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 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-27 07:16:06.283677 | 2026-05-28 00:51:09.725141 | 26869515 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 26869515 | Athletic Physical Therapy Inc | 1949-11-14 | 2026-05-29 | F | AE | PT | BERNES | 33531275511 | JUDITH | R | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260527.122124605.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21757754/check_26869515_848c326c-6064-4d9e-bd2d-74514ec518ce.json | N/A | N/A | N/A | N/A | N/A | 33531275511 | 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. | 1949-11-14 | N/A | N/A | N/A | SP | false | BERNES | N/A | JUDITH | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10998800309 | N/A | N/A | 21757754 | 2222 | 4793 | 27039783 | N/A | 19353038 | 2026-05-28 00:51:09.725141 | 2026-05-18 22:34:53.976271 |
| 2026-05-27 07:16:06.193843 | 2026-05-28 00:51:11.664349 | 26869502 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 26869502 | Athletic Physical Therapy Inc | 1959-08-15 | 2026-05-28 | M | AE | PT | KRAUS | 35589766511 | STEVEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260527.122124605.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21625901/check_26869502_6054db93-f8a8-4106-bb25-30ef814e64a2.json | N/A | N/A | N/A | N/A | N/A | 35589766511 | 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. | 1959-08-15 | N/A | N/A | N/A | SP | false | KRAUS | N/A | STEVEN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10998800308 | N/A | N/A | 21625901 | 2222 | 4802 | 27039819 | N/A | 19225466 | 2026-05-28 00:51:11.664349 | 2026-05-14 21:54:13.891696 |
| 2026-05-27 07:16:06.106062 | 2026-05-28 00:52:40.022589 | 26869485 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26869485 | Athletic Physical Therapy Inc | 1955-06-17 | 2026-05-28 | M | AE | PT | RANDALL | XEM909863490 | STEVEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260527.122124605.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21460824/check_26869485_ba8397a5-2adb-4d55-8355-76965d0ada8e.json | N/A | N/A | N/A | N/A | N/A | XEM909863490 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-06-17 | 2002SE000030 | X0001002 | N/A | OT | false | RANDALL | N/A | STEVEN | N/A | N/A | 2026-05-27 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10998800307 | N/A | N/A | 21460824 | 2222 | 4801 | 27041344 | N/A | 19094352 | 2026-05-28 00:52:40.022589 | 2026-05-26 13:09:11.033853 |
| 2026-05-27 07:16:06.012123 | 2026-05-28 00:51:12.859429 | 26869469 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 26869469 | Athletic Physical Therapy Inc | 1948-03-10 | 2026-05-28 | M | AE | PT | Vasseghi | 35169214211 | Massoud | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260527.122124605.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21110895/check_26869469_63f376cd-5bda-4e46-b47f-f974662380e9.json | N/A | N/A | N/A | N/A | N/A | 35169214211 | 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. | 1948-03-10 | N/A | N/A | N/A | SP | false | VASSEGHI | N/A | MASSOUD | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10998800306 | N/A | N/A | 21110895 | 2222 | 4802 | 27039843 | N/A | 18398741 | 2026-05-28 00:51:12.859429 | 2026-05-06 01:35:49.065096 |
| 2026-05-27 07:16:05.914758 | 2026-05-28 00:52:38.421205 | 26869450 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26869450 | Athletic Physical Therapy Inc | 1948-12-14 | 2026-05-28 | M | AE | PT | KHETAN | XEM904034868 | UMAKANT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260527.122124605.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20637859/check_26869450_56820902-3256-4976-8ccd-9b6ae80ce17b.json | N/A | N/A | N/A | N/A | N/A | XEM904034868 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1948-12-14 | 2004SE000030 | X0001002 | N/A | OT | false | KHETAN | N/A | UMAKANT | N/A | N/A | 2026-05-27 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10998800305 | N/A | N/A | 20637859 | 2222 | 4793 | 27041318 | N/A | 18283277 | 2026-05-28 00:52:38.421205 | 2026-04-28 23:20:57.668646 |
| 2026-05-27 07:16:05.831233 | 2026-05-28 00:51:10.175504 | 26869435 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 26869435 | Athletic Physical Therapy Inc | 1937-12-01 | 2026-05-29 | M | AE | PT | Dannett | 03371927011 | Kenneth | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260527.122124605.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20212733/check_26869435_f66dff12-6a4b-47f5-a12b-060ab367bae8.json | N/A | N/A | N/A | N/A | N/A | 03371927011 | 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. | 1937-12-01 | N/A | N/A | N/A | SP | false | DANNETT | N/A | KENNETH | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10998799626 | N/A | N/A | 20212733 | 2222 | 4793 | 27039792 | N/A | 17312075 | 2026-05-28 00:51:10.175504 | 2026-04-09 18:23:04.574943 |
