API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-16 09:05:02.269660 | 2025-05-17 02:26:08.077446 | 8091792 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8091792 | Athletic Physical Therapy Inc | 2016-06-10 | 2025-05-20 | U | PT | KARZI | XEK904667385 | DAMAN | N/A | 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/2222/5542225/check_8091792_917eed7b-9dd9-4fb1-bfcd-51809ef4eaa2.json | N/A | N/A | N/A | N/A | N/A | XEK904667385 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2016-06-10 | N/A | N/A | N/A | N/A | false | KARZI | N/A | DAMAN | 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 | 5542225 | 2222 | 4801 | 7784669 | N/A | 4214165 | 2025-05-17 02:26:08.077446 | 2025-06-06 02:22:28.229626 |
| 2025-05-16 09:05:01.804046 | 2025-05-17 02:24:47.825422 | 8091772 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8091772 | Athletic Physical Therapy Inc | 2008-04-12 | 2025-05-20 | M | PT | PULS | XTS068A69201 | LUKE | N/A | 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/2222/5542214/check_8091772_728a8c65-0afc-4a56-b0b9-5cb071d17cf5.json | N/A | N/A | N/A | N/A | N/A | XTS068A69201 | Preferred Provider Organization (PPO) | SEMTECH CORPORATION CA/OOS | ANTHEM BLUE CROSS | N/A | 2008-04-12 | 040 | 277405M037 | N/A | PR | false | PULS | N/A | TIMOTHY | N/A | 9999-12-31 | 2023-01-01 | 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 | 5542214 | 2222 | 4793 | 7784139 | N/A | 4214158 | 2025-05-17 02:24:47.825422 | 2025-05-13 04:29:37.228486 |
| 2025-05-16 09:05:01.218558 | 2025-05-17 02:10:27.460935 | 8091747 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091747 | Athletic Physical Therapy Inc | 1981-08-30 | 2025-05-19 | F | PT | SUMBY | 905944609001 | ANNIKA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542158/check_8091747_142e37fc-9044-4177-8a3d-8e6d903f5131.json | N/A | N/A | N/A | N/A | N/A | 905944609001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1981-08-30 | N/A | N/A | N/A | N/A | false | SUMBY | N/A | ANNIKA | 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 | 5542158 | 2222 | 4801 | 7775423 | N/A | 4214108 | 2025-05-17 02:10:27.460935 | 2025-05-13 04:29:37.228423 |
| 2025-05-16 09:05:00.845863 | 2025-05-17 02:14:36.128357 | 8091738 | N/A | N/A | 60054 | Aetna | 1114042165 | 8091738 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-05-20 | M | PT | GRANT | W285866811 | ROBERT | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542136/check_8091738_329eeb31-c52d-4931-b3c6-0c3da0eb7547.json | N/A | N/A | N/A | N/A | N/A | W285866811 | Point of Service (POS) | GLOBALIZATION PARTNERS | AETNA | N/A | 1959-04-20 | 0193038 | 019303801200101 | N/A | PS | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542136 | 2222 | 4793 | 7778091 | N/A | 4214087 | 2025-05-17 02:14:36.128357 | 2025-05-13 04:29:37.228402 |
| 2025-05-16 09:05:00.425720 | 2025-05-17 02:10:30.906285 | 8091725 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091725 | Athletic Physical Therapy Inc | 1951-10-31 | 2025-05-20 | M | PT | VLAHOVICH | 34035035 | STEVEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542048/check_8091725_0e5d4070-2189-4610-9ecc-682f492f41f6.json | N/A | N/A | N/A | N/A | N/A | 34035035 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-10-31 | N/A | N/A | N/A | N/A | false | VLAHOVICH | N/A | STEVEN | 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 | 5542048 | 2222 | 4802 | 7775453 | N/A | 4214003 | 2025-05-17 02:10:30.906285 | 2025-05-13 04:29:37.228325 |
| 2025-05-16 09:04:54.660936 | 2025-05-17 02:09:45.045567 | 8091557 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091557 | Athletic Physical Therapy Inc | 1995-10-02 | 2025-05-19 | M | PT | BERTAGLIA | 91060218G | ITALO | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541989/check_8091557_55c35bcb-ed88-4e03-b700-6e4fd05b0f24.json | N/A | N/A | N/A | N/A | N/A | 91060218G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1995-10-02 | N/A | N/A | N/A | N/A | false | BERTAGLIA | N/A | ITALO | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541989 | 2222 | 4802 | 7774923 | N/A | 4213956 | 2025-05-17 02:09:45.045567 | 2025-05-13 04:29:37.228274 |
