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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-15 20:47:05.047618 | 2025-05-15 20:47:07.828736 | 8083182 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-10-14 | 2025-05-15 | M | PT | AE | CHISARI | 00000386684 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536007/check_8083182_753ffc74-bcf2-4540-8fc7-58f52d7dca7c.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_8083182_96be6868-fee2-4a15-9f3e-42d84eace48d.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-10-14 | N/A | N/A | N/A | N/A | false | CHISARI | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536007 | 2222 | N/A | 7736005 | N/A | 4208829 | 2025-05-15 20:47:07.828736 | 2025-06-03 01:05:45.663969 |
| 2025-05-15 20:47:03.866931 | 2025-05-15 20:47:05.691515 | 8083181 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-18 | 2025-05-15 | F | PT | AE | FLORES | 101153747900 | ALEXANDRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536094/check_8083181_510e1c9b-11af-4a2f-90fe-3ea2d8251a73.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536094/check_8083181_32af7b90-69b8-4f3a-b418-ce6a212ce18f.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 | N/A | 7736004 | N/A | 4208905 | 2025-05-15 20:47:05.691515 | 2025-05-13 04:29:37.223331 |
| 2025-05-15 20:46:57.982675 | 2025-05-15 20:47:00.046526 | 8083180 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-04-16 | 2025-05-15 | F | PT | AE | RYAN | 31026142401 | CAROL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535455/check_8083180_5f8e7b42-60d0-4dba-bef9-3c0fee96cb39.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_8083180_12991b11-76e5-4a6a-876c-805053dd5602.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 | N/A | 7736003 | N/A | 4208375 | 2025-05-15 20:47:00.046526 | 2025-08-08 21:08:12.459471 |
| 2025-05-15 20:46:56.685223 | 2025-05-15 20:46:58.924869 | 8083179 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-25 | 2025-05-15 | M | PT | AE | LAPORTE | 182595640 | THIBAULT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535446/check_8083179_485bc29d-917c-4eee-b72c-b8e1bef2c72f.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535446/check_8083179_1d17b5ca-a6bd-4078-9008-ca654b7bd075.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 | N/A | 7736002 | N/A | 4208370 | 2025-05-15 20:46:58.924869 | 2025-05-13 04:29:37.222790 |
| 2025-05-15 09:37:25.815558 | 2025-05-15 09:37:29.078086 | 8080076 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-02-24 | 2025-05-15 | F | AD | N/A | KUDLATOVA | 9Q04X31JA99 | MARIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549471/check_8080076_0cde084d-254c-4d51-96a0-99ec55e3ddbb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549471/check_8080076_838ecd8f-0108-4d41-9495-61e36dcc1ad0.json | N/A | N/A | N/A | N/A | N/A | 9Q04X31JA99 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-24 | N/A | N/A | N/A | MB | false | KUDLATOVA | N/A | MARIE | N/A | N/A | N/A | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549471 | 2222 | N/A | 7731808 | N/A | 4219128 | 2025-05-15 09:37:29.078086 | 2025-05-13 04:29:37.230146 |
| 2025-05-15 09:37:17.557669 | 2025-05-15 09:37:19.755432 | 8080071 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-14 | 2025-05-15 | U | PT | AE | UYGUR | GLA008101 | NUKHET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543315/check_8080071_e0d60840-2711-443e-adc8-7df1a7fdcd98.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543315/check_8080071_f091b1ed-0078-4858-a1c6-8dad6362e9f8.json | N/A | N/A | N/A | N/A | N/A | GLA008101 | N/A | N/A | AETNA | N/A | 1947-04-14 | N/A | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | 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 | 5543315 | 2222 | N/A | 7731802 | N/A | 4215116 | 2025-05-15 09:37:19.755432 | 2025-05-29 22:32:19.748297 |
| 2025-05-15 09:37:17.372215 | 2025-05-15 09:37:19.734079 | 8080069 | N/A | N/A | 111 | UNITED AMERICAN INSURANCE COMPANY MED SUPP | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-12-02 | 2025-05-15 | F | PT | AE | LADEN | 008147179 | CANDACE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540775/check_8080069_d8407b4e-79f0-4b33-b93a-1fce82e62062.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540775/check_8080069_3d022ba2-e4cc-4ea3-b7fe-a5d09f221058.json | N/A | N/A | N/A | N/A | N/A | 008147179 | N/A | N/A | UNITED AMERICAN INSURANCE COMPANY MED SUPP | N/A | 1949-12-02 | N/A | N/A | N/A | N/A | false | LADEN | 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 | 5540775 | 2222 | N/A | 7731801 | N/A | 4212856 | 2025-05-15 09:37:19.734079 | 2025-08-04 18:33:35.319989 |
