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 09:05:56.624199 | 2025-05-17 02:09:59.223532 | 8093454 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093454 | Athletic Physical Therapy Inc | 1956-12-13 | 2025-05-20 | F | PT | AE | INOUE | H7732226800 | PAMELA | 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/2222/5550805/check_8093454_406219d6-ea1e-497d-b58d-ec443f693027.json | N/A | N/A | N/A | N/A | N/A | H7732226800 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-12-13 | N/A | N/A | N/A | N/A | false | INOUE | N/A | PAMELA | 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 | 5550805 | 2222 | 4802 | 7775129 | N/A | 4219687 | 2025-05-17 02:09:59.223532 | 2025-05-13 04:29:37.230731 |
| 2025-05-16 09:05:56.133177 | 2025-05-17 02:10:03.325657 | 8093442 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093442 | Athletic Physical Therapy Inc | 1958-06-14 | 2025-05-19 | F | PT | AE | KOCK | 703W2158120 | GAYLE | 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/2222/5550802/check_8093442_9515a58f-e365-495b-9a6d-523d1916bae5.json | N/A | N/A | N/A | N/A | N/A | 703W2158120 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1958-06-14 | N/A | N/A | N/A | N/A | false | KOCK | N/A | GAYLE | 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 | 5550802 | 2222 | 4801 | 7775172 | N/A | 4219684 | 2025-05-17 02:10:03.325657 | 2025-05-13 04:29:37.230728 |
| 2025-05-16 09:05:55.480301 | 2025-05-17 02:34:54.654803 | 8093429 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8093429 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-05-20 | F | PT | AE | MARTIN | 5YV3RT3TA75 | DOLLY | 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/2222/5550797/check_8093429_96611782-8eef-47e8-b89c-8a47a9029e9b.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MA | false | MARTIN | N/A | DOLLY | 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 | 5550797 | 2222 | 4793 | 7787588 | N/A | 4219681 | 2025-05-17 02:34:54.654803 | 2026-01-14 20:54:02.193776 |
| 2025-05-16 09:05:54.746677 | 2025-05-17 02:21:07.738368 | 8093408 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8093408 | Athletic Physical Therapy Inc | 1954-11-23 | 2025-05-20 | F | PT | AE | REYNOLDS | 989167788 | NANCY | 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/2222/5550750/check_8093408_3c42ba6d-c4e0-439d-a3bb-857ee22847ab.json | N/A | N/A | N/A | N/A | N/A | 989167788 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1954-11-23 | N/A | 15458 | N/A | PR | false | REYNOLDS | N/A | NANCY | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550750 | 2222 | 4801 | 7782531 | N/A | 4219649 | 2025-05-17 02:21:07.738368 | 2025-05-13 04:29:37.230695 |
| 2025-05-16 09:05:54.166173 | 2025-05-17 02:21:10.110320 | 8093394 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8093394 | Athletic Physical Therapy Inc | 1951-10-15 | 2025-05-20 | F | PT | AE | WHITAKER | 929479394 | GAYLE | 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/2222/5550740/check_8093394_d9f17a68-8309-46dd-b357-4adc84b612be.json | N/A | N/A | N/A | N/A | N/A | 929479394 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1951-10-15 | N/A | 15743 | N/A | PR | false | WHITAKER | N/A | GAYLE | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550740 | 2222 | 4801 | 7782543 | N/A | 4219644 | 2025-05-17 02:21:10.110320 | 2025-05-13 04:29:37.230686 |
| 2025-05-16 09:05:53.686700 | 2025-05-17 02:09:51.214074 | 8093384 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093384 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-05-20 | F | PT | AE | FINE | 00000272194 | MICHELLE | 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/2222/5550729/check_8093384_625deda7-7f1c-4724-b275-d7f028585186.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-03-27 | N/A | N/A | N/A | N/A | false | FINE | N/A | MICHELLE | 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 | 5550729 | 2222 | 4801 | 7775021 | N/A | 4219630 | 2025-05-17 02:09:51.214074 | 2025-05-13 04:29:37.230672 |