| 2025-05-16 09:04:54.198301 | 2025-05-17 02:10:33.044091 | 8091537 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091537 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-05-19 | M | PT | YEE | 412922301 | HARRY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_8091537_8d8a2ce0-0c98-404f-acb8-9628ac4ed6a9.json | N/A | N/A | N/A | N/A | N/A | 412922301 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1947-02-01 | N/A | N/A | N/A | N/A | false | YEE | N/A | HARRY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541972 | 2222 | 4793 | 7775475 | N/A | 4213941 | 2025-05-17 02:10:33.044091 | 2025-05-13 04:29:37.228259 |
| 2025-05-16 09:04:53.510698 | 2025-05-17 02:10:05.851330 | 8091518 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091518 | Athletic Physical Therapy Inc | 1973-04-19 | 2025-05-20 | M | PT | MALONEY | 00043073840 | ANGEL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541836/check_8091518_65fd061a-1687-40b3-946a-6a148ff7bdd6.json | N/A | N/A | N/A | N/A | N/A | 00043073840 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-04-19 | N/A | N/A | N/A | N/A | false | MALONEY | N/A | ANGEL | 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 | 5541836 | 2222 | 4793 | 7775205 | N/A | 4213820 | 2025-05-17 02:10:05.851330 | 2025-05-13 04:29:37.228141 |
| 2025-05-16 09:04:53.085885 | 2025-05-17 02:21:05.479495 | 8091501 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8091501 | Athletic Physical Therapy Inc | 1969-05-06 | 2025-05-20 | F | PT | IRIZARRY | 950883047 | BERNADETTE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541827/check_8091501_6e8502b3-df3e-45aa-9088-1b203f9c8937.json | N/A | N/A | N/A | N/A | N/A | 950883047 | Commercial | DHL | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP | 1969-05-06 | 0001 0001 | 905224 | N/A | C1 | false | BOERSMA | N/A | PITER | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541827 | 2222 | 4802 | 7782509 | N/A | 4213806 | 2025-05-17 02:21:05.479495 | 2025-05-13 04:29:37.228124 |
| 2025-05-16 09:04:52.522234 | 2025-05-17 02:26:05.590752 | 8091484 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8091484 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-05-20 | F | PT | HILLIGER | XEA902904791 | JENNIE | N/A | 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/2222/5541730/check_8091484_ec222ade-86a9-4396-93c9-37b9f5e8a2f8.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 2025-05-31 | 2024-06-01 | PLATINUM FULL PPO 0 10 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541730 | 2222 | 4793 | 7784652 | N/A | 4213725 | 2025-05-17 02:26:05.590752 | 2025-05-13 04:29:37.228045 |
| 2025-05-16 09:04:52.071981 | 2025-05-17 02:21:06.208475 | 8091470 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8091470 | Athletic Physical Therapy Inc | 1985-08-14 | 2025-05-20 | F | PT | LIN | 31177093GEHA | JESSICA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541550/check_8091470_454a0ed2-b3b2-4eaf-9c46-0e3147fc604b.json | N/A | N/A | N/A | N/A | N/A | 31177093GEHA | N/A | N/A | UNITEDHEALTHCARE | N/A | 1985-08-14 | N/A | N/A | N/A | N/A | false | LIN | N/A | JESSICA | 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 | 5541550 | 2222 | 4802 | 7782522 | N/A | 4213560 | 2025-05-17 02:21:06.208475 | 2025-05-13 04:29:37.227892 |
| 2025-05-16 09:04:51.634907 | 2025-05-17 02:10:20.922270 | 8091451 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091451 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-05-19 | F | PT | SHEPHERD | 93180838F | EMILY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_8091451_bde7f5bf-76ae-4a65-b426-36fcc96b64ff.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | 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 | 5541519 | 2222 | 4802 | 7775362 | N/A | 4213530 | 2025-05-17 02:10:20.922270 | 2025-05-13 04:29:37.227860 |
