API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-10 09:12:17.723830 | 2025-05-11 05:25:00.631354 | 7980578 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 7980578 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-05-14 | U | PT | STEINBERG | MBL875M98441 | HARRIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250510.121129175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_7980578_666d8fcc-3df3-412e-8681-d0ace90c30c3.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1940-08-31 | N/A | N/A | N/A | N/A | false | STEINBERG | N/A | HARRIS | 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 | 5541917 | 2222 | 4793 | 7642679 | N/A | 4213891 | 2025-05-11 05:25:00.631354 | 2025-05-13 04:29:37.228207 |
| 2025-05-10 09:12:16.671591 | 2025-05-11 05:25:51.242699 | 7980574 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 7980574 | Athletic Physical Therapy Inc | 1969-04-26 | 2025-05-14 | U | PT | LYBRAND | TGX909078723 | TONYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250510.121129175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541852/check_7980574_d72f48b7-77eb-451b-b06d-343bf2c6678a.json | N/A | N/A | N/A | N/A | N/A | TGX909078723 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1969-04-26 | N/A | N/A | N/A | N/A | false | LYBRAND | N/A | TONYA | 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 | 5541852 | 2222 | 4793 | 7643149 | N/A | 4213837 | 2025-05-11 05:25:51.242699 | 2025-05-13 04:29:37.228158 |
| 2025-05-10 09:12:16.122268 | 2025-05-11 05:25:52.627756 | 7980572 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 7980572 | Athletic Physical Therapy Inc | 2008-11-19 | 2025-05-14 | U | PT | ZARIN | XEK905647080 | ELLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250510.121129175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541582/check_7980572_3a6ce3ca-57b2-4aa5-828a-36873814c562.json | N/A | N/A | N/A | N/A | N/A | XEK905647080 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2008-11-19 | N/A | N/A | N/A | N/A | false | ZARIN | N/A | ELLA | 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 | 5541582 | 2222 | 4793 | 7643159 | N/A | 4213586 | 2025-05-11 05:25:52.627756 | 2025-05-28 20:44:53.527917 |
| 2025-05-10 09:12:15.732156 | 2025-05-11 05:10:47.710540 | 7980570 | N/A | N/A | 60054 | Aetna | 1114042165 | 7980570 | Athletic Physical Therapy Inc | 2003-08-09 | 2025-05-14 | U | PT | CHORSKE | W279473475 | GABRIELLE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250510.121129175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541384/check_7980570_1ce2bb89-06c0-4bf6-940b-ac1354c250aa.json | N/A | N/A | N/A | N/A | N/A | W279473475 | N/A | N/A | AETNA | N/A | 2003-08-09 | N/A | N/A | N/A | N/A | false | CHORSKE | N/A | GABRIELLE | 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 | 5541384 | 2222 | 4793 | 7635795 | N/A | 4213412 | 2025-05-11 05:10:47.710540 | 2025-05-13 04:29:37.227734 |
| 2025-05-10 09:12:15.198800 | 2025-05-11 05:25:50.632158 | 7980568 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 7980568 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-05-14 | U | PT | KURTZ | XED906231353 | NINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250510.121129175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541378/check_7980568_0731d793-902e-451f-b005-257be3958bf5.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | N/A | N/A | N/A | N/A | false | KURTZ | N/A | NINA | 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 | 5541378 | 2222 | 4793 | 7643143 | N/A | 4213405 | 2025-05-11 05:25:50.632158 | 2025-05-13 04:29:37.227726 |
| 2025-05-10 09:12:14.632237 | 2025-05-11 05:25:40.770013 | 7980567 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 7980567 | Athletic Physical Therapy Inc | 1974-08-29 | 2025-05-14 | U | PT | AGUILAR | IPET50076164 | STEPHANIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250510.121129175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539378/check_7980567_c8b4f6a9-2d17-4c1a-8049-9941e61c6263.json | N/A | N/A | N/A | N/A | N/A | IPET50076164 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1974-08-29 | N/A | N/A | N/A | N/A | false | AGUILAR | N/A | STEPHANIE | 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 | 5539378 | 2222 | 4801 | 7643062 | N/A | 4211703 | 2025-05-11 05:25:40.770013 | 2025-05-13 04:29:37.226025 |
