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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-16 09:15:02.699791 | 2025-05-16 09:15:04.593145 | 8104132 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-13 | 2025-05-16 | M | PT | AE | SULLIVAN | 34897920 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541539/check_8104132_f2334531-6022-4789-9004-0f6551bfbf36.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541539/check_8104132_fa4ff621-01d9-45a7-9dd7-a054a1d7c775.json | N/A | N/A | N/A | N/A | N/A | 34897920 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-12-13 | N/A | N/A | N/A | N/A | false | SULLIVAN | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541539 | 2222 | N/A | 7759600 | N/A | 4213550 | 2025-05-16 09:15:04.593145 | 2025-05-13 04:29:37.227882 |
| 2025-05-16 09:15:02.590583 | 2025-05-16 09:15:04.865553 | 8104131 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-03-19 | 2025-05-16 | F | PT | AE | BRIGGS | 906130448-002 | SLOANE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539306/check_8104131_e337fc89-a0e6-4f58-8150-35a6e37323e0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539306/check_8104131_9ab6b33f-f099-4929-9820-e97f14964d26.json | N/A | N/A | N/A | N/A | N/A | 906130448-002 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2009-03-19 | N/A | N/A | N/A | N/A | false | BRIGGS | N/A | SLOANE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539306 | 2222 | N/A | 7759601 | N/A | 4211630 | 2025-05-16 09:15:04.865553 | 2025-06-06 14:52:22.575054 |
| 2025-05-16 09:15:02.304170 | 2025-05-16 09:15:06.921735 | 8104126 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-02-23 | 2025-05-16 | F | PT | AE | WENSEL | 101886203800 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539711/check_8104126_4e607d27-f615-4f4c-804f-c73e34a77ea7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539711/check_8104126_ae5306f9-72d7-40a1-9388-3e90eb6e006d.json | N/A | N/A | N/A | N/A | N/A | 101886203800 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-02-23 | N/A | N/A | N/A | N/A | false | WENSEL | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539711 | 2222 | N/A | 7759606 | N/A | 4211977 | 2025-05-16 09:15:06.921735 | 2025-05-13 04:29:37.226299 |
| 2025-05-16 09:15:02.018881 | 2025-05-16 09:15:03.918236 | 8104125 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-03-22 | 2025-05-16 | M | PT | AE | ADELMAN | 173W15046-50 | NOAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541198/check_8104125_040b3b02-675d-4d95-a918-d6d552b87c18.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541198/check_8104125_d422fc76-2bae-4662-a07f-239ccb19a205.json | N/A | N/A | N/A | N/A | N/A | 173W15046-50 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2007-03-22 | N/A | N/A | N/A | N/A | false | ADELMAN | N/A | NOAH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541198 | 2222 | N/A | 7759599 | N/A | 4213240 | 2025-05-16 09:15:03.918236 | 2025-05-13 04:29:37.227566 |
| 2025-05-16 09:15:01.032385 | 2025-05-16 09:15:08.840466 | 8104116 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2025-05-16 | U | PT | AE | VARGAS | 33970109 | AUXILIADORA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538313/check_8104116_95edba84-6753-4561-b30a-be9a4c7e17a7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538313/check_8104116_a3d53c62-16c7-49de-b9b5-e416ce5f30cf.json | N/A | N/A | N/A | N/A | N/A | 33970109 | 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 | 5538313 | 2222 | N/A | 7759597 | N/A | 4210749 | 2025-05-16 09:15:08.840466 | 2026-01-29 18:21:20.298304 |
| 2025-05-16 09:14:59.309805 | 2025-05-16 09:15:01.083183 | 8104105 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-09 | 2025-05-16 | M | PT | AE | RIVERA | 96111186F | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537321/check_8104105_8af386f7-c67c-42ae-8bea-d94d2d28b45d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537321/check_8104105_533f0519-b839-4960-9674-b1faa6fb41d2.json | N/A | N/A | N/A | N/A | N/A | 96111186F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1966-02-09 | N/A | N/A | N/A | N/A | false | RIVERA | N/A | JOSEPH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537321 | 2222 | N/A | 7759592 | N/A | 4209900 | 2025-05-16 09:15:01.083183 | 2025-05-13 04:29:37.224321 |
