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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-19 07:15:33.252339 | 2026-05-19 07:15:33.297787 | 26495585 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26495585 | Athletic Physical Therapy Inc | 1954-06-15 | 2026-05-22 | F | AE | PT | ADIB | 1TJ9E76RP17 | JILA | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5540303 | 2222 | 4801 | N/A | N/A | 4212486 | 2026-05-19 07:15:33.297787 | 2025-09-30 02:32:14.808821 |
| 2026-05-19 07:15:33.206671 | 2026-05-19 07:15:33.250745 | 26495574 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26495574 | Athletic Physical Therapy Inc | 1936-06-28 | 2026-05-21 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5540074 | 2222 | 4802 | N/A | N/A | 4212282 | 2026-05-19 07:15:33.250745 | 2025-05-13 04:29:37.226623 |
| 2026-05-19 07:15:33.132085 | 2026-05-19 07:15:33.205267 | 26495559 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 26495559 | Athletic Physical Therapy Inc | 1971-02-10 | 2026-05-22 | M | AE | PT | RUIZ | 594887901 | EDUARDO | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5539853 | 2222 | 4801 | N/A | 6411 | 4212098 | 2026-05-19 07:15:33.205267 | 2025-05-13 04:29:37.226429 |
| 2026-05-19 07:15:33.080077 | 2026-05-19 07:15:33.130635 | 26495550 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26495550 | Athletic Physical Therapy Inc | 1945-04-13 | 2026-05-22 | F | AE | PT | BLUM | 4TT3J24RG08 | BONNIE | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5539301 | 2222 | 4802 | N/A | N/A | 4211624 | 2026-05-19 07:15:33.130635 | 2025-05-13 04:29:37.225953 |
| 2026-05-19 07:15:33.026424 | 2026-05-19 07:15:33.078540 | 26495538 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26495538 | Athletic Physical Therapy Inc | 1943-07-22 | 2026-05-21 | M | AE | PT | STEIN | 8MY3V79UN60 | DONALD | H | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5538576 | 2222 | 4802 | N/A | N/A | 4210984 | 2026-05-19 07:15:33.078540 | 2025-08-15 17:42:50.500189 |
| 2026-05-19 07:15:32.968954 | 2026-05-19 07:15:33.024558 | 26495526 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26495526 | Athletic Physical Therapy Inc | 2007-12-18 | 2026-05-22 | M | PT | N/A | PERLMUTTER | JQH460A69253 | DREW | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5538573 | 2222 | 4801 | N/A | N/A | 4210980 | 2026-05-19 07:15:33.024558 | 2025-05-13 04:29:37.225377 |
| 2026-05-19 07:15:32.920529 | 2026-05-19 07:15:32.967538 | 26495518 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26495518 | Athletic Physical Therapy Inc | 1954-01-12 | 2026-05-22 | F | AE | PT | FINCH | 3YV4XM6FP06 | DAWN | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5538472 | 2222 | 4802 | N/A | N/A | 4210886 | 2026-05-19 07:15:32.967538 | 2025-05-13 04:29:37.225284 |
| 2026-05-19 07:15:32.867023 | 2026-05-19 07:15:32.919065 | 26495505 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26495505 | Athletic Physical Therapy Inc | 1981-07-19 | 2026-05-22 | M | PT | N/A | SWAMINATHAN | PAM911049144 | SRIHARI prasath | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5537224 | 2222 | 4793 | N/A | N/A | 4209830 | 2026-05-19 07:15:32.919065 | 2026-01-05 23:05:15.485219 |
| 2026-05-19 07:15:32.816802 | 2026-05-19 07:15:32.865290 | 26495497 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 26495497 | Athletic Physical Therapy Inc | 1954-03-31 | 2026-05-21 | M | PT | N/A | MILES | MBL835W05431 | KEITH | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5536896 | 2222 | 4793 | N/A | N/A | 4209567 | 2026-05-19 07:15:32.865290 | 2025-05-13 04:29:37.223990 |
| 2026-05-19 07:15:32.757140 | 2026-05-19 07:15:32.814737 | 26495485 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 26495485 | Athletic Physical Therapy Inc | 1960-04-02 | 2026-05-22 | M | PT | N/A | GOTLER | NCF018M77628 | RONALD | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5536875 | 2222 | 4802 | N/A | 4185 | 4209547 | 2026-05-19 07:15:32.814737 | 2025-05-13 04:29:37.223974 |
