe19cde711e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538474/check_8115917_13a171a0-a971-42e3-896c-1c80a84253a3.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | N/A | CALPERS PERS PLATINUM MSUPP RETIREES(PA) REGION3 | MEDICARE B | N/A | 1954-01-12 | 040 | BS270I | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5538474 | 2222 | N/A | 7770199 | N/A | 4210886 | 2025-05-16 23:57:43.604122 | 2025-05-13 04:29:37.225284 |
| 2025-05-16 23:57:29.614698 | 2025-05-16 23:57:35.584636 | 8115916 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-12 | 2025-05-29 | F | PT | AE | FINCH | 3YV4XM6FP06 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538472/check_8115916_9a20f480-81d0-4ecb-91a5-1c5e0935bb42.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538472/check_8115916_72b27d90-db92-4620-af16-235bd5b02412.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S8841 | N/A | N/A | MA | false | FINCH | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5538472 | 2222 | N/A | 7770198 | N/A | 4210886 | 2025-05-16 23:57:35.584636 | 2025-05-13 04:29:37.225284 |
| 2025-05-16 23:18:14.686439 | 2025-05-16 23:18:18.438904 | 8115877 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-14 | 2025-05-23 | F | PT | AE | PENATE | 100200006880 | VIANCA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8115877_08017861-c211-4c31-9566-5b80f225bd31.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8115877_f3ab092a-4e24-4e29-a814-fd595029d72b.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-14 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543301 | 2222 | N/A | 7770023 | N/A | 4215112 | 2025-05-16 23:18:18.438904 | 2026-02-20 19:52:51.272757 |
| 2025-05-16 23:17:58.919669 | 2025-05-16 23:18:00.680709 | 8115876 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-05-23 | F | PT | AE | PENATE | 100200006880 | VIANCA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8115876_5635d5f1-9904-4991-a40c-5b0c23709519.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8115876_545567df-30ee-493d-b6a9-ccecb769934a.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543301 | 2222 | N/A | 7770020 | N/A | 4215112 | 2025-05-16 23:18:00.680709 | 2026-02-20 19:52:51.272757 |
| 2025-05-16 23:00:18.797749 | 2025-05-16 23:00:23.648478 | 8115795 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-05-23 | F | PT | AE | PENATE | 100200006880 | VIANCA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8115795_5de4451c-a038-4d98-be52-519481c5d56e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8115795_ae5f333b-5a76-4645-908a-b460e8772577.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543301 | 2222 | N/A | 7769894 | N/A | 4215112 | 2025-05-16 23:00:23.648478 | 2026-02-20 19:52:51.272757 |
| 2025-05-16 22:51:40.045225 | 2025-05-16 22:51:54.257835 | 8115634 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-03-20 | F | 30 | N/A | PENATE | 100200006880 | VIANCA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8115634_5326a1a8-da18-4c17-989a-a725d4d944c6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8115634_c46774c6-b1e6-4234-9bc6-e9ea3583f1b9.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543301 | 2222 | N/A | 7769714 | N/A | 4215112 | 2025-05-16 22:51:54.257835 | 2026-02-20 19:52:51.272757 |
| 2025-05-16 22:03:09.641969 | 2025-05-16 22:03:12.433651 | 8114895 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-03-20 | F | 30 | N/A | PENATE | 100200006880 | VIANCA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8114895_6dde5464-55b4-4a74-8845-91d9d3fa6b67.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8114895_c1d17dd3-7c5f-4e7b-b313-99c382a9e63c.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543301 | 2222 | N/A | 7768857 | N/A | 4215112 | 2025-05-16 22:03:12.433651 | 2026-02-20 19:52:51.272757 |
| 2025-05-16 21:57:30.872497 | 2025-05-16 21:57:40.691966 | 8114846 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-03-20 | F | 30 | N/A | PENATE | 100200006880 | VIANCA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8114846_fd6a1572-e2b0-4787-ad93-e906ccd8ef85.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8114846_ffbe225a-f125-42fc-a2da-599b428d4510.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543301 | 2222 | N/A | 7768793 | N/A | 4215112 | 2025-05-16 21:57:40.691966 | 2026-02-20 19:52:51.272757 |
