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 | subscriber_middle_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 | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-06-06 07:14:31.898404 | 2026-06-06 07:14:31.983179 | 27524182 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 27524182 | Athletic Physical Therapy Inc | 1960-09-17 | 2026-06-09 | F | AE | PT | Bokron | XEM914577353 | Diana | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 19240586 | 2222 | 4793 | N/A | N/A | 17105178 | 2026-06-06 07:14:31.983179 | 2026-04-03 17:25:31.987996 |
| 2026-06-06 07:14:31.780476 | 2026-06-06 07:14:31.895495 | 27524174 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 27524174 | Athletic Physical Therapy Inc | 1947-02-06 | 2026-06-09 | F | AE | PT | RIGGS | XAN913658166 | JAN | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15761932 | 2222 | 4802 | N/A | N/A | 13855018 | 2026-06-06 07:14:31.895495 | 2026-01-21 23:02:56.677752 |
| 2026-06-06 07:14:31.642845 | 2026-06-06 07:14:31.773255 | 27524164 | N/A | N/A | 75261 | WebTPA Employer Services LLC | 1114042165 | 27524164 | Athletic Physical Therapy Inc | 1945-04-13 | 2026-06-09 | F | AE | PT | BLUM | 01355035301 | BONNIE | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15582393 | 2222 | 4802 | N/A | N/A | 4211624 | 2026-06-06 07:14:31.773255 | 2025-05-13 04:29:37.225953 |
| 2026-06-06 07:14:31.542866 | 2026-06-06 07:14:31.638408 | 27524158 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27524158 | Athletic Physical Therapy Inc | 1946-06-15 | 2026-06-09 | M | AE | PT | SCHECHTER | JQE931W25710 | STEVEN | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15414439 | 2222 | 4793 | N/A | N/A | 7549031 | 2026-06-06 07:14:31.638408 | 2026-05-22 23:37:03.098359 |
| 2026-06-06 07:14:31.435667 | 2026-06-06 07:14:31.538498 | 27524150 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27524150 | Athletic Physical Therapy Inc | 1956-07-25 | 2026-06-09 | M | AE | PT | WHITAKER | JQE189M00130 | RICHARD | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 10030668 | 2222 | 4801 | N/A | N/A | 8396855 | 2026-06-06 07:14:31.538498 | 2026-04-30 15:25:27.283280 |
| 2026-06-06 07:14:31.343858 | 2026-06-06 07:14:31.431403 | 27524143 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27524143 | Athletic Physical Therapy Inc | 1936-09-29 | 2026-06-09 | M | AE | PT | JAUDE | JQE122A53874 | KARIM | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6821574 | 2222 | 4802 | N/A | N/A | 4214191 | 2026-06-06 07:14:31.431403 | 2025-05-13 04:29:37.228525 |
| 2026-06-06 07:14:31.271515 | 2026-06-06 07:14:31.340974 | 27524138 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27524138 | Athletic Physical Therapy Inc | 1964-05-26 | 2026-06-09 | F | AE | PT | FERNANDEZ | JQC95483183F | LISA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5858692 | 2222 | 4793 | N/A | N/A | 4210649 | 2026-06-06 07:14:31.340974 | 2025-06-19 18:43:58.008751 |
| 2026-06-06 07:14:31.169364 | 2026-06-06 07:14:31.269036 | 27524130 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 27524130 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-06-09 | M | AE | PT | KAYE | 08680565111 | ELLIOT | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542258 | 2222 | 4801 | N/A | N/A | 4214176 | 2026-06-06 07:14:31.269036 | 2025-05-13 04:29:37.228504 |
| 2026-06-06 07:14:31.072128 | 2026-06-06 07:14:31.149848 | 27524122 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 27524122 | Athletic Physical Therapy Inc | 1956-08-13 | 2026-06-09 | M | AE | PT | GORODENZIK | XEM910692096 | AMIR | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539599 | 2222 | 4793 | N/A | N/A | 4211880 | 2026-06-06 07:14:31.149848 | 2025-05-13 04:29:37.226201 |