| 2025-05-16 09:14:59.108454 | 2025-05-16 09:15:01.269219 | 8104104 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-02 | 2025-05-16 | M | PT | AE | GOTLER | NCF018M77628 | RONALD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536875/check_8104104_0bdc2790-afcb-4c51-81bb-f27c05ce4aa9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536875/check_8104104_ea8bde6a-9cde-406a-af7f-d617e27d86cf.json | N/A | N/A | N/A | N/A | N/A | NCF018M77628 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-04-02 | N/A | N/A | N/A | N/A | false | GOTLER | N/A | RONALD | 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 | 5536875 | 2222 | N/A | 7759593 | N/A | 4209547 | 2025-05-16 09:15:01.269219 | 2025-05-13 04:29:37.223974 |
| 2025-05-16 09:14:58.169140 | 2025-05-16 09:15:00.125896 | 8104093 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-10-15 | 2025-05-16 | F | PT | AE | BAHGAT | R07659029FM1 | MONA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536335/check_8104093_6d961c86-6731-4993-9f4a-80a4468a86bc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536335/check_8104093_1214c209-b14f-44e7-b9c2-bf36cb20aecb.json | N/A | N/A | N/A | N/A | N/A | R07659029FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1972-10-15 | N/A | N/A | N/A | N/A | false | BAHGAT | N/A | MONA | 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 | 5536335 | 2222 | N/A | 7759591 | N/A | 4209098 | 2025-05-16 09:15:00.125896 | 2025-05-13 04:29:37.223519 |
| 2025-05-16 09:14:57.734813 | 2025-05-16 09:15:02.496305 | 8104088 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-18 | 2025-05-16 | F | PT | AE | BELL | H5341632100 | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536041/check_8104088_5b5b6c62-1ea7-4c86-bd47-7dbfbf92e285.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_8104088_bb159095-0f67-468f-b94f-49e0201d201c.json | N/A | N/A | N/A | N/A | N/A | H5341632100 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1947-04-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | JACQUELYN | 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 | 5536041 | 2222 | N/A | 7759595 | N/A | 4208856 | 2025-05-16 09:15:02.496305 | 2025-05-13 04:29:37.223284 |
| 2025-05-16 09:10:48.999525 | 2025-05-17 02:24:50.289956 | 8099601 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8099601 | Athletic Physical Therapy Inc | 1968-08-08 | 2025-05-20 | F | PT | N/A | VILLALOBOS | XDP152W12600 | MARIA | 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/2222/5568079/check_8099601_8bcf1966-ded8-429b-97a3-15e67c74097d.json | N/A | N/A | N/A | N/A | N/A | XDP152W12600 | Preferred Provider Organization (PPO) | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | ANTHEM BLUE CROSS | N/A | 1968-08-08 | 040 | 1264LC | N/A | PR | false | VILLALOBOS | N/A | JOSEPH | N/A | 9999-12-31 | 2022-05-01 | PPO PBP INCENTIVE HOSPITAL / PBP PLUS PROFESSIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5568079 | 2222 | 4801 | 7784164 | N/A | 4218987 | 2025-05-17 02:24:50.289956 | 2025-05-13 04:29:37.230004 |
| 2025-05-16 09:10:48.534475 | 2025-05-17 02:10:25.302881 | 8099589 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8099589 | Athletic Physical Therapy Inc | 1957-12-12 | 2025-05-19 | F | PT | AE | SOUTH | 808M9989320 | VALERIE | 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/2222/5568077/check_8099589_7d502c95-7f5a-45a7-8836-bbf560657f6e.json | N/A | N/A | N/A | N/A | N/A | 808M9989320 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-12-12 | N/A | N/A | N/A | N/A | false | SOUTH | N/A | VALERIE | 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 | 5568077 | 2222 | 4801 | 7775403 | N/A | 4208708 | 2025-05-17 02:10:25.302881 | 2025-05-14 09:08:43.609227 |
| 2025-05-16 09:09:12.544180 | 2025-05-17 02:16:24.186902 | 8097520 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8097520 | Athletic Physical Therapy Inc | 1944-01-31 | 2025-05-19 | M | PT | AE | DVORSKY | 000009483838 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141533712.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_8097520_a8834930-cf2a-4b47-b565-8ae282d3ff9d.json | N/A | N/A | N/A | N/A | N/A | 000009483838 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1944-01-31 | N/A | N/A | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874461 | 2222 | 4801 | 7779455 | N/A | 4534583 | 2025-05-17 02:16:24.186902 | 2025-05-27 21:59:00.919365 |