| 2025-05-15 09:37:16.413509 | 2025-05-15 09:37:23.476123 | 8080068 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-05-27 | 2025-05-15 | F | PT | AE | LANGINGER | XDO068A68730 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543306/check_8080068_a9572be5-c28f-4b3d-b5a2-407caba907d5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543306/check_8080068_a581c176-65e5-4022-ab51-185779429892.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 | N/A | 7731804 | N/A | 4215107 | 2025-05-15 09:37:23.476123 | 2025-05-13 04:29:37.229419 |
| 2025-05-15 09:37:15.522436 | 2025-05-15 09:37:18.674797 | 8080067 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-06-06 | 2025-05-15 | M | AD | N/A | SULLIVAN | 8JM4YP4FA78 | VINCENT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542002/check_8080067_11177931-0b80-46d2-88a5-86334fcb5a17.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542002/check_8080067_8dd8fdd3-8852-45ec-aef0-fc2c0e991c9f.json | N/A | N/A | N/A | N/A | N/A | 8JM4YP4FA78 | Medicare Part A | N/A | CIGNA | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-06-06 | N/A | N/A | N/A | MA | false | SULLIVAN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542002 | 2222 | N/A | 7731799 | N/A | 4213966 | 2025-05-15 09:37:18.674797 | 2025-05-13 04:29:37.228285 |
| 2025-05-15 09:37:14.449052 | 2025-05-15 09:37:42.407821 | 8080066 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-06-30 | 2025-05-15 | M | PT | AE | CAMP | 990682025 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540807/check_8080066_029ded62-f907-497f-bbe5-406ce632d173.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540807/check_8080066_14fa803f-e763-489c-a200-8c649e47d361.json | N/A | N/A | N/A | N/A | N/A | 990682025 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1995-06-30 | N/A | N/A | N/A | N/A | false | WONG | N/A | HANNAH | 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 | 5540807 | 2222 | N/A | 7731815 | N/A | 4212899 | 2025-05-15 09:37:42.407821 | 2025-05-13 04:29:37.227228 |
| 2025-05-15 09:37:13.975207 | 2025-05-15 09:37:16.110985 | 8080065 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-10-30 | 2025-05-15 | M | AD | N/A | SCHIRO | U42340274-01 | CRAIG | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874435/check_8080065_869f80f0-8c71-4537-bbf4-fe12256271fc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874435/check_8080065_d5b884dc-affd-4c96-a29a-13d34e3c3513.json | N/A | N/A | N/A | N/A | N/A | U4234027401 | N/A | EQUIFAX INC. | CHLIC | PREFERRED CARE MANAGEMENT | 1963-10-30 | N/A | 3333787 | N/A | N/A | false | SCHIRO | N/A | CRAIG | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874435 | 2222 | N/A | 7731798 | N/A | 4213817 | 2025-05-15 09:37:16.110985 | 2025-05-13 04:29:37.228137 |
| 2025-05-15 09:37:12.562132 | 2025-05-15 09:37:22.185946 | 8080063 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-05-21 | 2025-05-15 | M | PT | AE | KOPSER | U69706035 | RILEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538052/check_8080063_9f4bc723-bd5b-4c52-9f62-871dfe56c1e6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538052/check_8080063_dc12ed10-3cde-462c-ae9a-e6fa2feb0e99.json | N/A | N/A | N/A | N/A | N/A | 779858735322 | N/A | N/A | ALLEGIANCE BENEFIT PLAN MANAGEMENT | PATIENT IS NOT COVERED BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1999-05-21 | N/A | N/A | N/A | N/A | false | KOPSER | N/A | CHRISTOPHER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538052 | 2222 | N/A | 7731803 | N/A | 4210525 | 2025-05-15 09:37:22.185946 | 2025-05-13 04:29:37.224944 |
| 2025-05-15 09:37:12.063778 | 2025-05-15 09:37:15.106578 | 8080062 | 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_8080062_c7d38d88-f41b-4786-b92e-99814c381e5a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540448/check_8080062_3e95a8ba-4823-48f9-b9b1-d5a87217f0c5.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 | N/A | 7731797 | N/A | 4212608 | 2025-05-15 09:37:15.106578 | 2025-05-13 04:29:37.226956 |
| 2025-05-15 09:37:11.967747 | 2025-05-15 09:37:14.566147 | 8080061 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-01-26 | 2025-05-15 | F | PT | N/A | BARR BRIGHT | MPI01424345Q | CYNTHIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549321/check_8080061_96c510a8-b5af-4d30-9d39-20d4c24aeb6e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549321/check_8080061_5f70194e-71a8-42db-a18f-6abdb10af31e.json | N/A | N/A | N/A | N/A | N/A | MPI01424345Q | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1960-01-26 | 040 | 277163M402 | N/A | N/A | false | BARR BRIGHT | N/A | CYNTHIA | 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 | 5549321 | 2222 | N/A | 7731796 | N/A | 4209763 | 2025-05-15 09:37:14.566147 | 2025-05-14 09:05:42.724555 |