| 2025-05-16 21:55:17.132091 | 2025-05-16 21:55:19.023817 | 8114838 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-03-20 | F | 30 | N/A | PENATE | 100200006880 | VIANCA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8114838_1d969c3e-c64e-42b7-ae4d-f456b2a563ae.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8114838_81f9c49e-27f0-403d-bd0e-62377b527df5.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543301 | 2222 | N/A | 7768775 | N/A | 4215112 | 2025-05-16 21:55:19.023817 | 2026-02-20 19:52:51.272757 |
| 2025-05-16 21:54:28.081044 | 2025-05-16 21:54:29.937575 | 8114835 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-03-20 | F | 30 | N/A | PENATE | 100200006880 | VIANCA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8114835_4b4fbca0-a67b-43f6-aa09-01c77f636abc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8114835_d2f13c03-2204-49ba-a63f-133fe2fb714b.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543301 | 2222 | N/A | 7768768 | N/A | 4215112 | 2025-05-16 21:54:29.937575 | 2026-02-20 19:52:51.272757 |
| 2025-05-16 21:52:28.895705 | 2025-05-16 21:52:35.643692 | 8114831 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-03-20 | F | 30 | N/A | PENATE | 100200006880 | VIANCA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8114831_e706654d-e484-424c-baf2-00e49a1d1c93.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8114831_2b5effd3-a154-4e77-a348-f89bfe1ed32c.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543301 | 2222 | N/A | 7768755 | N/A | 4215112 | 2025-05-16 21:52:35.643692 | 2026-02-20 19:52:51.272757 |
| 2025-05-16 17:01:13.843064 | 2025-05-16 17:01:19.825037 | 8113594 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-08-11 | 2025-04-28 | M | 30 | N/A | VELAZQUEZ | 7RA2UD6VM18 | NELSON | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676369/check_8113594_734abf3b-88f6-4c5c-ba15-fa6216aaaaad.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676369/check_8113594_f4d044b8-c904-4231-99d5-9295e2879537.json | N/A | N/A | N/A | N/A | N/A | 7RA2UD6VM18 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-08-11 | H4036 | N/A | N/A | MA | false | VELAZQUEZ | N/A | NELSON | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5676369 | 2222 | N/A | 7766777 | N/A | 4219819 | 2025-05-16 17:01:19.825037 | 2026-04-16 20:37:54.612915 |
| 2025-05-16 16:44:08.752170 | 2025-05-16 16:44:11.614285 | 8113527 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-04-09 | 2025-04-23 | F | 30 | N/A | JALLAD | 7AY7QW7EK46 | IKRAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549454/check_8113527_ba91f86a-fcd0-4cb6-8211-3796e3620c2d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_8113527_c594b6a5-e7bc-487b-a2f9-9ea8abe87ee8.json | N/A | N/A | N/A | N/A | N/A | 7AY7QW7EK46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-04-09 | S5617 | N/A | N/A | MB | false | JALLAD | N/A | IKRAM | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5549454 | 2222 | N/A | 7766671 | N/A | 4219116 | 2025-05-16 16:44:11.614285 | 2025-05-16 16:43:35.854220 |
| 2025-05-16 16:32:55.950112 | 2025-05-16 16:33:56.394846 | 8113448 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-08-19 | 2025-04-28 | F | 30 | N/A | FOREST | UAG827985788 | VERONICA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535501/check_8113448_6bdb58b9-8f4d-414b-b9da-43e37ecfb3e1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-04-28 | N/A | N/A | N/A | N/A | N/A | N/A | UAG827985788 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1962-08-19 | N/A | N/A | N/A | N/A | false | FOREST | N/A | VERONICA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5535501 | 2222 | N/A | N/A | N/A | 4208423 | 2025-05-16 16:33:56.394846 | 2025-05-13 04:29:37.222838 |
