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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-16 16:09:12.006973 | 2025-05-16 16:09:36.123958 | 8113295 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-01-29 | 2025-04-10 | F | 30 | KACHAMI | 7YP4CR4HX08 | LAURENCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541005/check_8113295_5bd1006b-43af-41f8-aa1e-e783f014f5d2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-04-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541005/check_8113295_9caa751a-86da-4ef2-818e-ec15e1ce8214.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 | 7766348 | N/A | 4213080 | 2025-05-16 16:09:36.123958 | 2025-05-13 04:29:37.227407 |
| 2025-05-16 15:36:28.027174 | 2025-05-16 15:36:29.924915 | 8113144 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-05-23 | F | PT | PENATE | 100200006880 | VIANCA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8113144_acac31c9-1626-433c-a1b0-c0f1893fb589.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8113144_baa4ba2a-d595-484f-8d9e-9017732931ed.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 | 7766142 | N/A | 4215112 | 2025-05-16 15:36:29.924915 | 2026-02-20 19:52:51.272757 |
| 2025-05-16 15:36:18.978104 | 2025-05-16 15:36:20.994777 | 8113143 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-05-23 | F | PT | PENATE | 100200006880 | VIANCA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8113143_fc1c6464-2b92-4d80-b184-4df3586564b9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8113143_baf795dd-f674-44a3-be10-fbaeb2120774.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 | 7766141 | N/A | 4215112 | 2025-05-16 15:36:20.994777 | 2026-02-20 19:52:51.272757 |
| 2025-05-16 15:36:01.334917 | 2025-05-16 15:36:08.206104 | 8113141 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-05-23 | F | PT | PENATE | 100200006880 | VIANCA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8113141_71898bf6-83ac-46d2-8f04-16ad71e38e0c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8113141_bf93fe93-ac21-4085-b546-13b1ddfb6907.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 | 7766139 | N/A | 4215112 | 2025-05-16 15:36:08.206104 | 2026-02-20 19:52:51.272757 |
| 2025-05-16 15:34:38.956827 | 2025-05-16 15:34:40.788503 | 8113130 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-05-23 | F | PT | PENATE | 100200006880 | VIANCA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8113130_f5aa7c64-d161-4dc8-a671-df70eae3918e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8113130_b524cb72-3755-422f-b152-11d459c4b910.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 | 7766128 | N/A | 4215112 | 2025-05-16 15:34:40.788503 | 2026-02-20 19:52:51.272757 |
| 2025-05-16 15:34:18.450116 | 2025-05-16 15:34:26.415869 | 8113129 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-05-23 | F | PT | PENATE | 100200006880 | VIANCA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8113129_4361e3b2-c544-46ba-91fa-657c11be3d5b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8113129_6e7097a1-e154-4fe2-b6eb-a55c9c9d2f16.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 | 7766127 | N/A | 4215112 | 2025-05-16 15:34:26.415869 | 2026-02-20 19:52:51.272757 |
| 2025-05-16 14:56:22.459002 | 2025-05-16 14:56:28.366805 | 8112971 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-03-04 | 2025-06-18 | F | PT | MERKER | FFB813483004 | AMANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550917/check_8112971_e6b856e7-bb99-4fb7-a80e-283932f01446.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550917/check_8112971_c7c2fea7-f2c3-4ed9-aa49-b572e4df73eb.json | N/A | N/A | N/A | N/A | N/A | FFB813483004 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1990-03-04 | N/A | N/A | N/A | N/A | false | MERKER | N/A | AMANDA | 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 | 7927 | N/A | 5550917 | 2222 | N/A | 7765969 | N/A | 4219762 | 2025-05-16 14:56:28.366805 | 2025-05-13 04:29:37.230803 |