| 2025-05-16 09:09:12.452645 | 2025-05-17 02:19:21.049060 | 8097518 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8097518 | Athletic Physical Therapy Inc | 1970-03-11 | 2025-05-20 | F | PT | N/A | MANNING | WAG838721278 | TRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141533712.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874457/check_8097518_9e1a58c6-1f38-4d1d-a619-2be516bfaa8d.json | N/A | N/A | N/A | N/A | N/A | WAG838721278 | Preferred Provider Organization (PPO) | ACTIVE WAG | BLUE SHIELD OF CALIFORNIA | N/A | 1970-03-11 | N/A | 328059 | N/A | PR | false | MANNING | N/A | TRICIA | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874457 | 2222 | 4801 | 7781667 | N/A | 4343472 | 2025-05-17 02:19:21.049060 | 2025-08-08 17:41:30.906097 |
| 2025-05-16 09:09:12.396591 | 2025-05-17 02:12:52.296566 | 8097517 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8097517 | Athletic Physical Therapy Inc | 2001-04-06 | 2025-05-20 | U | PT | AE | HARRAKA | 992737509 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141533712.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874440/check_8097517_d22f1bc9-1509-46a4-bc3b-1901aee1c44f.json | N/A | N/A | N/A | N/A | N/A | 992737509 | N/A | N/A | UNITED HEALTHCARE | N/A | 2001-04-06 | N/A | N/A | N/A | N/A | false | HARRAKA | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874440 | 2222 | 4802 | 7777007 | N/A | 4534568 | 2025-05-17 02:12:52.296566 | 2025-05-27 20:53:12.991758 |
| 2025-05-16 09:09:12.313301 | 2025-05-17 02:03:54.553414 | 8097515 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8097515 | Athletic Physical Therapy Inc | 1958-08-20 | 2025-05-19 | U | PT | AE | HAILE MICHAEL | MISSINGPOLICYNUMBER | ABEBU | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141533712.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874438/check_8097515_7b8b3bc2-cc94-4d76-854e-4f537646d048.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1958-08-20 | N/A | N/A | N/A | N/A | false | HAILE MICHAEL | N/A | ABEBU | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874438 | 2222 | 4802 | 7770860 | N/A | 4534565 | 2025-05-17 02:03:54.553414 | 2026-03-10 20:57:14.661259 |
| 2025-05-16 09:09:12.234195 | 2025-05-17 02:04:02.444219 | 8097513 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | 8097513 | Athletic Physical Therapy Inc | 1947-06-13 | 2025-05-20 | U | PT | AE | FERRY | MISSINGPOLICYNUMBER | MAUREEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141533712.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874426/check_8097513_1dc45324-b0e9-4e98-9999-fe46444f3822.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MISSING INSURANCE NAME | N/A | 1947-06-13 | N/A | N/A | N/A | N/A | false | FERRY | N/A | MAUREEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874426 | 2222 | 4802 | 7770904 | N/A | 4534555 | 2025-05-17 02:04:02.444219 | 2025-10-06 22:18:22.957561 |
| 2025-05-16 09:09:12.051210 | 2025-05-17 02:16:23.377258 | 8097508 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8097508 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-05-20 | F | PT | AE | BOHL | 0000020836823 | JULIANNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141533712.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874418/check_8097508_c366d48b-d54f-4d66-b5a3-3181c02792c2.json | N/A | N/A | N/A | N/A | N/A | 0000020836823 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2009-01-14 | N/A | N/A | N/A | N/A | false | BOHL | N/A | JULIANNA | 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 | 5874418 | 2222 | 4793 | 7779444 | N/A | 4343448 | 2025-05-17 02:16:23.377258 | 2025-05-13 04:29:37.230925 |
| 2025-05-16 09:09:06.431251 | 2025-05-17 02:10:07.880680 | 8097371 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8097371 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-05-20 | F | PT | AE | BRADBURY | JQE669W05502 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874441/check_8097371_a9c6610d-6cc3-4da5-b0aa-50e6b1710d98.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1951-06-01 | N/A | N/A | N/A | N/A | false | BRADBURY | 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 | 5874441 | 2222 | 4801 | 7775238 | N/A | 4219556 | 2025-05-17 02:10:07.880680 | 2025-05-13 04:29:37.230592 |