| 2025-05-10 09:12:13.321275 | 2025-05-11 05:24:55.402517 | 7980561 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 7980561 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-05-14 | U | PT | GINSBERG | JQU469A62630 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250510.121129175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_7980561_291eca79-c5ab-4fef-a2bd-03f6db57b05e.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1960-08-08 | N/A | N/A | N/A | N/A | false | GINSBERG | N/A | STEVEN | 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 | 5538693 | 2222 | 4793 | 7642649 | N/A | 4211081 | 2025-05-11 05:24:55.402517 | 2025-05-13 04:29:37.225492 |
| 2025-05-10 09:08:02.360677 | 2025-05-11 05:07:11.978501 | 7974976 | N/A | N/A | 71412 | Mutual of Omaha Insurance Company | 1114042165 | 7974976 | Athletic Physical Therapy Inc | 1954-12-06 | 2025-05-14 | U | PT | HILL | 36606496 | CAMERON | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250510.115516832.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550970/check_7974976_a0b0b3e6-0c1b-4334-8323-115f40dd5b21.json | N/A | N/A | N/A | N/A | N/A | 36606496 | N/A | N/A | MUTUAL OF OMAHA INSURANCE COMPANY | N/A | 1954-12-06 | N/A | N/A | N/A | N/A | false | HILL | N/A | CAMERON | 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 | 5550970 | 2222 | 4801 | 7633590 | N/A | 4219795 | 2025-05-11 05:07:11.978501 | 2025-05-13 04:29:37.230834 |
| 2025-05-10 09:08:02.320454 | 2025-05-11 05:13:02.290635 | 7974975 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 7974975 | Athletic Physical Therapy Inc | 1951-05-24 | 2025-05-14 | U | PT | LINDSEY | XEM905211597 | CHRISTIE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250510.115516832.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550956/check_7974975_983f9d49-f071-488b-8c5c-17461f4d654d.json | N/A | N/A | N/A | N/A | N/A | XEM905211597 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1951-05-24 | N/A | N/A | N/A | N/A | false | LINDSEY | N/A | CHRISTIE | 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 | 5550956 | 2222 | 4801 | 7636928 | N/A | 4219787 | 2025-05-11 05:13:02.290635 | 2025-05-13 04:29:37.230828 |
| 2025-05-10 09:08:02.281225 | 2025-05-11 05:11:35.553135 | 7974974 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 7974974 | Athletic Physical Therapy Inc | 1958-07-03 | 2025-05-14 | U | PT | NOVORR | U5X043M87191 | TERRY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250510.115516832.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550909/check_7974974_d31c32f8-856a-4725-ad62-c66698784d88.json | N/A | N/A | N/A | N/A | N/A | U5X043M87191 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1958-07-03 | N/A | N/A | N/A | N/A | false | NOVORR | N/A | TERRY | 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 | 5550909 | 2222 | 4801 | 7636177 | N/A | 4219758 | 2025-05-11 05:11:35.553135 | 2025-05-13 04:29:37.230800 |
| 2025-05-10 09:08:02.241536 | 2025-05-11 05:13:02.719872 | 7974972 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 7974972 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-05-14 | U | PT | LUCZYWEK | XEA907100099 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250510.115516832.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549318/check_7974972_0a7a0943-240b-4107-a142-e44242e49701.json | N/A | N/A | N/A | N/A | N/A | XEA907100099 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1962-01-25 | N/A | N/A | N/A | N/A | false | LUCZYWEK | N/A | DEBORA | 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 | 5549318 | 2222 | 4801 | 7636933 | N/A | 4219010 | 2025-05-11 05:13:02.719872 | 2026-01-09 18:32:07.618867 |
| 2025-05-10 09:08:01.474855 | 2025-05-11 05:11:34.898260 | 7974952 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 7974952 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-05-14 | U | PT | HOWARD | JQE896M91712 | JUDI | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250510.115516832.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543352/check_7974952_9d3237ff-ce86-403c-9d67-96fe1013a7e6.json | N/A | N/A | N/A | N/A | N/A | JQE896M91712 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1952-11-19 | N/A | N/A | N/A | N/A | false | HOWARD | N/A | JUDI | 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 | 5543352 | 2222 | 4793 | 7636156 | N/A | 4215147 | 2025-05-11 05:11:34.898260 | 2025-05-13 04:29:37.229464 |
| 2025-05-10 09:08:01.438090 | 2025-05-11 05:25:47.473947 | 7974950 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 7974950 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-05-14 | U | PT | ULLMAN | 8HC8F35AX50 | DAVID | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250510.115516832.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_7974950_c42e7080-1cc9-4250-9336-f63492f6a562.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MA | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543201 | 2222 | 4801 | 7643114 | N/A | 4215026 | 2025-05-11 05:25:47.473947 | 2025-06-07 16:16:41.178119 |
