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 09:02:38.157607 | 2025-05-17 02:06:23.233440 | 8086866 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8086866 | Athletic Physical Therapy Inc | 1950-05-02 | 2025-05-20 | F | PT | AE | AFTERGOOD | JQE813M79678 | GAIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550899/check_8086866_ae693df2-40ab-4c7d-ab4e-6ab4025dd05c.json | N/A | N/A | N/A | N/A | N/A | JQE813M79678 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-05-02 | 040 | CASUPWP0 | N/A | N/A | false | AFTERGOOD | N/A | GAIL | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550899 | 2222 | 4793 | 7772924 | N/A | 4219754 | 2025-05-17 02:06:23.233440 | 2025-05-13 04:29:37.230796 |
| 2025-05-16 09:02:37.604430 | 2025-05-17 02:04:01.689201 | 8086844 | N/A | N/A | 62118 | Aetna Senior Supplemental Insurance | 1114042165 | 8086844 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-05-19 | U | PT | AE | BRENNER | TER6252245 | ROCIO FLORES | 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/2222/5550897/check_8086844_c8ffb01f-24ea-4fb2-8b09-ea724d91f387.json | N/A | N/A | N/A | N/A | N/A | TER6252245 | N/A | N/A | AETNA ADMINISTRATOR MEDICARE SUPPLEMENT ELIGIBILITY REMITS O | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550897 | 2222 | 4793 | 7770903 | N/A | 4219750 | 2025-05-17 02:04:01.689201 | 2025-06-06 02:15:39.377685 |
| 2025-05-16 09:02:36.658339 | 2025-05-17 02:06:28.285936 | 8086816 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8086816 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-05-20 | F | PT | AE | MARTIN | DGA11867912J | DOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550799/check_8086816_631d9e6b-fd64-4bb9-98c2-44ad053af363.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | MEDICARE B | N/A | 1944-09-13 | 040 | 276945M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550799 | 2222 | 4793 | 7772996 | N/A | 4219681 | 2025-05-17 02:06:28.285936 | 2026-01-14 20:54:02.193776 |
| 2025-05-16 09:02:35.891560 | 2025-05-17 02:00:50.968131 | 8086792 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8086792 | Athletic Physical Therapy Inc | 1948-01-29 | 2025-05-19 | F | PT | AE | BOWLDS | 31193263001 | BARBARA | 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/2222/5549003/check_8086792_39279283-7e05-42bf-a0ad-038bc6b5adac.json | N/A | N/A | N/A | N/A | N/A | 31193263001 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-01-29 | N/A | N/A | N/A | N/A | false | BOWLDS | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549003 | 2222 | 4801 | 7770259 | N/A | 4218753 | 2025-05-17 02:00:50.968131 | 2025-05-13 04:29:37.229745 |
| 2025-05-16 09:02:35.482467 | 2025-05-17 02:01:41.198909 | 8086777 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8086777 | Athletic Physical Therapy Inc | 1956-02-09 | 2025-05-19 | F | PT | AE | DOUGLAS | 34470011211 | HEATHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548966/check_8086777_db420d10-5d47-4f02-bd24-289aed76fb76.json | N/A | N/A | N/A | N/A | N/A | 34470011211 | N/A | N/A | AARP MEDICARE SUPPLEMENT BY UNITEDHEALTHCARE | N/A | 1956-02-09 | N/A | N/A | N/A | N/A | false | DOUGLAS | N/A | HEATHER | 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 | 5548966 | 2222 | 4802 | 7770353 | N/A | 4218725 | 2025-05-17 02:01:41.198909 | 2025-05-13 04:29:37.229715 |
| 2025-05-16 09:02:29.705273 | 2025-05-17 02:08:09.416496 | 8086570 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 8086570 | Athletic Physical Therapy Inc | 1944-02-28 | 2025-05-19 | F | PT | AE | HANNA | 92962788E | NELLY | 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/2222/5543344/check_8086570_18f8aa8e-5b10-4d2c-b673-a31ec57613be.json | N/A | N/A | N/A | N/A | N/A | 92962788E | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1944-02-28 | N/A | N/A | N/A | N/A | false | HANNA | N/A | NELLY | 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 | 5543344 | 2222 | 4802 | 7773922 | N/A | 4215151 | 2025-05-17 02:08:09.416496 | 2025-05-13 04:29:37.229467 |