| 2026-05-27 07:16:05.739020 | 2026-05-28 00:51:10.635231 | 26869417 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 26869417 | Athletic Physical Therapy Inc | 1958-02-17 | 2026-05-29 | F | AE | PT | Goldenberg | 33132579411 | Andrea | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260527.122124605.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19775686/check_26869417_99700426-dbb6-4fb4-963c-357bf42b8f85.json | N/A | N/A | N/A | N/A | N/A | 33132579411 | 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. | 1958-02-17 | N/A | N/A | N/A | SP | false | GOLDENBERG | N/A | ANDREA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10998799625 | N/A | N/A | 19775686 | 2222 | 4793 | 27039803 | N/A | 17491882 | 2026-05-28 00:51:10.635231 | 2026-04-23 20:53:28.613621 |
| 2026-05-27 07:16:05.656201 | 2026-05-28 00:52:14.265870 | 26869401 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26869401 | Athletic Physical Therapy Inc | 1948-08-12 | 2026-05-29 | M | AE | PT | AHADIAN | JQE280A52124 | FRANK | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260527.122124605.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19572748/check_26869401_a88cc5a9-4749-4031-8516-003b1d57210a.json | N/A | N/A | N/A | N/A | N/A | JQE280A52124 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-08-12 | 040 | CASUPWP0 | N/A | N/A | false | AHADIAN | N/A | FRANK | N/A | 9999-12-31 | 2019-02-12 | CA MODERNIZED PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10998799624 | N/A | N/A | 19572748 | 2222 | 4802 | 27040943 | N/A | 17324951 | 2026-05-28 00:52:14.265870 | 2026-04-13 21:07:10.225431 |
| 2026-05-27 07:16:05.579789 | 2026-05-28 00:51:13.461090 | 26869387 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 26869387 | override_provider | 1955-02-18 | 2026-05-29 | M | AE | PT | Savatteri | R12717165 | Roger | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260527.122124605.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19249808/check_26869387_729d85d7-fe1e-4381-aba9-bd5375403fd0.json | N/A | N/A | N/A | N/A | N/A | R12717165MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1955-02-18 | N/A | N/A | N/A | N/A | false | SAVATTERI | N/A | ROGER | N/A | N/A | N/A | G6X MEDIFLEX | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10998799623 | N/A | N/A | 19249808 | 2222 | 4793 | 27039855 | N/A | 17115438 | 2026-05-28 00:51:13.461090 | 2026-04-10 14:10:46.417236 |
| 2026-05-27 07:16:05.504355 | 2026-05-28 00:53:09.665143 | 26869374 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 26869374 | Athletic Physical Therapy Inc | 1959-05-04 | 2026-05-29 | F | AE | PT | COLLIER | 98107188D84191 | TAMMY | Kay | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260527.122124605.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18933597/check_26869374_0aad1ae5-02e4-47dd-b039-7f464d15aa0a.json | N/A | N/A | N/A | N/A | N/A | 98107188D84191 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1959-05-04 | N/A | N/A | N/A | N/A | false | COLLIER | N/A | TAMMY | N/A | N/A | 2026-05-27 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10998799622 | N/A | N/A | 18933597 | 2222 | 4801 | 27041771 | N/A | 4212056 | 2026-05-28 00:53:09.665143 | 2026-02-04 06:36:19.638419 |
| 2026-05-27 07:16:05.413382 | 2026-05-28 00:51:11.080612 | 26869358 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 26869358 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-05-28 | M | AE | PT | HARY | 32464179011 | DAVID | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260527.122124605.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18880065/check_26869358_00af8e27-6b6b-4064-a10c-e5f6de01d863.json | N/A | N/A | N/A | N/A | N/A | 32464179011 | 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. | 1948-02-13 | N/A | N/A | N/A | SP | false | HARY | N/A | DAVID | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10998799621 | N/A | N/A | 18880065 | 2222 | 4802 | 27039810 | N/A | 16048388 | 2026-05-28 00:51:11.080612 | 2026-03-12 19:28:18.393557 |
| 2026-05-27 07:16:05.334658 | 2026-05-28 00:52:39.242458 | 26869346 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26869346 | Athletic Physical Therapy Inc | 1949-06-24 | 2026-05-28 | F | AE | PT | MOLAYEM | XEM904126389 | JILLA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260527.122124605.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16453425/check_26869346_3403393b-7bf5-4b9b-b038-c36dbcd88719.json | N/A | N/A | N/A | N/A | N/A | XEM904126389 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-24 | 2002SF000029 | X0001002 | N/A | OT | false | MOLAYEM | N/A | JILLA | N/A | N/A | 2026-05-27 | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10998799620 | N/A | N/A | 16453425 | 2222 | 4802 | 27041332 | N/A | 14498125 | 2026-05-28 00:52:39.242458 | 2026-03-11 14:35:29.812051 |