| 2025-05-10 09:08:01.400699 | 2025-05-11 05:25:47.044495 | 7974949 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 7974949 | Athletic Physical Therapy Inc | 1959-10-03 | 2025-05-14 | U | PT | REED | 2YY5KV0WP59 | SONIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250510.115516832.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542497/check_7974949_9563b015-85f6-4180-8c99-0e585af14bdd.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MB | false | REED | N/A | SONIA | 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 | 5542497 | 2222 | 4801 | 7643108 | N/A | 4214397 | 2025-05-11 05:25:47.044495 | 2025-05-13 04:29:37.228723 |
| 2025-05-09 23:38:37.565939 | 2025-05-09 23:38:41.412863 | 7962782 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-05-11 | 2025-05-29 | M | PT | GALLO LUNA | CQP005A55866 | MARITZA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550838/check_7962782_955c19f8-8580-41fe-b169-b3bc457b38e4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550838/check_7962782_aa619e90-b498-4682-858a-5cce1e781900.json | N/A | N/A | N/A | N/A | N/A | CQP005A55866 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-05-11 | N/A | N/A | N/A | N/A | false | GALLO LUNA | N/A | MARITZA | 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 | 5831 | N/A | 5550838 | 2222 | N/A | 7590701 | N/A | 4219709 | 2025-05-09 23:38:41.412863 | 2025-05-13 04:29:37.230752 |
| 2025-05-09 23:36:12.192370 | 2025-05-09 23:36:18.020875 | 7962779 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-05-06 | 2025-05-29 | M | PT | MYER | 992215076 | REMSEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543288/check_7962779_b21179e8-9a26-49bc-8da2-4a2a0337e176.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543288/check_7962779_ada9bd63-fe67-407d-a7ed-8f6da5fe0a82.json | N/A | N/A | N/A | N/A | N/A | 992215076 | Commercial | TRINET B | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2009-05-06 | 0999 0999 | 911528 | N/A | C1 | false | MYER | N/A | JARRET | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543288 | 2222 | N/A | 7590692 | N/A | 4215102 | 2025-05-09 23:36:18.020875 | 2025-06-02 22:31:17.941501 |
| 2025-05-09 23:35:58.759140 | 2025-05-09 23:36:03.528234 | 7962777 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-05-11 | 2025-05-29 | M | PT | GALLO LUNA | CQP005A55866 | MARITZA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550838/check_7962777_a869e0c0-1660-492e-9082-267819889c8a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550838/check_7962777_093a7844-3e02-4ff7-a778-edf3fcd84cdb.json | N/A | N/A | N/A | N/A | N/A | CQP005A55866 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-05-11 | N/A | N/A | N/A | N/A | false | GALLO LUNA | N/A | MARITZA | 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 | 5831 | N/A | 5550838 | 2222 | N/A | 7590689 | N/A | 4219709 | 2025-05-09 23:36:03.528234 | 2025-05-13 04:29:37.230752 |
| 2025-05-09 23:35:30.171140 | 2025-05-09 23:35:34.162506 | 7962770 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-12-22 | 2025-05-29 | M | PT | CASTRICIONES | DRC967695620 | AVA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550851/check_7962770_94389f21-8775-4568-b825-1b4a55b16e08.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550851/check_7962770_3121c4b1-64d3-42f7-865c-ad785810d983.json | N/A | N/A | N/A | N/A | N/A | DRC967695620 | Preferred Provider Organization (PPO) | DSAC ENHANCED PLAN | ANTHEM BLUE CROSS | N/A | 2012-12-22 | N/A | 002337029 | N/A | PR | false | CASTRICIONES | N/A | ELMER | N/A | 9999-12-31 | 2010-01-01 | PPO - BLUE CARE ELECT PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5550851 | 2222 | N/A | 7590683 | N/A | 4219717 | 2025-05-09 23:35:34.162506 | 2025-05-13 04:29:37.230758 |
| 2025-05-09 23:34:56.644292 | 2025-05-09 23:35:00.455926 | 7962762 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-02-18 | 2025-05-29 | M | PT | TORGAN | W291598583 | SPENCER | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542863/check_7962762_4e0021d4-9acd-447d-accb-d599e537974e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542863/check_7962762_64db9220-2f75-4255-865d-2a40b6a87727.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | 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 | 5542863 | 2222 | N/A | 7590668 | N/A | 4214725 | 2025-05-09 23:35:00.455926 | 2025-05-13 04:29:37.229043 |