| 2025-05-16 09:05:52.880533 | 2025-05-17 02:34:47.832669 | 8093370 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8093370 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-05-20 | F | PT | AE | BRADBURY | 5W31MW6FP03 | BONNIE | 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/2222/5550534/check_8093370_8948e148-65b5-4283-8ae7-bf2c478e5f66.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | 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 | 5550534 | 2222 | 4801 | 7787557 | N/A | 4219556 | 2025-05-17 02:34:47.832669 | 2025-05-13 04:29:37.230592 |
| 2025-05-16 09:05:52.297897 | 2025-05-17 02:10:01.715077 | 8093354 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093354 | Athletic Physical Therapy Inc | 1984-01-25 | 2025-05-19 | M | PT | AE | KASSBAUM | 803A7005010 | DEVIN | 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/2222/5550356/check_8093354_be8b4ea8-e677-4acb-bc00-94a45e1ea7ab.json | N/A | N/A | N/A | N/A | N/A | 803A7005010 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1984-01-25 | N/A | N/A | N/A | N/A | false | KASSBAUM | N/A | DEVIN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550356 | 2222 | 4801 | 7775154 | N/A | 4219533 | 2025-05-17 02:10:01.715077 | 2025-05-28 20:18:05.111344 |
| 2025-05-16 09:05:51.935581 | 2025-05-17 02:10:24.392093 | 8093345 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093345 | Athletic Physical Therapy Inc | 1986-05-15 | 2025-05-19 | M | PT | AE | SOLHJOU | U7549246801 | BAHRAM | 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/2222/5549949/check_8093345_d1e07e23-9543-4b10-9e7f-6ed5c6679808.json | N/A | N/A | N/A | N/A | N/A | U7549246801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1986-05-15 | N/A | N/A | N/A | N/A | false | SOLHJOU | N/A | BAHRAM | 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 | 5549949 | 2222 | 4802 | 7775394 | N/A | 4219432 | 2025-05-17 02:10:24.392093 | 2025-05-13 04:29:37.230466 |
| 2025-05-16 09:05:51.675634 | 2025-05-17 02:09:44.628166 | 8093340 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8093340 | Athletic Physical Therapy Inc | 1955-09-16 | 2025-05-20 | M | PT | AE | ARCHULETA | 00000367146 | JAN | 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/2222/5548962/check_8093340_56690085-edc6-41a4-8e0e-2cad6e6236b7.json | N/A | N/A | N/A | N/A | N/A | 00000367146 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-09-16 | N/A | N/A | N/A | N/A | false | ARCHULETA | N/A | JAN | 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 | 5548962 | 2222 | 4793 | 7774918 | N/A | 4208438 | 2025-05-17 02:09:44.628166 | 2025-06-03 23:28:44.457715 |
| 2025-05-16 09:05:24.662424 | 2025-05-17 02:09:52.423234 | 8092562 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8092562 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-05-19 | M | PT | AE | FORTIN | R14644640MS1 | NATHANIEL | 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/2222/5543425/check_8092562_47874395-7043-44ae-9186-15aef319cef9.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543425 | 2222 | 4801 | 7775039 | N/A | 4215211 | 2025-05-17 02:09:52.423234 | 2026-04-02 22:30:20.020246 |
| 2025-05-16 09:05:23.988579 | 2025-05-17 02:10:18.775027 | 8092536 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8092536 | Athletic Physical Therapy Inc | 1953-09-04 | 2025-05-19 | F | PT | AE | SANKOVICH | 00000375069 | DEBORAH ANN | 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/2222/5543396/check_8092536_94747437-684c-4327-b70b-c8b188569d8b.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-09-04 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH ANN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543396 | 2222 | 4793 | 7775342 | N/A | 4215193 | 2025-05-17 02:10:18.775027 | 2026-01-16 04:38:12.725481 |
| 2025-05-16 09:05:23.417458 | 2025-05-17 02:10:06.507829 | 8092506 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8092506 | Athletic Physical Therapy Inc | 1955-08-30 | 2025-05-19 | F | PT | AE | MEJIA | H7198936000 | ROSA | 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/2222/5543392/check_8092506_6016af79-dcd7-45ad-a68f-3cbdbb1195e8.json | N/A | N/A | N/A | N/A | N/A | H7198936000 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-08-30 | N/A | N/A | N/A | N/A | false | MEJIA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543392 | 2222 | 4793 | 7775220 | N/A | 4215192 | 2025-05-17 02:10:06.507829 | 2025-05-13 04:29:37.229508 |