| 2026-05-19 07:15:32.703719 | 2026-05-19 07:15:32.755509 | 26495473 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26495473 | Athletic Physical Therapy Inc | 1945-03-19 | 2026-05-22 | F | AE | PT | ROSS | 6QX7T41GM46 | MARTHA | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5536301 | 2222 | 4802 | N/A | N/A | 4209073 | 2026-05-19 07:15:32.755509 | 2025-11-19 19:47:03.642493 |
| 2026-05-19 07:15:32.640656 | 2026-05-19 07:15:32.702209 | 26495461 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 26495461 | Athletic Physical Therapy Inc | 1937-02-23 | 2026-05-22 | F | AE | PT | SPIGELMAN | 8FK0QJ6EQ10 | JUDY | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5536255 | 2222 | 4802 | N/A | N/A | 4209028 | 2026-05-19 07:15:32.702209 | 2026-03-12 23:35:58.198593 |
| 2026-05-19 07:15:32.563985 | 2026-05-19 07:15:32.639242 | 26495446 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26495446 | Athletic Physical Therapy Inc | 1947-04-18 | 2026-05-22 | F | PT | N/A | BELL | 880M7842720 | JACQUELYN | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5536041 | 2222 | 4802 | N/A | 4184 | 4208856 | 2026-05-19 07:15:32.639242 | 2025-05-13 04:29:37.223284 |
| 2026-05-19 07:15:32.514653 | 2026-05-19 07:15:32.562447 | 26495437 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 26495437 | Athletic Physical Therapy Inc | 1953-09-19 | 2026-05-22 | F | PT | N/A | CARLON | R15684508 | JACQUELINE | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5535724 | 2222 | 4801 | N/A | N/A | 4208597 | 2026-05-19 07:15:32.562447 | 2025-05-13 04:29:37.223030 |
| 2026-05-19 07:15:32.453251 | 2026-05-19 07:15:32.513245 | 26495425 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26495425 | Athletic Physical Therapy Inc | 1941-04-16 | 2026-05-22 | F | AD | 30 | RYAN | 31026142401 | CAROL | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-22 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535455 | 2222 | 4793 | N/A | 6237 | 4208375 | 2026-05-19 07:15:32.513245 | 2025-08-08 21:08:12.459471 |
| 2026-05-19 07:15:32.385961 | 2026-05-19 07:15:32.451462 | 26495410 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 26495410 | Athletic Physical Therapy Inc | 1952-12-16 | 2026-05-21 | F | AE | PT | PORTER | 40028215401 | SHERIL | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-05-21 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5535434 | 2222 | 4793 | N/A | 6237 | 4208356 | 2026-05-19 07:15:32.451462 | 2025-08-25 14:49:27.724897 |
| 2026-05-19 04:38:17.076080 | 2026-05-19 04:38:20.876831 | 26491314 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26491314 | Athletic Physical Therapy Inc | 1990-10-14 | 2026-05-07 | N/A | PT | AE | RUPARELIA | JQU074M89244 | UNJALEE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/21759733/check_26491314_cfc2b0d3-04d0-4fb0-89ef-a9cb06823ec7.json | WAYSTAR | N/A | INSIGHTS | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21759733/check_26491314_32103401-0d31-41a5-87cc-078713330405.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 | 21759733 | 2222 | N/A | 26623438 | N/A | 4214044 | 2026-05-19 04:38:20.876831 | 2026-02-17 17:27:45.471445 |
| 2026-05-19 04:38:10.666809 | 2026-05-19 04:38:16.592995 | 26491300 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 26491300 | Athletic Physical Therapy Inc | 1990-10-14 | 2026-05-07 | N/A | PT | AE | RUPARELIA | JQU07AM89244 | UNJALEE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/21759598/check_26491300_461df61c-1091-47cd-8081-da2d1d304643.json | WAYSTAR | N/A | INSIGHTS | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21759598/check_26491300_4a48967f-330a-435d-a0d6-6c67206efdec.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 | 21759598 | 2222 | N/A | 26623432 | N/A | 4214044 | 2026-05-19 04:38:16.592995 | 2026-02-17 17:27:45.471445 |
| 2026-05-19 04:38:08.404430 | 2026-05-19 04:38:10.228638 | 26491295 | N/A | N/A | 77160 | GOLD COAST HEALTH PLAN | 1114042165 | 26491295 | Athletic Physical Therapy Inc | 1990-10-14 | 2026-05-07 | N/A | PT | AE | RUPARELIA | 95251309D | UNJALEE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17236481/check_26491295_70e19d75-f59b-4072-ad3b-c58971bf1753.json | WAYSTAR | N/A | INSIGHTS | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17236481/check_26491295_78bf7be0-956c-4bbd-94c9-c9f8305c0072.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 | 17236481 | 2222 | N/A | 26623418 | N/A | 4214044 | 2026-05-19 04:38:10.228638 | 2026-02-17 17:27:45.471445 |