| 2026-05-27 07:16:05.248304 | 2026-05-28 00:51:37.182532 | 26869329 | N/A | N/A | 62118 | Aetna Administrator Medicare Supplement (Eligibility & Remits Only) | 1114042165 | 26869329 | Athletic Physical Therapy Inc | 1947-04-14 | 2026-05-29 | F | AE | PT | UYGUR | GLA0008101 | NUKHET | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260527.122124605.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543315/check_26869329_9ba5d358-d979-4c3c-a602-d883f337470b.json | N/A | N/A | N/A | N/A | N/A | GLA0008101 | N/A | N/A | AETNA SENIOR SUPPLEMENTAL INSURANCE | N/A | 1947-04-14 | MMS022FRGLAC | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | N/A | 2026-03-01 | 2012-04-01 | MED SUPP PLAN F 2010 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10998799619 | N/A | N/A | 5543315 | 2222 | 4802 | 27040263 | N/A | 4215116 | 2026-05-28 00:51:37.182532 | 2025-05-29 22:32:19.748297 |
| 2026-05-27 07:16:05.160996 | 2026-05-28 00:52:15.016418 | 26869312 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26869312 | Athletic Physical Therapy Inc | 1949-09-19 | 2026-05-29 | M | AE | PT | DOUGHERTY | XEA913685152 | KENNETH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260527.122124605.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541623/check_26869312_1a9233e7-807e-40e3-b160-7422731d4f06.json | N/A | N/A | N/A | N/A | N/A | XAN913685152 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1949-09-19 | 1002VX000001 | W0051411 | N/A | PR | false | DOUGHERTY | N/A | AGNES | N/A | 9999-12-31 | 2025-01-01 | CALPERS ASO VISION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10998799618 | N/A | N/A | 5541623 | 2222 | 4793 | 27040956 | N/A | 4213619 | 2026-05-28 00:52:15.016418 | 2025-05-13 04:29:37.227951 |
| 2026-05-27 07:16:05.075378 | 2026-05-28 00:51:12.371514 | 26869295 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 26869295 | Athletic Physical Therapy Inc | 1939-06-24 | 2026-05-29 | M | AE | PT | ULLMAN | 03520409411 | DAVID | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260527.122124605.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_26869295_1dfe4e44-bb0e-4716-973a-39c019db3b6b.json | N/A | N/A | N/A | N/A | N/A | 03520409411 | 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. | 1939-06-24 | N/A | N/A | N/A | SP | false | ULLMAN | N/A | DAVID | N/A | 2025-12-31 | 2025-01-01 | AARP MEDICARE SUPPLEMENT PLAN J | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10998799617 | N/A | N/A | 5535842 | 2222 | 4801 | 27039834 | N/A | 4208696 | 2026-05-28 00:51:12.371514 | 2025-06-07 16:16:45.844566 |
| 2026-05-27 05:58:59.796166 | 2026-05-27 05:59:01.739627 | 26853293 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-01-10 | 2026-05-27 | F | AE | PT | MAWAS | 1HM1QX0QJ05 | ASMAHAN | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9765210/check_26853293_0ef68171-f903-422d-97f5-290f608fab3b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9765210/check_26853293_e1fea02f-cfd2-40f3-a723-978aa4ef7204.json | N/A | N/A | N/A | N/A | N/A | 1HM1QX0QJ05 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-01-10 | S5617 | N/A | N/A | MB | false | MAWAS | N/A | ASMAHAN | 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 | 10998468335 | N/A | N/A | 9765210 | 2222 | N/A | 26978534 | N/A | 8176388 | 2026-05-27 05:59:01.739627 | 2025-10-07 15:06:58.335351 |
| 2026-05-27 05:09:35.538611 | 2026-05-27 05:09:39.513686 | 26853166 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 26853166 | Athletic Physical Therapy Inc | 1968-03-23 | 2026-05-19 | N/A | PT | AE | Tennant | 000013139700 | Eileen | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/20212466/check_26853166_4e876236-ecb6-47b2-b112-ca6f610d2130.json | WAYSTAR | N/A | INSIGHTS | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20212466/check_26853166_e4a83f96-40a1-40f3-8269-9977965355f1.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 20212466 | 2222 | N/A | 26978407 | N/A | 17864291 | 2026-05-27 05:09:39.513686 | 2026-06-08 17:10:12.862698 |
| 2026-05-27 04:06:25.033451 | 2026-05-27 04:06:26.925444 | 26851271 | N/A | N/A | 77160 | GOLD COAST HEALTH PLAN | 1114042165 | 26851271 | Athletic Physical Therapy Inc | 1964-09-19 | 2026-02-06 | N/A | PT | AE | DARBRO | 99089679C | CORY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14713039/check_26851271_7be0934e-de43-42a5-a8e9-4c52e1930b81.json | WAYSTAR | N/A | INSIGHTS | 2026-02-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14713039/check_26851271_435bb86c-aef1-4805-af8e-6a999453c204.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 14713039 | 2222 | N/A | 26976558 | N/A | 12841731 | 2026-05-27 04:06:26.925444 | 2025-12-26 20:25:31.434969 |
| 2026-05-26 23:19:26.216001 | 2026-05-26 23:19:28.224758 | 26848989 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-10-02 | 2026-06-10 | F | 30 | AD | PRINCIPE | 40080347001 | CORAZON | N/A | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/22133973/check_26848989_bc1bc997-a299-454a-a9c3-d642a8259c81.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/22133973/check_26848989_bbde2135-fc2b-4b88-9563-adbb1f8edd66.json | N/A | N/A | N/A | N/A | N/A | 40080347001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1953-10-02 | N/A | N/A | N/A | N/A | false | PRINCIPE | N/A | CORAZON | N/A | N/A | 2026-06-10 | N/A | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 22133973 | 2222 | N/A | 26912601 | N/A | 19713788 | 2026-05-26 23:19:28.224758 | 2026-05-26 23:05:41.401639 |