| 2025-05-16 09:04:51.236722 | 2025-05-17 02:10:00.551773 | 8091430 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091430 | Athletic Physical Therapy Inc | 1978-04-25 | 2025-05-20 | M | PT | KADLEC | 287W1699110 | SHAUN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541232/check_8091430_cf8a95af-e569-4781-86e1-21e3eed5ad86.json | N/A | N/A | N/A | N/A | N/A | 287W1699110 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1978-04-25 | N/A | N/A | N/A | N/A | false | KADLEC | N/A | SHAUN | 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 | 5541232 | 2222 | 4802 | 7775135 | N/A | 4213265 | 2025-05-17 02:10:00.551773 | 2025-05-13 04:29:37.227592 |
| 2025-05-16 09:04:50.710173 | 2025-05-17 02:09:44.328904 | 8091408 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091408 | Athletic Physical Therapy Inc | 2007-03-22 | 2025-05-20 | M | PT | ADELMAN | 173W1504650 | NOAH | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541198/check_8091408_784191c5-79db-4195-8249-a431253cee0f.json | N/A | N/A | N/A | N/A | N/A | 173W1504650 | 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 | 4802 | 7774912 | N/A | 4213240 | 2025-05-17 02:09:44.328904 | 2025-05-13 04:29:37.227566 |
| 2025-05-16 09:04:49.942526 | 2025-05-17 02:09:50.902883 | 8091390 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091390 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-05-20 | M | PT | FARAHMAND | 91957675E | ALEX | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_8091390_7508b68e-80b0-4627-b10d-b1c1173bc94d.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | 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 | 5541163 | 2222 | 4802 | 7775016 | N/A | 4213207 | 2025-05-17 02:09:50.902883 | 2025-05-13 04:29:37.227536 |
| 2025-05-16 09:04:48.626323 | 2025-05-17 02:21:07.192025 | 8091338 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8091338 | Athletic Physical Therapy Inc | 1972-08-02 | 2025-05-20 | F | PT | RAMSEY | 804015480 | JENNIFER | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541155/check_8091338_295451e3-8d00-4c8e-891d-2fcadf3b2f27.json | N/A | N/A | N/A | N/A | N/A | 804015480 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1972-08-02 | N/A | N/A | N/A | N/A | false | RAMSEY | N/A | JENNIFER | 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 | 5541155 | 2222 | 4802 | 7782527 | N/A | 4213204 | 2025-05-17 02:21:07.192025 | 2025-05-28 20:17:37.873556 |
| 2025-05-16 09:04:48.155958 | 2025-05-17 02:09:52.746092 | 8091320 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091320 | Athletic Physical Therapy Inc | 1999-01-11 | 2025-05-20 | M | PT | GLIKSMAN | 99049128F | DANIEL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541038/check_8091320_4c6d8f83-348d-48e1-8021-cd7d61f36e0a.json | N/A | N/A | N/A | N/A | N/A | 99049128F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1999-01-11 | N/A | N/A | N/A | N/A | false | GLIKSMAN | N/A | DANIEL | 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 | 5541038 | 2222 | 4802 | 7775046 | N/A | 4213108 | 2025-05-17 02:09:52.746092 | 2025-05-13 04:29:37.227432 |
| 2025-05-16 09:04:47.534586 | 2025-05-17 02:34:59.593961 | 8091297 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8091297 | Athletic Physical Therapy Inc | 1953-03-05 | 2025-05-19 | F | PT | SESAR | 3W68VF2EE20 | SHARON | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540946/check_8091297_bb303c2e-6f0d-4152-958e-07be14f3e9f0.json | N/A | N/A | N/A | N/A | N/A | 3W68VF2EE20 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-05 | S5601 | N/A | N/A | MA | false | SESAR | N/A | SHARON | 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 | 5540946 | 2222 | 4793 | 7787609 | N/A | 4213027 | 2025-05-17 02:34:59.593961 | 2025-06-25 17:17:00.282109 |
| 2025-05-16 09:04:47.126949 | 2025-05-17 02:35:00.803731 | 8091290 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8091290 | Athletic Physical Therapy Inc | 1953-05-29 | 2025-05-20 | F | PT | YADEGAR | 5EU3DP3KC85 | SHAHLA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540755/check_8091290_c444a28f-5acc-4ea2-8652-09c0133432da.json | N/A | N/A | N/A | N/A | N/A | 5EU3DP3KC85 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-29 | S5601 | N/A | N/A | MB | false | YADEGAR | N/A | SHAHLA | 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 | 5540755 | 2222 | 4802 | 7787613 | N/A | 4212853 | 2025-05-17 02:35:00.803731 | 2025-05-13 04:29:37.227178 |