| 2026-05-19 04:37:48.874653 | 2026-05-19 04:37:50.887933 | 26491270 | N/A | N/A | 77160 | GOLD COAST HEALTH PLAN | 1114042165 | 26491270 | Athletic Physical Therapy Inc | 1968-01-17 | 2026-04-23 | N/A | PT | AE | FLEMING | 91676084E | LORIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17944249/check_26491270_59ae2e71-1a09-42a6-92ca-8a1d2e5fc180.json | WAYSTAR | N/A | INSIGHTS | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17944249/check_26491270_e1e21f81-a1f6-481d-90d4-84388b626fcb.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 | 17944249 | 2222 | N/A | 26623392 | N/A | 15983370 | 2026-05-19 04:37:50.887933 | 2026-03-16 17:56:49.633280 |
| 2026-05-19 04:20:16.279471 | 2026-05-19 04:20:20.106422 | 26490836 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-11-01 | 2026-05-19 | F | AE | PT | DOLLINGER | W2954 63099 | SHAYNA | N/A | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/20691437/check_26490836_fcdcdaff-57d0-46b3-9a70-83d0a4656c06.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20691437/check_26490836_66ef1777-f1c2-4e78-8621-c526a9e80c79.json | N/A | N/A | N/A | N/A | N/A | W295463099 | Point of Service (POS) | UNIVERSITY OF SOUTHERN CALIFORNIA | AETNA | N/A | 1999-11-01 | 0474947 | 047494703600101 | N/A | PS | false | DOLLINGER | N/A | SHAYNA | N/A | N/A | N/A | OPEN CHOICE-ON CAMPUS BASIC PLAN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10926637298 | N/A | N/A | 20691437 | 2222 | N/A | 26622966 | N/A | 18331183 | 2026-05-19 04:20:20.106422 | 2026-05-19 04:16:00.930686 |
| 2026-05-18 23:16:48.525155 | 2026-05-18 23:16:50.384816 | 26487946 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-03-23 | 2026-05-19 | F | AE | PT | Tennant | 000013397100 | Eileen | N/A | 5503 | https://storage.googleapis.com/normandy-eligibility-checks/2222/20212466/check_26487946_c4632371-eb44-4185-b0c7-4655810be31c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20212466/check_26487946_8da4be19-d556-4481-9a91-5f55eec23e42.json | N/A | N/A | N/A | N/A | N/A | 000013397100 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1968-03-23 | N/A | N/A | N/A | N/A | false | TENNANT | N/A | EILEEN | 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 | 9481 | N/A | 20212466 | 2222 | N/A | 26582608 | N/A | 17864291 | 2026-05-18 23:16:50.384816 | 2026-06-08 17:10:12.862698 |
| 2026-05-18 23:16:45.718846 | 2026-05-18 23:16:48.522082 | 26487945 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-03-23 | 2026-05-19 | F | AE | PT | Tennant | 000013397100 | Eileen | N/A | 5503 | https://storage.googleapis.com/normandy-eligibility-checks/2222/20212466/check_26487945_f3e6329f-d70b-4589-ba44-c0bc8aaeb1ba.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-19 | N/A | N/A | N/A | N/A | N/A | N/A | 000013397100 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1968-03-23 | N/A | N/A | N/A | N/A | false | TENNANT | N/A | EILEEN | 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 | 9481 | N/A | 20212466 | 2222 | N/A | N/A | N/A | 17864291 | 2026-05-18 23:16:48.522082 | 2026-06-08 17:10:12.862698 |
| 2026-05-18 22:29:09.795481 | 2026-05-18 22:29:12.661688 | 26487589 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1980-05-12 | 2026-05-22 | F | AE | PT | ARANZAZU | R056692964FM1 | SANDRA | N/A | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21755089/check_26487589_b6aead1c-5f20-48ef-b2b2-5ad009b58d81.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21755089/check_26487589_631d0009-85ff-4e38-861a-b4d7dce6e740.json | N/A | N/A | N/A | N/A | N/A | R056692964FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1980-05-12 | N/A | N/A | N/A | N/A | false | ARANZAZU | N/A | SANDRA | N/A | N/A | 2026-05-22 | 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 | 21755089 | 2222 | N/A | 26582175 | N/A | 19350566 | 2026-05-18 22:29:12.661688 | 2026-05-18 22:13:38.431303 |