| 2026-05-26 23:19:24.535648 | 2026-05-26 23:19:26.211963 | 26848988 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-10-02 | 2026-06-10 | F | 30 | AD | PRINCIPE | 40080347001 | CORAZON | N/A | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/22133973/check_26848988_68795681-805c-4d0a-8fbe-80ccb30a97b3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | 40080347001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1953-10-02 | N/A | N/A | N/A | N/A | false | PRINCIPE | N/A | CORAZON | N/A | N/A | 2026-06-10 | N/A | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 22133973 | 2222 | N/A | N/A | N/A | 19713788 | 2026-05-26 23:19:26.211963 | 2026-05-26 23:05:41.401639 |
| 2026-05-26 23:04:03.427055 | 2026-05-26 23:04:05.377459 | 26848852 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-11-05 | 2026-05-27 | M | PT | N/A | NOURI | FJB20047746M | MAJID | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21817815/check_26848852_db89864a-aef1-4627-b681-b10b90abab65.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21817815/check_26848852_b3e9b286-86b5-474c-9ee8-5ef362b7fb62.json | N/A | N/A | N/A | N/A | N/A | FJB20047746M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1965-11-05 | 101 | 174549M211 | N/A | PR | false | NOURI | N/A | MAJID | N/A | 2026-12-31 | 2026-01-01 | BLUECARD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10995903420 | N/A | N/A | 21817815 | 2222 | N/A | 26912457 | N/A | 19401938 | 2026-05-26 23:04:05.377459 | 2026-05-19 20:27:20.585944 |
| 2026-05-26 22:01:47.222036 | 2026-05-26 22:01:50.119804 | 26847815 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-05-16 | 2026-05-28 | M | PT | N/A | Malekan | XDL225A74146 | Edvin | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21759865/check_26847815_4a5a3f44-43a8-403f-8dd3-561eff2deee6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21759865/check_26847815_53853dc5-3aaa-4d30-9952-49d394ae34d9.json | N/A | N/A | N/A | N/A | N/A | XDL225A74146 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1987-05-16 | 040 | Z15300 | N/A | PR | false | MALEKAN | N/A | EDVIN | N/A | 2026-12-31 | 2026-01-01 | SMARTSENSE STANDARD RX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10995650875 | 167942 | N/A | 21759865 | 2222 | N/A | 26911348 | N/A | 19355258 | 2026-05-26 22:01:50.119804 | 2026-05-18 23:13:11.236754 |
| 2026-05-26 22:00:10.871690 | 2026-05-26 22:00:14.961740 | 26847671 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-11-12 | 2026-05-28 | M | AE | PT | SCHLEDORN | 101611887200 | ROBIN | N/A | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21660730/check_26847671_1fa4184c-91bc-40ec-88b1-f1baa86b0f7f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21660730/check_26847671_5ef6a8c1-22a1-48f1-a365-2d26096117bf.json | N/A | N/A | N/A | N/A | N/A | 101611887200 | Preferred Provider Organization (PPO) | NATIONAL AUTOMATIC SPRINKLERS INDUS | AETNA | MEDICARE | 1951-11-12 | 100424-02EG0002 | 100424-02 | N/A | PR | false | SCHLEDORN | N/A | ROBIN | N/A | 2026-12-31 | 2026-01-01 | MEDICARE (C04) ESA PPO PLAN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10995643139 | 167942 | N/A | 21660730 | 2222 | N/A | 26911203 | N/A | 19252577 | 2026-05-26 22:00:14.961740 | 2026-05-15 16:41:18.603803 |
| 2026-05-26 21:58:52.102851 | 2026-05-26 21:58:56.200040 | 26847658 | N/A | N/A | 39026 | UNITED MEDICAL RESOURCES | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-06-23 | 2026-05-28 | F | AE | PT | LAWTON | 32745906 | JENNIFER | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541068/check_26847658_6c822ace-683a-45d6-9269-07319f1d908a.json | UHC | N/A | INSIGHTS | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541068/check_26847658_93230eb1-738e-4e32-91c6-1c1c058f09ad.json | N/A | N/A | N/A | N/A | N/A | 32745906 | N/A | N/A | UMR | N/A | 2011-06-23 | N/A | 76413554 | N/A | N/A | false | LAWTON | N/A | JENNIFER | N/A | N/A | 2022-09-12 | NIELSEN GROUP HEALTH BENEFIT PLAN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5541068 | 2222 | N/A | 26911185 | N/A | 4213127 | 2026-05-26 21:58:56.200040 | 2025-05-13 04:29:37.227454 |
| 2026-05-26 21:50:52.863612 | 2026-05-26 21:50:54.755119 | 26847560 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-12-20 | 2026-05-28 | F | AE | PT | DOEREN | XEM906073088 | ELLEN | J | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21824250/check_26847560_1778b637-9c7b-4d19-8899-992e49954a93.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21824250/check_26847560_ad376081-2bee-4a67-839e-e7addd631f8b.json | N/A | N/A | N/A | N/A | N/A | XEM906073088 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-12-20 | 2002SF000029 | X0001002 | N/A | OT | false | DOEREN | N/A | ELLEN | N/A | N/A | 2026-05-28 | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10995608594 | 167942 | N/A | 21824250 | 2222 | N/A | 26911066 | N/A | 19406790 | 2026-05-26 21:50:54.755119 | 2026-05-19 22:03:15.101817 |