| 2025-05-16 14:55:42.018298 | 2025-05-16 14:55:47.937800 | 8112968 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-03-04 | 2025-06-18 | F | PT | MERKER | FFB813483004 | AMANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550917/check_8112968_6cefd1f9-08cd-448d-90c6-7dc94b3dc8a4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550917/check_8112968_f1651f3e-94b8-4458-ad75-8ff4a98ef294.json | N/A | N/A | N/A | N/A | N/A | FFB813483004 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1990-03-04 | N/A | N/A | N/A | N/A | false | MERKER | N/A | AMANDA | 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 | 7927 | N/A | 5550917 | 2222 | N/A | 7765966 | N/A | 4219762 | 2025-05-16 14:55:47.937800 | 2025-05-13 04:29:37.230803 |
| 2025-05-16 09:30:16.041139 | 2025-05-16 09:30:17.938257 | 8108199 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-01-29 | 2025-05-16 | F | PT | BOWLDS | 31193263001 | BARBARA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549003/check_8108199_bef28823-21e6-4137-86bc-1239604dfd94.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549003/check_8108199_2cb0335c-462d-497d-9200-bd727954a608.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 | N/A | 7760875 | N/A | 4218753 | 2025-05-16 09:30:17.938257 | 2025-05-13 04:29:37.229745 |
| 2025-05-16 09:30:12.361802 | 2025-05-16 09:30:14.245449 | 8108196 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-13 | 2025-05-16 | F | PT | ADRIANZEN FERNAN | 221W2005420 | AURA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541949/check_8108196_831928a6-be06-4f60-9405-b3b1952316ca.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541949/check_8108196_c155b792-99ba-4fe5-815d-ad2a4a700327.json | N/A | N/A | N/A | N/A | N/A | 221W2005420 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1959-05-13 | N/A | N/A | N/A | N/A | false | ADRIANZEN FERNAN | N/A | AURA | 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 | 5541949 | 2222 | N/A | 7760861 | N/A | 4213907 | 2025-05-16 09:30:14.245449 | 2025-05-13 04:29:37.228228 |
| 2025-05-16 09:30:09.445367 | 2025-05-16 09:30:12.211216 | 8108195 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-16 | 2025-05-16 | U | PT | SUAREZ | 94128772F02326 | GETRUDIS | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543253/check_8108195_387c7d45-503f-4849-8905-6fcb9bdb7615.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543253/check_8108195_c5590564-2881-44ba-8fa9-6bf4060793e7.json | N/A | N/A | N/A | N/A | N/A | 94128772F02326 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1944-11-16 | N/A | N/A | N/A | N/A | false | SUAREZ | N/A | GETRUDIS | 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 | 5543253 | 2222 | N/A | 7760860 | N/A | 4215064 | 2025-05-16 09:30:12.211216 | 2025-04-29 21:12:57.805696 |
| 2025-05-16 09:30:08.080405 | 2025-05-16 09:30:10.381466 | 8108194 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-01-06 | 2025-05-16 | F | PT | PALMA DE SALGUER | 981W15388-20 | JUDITH | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541856/check_8108194_d663dc16-50f1-4423-9cd8-c1f69d60d201.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541856/check_8108194_aa4a4bbf-fcc3-4976-af1c-9ab0f76e48b3.json | N/A | N/A | N/A | N/A | N/A | 981W15388-20 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-01-06 | N/A | N/A | N/A | N/A | false | PALMA DE SALGUER | 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 | 5541856 | 2222 | N/A | 7760858 | N/A | 4213839 | 2025-05-16 09:30:10.381466 | 2025-05-13 04:29:37.228160 |
| 2025-05-16 09:30:02.823331 | 2025-05-16 09:30:04.539957 | 8108193 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-06-12 | 2025-05-16 | M | PT | FICK | H7884250300 | WILLIAM | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540565/check_8108193_18c613c7-81f0-48fc-b0d5-8a7f1b39c482.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540565/check_8108193_db4856a1-eebd-4c05-8725-d2540ed2f9fb.json | N/A | N/A | N/A | N/A | N/A | H7884250300 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-06-12 | N/A | N/A | N/A | N/A | false | FICK | 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 | 5540565 | 2222 | N/A | 7760857 | N/A | 4212701 | 2025-05-16 09:30:04.539957 | 2025-05-13 04:29:37.227046 |