| 2025-05-16 09:07:13.759520 | 2025-05-17 02:05:23.585436 | 8094946 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8094946 | Athletic Physical Therapy Inc | 1958-12-30 | 2025-05-20 | F | PT | AE | MEDINA | 35703327111 | CHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676389/check_8094946_7ea63cb0-850a-434c-9336-c30609080675.json | N/A | N/A | N/A | N/A | N/A | 357033271 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-12-30 | N/A | N/A | N/A | N/A | 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 | 5676389 | 2222 | 4793 | 7771966 | N/A | 4343445 | 2025-05-17 02:05:23.585436 | 2025-05-14 09:06:09.407736 |
| 2025-05-16 09:06:19.177685 | 2025-05-17 02:26:03.302594 | 8093925 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8093925 | Athletic Physical Therapy Inc | 1962-03-14 | 2025-05-20 | M | PT | N/A | CORNETT | XED906177097 | BRUCE | 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/2222/5551042/check_8093925_795c5ec3-e59d-4ccb-bced-d3176978632a.json | N/A | N/A | N/A | N/A | N/A | XED906177097 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1962-03-14 | 2001ZK002186 | X0001004 | N/A | PR | false | CORNETT | N/A | BRUCE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551042 | 2222 | 4793 | 7784636 | N/A | 4219846 | 2025-05-17 02:26:03.302594 | 2025-05-13 04:29:37.230893 |
| 2025-05-16 09:06:18.716299 | 2025-05-17 02:24:44.515451 | 8093915 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8093915 | Athletic Physical Therapy Inc | 2014-12-31 | 2025-05-20 | F | PT | N/A | MADHAVAN | PQI909449886 | AARYA | 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/2222/5551033/check_8093915_c6ef7389-8ce0-41b8-a32f-49eebe94e995.json | N/A | N/A | N/A | N/A | N/A | PQI909449886 | Preferred Provider Organization (PPO) | PREMISE HEALTH HOLDING CORPORATION | ANTHEM BLUE CROSS | N/A | 2014-12-31 | MBPX3094 | 130432 | N/A | PR | false | MADHAVAN | N/A | STEVEN | N/A | 2026-06-30 | 2025-01-01 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551033 | 2222 | 4793 | 7784122 | N/A | 4219844 | 2025-05-17 02:24:44.515451 | 2025-05-14 17:48:46.320607 |
| 2025-05-16 09:06:18.186327 | 2025-05-17 02:14:35.137991 | 8093902 | N/A | N/A | 60054 | Aetna | 1114042165 | 8093902 | Athletic Physical Therapy Inc | 1953-04-10 | 2025-05-20 | F | PT | AE | BOWMAN | W260258759 | GLORIA | 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/2222/5551029/check_8093902_8282b270-2b21-4aa2-b0ae-51ffdff6f6b7.json | N/A | N/A | N/A | N/A | N/A | W260258759 | N/A | N/A | AETNA | N/A | 1953-04-10 | 0141473 | 014147301500001 | N/A | N/A | false | BOWMAN | N/A | GEORGE | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551029 | 2222 | 4801 | 7778082 | N/A | 4219852 | 2025-05-17 02:14:35.137991 | 2025-05-13 04:29:37.230898 |
| 2025-05-16 09:06:17.737505 | 2025-05-17 02:09:47.884499 | 8093892 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093892 | Athletic Physical Therapy Inc | 1962-10-31 | 2025-05-20 | M | PT | AE | COOK | NCF175A24389 | JAMES | 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/2222/5551027/check_8093892_70ffea5c-928f-4e72-bde2-c450b99e6248.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 | 4801 | 7774968 | N/A | 4219848 | 2025-05-17 02:09:47.884499 | 2025-05-28 20:18:04.730900 |
| 2025-05-16 09:06:16.889178 | 2025-05-17 02:26:01.935684 | 8093877 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8093877 | Athletic Physical Therapy Inc | 2002-06-03 | 2025-05-20 | U | PT | N/A | CASTANEDA | XED914279551 | AZMIRE | 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/2222/5551019/check_8093877_5c7f24ef-32e1-4488-bcb7-2acd30637dc5.json | N/A | N/A | N/A | N/A | N/A | XED914279551 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2002-06-03 | N/A | N/A | N/A | N/A | false | CASTANEDA | N/A | AZMIRE | 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 | 5551019 | 2222 | 4793 | 7784631 | N/A | 4219842 | 2025-05-17 02:26:01.935684 | 2025-04-30 01:22:51.698621 |