| 2026-05-26 21:45:35.427373 | 2026-05-26 21:45:40.582205 | 26847514 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-10-27 | 2026-05-28 | F | AE | PT | DOTEN | 907341342 | ROBYN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/21966641/check_26847514_ef2695af-393e-40e8-a42a-30ee437979f3.json | UHC | N/A | INSIGHTS | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21966641/check_26847514_e3ac9d81-df65-4326-a1a7-0a8864df34c7.json | N/A | N/A | N/A | N/A | N/A | 907341342 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1967-10-27 | N/A | 701648 | N/A | C1 | false | DOTEN | N/A | ROBYN | N/A | 2026-12-31 | 2026-01-01 | UNITEDHEALTHCARE CHOICE PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 21966641 | 2222 | N/A | 26911003 | N/A | 4212601 | 2026-05-26 21:45:40.582205 | 2025-05-13 04:29:37.226948 |
| 2026-05-26 21:17:38.192771 | 2026-05-26 21:17:40.117360 | 26847126 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-13 | 2026-05-28 | F | AE | PT | Farshi | 90275363C | Sandra | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21750466/check_26847126_b2f8fceb-fefc-4b4f-9340-c52a8003de14.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21750466/check_26847126_e6834808-80a2-471b-ae2a-ea055c2b5394.json | N/A | N/A | N/A | N/A | N/A | 90275363C | N/A | MCLA WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1965-07-13 | MCLA | MWLLNFAG21 | N/A | N/A | false | FARSHI | N/A | SANDRA | N/A | 2078-12-31 | 2023-11-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10995438237 | 167942 | N/A | 21750466 | 2222 | N/A | 26910555 | N/A | 19346033 | 2026-05-26 21:17:40.117360 | 2026-05-18 20:00:50.893080 |
| 2026-05-26 20:58:26.243812 | 2026-05-26 20:58:28.147069 | 26846810 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1999-12-22 | 2026-05-28 | F | AE | PT | Gomez | 000026601255 | Lyana | M | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21613219/check_26846810_21e71e03-2dd0-41c8-9969-a5396ab0abeb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21613219/check_26846810_102e2591-32fa-48cd-b5ce-7a55a6eca04b.json | N/A | N/A | N/A | N/A | N/A | 000026601255 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1999-12-22 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | LYANA | 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 | 167942 | N/A | 21613219 | 2222 | N/A | 26910201 | N/A | 19215585 | 2026-05-26 20:58:28.147069 | 2026-05-26 20:59:16.133231 |
| 2026-05-26 20:58:23.523272 | 2026-05-26 20:58:26.239680 | 26846808 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1999-12-22 | 2026-05-28 | F | AE | PT | Gomez | 000026601255 | Lyana | M | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21613219/check_26846808_c93d6419-a58a-4e0e-8558-cdf3bfd5e0a0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-28 | N/A | N/A | N/A | N/A | N/A | N/A | 000026601255 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1999-12-22 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | LYANA | 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 | 167942 | N/A | 21613219 | 2222 | N/A | N/A | N/A | 19215585 | 2026-05-26 20:58:26.239680 | 2026-05-26 20:59:16.133231 |
| 2026-05-26 20:56:26.778910 | 2026-05-26 20:56:29.699044 | 26846791 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1956-07-04 | 2026-05-28 | F | AE | PT | Montiel | 000003783461 | Maria | Ayala | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21749703/check_26846791_87936075-06cb-4519-88ce-1c5faeb99047.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21749703/check_26846791_f6a19c2f-6e75-4ffc-8c81-6f5f037a0a81.json | N/A | N/A | N/A | N/A | N/A | 000003783461 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1956-07-04 | 4362708 | 226372 | N/A | N/A | false | MONTIEL | N/A | MARIA | N/A | 2026-12-31 | 2026-01-01 | MOOG INC. TORRANCE ACTIVES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10995260327 | 167942 | N/A | 21749703 | 2222 | N/A | 26910180 | N/A | 19345168 | 2026-05-26 20:56:29.699044 | 2026-05-26 20:57:03.360502 |
| 2026-05-26 20:55:54.289304 | 2026-05-26 20:55:57.275075 | 26846788 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1956-07-04 | 2026-05-28 | M | AE | PT | Montiel | 000003783461 | Maria | Ayala | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21749703/check_26846788_c89b30f9-5aac-47c4-8b6e-20f340ccb8af.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21749703/check_26846788_c02895f8-db18-478c-9b02-a8edb5e9bb25.json | N/A | N/A | N/A | N/A | N/A | 000003783461 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1956-07-04 | N/A | N/A | N/A | N/A | false | MONTIEL | N/A | MARIA | 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 | N/A | 167942 | N/A | 21749703 | 2222 | N/A | 26910177 | N/A | 19345168 | 2026-05-26 20:55:57.275075 | 2026-05-26 20:57:03.360502 |