| 2025-05-16 09:30:00.829989 | 2025-05-16 09:30:07.139393 | 8108192 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-02-06 | 2025-05-16 | M | PT | LAUBENDER | 1699427-01 | JOHN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540271/check_8108192_84cd5cb0-79fb-4641-b67f-bc4d03cdf96e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540271/check_8108192_248fef3a-82d6-4cca-98b9-d78a406635ad.json | N/A | N/A | N/A | N/A | N/A | 1699427-01 | 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 | N/A | 7760856 | N/A | 4212456 | 2025-05-16 09:30:07.139393 | 2025-05-13 04:29:37.226786 |
| 2025-05-16 09:29:57.749999 | 2025-05-16 09:30:01.084626 | 8108191 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2025-05-16 | U | PT | VARGAS | C4080406701 | AUXILIADORA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_8108191_b379fa89-b685-4424-a25d-8ab90339d5ac.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538314/check_8108191_b89ba2f5-4f93-4f1c-94b3-87d64cae98f9.json | N/A | N/A | N/A | N/A | N/A | C4080406701 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-10-22 | N/A | N/A | N/A | N/A | false | VARGAS | N/A | AUXILIADORA | 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 | 5538314 | 2222 | N/A | 7760855 | N/A | 4210749 | 2025-05-16 09:30:01.084626 | 2026-01-29 18:21:20.298304 |
| 2025-05-16 09:29:56.789184 | 2025-05-16 09:29:58.662730 | 8108190 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-02-23 | 2025-05-16 | F | PT | WENSEL | 27367103 | KAREN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539718/check_8108190_f2682e88-b065-4261-9eea-a6289b4144c2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539718/check_8108190_f24d147d-d683-4830-aa3f-3ac8266bd077.json | N/A | N/A | N/A | N/A | N/A | 27367103 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-02-23 | N/A | N/A | N/A | N/A | false | WENSEL | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539718 | 2222 | N/A | 7760854 | N/A | 4211977 | 2025-05-16 09:29:58.662730 | 2025-05-13 04:29:37.226299 |
| 2025-05-16 09:29:54.271413 | 2025-05-16 09:29:57.341603 | 8108189 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-04-03 | 2025-05-16 | F | PT | OBLINGER | JQS491M78254 | MARIA DEL CARMEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676340/check_8108189_e7a39dd8-5a25-42ec-9511-403c74e9435c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_8108189_d513c92d-c9e8-4db7-a29b-2405a03fc2ec.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1946-04-03 | N/A | N/A | N/A | N/A | false | OBLINGER | N/A | MARIA DEL CARMEN | 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 | 5676340 | 2222 | N/A | 7760853 | N/A | 4210531 | 2025-05-16 09:29:57.341603 | 2025-12-09 17:09:13.960610 |
| 2025-05-16 09:29:54.087374 | 2025-05-16 09:30:17.798341 | 8108188 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-11-29 | 2025-05-16 | F | PT | GODBOLD | 33204792612 | SHARI | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537863/check_8108188_4bb35049-bb48-46c2-94cf-e3fcd895ba7a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537863/check_8108188_1ecfb2a7-beb3-4675-940f-9c23e7a6edef.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 | N/A | 7760873 | N/A | 4210360 | 2025-05-16 09:30:17.798341 | 2025-05-13 04:29:37.224766 |
| 2025-05-16 09:29:47.635537 | 2025-05-16 09:29:51.005858 | 8108187 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-09-17 | 2025-05-16 | F | PT | GIANOLI | R11857813FM1 | ELSY | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568076/check_8108187_7dbce9ea-b293-42b1-93c2-a98d2489d6e8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_8108187_0143e3d8-53b6-41d2-b1ce-9876e2fb42c8.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-09-17 | N/A | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | 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 | 5568076 | 2222 | N/A | 7760851 | N/A | 4209480 | 2025-05-16 09:29:51.005858 | 2026-04-10 02:05:15.976484 |
| 2025-05-16 09:20:30.864414 | 2025-05-17 02:10:04.179110 | 8107152 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8107152 | Athletic Physical Therapy Inc | 1978-12-03 | 2025-05-20 | F | PT | MADERA | 680A7356120 | ELISA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676409/check_8107152_44d13a40-89e4-430e-9242-0e5395eef9ce.json | N/A | N/A | N/A | N/A | N/A | 680A7356120 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1978-12-03 | N/A | N/A | N/A | N/A | false | MADERA | N/A | ELISA | 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 | 5676409 | 2222 | 4793 | 7775191 | N/A | 4343465 | 2025-05-17 02:10:04.179110 | 2025-05-14 09:08:09.701399 |
