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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-14 17:30:31.057177 | 2025-05-14 17:30:34.841159 | 8054421 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-04-13 | 2025-05-14 | F | PT | AE | BLUM | 5G57RW1XT38 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539302/check_8054421_12c0b016-a949-4820-9556-e06d3c404df0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539302/check_8054421_d5aa6f33-81ff-438c-b994-c45d2eb9c46d.json | N/A | N/A | N/A | N/A | N/A | 5G57RW1XT38 | N/A | N/A | CMS | N/A | 1945-04-13 | N/A | N/A | N/A | N/A | false | BLUM | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5539302 | 2222 | N/A | 7717563 | N/A | 4211624 | 2025-05-14 17:30:34.841159 | 2025-05-13 04:29:37.225953 |
| 2025-05-14 17:30:23.074356 | 2025-05-14 17:30:26.992383 | 8054420 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-10-08 | 2025-05-29 | F | PT | N/A | GOULD | M9Z806734456 | HEATHER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543209/check_8054420_1d1fedee-c506-4299-ba6a-333ec81885a9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543209/check_8054420_88ab9a40-aa90-49ca-95ad-ec00ac9930b8.json | N/A | N/A | N/A | N/A | N/A | M9Z806734456 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1981-10-08 | N/A | 55060 | N/A | PR | false | GOULD | N/A | HEATHER | N/A | N/A | N/A | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543209 | 2222 | N/A | 7717562 | N/A | 4215027 | 2025-05-14 17:30:26.992383 | 2025-05-13 04:29:37.229345 |
| 2025-05-14 17:30:21.137894 | 2025-05-14 17:30:22.951967 | 8054419 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-10-09 | 2025-05-14 | M | PT | AE | HELLER | 8QK9AX1RK25 | LAWRENCE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535992/check_8054419_0e0610a6-b3c2-4850-a3da-32f8c9051e14.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535992/check_8054419_dbcd1404-4ae5-450a-8270-314dd3544836.json | N/A | N/A | N/A | N/A | N/A | 8QK9AX1RK25 | N/A | N/A | CMS | N/A | 1948-10-09 | N/A | N/A | N/A | N/A | false | HELLER | N/A | LAWRENCE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5535992 | 2222 | N/A | 7717561 | N/A | 4208819 | 2025-05-14 17:30:22.951967 | 2025-05-13 04:29:37.223245 |
| 2025-05-14 17:30:12.172677 | 2025-05-14 17:30:15.170854 | 8054418 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-10-09 | 2025-05-14 | M | PT | AE | HELLER | 8QK9AX1RK25 | LAWRENCE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535992/check_8054418_20b8af8b-ecf2-4766-a548-27be97d327ee.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535992/check_8054418_58df46de-e2c8-4218-8b1a-20b9b7f18b4a.json | N/A | N/A | N/A | N/A | N/A | 8QK9AX1RK25 | N/A | N/A | CMS | N/A | 1948-10-09 | N/A | N/A | N/A | N/A | false | HELLER | N/A | LAWRENCE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5535992 | 2222 | N/A | 7717559 | N/A | 4208819 | 2025-05-14 17:30:15.170854 | 2025-05-13 04:29:37.223245 |
| 2025-05-14 17:29:44.766498 | 2025-05-14 17:30:00.718650 | 8054417 | N/A | N/A | 81264 | Nippon Life Insurance Company of America | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-01-11 | 2025-05-29 | F | PT | AE | TSUKINO | N10109768 | YOSHIKO | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543128/check_8054417_a583f6e7-d81b-41d6-b617-3391036fc1d1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543128/check_8054417_99524958-498c-4349-aae6-11df6606c1b1.json | N/A | N/A | N/A | N/A | N/A | N10109768-01 | Preferred Provider Organization (PPO) | NIPPON | NIPPON LIFE BENEFITS | N/A | 1974-01-11 | 4208 | R73200 | N/A | PR | false | TSUKINO | N/A | HIROAKI | N/A | N/A | N/A | AETNA SIGNATURE ADMIN, AETNA DENTAL ADMIN | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543128 | 2222 | N/A | 7717557 | N/A | 4214959 | 2025-05-14 17:30:00.718650 | 2025-05-13 04:29:37.229282 |
| 2025-05-14 17:29:29.848005 | 2025-05-14 17:29:34.758171 | 8054414 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-11-30 | 2025-05-14 | F | PT | N/A | SONDREAAL | WMC125993776001 | DIANE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536323/check_8054414_6280a613-5936-4678-80a1-2ad937012e12.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536323/check_8054414_0249a936-cc45-4004-bcf3-bc9a7271967f.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | Preferred Provider Organization (PPO) | WUNDERLICH-MALEC ENGINEERING, INC. CORE GROUP (PLAN 1) ACTIVES | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 1966-11-30 | 725 | 10272720 | N/A | PR | false | SONDREAAL | N/A | PAUL | N/A | 9999-12-31 | 2023-05-01 | MED/SURG - PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5536323 | 2222 | N/A | 7717555 | N/A | 4209086 | 2025-05-14 17:29:34.758171 | 2025-05-13 04:29:37.223507 |