| 2025-05-16 09:04:46.284588 | 2025-05-17 02:10:02.379698 | 8091274 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091274 | Athletic Physical Therapy Inc | 1971-04-24 | 2025-05-20 | F | PT | KHOUW | 906189934000 | YVONNE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540701/check_8091274_e8b29dc9-c2a4-4594-8608-aefd624e6fc0.json | N/A | N/A | N/A | N/A | N/A | 906189934000 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1971-04-24 | N/A | N/A | N/A | N/A | false | KHOUW | N/A | YVONNE | 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 | 5540701 | 2222 | 4801 | 7775162 | N/A | 4212810 | 2025-05-17 02:10:02.379698 | 2025-05-13 04:29:37.227141 |
| 2025-05-16 09:04:45.785486 | 2025-05-17 02:09:58.822746 | 8091259 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091259 | Athletic Physical Therapy Inc | 1956-12-04 | 2025-05-19 | U | PT | HUH | 5851983001 | SOON | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540683/check_8091259_d1af4123-dabe-4dbd-b8c0-e9ccc5d0c10f.json | N/A | N/A | N/A | N/A | N/A | 5851983001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-12-04 | N/A | N/A | N/A | N/A | false | HUH | N/A | SOON | 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 | 5540683 | 2222 | 4801 | 7775123 | N/A | 4212802 | 2025-05-17 02:09:58.822746 | 2025-05-27 20:48:04.588198 |
| 2025-05-16 09:04:45.329892 | 2025-05-17 02:10:33.870410 | 8091248 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091248 | Athletic Physical Therapy Inc | 1947-02-11 | 2025-05-19 | F | PT | ZEE YEE | 411210001 | GRACE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540601/check_8091248_0c09edb9-0a8d-480c-a6ae-bb30ce476dcc.json | N/A | N/A | N/A | N/A | N/A | 411210001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1947-02-11 | N/A | N/A | N/A | N/A | false | ZEE YEE | N/A | GRACE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540601 | 2222 | 4793 | 7775483 | N/A | 4212732 | 2025-05-17 02:10:33.870410 | 2025-05-13 04:29:37.227072 |
| 2025-05-16 09:04:44.937478 | 2025-05-17 02:24:42.118466 | 8091237 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8091237 | Athletic Physical Therapy Inc | 1979-10-01 | 2025-05-19 | M | PT | LOPATY | SIF545W21388 | CLINT | N/A | 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/2222/5540566/check_8091237_eef34f93-5837-47f4-815d-756ccb8387e6.json | N/A | N/A | N/A | N/A | N/A | SIF545W21388 | Preferred Provider Organization (PPO) | SISC - PASADENA CITY COLLEGE | ANTHEM BLUE CROSS | N/A | 1979-10-01 | 040 | 40868B | N/A | PR | false | LOPATY | N/A | CLINT | N/A | 9999-12-31 | 2024-09-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540566 | 2222 | 4801 | 7784106 | N/A | 4212709 | 2025-05-17 02:24:42.118466 | 2025-05-13 04:29:37.227054 |
| 2025-05-16 09:04:44.658935 | 2025-05-17 02:34:46.964949 | 8091225 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8091225 | Athletic Physical Therapy Inc | 1948-09-11 | 2025-05-20 | M | PT | BAKSHI | 8PU2T62JR27 | ALFRED | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540447/check_8091225_c1fc5561-8321-4b4b-b311-89b5ac67598a.json | N/A | N/A | N/A | N/A | N/A | 8PU2T62JR27 | Medicare Part B | N/A | AAA INSURANCE GROUP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-09-11 | S5617 | DOL 01032023 | N/A | MB | false | BAKSHI | N/A | ALFRED | 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 | 5540447 | 2222 | 4802 | 7787550 | N/A | 4212608 | 2025-05-17 02:34:46.964949 | 2025-05-13 04:29:37.226956 |