| 2026-05-18 22:29:07.101857 | 2026-05-18 22:29:09.787584 | 26487588 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1980-05-12 | 2026-05-22 | F | AE | PT | ARANZAZU | R056692964FM1 | SANDRA | N/A | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21755089/check_26487588_84c217d7-2b02-47ee-b8ee-b53861e2c69a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-22 | N/A | N/A | N/A | N/A | N/A | N/A | R056692964FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1980-05-12 | N/A | N/A | N/A | N/A | false | ARANZAZU | N/A | SANDRA | N/A | N/A | 2026-05-22 | 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 | 21755089 | 2222 | N/A | N/A | N/A | 19350566 | 2026-05-18 22:29:09.787584 | 2026-05-18 22:13:38.431303 |
| 2026-05-18 22:04:01.504748 | 2026-05-18 22:04:04.843631 | 26486962 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-03-25 | 2026-05-20 | M | PT | N/A | MANGILIT | C2Z3030369LM | MARK | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21263251/check_26486962_92cdcc0e-9180-4438-b1cc-e39e422170c6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21263251/check_26486962_8c143ba0-6f19-41c0-bc75-3ae28e52dcbc.json | N/A | N/A | N/A | N/A | N/A | C2Z3030369LM | Preferred Provider Organization (PPO) | KAYNE ANDERSON CAPITAL ADVISORS LP | ANTHEM BLUE CROSS | N/A | 1979-03-25 | 040 | L15644M001 | N/A | PR | false | MANGILIT | N/A | MARK | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10924173317 | 167942 | N/A | 21263251 | 2222 | N/A | 26581542 | N/A | 4213892 | 2026-05-18 22:04:04.843631 | 2025-05-13 04:29:37.228208 |
| 2026-05-18 22:03:50.335817 | 2026-05-18 22:03:52.188320 | 26486960 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-03-25 | 2026-05-20 | M | PT | N/A | MANGILIT | C2Z30369LM | MARK | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21263251/check_26486960_746d001d-b479-430b-b96d-17278f9a310e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21263251/check_26486960_a62e2dc4-c3a0-4e6d-b3b8-66c19c1ecb14.json | N/A | N/A | N/A | N/A | N/A | C2Z30369LM | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1979-03-25 | N/A | N/A | N/A | N/A | false | MANGILIT | N/A | MARK | N/A | N/A | 2026-05-20 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 21263251 | 2222 | N/A | 26581540 | N/A | 4213892 | 2026-05-18 22:03:52.188320 | 2025-05-13 04:29:37.228208 |
| 2026-05-18 22:03:47.569285 | 2026-05-18 22:03:50.330343 | 26486959 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-03-25 | 2026-05-20 | M | PT | N/A | MANGILIT | C2Z30369LM | MARK | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21263251/check_26486959_078ee441-047c-4bb5-a685-f176c346dc22.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-20 | N/A | N/A | N/A | N/A | N/A | N/A | C2Z30369LM | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1979-03-25 | N/A | N/A | N/A | N/A | false | MANGILIT | N/A | MARK | N/A | N/A | 2026-05-20 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 21263251 | 2222 | N/A | N/A | N/A | 4213892 | 2026-05-18 22:03:50.330343 | 2025-05-13 04:29:37.228208 |
| 2026-05-18 21:37:45.506504 | 2026-05-18 21:37:50.396973 | 26486743 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-02-06 | 2026-05-19 | F | PT | N/A | HUBERT | JQU383M93029 | CHERYL | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/20933613/check_26486743_b5372608-4267-49e4-963c-2801855c6c90.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20933613/check_26486743_0d6b5f33-8569-4676-870d-062d8b68482d.json | N/A | N/A | N/A | N/A | N/A | JQU383M93029 | Preferred Provider Organization (PPO) | FSAC FERTILITY INC | BLUE SHIELD OF CALIFORNIA | N/A | 1960-02-06 | 040 | K55073 | N/A | PR | false | HUBERT | N/A | GARY | N/A | 2026-12-31 | 2026-03-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10924038731 | N/A | N/A | 20933613 | 2222 | N/A | 26581286 | N/A | 18624617 | 2026-05-18 21:37:50.396973 | 2026-05-05 14:33:12.450951 |