| 2025-05-14 17:29:25.204277 | 2025-05-14 17:29:30.136212 | 8054413 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-11 | 2025-05-14 | M | PT | AE | BAKSHI | 96558021D | ALFRED | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540448/check_8054413_32c542da-1e76-4d62-8ee4-de3aabbf73b3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540448/check_8054413_2a44e016-9867-4157-81a9-4fa230c3f8ae.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 | 5831 | N/A | 5540448 | 2222 | N/A | 7717553 | N/A | 4212608 | 2025-05-14 17:29:30.136212 | 2025-05-13 04:29:37.226956 |
| 2025-05-14 17:29:04.707577 | 2025-05-14 17:29:09.666833 | 8054412 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-04-27 | 2025-05-14 | M | PT | N/A | MERTES | XED914030953 | CORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550989/check_8054412_47c2e962-883e-4f5d-b147-28b1492f8c9e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550989/check_8054412_f2ad0250-2134-4be8-ae1e-6fa2d9a2d67d.json | N/A | N/A | N/A | N/A | N/A | XED914030953 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | ANTHEM BLUE CROSS | N/A | 1966-04-27 | 2001ZK002184 | X0001004 | N/A | PR | false | MERTES | N/A | CORY | N/A | N/A | N/A | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5550989 | 2222 | N/A | 7717552 | N/A | 4219813 | 2025-05-14 17:29:09.666833 | 2025-05-13 04:29:37.230860 |
| 2025-05-14 17:28:55.037584 | 2025-05-14 17:28:58.085944 | 8054411 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-11 | 2025-05-29 | M | PT | AE | BAKSHI | 96558021D | ALFRED | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540448/check_8054411_04b93288-f5f9-4b8f-9f59-e5122e34d396.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540448/check_8054411_ec103965-673a-4dbf-aa66-eab08ef15d79.json | N/A | N/A | N/A | N/A | N/A | 96558021D | N/A | N/A | HEALTH NET, LLC | N/A | 1948-09-11 | N/A | N/A | N/A | N/A | false | BAKSHI | N/A | ALFRED | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5540448 | 2222 | N/A | 7717550 | N/A | 4212608 | 2025-05-14 17:28:58.085944 | 2025-05-13 04:29:37.226956 |
| 2025-05-14 17:28:27.447436 | 2025-05-14 17:28:52.471425 | 8054410 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-12-31 | 2025-05-14 | M | PT | N/A | SIMON | XED913765354 | DUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542217/check_8054410_421edd1c-913f-4597-9cb0-7fa49bf35db2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542217/check_8054410_8ca9daf2-8e46-4833-920b-4dac1211c463.json | N/A | N/A | N/A | N/A | N/A | XED913765354 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-12-31 | 2001ZK002185 | X0001004 | N/A | PR | false | SIMON | N/A | DUSTIN | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5542217 | 2222 | N/A | 7717549 | N/A | 4214155 | 2025-05-14 17:28:52.471425 | 2025-05-13 04:29:37.228482 |
| 2025-05-14 17:28:15.737628 | 2025-05-14 17:28:19.532770 | 8054407 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-12-31 | 2025-05-14 | M | PT | N/A | SIMON | 913762408 | DUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542213/check_8054407_3ac9fbf6-d898-4654-a2e2-5fbaa196d2f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542213/check_8054407_88e20368-b887-437f-a47a-23b9317183a4.json | N/A | N/A | N/A | N/A | N/A | 913762408 | N/A | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-12-31 | 2001DA000346 | X0001004 | N/A | N/A | false | SIMON | N/A | DUSTIN | N/A | N/A | N/A | FAMILY DENTAL HMO PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5542213 | 2222 | N/A | 7717546 | N/A | 4214155 | 2025-05-14 17:28:19.532770 | 2025-05-13 04:29:37.228482 |
| 2025-05-14 17:28:02.187990 | 2025-05-14 17:28:12.003352 | 8054406 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-08-09 | 2025-05-14 | F | PT | AE | MARBLE | MISSINGPOLICYNUMBER | MARIYLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874424/check_8054406_40bc9d75-719b-41bd-9e49-4ace5d3fdc72.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874424/check_8054406_2130a69c-9c4c-4b58-8543-d811e15ca1eb.json | N/A | N/A | N/A | N/A | N/A | 196183831 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1939-08-09 | N/A | N/A | N/A | N/A | false | MARBLE | N/A | MARILYN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5874424 | 2222 | N/A | 7717545 | N/A | 4534553 | 2025-05-14 17:28:12.003352 | 2025-05-14 18:56:59.717848 |