| 2025-05-16 09:05:22.602734 | 2025-05-17 02:19:08.574866 | 8092479 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8092479 | Athletic Physical Therapy Inc | 2006-07-18 | 2025-05-20 | U | PT | AE | RAMAFWAMY KAFI VASU | U4896088401 | VAIBHAV | 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/2222/5543386/check_8092479_19f0da7f-046f-49f3-9d81-754f74d176f6.json | N/A | N/A | N/A | N/A | N/A | U4896088401 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2006-07-18 | N/A | N/A | N/A | N/A | false | RAMAFWAMY KAFI VASU | N/A | VAIBHAV | 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 | 5543386 | 2222 | 4802 | 7781507 | N/A | 4215176 | 2025-05-17 02:19:08.574866 | 2025-06-09 20:47:50.067306 |
| 2025-05-16 09:05:22.250076 | 2025-05-17 02:10:01.040699 | 8092468 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8092468 | Athletic Physical Therapy Inc | 1947-01-24 | 2025-05-19 | F | PT | AE | KAGAN | H9809922800 | 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/2222/5543367/check_8092468_7afd7847-7867-4406-8005-8db905478475.json | N/A | N/A | N/A | N/A | N/A | H9809922800 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1947-01-24 | N/A | N/A | N/A | N/A | false | KAGAN | 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 | 5543367 | 2222 | 4793 | 7775147 | N/A | 4215166 | 2025-05-17 02:10:01.040699 | 2025-05-08 20:21:06.065519 |
| 2025-05-16 09:05:21.806496 | 2025-05-17 02:24:48.681184 | 8092450 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8092450 | Athletic Physical Therapy Inc | 1985-06-18 | 2025-05-20 | F | PT | N/A | SCHULMAN | XDP423M94945 | JESSICA | 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/2222/5543362/check_8092450_ee800173-c334-43f4-8c0a-f34c62f2a784.json | N/A | N/A | N/A | N/A | N/A | XDP423M94945 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1985-06-18 | 040 | 280629MJ61 | N/A | PR | false | SCHULMAN | N/A | JESSICA | N/A | 2025-06-01 | 2024-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543362 | 2222 | 4793 | 7784149 | N/A | 4215155 | 2025-05-17 02:24:48.681184 | 2025-05-13 04:29:37.229472 |
| 2025-05-16 09:05:21.016729 | 2025-05-17 02:24:48.186037 | 8092416 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8092416 | Athletic Physical Therapy Inc | 1962-08-07 | 2025-05-20 | M | PT | N/A | SCHAAFF | LDU805A55743 | MIKE | 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/2222/5543334/check_8092416_2a840ef2-b5b9-487a-bf39-7d4bcf090c1b.json | N/A | N/A | N/A | N/A | N/A | LDU805A55743 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1962-08-07 | N/A | N/A | N/A | N/A | false | SCHAAFF | N/A | MIKE | 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 | 5543334 | 2222 | 4793 | 7784144 | N/A | 4215145 | 2025-05-17 02:24:48.186037 | 2025-05-13 04:29:37.229458 |
| 2025-05-16 09:05:20.596493 | 2025-05-17 02:34:53.883037 | 8092402 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8092402 | Athletic Physical Therapy Inc | 1937-05-27 | 2025-05-20 | F | PT | AE | LANGINGER | 8T45CA9CE85 | BARBARA | 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/2222/5543302/check_8092402_fa1511f0-06e3-42ba-84fd-270a7feb9e86.json | N/A | N/A | N/A | N/A | N/A | 8T45CA9CE85 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-27 | S5596 | N/A | N/A | MA | false | LANGINGER | 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 | 5543302 | 2222 | 4793 | 7787584 | N/A | 4215107 | 2025-05-17 02:34:53.883037 | 2025-05-13 04:29:37.229419 |
| 2025-05-16 09:05:20.286743 | 2025-05-17 02:11:39.902957 | 8092387 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 8092387 | Athletic Physical Therapy Inc | 1941-01-15 | 2025-05-19 | U | PT | AE | PENATE | 100200006880 | VIANCA | 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/2222/5543301/check_8092387_74882622-2553-4ab5-a14a-97bcbebfa2ec.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA HEALTHCARE 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 | N/A | N/A | 5543301 | 2222 | 4802 | 7776371 | N/A | 4215112 | 2025-05-17 02:11:39.902957 | 2026-02-20 19:52:51.272757 |