| 2025-05-16 09:20:30.634851 | 2025-05-17 02:11:44.902613 | 8107149 | N/A | N/A | 39026 | UMR | 1114042165 | 8107149 | Athletic Physical Therapy Inc | 1998-08-12 | 2025-05-20 | M | PT | YOUNG | 46629327 | CHRISTOPHER | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676405/check_8107149_816c2cf6-43eb-47df-99b3-8ed0f70bd520.json | N/A | N/A | N/A | N/A | N/A | 46629327 | N/A | N/A | UMR | N/A | 1998-08-12 | N/A | N/A | N/A | N/A | false | YOUNG | N/A | CHRISTOPHER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676405 | 2222 | 4802 | 7776416 | N/A | 4343460 | 2025-05-17 02:11:44.902613 | 2025-05-13 04:29:37.230938 |
| 2025-05-16 09:20:30.340948 | 2025-05-17 02:17:56.118757 | 8107147 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8107147 | Athletic Physical Therapy Inc | 1999-05-15 | 2025-05-19 | M | PT | CAMPOS | U6223907103 | DEVON | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676403/check_8107147_1e8e2c8a-b935-4fdc-88b7-d9f0ec98815f.json | N/A | N/A | N/A | N/A | N/A | U6223907103 | N/A | MORGAN STANLEY DOMESTIC HOLDINGS, INC. | CHLIC | NEW BUSINESS RATES APPLIED PREFERRED CARE MANAGEMENT | 1999-05-15 | N/A | 3327984 | N/A | N/A | false | CAMPOS | N/A | DEVON | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676403 | 2222 | 4802 | 7780603 | N/A | 4343457 | 2025-05-17 02:17:56.118757 | 2025-05-13 04:29:37.230935 |
| 2025-05-16 09:20:29.891138 | 2025-05-17 02:09:48.294028 | 8107145 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8107145 | Athletic Physical Therapy Inc | 1967-09-04 | 2025-05-20 | M | PT | DE LUNA | 025A5198230 | NOEL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676398/check_8107145_d6863c26-9302-4bbf-ab1c-aa6b272a6933.json | N/A | N/A | N/A | N/A | N/A | 025A5198230 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1967-09-04 | N/A | N/A | N/A | N/A | false | DE LUNA | N/A | NOEL | 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 | 5676398 | 2222 | 4801 | 7774974 | N/A | 4343453 | 2025-05-17 02:09:48.294028 | 2025-05-13 04:29:37.230931 |
| 2025-05-16 09:20:29.431056 | 2025-05-17 02:10:04.806604 | 8107143 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8107143 | Athletic Physical Therapy Inc | 1933-08-29 | 2025-05-19 | F | PT | MALOLEPSZY | 31048620001 | CHRISTINE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676397/check_8107143_8609d82f-3e5c-499a-8539-0cb248618753.json | N/A | N/A | N/A | N/A | N/A | 31048620001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1933-08-29 | N/A | N/A | N/A | N/A | false | MALOLEPSZY | N/A | CHRISTINE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676397 | 2222 | 4801 | 7775197 | N/A | 4343449 | 2025-05-17 02:10:04.806604 | 2025-05-13 04:29:37.230927 |
| 2025-05-16 09:20:29.027529 | 2025-05-17 02:34:56.046484 | 8107140 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8107140 | Athletic Physical Therapy Inc | 1958-12-30 | 2025-05-20 | F | PT | MEDINA | 6QE6PJ0WV58 | CHRISTINA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676388/check_8107140_17702d01-69f5-423d-896e-873a8a88d5a3.json | N/A | N/A | N/A | N/A | N/A | 6QE6PJ0WV58 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-12-30 | S4802 | N/A | N/A | MB | false | MEDINA | N/A | CHRISTINE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676388 | 2222 | 4793 | 7787593 | N/A | 4343445 | 2025-05-17 02:34:56.046484 | 2025-05-14 09:06:09.407736 |
| 2025-05-16 09:20:28.566565 | 2025-05-17 02:14:34.725057 | 8107136 | N/A | N/A | 60054 | Aetna | 1114042165 | 8107136 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-05-19 | M | PT | ARROW | 101393152200 | PAUL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676385/check_8107136_dc95605d-f350-4401-aff1-88507513639a.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676385 | 2222 | 4802 | 7778075 | N/A | 4343439 | 2025-05-17 02:14:34.725057 | 2025-05-13 04:29:37.230918 |