| 2025-05-15 09:37:11.837887 | 2025-05-15 09:37:42.476017 | 8080060 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-05-31 | 2025-05-15 | M | PT | N/A | LARSON | R13352452MM1 | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537530/check_8080060_638a66b7-5c79-4215-bb7b-e4d760198ae0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537530/check_8080060_854323d7-2175-4612-9dcb-eed25e9c3046.json | N/A | N/A | N/A | N/A | N/A | R13352452MM1 | N/A | N/A | CENTENE CORPORATION | N/A | 1993-05-31 | N/A | N/A | N/A | N/A | false | LARSON | N/A | RYAN | N/A | N/A | N/A | PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537530 | 2222 | N/A | 7731814 | N/A | 4210069 | 2025-05-15 09:37:42.476017 | 2025-05-13 04:29:37.224490 |
| 2025-05-15 09:37:11.761626 | 2025-05-15 09:37:31.126741 | 8080059 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-07-10 | 2025-05-15 | F | PT | AE | PRAGER | 8003423129 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537357/check_8080059_77e02a4d-787d-4ad5-b5f6-411f36b7d425.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537357/check_8080059_eb1e9fc3-4eea-40aa-8e9c-35426986e1d9.json | N/A | N/A | N/A | N/A | N/A | 8003423129 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM 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 | N/A | 7731810 | N/A | 4209932 | 2025-05-15 09:37:31.126741 | 2025-05-14 09:05:51.551805 |
| 2025-05-15 09:37:11.542783 | 2025-05-15 09:37:50.332819 | 8080058 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-11-07 | 2025-05-15 | M | PT | AE | HODGINS | 30259020911 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539836/check_8080058_965fd063-c9f8-4df1-a265-eaca562c80b9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539836/check_8080058_4499e315-c6c9-44d0-8e83-4eb1e11c85d1.json | N/A | N/A | N/A | N/A | N/A | 30259020911 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1942-11-07 | N/A | N/A | N/A | SP | false | HODGINS | N/A | MICHAEL | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN N | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539836 | 2222 | N/A | 7731823 | N/A | 4212080 | 2025-05-15 09:37:50.332819 | 2025-05-13 04:29:37.226399 |
| 2025-05-15 09:37:10.722903 | 2025-05-15 09:37:12.902465 | 8080056 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-09-15 | 2025-05-15 | U | PT | AE | KHORSANDI | 3CF4YQ5UH79 | PARIVASH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536012/check_8080056_66ed7e0d-e4d4-4436-be6c-2c0c332018a8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536012/check_8080056_d1a9b8a7-a5de-418e-9f5e-69add3f8275f.json | N/A | N/A | N/A | N/A | N/A | 3CF4YQ5UH79 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-09-15 | S5921 | N/A | N/A | MA | false | KHORSANDI | N/A | PARIVASH | 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 | 5536012 | 2222 | N/A | 7731795 | N/A | 4208831 | 2025-05-15 09:37:12.902465 | 2025-10-30 22:42:31.399473 |
| 2025-05-15 09:25:34.489903 | 2025-05-15 09:25:40.765528 | 8079314 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-07-05 | 2025-05-15 | U | PT | AE | CANIZALES | 000016975259 | OVIDIO | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874451/check_8079314_4f0bf3f8-14bd-4520-9a66-2e9a63e28656.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874451/check_8079314_e5800af5-9eb6-44f0-a2f1-aa183d1e7f12.json | N/A | N/A | N/A | N/A | N/A | 000016975259 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1962-07-05 | N/A | N/A | N/A | N/A | false | CANIZALES | N/A | OVIDIO | 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 | 5874451 | 2222 | N/A | 7731051 | N/A | 4534574 | 2025-05-15 09:25:40.765528 | 2025-06-18 22:47:05.035641 |
| 2025-05-15 09:25:34.381166 | 2025-05-15 09:26:02.672693 | 8079313 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-11 | 2025-05-15 | F | PT | N/A | MANNING | WAG838721278 | TRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874457/check_8079313_67a855b6-987f-4dce-afe4-13f1cb4a1742.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874457/check_8079313_05013217-f781-49cc-8e32-0fdb7621ddd5.json | N/A | N/A | N/A | N/A | N/A | WAG838721278 | Preferred Provider Organization (PPO) | ACTIVE WAG | BLUE SHIELD OF CALIFORNIA | N/A | 1970-03-11 | N/A | 328059 | N/A | PR | false | MANNING | N/A | TRICIA | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874457 | 2222 | N/A | 7731076 | N/A | 4343472 | 2025-05-15 09:26:02.672693 | 2025-08-08 17:41:30.906097 |