| 2025-05-16 09:05:19.782511 | 2025-05-17 02:10:12.893940 | 8092368 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8092368 | Athletic Physical Therapy Inc | 1970-01-17 | 2025-05-19 | F | PT | AE | POLACCO | U9216987501 | LAURA | 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/2222/5543296/check_8092368_9e935e3c-991d-41af-8fcf-3cd75dc8c701.json | N/A | N/A | N/A | N/A | N/A | U9216987501 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1970-01-17 | N/A | N/A | N/A | N/A | false | POLACCO | N/A | LAURA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543296 | 2222 | 4793 | 7775285 | N/A | 4215110 | 2025-05-17 02:10:12.893940 | 2025-05-13 04:29:37.229423 |
| 2025-05-16 09:05:19.308376 | 2025-05-17 02:20:54.551000 | 8092354 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8092354 | Athletic Physical Therapy Inc | 2009-05-06 | 2025-05-20 | U | PT | AE | MYER | 992215076 | REMSEN | 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/2222/5543288/check_8092354_4adad9f6-f4bc-4ec0-9529-36ad859171d1.json | N/A | N/A | N/A | N/A | N/A | 992215076 | N/A | N/A | UNITED HEALTHCARE | N/A | 2009-05-06 | N/A | N/A | N/A | N/A | false | MYER | N/A | REMSEN | 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 | 5543288 | 2222 | 4802 | 7782409 | N/A | 4215102 | 2025-05-17 02:20:54.551000 | 2025-06-02 22:31:17.941501 |
| 2025-05-16 09:05:18.856741 | 2025-05-17 02:17:57.918322 | 8092343 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8092343 | Athletic Physical Therapy Inc | 1995-03-21 | 2025-05-20 | F | AD | N/A | PATEL | U8560212501 | RONAK | 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/2222/5543267/check_8092343_fd49b8bb-7b9d-4e28-a555-ed595e001aa0.json | N/A | N/A | N/A | N/A | N/A | U8560212501 | N/A | SOCIAL FINANCE, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PREFERRED CARE MANAGEMENT | 1995-03-21 | N/A | 3342825 | N/A | N/A | false | PATEL | N/A | RONAK | N/A | N/A | N/A | OPEN ACCESS PLUS HDHP | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543267 | 2222 | 4793 | 7780617 | N/A | 4215084 | 2025-05-17 02:17:57.918322 | 2025-05-13 04:29:37.229400 |
| 2025-05-16 09:05:18.575628 | 2025-05-17 02:09:47.155606 | 8092331 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8092331 | Athletic Physical Therapy Inc | 1970-06-17 | 2025-05-19 | M | PT | AE | CATTAR | 563411955 | ANTHONY | 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/2222/5543261/check_8092331_48c1b759-3ec3-4163-b941-b3feca144738.json | N/A | N/A | N/A | N/A | N/A | 563411955 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1970-06-17 | N/A | N/A | N/A | N/A | false | CATTAR | N/A | ANTHONY | 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 | 5543261 | 2222 | 4802 | 7774956 | N/A | 4215076 | 2025-05-17 02:09:47.155606 | 2025-05-13 04:29:37.229391 |
| 2025-05-16 09:05:18.100110 | 2025-05-17 02:23:29.364897 | 8092311 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8092311 | Athletic Physical Therapy Inc | 1935-03-23 | 2025-05-19 | F | PT | AE | ARENTZOFF | 000002831946 | ROBERTA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543257/check_8092311_af6fac05-91d3-43cf-83df-cffbb0918885.json | N/A | N/A | N/A | N/A | N/A | 000002831946 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1935-03-23 | N/A | N/A | N/A | N/A | false | ARENTZOFF | N/A | ROBERTA | 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 | 5543257 | 2222 | 4793 | 7783581 | N/A | 4215073 | 2025-05-17 02:23:29.364897 | 2025-05-09 04:59:02.290462 |
| 2025-05-16 09:05:17.557592 | 2025-05-17 02:10:26.530507 | 8092289 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8092289 | Athletic Physical Therapy Inc | 1944-11-16 | 2025-05-19 | U | PT | AE | SUAREZ | 391W1618020 | GETRUDIS | 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/2222/5543251/check_8092289_1ed73a7c-4ce1-48f4-a1bb-b8e9d2d3b6ee.json | N/A | N/A | N/A | N/A | N/A | 391W1618020 | 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 | 4793 | 7775413 | N/A | 4215064 | 2025-05-17 02:10:26.530507 | 2025-04-29 21:12:57.805696 |