| 2025-05-16 09:20:28.288214 | 2025-05-17 02:34:45.406485 | 8107134 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8107134 | Athletic Physical Therapy Inc | 1950-05-02 | 2025-05-20 | F | PT | AFTERGOOD | 6R18D09UM38 | GAIL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676365/check_8107134_475bddaf-de97-4ab0-b149-1382c038482a.json | N/A | N/A | N/A | N/A | N/A | 6R18D09UM38 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-05-02 | S4802 | N/A | N/A | MA | false | AFTERGOOD | N/A | GAIL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676365 | 2222 | 4793 | 7787545 | N/A | 4219754 | 2025-05-17 02:34:45.406485 | 2025-05-13 04:29:37.230796 |
| 2025-05-16 09:15:58.405514 | 2025-05-16 09:16:01.156142 | 8104594 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-04-27 | 2025-05-16 | M | PT | TEDDER | 00000390480 | CHARLES | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676415/check_8104594_d01d4ad0-fde7-475f-926d-6ff95955962c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_8104594_26c78a4b-1128-412a-a661-dfcdfd7f2953.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | 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 | 5676415 | 2222 | N/A | 7759698 | N/A | 4343470 | 2025-05-16 09:16:01.156142 | 2025-05-13 04:29:37.230947 |
| 2025-05-16 09:15:58.107995 | 2025-05-16 09:16:49.311086 | 8104590 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-01-01 | 2025-05-16 | M | PT | BAKER | 856047151 | JOHN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676404/check_8104590_b18bbf62-6bc5-4d0c-a675-f1f1f4bab069.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | N/A | N/A | N/A | N/A | N/A | N/A | 856047151 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1980-01-01 | N/A | N/A | N/A | N/A | false | BAKER | 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 | 5676404 | 2222 | N/A | N/A | N/A | 4343463 | 2025-05-16 09:16:49.311086 | 2025-05-13 04:29:37.230940 |
| 2025-05-16 09:15:14.973842 | 2025-05-16 09:15:17.658488 | 8104226 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-10-31 | 2025-05-16 | M | PT | COOK | NCF175A24389 | JAMES | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5551027/check_8104226_e5aa490c-edfc-4d26-928c-39f8446d2b28.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551027/check_8104226_72052986-d4c4-46a0-9a1a-e1ae076968a5.json | N/A | N/A | N/A | N/A | N/A | NCF175A24389 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-10-31 | N/A | N/A | N/A | N/A | false | COOK | N/A | JAMES | 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 | 5551027 | 2222 | N/A | 7759629 | N/A | 4219848 | 2025-05-16 09:15:17.658488 | 2025-05-28 20:18:04.730900 |
| 2025-05-16 09:15:13.255319 | 2025-05-16 09:15:18.120644 | 8104219 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-12-02 | 2025-05-16 | M | PT | DEL CID | H6125233200 | VIDAL | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550987/check_8104219_83c18c96-271d-450f-9307-a1b155520c2a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550987/check_8104219_08cf5bf3-c702-471b-8732-de4aa58bd152.json | N/A | N/A | N/A | N/A | N/A | H6125233200 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1959-12-02 | N/A | N/A | N/A | N/A | false | DEL CID | N/A | VIDAL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550987 | 2222 | N/A | 7759623 | N/A | 4219812 | 2025-05-16 09:15:18.120644 | 2025-05-13 04:29:37.230859 |
| 2025-05-16 09:15:13.168367 | 2025-05-16 09:15:15.108352 | 8104218 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-05-08 | 2025-05-16 | U | PT | MAGHSOUDI | 96653287F | ALIAKBAR | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550997/check_8104218_e9eecf24-7f70-4fd2-8a58-7313cc7a571d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550997/check_8104218_23df3aae-9c92-454f-a169-8c11dc871014.json | N/A | N/A | N/A | N/A | N/A | 96653287F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-05-08 | N/A | N/A | N/A | N/A | false | MAGHSOUDI | N/A | ALIAKBAR | 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 | 5550997 | 2222 | N/A | 7759622 | N/A | 4219820 | 2025-05-16 09:15:15.108352 | 2025-06-06 02:38:21.390199 |