| 2025-05-15 09:25:33.499458 | 2025-05-15 09:25:39.074770 | 8079312 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-03-16 | 2025-05-15 | U | PT | AE | SCHILLER | 4NG7R64EW31 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874437/check_8079312_8ba4986a-3f84-459b-ad5c-304fea601e0b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874437/check_8079312_90ef98e7-0a04-42db-bfb4-3435abd398f9.json | N/A | N/A | N/A | N/A | N/A | 4NG7R64EW31 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-03-16 | S4802 | N/A | N/A | MA | false | SCHILLER | N/A | JUDY | 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 | 5874437 | 2222 | N/A | 7731047 | N/A | 4534564 | 2025-05-15 09:25:39.074770 | 2025-05-22 18:42:12.452816 |
| 2025-05-15 09:25:33.299774 | 2025-05-15 09:26:18.173889 | 8079310 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-10-30 | 2025-05-15 | M | AD | N/A | SCHIRO | U42340274-01 | CRAIG | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874435/check_8079310_0f49de72-29f4-486b-ba6e-f52664b8b930.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874435/check_8079310_fab845df-8e6b-419d-a300-952bf8f6cf02.json | N/A | N/A | N/A | N/A | N/A | U4234027401 | N/A | EQUIFAX INC. | CHLIC | PREFERRED CARE MANAGEMENT | 1963-10-30 | N/A | 3333787 | N/A | N/A | false | SCHIRO | N/A | CRAIG | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874435 | 2222 | N/A | 7731094 | N/A | 4213817 | 2025-05-15 09:26:18.173889 | 2025-05-13 04:29:37.228137 |
| 2025-05-15 09:25:32.964453 | 2025-05-15 09:25:34.765709 | 8079308 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-05-07 | 2025-05-15 | U | PT | N/A | RAFFERTY | XED913453119 | ZOE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874430/check_8079308_aaabba27-6c7f-4fe3-a40b-2d9698cbd8c8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_8079308_6548afc6-a9e3-457a-a20a-7621f24aa44e.json | N/A | N/A | N/A | N/A | N/A | XED913453119 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1994-05-07 | N/A | N/A | N/A | N/A | false | RAFFERTY | N/A | ZOE | 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 | 5874430 | 2222 | N/A | 7731042 | N/A | 4534559 | 2025-05-15 09:25:34.765709 | 2025-06-06 02:13:35.698378 |
| 2025-05-15 09:25:32.592168 | 2025-05-15 09:25:36.340837 | 8079307 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-07-06 | 2025-05-15 | U | PT | N/A | WONG | MBL238A51912 | LOIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874429/check_8079307_aebfc027-fae3-4539-8943-09682ebf601a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874429/check_8079307_0abb80d5-d286-4cc1-b53d-8e4f7ea8f709.json | N/A | N/A | N/A | N/A | N/A | MBL238A51912 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1954-07-06 | N/A | N/A | N/A | N/A | false | WONG | N/A | LOIS | 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 | 5874429 | 2222 | N/A | 7731045 | N/A | 4534558 | 2025-05-15 09:25:36.340837 | 2025-06-02 02:24:50.975707 |
| 2025-05-15 09:22:05.569685 | 2025-05-15 09:22:08.678069 | 8079034 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-17 | 2025-05-15 | F | PT | N/A | GILBERT | JPU461A71640 | SHERRI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550973/check_8079034_4d39cf6c-1a9d-4238-a568-e280a15ef68c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550973/check_8079034_5ddb46c0-3aaa-48ea-b834-66871ac85e7b.json | N/A | N/A | N/A | N/A | N/A | 3VT9D21WD25 | Preferred Provider Organization (PPO) | AGENCY FOR THE PERFORMING ARTS INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1959-07-17 | 040 | L12155M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550973 | 2222 | N/A | 7730771 | N/A | 4219803 | 2025-05-15 09:22:08.678069 | 2025-05-13 04:29:37.230842 |
| 2025-05-15 09:22:04.965552 | 2025-05-15 09:22:12.202258 | 8079033 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2014-12-31 | 2025-05-15 | F | PT | N/A | MADHAVAN | PQI909449886 | AARYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5551033/check_8079033_a405346e-4503-4d58-9184-6c932b5f3186.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551033/check_8079033_d77802c4-db38-49ca-a41b-52da3066d753.json | N/A | N/A | N/A | N/A | N/A | PQI909449886 | Preferred Provider Organization (PPO) | PREMISE HEALTH HOLDING CORPORATION | ANTHEM BLUE CROSS | N/A | 2014-12-31 | MBPX3094 | 130432 | N/A | PR | false | MADHAVAN | N/A | STEVEN | N/A | 2026-06-30 | 2025-01-01 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551033 | 2222 | N/A | 7730776 | N/A | 4219844 | 2025-05-15 09:22:12.202258 | 2025-05-14 17:48:46.320607 |