| 2026-06-06 07:14:30.988182 | 2026-06-06 07:14:31.068633 | 27524118 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 27524118 | Athletic Physical Therapy Inc | 1951-12-11 | 2026-06-09 | M | AE | PT | REGALADO | JQE020W10105 | RODNEY | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539416 | 2222 | 4801 | N/A | N/A | 4211725 | 2026-06-06 07:14:31.068633 | 2025-05-13 04:29:37.226047 |
| 2026-06-06 07:14:30.884464 | 2026-06-06 07:14:30.984864 | 27524113 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 27524113 | Athletic Physical Therapy Inc | 1943-07-22 | 2026-06-09 | M | AE | PT | STEIN | 31780190311 | DONALD | H | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538579 | 2222 | 4802 | N/A | N/A | 4210984 | 2026-06-06 07:14:30.984864 | 2025-08-15 17:42:50.500189 |
| 2026-06-06 07:14:30.770387 | 2026-06-06 07:14:30.881288 | 27524105 | N/A | N/A | 31053 | State Farm Insurance Companies | 1114042165 | 27524105 | Athletic Physical Therapy Inc | 1937-02-23 | 2026-06-09 | F | AE | PT | SPIGELMAN | HC5192477575 | JUDY | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536257 | 2222 | 4802 | N/A | N/A | 4209028 | 2026-06-06 07:14:30.881288 | 2026-03-12 23:35:58.198593 |
| 2026-06-06 07:12:52.977984 | 2026-06-06 07:12:53.055232 | 27513629 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 27513629 | override_provider | 1951-05-01 | 2026-06-09 | M | AE | PT | SMITH WAISON | 000007282821 | PAUL | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 22687609 | 2222 | 4793 | N/A | N/A | 20239750 | 2026-06-06 07:12:53.055232 | 2026-06-04 22:12:43.827397 |
| 2026-06-06 07:12:52.908121 | 2026-06-07 00:37:33.514176 | 27513617 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27513617 | Athletic Physical Therapy Inc | 1968-03-23 | 2026-06-09 | F | AE | PT | Tennant | 9CE6NG2JA52 | Eileen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260606.121836735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/22638454/check_27513617_3302080e-fc82-4f01-b56d-689509205254.json | N/A | N/A | N/A | N/A | N/A | 9CE6NG2JA52 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-03-23 | N/A | N/A | N/A | MB | false | TENNANT GRANT | N/A | EILEEN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 0 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11104085228 | N/A | N/A | 22638454 | 2222 | 4802 | 27630563 | N/A | 17864291 | 2026-06-07 00:37:33.514176 | 2026-06-08 17:10:12.862698 |
| 2026-06-06 07:12:52.829891 | 2026-06-07 00:37:25.361315 | 27513609 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27513609 | Athletic Physical Therapy Inc | 1946-02-26 | 2026-06-09 | M | AE | PT | GINSBURG | 5RQ6MR3EV56 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260606.121836735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/22588742/check_27513609_eb63cac3-024f-49d4-b78a-0696d1bbc921.json | N/A | N/A | N/A | N/A | N/A | 5RQ6MR3EV56 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-02-26 | S5601 | N/A | N/A | MA | false | GINSBURG | N/A | ROBERT | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 0 | AE | PT | N/A | N/A | N/A | N/A | N/A | 11104085227 | N/A | N/A | 22588742 | 2222 | 4802 | 27630353 | N/A | 20195494 | 2026-06-07 00:37:25.361315 | 2026-06-09 20:39:38.408408 |
| 2026-06-06 07:12:52.745518 | 2026-06-06 07:12:52.827180 | 27513597 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27513597 | Athletic Physical Therapy Inc | 1980-10-18 | 2026-06-09 | M | PT | N/A | VAYSBEYN | WXY939A69719 | IGOR | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 22585129 | 2222 | 4793 | N/A | N/A | 20191933 | 2026-06-06 07:12:52.827180 | 2026-06-03 20:28:22.286604 |