| 2025-05-16 09:05:17.006972 | 2025-05-17 02:25:30.117296 | 8092272 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8092272 | Athletic Physical Therapy Inc | 2009-04-17 | 2025-05-19 | U | PT | N/A | LINVILLE | JQU190A50426 | MEIKA | 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/2222/5543250/check_8092272_3e2fcedc-1034-4538-b0a8-bb8378815fa5.json | N/A | N/A | N/A | N/A | N/A | JQU190A50426 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 2009-04-17 | N/A | N/A | N/A | N/A | false | LINVILLE | N/A | MEIKA | 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 | 5543250 | 2222 | 4793 | 7784407 | N/A | 4215068 | 2025-05-17 02:25:30.117296 | 2025-07-22 17:55:02.066796 |
| 2025-05-16 09:05:16.350806 | 2025-05-17 02:17:59.247363 | 8092248 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8092248 | Athletic Physical Therapy Inc | 2010-06-04 | 2025-05-20 | M | AD | N/A | STARINA | 108916125 | SHAYAN | 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/2222/5543243/check_8092248_edc9bfc5-2e95-4929-963d-f05ab4fbe93f.json | N/A | N/A | N/A | N/A | N/A | 10891612504 | N/A | EMBASSY OF GERMANY | CHLIC | COMPLETE CARE MANAGEMENT | 2010-06-14 | N/A | 00618835 | N/A | N/A | false | STARINA | N/A | SHAYAN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543243 | 2222 | 4793 | 7780636 | N/A | 4215061 | 2025-05-17 02:17:59.247363 | 2025-05-13 21:01:49.585235 |
| 2025-05-16 09:05:15.400346 | 2025-05-17 02:11:43.827242 | 8092217 | N/A | N/A | 39026 | UMR | 1114042165 | 8092217 | Athletic Physical Therapy Inc | 1997-01-26 | 2025-05-19 | M | PT | AE | MESSINGER | 43687468 | BEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543233/check_8092217_e918a461-1dde-42a4-ad87-11a514f6b728.json | N/A | N/A | N/A | N/A | N/A | 43687468 | N/A | N/A | UMR | N/A | 1997-01-26 | N/A | N/A | N/A | N/A | false | MESSINGER | N/A | BEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543233 | 2222 | 4802 | 7776409 | N/A | 4215051 | 2025-05-17 02:11:43.827242 | 2025-05-13 04:29:37.229373 |
| 2025-05-16 09:05:14.888306 | 2025-05-17 02:24:39.255228 | 8092199 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8092199 | Athletic Physical Therapy Inc | 1981-10-08 | 2025-05-20 | F | PT | N/A | GOULD | M9Z806734456 | HEATHER | 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/2222/5543209/check_8092199_65e21865-fc13-45c3-bd5e-9f06d37f1079.json | N/A | N/A | N/A | N/A | N/A | M9Z806734456 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1981-10-08 | N/A | 55060 | N/A | PR | false | GOULD | N/A | HEATHER | N/A | N/A | N/A | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543209 | 2222 | 4793 | 7784090 | N/A | 4215027 | 2025-05-17 02:24:39.255228 | 2025-05-13 04:29:37.229345 |
| 2025-05-16 09:05:14.375444 | 2025-05-17 02:10:10.447271 | 8092178 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8092178 | Athletic Physical Therapy Inc | 1964-01-01 | 2025-05-19 | U | PT | AE | PHAN | 00000332445 | TUYEN | 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/2222/5543208/check_8092178_9416e26f-1fb0-46d9-bc33-ae785acfda04.json | N/A | N/A | N/A | N/A | N/A | 00000332445 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-01-01 | N/A | N/A | N/A | N/A | false | PHAN | N/A | TUYEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543208 | 2222 | 4793 | 7775265 | N/A | 4215011 | 2025-05-17 02:10:10.447271 | 2025-04-29 21:12:55.627979 |
| 2025-05-16 09:05:13.727886 | 2025-05-17 02:10:08.631934 | 8092158 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8092158 | Athletic Physical Therapy Inc | 1959-03-01 | 2025-05-19 | F | PT | AE | OSTIC | 00000398419 | CAROLYN | 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/2222/5543191/check_8092158_753c15a6-c83a-4349-8fbb-ee5446f84363.json | N/A | N/A | N/A | N/A | N/A | 00000398419 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1959-03-01 | N/A | N/A | N/A | N/A | false | OSTIC | N/A | CAROLYN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543191 | 2222 | 4801 | 7775241 | N/A | 4215017 | 2025-05-17 02:10:08.631934 | 2025-05-13 04:29:37.229335 |