| 2025-05-16 16:22:36.872434 | 2025-05-16 16:22:38.955142 | 8113401 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-03-09 | 2025-04-29 | M | 30 | N/A | GILLETTE | ZZA129013396001 | GRADY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539749/check_8113401_beffe8a9-a635-4e89-ac9a-10ad4c0a267d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539749/check_8113401_5fb104cf-94ee-4d8c-93e0-fa058c0519f0.json | N/A | N/A | N/A | N/A | N/A | ZZA129013396001 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1963-03-09 | 725 | 10527566 | N/A | N/A | false | GILLETTE | N/A | VICTORIA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5539749 | 2222 | N/A | 7766485 | N/A | 4212009 | 2025-05-16 16:22:38.955142 | 2025-05-13 04:29:37.226332 |
| 2025-05-16 16:22:07.848206 | 2025-05-16 16:22:13.094400 | 8113396 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-03-09 | 2025-04-29 | M | 30 | N/A | GILLETTE | ZZA129013396001 | GRADY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539749/check_8113396_dcd6f1a8-c8e3-4840-becd-ce3ed609c2fd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-04-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539749/check_8113396_4e01cc80-0979-464f-b029-4065af21831c.json | N/A | N/A | N/A | N/A | N/A | ZZA129013396001 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1963-03-09 | 725 | 10527566 | N/A | N/A | false | GILLETTE | N/A | VICTORIA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5539749 | 2222 | N/A | 7766479 | N/A | 4212009 | 2025-05-16 16:22:13.094400 | 2025-05-13 04:29:37.226332 |
| 2025-05-16 16:14:40.554021 | 2025-05-16 16:14:46.408303 | 8113348 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-01-29 | 2025-04-10 | F | 30 | N/A | KACHAMI | 7YP4CR4HX08 | LAURENCE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541005/check_8113348_83077c27-09f7-411f-9264-70ef197618ac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-04-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541005/check_8113348_4449f75f-759f-43b1-aeaf-6d22cbf358e0.json | N/A | N/A | N/A | N/A | N/A | 7YP4CR4HX08 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-01-29 | S5617 | N/A | N/A | MB | false | KACHAMI | N/A | LAURENCE | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541005 | 2222 | N/A | 7766414 | N/A | 4213080 | 2025-05-16 16:14:46.408303 | 2025-05-13 04:29:37.227407 |
| 2025-05-16 16:10:42.627248 | 2025-05-16 16:10:44.458425 | 8113321 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-01-29 | 2025-04-10 | F | 30 | N/A | KACHAMI | 7YP4CR4HX08 | LAURENCE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541005/check_8113321_7ce2c074-5a5f-4615-bb31-139302b4249d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-04-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541005/check_8113321_47aeb92b-4549-42b7-8cfd-4be3cbd35aaf.json | N/A | N/A | N/A | N/A | N/A | 7YP4CR4HX08 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-01-29 | S5617 | N/A | N/A | MA | false | KACHAMI | N/A | LAURENCE | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541005 | 2222 | N/A | 7766367 | N/A | 4213080 | 2025-05-16 16:10:44.458425 | 2025-05-13 04:29:37.227407 |
| 2025-05-16 16:10:33.120884 | 2025-05-16 16:10:40.917502 | 8113313 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-04-13 | 2025-05-16 | U | PT | N/A | MICHAEL | JXN531M63256 | JUNITHA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543190/check_8113313_a839cbfc-3cc8-4d10-bb9b-108b586d0650.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543190/check_8113313_dae9df67-f273-4f2e-8da6-9e2275a0a079.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 | 5831 | N/A | 5543190 | 2222 | N/A | 7766361 | N/A | 4215014 | 2025-05-16 16:10:40.917502 | 2025-06-01 22:57:55.386960 |
| 2025-05-16 16:09:54.100663 | 2025-05-16 16:09:57.990640 | 8113300 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-05-21 | 2025-05-16 | M | PT | N/A | PARIS | BPC912798818 | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550809/check_8113300_2c96f16d-2824-4eb3-912c-b8b3b51120de.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550809/check_8113300_adb3c612-c88c-4a1a-82d2-1d3709d5c120.json | N/A | N/A | N/A | N/A | N/A | BPC912798818 | Preferred Provider Organization (PPO) | BANC OF CALIFORNIA INC | BLUE SHIELD CALIFORNIA | N/A | 1985-05-21 | 1000PPOX0004 | W3000098 | N/A | PR | false | PARIS | N/A | MATTHEW | N/A | N/A | N/A | BANC OF CALIFORNIA INC CUSTOM HDHP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5550809 | 2222 | N/A | 7766352 | N/A | 4219689 | 2025-05-16 16:09:57.990640 | 2025-05-13 04:29:37.230734 |