| 2026-06-06 07:12:52.661023 | 2026-06-06 07:12:52.742726 | 27513586 | N/A | N/A | 60054 | Aetna | 1114042165 | 27513586 | Athletic Physical Therapy Inc | 1991-07-28 | 2026-06-09 | M | AE | PT | Poe | W290801373 | Riley | R | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 22579153 | 2222 | 4802 | N/A | N/A | 20186748 | 2026-06-06 07:12:52.742726 | 2026-06-04 23:33:06.557667 |
| 2026-06-06 07:12:52.576302 | 2026-06-07 00:37:29.480355 | 27513572 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27513572 | Athletic Physical Therapy Inc | 1958-10-09 | 2026-06-09 | M | AE | PT | Ralph Rogari | 2F43Q41JE16 | Ralph Rogari | Thomas | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260606.121836735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/22573909/check_27513572_7090b76b-ecc4-47d0-b8cf-2bca7892974c.json | N/A | N/A | N/A | N/A | N/A | 2F43Q41JE16 | N/A | N/A | CMS | N/A | 1958-10-09 | N/A | N/A | N/A | N/A | false | RALPH ROGARI | N/A | RALPH ROGARI | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 11104085224 | N/A | N/A | 22573909 | 2222 | 4802 | 27630465 | N/A | 20181428 | 2026-06-07 00:37:29.480355 | 2026-06-08 17:20:27.387882 |
| 2026-06-06 07:12:52.501855 | 2026-06-06 07:12:52.573521 | 27513562 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27513562 | Athletic Physical Therapy Inc | 1970-10-28 | 2026-06-09 | F | PT | N/A | SCHIFFER | QOH524A73411 | PRASCILLA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 22442484 | 2222 | 4793 | N/A | N/A | 20072058 | 2026-06-06 07:12:52.573521 | 2026-06-01 20:15:23.813797 |
| 2026-06-06 07:12:52.426190 | 2026-06-06 07:12:52.498953 | 27513550 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27513550 | Athletic Physical Therapy Inc | 1962-12-21 | 2026-06-09 | F | AE | PT | MAYER | 000009431674 | LISA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 22318521 | 2222 | 4793 | N/A | N/A | 19894407 | 2026-06-06 07:12:52.498953 | 2026-06-01 14:22:38.230379 |
| 2026-06-06 07:12:52.351282 | 2026-06-06 07:12:52.423410 | 27513539 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27513539 | Athletic Physical Therapy Inc | 1976-08-31 | 2026-06-09 | M | AE | PT | GUERRA | 000005356614 | DAVID | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 22290507 | 2222 | 4802 | N/A | N/A | 19822795 | 2026-06-06 07:12:52.423410 | 2026-05-28 23:31:44.194749 |
| 2026-06-06 07:12:52.281957 | 2026-06-06 07:12:52.348807 | 27513535 | N/A | N/A | 60054 | Aetna | 1114042165 | 27513535 | Athletic Physical Therapy Inc | 2001-05-04 | 2026-06-09 | F | AE | PT | CONDE | W035752041 | MIRA | B | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 22288839 | 2222 | 4802 | N/A | N/A | 19820983 | 2026-06-06 07:12:52.348807 | 2026-06-02 07:57:32.180429 |
| 2026-06-06 07:12:52.202457 | 2026-06-06 07:12:52.279249 | 27513523 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 27513523 | Athletic Physical Therapy Inc | 1965-12-03 | 2026-06-09 | M | AE | PT | Sjolin | 91818828D | Peter | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 22232564 | 2222 | 4802 | N/A | 5538 | 19772741 | 2026-06-06 07:12:52.279249 | 2026-05-27 23:10:20.122276 |
| 2026-06-06 07:12:52.132437 | 2026-06-06 07:12:52.200031 | 27513512 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27513512 | Athletic Physical Therapy Inc | 1986-01-06 | 2026-06-09 | F | PT | N/A | BRODSKY | R61501011 | ITA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 22115199 | 2222 | 4802 | N/A | N/A | 19691523 | 2026-06-06 07:12:52.200031 | 2026-06-01 21:33:24.290224 |