| 2025-05-09 23:34:29.355152 | 2025-05-09 23:34:33.254709 | 7962759 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-02-16 | 2025-05-29 | M | PT | OCHOA | W263373040 | JACK | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550823/check_7962759_58a1276b-2e1e-4381-817d-00ab0cefc3a6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550823/check_7962759_e1ec53ff-ae49-4903-99dc-4b5db4ab04ee.json | N/A | N/A | N/A | N/A | N/A | W263373040 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1970-02-16 | 0160879 | 016087905000013 | N/A | PR | false | OCHOA | N/A | JACK | N/A | N/A | N/A | OPEN CHOICE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5550823 | 2222 | N/A | 7590665 | N/A | 4219698 | 2025-05-09 23:34:33.254709 | 2025-05-13 04:29:37.230743 |
| 2025-05-09 23:33:54.992061 | 2025-05-09 23:34:02.750079 | 7962755 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-08-02 | 2025-05-29 | M | PT | RAMSEY | 804015480 | JENNIFER | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541155/check_7962755_8189b73f-d66f-414f-b444-61c228ab290c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541155/check_7962755_27f66fc5-1ee7-4246-b8ab-70907d8bae9c.json | N/A | N/A | N/A | N/A | N/A | 804015480 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1972-08-02 | N/A | N/A | N/A | N/A | false | RAMSEY | N/A | JENNIFER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5541155 | 2222 | N/A | 7590660 | N/A | 4213204 | 2025-05-09 23:34:02.750079 | 2025-05-28 20:17:37.873556 |
| 2025-05-09 23:33:20.700382 | 2025-05-09 23:33:24.523682 | 7962752 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-11-22 | 2025-05-29 | M | PT | GRONEMANN | 981463214 | BETH | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543353/check_7962752_53e88f96-fbbd-4822-8f34-04df056dd751.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543353/check_7962752_5f5c3e63-a884-4103-a017-0eabeebd7a4e.json | N/A | N/A | N/A | N/A | N/A | 981463214 | Commercial | ARDELYX, INC. | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1974-11-22 | 0001 0001 | 933751 | N/A | C1 | false | GRONEMANN | N/A | BETH | N/A | N/A | N/A | SELECT PLUS PPO CA 2023 CUIU MOD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543353 | 2222 | N/A | 7590654 | N/A | 4215157 | 2025-05-09 23:33:24.523682 | 2025-05-13 04:29:37.229474 |
| 2025-05-09 23:32:36.955919 | 2025-05-09 23:32:39.896287 | 7962749 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-07-20 | 2025-05-19 | M | PT | NAFTZGER | XEK900854258 | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543048/check_7962749_f1a86d69-5146-4f25-9f96-a90a0d13fd63.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543048/check_7962749_1dee02d2-160f-4f9f-8970-4c67ac37878a.json | N/A | N/A | N/A | N/A | N/A | XEK900854258 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1960-07-20 | 2001ZK002171 | X0001000 | N/A | PR | false | NAFTZGER | N/A | SANDRA | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543048 | 2222 | N/A | 7590650 | N/A | 4214889 | 2025-05-09 23:32:39.896287 | 2025-05-13 04:29:37.229212 |
| 2025-05-09 23:32:04.962944 | 2025-05-09 23:32:13.948695 | 7962748 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-06-03 | 2025-05-19 | M | PT | DATO | NGO555A50496 | BRETT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5551045/check_7962748_b07367bf-488c-4839-ad11-5db66983ad4b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_7962748_012a4bbe-91f8-43ff-8e7e-0662b6bd6fad.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2008-06-03 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5551045 | 2222 | N/A | 7590648 | N/A | 4219851 | 2025-05-09 23:32:13.948695 | 2025-05-13 04:29:37.230897 |
| 2025-05-09 23:31:36.106641 | 2025-05-09 23:31:42.980702 | 7962747 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-12-12 | 2025-05-19 | M | PT | BAUMGARTEN | RGF10353870400 | KIMBERLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550969/check_7962747_f7ef5ea0-ee3c-49b5-8627-905fc7c14830.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550969/check_7962747_0f351569-f9fa-48f7-9cc9-69353d8dad43.json | N/A | N/A | N/A | N/A | N/A | RGF10353870400 | Preferred Provider Organization (PPO) | EPIC GAMES, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1986-12-12 | FACETS | 14167203 | N/A | PR | false | BAUMGARTEN | N/A | KIMBERLY | N/A | 2026-08-31 | 2025-03-01 | BLUE OPTIONS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5550969 | 2222 | N/A | 7590646 | N/A | 4219801 | 2025-05-09 23:31:42.980702 | 2025-05-13 04:29:37.230841 |