| 2025-05-14 17:27:46.690592 | 2025-05-14 17:27:54.497820 | 8054399 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-12-30 | 2025-05-14 | F | PT | AE | MEDINA | 35703327111 | CHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676389/check_8054399_fb4d03a7-5000-4fac-a128-0d58ddd3440c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676389/check_8054399_0a07e1e2-834e-40cb-a3f9-11275d32db19.json | N/A | N/A | N/A | N/A | N/A | 357033271 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-12-30 | N/A | N/A | N/A | N/A | false | MEDINA | N/A | CHRISTINE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5676389 | 2222 | N/A | 7717538 | N/A | 4343445 | 2025-05-14 17:27:54.497820 | 2025-05-14 09:06:09.407736 |
| 2025-05-14 17:27:39.381838 | 2025-05-14 17:27:50.406226 | 8054398 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-08-09 | 2025-05-29 | F | PT | AE | CHORSKE | W279473475 | GABRIELLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541384/check_8054398_d5042c4d-0460-4343-a73c-217c241ed751.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541384/check_8054398_0022ca46-7a7a-4d94-81fd-42e379221d68.json | N/A | N/A | N/A | N/A | N/A | W279473475 | Point of Service (POS) | WESTERN ALLIANCE BANK | AETNA | N/A | 2003-08-09 | 0237851 | 023785101200005 | N/A | PS | false | CHORSKE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5541384 | 2222 | N/A | 7717537 | N/A | 4213412 | 2025-05-14 17:27:50.406226 | 2025-05-13 04:29:37.227734 |
| 2025-05-14 17:23:00.183587 | 2025-05-14 17:23:04.061654 | 8054380 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-10-27 | 2025-05-29 | M | PT | N/A | FEDERER | XEA911365031 | MITCH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542512/check_8054380_777e8c21-2e34-40e7-9360-032824667dd3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542512/check_8054380_aa64657b-3afd-44f1-a549-ee819f15e4e4.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2022-05-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542512 | 2222 | N/A | 7717514 | N/A | 4214416 | 2025-05-14 17:23:04.061654 | 2025-05-13 04:29:37.228740 |
| 2025-05-14 17:22:35.387771 | 2025-05-14 17:22:37.300458 | 8054379 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-09-13 | 2025-05-29 | U | PT | AE | DERR | 353354100-11 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_8054379_b96fabef-ed7d-4eeb-83f6-36dd68cdf07e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_8054379_e72f31b0-e152-4f6a-80e4-f6d7a09f90d0.json | N/A | N/A | N/A | N/A | N/A | 353354100-11 | N/A | N/A | UNITED HEALTHCARE | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5874421 | 2222 | N/A | 7717511 | N/A | 4534550 | 2025-05-14 17:22:37.300458 | 2025-10-15 18:36:58.255255 |
| 2025-05-14 17:22:13.821499 | 2025-05-14 17:22:25.628297 | 8054375 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-09-13 | 2025-05-29 | M | PT | AE | DERR | 353354100-11 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_8054375_e9b8129f-8509-4732-a993-b1b03d182390.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_8054375_bfb3f07f-23f3-4f3c-a0e5-801db4834eac.json | N/A | N/A | N/A | N/A | N/A | 221344721 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-09-28 | 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 | 5831 | N/A | 5874421 | 2222 | N/A | 7717509 | N/A | 4534550 | 2025-05-14 17:22:25.628297 | 2025-10-15 18:36:58.255255 |
| 2025-05-14 17:22:01.768568 | 2025-05-14 17:22:03.742063 | 8054374 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-09-13 | 2025-05-29 | U | PT | AE | DERR | 353354100-11 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_8054374_871b798e-88ba-4c5e-ad17-19f8661a5280.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_8054374_cb0435c3-6507-46a0-8661-20dfc2365ef4.json | N/A | N/A | N/A | N/A | N/A | 353354100-11 | N/A | N/A | UNITED HEALTHCARE | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5874421 | 2222 | N/A | 7717504 | N/A | 4534550 | 2025-05-14 17:22:03.742063 | 2025-10-15 18:36:58.255255 |
| 2025-05-14 17:19:52.730861 | 2025-05-14 17:19:55.583599 | 8054362 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-09-13 | 2025-05-29 | U | PT | AE | DERR | 4GK3GN5DV73 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874420/check_8054362_7795508e-60db-430b-8097-91797a3fef59.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_8054362_475981f6-f0aa-4c66-8f24-be64dc428499.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5874420 | 2222 | N/A | 7717493 | N/A | 4534550 | 2025-05-14 17:19:55.583599 | 2025-10-15 18:36:58.255255 |