| 2026-06-06 07:12:52.051669 | 2026-06-06 07:12:52.129754 | 27513502 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 27513502 | Athletic Physical Therapy Inc | 1982-08-15 | 2026-06-09 | F | PT | N/A | JOHNSON | XED905702634 | TAMMY | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 22110913 | 2222 | 4801 | N/A | N/A | 19685361 | 2026-06-06 07:12:52.129754 | 2026-05-26 18:15:53.125921 |
| 2026-06-06 07:12:51.946274 | 2026-06-06 07:12:52.048732 | 27513487 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 27513487 | Athletic Physical Therapy Inc | 2012-09-16 | 2026-06-09 | M | AE | PT | HERNANDEZ | 92931006F | MATTHEW | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 22107417 | 2222 | 4793 | N/A | 5538 | 19681855 | 2026-06-06 07:12:52.048732 | 2026-05-26 17:34:56.640760 |
| 2026-06-06 07:12:51.876029 | 2026-06-06 07:12:51.943094 | 27513477 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27513477 | Athletic Physical Therapy Inc | 1952-12-20 | 2026-06-09 | F | AE | PT | DOEREN | 4AU1YQ0RE17 | ELLEN | J | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21824249 | 2222 | 4802 | N/A | N/A | 19406790 | 2026-06-06 07:12:51.943094 | 2026-05-19 22:03:15.101817 |
| 2026-06-06 07:12:51.799551 | 2026-06-06 07:12:51.873386 | 27513469 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 27513469 | Athletic Physical Therapy Inc | 1975-04-09 | 2026-06-09 | F | AE | PT | ZOOLALIAN | 000026739135 | DIANA | M | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21802624 | 2222 | 4802 | N/A | N/A | 19388648 | 2026-06-06 07:12:51.873386 | 2026-05-19 16:24:29.004486 |
| 2026-06-06 07:12:51.714088 | 2026-06-06 07:12:51.796822 | 27513456 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27513456 | Athletic Physical Therapy Inc | 1946-07-28 | 2026-06-09 | F | AE | PT | SPAULDING | 00000393732 | DIANNA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21756109 | 2222 | 4801 | N/A | 2630 | 4219146 | 2026-06-06 07:12:51.796822 | 2025-05-13 04:29:37.230163 |
| 2026-06-06 07:12:51.640231 | 2026-06-07 00:37:56.350530 | 27513442 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 27513442 | Athletic Physical Therapy Inc | 2008-08-11 | 2026-06-09 | M | PT | N/A | MOGHAGHADAM | XEA905968608 | NOAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260606.121836735.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21750342/check_27513442_5691c9f8-0014-4dc4-9508-195f0600c55e.json | N/A | N/A | N/A | N/A | N/A | XEA905968608 | Preferred Provider Organization (PPO) | KAMRAN D MOGHADAM DDS INC | BLUE SHIELD CALIFORNIA | N/A | 2008-08-11 | 1000VX000102 | W0091374 | N/A | PR | false | MOGHADAM | N/A | KAMRAN | N/A | 2027-08-31 | 2018-12-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 11104085212 | N/A | N/A | 21750342 | 2222 | 4802 | 27631060 | N/A | 19345891 | 2026-06-07 00:37:56.350530 | 2026-06-09 15:37:22.148406 |
| 2026-06-06 07:12:51.566411 | 2026-06-06 07:12:51.637719 | 27513437 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27513437 | Athletic Physical Therapy Inc | 1956-07-04 | 2026-06-09 | F | AE | PT | Montiel | 3783461 | Maria | Ayala | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21749703 | 2222 | 4802 | N/A | N/A | 19345168 | 2026-06-06 07:12:51.637719 | 2026-05-26 20:57:03.360502 |
| 2026-06-06 07:12:51.487581 | 2026-06-06 07:12:51.563409 | 27513425 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 27513425 | Athletic Physical Therapy Inc | 1974-06-12 | 2026-06-09 | F | AE | PT | ALVARADO | 90551313D | CIRINA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21737886 | 2222 | 4802 | N/A | 5538 | 19333845 | 2026-06-06 07:12:51.563409 | 2026-05-18 16:47:30.628461 |