| 2025-05-09 23:30:54.360882 | 2025-05-09 23:30:59.570707 | 7962746 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-12-19 | 2025-01-02 | M | 30 | BEMANIAN | U7704317301 | SHANDIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542326/check_7962746_3235a73a-11f1-46da-a42d-a27f77f0bf2e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542326/check_7962746_2d0812d1-1af7-49fb-b4c6-066f3de71233.json | N/A | N/A | N/A | N/A | N/A | U7704317301 | N/A | EP CARES | CIGNA VISION SERVICED BY EYEMED | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1996-12-19 | N/A | 3339171 | N/A | N/A | false | BEMANIAN | N/A | SHANDIS | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5542326 | 2222 | N/A | 7590641 | N/A | 4214255 | 2025-05-09 23:30:59.570707 | 2025-05-06 20:16:21.575355 |
| 2025-05-09 21:30:03.095699 | 2025-05-09 21:30:14.006403 | 7962028 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-24 | 2025-01-02 | U | 30 | BULLOCK | 2RU6UU1YT50 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542423/check_7962028_33e16206-5d71-4a59-95c9-6ff7b544aa77.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542423/check_7962028_e0038826-1f4a-421d-806a-26e114e003ae.json | N/A | N/A | N/A | N/A | N/A | 2RU6UU1YT50 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-24 | S5921 | N/A | N/A | MB | false | BULLOCK | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8530 | N/A | 5542423 | 2222 | N/A | 7589477 | N/A | 4214334 | 2025-05-09 21:30:14.006403 | 2025-05-13 04:29:37.228661 |
| 2025-05-09 20:36:47.060314 | 2025-05-09 20:36:53.061243 | 7961881 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-02-24 | 2025-05-21 | M | PT | GRUNSFELD | WLU671A54962 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542017/check_7961881_e652a834-e7c3-4d8b-b340-55f6ade52704.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542017/check_7961881_ceaddf56-d004-4a60-8bd8-cc7aa72b691b.json | N/A | N/A | N/A | N/A | N/A | WLU671A54962 | Preferred Provider Organization (PPO) | ANTHEM PPO | ANTHEM BLUE CROSS | N/A | 1968-02-24 | 130 | 1877BL | N/A | PR | false | GRUNSFELD | N/A | TIBOR | N/A | 9999-12-31 | 2021-01-31 | BLUE ACCESS PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8530 | N/A | 5542017 | 2222 | N/A | 7589148 | N/A | 4213976 | 2025-05-09 20:36:53.061243 | 2025-05-13 04:29:37.228293 |
| 2025-05-09 20:36:31.981842 | 2025-05-09 20:36:33.955596 | 7961880 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-02-24 | 2025-05-21 | U | PT | GRUNSFELD | WLU671A54962 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542017/check_7961880_5f20d050-aa5d-4687-b413-53ab251ebc1c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542017/check_7961880_26dfc99b-a82f-4324-9aca-415974f7ed78.json | N/A | N/A | N/A | N/A | N/A | WLU671A54962 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1968-02-24 | N/A | N/A | N/A | N/A | false | GRUNSFELD | N/A | MICHELLE | 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 | 8530 | N/A | 5542017 | 2222 | N/A | 7589145 | N/A | 4213976 | 2025-05-09 20:36:33.955596 | 2025-05-13 04:29:37.228293 |
| 2025-05-09 20:04:44.915215 | 2025-05-09 20:04:50.912895 | 7961815 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-01-22 | 2025-05-05 | F | 30 | UPSON | U5745141101 | SEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550858/check_7961815_c8e447c2-0baa-4041-bb00-45d18da60907.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550858/check_7961815_abf526df-627b-430f-8d8b-16442dcd5c7c.json | N/A | N/A | N/A | N/A | N/A | U5745141101 | N/A | OSISOFT, LLC | CIGNA VISION | NEW BUSINESS RATES APPLIED PREFERRED CARE MANAGEMENT | 1993-01-22 | N/A | 2501820 | N/A | N/A | false | UPSON | N/A | SEAN | N/A | N/A | N/A | CHOICE FUND HSA OPEN ACCESS PLUS | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8530 | N/A | 5550858 | 2222 | N/A | 7588977 | N/A | 4219718 | 2025-05-09 20:04:50.912895 | 2025-05-13 04:29:37.230759 |
| 2025-05-09 20:04:44.278056 | 2025-05-09 20:04:47.212951 | 7961814 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-01-22 | 2025-05-15 | F | PT | UPSON | U5745141101 | SEAN | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550858/check_7961814_2414c8f5-2856-4fce-9bdd-34d1b1b8c814.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550858/check_7961814_f018c996-1e7e-40c8-b200-0f4f0ce7bfdd.json | N/A | N/A | N/A | N/A | N/A | U5745141101 | N/A | OSISOFT, LLC | CHLIC | NEW BUSINESS RATES APPLIED PREFERRED CARE MANAGEMENT | 1993-01-22 | N/A | 2501820 | N/A | N/A | false | UPSON | N/A | SEAN | N/A | N/A | N/A | CHOICE FUND HSA OPEN ACCESS PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5550858 | 2222 | N/A | 7588976 | N/A | 4219718 | 2025-05-09 20:04:47.212951 | 2025-05-13 04:29:37.230759 |