| 2025-05-15 09:22:04.723023 | 2025-05-15 09:22:08.087154 | 8079032 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-03-05 | 2025-05-15 | M | PT | N/A | MICHIELSEN | XDP726A24389 | PIETER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550926/check_8079032_82e79e8b-a0ca-4512-b4a5-2d418d96b838.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550926/check_8079032_1e6183fe-d0ca-4011-bbe5-56ccec83b292.json | N/A | N/A | N/A | N/A | N/A | XDP726A24389 | Preferred Provider Organization (PPO) | CONEJO VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1966-03-05 | 040 | 275928M001 | N/A | PR | false | MICHIELSEN | N/A | PIETER | N/A | 9999-12-31 | 2022-07-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550926 | 2222 | N/A | 7730770 | N/A | 4219768 | 2025-05-15 09:22:08.087154 | 2025-05-13 04:29:37.230809 |
| 2025-05-15 09:22:04.578555 | 2025-05-15 09:22:07.359147 | 8079031 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-03-14 | 2025-05-15 | M | PT | N/A | CORNETT | XED906177097 | BRUCE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5551042/check_8079031_b267cb73-e44c-4fc4-8846-b9141141c4bc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551042/check_8079031_5b5959b3-424a-40b3-b151-c4f16aeb8781.json | N/A | N/A | N/A | N/A | N/A | XED906177097 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1962-03-14 | 2001ZK002186 | X0001004 | N/A | PR | false | CORNETT | N/A | BRUCE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551042 | 2222 | N/A | 7730769 | N/A | 4219846 | 2025-05-15 09:22:07.359147 | 2025-05-13 04:29:37.230893 |
| 2025-05-15 09:22:04.253866 | 2025-05-15 09:22:06.400575 | 8079030 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-06-03 | 2025-05-15 | U | PT | N/A | CASTANEDA | XED914279551 | AZMIRE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5551019/check_8079030_c792dc51-b2f5-4bc0-895a-c1d193aedf9b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551019/check_8079030_540fc056-a207-47ca-8a39-7624bc8886ab.json | N/A | N/A | N/A | N/A | N/A | XED914279551 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2002-06-03 | N/A | N/A | N/A | N/A | false | CASTANEDA | N/A | AZMIRE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551019 | 2222 | N/A | 7730766 | N/A | 4219842 | 2025-05-15 09:22:06.400575 | 2025-04-30 01:22:51.698621 |
| 2025-05-15 09:22:03.843642 | 2025-05-15 09:22:12.201410 | 8079029 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-01-24 | 2025-05-15 | F | PT | N/A | OROZCO | SGEFW1383775 | LISETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550889/check_8079029_164dd282-a0ed-4efd-a6b5-220ef164c269.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550889/check_8079029_e8f79689-000f-4c57-9bf5-ebfd058d7ec0.json | N/A | N/A | N/A | N/A | N/A | SGEFW1383775 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-01-24 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | LISETH | 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 | 5550889 | 2222 | N/A | 7730777 | N/A | 4219744 | 2025-05-15 09:22:12.201410 | 2025-05-13 04:29:37.230786 |
| 2025-05-15 09:22:03.315919 | 2025-05-15 09:22:06.841187 | 8079028 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-08-28 | 2025-05-15 | M | PT | N/A | KAUFMAN | XEK910972639 | ALEXIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550866/check_8079028_b86ad42c-a94b-4db9-923d-a283d86f319e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550866/check_8079028_4cc86d15-039c-4375-aaf1-13ff8d4442ff.json | N/A | N/A | N/A | N/A | N/A | XEK910972639 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-08-28 | 2001ZK002168 | X0001000 | N/A | PR | false | KAUFMAN | N/A | ALEXIS | N/A | 9999-12-31 | 2022-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550866 | 2222 | N/A | 7730767 | N/A | 4219724 | 2025-05-15 09:22:06.841187 | 2025-06-02 15:55:15.666421 |
| 2025-05-15 09:22:02.313272 | 2025-05-15 09:22:07.488165 | 8079027 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-11-08 | 2025-05-15 | M | PT | AE | MICHELIN | W287756710 | ANDRE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550784/check_8079027_65cc7f2b-652d-4d4d-8603-6cdf7d4c3658.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550784/check_8079027_55c93270-2bc5-4f4b-9294-524b8bfa9644.json | N/A | N/A | N/A | N/A | N/A | W287756710 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1979-11-08 | 0868696 | 086869601500002 | N/A | PS | false | MICHELIN | N/A | ANDRE R | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550784 | 2222 | N/A | 7730768 | N/A | 4219673 | 2025-05-15 09:22:07.488165 | 2025-05-13 04:29:37.230718 |