| 2026-06-06 07:12:51.399795 | 2026-06-06 07:12:51.484649 | 27513412 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 27513412 | Athletic Physical Therapy Inc | 1966-02-22 | 2026-06-09 | F | AE | PT | GALIN | 620712100 | NOELLE | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21673645 | 2222 | 4802 | N/A | 5538 | 19269624 | 2026-06-06 07:12:51.484649 | 2026-05-26 15:34:32.016504 |
| 2026-06-06 07:12:51.307556 | 2026-06-06 07:12:51.396868 | 27513400 | N/A | N/A | 60054 | Aetna | 1114042165 | 27513400 | Athletic Physical Therapy Inc | 1951-11-12 | 2026-06-09 | M | AE | PT | SCHLEDORN | 101611887200 | ROBIN | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21660730 | 2222 | 4801 | N/A | N/A | 19252577 | 2026-06-06 07:12:51.396868 | 2026-05-15 16:41:18.603803 |
| 2026-06-06 07:12:51.227669 | 2026-06-06 07:12:51.304590 | 27513389 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 27513389 | Athletic Physical Therapy Inc | 1946-12-18 | 2026-06-08 | M | AE | PT | VARNEY | 00000304351 | GARY | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-08 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21655135 | 2222 | 4793 | N/A | 2630 | 18394330 | 2026-06-06 07:12:51.304590 | 2026-04-29 21:03:23.286620 |
| 2026-06-06 07:12:51.154921 | 2026-06-06 07:12:51.224950 | 27513380 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27513380 | Athletic Physical Therapy Inc | 1959-08-15 | 2026-06-09 | M | AE | PT | KRAUS | 5NN9FA3WJ26 | STEVEN | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21625900 | 2222 | 4802 | N/A | N/A | 19225466 | 2026-06-06 07:12:51.224950 | 2026-05-14 21:54:13.891696 |
| 2026-06-06 07:12:51.084743 | 2026-06-06 07:12:51.152458 | 27513371 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27513371 | Athletic Physical Therapy Inc | 1968-04-25 | 2026-06-09 | F | PT | N/A | BREEN | WRXA12657536 | MONICA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 21615037 | 2222 | 4802 | N/A | N/A | 19216914 | 2026-06-06 07:12:51.152458 | 2026-05-20 00:40:44.061758 |
| 2026-06-06 07:12:50.993764 | 2026-06-06 07:12:51.081910 | 27513360 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 27513360 | Athletic Physical Therapy Inc | 1981-04-01 | 2026-06-09 | F | AE | PT | MALEKI | 95040113H | BAHARE | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21515907 | 2222 | 4802 | N/A | N/A | 19148185 | 2026-06-06 07:12:51.081910 | 2026-05-22 15:27:43.508734 |
| 2026-06-06 07:12:50.909259 | 2026-06-06 07:12:50.991182 | 27513351 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27513351 | Athletic Physical Therapy Inc | 1955-06-17 | 2026-06-09 | M | AE | PT | RANDALL | 7UA2Q22NJ96 | STEVEN | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21460825 | 2222 | 4801 | N/A | N/A | 19094352 | 2026-06-06 07:12:50.991182 | 2026-05-26 13:09:11.033853 |
| 2026-06-06 07:12:50.819155 | 2026-06-06 07:12:50.906627 | 27513339 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 27513339 | Athletic Physical Therapy Inc | 1952-02-26 | 2026-06-09 | F | AE | PT | Mazariegos | M007824 | Beatriz | E | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21395567 | 2222 | 4802 | N/A | 5538 | 19045000 | 2026-06-06 07:12:50.906627 | 2026-05-18 17:24:40.648491 |
| 2026-06-06 07:12:50.747424 | 2026-06-06 07:12:50.816664 | 27513327 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27513327 | Athletic Physical Therapy Inc | 1990-06-22 | 2026-06-08 | M | PT | N/A | Asamoah | GGS433W06126 | Felix | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-08 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 21367157 | 2222 | 4793 | N/A | N/A | 17880490 | 2026-06-06 07:12:50.816664 | 2026-04-20 18:13:16.070025 |