| 2025-05-16 09:15:13.044405 | 2025-05-16 09:15:15.924148 | 8104217 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-03-11 | 2025-05-16 | M | PT | SOL | 95064268D | SERGIO | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542858/check_8104217_15a573af-67a7-4e5a-9232-edbc0b6042b3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542858/check_8104217_ae314911-35fa-4688-91be-5b09d3e81bc1.json | N/A | N/A | N/A | N/A | N/A | 95064268D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2001-03-11 | N/A | N/A | N/A | N/A | false | SOL | N/A | SERGIO | 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 | 5542858 | 2222 | N/A | 7759625 | N/A | 4214724 | 2025-05-16 09:15:15.924148 | 2025-05-13 04:29:37.229042 |
| 2025-05-16 09:15:12.328015 | 2025-05-16 09:15:18.358204 | 8104212 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-09 | 2025-05-16 | F | PT | SHAUGHNESSY | U9219243801 | MARGARET | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550965/check_8104212_d9174b33-f8b0-454f-b645-1e01e73916a8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550965/check_8104212_e032bbe6-d3bf-4be4-a08a-fc6245e70408.json | N/A | N/A | N/A | N/A | N/A | U9219243801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-04-09 | N/A | N/A | N/A | N/A | false | SHAUGHNESSY | N/A | MARGARET | 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 | 5550965 | 2222 | N/A | 7759630 | N/A | 4219798 | 2025-05-16 09:15:18.358204 | 2025-05-13 04:29:37.230838 |
| 2025-05-16 09:15:11.786671 | 2025-05-16 09:15:14.088255 | 8104209 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-05 | 2025-05-16 | F | PT | VANCELETTE | 99775204F | DEBORAH | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550875/check_8104209_e4255667-604c-4e6d-a9b8-362731df608b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550875/check_8104209_ad9f8835-fc30-42eb-8ee5-2610c3a5bd5b.json | N/A | N/A | N/A | N/A | N/A | 99775204F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1966-02-05 | N/A | N/A | N/A | N/A | false | VANCELETTE | N/A | DEBORAH | 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 | 5550875 | 2222 | N/A | 7759620 | N/A | 4219732 | 2025-05-16 09:15:14.088255 | 2025-05-13 04:29:37.230772 |
| 2025-05-16 09:15:11.291810 | 2025-05-16 09:15:13.205475 | 8104204 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-02-28 | 2025-05-16 | F | PT | KUYAT | 27367124 | FAYE | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550758/check_8104204_b638402b-341f-4c34-a3b4-c63d084e8e68.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550758/check_8104204_cc3f246a-1edc-46fb-accc-1af180e6e7f1.json | N/A | N/A | N/A | N/A | N/A | 27367124 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1946-02-28 | N/A | N/A | N/A | N/A | false | KUYAT | N/A | FAYE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550758 | 2222 | N/A | 7759618 | N/A | 4219656 | 2025-05-16 09:15:13.205475 | 2025-05-13 04:29:37.230700 |
| 2025-05-16 09:15:10.971425 | 2025-05-16 09:15:15.023260 | 8104199 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-10-31 | 2025-05-16 | F | PT | LOCKWOOD | R07647848FS1 | ROSE | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550674/check_8104199_ff0f49fe-6ca1-42e6-9c5b-b9fd8c35dba5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550674/check_8104199_c9d75d63-c8a4-43d8-9b47-d87e3f860b12.json | N/A | N/A | N/A | N/A | N/A | R07647848FS1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1980-10-31 | N/A | N/A | N/A | N/A | false | LOCKWOOD | N/A | ROSE | 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 | 5550674 | 2222 | N/A | 7759621 | N/A | 4219601 | 2025-05-16 09:15:15.023260 | 2025-05-13 04:29:37.230642 |
| 2025-05-16 09:15:10.471279 | 2025-05-16 09:15:12.437428 | 8104196 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-07-17 | 2025-05-16 | F | PT | GONZALEZ | 114M99895-20 | TERESA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549748/check_8104196_6b8c40b7-c189-4c50-99c9-12427ae5ece3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549748/check_8104196_784a0bbf-9bb2-4dbc-8c4c-a7d6985ad3e7.json | N/A | N/A | N/A | N/A | N/A | 114M99895-20 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-07-17 | N/A | N/A | N/A | N/A | false | GONZALEZ | N/A | TERESA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549748 | 2222 | N/A | 7759616 | N/A | 4219347 | 2025-05-16 09:15:12.437428 | 2025-05-13 04:29:37.230372 |