| 2025-05-14 17:08:09.386615 | 2025-05-14 17:08:11.132222 | 8054312 | N/A | N/A | N/A | MISSING INSURANCE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-04-04 | 2025-05-14 | F | PT | AE | Whisman | MISSINGPOLICYNUMBER | Athelas | https://storage.googleapis.com/normandy-eligibility-checks/2222/5201628/check_8054312_41fb3e20-d268-4e41-a05f-bd28d0b8d66e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5201628/check_8054312_9647fa66-e95c-48bc-a8b2-f264a2beff6e.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MISSING INSURANCE | N/A | 2000-04-04 | N/A | N/A | N/A | N/A | false | WHISMAN | N/A | ATHELAS | 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 | 5201628 | 2222 | N/A | 7717424 | N/A | 3930357 | 2025-05-14 17:08:11.132222 | 2025-07-30 22:49:39.209776 |
| 2025-05-14 13:26:11.359074 | 2025-05-14 13:26:13.531543 | 8053303 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-07-05 | 2025-05-14 | U | PT | N/A | JACKSON OLISON | YGZ624W07431 | CHERYL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874450/check_8053303_060e21df-7983-4583-85a7-5b6eb0a8e23a.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874450/check_8053303_7b72bfa5-5d37-4397-b523-1a4203e104e0.json | N/A | N/A | N/A | N/A | N/A | YGZ624W07431 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1954-07-05 | N/A | N/A | N/A | N/A | false | JACKSON OLISON | N/A | CHERYL | 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 | 5874450 | 2222 | N/A | 7716093 | N/A | 4534573 | 2025-05-14 13:26:13.531543 | 2025-05-29 21:21:34.077440 |
| 2025-05-14 13:26:06.590285 | 2025-05-14 13:26:17.241583 | 8053302 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-06-02 | 2025-05-14 | F | PT | N/A | WILCOX | MBL036W19385 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542975/check_8053302_1af4c1b1-4431-438e-899e-7e66a1ce5493.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542975/check_8053302_288e97ac-aa6b-41e8-9706-6d5cab8cadc0.json | N/A | N/A | N/A | N/A | N/A | MBL036W19385 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1942-06-02 | 040 | CA039GRS | N/A | N/A | false | WILCOX | N/A | PATRICIA | N/A | 9999-12-31 | 2024-02-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542975 | 2222 | N/A | 7716094 | N/A | 4214826 | 2025-05-14 13:26:17.241583 | 2025-05-13 04:29:37.229148 |
| 2025-05-14 13:26:04.315694 | 2025-05-14 13:26:08.147998 | 8053301 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-02-24 | 2025-05-14 | M | PT | N/A | WREDE | XEK911131692 | KENDRICK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542032/check_8053301_7750ea2b-4bb4-4780-9c7d-2f5251664608.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542032/check_8053301_a9858c2c-9e8a-41de-a577-5c10137697b7.json | N/A | N/A | N/A | N/A | N/A | XEK911131692 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2009-02-24 | 2001ZJ002648 | X0001000 | N/A | PR | false | HILL | N/A | RANLYN | N/A | 2035-02-28 | 2025-01-01 | SILVER 1750 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542032 | 2222 | N/A | 7716089 | N/A | 4213989 | 2025-05-14 13:26:08.147998 | 2025-05-13 04:29:37.228307 |
| 2025-05-14 13:26:03.934130 | 2025-05-14 13:26:08.161701 | 8053300 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-10-16 | 2025-05-14 | M | PT | N/A | BRODER | XEA908882416 | AARON | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543030/check_8053300_1bf81b7b-deb4-472d-82e6-3810573080fd.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543030/check_8053300_e56e29ba-fb7f-4afa-b914-24bf955b3ed1.json | N/A | N/A | N/A | N/A | N/A | XEA908882416 | Preferred Provider Organization (PPO) | EVOLVE MEDIA LLC | BLUE SHIELD CALIFORNIA | N/A | 1968-10-16 | 1000VX000102 | W0103395 | N/A | PR | false | BRODER | N/A | AARON | N/A | 9999-12-31 | 2019-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543030 | 2222 | N/A | 7716088 | N/A | 4214873 | 2025-05-14 13:26:08.161701 | 2025-05-13 04:29:37.229199 |
| 2025-05-14 13:26:03.231906 | 2025-05-14 13:26:08.874665 | 8053299 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-30 | 2025-05-14 | F | PT | N/A | HOW | LTC753A71345 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539919/check_8053299_6ead3120-3554-4b87-a3a2-19abb9597349.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539919/check_8053299_2862b247-c448-4565-8fd0-150f1592151a.json | N/A | N/A | N/A | N/A | N/A | LTC753A71345 | Preferred Provider Organization (PPO) | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1967-09-30 | 040 | 174151M1A3 | N/A | PR | false | TUNG | N/A | YEH-CHING | N/A | 9999-12-31 | 2014-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539919 | 2222 | N/A | 7716091 | N/A | 4212155 | 2025-05-14 13:26:08.874665 | 2025-05-13 04:29:37.226493 |