| 2026-05-18 21:23:56.690653 | 2026-05-18 21:24:00.599462 | 26486580 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-02-20 | 2026-05-21 | F | AE | PT | PITKIN | 000021799163 | MORGAN | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21261091/check_26486580_1460ce0b-6e86-4fc9-853e-15b524ca1c5b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21261091/check_26486580_6e4676d2-dd3d-464e-89bc-1f3c114eb29e.json | N/A | N/A | N/A | N/A | N/A | 000021799163 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1987-02-20 | 4085662 | 228273 | N/A | N/A | false | PITKIN | N/A | MORGAN | N/A | 2026-12-31 | 2026-01-01 | SOUTHERN CALIFORNIA IBEW-NECA HEALTH TRUST FUND SO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10923961786 | 167942 | N/A | 21261091 | 2222 | N/A | 26581085 | N/A | 18900723 | 2026-05-18 21:24:00.599462 | 2026-05-08 17:03:17.598392 |
| 2026-05-18 20:57:29.749690 | 2026-05-18 20:57:31.638116 | 26485927 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-01-27 | 2026-05-13 | F | PT | AE | KIM | 40086743101 | SARAH | J | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/19567411/check_26485927_62b32e9b-af5d-4117-867d-3edaf1485283.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19567411/check_26485927_996c9655-f04a-4d7d-aca4-4b82eb6da57b.json | N/A | N/A | N/A | N/A | N/A | 40086743101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-01-27 | 2026H5425006 | H5425M | N/A | N/A | false | KIM | N/A | SARAH | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10923613738 | 7686 | N/A | 19567411 | 2222 | N/A | 26580335 | N/A | 16386056 | 2026-05-18 20:57:31.638116 | 2026-03-19 16:01:57.090565 |
| 2026-05-18 19:40:59.982096 | 2026-05-18 19:41:01.948761 | 26484536 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1932-09-13 | 2026-05-18 | F | AE | PT | VARELA RODRIGUEZ | 00 0026632154 | MARTA ELSA | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21197517/check_26484536_5ba381aa-0b46-4fc7-a9be-cc6d329cdae7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21197517/check_26484536_cfeb5714-d4fc-4f92-b863-44d9607ebc12.json | N/A | N/A | N/A | N/A | N/A | 00 0026632154 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1932-09-13 | N/A | N/A | N/A | N/A | false | VARELA RODRIGUEZ | N/A | MARTA ELSA | N/A | N/A | 2026-05-18 | 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 | 21197517 | 2222 | N/A | 26578717 | N/A | 18846541 | 2026-05-18 19:41:01.948761 | 2026-05-18 19:34:31.389191 |
| 2026-05-18 19:40:58.184805 | 2026-05-18 19:40:59.978334 | 26484535 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1932-09-13 | 2026-05-18 | F | AE | PT | VARELA RODRIGUEZ | 00 0026632154 | MARTA ELSA | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21197517/check_26484535_86e536ea-7e0b-4ab6-8849-1f282a0fcb23.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | N/A | N/A | N/A | N/A | N/A | N/A | 00 0026632154 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1932-09-13 | N/A | N/A | N/A | N/A | false | VARELA RODRIGUEZ | N/A | MARTA ELSA | N/A | N/A | 2026-05-18 | 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 | 21197517 | 2222 | N/A | N/A | N/A | 18846541 | 2026-05-18 19:40:59.978334 | 2026-05-18 19:34:31.389191 |
| 2026-05-18 18:34:12.072628 | 2026-05-18 18:34:15.789946 | 26483206 | N/A | N/A | 39026 | UNITED MEDICAL RESOURCES | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-02-12 | 2026-05-20 | F | AE | PT | Hughes | 51522714 | Mckenna | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/21209073/check_26483206_935969b2-f079-45bc-a51a-387945aad0e1.json | UHC | N/A | INSIGHTS | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21209073/check_26483206_18be6729-4336-4ee5-8ed2-e6847f22a3f8.json | N/A | N/A | N/A | N/A | N/A | 51522714 | N/A | N/A | UMR | N/A | 2009-02-12 | N/A | 76417701 | N/A | N/A | false | HUGHES | N/A | MCKENNA | N/A | N/A | 2026-01-01 | SOUTHWEST AIRLINES CO. 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 | 21209073 | 2222 | N/A | 26577191 | N/A | 18856635 | 2026-05-18 18:34:15.789946 | 2026-05-07 20:27:57.744437 |