| 2025-05-16 09:06:16.444694 | 2025-05-17 02:10:17.982030 | 8093869 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093869 | Athletic Physical Therapy Inc | 1956-08-19 | 2025-05-19 | U | PT | AE | SANCHEZ | 40054656201 | LIBERTA | 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/2222/5551017/check_8093869_fbb60e96-391f-42f4-b8ba-8d33dd1dfc69.json | N/A | N/A | N/A | N/A | N/A | 40054656201 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-08-19 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | LIBERTA | 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 | 5551017 | 2222 | 4801 | 7775332 | N/A | 4219840 | 2025-05-17 02:10:17.982030 | 2025-06-10 21:13:44.297814 |
| 2025-05-16 09:06:15.810163 | 2025-05-17 02:10:09.531812 | 8093860 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093860 | Athletic Physical Therapy Inc | 1998-01-10 | 2025-05-20 | F | PT | AE | PALACIOS | JMV542W22700 | JASMIN | 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/2222/5551010/check_8093860_2753cf87-851c-48ef-9e60-5de1eb5821d0.json | N/A | N/A | N/A | N/A | N/A | JMV542W22700 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1998-01-10 | N/A | N/A | N/A | N/A | false | PALACIOS | N/A | JASMIN | 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 | 5551010 | 2222 | 4802 | 7775253 | N/A | 4219831 | 2025-05-17 02:10:09.531812 | 2025-05-13 04:29:37.230876 |
| 2025-05-16 09:06:15.109277 | 2025-05-17 02:09:50.285277 | 8093848 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093848 | Athletic Physical Therapy Inc | 1956-11-24 | 2025-05-19 | F | PT | AE | ELIZONDO | 00000386521 | SANDRA | 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/2222/5550998/check_8093848_4a2cd78f-ea4f-4d2a-a616-d571ff31849b.json | N/A | N/A | N/A | N/A | N/A | 00000386521 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-11-24 | N/A | N/A | N/A | N/A | false | ELIZONDO | N/A | SANDRA | 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 | 5550998 | 2222 | 4801 | 7775004 | N/A | 4219830 | 2025-05-17 02:09:50.285277 | 2025-06-16 22:37:31.389993 |
| 2025-05-16 09:06:14.587535 | 2025-05-17 02:24:49.469674 | 8093840 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8093840 | Athletic Physical Therapy Inc | 1981-02-28 | 2025-05-19 | F | PT | N/A | CARROLL | JPU767A23997 | REBECCA | 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/2222/5550993/check_8093840_e3699fed-c002-40f2-ae8a-5910121eec7c.json | N/A | N/A | N/A | N/A | N/A | JPU767A23997 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | ANTHEM BLUE CROSS | N/A | 1981-02-28 | 040 | L12045M001 | N/A | PR | false | STAEVSKI | N/A | THOMAS | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550993 | 2222 | 4793 | 7784154 | N/A | 4219817 | 2025-05-17 02:24:49.469674 | 2025-05-13 04:29:37.230864 |
| 2025-05-16 09:06:14.231129 | 2025-05-17 02:24:46.218425 | 8093833 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8093833 | Athletic Physical Therapy Inc | 1966-04-27 | 2025-05-19 | M | PT | N/A | MERTES | XED914030953 | CORY | 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/2222/5550989/check_8093833_fec83973-5c29-4cbb-a84f-ce6e3aea8576.json | N/A | N/A | N/A | N/A | N/A | XED914030953 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | ANTHEM BLUE CROSS | N/A | 1966-04-27 | 2001ZK002184 | X0001004 | N/A | PR | false | MERTES | N/A | CORY | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550989 | 2222 | 4793 | 7784128 | N/A | 4219813 | 2025-05-17 02:24:46.218425 | 2025-05-13 04:29:37.230860 |
| 2025-05-16 09:06:13.857168 | 2025-05-17 02:09:49.358098 | 8093825 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093825 | Athletic Physical Therapy Inc | 1959-12-02 | 2025-05-19 | M | PT | AE | DEL CID | H6125233200 | VIDAL | 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/2222/5550987/check_8093825_6730b342-d95b-481e-82fb-d574e586302b.json | N/A | N/A | N/A | N/A | N/A | H6125233200 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1959-12-02 | N/A | N/A | N/A | N/A | false | DEL CID | N/A | VIDAL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550987 | 2222 | 4793 | 7774987 | N/A | 4219812 | 2025-05-17 02:09:49.358098 | 2025-05-13 04:29:37.230859 |