| 2026-05-26 20:55:51.062149 | 2026-05-26 20:55:54.284833 | 26846787 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1956-07-04 | 2026-05-28 | M | AE | PT | Montiel | 000003783461 | Maria | Ayala | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21749703/check_26846787_c75ba197-c1f6-47d1-b79d-6b6883d44319.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-28 | N/A | N/A | N/A | N/A | N/A | N/A | 000003783461 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1956-07-04 | N/A | N/A | N/A | N/A | false | MONTIEL | N/A | MARIA | 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 | N/A | 167942 | N/A | 21749703 | 2222 | N/A | N/A | N/A | 19345168 | 2026-05-26 20:55:54.284833 | 2026-05-26 20:57:03.360502 |
| 2026-05-26 20:30:17.729413 | 2026-05-26 20:30:19.451425 | 26846242 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-09-18 | 2026-05-26 | F | PT | N/A | YOUNG | XEH910885070 | AVA | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/22120868/check_26846242_5831faac-6377-42ef-ac95-0f92b1a43112.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/22120868/check_26846242_ccd2c161-5dfe-461c-bc3b-1907e39787d1.json | N/A | N/A | N/A | N/A | N/A | XEH910885070 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 2008-09-18 | 1010VX000001 | W0069783 | N/A | HM | false | YOUNG | N/A | PAUL | N/A | 2034-09-30 | 2024-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10995057114 | N/A | N/A | 22120868 | 2222 | N/A | 26909562 | N/A | 19700035 | 2026-05-26 20:30:19.451425 | 2026-05-26 20:23:59.784101 |
| 2026-05-26 17:42:58.582143 | 2026-05-26 17:43:00.767874 | 26842165 | N/A | N/A | SB040 | REGAL MEDICAL GROUP / ANTHEM BLUE CROSS | 1114042165 | 26842165 | Athletic Physical Therapy Inc | 1949-05-01 | 2026-01-12 | M | PT | AE | LANDAVERDE | 833W1934910 | OSCAR | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14413682/check_26842165_cf22c44a-1ba0-4700-a4f1-305b026d0b6f.json | WAYSTAR | N/A | INSIGHTS | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14413682/check_26842165_93594e22-ee85-49b1-957b-ce7d232732ff.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | AE | N/A | N/A | N/A | N/A | N/A | N/A | 169999 | N/A | 14413682 | 2222 | N/A | 26905321 | N/A | 12549123 | 2026-05-26 17:43:00.767874 | 2025-12-18 17:22:21.485744 |
| 2026-05-26 17:39:50.290964 | 2026-05-26 17:39:52.220242 | 26841904 | N/A | N/A | SB040 | REGAL MEDICAL GROUP / ANTHEM BLUE CROSS | 1114042165 | 26841904 | Athletic Physical Therapy Inc | 1949-05-01 | 2026-01-12 | M | PT | AE | LANDAVERDE | 833W1934910 | OSCAR | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14413682/check_26841904_c3004554-43af-44aa-9ae2-5a39520fb79f.json | WAYSTAR | N/A | INSIGHTS | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14413682/check_26841904_f2150320-206b-47c7-90cf-ed8cff35d5b9.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | AE | N/A | N/A | N/A | N/A | N/A | N/A | 169999 | N/A | 14413682 | 2222 | N/A | 26905068 | N/A | 12549123 | 2026-05-26 17:39:52.220242 | 2025-12-18 17:22:21.485744 |
| 2026-05-26 17:38:25.614864 | 2026-05-26 17:38:27.492097 | 26841877 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-05-11 | 2026-05-26 | M | AE | PT | MARTINEZ | 5AK9D47CK35 | OTHON | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/22106687/check_26841877_5cbdcf8a-1b23-434e-8399-824df5f28bb0.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/22106687/check_26841877_efadaf0f-5568-4b54-94c9-09821cc2ae13.json | N/A | N/A | N/A | N/A | N/A | 5AK9D47CK35 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 2-BENEFICIARY INSURED DUE TO END STAGE RENAL DISEASE ESRD | 1965-05-11 | S4802 | N/A | N/A | MA | false | MARTINEZ | N/A | OTHON | 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 | 10993326095 | N/A | N/A | 22106687 | 2222 | N/A | 26905041 | N/A | 19681061 | 2026-05-26 17:38:27.492097 | 2026-05-26 17:22:43.381454 |
| 2026-05-26 16:10:30.578958 | 2026-05-26 16:10:39.599672 | 26839187 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-03-28 | 2026-05-27 | M | AE | PT | TEMPKE | W264320345 | FRANCIS XAVIER | N/A | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21606086/check_26839187_f6a4f7e3-4237-4f12-acb4-1fb1b8dece48.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21606086/check_26839187_afe26781-8a8d-4bd1-a1f1-42ca808bf080.json | N/A | N/A | N/A | N/A | N/A | W264320345 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1990-03-28 | 0176563 | 017656301300081 | N/A | PS | false | TEMPKE | N/A | FRANCIS | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10992497649 | 167942 | N/A | 21606086 | 2222 | N/A | 26902136 | N/A | 19209708 | 2026-05-26 16:10:39.599672 | 2026-05-14 15:51:18.584103 |