| 2025-05-16 09:04:44.204996 | 2025-05-17 02:09:48.945380 | 8091207 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091207 | Athletic Physical Therapy Inc | 1963-09-10 | 2025-05-20 | M | PT | DEANS | U5981746801 | PHIL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540446/check_8091207_ab3e0cd1-fa5a-41b6-b98f-a8645155519c.json | N/A | N/A | N/A | N/A | N/A | U5981746801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1963-09-10 | N/A | N/A | N/A | N/A | false | DEANS | N/A | PHIL | 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 | 5540446 | 2222 | 4793 | 7774980 | N/A | 4212605 | 2025-05-17 02:09:48.945380 | 2025-05-13 04:29:37.226953 |
| 2025-05-16 09:04:43.780464 | 2025-05-17 02:10:29.886196 | 8091188 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091188 | Athletic Physical Therapy Inc | 1957-11-26 | 2025-05-20 | F | PT | VESALGA | 35473231 | DEBRA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540301/check_8091188_b6ece231-d525-4c44-ae2a-db225f153131.json | N/A | N/A | N/A | N/A | N/A | 35473231 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-11-26 | N/A | N/A | N/A | N/A | false | VESALGA | N/A | DEBRA | 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 | 5540301 | 2222 | 4801 | 7775444 | N/A | 4212475 | 2025-05-17 02:10:29.886196 | 2025-05-13 04:29:37.226811 |
| 2025-05-16 09:04:43.054463 | 2025-05-17 02:09:57.408736 | 8091168 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091168 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-05-20 | M | PT | HERMAN | 95836743G | BRETT | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_8091168_badc8b31-9137-4c44-8500-263a449d7e7e.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | 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 | 5540113 | 2222 | 4801 | 7775101 | N/A | 4212315 | 2025-05-17 02:09:57.408736 | 2025-12-29 21:20:15.158611 |
| 2025-05-16 09:04:42.413451 | 2025-05-17 02:24:34.711565 | 8091145 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8091145 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-05-20 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | 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/2222/5540074/check_8091145_86f5f9d4-d799-47ab-b55e-9724e0d20742.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540074 | 2222 | 4802 | 7784062 | N/A | 4212282 | 2025-05-17 02:24:34.711565 | 2025-05-13 04:29:37.226623 |
| 2025-05-16 09:04:41.615434 | 2025-05-17 02:09:56.567036 | 8091119 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091119 | Athletic Physical Therapy Inc | 1963-01-15 | 2025-05-20 | M | PT | HENRIKSEN | 903688912001 | TONI | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539967/check_8091119_d8db7add-9b61-4368-99ea-30701f3ac8df.json | N/A | N/A | N/A | N/A | N/A | 903688912001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1963-01-15 | N/A | N/A | N/A | N/A | false | HENRIKSEN | N/A | TONI | 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 | 5539967 | 2222 | 4801 | 7775093 | N/A | 4212197 | 2025-05-17 02:09:56.567036 | 2025-05-22 18:11:36.422353 |
| 2025-05-16 09:04:41.258651 | 2025-05-17 02:10:15.540092 | 8091107 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091107 | Athletic Physical Therapy Inc | 1971-02-10 | 2025-05-19 | M | PT | RUIZ | 594887901 | EDUARDO | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539853/check_8091107_b834df57-aae9-4002-aefd-ec9c182343e9.json | N/A | N/A | N/A | N/A | N/A | 594887901 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1971-02-10 | N/A | N/A | N/A | N/A | false | RUIZ | N/A | EDUARDO | 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 | 5539853 | 2222 | 4801 | 7775313 | N/A | 4212098 | 2025-05-17 02:10:15.540092 | 2025-05-13 04:29:37.226429 |
| 2025-05-16 09:04:40.676751 | 2025-05-17 02:10:31.966817 | 8091085 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091085 | Athletic Physical Therapy Inc | 1951-02-23 | 2025-05-20 | F | PT | WENSEL | 101886203800 | KAREN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539711/check_8091085_3acdb91b-20de-4984-bf23-49342c48ad50.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 | 4793 | 7775462 | N/A | 4211977 | 2025-05-17 02:10:31.966817 | 2025-05-13 04:29:37.226299 |