| 2025-05-16 09:05:12.967675 | 2025-05-17 02:25:30.487404 | 8092131 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8092131 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-05-20 | U | PT | N/A | MICHAEL | JXN531M63256 | JUNITHA | 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/2222/5543190/check_8092131_347e5ab3-68e2-4b60-b229-cd03b8b9c41f.json | N/A | N/A | N/A | N/A | N/A | JXN531M63256 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1983-04-13 | N/A | N/A | N/A | N/A | false | MICHAEL | N/A | JUNITHA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543190 | 2222 | 4793 | 7784411 | N/A | 4215014 | 2025-05-17 02:25:30.487404 | 2025-06-01 22:57:55.386960 |
| 2025-05-16 09:05:12.394688 | 2025-05-17 02:24:43.471384 | 8092110 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8092110 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-05-20 | F | PT | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | 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/2222/5543178/check_8092110_d1c4adcd-e63b-4fb1-98ff-37d762b8a87e.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543178 | 2222 | 4802 | 7784113 | N/A | 4215006 | 2025-05-17 02:24:43.471384 | 2025-05-13 04:29:37.229325 |
| 2025-05-16 09:05:11.626924 | 2025-05-17 02:10:07.271198 | 8092072 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8092072 | Athletic Physical Therapy Inc | 1940-04-28 | 2025-05-20 | M | PT | AE | NADER | 00000308417 | EDWARD | 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/2222/5543151/check_8092072_09f438ea-3f67-45b6-8e8d-d42fd1576a6d.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 | 4801 | 7775234 | N/A | 4214983 | 2025-05-17 02:10:07.271198 | 2025-05-13 04:29:37.229305 |
| 2025-05-16 09:05:11.072036 | 2025-05-17 02:24:37.227428 | 8092044 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8092044 | Athletic Physical Therapy Inc | 1963-02-18 | 2025-05-19 | M | PT | N/A | FRENCH | XDP573A61655 | JONATHAN | 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/2222/5543105/check_8092044_02059484-7166-4bb6-9a55-e719a392172d.json | N/A | N/A | N/A | N/A | N/A | XDP573A61655 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-02-18 | N/A | N/A | N/A | N/A | false | FRENCH | N/A | JONATHAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543105 | 2222 | 4793 | 7784078 | N/A | 4214943 | 2025-05-17 02:24:37.227428 | 2025-05-29 02:21:31.646077 |
| 2025-05-16 09:05:10.532315 | 2025-05-17 02:09:50.006267 | 8092026 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8092026 | Athletic Physical Therapy Inc | 1948-04-25 | 2025-05-20 | U | PT | AE | DOMINGUEZ | 00000390109 | MARYEVA | 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/2222/5542977/check_8092026_b464d1a8-db5d-4dda-ace3-4297f164e068.json | N/A | N/A | N/A | N/A | N/A | 00000390109 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-04-25 | N/A | N/A | N/A | N/A | false | DOMINGUEZ | N/A | MARYEVA | 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 | 5542977 | 2222 | 4801 | 7774999 | N/A | 4214827 | 2025-05-17 02:09:50.006267 | 2025-06-06 02:31:35.052094 |
| 2025-05-16 09:05:09.825648 | 2025-05-17 02:09:54.030963 | 8092007 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8092007 | Athletic Physical Therapy Inc | 1951-03-15 | 2025-05-19 | U | PT | AE | GRUEN | 191495401 | M D | 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/2222/5542960/check_8092007_cde68c49-4a96-4e7d-a18c-41203245ad01.json | N/A | N/A | N/A | N/A | N/A | 191495401 | 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 | 4802 | 7775065 | N/A | 4214813 | 2025-05-17 02:09:54.030963 | 2025-04-29 21:12:48.998064 |