| 2026-05-18 18:26:29.532763 | 2026-05-18 18:26:32.451294 | 26483082 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-08-04 | 2026-05-20 | F | AE | PT | CANTRELL | JQC92880750C | CYNTHIA | V | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21523881/check_26483082_56288c7d-0688-407d-be5d-7ad13d8ca49f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21523881/check_26483082_6f620799-6654-44c3-9607-3be1672c4110.json | N/A | N/A | N/A | N/A | N/A | 92880750C | N/A | BCSC WELL ND DIS>=21 | LA CARE HEALTH PLAN | N/A | 1964-08-04 | BCSC | BWLLNDIG21 | N/A | N/A | false | CANTRELL | N/A | CYNTHIA | N/A | 2078-12-31 | 2025-01-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10922339120 | 167942 | N/A | 21523881 | 2222 | N/A | 26577048 | N/A | 19155016 | 2026-05-18 18:26:32.451294 | 2026-05-18 18:26:17.217989 |
| 2026-05-18 18:24:11.949834 | 2026-05-18 18:24:13.809765 | 26483053 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-08-04 | 2026-05-20 | U | AE | PT | CANTRELL | JQC92880750C | CYNTHIA | V | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21523881/check_26483053_0be79724-f86a-41f1-b6fa-3f38416c9327.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21523881/check_26483053_26edbd47-c1bc-495c-9869-abfee0671ac6.json | N/A | N/A | N/A | N/A | N/A | JQC92880750C | N/A | N/A | LA CARE HEALTH PLAN LOS ANGELES CARE HEALTH PLAN | N/A | 1964-08-04 | N/A | N/A | N/A | N/A | false | CANTRELL | N/A | CYNTHIA | N/A | N/A | 2026-05-20 | 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 | 21523881 | 2222 | N/A | 26577013 | N/A | 19155016 | 2026-05-18 18:24:13.809765 | 2026-05-18 18:26:17.217989 |
| 2026-05-18 18:24:10.257316 | 2026-05-18 18:24:11.946540 | 26483051 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-08-04 | 2026-05-20 | U | AE | PT | CANTRELL | JQC92880750C | CYNTHIA | V | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21523881/check_26483051_c9fd6836-4f47-4b14-93d4-88a4f2c74254.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-20 | N/A | N/A | N/A | N/A | N/A | N/A | JQC92880750C | N/A | N/A | LA CARE HEALTH PLAN LOS ANGELES CARE HEALTH PLAN | N/A | 1964-08-04 | N/A | N/A | N/A | N/A | false | CANTRELL | N/A | CYNTHIA | N/A | N/A | 2026-05-20 | 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 | 21523881 | 2222 | N/A | N/A | N/A | 19155016 | 2026-05-18 18:24:11.946540 | 2026-05-18 18:26:17.217989 |
| 2026-05-18 18:11:36.509856 | 2026-05-18 18:11:39.418705 | 26482773 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-11-16 | 2026-05-20 | M | PT | N/A | Martinez | MPI20007915Q | Francisco | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21210006/check_26482773_d7b0f9c4-6971-4c71-8950-8f11532ac5ef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21210006/check_26482773_95aa92ee-91a7-4db8-b484-599db775b198.json | N/A | N/A | N/A | N/A | N/A | MPI20007915Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1980-11-16 | 040 | 277163M401 | N/A | PR | false | MARTINEZ | N/A | FRANCISCO | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10922194726 | 167942 | N/A | 21210006 | 2222 | N/A | 26576686 | N/A | 18857583 | 2026-05-18 18:11:39.418705 | 2026-05-07 20:50:50.616926 |
| 2026-05-18 17:55:31.367987 | 2026-05-18 17:55:39.558034 | 26482448 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-11-22 | 2026-05-18 | F | PT | N/A | SAFFARI | SOL112954857 | LADAN | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/21194610/check_26482448_ada7a001-d1a7-4021-8bf6-6cc9ba2c2e59.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/21194610/check_26482448_364bfd51-147d-469b-9233-f74101c7dc3e.json | N/A | N/A | N/A | N/A | N/A | SOL11295485701 | Preferred Provider Organization (PPO) | SONIC AUTOMOTIVE, INC. | ANTHEM BLUE CROSS | N/A | 1985-11-22 | FACETS | 14163635 | N/A | PR | false | SAFFARI | N/A | LADAN | N/A | 2199-12-31 | 2026-03-01 | BLUE OPTIONS | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10922066211 | 9481 | N/A | 21194610 | 2222 | N/A | 26576332 | N/A | 18844282 | 2026-05-18 17:55:39.558034 | 2026-05-26 15:56:38.479920 |