| 2026-05-26 15:56:57.171536 | 2026-05-26 15:56:59.037535 | 26838861 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-11-14 | 2026-05-27 | F | AE | PT | BERNES | 33531275511 | JUDITH | R | 3842 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21757754/check_26838861_2b3721d0-969d-42a0-bc63-ec1bb18bf2b6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21757754/check_26838861_ee24c884-0686-43af-b81c-4ab74301c0e0.json | N/A | N/A | N/A | N/A | N/A | 33531275511 | 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. | 1949-11-14 | N/A | N/A | N/A | SP | false | BERNES | N/A | JUDITH | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10992379069 | 167942 | N/A | 21757754 | 2222 | N/A | 26901745 | N/A | 19353038 | 2026-05-26 15:56:59.037535 | 2026-05-18 22:34:53.976271 |
| 2026-05-26 15:55:21.175707 | 2026-05-26 15:55:23.150116 | 26838831 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-11-14 | 2026-05-27 | F | AE | PT | BERNES | 9VR8DR7JQ34 | JUDITH | R | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21757721/check_26838831_2889ae14-4eaf-4273-b9af-65e0fb8714c6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21757721/check_26838831_6bdae4ec-f5e7-4dde-abde-c26729df66b1.json | N/A | N/A | N/A | N/A | N/A | 9VR8DR7JQ34 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-11-14 | S4802 | N/A | N/A | MA | false | BERNES | N/A | JUDITH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 124449 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10992365084 | 167942 | N/A | 21757721 | 2222 | N/A | 26901709 | N/A | 19353038 | 2026-05-26 15:55:23.150116 | 2026-05-18 22:34:53.976271 |
| 2026-05-26 15:49:27.659160 | 2026-05-26 15:49:29.555937 | 26838706 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-01-10 | 2026-05-27 | F | AE | PT | MAWAS | 1HM1QX0QJ05 | ASMAHAN | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9765210/check_26838706_43ff5419-ae9f-4b18-acef-fff1b5728835.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9765210/check_26838706_ee441637-1235-4394-b90c-5edd24b1ac02.json | N/A | N/A | N/A | N/A | N/A | 1HM1QX0QJ05 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-01-10 | S5617 | N/A | N/A | MB | false | MAWAS | N/A | ASMAHAN | 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 | 10992313838 | 167942 | N/A | 9765210 | 2222 | N/A | 26901573 | N/A | 8176388 | 2026-05-26 15:49:29.555937 | 2025-10-07 15:06:58.335351 |
| 2026-05-26 15:46:12.810518 | 2026-05-26 15:46:15.861095 | 26838628 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-06-08 | 2026-05-27 | M | PT | N/A | ENRIGHT | DGA10462968J | FINN | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536905/check_26838628_8889e5f5-be28-415a-ad74-7f3c779bd46e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536905/check_26838628_e05a2c70-e1ab-4cf6-86ac-541dacc0dc87.json | N/A | N/A | N/A | N/A | N/A | DGA10462968J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 2012-06-08 | 040 | 276945M001 | N/A | PR | false | ENRIGHT | N/A | HAROLD | N/A | 2026-12-31 | 2026-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10992284583 | 167942 | N/A | 5536905 | 2222 | N/A | 26901491 | N/A | 4209574 | 2026-05-26 15:46:15.861095 | 2026-05-27 21:55:32.905256 |
| 2026-05-26 15:43:54.235914 | 2026-05-26 15:43:57.182870 | 26838588 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-11-05 | 2026-05-27 | M | PT | N/A | NOURI | FJB20047746M | MAJID | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21817815/check_26838588_b0fe7880-6bc6-4632-8fa5-ae30efb40ba9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21817815/check_26838588_40651e5a-6cdc-45d2-9eda-ce8255db6889.json | N/A | N/A | N/A | N/A | N/A | FJB20047746M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1965-11-05 | 101 | 174549M211 | N/A | PR | false | NOURI | N/A | MAJID | N/A | 2026-12-31 | 2026-01-01 | BLUECARD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10992264376 | 167942 | N/A | 21817815 | 2222 | N/A | 26901449 | N/A | 19401938 | 2026-05-26 15:43:57.182870 | 2026-05-19 20:27:20.585944 |
| 2026-05-26 15:42:05.727837 | 2026-05-26 15:42:14.965617 | 26838559 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-10-01 | 2026-05-27 | M | PT | N/A | MAAS | MPI01506692Q | JERRETT | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21522480/check_26838559_1ec3cf32-8d1d-4d63-8084-6304cbc6a236.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21522480/check_26838559_3da2e9b4-e941-406a-bcfd-5823758b4f30.json | N/A | N/A | N/A | N/A | N/A | MPI01506692Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1993-10-01 | 040 | 277163M401 | N/A | PR | false | MAAS | N/A | JERRETT | N/A | 9999-12-31 | 2022-05-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10992246881 | 167942 | N/A | 21522480 | 2222 | N/A | 26901422 | N/A | 19153644 | 2026-05-26 15:42:14.965617 | 2026-05-27 15:56:36.620025 |
| 2026-05-26 15:35:55.136863 | 2026-05-26 15:35:58.007670 | 26838448 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-22 | 2026-05-27 | F | AE | PT | GALIN | 620712100 | NOELLE | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21673645/check_26838448_7d75cac6-b485-49a3-be81-0088b20cd240.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21673645/check_26838448_6ced8b23-39df-4ac5-a004-3e06b6d6eef6.json | N/A | N/A | N/A | N/A | N/A | 620712100 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1966-02-22 | LACC | 92815CA001000805 | N/A | N/A | false | GALIN | N/A | NOELLE | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10992190128 | 167942 | N/A | 21673645 | 2222 | N/A | 26901308 | N/A | 19269624 | 2026-05-26 15:35:58.007670 | 2026-05-26 15:34:32.016504 |