| 2025-05-15 09:22:02.184601 | 2025-05-15 09:22:15.167133 | 8079026 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-10-15 | 2025-05-15 | F | PT | AE | WHITAKER | 929479394-00 | GAYLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550740/check_8079026_d7ad425a-d209-4c29-a035-55b06ffa29a2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550740/check_8079026_eaaf1b49-2cb9-4d7e-9a42-46507c13774e.json | N/A | N/A | N/A | N/A | N/A | 929479394 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1951-10-15 | N/A | N/A | 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 | 5550740 | 2222 | N/A | 7730782 | N/A | 4219644 | 2025-05-15 09:22:15.167133 | 2025-05-13 04:29:37.230686 |
| 2025-05-15 09:22:01.283642 | 2025-05-15 09:22:03.671732 | 8079025 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-01-26 | 2025-05-15 | F | PT | N/A | BARR BRIGHT | MBL402W23066 | CYNTHIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549321/check_8079025_2c7d2a2c-07cd-472a-afed-a10620e25ee6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549321/check_8079025_8ed5bd2c-b1cd-4ec0-8ede-b5d1bac8b83d.json | N/A | N/A | N/A | N/A | N/A | MBL402W23066 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1960-01-26 | 040 | CAEGR002 | N/A | N/A | false | BARR-BRIGHT | N/A | CYNTHIA | N/A | 9999-12-31 | 2025-02-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549321 | 2222 | N/A | 7730764 | N/A | 4209763 | 2025-05-15 09:22:03.671732 | 2025-05-14 09:05:42.724555 |
| 2025-05-15 09:22:01.097863 | 2025-05-15 09:22:05.475626 | 8079024 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-02-24 | 2025-05-15 | F | AD | N/A | KUDLATOVA | 103733715 | MARIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549470/check_8079024_fb00d735-8caf-4909-b556-65183c26a70f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549470/check_8079024_b007c7cb-f851-4743-b4b6-6a0374d7cca7.json | N/A | N/A | N/A | N/A | N/A | 10373371500 | Exclusive Provider Organization | IFP - VIRGINIA | CHLIC | N/A | 1956-02-24 | N/A | 00885100 | N/A | EP | false | KUDLATOVA | N/A | MARIE | N/A | N/A | N/A | EPO CONNECT | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549470 | 2222 | N/A | 7730765 | N/A | 4219128 | 2025-05-15 09:22:05.475626 | 2025-05-13 04:29:37.230146 |
| 2025-05-15 09:21:53.481366 | 2025-05-15 09:22:01.339053 | 8079018 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-06-07 | 2025-05-15 | F | PT | AE | JASSO | 983192477 | RIO | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543381/check_8079018_18b925d6-d4bb-4a7f-ad43-6138212e1549.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543381/check_8079018_d85bd71d-4182-4d2b-b9d8-07a295cea01a.json | N/A | N/A | N/A | N/A | N/A | 983192477 | Commercial | ONESKY FLIGHT, LLC | UNITEDHEALTHCARE | SERVICES PROVIDED TO THIS PATIENT ARE SUBJECT TO OHIO LAWS GOVERNING BALANCE BILLING FOR OUT-OF-NETWORK HEALTH CARE SERVICES. PLEASE SEE ORC 3902.50 THROUGH 3902.54 FOR DETAILS. FUNDING TYPE = SELF INSURED - LARGE GROUP | 1993-06-07 | 0154 0154 | 704482 | N/A | C1 | false | JASSO | N/A | RIO | N/A | N/A | N/A | POS CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543381 | 2222 | N/A | 7730761 | N/A | 4215181 | 2025-05-15 09:22:01.339053 | 2025-05-13 04:29:37.229497 |
| 2025-05-15 09:21:52.914568 | 2025-05-15 09:21:58.317194 | 8079017 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-12-05 | 2025-05-15 | F | PT | AE | BIERNER | 941921536 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543373/check_8079017_d8391046-69af-47cc-aca7-9b0876e45f06.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543373/check_8079017_1555d082-7e45-4779-9a1d-f9dd8acd2214.json | N/A | N/A | N/A | N/A | N/A | 941921536 | Commercial | APPLE INC. | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP | 1976-12-05 | 1254 1254 | 700406 | N/A | C1 | false | BIERNER | N/A | JACOB | 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 | 5543373 | 2222 | N/A | 7730750 | N/A | 4215173 | 2025-05-15 09:21:58.317194 | 2025-05-13 04:29:37.229490 |