| 2026-05-18 17:16:05.426741 | 2026-05-18 17:16:07.376201 | 26481290 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-08-14 | 2026-05-21 | F | AE | PT | Peck | ICA094420 | Geraldine | A | 23323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18413277/check_26481290_db0e032c-df9a-4190-b268-e683f0244c27.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18413277/check_26481290_7200a7e3-d09c-4d42-b5f2-3f4c10c29cfc.json | N/A | N/A | N/A | N/A | N/A | ICA094420 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1943-08-14 | N/A | N/A | N/A | N/A | false | PECK | N/A | GERALDINE | N/A | N/A | 2026-05-21 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 165206 | N/A | 18413277 | 2222 | N/A | 26575148 | N/A | 16416105 | 2026-05-18 17:16:07.376201 | 2026-03-19 22:25:59.413894 |
| 2026-05-18 17:16:03.698754 | 2026-05-18 17:16:05.423364 | 26481289 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-08-14 | 2026-05-21 | F | AE | PT | Peck | ICA094420 | Geraldine | A | 23323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18413277/check_26481289_a1d1a5ff-d54f-4426-b249-d740383260b2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-21 | N/A | N/A | N/A | N/A | N/A | N/A | ICA094420 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1943-08-14 | N/A | N/A | N/A | N/A | false | PECK | N/A | GERALDINE | N/A | N/A | 2026-05-21 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 165206 | N/A | 18413277 | 2222 | N/A | N/A | N/A | 16416105 | 2026-05-18 17:16:05.423364 | 2026-03-19 22:25:59.413894 |
| 2026-05-18 16:48:58.060387 | 2026-05-18 16:49:00.051170 | 26480773 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-08-14 | 2026-05-21 | F | AE | PT | Peck | ICA094420 | Geraldine | N/A | 23323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18413277/check_26480773_061becb3-295e-4ae0-b5dc-4a8564ff5a8b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18413277/check_26480773_1e8e1a0f-6a5e-4f7f-beb2-0a311afe13ab.json | N/A | N/A | N/A | N/A | N/A | ICA094420 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1943-08-14 | N/A | N/A | N/A | N/A | false | PECK | N/A | GERALDINE | N/A | N/A | 2026-05-21 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 169999 | N/A | 18413277 | 2222 | N/A | 26574581 | N/A | 16416105 | 2026-05-18 16:49:00.051170 | 2026-03-19 22:25:59.413894 |
| 2026-05-18 16:48:56.248145 | 2026-05-18 16:48:58.054197 | 26480772 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-08-14 | 2026-05-21 | F | AE | PT | Peck | ICA094420 | Geraldine | N/A | 23323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18413277/check_26480772_a9273180-4f7b-4c9b-a15d-40a3344ad379.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-21 | N/A | N/A | N/A | N/A | N/A | N/A | ICA094420 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1943-08-14 | N/A | N/A | N/A | N/A | false | PECK | N/A | GERALDINE | N/A | N/A | 2026-05-21 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 169999 | N/A | 18413277 | 2222 | N/A | N/A | N/A | 16416105 | 2026-05-18 16:48:58.054197 | 2026-03-19 22:25:59.413894 |
| 2026-05-18 16:47:14.575240 | 2026-05-18 16:47:16.560368 | 26480741 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-08-14 | 2026-05-21 | F | AE | PT | Peck | ICA094420 | Geraldine | N/A | 23323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18413277/check_26480741_620a7b7c-4d7a-415b-8b80-2a0431ede155.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18413277/check_26480741_07207560-a38c-4afe-9be7-74efb5e930e0.json | N/A | N/A | N/A | N/A | N/A | ICA094420 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1943-08-14 | N/A | N/A | N/A | N/A | false | PECK | N/A | GERALDINE | N/A | N/A | 2026-05-21 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 169999 | N/A | 18413277 | 2222 | N/A | 26574538 | N/A | 16416105 | 2026-05-18 16:47:16.560368 | 2026-03-19 22:25:59.413894 |
| 2026-05-18 16:47:12.694820 | 2026-05-18 16:47:14.571689 | 26480740 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-08-14 | 2026-05-21 | F | AE | PT | Peck | ICA094420 | Geraldine | N/A | 23323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18413277/check_26480740_b80f5112-9ec3-4607-8b69-c8481586d57e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-21 | N/A | N/A | N/A | N/A | N/A | N/A | ICA094420 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1943-08-14 | N/A | N/A | N/A | N/A | false | PECK | N/A | GERALDINE | N/A | N/A | 2026-05-21 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 169999 | N/A | 18413277 | 2222 | N/A | N/A | N/A | 16416105 | 2026-05-18 16:47:14.571689 | 2026-03-19 22:25:59.413894 |