| 2025-05-14 13:26:02.285270 | 2025-05-14 13:26:08.262780 | 8053298 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-10-15 | 2025-05-14 | M | PT | N/A | JONOVIC | JQU042A71575 | ANDREJ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543198/check_8053298_527a4a03-aff0-4428-9642-f0d390db31dd.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543198/check_8053298_4a3cef47-3854-422d-8f61-01ba4c79d18f.json | N/A | N/A | N/A | N/A | N/A | JQU042A71575 | Preferred Provider Organization (PPO) | HANDSON VENTURES LLC | ANTHEM BLUE CROSS | N/A | 1980-10-15 | 040 | 327252 | N/A | PR | false | JONOVIC | N/A | SARAH | N/A | 9999-12-31 | 2024-12-01 | ANTHEM GOLD PPO 30/500/20% RXD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543198 | 2222 | N/A | 7716090 | N/A | 4215023 | 2025-05-14 13:26:08.262780 | 2025-05-13 04:29:37.229341 |
| 2025-05-14 13:26:02.009816 | 2025-05-14 13:26:11.861697 | 8053297 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-10-20 | 2025-05-14 | M | PT | AE | SAMUELS | W289332071 | ZACHARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542467/check_8053297_393538de-6f83-46a6-b445-266952a758f8.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542467/check_8053297_b59cabf3-4735-4813-b6c8-b24e752cad61.json | N/A | N/A | N/A | N/A | N/A | W289332071 | Point of Service (POS) | CACI INTERNATIONAL INC. | AETNA | N/A | 1989-10-20 | 0169496 | 016949601000001 | N/A | PS | false | SAMUELS | N/A | ZACHARY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542467 | 2222 | N/A | 7716092 | N/A | 4214379 | 2025-05-14 13:26:11.861697 | 2025-05-13 04:29:37.228706 |
| 2025-05-14 13:26:00.177594 | 2025-05-14 13:26:02.581429 | 8053296 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-11-07 | 2025-05-14 | U | PT | AE | LOPEZ | 988295699 | RICARDO | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874415/check_8053296_c91a95c4-6de7-4fda-bf3a-1b246f91698a.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874415/check_8053296_a2e30291-1b73-4b1e-9041-c143e89de700.json | N/A | N/A | N/A | N/A | N/A | 988295699 | N/A | N/A | UNITED HEALTHCARE | N/A | 2007-11-07 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | RICARDO | 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 | 5874415 | 2222 | N/A | 7716086 | N/A | 4534549 | 2025-05-14 13:26:02.581429 | 2025-05-14 09:06:19.868556 |
| 2025-05-14 13:25:59.418726 | 2025-05-14 13:26:02.615071 | 8053295 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-18 | 2025-05-14 | M | PT | N/A | COHEN | MBL227W07090 | JERRY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542601/check_8053295_1a02f06c-be72-4898-a670-fc8e5e82f613.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542601/check_8053295_93d26e52-9272-4fd5-b227-cd491736195c.json | N/A | N/A | N/A | N/A | N/A | MBL227W07090 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1955-12-18 | 040 | CAEGR005 | N/A | N/A | false | COHEN | N/A | JERRALD | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542601 | 2222 | N/A | 7716087 | N/A | 4214492 | 2025-05-14 13:26:02.615071 | 2025-05-13 04:29:37.228808 |
| 2025-05-14 13:25:58.628585 | 2025-05-14 13:26:01.414191 | 8053294 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-08-17 | 2025-05-14 | U | PT | AE | RUEMMELE | 17940949900 | MAKENA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874412/check_8053294_5f5a8edb-bdcc-497a-a995-a88f4e68ab4d.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874412/check_8053294_15f52a47-0996-4e1a-b341-8baa66b71ff1.json | N/A | N/A | N/A | N/A | N/A | 17940949900 | N/A | N/A | UNITED HEALTHCARE | N/A | 2013-08-17 | N/A | N/A | N/A | N/A | false | RUEMMELE | N/A | MAKENA | 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 | 5874412 | 2222 | N/A | 7716085 | N/A | 4534546 | 2025-05-14 13:26:01.414191 | 2025-12-03 00:06:29.870228 |
| 2025-05-14 13:25:57.297920 | 2025-05-14 13:25:59.705431 | 8053293 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-12-25 | 2025-05-14 | U | PT | N/A | KELL | MPI30318532Q | KRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874414/check_8053293_a5f558c1-555f-4e97-90c8-00829c4f0dac.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874414/check_8053293_fa2f05f9-b35d-41db-a74e-e7dc5f812249.json | N/A | N/A | N/A | N/A | N/A | MPI30318532Q | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1964-12-25 | N/A | N/A | N/A | N/A | false | KELL | N/A | KRISTINA | 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 | 5874414 | 2222 | N/A | 7716084 | N/A | 4534548 | 2025-05-14 13:25:59.705431 | 2025-05-28 20:55:34.257011 |