| 2025-05-16 09:02:29.211119 | 2025-05-17 02:06:27.500051 | 8086554 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8086554 | Athletic Physical Therapy Inc | 1937-05-27 | 2025-05-20 | F | PT | AE | LANGINGER | XDO068A68730 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543306/check_8086554_238995b2-f346-40af-bcd6-672a9ff722e0.json | N/A | N/A | N/A | N/A | N/A | XDO068A68730 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1937-05-27 | 040 | CASUPWP0 | N/A | N/A | false | LANGINGER | N/A | BARBARA | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR CLASSIC F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543306 | 2222 | 4793 | 7772982 | N/A | 4215107 | 2025-05-17 02:06:27.500051 | 2025-05-13 04:29:37.229419 |
| 2025-05-16 09:02:28.507339 | 2025-05-17 02:08:10.048446 | 8086523 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 8086523 | Athletic Physical Therapy Inc | 1944-11-16 | 2025-05-19 | U | PT | AE | SUAREZ | 94128772F02326 | GETRUDIS | 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/2222/5543253/check_8086523_2c3c4f06-4287-435e-816b-57488d286de2.json | N/A | N/A | N/A | N/A | N/A | 94128772F02326 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1944-11-16 | N/A | N/A | N/A | N/A | false | SUAREZ | N/A | GETRUDIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543253 | 2222 | 4793 | 7773932 | N/A | 4215064 | 2025-05-17 02:08:10.048446 | 2025-04-29 21:12:57.805696 |
| 2025-05-16 09:02:27.869151 | 2025-05-17 02:05:19.494057 | 8086496 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8086496 | Athletic Physical Therapy Inc | 1951-03-15 | 2025-05-19 | U | PT | AE | GRUEN | 969340035 | M D | 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/2222/5542961/check_8086496_68f02c49-0db6-4705-b9e3-3f0ac0cd01bc.json | N/A | N/A | N/A | N/A | N/A | 969340035 | N/A | N/A | UNITED HEALTHCARE | 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 | 5542961 | 2222 | 4802 | 7771897 | N/A | 4214813 | 2025-05-17 02:05:19.494057 | 2025-04-29 21:12:48.998064 |
| 2025-05-16 09:02:27.221333 | 2025-05-17 02:00:55.981072 | 8086477 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8086477 | Athletic Physical Therapy Inc | 1944-03-21 | 2025-05-19 | F | PT | AE | WEBB | 041M7788320 | ALICE | 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/2222/5542906/check_8086477_767ff92e-879e-4811-83b2-7baee775a806.json | N/A | N/A | N/A | N/A | N/A | 041M7788320 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1944-03-21 | N/A | N/A | N/A | N/A | false | WEBB | N/A | ALICE | 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 | 5542906 | 2222 | 4801 | 7770272 | N/A | 4214765 | 2025-05-17 02:00:55.981072 | 2025-05-13 04:29:37.229089 |
| 2025-05-16 09:02:26.429405 | 2025-05-17 02:03:41.277387 | 8086454 | N/A | N/A | 60054 | Aetna | 1114042165 | 8086454 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-05-20 | M | PT | AE | KORY | 102161581800 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_8086454_3e1a3b6e-de5b-4d36-a01b-fe1f34a080e1.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 | 5542870 | 2222 | 4793 | 7770783 | N/A | 4214732 | 2025-05-17 02:03:41.277387 | 2025-06-24 20:13:53.579048 |
| 2025-05-16 09:02:25.934959 | 2025-05-17 02:06:57.794380 | 8086436 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8086436 | 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/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542617/check_8086436_a36fd3e5-9d42-4412-866a-1e57b9394452.json | N/A | N/A | N/A | N/A | N/A | XEA914146227 | Preferred Provider Organization (PPO) | MAKAI SOCIAL MARKETING INC | BLUE SHIELD CALIFORNIA | 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 | 5542617 | 2222 | 4793 | 7773271 | N/A | 4214503 | 2025-05-17 02:06:57.794380 | 2025-07-04 18:50:03.492719 |
| 2025-05-16 09:02:25.471990 | 2025-05-17 02:00:50.463931 | 8086418 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8086418 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-05-20 | M | PT | AE | BARADARBOKAIE | XEH909561033 | BABAK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542333/check_8086418_1b3c0b29-13e6-40a1-8479-d3843b359906.json | N/A | N/A | N/A | N/A | N/A | XEH909561033 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1963-05-25 | N/A | N/A | N/A | N/A | false | BARADARBOKAIE | N/A | BABAK | 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 | 5542333 | 2222 | 4793 | 7770258 | N/A | 4214259 | 2025-05-17 02:00:50.463931 | 2025-05-13 04:29:37.228592 |