| 2026-05-18 14:45:27.394726 | 2026-05-18 14:45:30.273232 | 26478432 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-01-12 | 2026-05-18 | F | PT | N/A | BOSSART | JQV016W14082 | LINDSAY | ANN | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/15838469/check_26478432_e5612f19-016b-47f8-a1c9-414326541d9c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15838469/check_26478432_badadb57-d405-473d-acef-d84f0e5ab896.json | N/A | N/A | N/A | N/A | N/A | JQV016W14082 | Health Maintenance Organization (HMO) | BFTV INC | ANTHEM BLUE CROSS | N/A | 1999-01-12 | 040 | U76970 | N/A | HM | false | BOSSART | N/A | LINDSAY | N/A | 2026-12-31 | 2026-01-01 | CA SG SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10920517015 | 167942 | N/A | 15838469 | 2222 | N/A | 26572036 | N/A | 13837869 | 2026-05-18 14:45:30.273232 | 2026-01-23 18:37:51.711849 |
| 2026-05-18 14:41:58.112171 | 2026-05-18 14:42:00.000934 | 26478404 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-09-01 | 2026-05-18 | M | AE | PT | ABDULQADIRI BUKHANI | 90108748G | AMIR | N/A | 179129 | https://storage.googleapis.com/normandy-eligibility-checks/2222/20688194/check_26478404_0fc1fdeb-1591-40d2-a1c6-3b3fda7fe68e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20688194/check_26478404_2d92d1e7-2d4e-413c-8288-132ff65f7b9b.json | N/A | N/A | N/A | N/A | N/A | 90108748G | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1947-09-01 | N/A | N/A | N/A | N/A | false | ABDULQADIRI BUKHANI | N/A | AMIR | N/A | N/A | 2026-05-18 | 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 | 20688194 | 2222 | N/A | 26572009 | N/A | 18327142 | 2026-05-18 14:42:00.000934 | 2026-05-18 14:41:17.918148 |
| 2026-05-18 14:41:56.388316 | 2026-05-18 14:41:58.108644 | 26478402 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-09-01 | 2026-05-18 | M | AE | PT | ABDULQADIRI BUKHANI | 90108748G | AMIR | N/A | 179129 | https://storage.googleapis.com/normandy-eligibility-checks/2222/20688194/check_26478402_9f389a2d-cdb1-45f5-a837-fca02a33b0f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | N/A | N/A | N/A | N/A | N/A | N/A | 90108748G | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1947-09-01 | N/A | N/A | N/A | N/A | false | ABDULQADIRI BUKHANI | N/A | AMIR | N/A | N/A | 2026-05-18 | 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 | 20688194 | 2222 | N/A | N/A | N/A | 18327142 | 2026-05-18 14:41:58.108644 | 2026-05-18 14:41:17.918148 |
| 2026-05-18 14:40:38.866649 | 2026-05-18 14:40:40.794083 | 26478384 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-09-01 | 2026-05-18 | M | AE | PT | ABDULQADIRI BUKHANI | 90108748G | AMIR | N/A | 179129 | https://storage.googleapis.com/normandy-eligibility-checks/2222/20688194/check_26478384_4188d397-52b0-4ac1-865b-de19d32961de.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/20688194/check_26478384_f3a9d43c-b058-4467-938b-f9ab8cff704d.json | N/A | N/A | N/A | N/A | N/A | 90108748G | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1947-09-01 | N/A | N/A | N/A | N/A | false | ABDULQADIRI BUKHANI | N/A | AMIR | N/A | N/A | 2026-05-18 | 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 | 20688194 | 2222 | N/A | 26571989 | N/A | 18327142 | 2026-05-18 14:40:40.794083 | 2026-05-18 14:41:17.918148 |
| 2026-05-18 14:40:37.040251 | 2026-05-18 14:40:38.863646 | 26478383 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-09-01 | 2026-05-18 | M | AE | PT | ABDULQADIRI BUKHANI | 90108748G | AMIR | N/A | 179129 | https://storage.googleapis.com/normandy-eligibility-checks/2222/20688194/check_26478383_ca4125e2-5fd7-456c-b734-afe417f4d2cb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-05-18 | N/A | N/A | N/A | N/A | N/A | N/A | 90108748G | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1947-09-01 | N/A | N/A | N/A | N/A | false | ABDULQADIRI BUKHANI | N/A | AMIR | N/A | N/A | 2026-05-18 | 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 | 20688194 | 2222 | N/A | N/A | N/A | 18327142 | 2026-05-18 14:40:38.863646 | 2026-05-18 14:41:17.918148 |