| 2025-05-14 13:24:50.403839 | 2025-05-14 13:24:53.664251 | 8053288 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-06-30 | 2025-05-14 | M | PT | N/A | BRESSLER | XED913363872 | COLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543277/check_8053288_b0def688-d935-4672-a2db-0792138afed8.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543277/check_8053288_d0470da0-77ac-415f-92b0-22e986921bca.json | N/A | N/A | N/A | N/A | N/A | XED913363872 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1995-06-30 | 2001ZK002169 | X0001004 | N/A | PR | false | BRESSLER | N/A | COLE | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543277 | 2222 | N/A | 7716079 | N/A | 4215092 | 2025-05-14 13:24:53.664251 | 2025-05-13 04:29:37.229407 |
| 2025-05-14 13:24:28.917900 | 2025-05-14 13:24:33.317814 | 8053287 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-01-15 | 2025-05-14 | M | AD | N/A | VERRONE | 00276044200 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676345/check_8053287_8f0eab04-3e08-4466-b81a-7a5f0dd04a37.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676345/check_8053287_86e76951-9c6f-496f-bf9f-d75a44a1c5d9.json | N/A | N/A | N/A | N/A | N/A | 00276044200 | N/A | N/A | CIGNA CONNECTICUT GENERAL EQUICOR EQUITABLE | N/A | 1978-01-15 | N/A | N/A | N/A | N/A | false | VERRONE | N/A | JOSEPH | 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 | 5676345 | 2222 | N/A | 7716076 | N/A | 4211547 | 2025-05-14 13:24:33.317814 | 2025-05-13 04:29:37.225884 |
| 2025-05-14 13:24:25.052317 | 2025-05-14 13:24:31.650761 | 8053286 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-10-01 | 2025-05-14 | M | PT | N/A | LOPATY | SIF545W21388 | CLINT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540566/check_8053286_bd55fba5-4032-4982-a7cb-02dd4db6a05a.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540566/check_8053286_b1e2a1d8-d760-4d7f-b562-7ecd4eae97e6.json | N/A | N/A | N/A | N/A | N/A | SIF545W21388 | Preferred Provider Organization (PPO) | SISC - PASADENA CITY COLLEGE | ANTHEM BLUE CROSS | N/A | 1979-10-01 | 040 | 40868B | N/A | PR | false | LOPATY | N/A | CLINT | N/A | 9999-12-31 | 2024-09-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540566 | 2222 | N/A | 7716075 | N/A | 4212709 | 2025-05-14 13:24:31.650761 | 2025-05-13 04:29:37.227054 |
| 2025-05-14 13:24:22.269860 | 2025-05-14 13:24:43.414267 | 8053285 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-08-11 | 2025-05-14 | M | PT | AE | VELAZQUEZ | 825A50913 | NELSON | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676370/check_8053285_850da12c-33cf-485b-a5a1-d3d6d8ef1c5f.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676370/check_8053285_5d2e376c-406e-404c-a588-b6cfbb976b99.json | N/A | N/A | N/A | N/A | N/A | MBL825A50913 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1943-08-11 | 040 | CA039GRS | N/A | N/A | false | VELAZQUEZ | N/A | NELSON | N/A | 9999-12-31 | 2022-01-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676370 | 2222 | N/A | 7716077 | N/A | 4219819 | 2025-05-14 13:24:43.414267 | 2026-04-16 20:37:54.612915 |
| 2025-05-14 13:24:21.829099 | 2025-05-14 13:24:52.312712 | 8053282 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-08-11 | 2025-05-14 | M | PT | AE | VELAZQUEZ | 7RA2UD6VM18 | NELSON | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676369/check_8053282_55133377-c60e-4c13-9bd3-8a61bb1e7ae9.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676369/check_8053282_c4c61172-1a16-4af5-86ac-5955f8049e9a.json | N/A | N/A | N/A | N/A | N/A | 7RA2UD6VM18 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-08-11 | H4036 | N/A | N/A | MB | false | VELAZQUEZ | N/A | NELSON | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676369 | 2222 | N/A | 7716078 | N/A | 4219819 | 2025-05-14 13:24:52.312712 | 2026-04-16 20:37:54.612915 |
| 2025-05-14 13:24:19.897778 | 2025-05-14 13:24:22.809595 | 8053281 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-01-02 | 2025-05-14 | U | PT | AE | CHANDLER | 932012561 | GISELLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874428/check_8053281_5b744414-5263-432d-b0d2-ebc72165a661.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874428/check_8053281_a8122c4f-40e2-4aac-830b-865c68722911.json | N/A | N/A | N/A | N/A | N/A | 932012561 | N/A | N/A | UNITED HEALTHCARE | N/A | 1978-01-02 | N/A | N/A | N/A | N/A | false | CHANDLER | N/A | GISELLE | 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 | 5874428 | 2222 | N/A | 7716071 | N/A | 4534557 | 2025-05-14 13:24:22.809595 | 2025-05-14 09:08:11.382549 |