| 2025-05-16 09:06:13.318023 | 2025-05-17 02:26:09.950453 | 8093815 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8093815 | Athletic Physical Therapy Inc | 1974-03-02 | 2025-05-20 | F | PT | N/A | TRAGESSER | XED913992617 | HOPE | 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/2222/5550985/check_8093815_f522c222-0a4f-41e6-9b22-670485ef1fea.json | N/A | N/A | N/A | N/A | N/A | XED913992617 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-03-02 | 2001ZK002186 | X0001004 | N/A | PR | false | TRAGESSER | N/A | DENNIS | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550985 | 2222 | 4801 | 7784681 | N/A | 4219807 | 2025-05-17 02:26:09.950453 | 2025-05-13 04:29:37.230853 |
| 2025-05-16 09:06:12.651300 | 2025-05-17 02:14:38.975514 | 8093796 | N/A | N/A | 60054 | Aetna | 1114042165 | 8093796 | Athletic Physical Therapy Inc | 1962-02-18 | 2025-05-20 | M | PT | AE | ZHAO | 916547548 | CHARLIE | 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/2222/5550983/check_8093796_b05e6f23-e9a2-4a34-b6d4-dd2ee206bf18.json | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | 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 | 5550983 | 2222 | 4801 | 7778130 | N/A | 4219811 | 2025-05-17 02:14:38.975514 | 2025-05-13 04:29:37.230858 |
| 2025-05-16 09:06:12.197984 | 2025-05-17 02:10:19.939194 | 8093786 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093786 | Athletic Physical Therapy Inc | 1968-04-09 | 2025-05-20 | F | PT | AE | SHAUGHNESSY | U9219243801 | MARGARET | 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/2222/5550965/check_8093786_cb86937f-100d-4661-b051-91ba50f37d92.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 | 4793 | 7775350 | N/A | 4219798 | 2025-05-17 02:10:19.939194 | 2025-05-13 04:29:37.230838 |
| 2025-05-16 09:06:11.841972 | 2025-05-17 02:23:29.057594 | 8093777 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8093777 | Athletic Physical Therapy Inc | 1984-05-04 | 2025-05-19 | M | PT | AE | ABARANOK | 000024783014 | JEREMY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550961/check_8093777_a84276c0-c521-4ea8-9a77-34a5131215d0.json | N/A | N/A | N/A | N/A | N/A | 000024783014 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1984-05-04 | N/A | N/A | N/A | N/A | false | ABARANOK | N/A | JEREMY | 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 | 5550961 | 2222 | 4802 | 7783575 | N/A | 4219793 | 2025-05-17 02:23:29.057594 | 2025-05-21 21:25:09.468886 |
| 2025-05-16 09:06:11.295068 | 2025-05-17 02:24:40.646585 | 8093764 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8093764 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-05-20 | F | PT | N/A | HARDING | XDP157A51099 | MICHELE | 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/2222/5550953/check_8093764_2ac84f65-ff12-4fac-8b10-68c3a52ca339.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1962-04-09 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550953 | 2222 | 4801 | 7784097 | N/A | 4219788 | 2025-05-17 02:24:40.646585 | 2025-06-06 22:01:46.271450 |
| 2025-05-16 09:06:10.642437 | 2025-05-17 02:09:58.439003 | 8093751 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093751 | Athletic Physical Therapy Inc | 1989-01-23 | 2025-05-19 | F | PT | AE | HINKLE | 051W0804620 | MARLENA | 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/2222/5550925/check_8093751_e4e63080-dda9-4438-86bb-da0be413eac2.json | N/A | N/A | N/A | N/A | N/A | 051W0804620 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1989-01-23 | N/A | N/A | N/A | N/A | false | HINKLE | N/A | MARLENA | 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 | 5550925 | 2222 | 4793 | 7775115 | N/A | 4219772 | 2025-05-17 02:09:58.439003 | 2025-11-18 00:45:16.378261 |
| 2025-05-16 09:06:10.096815 | 2025-05-17 02:24:50.670348 | 8093736 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8093736 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-05-20 | F | PT | N/A | WALTER | JXN523A76388 | KARA | 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/2222/5550923/check_8093736_89e7d160-9bbd-47aa-8968-0d2ffc7c6620.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550923 | 2222 | 4801 | 7784168 | N/A | 4219763 | 2025-05-17 02:24:50.670348 | 2025-05-13 04:29:37.230804 |