| 2025-05-16 09:02:24.807946 | 2025-05-17 02:06:26.119853 | 8086404 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8086404 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-05-20 | F | PT | AE | FRANK | JQE134A79727 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542269/check_8086404_4c6a98f1-4eaa-42cc-bd50-63fa2d860547.json | N/A | N/A | N/A | N/A | N/A | JQE134A79727 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-10-11 | 040 | CASUPWP0 | N/A | N/A | false | FRANK | N/A | KAREN | N/A | 9999-12-31 | 2022-01-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542269 | 2222 | 4802 | 7772952 | N/A | 4214201 | 2025-05-17 02:06:26.119853 | 2025-05-13 04:29:37.228535 |
| 2025-05-16 09:02:23.998063 | 2025-05-17 02:00:53.777166 | 8086382 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8086382 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-05-20 | F | PT | AE | HEYES | 95596436F | DARCIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542236/check_8086382_5961908d-a402-4a65-8abd-0c99088743a1.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | 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 | 5542236 | 2222 | 4793 | 7770266 | N/A | 4214178 | 2025-05-17 02:00:53.777166 | 2025-05-13 04:29:37.228506 |
| 2025-05-16 09:02:23.494708 | 2025-05-17 02:00:55.076722 | 8086359 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8086359 | Athletic Physical Therapy Inc | 1965-01-06 | 2025-05-20 | F | PT | AE | PALMA DE SALGUER | 981W1538820 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541856/check_8086359_2d270d63-1fd6-45d6-8455-9762dfd33150.json | N/A | N/A | N/A | N/A | N/A | 981W1538820 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-01-06 | N/A | N/A | N/A | N/A | false | PALMA DE SALGUER | N/A | JUDITH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541856 | 2222 | 4801 | 7770270 | N/A | 4213839 | 2025-05-17 02:00:55.076722 | 2025-05-13 04:29:37.228160 |
| 2025-05-16 09:02:22.910569 | 2025-05-17 02:05:22.983147 | 8086331 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8086331 | Athletic Physical Therapy Inc | 1972-08-02 | 2025-05-20 | F | PT | AE | RAMSEY | 778790241 | JENNIFER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541156/check_8086331_b38a93f4-f7e3-4bc7-b709-8e477408014b.json | N/A | N/A | N/A | N/A | N/A | 77879024100 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1972-08-02 | N/A | 1687339 | N/A | C1 | false | KANZAWA | N/A | JENNIFER | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541156 | 2222 | 4802 | 7771953 | N/A | 4213204 | 2025-05-17 02:05:22.983147 | 2025-05-28 20:17:37.873556 |
| 2025-05-16 09:02:22.193122 | 2025-05-17 02:06:28.893560 | 8086309 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8086309 | Athletic Physical Therapy Inc | 1953-03-05 | 2025-05-19 | F | PT | AE | SESAR | JQE697M91288 | SHARON | 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/2222/5540948/check_8086309_a91e4949-4471-4be3-8f8f-987f31a74a4c.json | N/A | N/A | N/A | N/A | N/A | JQE697M91288 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1953-03-05 | 040 | CASUPWP0 | N/A | N/A | false | SESAR | N/A | SHARON | N/A | 9999-12-31 | 2018-03-01 | CA PLAN F INNOVATIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540948 | 2222 | 4793 | 7773008 | N/A | 4213027 | 2025-05-17 02:06:28.893560 | 2025-06-25 17:17:00.282109 |
| 2025-05-16 09:02:21.811287 | 2025-05-17 02:00:54.047539 | 8086296 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8086296 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-05-19 | F | PT | AE | JOEL | 27340894 | CANDACE | 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/2222/5540651/check_8086296_20456e6b-d751-49e7-8f98-bc68c10251db.json | N/A | N/A | N/A | N/A | N/A | 27340894 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-08-07 | N/A | N/A | N/A | N/A | false | JOEL | N/A | CANDACE | 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 | 5540651 | 2222 | 4801 | 7770267 | N/A | 4212766 | 2025-05-17 02:00:54.047539 | 2025-05-13 04:29:37.227101 |