| 2025-05-09 20:03:58.671163 | 2025-05-09 20:04:08.610179 | 7961812 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-01 | 2025-05-09 | M | PT | VARON | MPI101422173Q | BRETT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550992/check_7961812_2d59857c-b4f7-4a0d-8250-d3dd71858bdb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550992/check_7961812_215918e0-732a-4920-9bde-b80d7acdf5f6.json | N/A | N/A | N/A | N/A | N/A | MPI101422173Q | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-02-01 | N/A | N/A | N/A | N/A | false | VARON | N/A | BRETT | 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 | 5831 | N/A | 5550992 | 2222 | N/A | 7588974 | N/A | 4219816 | 2025-05-09 20:04:08.610179 | 2025-05-13 04:29:37.230863 |
| 2025-05-09 20:03:17.101920 | 2025-05-09 20:03:20.161602 | 7961808 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-06-02 | 2025-05-09 | M | PT | VIRGIL | XEK905426435 | NICHOLAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543237/check_7961808_9434ce97-948a-4a97-a6eb-4a7875ce3c17.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_7961808_2660be0d-9762-4db2-8972-1367c026553f.json | N/A | N/A | N/A | N/A | N/A | XEK905426435 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2002-06-02 | 2001ZK002195 | X0001000 | N/A | PR | false | VIRGIL | N/A | JEFF | N/A | 2028-06-30 | 2025-01-01 | ENHANCED DENTAL PPO 25 500 JAN21 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5543237 | 2222 | N/A | 7588968 | N/A | 4215054 | 2025-05-09 20:03:20.161602 | 2025-05-13 04:29:37.229375 |
| 2025-05-09 19:46:52.334487 | 2025-05-09 19:47:05.379982 | 7961754 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-03-26 | 2025-05-09 | M | PT | STEINSAPIR | W283758452 | NEGAR | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550984/check_7961754_84db2f50-d63a-4712-a926-3970c9a8b3c8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550984/check_7961754_35b0c614-9db9-4f31-9c9a-80e599d5d3f3.json | N/A | N/A | N/A | N/A | N/A | W283758452 | Point of Service (POS) | MAD ENGINE GLOBAL, LLC. | AETNA | N/A | 1988-03-26 | 0237681 | 023768101100001 | N/A | PS | false | STEINSAPIR | N/A | NOAH | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5550984 | 2222 | N/A | 7588847 | N/A | 4219810 | 2025-05-09 19:47:05.379982 | 2026-05-31 23:30:11.309806 |
| 2025-05-09 19:46:23.194354 | 2025-05-09 19:46:26.158937 | 7961752 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-08-31 | 2025-05-09 | M | PT | STEINBERG | MBL875M98441 | HARRIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541917/check_7961752_f3c1be6b-c9c5-452c-80bc-52e758d63dc2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_7961752_011ba53b-8437-498a-a8c6-022cf9e800a2.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | 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 | 5831 | N/A | 5541917 | 2222 | N/A | 7588841 | N/A | 4213891 | 2025-05-09 19:46:26.158937 | 2025-05-13 04:29:37.228207 |
| 2025-05-09 19:45:53.068130 | 2025-05-09 19:45:54.914152 | 7961751 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-05-30 | 2025-05-09 | U | PT | SCOTT | XEA900656048 | ZACHARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541110/check_7961751_06f629ee-d5f4-425d-91a0-13ceee0712bd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541110/check_7961751_7ff52415-f590-499d-8a9b-6c269c973792.json | N/A | N/A | N/A | N/A | N/A | XEA900656048 | Preferred Provider Organization (PPO) | WC3 WHOLESALE | BLUE SHIELD CALIFORNIA | N/A | 1988-05-30 | 1000V0000279 | W0012993 | N/A | PR | false | SCOTT | N/A | ZACHARY | N/A | 9999-12-31 | 2025-04-01 | ULTIMATE VISION PLUS FOR SMALL BUSINESS 0 0 150 15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5541110 | 2222 | N/A | 7588836 | N/A | 4213165 | 2025-05-09 19:45:54.914152 | 2025-05-13 04:29:37.227492 |
| 2025-05-09 17:29:32.829351 | 2025-05-09 17:29:42.985144 | 7961185 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-05-07 | 2025-05-01 | F | 30 | FERRERAS | U6570615702 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543171/check_7961185_68c0c7cd-e52b-469e-b135-7ef883fee902.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_7961185_9f82443a-f616-4bcf-bdf7-818bcecc2d01.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CVS | SERVICES PROVIDED BY FORM HEALTH SHARE OAP CSN ARE COVERED UNDER IN-NETWORK BENEFITS UNLESS OTHERWISE SPECIFIED. 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 | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8530 | N/A | 5543171 | 2222 | N/A | 7587818 | N/A | 4214998 | 2025-05-09 17:29:42.985144 | 2025-05-13 04:29:37.229318 |
| 2025-05-09 16:02:33.827029 | 2025-05-09 16:02:37.724423 | 7960717 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-03-03 | 2025-05-09 | F | PT | SULLIVAN | 997396315 | MARY | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543346/check_7960717_608a346a-0a1f-4f4c-80f9-7c46551e4021.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543346/check_7960717_3864a7f1-4094-472c-bc07-329a7a3230d7.json | N/A | N/A | N/A | N/A | N/A | 997396315 | Commercial | MEGA INTERNATIONAL LLC | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 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 | 2097 | N/A | 5543346 | 2222 | N/A | 7587183 | N/A | 4215149 | 2025-05-09 16:02:37.724423 | 2025-05-13 04:29:37.229465 |