| 2025-05-15 09:21:52.661214 | 2025-05-15 09:21:59.932169 | 8079016 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-03-03 | 2025-05-15 | F | PT | AE | SULLIVAN | 997396315 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543346/check_8079016_362308cd-7ce4-46c5-bce7-c465d9f00267.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543346/check_8079016_33b6caf3-8b7e-42d3-b6fd-bd9b1bfb0b64.json | N/A | N/A | N/A | N/A | N/A | 997396315 | Commercial | MEGA INTERNATIONAL LLC | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP | 1983-03-03 | 0039 0039 | 927395 | N/A | C1 | false | TAYLOR | N/A | CHRISTOPHER | N/A | N/A | N/A | CHOICE PLUS PPO CA 2023 CUJP MOD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543346 | 2222 | N/A | 7730753 | N/A | 4215149 | 2025-05-15 09:21:59.932169 | 2025-05-13 04:29:37.229465 |
| 2025-05-15 09:21:52.394707 | 2025-05-15 09:22:15.495871 | 8079015 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-06-18 | 2025-05-15 | F | PT | N/A | SCHULMAN | XDP423M94945 | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543362/check_8079015_327b343a-1388-4390-b1f4-f7df3a8b80c4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543362/check_8079015_eaf0927e-7989-4f7e-a080-a6333e10b283.json | N/A | N/A | N/A | N/A | N/A | XDP423M94945 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1985-06-18 | 040 | 280629MJ61 | N/A | PR | false | SCHULMAN | N/A | JESSICA | N/A | 2025-06-01 | 2024-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543362 | 2222 | N/A | 7730783 | N/A | 4215155 | 2025-05-15 09:22:15.495871 | 2025-05-13 04:29:37.229472 |
| 2025-05-15 09:21:52.202757 | 2025-05-15 09:22:00.808265 | 8079014 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-01-29 | 2025-05-15 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543355/check_8079014_2ba6e739-5c52-4e1e-b744-453966e7bc78.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_8079014_92e130bf-df14-4bf4-92a2-ca4e0f5e354a.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | 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 | 5543355 | 2222 | N/A | 7730756 | N/A | 4215158 | 2025-05-15 09:22:00.808265 | 2025-05-13 04:29:37.229475 |
| 2025-05-15 09:21:51.646679 | 2025-05-15 09:22:01.401755 | 8079013 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-14 | 2025-05-15 | U | PT | AE | UYGUR | 1VVZMAGGE80 | NUKHET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543311/check_8079013_ed84e490-98d0-4201-a849-8393c8b5ffde.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543311/check_8079013_2a0abe49-9203-401e-a95d-c6f679c81062.json | N/A | N/A | N/A | N/A | N/A | 1VVZMAGGE80 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1947-04-14 | N/A | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | 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 | 5543311 | 2222 | N/A | 7730759 | N/A | 4215116 | 2025-05-15 09:22:01.401755 | 2025-05-29 22:32:19.748297 |
| 2025-05-15 09:21:51.542523 | 2025-05-15 09:22:01.770815 | 8079012 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-05-27 | 2025-05-15 | F | PT | AE | LANGINGER | 8T45CA9CE85 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543302/check_8079012_1da68dbe-9ce4-490b-b991-5e9a995649f7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543302/check_8079012_b9b66fee-ede7-4fdc-a593-e5f7b7ea65a5.json | N/A | N/A | N/A | N/A | N/A | 8T45CA9CE85 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-27 | S5596 | N/A | N/A | MB | false | LANGINGER | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543302 | 2222 | N/A | 7730763 | N/A | 4215107 | 2025-05-15 09:22:01.770815 | 2025-05-13 04:29:37.229419 |
| 2025-05-15 09:21:50.994189 | 2025-05-15 09:21:59.128528 | 8079011 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1938-03-08 | 2025-05-15 | M | PT | AE | TEAGUE | 1T39QJ8JV30 | LEWIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543292/check_8079011_1c1d8022-5431-4d81-a970-cb45799a9552.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543292/check_8079011_e3e82a91-53a9-4df7-8859-5d554c71787b.json | N/A | N/A | N/A | N/A | N/A | 1T39QJ8JV30 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1938-03-08 | N/A | N/A | N/A | MB | false | TEAGUE | N/A | LEWIS | 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 | 5543292 | 2222 | N/A | 7730751 | N/A | 4215104 | 2025-05-15 09:21:59.128528 | 2025-05-13 04:29:37.229416 |
| 2025-05-15 09:21:50.755320 | 2025-05-15 09:22:01.018723 | 8079010 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-05-07 | 2025-05-15 | F | PT | AE | FERRERAS | U6570615702 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543171/check_8079010_9196d2ae-d858-486e-8380-1bb33876c675.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_8079010_7d6d5dd6-fd4e-47e5-909c-865b5d71cd3f.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543171 | 2222 | N/A | 7730760 | N/A | 4214998 | 2025-05-15 09:22:01.018723 | 2025-05-13 04:29:37.229318 |