| 2025-05-16 09:02:21.477299 | 2025-05-17 02:05:51.227413 | 8086286 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 8086286 | Athletic Physical Therapy Inc | 1948-09-11 | 2025-05-20 | M | PT | AE | BAKSHI | 96558021D | ALFRED | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540448/check_8086286_ea230c3e-8c2c-4d0b-94a0-9998e957a897.json | N/A | N/A | N/A | N/A | N/A | 96558021D | N/A | N/A | MEDICARE | N/A | 1948-09-11 | N/A | N/A | N/A | N/A | false | BAKSHI | N/A | ALFRED | N/A | N/A | N/A | KCW MCALSTD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540448 | 2222 | 4802 | 7772408 | N/A | 4212608 | 2025-05-17 02:05:51.227413 | 2025-05-13 04:29:37.226956 |
| 2025-05-16 09:02:21.029338 | 2025-05-17 02:00:54.739716 | 8086268 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8086268 | Athletic Physical Therapy Inc | 1958-02-06 | 2025-05-19 | M | PT | AE | LAUBENDER | 169942701 | JOHN | 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/2222/5540271/check_8086268_4b44ab15-82e4-47a3-96b1-cd6508429c73.json | N/A | N/A | N/A | N/A | N/A | 169942701 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1958-02-06 | N/A | N/A | N/A | N/A | false | LAUBENDER | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540271 | 2222 | 4793 | 7770269 | N/A | 4212456 | 2025-05-17 02:00:54.739716 | 2025-05-13 04:29:37.226786 |
| 2025-05-16 09:02:20.320479 | 2025-05-17 02:00:55.554636 | 8086247 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8086247 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-05-20 | F | PT | AE | SIMONS | 94378141G | DESIREE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539944/check_8086247_6a4270bd-cbd7-4667-b173-5702cef0e8c8.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1990-11-12 | N/A | N/A | N/A | N/A | false | SIMONS | N/A | DESIREE | 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 | 5539944 | 2222 | 4802 | 7770271 | N/A | 4212176 | 2025-05-17 02:00:55.554636 | 2025-05-13 04:29:37.226514 |
| 2025-05-16 09:02:19.745734 | 2025-05-17 02:00:53.003143 | 8086228 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8086228 | Athletic Physical Therapy Inc | 1963-03-09 | 2025-05-19 | M | PT | N/A | GILLETTE | NCF227A55787 | GRADY | 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/2222/5539751/check_8086228_3bbfcd38-7401-4765-96d9-d48ad68a0d23.json | N/A | N/A | N/A | N/A | N/A | NCF227A55787 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1963-03-09 | N/A | N/A | N/A | N/A | false | GILLETTE | N/A | GRADY | 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 | 5539751 | 2222 | 4801 | 7770264 | N/A | 4212009 | 2025-05-17 02:00:53.003143 | 2025-05-13 04:29:37.226332 |
| 2025-05-16 09:02:18.972875 | 2025-05-17 02:00:56.342031 | 8086201 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8086201 | Athletic Physical Therapy Inc | 1951-02-23 | 2025-05-20 | F | PT | AE | WENSEL | 27367103 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539718/check_8086201_3c7a9cf5-eccb-4c82-aa61-30d089414654.json | N/A | N/A | N/A | N/A | N/A | 27367103 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-02-23 | N/A | N/A | N/A | N/A | false | WENSEL | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539718 | 2222 | 4793 | 7770273 | N/A | 4211977 | 2025-05-17 02:00:56.342031 | 2025-05-13 04:29:37.226299 |
| 2025-05-16 09:02:18.516383 | 2025-05-17 02:06:24.462472 | 8086179 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8086179 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-05-20 | M | PT | N/A | FINNLEY | M4R134071249001 | ZEV | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_8086179_dc7d34da-ef79-47bf-b506-4801a4cd75d7.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539665 | 2222 | 4793 | 7772940 | N/A | 4211935 | 2025-05-17 02:06:24.462472 | 2025-05-13 04:29:37.226259 |