| 2025-05-16 09:05:09.423039 | 2025-05-17 02:09:46.501910 | 8091995 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091995 | Athletic Physical Therapy Inc | 1986-06-02 | 2025-05-19 | M | PT | AE | BRIER ROESCHLAUB | U9560354201 | HUNTER | 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/2222/5542954/check_8091995_a6bdb410-abeb-4c2a-8570-56524fc860c0.json | N/A | N/A | N/A | N/A | N/A | U9560354201 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1986-06-02 | N/A | N/A | N/A | N/A | false | BRIER ROESCHLAUB | N/A | HUNTER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542954 | 2222 | 4802 | 7774945 | N/A | 4214805 | 2025-05-17 02:09:46.501910 | 2025-05-13 04:29:37.229129 |
| 2025-05-16 09:05:08.956905 | 2025-05-17 02:26:07.758743 | 8091979 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8091979 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-05-20 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | 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/2222/5542952/check_8091979_1f4e2bb2-c5bd-4381-8951-e77236b2e9c1.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | 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 | 5542952 | 2222 | 4802 | 7784665 | N/A | 4214804 | 2025-05-17 02:26:07.758743 | 2025-05-13 20:09:53.786482 |
| 2025-05-16 09:05:08.717587 | 2025-05-17 02:14:37.183098 | 8091974 | N/A | N/A | 60054 | Aetna | 1114042165 | 8091974 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-05-20 | M | PT | AE | KORY | 10216158100 | MICHAEL | 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/2222/5542868/check_8091974_a400ea00-03ca-464a-ac21-f9a25ebd1fe2.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542868 | 2222 | 4793 | 7778105 | N/A | 4214732 | 2025-05-17 02:14:37.183098 | 2025-06-24 20:13:53.579048 |
| 2025-05-16 09:05:08.354287 | 2025-05-17 02:10:22.927266 | 8091961 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091961 | Athletic Physical Therapy Inc | 2001-03-11 | 2025-05-19 | M | PT | AE | SOL | 95064268D | SERGIO | 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/2222/5542858/check_8091961_23a7f1db-a0b5-4036-aedf-49f8a91153f2.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 | 4793 | 7775381 | N/A | 4214724 | 2025-05-17 02:10:22.927266 | 2025-05-13 04:29:37.229042 |
| 2025-05-16 09:05:07.886802 | 2025-05-17 02:23:29.670562 | 8091950 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8091950 | Athletic Physical Therapy Inc | 2008-07-01 | 2025-05-19 | M | PT | AE | GREENBAUM | 000022303593 | ARIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542809/check_8091950_e5868955-0706-49b9-a292-6191f6dea4f3.json | N/A | N/A | N/A | N/A | N/A | 000022303593 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2008-07-01 | N/A | N/A | N/A | N/A | false | GREENBAUM | N/A | ARIEL | 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 | 5542809 | 2222 | 4793 | 7783585 | N/A | 4214676 | 2025-05-17 02:23:29.670562 | 2025-05-09 04:56:21.107808 |
| 2025-05-16 09:05:07.511194 | 2025-05-17 02:21:08.765321 | 8091938 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8091938 | Athletic Physical Therapy Inc | 1956-03-23 | 2025-05-20 | M | PT | AE | SCHARKSS | 984527603 | STEVEN | 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/2222/5542670/check_8091938_01031495-0623-4b78-85cf-aacd4bc81c2d.json | N/A | N/A | N/A | N/A | N/A | 984527603 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1956-03-23 | N/A | 74126 | N/A | PR | false | SCHARKSS | N/A | STEVEN | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0029 (PPO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542670 | 2222 | 4802 | 7782536 | N/A | 4214549 | 2025-05-17 02:21:08.765321 | 2025-05-13 04:29:37.228874 |
| 2025-05-16 09:05:06.955929 | 2025-05-17 02:24:33.693072 | 8091924 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8091924 | Athletic Physical Therapy Inc | 1961-06-10 | 2025-05-20 | F | PT | N/A | BEALE | XEA914146227 | TERRI | 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/2222/5542616/check_8091924_aff276a0-d4ce-4851-bf7d-589ff3084598.json | N/A | N/A | N/A | N/A | N/A | XEA914146227 | Preferred Provider Organization (PPO) | MAKAI SOCIAL MARKETING INC | ANTHEM BLUE CROSS | N/A | 1961-06-10 | 1000VX000102 | W0131707 | N/A | PR | false | BEALE | N/A | RON | N/A | N/A | N/A | SILVER FULL PPO 1700 60 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542616 | 2222 | 4793 | 7784053 | N/A | 4214503 | 2025-05-17 02:24:33.693072 | 2025-07-04 18:50:03.492719 |