| 2025-05-14 13:24:17.252490 | 2025-05-14 13:24:23.820290 | 8053280 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-04-13 | 2025-05-14 | F | PT | AE | BLUM | 4TT3J24RG08 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539301/check_8053280_5ce3c351-745a-41b7-9427-340ec7dc32a5.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539301/check_8053280_c4cf2d40-6cca-4fe2-a70b-8f4cb5e282e7.json | N/A | N/A | N/A | N/A | N/A | 4TT3J24RG08 | Medicare Part A | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-04-13 | S5820 | N/A | N/A | MA | false | BLUM | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539301 | 2222 | N/A | 7716070 | N/A | 4211624 | 2025-05-14 13:24:23.820290 | 2025-05-13 04:29:37.225953 |
| 2025-05-14 13:24:16.040898 | 2025-05-14 13:24:18.409712 | 8053279 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2010-04-08 | 2025-05-14 | U | PT | AE | MARTINEZ | 000021732704 | OWEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874411/check_8053279_7bf77cd4-c1f8-473b-8683-7131a34e83e7.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874411/check_8053279_10675bc4-57e6-4c2f-99ea-99cb72a65546.json | N/A | N/A | N/A | N/A | N/A | 000021732704 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2010-04-08 | N/A | N/A | N/A | N/A | false | MARTINEZ | N/A | OWEN | 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 | 5874411 | 2222 | N/A | 7716067 | N/A | 4534545 | 2025-05-14 13:24:18.409712 | 2025-05-14 18:55:09.994870 |
| 2025-05-14 13:24:15.917833 | 2025-05-14 13:24:22.706856 | 8053278 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-20 | 2025-05-14 | U | PT | AE | BRENNER | 8F12ED9EE92 | ROCIO FLORES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550896/check_8053278_235d483e-294c-4cbe-bf28-f31bc8bdce4e.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550896/check_8053278_72d38bfb-f18e-4f18-8edc-08321576eb66.json | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550896 | 2222 | N/A | 7716072 | N/A | 4219750 | 2025-05-14 13:24:22.706856 | 2025-06-06 02:15:39.377685 |
| 2025-05-14 13:24:14.719447 | 2025-05-14 13:24:19.062602 | 8053277 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-11-30 | 2025-05-14 | F | PT | N/A | SONDREAAL | WMC125993776001 | DIANE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536319/check_8053277_507735d8-493e-43bf-97cb-767fe4ff0a2b.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536319/check_8053277_14beed5a-6574-49de-80ba-5473b9a4ebe9.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | Preferred Provider Organization (PPO) | WUNDERLICH-MALEC ENGINEERING, INC. CORE GROUP (PLAN 1) ACTIVES | ANTHEM BLUE CROSS | FUNDING TYPE = SELF INSURED | 1966-11-30 | 725 | 10272720 | N/A | PR | false | SONDREAAL | N/A | PAUL | N/A | N/A | N/A | MED/SURG - PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536319 | 2222 | N/A | 7716068 | N/A | 4209086 | 2025-05-14 13:24:19.062602 | 2025-05-13 04:29:37.223507 |
| 2025-05-14 13:24:14.482101 | 2025-05-14 13:24:20.798166 | 8053276 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-10-02 | 2025-05-14 | U | PT | N/A | CHIASSON | NSA00457390H | BEAUREGARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537638/check_8053276_1f6c564a-674a-4825-8516-ba0e7f131162.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537638/check_8053276_8e2c4a6a-0dc5-4c91-84f2-fe7241144e6b.json | N/A | N/A | N/A | N/A | N/A | NSA00457390H | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 2007-10-02 | N/A | N/A | N/A | N/A | false | CHIASSON | N/A | BEAUREGARD | 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 | 5537638 | 2222 | N/A | 7716066 | N/A | 4210171 | 2025-05-14 13:24:20.798166 | 2025-05-14 18:54:05.982291 |
| 2025-05-14 13:24:13.827126 | 2025-05-14 13:24:16.099245 | 8053275 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-08-09 | 2025-05-14 | U | PT | AE | MARBLE | MISSINGPOLICYNUMBER | MARIYLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874424/check_8053275_061ed815-2dfe-4ed5-8a4c-402a9049426a.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874424/check_8053275_8c22d522-e5e5-4e24-b7bb-f35d18e47bfa.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | UNITED HEALTHCARE | N/A | 1939-08-09 | N/A | N/A | N/A | N/A | false | MARBLE | N/A | MARIYLYN | 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 | 5874424 | 2222 | N/A | 7716065 | N/A | 4534553 | 2025-05-14 13:24:16.099245 | 2025-05-14 18:56:59.717848 |
| 2025-05-14 13:24:13.577438 | 2025-05-14 13:24:21.056940 | 8053274 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-05-14 | M | PT | AE | LANE | 4CA5FX1PJ56 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676372/check_8053274_0c3e548b-7388-4c61-b2a2-50a0c32a560e.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676372/check_8053274_109530df-20f8-4848-8817-535bc560736b.json | N/A | N/A | N/A | N/A | N/A | 4CA5FX1PJ56 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-25 | S4802 | N/A | N/A | MA | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676372 | 2222 | N/A | 7716069 | N/A | 4219832 | 2025-05-14 13:24:21.056940 | 2025-05-13 04:29:37.230877 |