| 2025-05-16 09:02:17.966513 | 2025-05-17 02:06:26.807728 | 8086160 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8086160 | Athletic Physical Therapy Inc | 1951-03-05 | 2025-05-20 | F | PT | AE | KUMMER | JQE679A76010 | JANIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539027/check_8086160_72d23af5-22ad-46fb-97f8-b4ec1bd432f1.json | N/A | N/A | N/A | N/A | N/A | JQE679A76010 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-03-05 | 040 | CASUPWP0 | N/A | N/A | false | KUMMER | N/A | JANIS | N/A | 9999-12-31 | 2021-04-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539027 | 2222 | 4802 | 7772971 | N/A | 4211356 | 2025-05-17 02:06:26.807728 | 2025-12-19 18:37:19.647424 |
| 2025-05-16 09:02:12.218866 | 2025-05-17 02:00:52.338635 | 8085962 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8085962 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-05-20 | M | PT | AE | CHADIDA | XEE980517790 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538682/check_8085962_f32ede48-945d-45f1-a7cc-10384338ee31.json | N/A | N/A | N/A | N/A | N/A | XEE980517790 | 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 | 5538682 | 2222 | 4793 | 7770262 | N/A | 4211039 | 2025-05-17 02:00:52.338635 | 2025-05-13 04:29:37.225444 |
| 2025-05-16 09:02:11.828208 | 2025-05-17 02:06:23.711745 | 8085951 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8085951 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-05-20 | F | PT | AE | FINCH | XDD909A67880 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538474/check_8085951_560dde41-c371-48a1-a265-009e435fe330.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | N/A | CALPERS PERS PLATINUM MSUPP RETIREES(PA) REGION3 | MEDICARE B | N/A | 1954-01-12 | 040 | BS270I | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538474 | 2222 | 4802 | 7772931 | N/A | 4210886 | 2025-05-17 02:06:23.711745 | 2025-05-13 04:29:37.225284 |
| 2025-05-16 09:02:11.494420 | 2025-05-17 02:01:42.376735 | 8085941 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8085941 | Athletic Physical Therapy Inc | 1941-11-29 | 2025-05-19 | F | PT | AE | GODBOLD | 33204792612 | SHARI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537863/check_8085941_d095983c-ebe8-4b2a-a962-c1ffd7cbf8f2.json | N/A | N/A | N/A | N/A | N/A | 33204792612 | N/A | N/A | AARP MEDICARE SUPPLEMENT BY UNITEDHEALTHCARE | N/A | 1941-11-29 | N/A | N/A | N/A | N/A | 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 | 5537863 | 2222 | 4802 | 7770354 | N/A | 4210360 | 2025-05-17 02:01:42.376735 | 2025-05-13 04:29:37.224766 |
| 2025-05-16 09:02:11.005057 | 2025-05-17 02:06:58.455230 | 8085923 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8085923 | Athletic Physical Therapy Inc | 1948-08-31 | 2025-05-20 | F | PT | AE | MIYATA | XEM904724382 | LARAINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537630/check_8085923_59c230b3-d9e2-47d4-99a8-67229002a6fa.json | N/A | N/A | N/A | N/A | N/A | XEM904724382 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1948-08-31 | 2002SD000004 | X0001002 | N/A | OT | false | MIYATA | N/A | LARAINE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537630 | 2222 | 4802 | 7773273 | N/A | 4210159 | 2025-05-17 02:06:58.455230 | 2025-05-13 04:29:37.224576 |
| 2025-05-16 09:02:10.662717 | 2025-05-17 02:00:53.437291 | 8085909 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8085909 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-05-19 | M | PT | AE | GOMES | 27163193 | NEMESIO | 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/2222/5537442/check_8085909_ff9414b1-4f99-4fdd-ab13-36d0e7d18f80.json | N/A | N/A | N/A | N/A | N/A | 27163193 | 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 | 5537442 | 2222 | 4801 | 7770265 | N/A | 4210001 | 2025-05-17 02:00:53.437291 | 2025-05-13 04:29:37.224421 |
| 2025-05-16 09:02:10.085254 | 2025-05-17 02:01:43.412861 | 8085897 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8085897 | Athletic Physical Therapy Inc | 1942-07-10 | 2025-05-20 | F | PT | AE | PRAGER | 8003423129 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537357/check_8085897_05ee0fe6-a5c5-4067-bcfb-d28f15029895.json | N/A | N/A | N/A | N/A | N/A | 8003423129 | N/A | N/A | AARP MEDICARE SUPPLEMENT BY UNITEDHEALTHCARE | N/A | 1942-07-10 | N/A | N/A | N/A | N/A | false | PRAGER | N/A | JUDITH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537357 | 2222 | 4793 | 7770357 | N/A | 4209932 | 2025-05-17 02:01:43.412861 | 2025-05-14 09:05:51.551805 |