| 2025-05-16 09:15:10.198067 | 2025-05-16 09:15:15.423199 | 8104191 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-16 | 2025-05-16 | U | PT | SUAREZ | 391W16180-20 | GETRUDIS | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543251/check_8104191_f9fc707f-095a-422d-be16-4ce31f0376eb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543251/check_8104191_f687724a-41d8-4f2b-a2f7-0eb17567d145.json | N/A | N/A | N/A | N/A | N/A | 391W16180-20 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1944-11-16 | N/A | N/A | N/A | N/A | false | SUAREZ | N/A | GETRUDIS | 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 | 5543251 | 2222 | N/A | 7759624 | N/A | 4215064 | 2025-05-16 09:15:15.423199 | 2025-04-29 21:12:57.805696 |
| 2025-05-16 09:15:09.991332 | 2025-05-16 09:15:12.060480 | 8104189 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-06-06 | 2025-05-16 | U | PT | IDELSON | 97545393F | MIDAYANTI | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543325/check_8104189_15785b1a-7555-4dc4-a92b-e6079b6def87.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543325/check_8104189_577e8927-16b7-4f0f-a09e-58ef11f2e034.json | N/A | N/A | N/A | N/A | N/A | 97545393F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1978-06-06 | N/A | N/A | N/A | N/A | false | IDELSON | N/A | MIDAYANTI | 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 | 5543325 | 2222 | N/A | 7759615 | N/A | 4215119 | 2025-05-16 09:15:12.060480 | 2025-04-29 21:12:59.852389 |
| 2025-05-16 09:15:09.460909 | 2025-05-16 09:15:23.504906 | 8104182 | N/A | N/A | 74227 | UnitedHealthcare StudentResources | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-10-03 | 2025-05-16 | M | PT | OZAIR | 9471672 | ETHAN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543073/check_8104182_5076a803-88e3-424f-a948-fef99e65a214.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543073/check_8104182_f36bb682-2a95-4568-b889-5f5fedd0b1f1.json | N/A | N/A | N/A | N/A | N/A | 9471672 | N/A | ARIZONA STATE UNIVERSITY | UHC STUDENT RESOURCES | PCP TO SUBMIT A SPECIALIST REFERRAL | 2005-10-03 | BASIC | 202400073301 | N/A | N/A | false | OZAIR | N/A | ETHAN | N/A | 2025-08-15 | 2024-08-16 | BASIC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543073 | 2222 | N/A | 7759635 | N/A | 4214912 | 2025-05-16 09:15:23.504906 | 2025-05-13 04:29:37.229234 |
| 2025-05-16 09:15:08.366681 | 2025-05-16 09:15:10.523625 | 8104174 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-04-28 | 2025-05-16 | M | PT | NADER | 00000308417 | EDWARD | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543151/check_8104174_07fe5fec-b271-4673-88ba-c10135620e4b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543151/check_8104174_812a9ef4-42ef-4bfc-affb-02b627afec90.json | N/A | N/A | N/A | N/A | N/A | 00000308417 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1940-04-28 | N/A | N/A | N/A | N/A | false | NADER | N/A | EDWARD | 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 | 5543151 | 2222 | N/A | 7759612 | N/A | 4214983 | 2025-05-16 09:15:10.523625 | 2025-05-13 04:29:37.229305 |
| 2025-05-16 09:15:08.365273 | 2025-05-16 09:15:10.874930 | 8104173 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-06 | 2025-05-16 | F | PT | FRANKLIN | 400523198-01 | ELISE | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543089/check_8104173_c5eedac3-47ce-413c-92ef-5bb029458609.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543089/check_8104173_4ae2d085-f2d4-40f9-9711-5c4b5c7d1fe5.json | N/A | N/A | N/A | N/A | N/A | 400523198-01 | 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 | N/A | 7759613 | N/A | 4214926 | 2025-05-16 09:15:10.874930 | 2025-05-13 04:29:37.229247 |
| 2025-05-16 09:15:07.266331 | 2025-05-16 09:15:11.205385 | 8104166 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-02-13 | 2025-05-16 | F | PT | VILLEGAS | 36896719 | MARIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543033/check_8104166_2bec1fe7-4dc3-4e9e-9643-46c91a3d6fc7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543033/check_8104166_2b6292e4-1dee-4e03-afd2-4b0cf7d5054e.json | N/A | N/A | N/A | N/A | N/A | 36896719 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1958-02-13 | N/A | N/A | N/A | N/A | false | VILLEGAS | N/A | MARIA | 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 | 5543033 | 2222 | N/A | 7759614 | N/A | 4214871 | 2025-05-16 09:15:11.205385 | 2025-12-19 17:41:06.407678 |