| 2025-05-14 13:24:09.170272 | 2025-05-14 13:24:14.023902 | 8053273 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-12-30 | 2025-05-14 | F | PT | AE | MEDINA | 6QE6PJ0WV58 | CHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676388/check_8053273_d872236c-053e-4a63-9e56-3ece31220437.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676388/check_8053273_01209aba-ecab-43de-8bd8-2cee6d522f3f.json | N/A | N/A | N/A | N/A | N/A | 6QE6PJ0WV58 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-12-30 | S4802 | N/A | N/A | MA | false | MEDINA | N/A | CHRISTINE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676388 | 2222 | N/A | 7716062 | N/A | 4343445 | 2025-05-14 13:24:14.023902 | 2025-05-14 09:06:09.407736 |
| 2025-05-14 13:24:08.837181 | 2025-05-14 13:24:29.180196 | 8053272 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-05-08 | 2025-05-14 | F | PT | N/A | JEBBARI DELSHAD | XED913120799 | NEDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550827/check_8053272_eb65cfc9-9f31-46d6-a19e-9a69e7a815be.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550827/check_8053272_9a54ec0c-fcfa-44be-8007-89668113c9a7.json | N/A | N/A | N/A | N/A | N/A | XED913120799 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-05-08 | 2001ZK002184 | X0001004 | N/A | PR | false | DELSHAD | N/A | ALLEN | N/A | 9999-12-31 | 2024-04-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550827 | 2222 | N/A | 7716074 | N/A | 4219700 | 2025-05-14 13:24:29.180196 | 2025-05-13 04:29:37.230745 |
| 2025-05-14 13:24:06.854634 | 2025-05-14 13:24:18.871658 | 8053271 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-05-02 | 2025-05-14 | F | PT | AE | AFTERGOOD | 6R18D09UM38 | GAIL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676365/check_8053271_5ad41dad-09dc-4dd3-a4de-679b1ad05951.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676365/check_8053271_b6f02cc6-fd9a-43de-b1bc-14352acd4d5a.json | N/A | N/A | N/A | N/A | N/A | 6R18D09UM38 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-05-02 | S4802 | N/A | N/A | MA | false | AFTERGOOD | N/A | GAIL | 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 | 5676365 | 2222 | N/A | 7716061 | N/A | 4219754 | 2025-05-14 13:24:18.871658 | 2025-05-13 04:29:37.230796 |
| 2025-05-13 21:53:51.986129 | 2025-05-13 21:54:02.837514 | 8041477 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-05-08 | 2025-05-13 | F | PT | AE | GRINBERG | 04690155011 | HANNA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542163/check_8041477_8e977e4b-b4a9-4306-937e-e22a41c288b8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542163/check_8041477_7ab035b3-8a5c-4509-9342-35794ca4c296.json | N/A | N/A | N/A | N/A | N/A | 04690155011 | 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. | 1937-05-08 | N/A | N/A | N/A | SP | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542163 | 2222 | N/A | 7703114 | N/A | 4214112 | 2025-05-13 21:54:02.837514 | 2025-05-13 04:29:37.228426 |
| 2025-05-13 21:22:31.894103 | 2025-05-13 21:22:34.637951 | 8041386 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-11-27 | 2025-05-19 | M | PT | AE | NEILSON | 468A54912 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542625/check_8041386_b5d45eb7-69b6-4d7f-9d34-7ce65b9b4fdd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542625/check_8041386_7926913d-4aa7-4fb1-a998-7f91c0448392.json | N/A | N/A | N/A | N/A | N/A | 468A54912 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-11-27 | N/A | N/A | N/A | N/A | false | NEILSON | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542625 | 2222 | N/A | 7702923 | N/A | 4214511 | 2025-05-13 21:22:34.637951 | 2025-05-13 04:29:37.228826 |
| 2025-05-13 21:21:59.994524 | 2025-05-13 21:22:19.940785 | 8041384 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-01-04 | 2025-05-19 | M | PT | AE | GERSHMAN | 987203340 | TYLER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542830/check_8041384_3204c122-71be-4568-9b8e-57f1d8d01887.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542830/check_8041384_05abf907-54f2-4511-a153-a6fed73c2173.json | N/A | N/A | N/A | N/A | N/A | 987203340 | Consolidated Omnibus Budget Reconciliation Act (COBRA) | ORACLE | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1997-01-04 | 0169 0169 | 228485 | N/A | CO | false | GERSHMAN | N/A | TYLER | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542830 | 2222 | N/A | 7702921 | N/A | 4214699 | 2025-05-13 21:22:19.940785 | 2025-05-13 04:29:37.229016 |