| 2025-05-16 09:02:09.448040 | 2025-05-17 02:00:52.705361 | 8085883 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8085883 | Athletic Physical Therapy Inc | 2009-12-30 | 2025-05-19 | U | PT | AE | DICKSON | R0733778FD1 | CAILEY | 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/2222/5536230/check_8085883_c6960027-af5e-4361-94ec-817177e60d12.json | N/A | N/A | N/A | N/A | N/A | R0733778FD1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2009-12-30 | N/A | N/A | N/A | N/A | false | DICKSON | N/A | CAILEY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536230 | 2222 | 4793 | 7770263 | N/A | 4209013 | 2025-05-17 02:00:52.705361 | 2025-06-03 20:19:45.253620 |
| 2025-05-16 09:02:09.066701 | 2025-05-17 02:00:51.878053 | 8085868 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8085868 | Athletic Physical Therapy Inc | 1961-06-27 | 2025-05-19 | F | PT | AE | BRACKEN | NCF378A67692 | CELINA | 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/2222/5535857/check_8085868_ebe6c98b-ceff-4087-878a-bb1120c2489f.json | N/A | N/A | N/A | N/A | N/A | NCF378A67692 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-06-27 | N/A | N/A | N/A | N/A | false | BRACKEN | N/A | CELINA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535857 | 2222 | 4793 | 7770261 | N/A | 4208702 | 2025-05-17 02:00:51.878053 | 2025-05-13 04:29:37.223129 |
| 2025-05-16 09:02:08.790503 | 2025-05-17 02:00:49.749601 | 8085858 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8085858 | Athletic Physical Therapy Inc | 1955-09-16 | 2025-05-20 | M | PT | AE | ARCHULETA | 015108101 | JAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250516.141016221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535525/check_8085858_fec1eba9-da08-433b-b399-82c287c57e4e.json | N/A | N/A | N/A | N/A | N/A | 015108101 | 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 | 5535525 | 2222 | 4793 | 7770257 | N/A | 4208438 | 2025-05-17 02:00:49.749601 | 2025-06-03 23:28:44.457715 |
| 2025-05-16 09:02:08.350740 | 2025-05-17 02:00:54.410627 | 8085841 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8085841 | Athletic Physical Therapy Inc | 1980-09-25 | 2025-05-19 | M | PT | AE | LAPORTE | 96636971G | THIBAULT | 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/2222/5535449/check_8085841_eb86ed1a-4dec-4756-baeb-79d54aef8aa7.json | N/A | N/A | N/A | N/A | N/A | 96636971G | 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 | 5535449 | 2222 | 4802 | 7770268 | N/A | 4208370 | 2025-05-17 02:00:54.410627 | 2025-05-13 04:29:37.222790 |
| 2025-05-16 02:17:21.661554 | 2025-05-16 02:17:23.470498 | 8084561 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 2015-02-07 | 2025-05-12 | M | AD | N/A | HENRY | 11097761501 | KIRAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543175/check_8084561_aeded55a-e238-444b-a268-3bdd6f0fc685.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543175/check_8084561_f900b128-8d98-4e8f-8b09-fdd30b554d81.json | N/A | N/A | N/A | N/A | N/A | 11097761501 | N/A | TELESTREAM 2 LLC | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 2015-02-07 | N/A | 00656153 | N/A | N/A | false | HENRY | N/A | KIRAN | 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 | 7927 | N/A | 5543175 | 2222 | N/A | 7745106 | N/A | 4215004 | 2025-05-16 02:17:23.470498 | 2025-05-16 02:19:23.134024 |
| 2025-05-16 02:16:54.390844 | 2025-05-16 02:17:01.383843 | 8084560 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 2015-02-07 | 2025-05-12 | M | AD | N/A | HENRY | 11097761501 | KIRAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543175/check_8084560_86ab105a-1fb9-4f26-8136-f92a1f5ce17a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543175/check_8084560_a95b1853-3913-40ec-ad6a-71697276d7f1.json | N/A | N/A | N/A | N/A | N/A | 11097761501 | N/A | TELESTREAM 2 LLC | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 2015-02-07 | N/A | 00656153 | N/A | N/A | false | HENRY | N/A | KIRAN | 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 | 7927 | N/A | 5543175 | 2222 | N/A | 7744920 | N/A | 4215004 | 2025-05-16 02:17:01.383843 | 2025-05-16 02:19:23.134024 |