| 2025-05-16 09:06:09.632688 | 2025-05-17 02:26:08.556492 | 8093721 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8093721 | Athletic Physical Therapy Inc | 1971-06-07 | 2025-05-20 | M | PT | N/A | NIKBIN | XED909790117 | FARID | 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/2222/5550922/check_8093721_bf24fe82-24bc-442b-b963-249fe984560b.json | N/A | N/A | N/A | N/A | N/A | XED909790117 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-07 | 2001ZK002169 | X0001004 | N/A | PR | false | NIKBIN | N/A | FARID | N/A | 9999-12-31 | 2020-05-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550922 | 2222 | 4801 | 7784676 | N/A | 4219765 | 2025-05-17 02:26:08.556492 | 2025-05-13 04:29:37.230806 |
| 2025-05-16 09:06:09.051630 | 2025-05-17 02:10:06.198054 | 8093708 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093708 | Athletic Physical Therapy Inc | 1962-03-12 | 2025-05-19 | M | PT | AE | MCNAMARA | 93839431E | THOMAS | 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/2222/5550904/check_8093708_9f6bccb2-699c-4982-8463-69f5b2852659.json | N/A | N/A | N/A | N/A | N/A | 93839431E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-03-12 | N/A | N/A | N/A | N/A | false | MCNAMARA | 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 | 5550904 | 2222 | 4802 | 7775214 | N/A | 4219753 | 2025-05-17 02:10:06.198054 | 2025-05-13 04:29:37.230795 |
| 2025-05-16 09:06:08.431672 | 2025-05-17 02:10:21.637229 | 8093696 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093696 | Athletic Physical Therapy Inc | 1949-07-21 | 2025-05-19 | M | PT | AE | SNEEP | 31177581801 | TIM | 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/2222/5550903/check_8093696_3a27c7a1-a3ad-41f4-b65a-dea5bd8edcb1.json | N/A | N/A | N/A | N/A | N/A | 31177581801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-07-21 | N/A | N/A | N/A | N/A | false | SNEEP | N/A | TIM | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550903 | 2222 | 4801 | 7775371 | N/A | 4219756 | 2025-05-17 02:10:21.637229 | 2025-05-13 04:29:37.230798 |
| 2025-05-16 09:06:02.292573 | 2025-05-17 02:09:55.917579 | 8093572 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093572 | Athletic Physical Therapy Inc | 1970-06-09 | 2025-05-20 | M | PT | AE | HELLER | 410A5502010 | FRANK | 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/2222/5550902/check_8093572_7e92798b-d09e-4f08-ac18-13749afe165a.json | N/A | N/A | N/A | N/A | N/A | 410A5502010 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1970-06-09 | N/A | N/A | N/A | N/A | false | HELLER | 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 | 5550902 | 2222 | 4801 | 7775085 | N/A | 4219740 | 2025-05-17 02:09:55.917579 | 2025-05-13 04:29:37.230778 |
| 2025-05-16 09:06:01.365548 | 2025-05-17 02:34:49.216521 | 8093552 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8093552 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-05-19 | U | PT | AE | BRENNER | 8F12ED9EE92 | ROCIO FLORES | 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/2222/5550896/check_8093552_045bf424-5450-4d79-b8a3-cad71332505b.json | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | 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 | 5550896 | 2222 | 4793 | 7787561 | N/A | 4219750 | 2025-05-17 02:34:49.216521 | 2025-06-06 02:15:39.377685 |
| 2025-05-16 09:06:00.602693 | 2025-05-17 02:10:29.201168 | 8093538 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093538 | Athletic Physical Therapy Inc | 1966-02-05 | 2025-05-20 | F | PT | AE | VANCELETTE | 99775204F | DEBORAH | 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/2222/5550875/check_8093538_d2fbfa6e-d405-4c61-a803-6465a3bfeb1d.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 | 4802 | 7775432 | N/A | 4219732 | 2025-05-17 02:10:29.201168 | 2025-05-13 04:29:37.230772 |
| 2025-05-16 09:06:00.137855 | 2025-05-17 02:24:49.933683 | 8093529 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8093529 | Athletic Physical Therapy Inc | 1940-08-30 | 2025-05-20 | F | PT | N/A | TRONESS | 347M0007720 | MARY | 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/2222/5550874/check_8093529_734922d8-533a-4f1e-9aef-e8d92a24bacd.json | N/A | N/A | N/A | N/A | N/A | 347M0007720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1940-08-30 | N/A | N/A | N/A | N/A | false | TRONESS | N/A | MARY | 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 | 5550874 | 2222 | 4793 | 7784160 | N/A | 4219731 | 2025-05-17 02:24:49.933683 | 2025-05-13 04:29:37.230771 |