| 2025-05-16 09:04:40.289049 | 2025-05-17 02:24:36.167485 | 8091069 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8091069 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-05-20 | M | PT | FINNLEY | NGO832M81089 | ZEV | N/A | 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/2222/5539664/check_8091069_06ce5531-d13d-486b-a0f8-4f9b876335d5.json | N/A | N/A | N/A | N/A | N/A | 474M92023 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2022-01-01 | CDHP 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 | 5539664 | 2222 | 4793 | 7784073 | N/A | 4211935 | 2025-05-17 02:24:36.167485 | 2025-05-13 04:29:37.226259 |
| 2025-05-16 09:04:39.776729 | 2025-05-17 02:10:11.883947 | 8091050 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091050 | Athletic Physical Therapy Inc | 1963-02-16 | 2025-05-19 | F | PT | PISANIS SANDWICK | 908865057001 | OLIVIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539141/check_8091050_c90f57b2-21d1-46b2-822c-3bcac4248ad0.json | N/A | N/A | N/A | N/A | N/A | 908865057001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1963-02-16 | N/A | N/A | N/A | N/A | false | PISANIS SANDWICK | N/A | OLIVIA | 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 | 5539141 | 2222 | 4801 | 7775275 | N/A | 4211481 | 2025-05-17 02:10:11.883947 | 2025-05-13 04:29:37.225817 |
| 2025-05-16 09:04:39.422946 | 2025-05-17 02:34:52.841601 | 8091038 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8091038 | Athletic Physical Therapy Inc | 1951-03-05 | 2025-05-20 | F | PT | KUMMER | 8W70DC0RE10 | JANIS | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539023/check_8091038_2c871863-17ca-479f-9bc2-01bd55959dd4.json | N/A | N/A | N/A | N/A | N/A | 8W70DC0RE10 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-03-05 | S5596 | N/A | N/A | MA | false | KUMMER | N/A | JANIS | 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 | 5539023 | 2222 | 4802 | 7787578 | N/A | 4211356 | 2025-05-17 02:34:52.841601 | 2025-12-19 18:37:19.647424 |
| 2025-05-16 09:04:39.034700 | 2025-05-17 02:09:47.474094 | 8091026 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8091026 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-05-20 | M | PT | CHADIDA | 40060913601 | DAVID | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_8091026_ec3f8613-b14d-42ab-95ee-d122913ffa2e.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-08-02 | N/A | N/A | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538674 | 2222 | 4793 | 7774961 | N/A | 4211039 | 2025-05-17 02:09:47.474094 | 2025-05-13 04:29:37.225444 |
| 2025-05-16 09:04:38.230661 | 2025-05-17 02:34:49.928282 | 8090998 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8090998 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-05-20 | F | PT | FINCH | 3YV4XM6FP06 | DAWN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538472/check_8090998_58fbeb5d-5ba7-4c91-bce0-2d429ceecbca.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S8841 | N/A | N/A | MA | false | FINCH | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538472 | 2222 | 4802 | 7787565 | N/A | 4210886 | 2025-05-17 02:34:49.928282 | 2025-05-13 04:29:37.225284 |
| 2025-05-16 09:04:37.667805 | 2025-05-17 02:34:51.783333 | 8090980 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8090980 | Athletic Physical Therapy Inc | 1941-11-29 | 2025-05-19 | F | PT | GODBOLD | 2J64V06CN85 | SHARI | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537856/check_8090980_4b0df370-25aa-45a8-a34e-8588e35c9cfd.json | N/A | N/A | N/A | N/A | N/A | 2J64V06CN85 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-11-29 | S5921 | N/A | N/A | MA | false | GODBOLD | N/A | SHARI | 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 | 5537856 | 2222 | 4802 | 7787575 | N/A | 4210360 | 2025-05-17 02:34:51.783333 | 2025-05-13 04:29:37.224766 |