| 2026-05-26 15:20:20.276341 | 2026-05-26 15:20:24.317770 | 26838198 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 2004-10-23 | 2026-05-27 | F | AE | PT | BENESCH | 000017545398 | SAGE | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21509407/check_26838198_7f99bb5e-5a86-476d-b63b-7b305b199543.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21509407/check_26838198_1b49cb13-596d-408b-a347-132425db8a4a.json | N/A | N/A | N/A | N/A | N/A | 000017545398 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 2004-10-23 | 4362456 | 1650095001 | N/A | N/A | false | BENESCH | N/A | SAGE | N/A | 2026-12-31 | 2026-01-01 | GF JANUARY - KPIF DHMO DEDUCTIBLE HMO $1500 W/CHIR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10992043392 | 167942 | N/A | 21509407 | 2222 | N/A | 26901046 | N/A | 19142035 | 2026-05-26 15:20:24.317770 | 2026-05-26 15:20:33.931489 |
| 2026-05-26 15:20:11.846835 | 2026-05-26 15:20:13.847512 | 26838196 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 2004-10-23 | 2026-05-27 | F | AE | PT | BENESCH | 000017545398 | SAGE BROOKYLN | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21509407/check_26838196_d8d43087-291a-445d-8bc8-95b582a218b5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21509407/check_26838196_c06d0dd5-7fe9-4686-9be5-28b592f07796.json | N/A | N/A | N/A | N/A | N/A | 000017545398 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 2004-10-23 | N/A | N/A | N/A | N/A | false | BENESCH | N/A | SAGE BROOKYLN | 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 | N/A | 167942 | N/A | 21509407 | 2222 | N/A | 26901043 | N/A | 19142035 | 2026-05-26 15:20:13.847512 | 2026-05-26 15:20:33.931489 |
| 2026-05-26 15:20:09.043018 | 2026-05-26 15:20:11.843387 | 26838195 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 2004-10-23 | 2026-05-27 | F | AE | PT | BENESCH | 000017545398 | SAGE BROOKYLN | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21509407/check_26838195_4a7810e9-b6fc-4117-a7f6-9b103866272d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-27 | N/A | N/A | N/A | N/A | N/A | N/A | 000017545398 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 2004-10-23 | N/A | N/A | N/A | N/A | false | BENESCH | N/A | SAGE BROOKYLN | 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 | N/A | 167942 | N/A | 21509407 | 2222 | N/A | N/A | N/A | 19142035 | 2026-05-26 15:20:11.843387 | 2026-05-26 15:20:33.931489 |
| 2026-05-26 14:30:11.386247 | 2026-05-26 14:30:13.469028 | 26836950 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-07-28 | 2026-05-26 | M | AE | PT | LOGAN | 947449397 | SIDNEY | N/A | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535427/check_26836950_8cb6501b-ee22-4f1a-8101-5edcd0cbfd58.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535427/check_26836950_22eed479-2c7f-4680-a890-cb5a7df28aa5.json | N/A | N/A | N/A | N/A | N/A | 947449397 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1946-07-28 | N/A | 01949 | N/A | HN | false | LOGAN | N/A | SIDNEY | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10991553818 | 167942 | N/A | 5535427 | 2222 | N/A | 26899806 | N/A | 4208354 | 2026-05-26 14:30:13.469028 | 2025-05-13 04:29:37.222775 |
| 2026-05-26 14:11:53.167199 | 2026-05-26 14:11:56.024171 | 26836601 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-11-04 | 2026-05-26 | M | PT | N/A | DOBIN | 005W21514 | BRAD | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/20787839/check_26836601_755a5dfd-b3b6-40eb-b076-813ef1f272ea.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20787839/check_26836601_7cb4df57-a01f-4e27-b8f3-5e1b7cccd673.json | N/A | N/A | N/A | N/A | N/A | JQW005W21514 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-11-04 | 040 | CAMCRWP0 | N/A | MP | false | DOBIN | N/A | BRAD | N/A | 9999-12-31 | 2026-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10991364870 | 167942 | N/A | 20787839 | 2222 | N/A | 26899461 | N/A | 18397122 | 2026-05-26 14:11:56.024171 | 2026-05-20 21:14:11.581156 |
| 2026-05-26 14:03:26.918522 | 2026-05-26 14:03:28.789566 | 26836427 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-09-27 | 2026-05-26 | F | AE | PT | MITOVA | 91564435E | KRISTINA | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21032833/check_26836427_086dda9a-925c-4f89-89f8-a69c33b93c45.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21032833/check_26836427_3835ca6d-b553-4423-a1b7-ed308c6ee8a3.json | N/A | N/A | N/A | N/A | N/A | 91564435E | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1984-09-27 | N/A | N/A | N/A | N/A | false | MITOVA | N/A | KRISTINA | N/A | N/A | 2026-05-26 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 21032833 | 2222 | N/A | 26899292 | N/A | 18710006 | 2026-05-26 14:03:28.789566 | 2026-05-04 22:00:09.602788 |