| 2025-05-09 16:02:22.977451 | 2025-05-09 16:02:25.996083 | 7960716 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-05 | 2025-05-09 | F | PT | SESAR | JQE697M91288 | SHARON | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540948/check_7960716_a2523762-f49b-4c38-840b-3f46f6cca41a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540948/check_7960716_3dcb41d5-1f32-485a-80ee-78e9af177d8a.json | N/A | N/A | N/A | N/A | N/A | JQE697M91288 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1953-03-05 | 040 | CASUPWP0 | N/A | N/A | false | SESAR | N/A | SHARON | N/A | 9999-12-31 | 2018-03-01 | CA PLAN F INNOVATIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5540948 | 2222 | N/A | 7587182 | N/A | 4213027 | 2025-05-09 16:02:25.996083 | 2025-06-25 17:17:00.282109 |
| 2025-05-09 15:59:04.156739 | 2025-05-09 15:59:12.041803 | 7960692 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-02-22 | 2025-05-09 | F | PT | NGUYENBUI | XED900838549 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542644/check_7960692_4360b378-05bd-4142-90ef-12dd28599b28.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542644/check_7960692_e6dde1bd-640d-40c0-882f-320aef59faca.json | N/A | N/A | N/A | N/A | N/A | XED900838549 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1968-02-22 | 2001ZK002185 | X0001004 | N/A | PR | false | NGUYENBUI | N/A | DIANE | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5542644 | 2222 | N/A | 7587148 | N/A | 4214532 | 2025-05-09 15:59:12.041803 | 2025-05-13 04:29:37.228858 |
| 2025-05-09 15:58:49.130883 | 2025-05-09 15:58:54.953405 | 7960691 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-05-30 | 2025-05-09 | M | PT | SCOTT | XEA900656048 | ZACHARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541110/check_7960691_f3283ded-3097-47a9-8978-edea3df6123c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541110/check_7960691_10fb5499-d5fb-4a53-ae97-e9a843fffbc0.json | N/A | N/A | N/A | N/A | N/A | XEA900656048 | Preferred Provider Organization (PPO) | WC3 WHOLESALE | BLUE SHIELD CALIFORNIA | N/A | 1988-05-30 | 1000V0000279 | W0012993 | N/A | PR | false | SCOTT | N/A | ZACHARY | N/A | 9999-12-31 | 2025-02-01 | CHILDREN S DENTAL PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5541110 | 2222 | N/A | 7587147 | N/A | 4213165 | 2025-05-09 15:58:54.953405 | 2025-05-13 04:29:37.227492 |
| 2025-05-09 15:58:33.691216 | 2025-05-09 15:58:39.835289 | 7960689 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-02-08 | 2025-05-09 | F | AD | SMALLWOOD | 109798591 | CORINNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543189/check_7960689_4ea0a6d5-5d77-4120-a7e8-b0dc9d5e7da6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543189/check_7960689_4b918c6a-d51a-421e-94e1-66cc18def8c0.json | N/A | N/A | N/A | N/A | N/A | 10979859100 | N/A | STUBHUB HOLDINGS, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1999-02-08 | N/A | 00636303 | N/A | N/A | false | SMALLWOOD | N/A | CORINNE | N/A | N/A | N/A | OPEN ACCESS PLUS IN-NETWORK | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5543189 | 2222 | N/A | 7587141 | N/A | 4215016 | 2025-05-09 15:58:39.835289 | 2025-05-13 04:29:37.229333 |
| 2025-05-09 15:58:16.016441 | 2025-05-09 15:58:18.951681 | 7960688 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-05-30 | 2025-05-09 | M | PT | MATTHEWS | KTP903824736 | LARRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542899/check_7960688_5d71791d-89b5-4d36-aacd-e3dedffc47ae.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542899/check_7960688_b7bd3a10-a7f3-44f9-87c5-b5011792e434.json | N/A | N/A | N/A | N/A | N/A | KTP903824736 | Preferred Provider Organization (PPO) | TUTOR PERINI CORPORATION | BLUE SHIELD CALIFORNIA | N/A | 1971-05-30 | 1004PPOX0004 | W0051664 | N/A | PR | false | MATTHEWS | N/A | REGINA | N/A | N/A | N/A | FSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 5542899 | 2222 | N/A | 7587139 | N/A | 4214758 | 2025-05-09 15:58:18.951681 | 2025-05-13 04:29:37.229078 |