| 2025-05-16 09:04:37.043412 | 2025-05-17 02:34:56.973055 | 8090957 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8090957 | Athletic Physical Therapy Inc | 1948-08-31 | 2025-05-20 | F | PT | MIYATA | 3HJ1RG9AV22 | LARAINE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537627/check_8090957_b42b014d-9d63-49ca-af49-ba358d72786b.json | N/A | N/A | N/A | N/A | N/A | 3HJ1RG9AV22 | Medicare Part A | N/A | ONEBEACON INSURANCE GROUP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-31 | S4802 | DOL 05242017 | N/A | MA | false | MIYATA | N/A | LARAINE | 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 | 5537627 | 2222 | 4802 | 7787598 | N/A | 4210159 | 2025-05-17 02:34:56.973055 | 2025-05-13 04:29:37.224576 |
| 2025-05-16 09:04:36.459318 | 2025-05-17 02:09:53.081087 | 8090926 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8090926 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-05-19 | M | PT | GOMES | 00000285293 | NEMESIO | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_8090926_b55a44ba-851a-4cc8-a445-99f7f5a06794.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-09-13 | N/A | N/A | N/A | N/A | false | GOMES | N/A | NEMESIO | 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 | 5537439 | 2222 | 4801 | 7775052 | N/A | 4210001 | 2025-05-17 02:09:53.081087 | 2025-05-13 04:29:37.224421 |
| 2025-05-16 09:04:35.985156 | 2025-05-17 02:34:58.403489 | 8090912 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8090912 | Athletic Physical Therapy Inc | 1942-07-10 | 2025-05-20 | F | PT | PRAGER | 7X06K44HK56 | JUDITH | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537356/check_8090912_ffaca46e-2b06-445c-afa1-627762060f4f.json | N/A | N/A | N/A | N/A | N/A | 7X06K44HK56 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-07-10 | S5921 | N/A | N/A | MA | false | PRAGER | N/A | JUDITH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537356 | 2222 | 4793 | 7787602 | N/A | 4209932 | 2025-05-17 02:34:58.403489 | 2025-05-14 09:05:51.551805 |
| 2025-05-16 09:04:35.181720 | 2025-05-17 02:10:14.538836 | 8090888 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8090888 | Athletic Physical Therapy Inc | 1966-02-09 | 2025-05-19 | M | PT | RIVERA | 96111186F | JOSEPH | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537321/check_8090888_769d89ea-4212-4583-9f70-23a06e4664fa.json | N/A | N/A | N/A | N/A | N/A | 96111186F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1966-02-09 | N/A | N/A | N/A | N/A | false | RIVERA | N/A | JOSEPH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537321 | 2222 | 4802 | 7775299 | N/A | 4209900 | 2025-05-17 02:10:14.538836 | 2025-05-13 04:29:37.224321 |
| 2025-05-16 09:04:34.437271 | 2025-05-17 02:24:46.803344 | 8090853 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8090853 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-05-20 | M | PT | MILES | MBL835W05431 | KEITH | N/A | 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/2222/5536896/check_8090853_148e9b3a-dead-41aa-a035-ed23b61f7128.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536896 | 2222 | 4793 | 7784134 | N/A | 4209567 | 2025-05-17 02:24:46.803344 | 2025-05-13 04:29:37.223990 |
| 2025-05-16 09:04:33.436316 | 2025-05-17 02:09:53.455399 | 8090814 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8090814 | Athletic Physical Therapy Inc | 1960-04-02 | 2025-05-20 | M | PT | GOTLER | NCF018M77628 | RONALD | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536875/check_8090814_a7ee4ba7-233d-4898-8e2a-a5f661bf9801.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 | 4802 | 7775059 | N/A | 4209547 | 2025-05-17 02:09:53.455399 | 2025-05-13 04:29:37.223974 |
| 2025-05-16 09:04:32.884344 | 2025-05-17 02:10:32.431279 | 8090799 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8090799 | Athletic Physical Therapy Inc | 1951-12-20 | 2025-05-20 | F | PT | WHEELER | 343741201 | LYNN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536326/check_8090799_cc1bdac2-9cb0-4846-94ea-0b9c863c5b7c.json | N/A | N/A | N/A | N/A | N/A | 343741201 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-12-20 | N/A | N/A | N/A | N/A | false | WHEELER | N/A | LYNN | 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 | 5536326 | 2222 | 4793 | 7775469 | N/A | 4209091 | 2025-05-17 02:10:32.431279 | 2025-05-13 04:29:37.223512 |