| 2026-06-06 07:12:50.653696 | 2026-06-06 07:12:50.744309 | 27513315 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27513315 | Athletic Physical Therapy Inc | 1984-10-07 | 2026-06-09 | F | AE | PT | Ellis | JQY212W18868 | Porsha | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21279932 | 2222 | 4802 | N/A | N/A | 18922044 | 2026-06-06 07:12:50.744309 | 2026-05-08 21:51:19.275920 |
| 2026-06-06 07:12:50.582073 | 2026-06-06 07:12:50.650797 | 27513307 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 27513307 | Athletic Physical Therapy Inc | 1941-04-10 | 2026-06-09 | F | AE | PT | EMADI | 5XQ2H37DQ12 | NAJEEBA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21276332 | 2222 | 4801 | N/A | N/A | 18913409 | 2026-06-06 07:12:50.650797 | 2026-05-20 17:09:52.874954 |
| 2026-06-06 07:12:50.496962 | 2026-06-06 07:12:50.579128 | 27513295 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 27513295 | override_provider | 1947-10-17 | 2026-06-09 | F | AE | PT | Davidoff | 000015462776 | Rihan | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21267093 | 2222 | 4802 | N/A | N/A | 18905811 | 2026-06-06 07:12:50.579128 | 2026-05-08 18:55:18.789352 |
| 2026-06-06 07:12:50.405308 | 2026-06-06 07:12:50.493812 | 27513282 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 27513282 | Athletic Physical Therapy Inc | 1950-02-18 | 2026-06-09 | F | AE | PT | USEDOM | 40001551001 | CHRISTINA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21263173 | 2222 | 4801 | N/A | 6237 | 18902399 | 2026-06-06 07:12:50.493812 | 2026-05-11 19:32:10.424303 |
| 2026-06-06 07:12:50.322395 | 2026-06-06 07:12:50.402450 | 27513272 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27513272 | Athletic Physical Therapy Inc | 1979-03-25 | 2026-06-09 | M | PT | N/A | MANGILIT | C2Z3030369LM | MARK | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 21262975 | 2222 | 4793 | N/A | N/A | 4213892 | 2026-06-06 07:12:50.402450 | 2025-05-13 04:29:37.228208 |
| 2026-06-06 07:12:50.230786 | 2026-06-06 07:12:50.319692 | 27513259 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 27513259 | Athletic Physical Therapy Inc | 1945-11-05 | 2026-06-09 | M | AE | PT | BARRIENTOS | 912087075 | ANTONIO | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21262499 | 2222 | 4801 | N/A | 6411 | 4213486 | 2026-06-06 07:12:50.319692 | 2025-05-13 04:29:37.227804 |
| 2026-06-06 07:12:50.154335 | 2026-06-06 07:12:50.224920 | 27513250 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 27513250 | Athletic Physical Therapy Inc | 1987-02-20 | 2026-06-09 | F | AE | PT | PITKIN | 000021799163 | MORGAN | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21261091 | 2222 | 4801 | N/A | N/A | 18900723 | 2026-06-06 07:12:50.224920 | 2026-05-08 17:03:17.598392 |
| 2026-06-06 07:12:50.069881 | 2026-06-06 07:12:50.151521 | 27513240 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 27513240 | Athletic Physical Therapy Inc | 1985-08-16 | 2026-06-09 | M | AE | PT | NOLT | 91809013F | DAVID | A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 21199184 | 2222 | 4802 | N/A | 5538 | 17225302 | 2026-06-06 07:12:50.151521 | 2026-04-07 21:40:33.029600 |
| 2026-06-06 07:12:49.962476 | 2026-06-06 07:12:50.065970 | 27513227 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 27513227 | Athletic Physical Therapy Inc | 1985-11-22 | 2026-06-09 | F | PT | N/A | SAFFARI | SOL112954857 | LADAN | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 21194610 | 2222 | 4802 | N/A | N/A | 18844282 | 2026-06-06 07:12:50.065970 | 2026-05-26 15:56:38.479920 |