| 2025-05-16 09:15:06.122420 | 2025-05-16 09:15:08.385615 | 8104156 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-01-21 | 2025-05-16 | M | PT | SHADDY | 40064865601 | STEVE | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543011/check_8104156_a85ea5fe-22dc-4d54-8c46-53041b0384de.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_8104156_cba3ef24-f5bc-4e87-bc4d-f334cdc465a3.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-01-21 | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | 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 | 5543011 | 2222 | N/A | 7759611 | N/A | 4214861 | 2025-05-16 09:15:08.385615 | 2026-02-04 19:10:58.526441 |
| 2025-05-16 09:15:05.682867 | 2025-05-16 09:15:13.811194 | 8104153 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2004-06-07 | 2025-05-16 | F | PT | HERRERA | R06208812FD3 | LESLIE | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542986/check_8104153_abfa18a4-dd80-40c3-afdd-907cb547f3bc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542986/check_8104153_66f77540-ca58-47e4-afec-d51cc8921525.json | N/A | N/A | N/A | N/A | N/A | R06208812FD3 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2004-06-07 | N/A | N/A | N/A | N/A | false | HERRERA | N/A | LESLIE | 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 | 5542986 | 2222 | N/A | 7759619 | N/A | 4214835 | 2025-05-16 09:15:13.811194 | 2025-05-13 04:29:37.229156 |
| 2025-05-16 09:15:04.340229 | 2025-05-16 09:15:06.117845 | 8104144 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-15 | 2025-05-16 | U | PT | GRUEN | 1914954-01 | M D | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542960/check_8104144_583cc27f-1c38-430f-9b64-450b736ba076.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542960/check_8104144_949bede1-b907-43c5-96f5-70281563c75d.json | N/A | N/A | N/A | N/A | N/A | 1914954-01 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-03-15 | N/A | N/A | N/A | N/A | false | GRUEN | N/A | M D | 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 | 5542960 | 2222 | N/A | 7759605 | N/A | 4214813 | 2025-05-16 09:15:06.117845 | 2025-04-29 21:12:48.998064 |
| 2025-05-16 09:15:04.328714 | 2025-05-16 09:15:07.412868 | 8104143 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-09-06 | 2025-05-16 | M | PT | BLANKENSHIP | 400147990-01 | PAUL | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542652/check_8104143_2bd3041a-afcd-4615-b9f0-c91f150bdf3b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542652/check_8104143_867ecf0c-c88d-4976-b67a-6ed11a1cb1cd.json | N/A | N/A | N/A | N/A | N/A | 400147990-01 | 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 | N/A | 7759607 | N/A | 4214528 | 2025-05-16 09:15:07.412868 | 2025-05-13 04:29:37.228843 |
| 2025-05-16 09:15:03.852548 | 2025-05-16 09:15:06.223178 | 8104141 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-02-22 | 2025-05-16 | F | PT | LOCKWOOD | R07647848FD1 | BROOKLYNN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541907/check_8104141_1d7294f9-766d-410a-9958-ba5cecf829e6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541907/check_8104141_5e6d245e-6a8e-4aa3-bb9e-048905697366.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 | N/A | 7759604 | N/A | 4213883 | 2025-05-16 09:15:06.223178 | 2025-05-13 04:29:37.228198 |
| 2025-05-16 09:15:02.801429 | 2025-05-16 09:15:05.002945 | 8104133 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-02-11 | 2025-05-16 | F | PT | ZEE YEE | 4112100-01 | GRACE | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540601/check_8104133_5cb47377-6b9a-4529-a97b-6c303d215df2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540601/check_8104133_f8180a48-1001-4676-acfe-447131529583.json | N/A | N/A | N/A | N/A | N/A | 4112100-01 | 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 | N/A | 7759602 | N/A | 4212732 | 2025-05-16 09:15:05.002945 | 2025-05-13 04:29:37.227072 |