| 2025-05-09 09:12:03.700304 | 2025-05-10 02:11:53.185816 | 7944420 | N/A | N/A | 71412 | Mutual of Omaha Insurance Company | 1114042165 | 7944420 | Athletic Physical Therapy Inc | 1946-10-03 | 2025-05-13 | U | PT | HOFFMAN | 33540896 | MARILYN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250509.115939775.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550944/check_7944420_8c004e53-6413-4672-9f52-07d6c54b2a5f.json | N/A | N/A | N/A | N/A | N/A | 33540896 | N/A | N/A | MUTUAL OF OMAHA INSURANCE COMPANY | N/A | 1946-10-03 | N/A | N/A | N/A | N/A | false | HOFFMAN | 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 | N/A | N/A | 5550944 | 2222 | 4793 | 7598191 | N/A | 4219782 | 2025-05-10 02:11:53.185816 | 2025-05-13 04:29:37.230823 |
| 2025-05-09 09:12:03.653253 | 2025-05-10 02:18:38.051889 | 7944419 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 7944419 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-05-13 | U | PT | BRADBURY | JQE669W05502 | BONNIE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250509.115939775.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_7944419_64cd6b0c-4699-4eee-bbf4-f95502bac275.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1951-06-01 | N/A | N/A | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550535 | 2222 | 4801 | 7601910 | N/A | 4219556 | 2025-05-10 02:18:38.051889 | 2025-05-13 04:29:37.230592 |
| 2025-05-09 09:12:03.607576 | 2025-05-10 02:30:39.865676 | 7944417 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 7944417 | Athletic Physical Therapy Inc | 1948-10-09 | 2025-05-13 | U | PT | HELLER | 4WQ0H64HT25 | LAWRENCE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250509.115939775.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549009/check_7944417_7373f610-5080-4bce-8dea-50f8ce5f78c4.json | N/A | N/A | N/A | N/A | N/A | 4WQ0H64HT25 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-10-09 | S5596 | N/A | N/A | MA | 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 | N/A | N/A | 5549009 | 2222 | 4802 | 7606915 | N/A | 4208819 | 2025-05-10 02:30:39.865676 | 2025-05-13 04:29:37.223245 |
| 2025-05-09 09:12:03.125744 | 2025-05-10 02:08:30.944531 | 7944402 | N/A | N/A | 60054 | Aetna | 1114042165 | 7944402 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-05-13 | U | PT | KORY | 102161581800 | MICHAEL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250509.115939775.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_7944402_1f5943b9-fd1b-45cd-826f-f5ae44fb2eb6.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | N/A | N/A | AETNA | N/A | 1959-05-08 | N/A | N/A | N/A | N/A | false | KORY | N/A | MICHAEL | 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 | 5542870 | 2222 | 4793 | 7595803 | N/A | 4214732 | 2025-05-10 02:08:30.944531 | 2025-06-24 20:13:53.579048 |
| 2025-05-09 09:12:03.082332 | 2025-05-10 02:18:38.643511 | 7944400 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 7944400 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-05-13 | U | PT | FRANK | JQE134A79727 | KAREN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250509.115939775.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542269/check_7944400_73ffd3d7-a00d-4666-bb9e-e9400f6e6f36.json | N/A | N/A | N/A | N/A | N/A | JQE134A79727 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1950-10-11 | N/A | N/A | N/A | N/A | false | FRANK | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542269 | 2222 | 4802 | 7601916 | N/A | 4214201 | 2025-05-10 02:18:38.643511 | 2025-05-13 04:29:37.228535 |
| 2025-05-09 09:12:03.031312 | 2025-05-10 02:03:34.093861 | 7944399 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 7944399 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-05-13 | U | PT | GRINBERG | 04690155011 | HANNA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250509.115939775.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542163/check_7944399_1e21daaf-b88c-47f8-a4ea-aa1c60e60622.json | N/A | N/A | N/A | N/A | N/A | 04690155011 | N/A | N/A | AARP MEDICARE SUPPLEMENT BY UNITEDHEALTHCARE | N/A | 1937-05-08 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | HANNA | 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 | 5542163 | 2222 | 4802 | 7592068 | N/A | 4214112 | 2025-05-10 02:03:34.093861 | 2025-05-13 04:29:37.228426 |
| 2025-05-09 09:12:02.968045 | 2025-05-10 02:12:58.372092 | 7944397 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 7944397 | Athletic Physical Therapy Inc | 1972-08-02 | 2025-05-13 | U | PT | RAMSEY | 778790241 | JENNIFER | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250509.115939775.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541156/check_7944397_a4458e2b-cdbe-4e25-bdb1-43b2f0c81892.json | N/A | N/A | N/A | N/A | N/A | 778790241 | N/A | N/A | UNITED HEALTHCARE | N/A | 1972-08-02 | N/A | N/A | N/A | N/A | false | RAMSEY | N/A | JENNIFER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541156 | 2222 | 4802 | 7598773 | N/A | 4213204 | 2025-05-10 02:12:58.372092 | 2025-05-28 20:17:37.873556 |