| 2025-05-16 09:05:06.358792 | 2025-05-17 02:09:55.286794 | 8091912 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091912 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-05-20 | F | PT | AE | HAMI | 92932800G | FARIBA | 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/2222/5542611/check_8091912_0665be92-5b2a-4636-a74f-dd4f442af09a.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | 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 | 5542611 | 2222 | 4802 | 7775072 | N/A | 4214490 | 2025-05-17 02:09:55.286794 | 2025-05-13 04:29:37.228806 |
| 2025-05-16 09:05:05.906874 | 2025-05-17 02:09:45.742121 | 8091901 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091901 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-05-19 | M | PT | AE | BLANCHFIELD | 780A5554110 | 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/2222/5542555/check_8091901_47e627d1-55e9-41d0-9436-11f1cf833a91.json | N/A | N/A | N/A | N/A | N/A | 780A5554110 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542555 | 2222 | 4793 | 7774930 | N/A | 4214447 | 2025-05-17 02:09:45.742121 | 2026-04-23 20:11:34.441054 |
| 2025-05-16 09:05:05.410901 | 2025-05-17 02:26:07.110022 | 8091883 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8091883 | Athletic Physical Therapy Inc | 1989-12-04 | 2025-05-20 | M | PT | N/A | HUYNH | XEA911095759 | CHRISTOPHER | 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/2222/5542472/check_8091883_ac20c391-3891-40b3-ad4d-e652928d26a5.json | N/A | N/A | N/A | N/A | N/A | XEA911095759 | Preferred Provider Organization (PPO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1989-12-04 | 1000PPOX0001 | W0067449 | N/A | PR | false | HUYNH | N/A | CHRISTOPHER | N/A | N/A | N/A | COUNTY OF VENTURA ACTIVES CUSTOM PPO SAVINGS EMB | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542472 | 2222 | 4801 | 7784657 | N/A | 4214383 | 2025-05-17 02:26:07.110022 | 2025-05-13 04:29:37.228709 |
| 2025-05-16 09:05:04.651549 | 2025-05-17 02:09:50.609155 | 8091865 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091865 | Athletic Physical Therapy Inc | 1964-04-05 | 2025-05-20 | M | PT | AE | ESCOVER | R04636394MM1 | JAY | 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/2222/5542461/check_8091865_c6159034-e60e-47bf-822d-06bba99f3b81.json | N/A | N/A | N/A | N/A | N/A | R04636394MM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-04-05 | N/A | N/A | N/A | N/A | false | ESCOVER | N/A | JAY | 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 | 5542461 | 2222 | 4793 | 7775010 | N/A | 4214367 | 2025-05-17 02:09:50.609155 | 2025-05-13 04:29:37.228692 |
| 2025-05-16 09:05:04.037955 | 2025-05-17 02:09:46.795648 | 8091848 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091848 | Athletic Physical Therapy Inc | 1940-12-23 | 2025-05-20 | U | PT | AE | BUI | 556M7810510 | KHIET | 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/2222/5542429/check_8091848_6d81f87c-ba44-4800-9e69-5646a67f2eb2.json | N/A | N/A | N/A | N/A | N/A | 556M7810510 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | 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 | 5542429 | 2222 | 4793 | 7774951 | N/A | 4214340 | 2025-05-17 02:09:46.795648 | 2025-06-16 23:14:10.518236 |
| 2025-05-16 09:05:02.978134 | 2025-05-17 02:34:51.103505 | 8091811 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8091811 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-05-20 | F | PT | AE | FRANK | 6C06N65FN89 | KAREN | 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/2222/5542263/check_8091811_eabfec14-53bf-417c-9917-986a61f47882.json | N/A | N/A | N/A | N/A | N/A | 6C06N65FN89 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-11 | S5601 | N/A | N/A | MB | false | FRANK | 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 | 5542263 | 2222 | 4802 | 7787570 | N/A | 4214201 | 2025-05-17 02:34:51.103505 | 2025-05-13 04:29:37.228535 |