| 2025-05-16 09:04:32.151454 | 2025-05-17 02:09:49.645583 | 8090781 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8090781 | Athletic Physical Therapy Inc | 2009-12-30 | 2025-05-19 | U | PT | DICKSON | R07337778FD1 | CAILEY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536227/check_8090781_9d61fd3d-427b-47ca-b668-4d61f7f9c07d.json | N/A | N/A | N/A | N/A | N/A | R07337778FD1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2009-12-30 | N/A | N/A | N/A | N/A | false | DICKSON | N/A | CAILEY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536227 | 2222 | 4793 | 7774991 | N/A | 4209013 | 2025-05-17 02:09:49.645583 | 2025-06-03 20:19:45.253620 |
| 2025-05-16 09:04:31.556844 | 2025-05-17 02:09:52.096616 | 8090763 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8090763 | Athletic Physical Therapy Inc | 1950-03-18 | 2025-05-20 | F | PT | FLORES | 101153747900 | ALEXANDRA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536094/check_8090763_2195a357-7cce-49a8-9993-3d674043dc64.json | N/A | N/A | N/A | N/A | N/A | 101153747900 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1950-03-18 | N/A | N/A | N/A | N/A | false | FLORES | N/A | ALEXANDRA | 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 | 5536094 | 2222 | 4793 | 7775028 | N/A | 4208905 | 2025-05-17 02:09:52.096616 | 2025-05-13 04:29:37.223331 |
| 2025-05-16 09:04:30.587567 | 2025-05-17 02:09:46.154809 | 8090734 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8090734 | Athletic Physical Therapy Inc | 1961-06-27 | 2025-05-19 | F | PT | BRACKEN | 378A6769240 | CELINA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535853/check_8090734_65e56bf4-0507-4e03-9785-a47471a75777.json | N/A | N/A | N/A | N/A | N/A | 378A6769240 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-06-27 | N/A | N/A | N/A | N/A | false | BRACKEN | N/A | CELINA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535853 | 2222 | 4793 | 7774939 | N/A | 4208702 | 2025-05-17 02:09:46.154809 | 2025-05-13 04:29:37.223129 |
| 2025-05-16 09:04:29.909341 | 2025-05-17 02:10:16.597359 | 8090711 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8090711 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-05-20 | F | PT | RYAN | 31026142401 | CAROL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_8090711_2b1446c7-cbe0-486c-868b-d2ffaded93e0.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1941-04-16 | N/A | N/A | N/A | N/A | false | RYAN | N/A | CAROL | 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 | 5535455 | 2222 | 4793 | 7775323 | N/A | 4208375 | 2025-05-17 02:10:16.597359 | 2025-08-08 21:08:12.459471 |
| 2025-05-16 09:04:29.541238 | 2025-05-17 02:10:03.760324 | 8090696 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8090696 | Athletic Physical Therapy Inc | 1980-09-25 | 2025-05-19 | M | PT | LAPORTE | 182595640 | THIBAULT | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.142223060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535446/check_8090696_c68e4db8-bbbe-4b88-be99-6c6d73f6ee61.json | N/A | N/A | N/A | N/A | N/A | 182595640 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1980-09-25 | N/A | N/A | N/A | N/A | false | LAPORTE | N/A | THIBAULT | 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 | 5535446 | 2222 | 4802 | 7775183 | N/A | 4208370 | 2025-05-17 02:10:03.760324 | 2025-05-13 04:29:37.222790 |
| 2025-05-16 09:02:38.522531 | 2025-05-17 02:00:51.397545 | 8086877 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8086877 | Athletic Physical Therapy Inc | 1953-04-10 | 2025-05-19 | F | PT | BOWMAN | 00000386100 | GLORIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551030/check_8086877_4c10deb1-836f-4f79-9c05-ee14c8ed1795.json | N/A | N/A | N/A | N/A | N/A | 00000386100 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-04-10 | N/A | N/A | N/A | N/A | false | BOWMAN | N/A | GLORIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551030 | 2222 | 4801 | 7770260 | N/A | 4219852 | 2025-05-17 02:00:51.397545 | 2025-05-13 04:29:37.230898 |