| 2025-05-15 22:35:38.434226 | 2025-05-15 22:35:40.293498 | 8084137 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-05-15 | U | PT | AE | PENATE | 100200006880 | VIANCA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8084137_43deb105-2e96-44ee-b679-df283bf36394.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8084137_28f78605-bd2f-4383-905c-b0002b2a825e.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5543301 | 2222 | N/A | 7737251 | N/A | 4215112 | 2025-05-15 22:35:40.293498 | 2026-02-20 19:52:51.272757 |
| 2025-05-15 22:35:09.137725 | 2025-05-15 22:35:10.957053 | 8084079 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-05-15 | F | PT | AE | PENATE | 100200006880 | VIANCA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8084079_58a66237-260a-4369-b9ba-2d885b0d07f7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8084079_06f68d8d-7aec-4ebb-a242-6b79fa89b463.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5543301 | 2222 | N/A | 7737196 | N/A | 4215112 | 2025-05-15 22:35:10.957053 | 2026-02-20 19:52:51.272757 |
| 2025-05-15 22:31:40.725673 | 2025-05-15 22:31:44.504102 | 8084016 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-01-15 | 2025-05-15 | F | PT | AE | PENATE | 100200006880 | VIANCA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_8084016_46c6b6d7-333a-495b-84bc-9026400f02b5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8084016_c562828a-6249-4883-a0cf-2ecbcc77947b.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5543301 | 2222 | N/A | 7737130 | N/A | 4215112 | 2025-05-15 22:31:44.504102 | 2026-02-20 19:52:51.272757 |
| 2025-05-15 22:25:30.018387 | 2025-05-15 22:25:31.893756 | 8083981 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-11 | 2025-05-15 | M | PT | AE | BAKSHI | 96558021D | ALFRED | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540448/check_8083981_495dbed0-4bb3-4dc8-a174-74e592a5d445.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540448/check_8083981_1960b363-bab9-4dbd-89f4-a62ba90377c2.json | N/A | N/A | N/A | N/A | N/A | 96558021D | N/A | N/A | MEDICARE | N/A | 1948-09-11 | N/A | N/A | N/A | N/A | false | BAKSHI | N/A | ALFRED | N/A | N/A | N/A | KCW MCALSTD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5540448 | 2222 | N/A | 7737074 | N/A | 4212608 | 2025-05-15 22:25:31.893756 | 2025-05-13 04:29:37.226956 |
| 2025-05-15 22:16:55.665700 | 2025-05-15 22:17:00.479529 | 8083837 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-01-23 | 2025-05-15 | F | PT | AE | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543335/check_8083837_0620bb4b-c4f5-4a94-821d-d5b9198a5541.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_8083837_c9c74386-6ec3-4b5b-9f37-fedbf222592b.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5543335 | 2222 | N/A | 7736915 | N/A | 4215139 | 2025-05-15 22:17:00.479529 | 2025-05-13 21:20:11.455022 |
| 2025-05-15 22:13:01.769423 | 2025-05-15 22:13:08.539129 | 8083741 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-07-22 | 2025-05-16 | F | PT | AE | AZIM | 627771249 | FAIYAZ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543304/check_8083741_290313e2-2358-434a-8fcc-25fad78bec4d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543304/check_8083741_819d4bc1-a6ca-4e0f-9bc8-0106b8c938e3.json | N/A | N/A | N/A | N/A | N/A | 627771249 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1991-07-22 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | AZIM | N/A | FAIYAZ | N/A | 2025-12-31 | 2025-01-01 | GOLD 80 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5543304 | 2222 | N/A | 7736811 | N/A | 4215118 | 2025-05-15 22:13:08.539129 | 2025-06-02 01:41:59.668874 |