| 2025-05-16 09:05:59.477940 | 2025-05-17 02:24:35.531849 | 8093516 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8093516 | Athletic Physical Therapy Inc | 2012-12-22 | 2025-05-20 | F | PT | N/A | CASTRICIONES | DRC967695620 | AVA | 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/2222/5550851/check_8093516_00f6beba-173b-4945-8248-0237231dce11.json | N/A | N/A | N/A | N/A | N/A | DRC967695620 | Preferred Provider Organization (PPO) | DSAC ENHANCED PLAN | ANTHEM BLUE CROSS | N/A | 2012-12-22 | N/A | 002337029 | N/A | PR | false | CASTRICIONES | N/A | ELMER | N/A | 9999-12-31 | 2010-01-01 | PPO - BLUE CARE ELECT PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550851 | 2222 | 4801 | 7784068 | N/A | 4219717 | 2025-05-17 02:24:35.531849 | 2025-05-13 04:29:37.230758 |
| 2025-05-16 09:05:59.118006 | 2025-05-17 02:24:38.225303 | 8093508 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8093508 | Athletic Physical Therapy Inc | 1975-05-11 | 2025-05-20 | F | PT | N/A | GALLO LUNA | CQP005A55866 | MARITZA | 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/2222/5550838/check_8093508_66d602e1-cb1a-41b6-a733-e63ac4da7bd4.json | N/A | N/A | N/A | N/A | N/A | CQP005A55866 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-05-11 | N/A | N/A | N/A | N/A | false | GALLO LUNA | N/A | MARITZA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550838 | 2222 | 4801 | 7784084 | N/A | 4219709 | 2025-05-17 02:24:38.225303 | 2025-05-13 04:29:37.230752 |
| 2025-05-16 09:05:58.474247 | 2025-05-17 02:10:06.834760 | 8093497 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093497 | Athletic Physical Therapy Inc | 1977-06-05 | 2025-05-19 | F | PT | AE | MENDEZ | 811A2456920 | SANDRA | 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/2222/5550836/check_8093497_e9136ea7-493b-4e17-9bab-125ccf889237.json | N/A | N/A | N/A | N/A | N/A | 811A2456920 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1977-06-05 | N/A | N/A | N/A | N/A | false | MENDEZ | N/A | SANDRA | 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 | 5550836 | 2222 | 4801 | 7775228 | N/A | 4219705 | 2025-05-17 02:10:06.834760 | 2025-05-13 04:29:37.230748 |
| 2025-05-16 09:05:58.149772 | 2025-05-17 02:26:04.732645 | 8093490 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8093490 | Athletic Physical Therapy Inc | 1979-05-08 | 2025-05-20 | F | PT | N/A | JEBBARI DELSHAD | XED913120799 | NEDA | 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/2222/5550827/check_8093490_6400b491-a496-4acc-b15d-f47cd75946f4.json | N/A | N/A | N/A | N/A | N/A | XED913120799 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-05-08 | 2001ZK002184 | X0001004 | N/A | PR | false | DELSHAD | N/A | ALLEN | N/A | 9999-12-31 | 2024-04-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550827 | 2222 | 4802 | 7784645 | N/A | 4219700 | 2025-05-17 02:26:04.732645 | 2025-05-13 04:29:37.230745 |
| 2025-05-16 09:05:57.545428 | 2025-05-17 02:14:38.051414 | 8093478 | N/A | N/A | 60054 | Aetna | 1114042165 | 8093478 | Athletic Physical Therapy Inc | 1970-02-16 | 2025-05-20 | M | PT | AE | OCHOA | W263373040 | JACK | 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/2222/5550823/check_8093478_59a2d299-9211-43f8-ad58-f8964a1609fc.json | N/A | N/A | N/A | N/A | N/A | W263373040 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1970-02-16 | 0160879 | 016087905000013 | N/A | PR | false | OCHOA | N/A | JACK | N/A | N/A | N/A | OPEN CHOICE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550823 | 2222 | 4801 | 7778121 | N/A | 4219698 | 2025-05-17 02:14:38.051414 | 2025-05-13 04:29:37.230743 |
| 2025-05-16 09:05:57.238789 | 2025-05-17 02:14:31.744423 | 8093469 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | 8093469 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-05-20 | M | PT | AE | UPSON | 15831U29031 | MARK | 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/2222/5550812/check_8093469_ab087e8a-2153-435d-aeb1-017befba83e3.json | N/A | N/A | N/A | N/A | N/A | 15831U29031 | N/A | N/A | MEDI-SHARE | N/A | 1960-10-21 | N/A | N/A | N/A | N/A | false | UPSON | N/A | MARK | 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 | 5550812 | 2222 | 4801 | 7778030 | N/A | 4219691 | 2025-05-17 02:14:31.744423 | 2025-05-13 04:29:37.230736 |