| 2025-05-15 09:21:50.634246 | 2025-05-15 09:22:02.938540 | 8079009 | N/A | N/A | 39026 | UMR | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-01-26 | 2025-05-15 | M | PT | AE | MESSINGER | 43687468 | BEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543233/check_8079009_0cc1a6b9-4e69-475d-99c4-45d9f265133d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543233/check_8079009_98338075-7ea0-4325-b517-3992b36fbf1d.json | N/A | N/A | N/A | N/A | N/A | 43687468 | N/A | CARVANA, LLC | UMR | N/A | 1997-01-26 | 767000416387002 | 76416387 | N/A | N/A | false | MESSINGER | N/A | BEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543233 | 2222 | N/A | 7730754 | N/A | 4215051 | 2025-05-15 09:22:02.938540 | 2025-05-13 04:29:37.229373 |
| 2025-05-15 09:21:49.240154 | 2025-05-15 09:21:55.191236 | 8079008 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-05-16 | 2025-05-15 | F | PT | N/A | HORTA | MBL503W15699 | EILEEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543224/check_8079008_d5d9f75f-46be-4a1b-a867-7e0e4b3b1c91.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543224/check_8079008_52c2c25e-24b6-4bb1-8886-720e0c48bb53.json | N/A | N/A | N/A | N/A | N/A | MBL503W15699 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1956-05-16 | 040 | CAEGR002 | N/A | N/A | false | HORTA | N/A | EILEEN | N/A | 9999-12-31 | 2023-02-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543224 | 2222 | N/A | 7730747 | N/A | 4215037 | 2025-05-15 09:21:55.191236 | 2025-05-13 04:29:37.229354 |
| 2025-05-15 09:21:47.927417 | 2025-05-15 09:22:00.168852 | 8079007 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-27 | 2025-05-15 | F | PT | N/A | BERARDI | JQU360A51420 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543161/check_8079007_608189fc-69b1-4d7b-86a8-a3898a350c44.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543161/check_8079007_4d8135ea-bcb3-45aa-8623-9bd7a5e9c570.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 9999-12-31 | 2024-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543161 | 2222 | N/A | 7730755 | N/A | 4214989 | 2025-05-15 09:22:00.168852 | 2025-05-13 04:29:37.229310 |
| 2025-05-15 09:21:47.494416 | 2025-05-15 09:21:49.521877 | 8079006 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-02-18 | 2025-05-15 | M | PT | N/A | FRENCH | XDP573A61655 | JONATHAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543105/check_8079006_74214961-d775-492d-80f8-818915868d36.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543105/check_8079006_2b61fa59-6643-4d6f-812f-92f4b865ac0e.json | N/A | N/A | N/A | N/A | N/A | XDP573A61655 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-02-18 | N/A | N/A | N/A | N/A | false | FRENCH | N/A | JONATHAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543105 | 2222 | N/A | 7730742 | N/A | 4214943 | 2025-05-15 09:21:49.521877 | 2025-05-29 02:21:31.646077 |
| 2025-05-15 09:21:46.096194 | 2025-05-15 09:21:53.372039 | 8079005 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-02-18 | 2025-05-15 | M | PT | N/A | OSORIO | R61819376 | JADEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542691/check_8079005_ac2644d9-839e-4486-b97c-6ced1f8a10ba.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542691/check_8079005_aec81dc4-ff7e-4877-89d1-46b743a69f11.json | N/A | N/A | N/A | N/A | N/A | R61819376 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2008-02-18 | N/A | 35B | N/A | PR | false | OSORIO | N/A | ESTELLA | N/A | 2034-03-21 | 2025-01-01 | FEP BLUE FOCUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542691 | 2222 | N/A | 7730745 | N/A | 4214571 | 2025-05-15 09:21:53.372039 | 2025-05-13 04:29:37.228895 |
| 2025-05-15 09:21:45.121905 | 2025-05-15 09:21:51.528548 | 8079004 | N/A | N/A | 74227 | UnitedHealthcare StudentResources | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-10-03 | 2025-05-15 | M | PT | AE | OZAIR | 9471672 | ETHAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543073/check_8079004_e3f09d24-3e67-488b-b9e5-ac75838b3c6f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543073/check_8079004_75598f80-4ff3-43c8-a643-679d26e2da9a.json | N/A | N/A | N/A | N/A | N/A | 9471672 | N/A | ARIZONA STATE UNIVERSITY | UHC STUDENT RESOURCES | PCP TO SUBMIT A SPECIALIST REFERRAL | 2005-10-03 | BASIC | 202400073301 | N/A | N/A | false | OZAIR | N/A | ETHAN | N/A | 2025-08-15 | 2024-08-16 | BASIC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543073 | 2222 | N/A | 7730743 | N/A | 4214912 | 2025-05-15 09:21:51.528548 | 2025-05-13 04:29:37.229234 |