| 2025-05-15 21:59:43.651715 | 2025-05-15 21:59:46.871566 | 8083546 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-02-11 | 2025-05-15 | F | PT | N/A | FEUER | JQU495A78860 | SELLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542574/check_8083546_ec0597e2-989d-4267-8cff-7b89c55de50d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542574/check_8083546_cf950d37-07aa-49b9-81d6-d73b456adbd3.json | N/A | N/A | N/A | N/A | N/A | JQU495A78860 | Preferred Provider Organization (PPO) | CALL CENTER MANAGEMENT INC | ANTHEM BLUE CROSS | N/A | 1963-02-11 | 040 | Q91517 | N/A | PR | false | FEUER | N/A | SELLA | N/A | 9999-12-31 | 2024-09-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542574 | 2222 | N/A | 7736573 | N/A | 4214466 | 2025-05-15 21:59:46.871566 | 2025-06-03 18:09:34.500853 |
| 2025-05-15 20:48:46.159548 | 2025-05-15 20:48:48.398821 | 8083242 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-30 | 2025-05-15 | U | PT | AE | AMOROSA | 400371322-01 | RITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874458/check_8083242_b3c2c27c-db3b-4865-af70-123551ac0e65.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874458/check_8083242_cbcd987b-48a8-444e-8a6c-79d5cf5e7cc7.json | N/A | N/A | N/A | N/A | N/A | 400371322-01 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1944-11-30 | N/A | N/A | N/A | N/A | false | AMOROSA | N/A | RITA | 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 | 5874458 | 2222 | N/A | 7736065 | N/A | 4534582 | 2025-05-15 20:48:48.398821 | 2026-03-02 22:06:30.224734 |
| 2025-05-15 20:48:45.269964 | 2025-05-15 20:48:47.462725 | 8083241 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-10-01 | 2025-05-15 | U | PT | AE | STANLEY | 912795555-000 | STEPHEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874442/check_8083241_1f0a1664-cf61-449a-ba2e-7bb4107216ef.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874442/check_8083241_e5e4b873-a1b0-4039-8f2c-39a66262eb41.json | N/A | N/A | N/A | N/A | N/A | 912795555-000 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1971-10-01 | N/A | N/A | N/A | N/A | false | STANLEY | N/A | STEPHEN | 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 | 5874442 | 2222 | N/A | 7736063 | N/A | 4534569 | 2025-05-15 20:48:47.462725 | 2025-05-14 09:08:41.655171 |
| 2025-05-15 20:48:43.668466 | 2025-05-15 20:48:45.350930 | 8083240 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-12-18 | 2025-05-15 | U | PT | AE | PORCELLINI | 623363623 | KYLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874433/check_8083240_fba0d818-a6b6-4f3f-b97b-303c9e5dcd20.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874433/check_8083240_49470176-e8cf-48a0-ae66-3e62db3c3b19.json | N/A | N/A | N/A | N/A | N/A | 623363623 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1995-12-18 | N/A | N/A | N/A | N/A | false | PORCELLINI | N/A | KYLA | 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 | 5874433 | 2222 | N/A | 7736060 | N/A | 4534562 | 2025-05-15 20:48:45.350930 | 2025-06-03 16:07:02.060667 |
| 2025-05-15 20:48:43.570162 | 2025-05-15 20:48:53.203081 | 8083239 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-02-05 | 2025-05-15 | F | PT | AE | ELANDER | 00000356104 | ELAINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874416/check_8083239_afcaab8d-d8aa-4cd6-9a51-87c90dcb2cb7.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874416/check_8083239_be374ed9-a6d4-4e24-8e8d-748c70f0b89d.json | N/A | N/A | N/A | N/A | N/A | 00000356104 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-02-05 | N/A | N/A | N/A | N/A | false | ELANDER | N/A | ELAINE | 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 | 5874416 | 2222 | N/A | 7736070 | N/A | 4219473 | 2025-05-15 20:48:53.203081 | 2025-05-13 04:29:37.230512 |
| 2025-05-15 20:48:43.109031 | 2025-05-15 20:48:46.260696 | 8083238 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-22 | 2025-05-15 | F | PT | AE | PETERSON | 643A67622-40 | CHARLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550966/check_8083238_2190443f-3289-459d-b958-1fdc60072641.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550966/check_8083238_eba418f8-f773-44f5-a53b-8dced65f4bf0.json | N/A | N/A | N/A | N/A | N/A | 643A67622-40 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1966-12-22 | N/A | N/A | N/A | N/A | false | PETERSON | N/A | CHARLA | 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 | 5550966 | 2222 | N/A | 7736062 | N/A | 4219796 | 2025-05-15 20:48:46.260696 | 2025-05-13 04:29:37.230835 |