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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-07 09:39:31.484522 | 2025-07-07 09:39:34.550419 | 9598996 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-07-10 | F | AE | PT | 6411 | FABER | 331524986-11 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9598996_769c3a2a-dce2-46dc-ae55-2d2b8eed5e1f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9598996_85d65cf7-753e-4d4f-a244-f31f4156957c.json | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | 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 | 6522947 | 2222 | N/A | 9309310 | N/A | 5146127 | 2025-07-07 09:39:34.550419 | 2025-06-20 17:58:23.371130 |
| 2025-07-07 09:39:28.661139 | 2025-07-07 09:39:31.480196 | 9598983 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-07-10 | F | AE | PT | 6411 | FABER | 331524986-11 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9598983_acd9b68d-4c15-4cc2-8d24-52e45dffad55.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | 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 | 6522947 | 2222 | N/A | N/A | N/A | 5146127 | 2025-07-07 09:39:31.480196 | 2025-06-20 17:58:23.371130 |
| 2025-07-07 09:39:22.143452 | 2025-07-07 09:39:27.850988 | 9598962 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-07-02 | 2025-07-09 | M | AE | PT | 6411 | FRIEDMAN | G46825417 | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540931/check_9598962_7a7ad6d8-21e7-44e4-ab71-e98d6f724b1b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9598962_5dd046b4-3270-42ff-bd4c-82d299672a80.json | N/A | N/A | N/A | N/A | N/A | G46825417 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1970-07-02 | 767000416933002 | 76416933 | N/A | N/A | false | SHELBURNE | N/A | TANYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183977814 | N/A | N/A | 5540931 | 2222 | N/A | 9309286 | N/A | 4213013 | 2025-07-07 09:39:27.850988 | 2025-05-13 04:29:37.227340 |
| 2025-07-07 09:39:18.143941 | 2025-07-07 09:39:24.818628 | 9598948 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-07-09 | M | AE | PT | 6411 | SCOTT | 076810624-11 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9598948_62ede948-bc54-4776-aa45-80383d868b09.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9598948_b1ae0d3b-2a3b-425a-b18a-040f013494b8.json | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | 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 | 6105989 | 2222 | N/A | 9309274 | N/A | 4750274 | 2025-07-07 09:39:24.818628 | 2025-06-12 22:26:37.845238 |
| 2025-07-07 09:39:06.533837 | 2025-07-07 09:39:18.141312 | 9598921 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-07-09 | M | AE | PT | 6411 | SCOTT | 076810624-11 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9598921_a1b8efb2-ddd9-4e32-aa57-84268e266beb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | 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 | 6105989 | 2222 | N/A | N/A | N/A | 4750274 | 2025-07-07 09:39:18.141312 | 2025-06-12 22:26:37.845238 |
| 2025-07-07 09:39:00.820266 | 2025-07-07 09:39:09.858599 | 9598908 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-07-10 | M | AE | PT | 6411 | LANE | MISSINGPOLICYNUMBER | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_9598908_5f5bc5ce-b59c-4a3b-aecd-4a2cdd0d6faf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928917/check_9598908_1e3ab6d0-bd03-447b-b075-6ad63d28b6d0.json | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | 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 | 5928917 | 2222 | N/A | 9309230 | N/A | 4219832 | 2025-07-07 09:39:09.858599 | 2025-05-13 04:29:37.230877 |
| 2025-07-07 09:38:58.892882 | 2025-07-07 09:39:02.890595 | 9598903 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-02 | 2025-07-10 | M | AE | PT | 6397 | BALLETTA | 331479122-11 | EDWARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_9598903_082f1b40-eb3e-4613-af95-b5bdbd633216.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993962/check_9598903_db5d7038-d50b-4052-aa63-28bee3c725c0.json | N/A | N/A | N/A | N/A | N/A | 331479122 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1959-07-02 | N/A | N/A | N/A | N/A | false | BALLETTA | N/A | EDWARD | 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 | 5993962 | 2222 | N/A | 9309217 | N/A | 4642893 | 2025-07-07 09:39:02.890595 | 2025-05-28 20:58:29.913655 |
| 2025-07-07 09:38:55.038851 | 2025-07-07 09:38:58.890150 | 9598890 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-02 | 2025-07-10 | M | AE | PT | 6397 | BALLETTA | 331479122-11 | EDWARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_9598890_a6a1444c-660d-47da-aee5-f85891eb327b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | 331479122 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1959-07-02 | N/A | N/A | N/A | N/A | false | BALLETTA | N/A | EDWARD | 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 | 5993962 | 2222 | N/A | N/A | N/A | 4642893 | 2025-07-07 09:38:58.890150 | 2025-05-28 20:58:29.913655 |
| 2025-07-07 09:38:48.928294 | 2025-07-07 09:39:00.813838 | 9598872 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-07-10 | M | AE | PT | 6411 | LANE | MISSINGPOLICYNUMBER | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_9598872_935d53a0-ad9f-4695-8029-34bc66df5cfd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | 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 | 5928917 | 2222 | N/A | N/A | N/A | 4219832 | 2025-07-07 09:39:00.813838 | 2025-05-13 04:29:37.230877 |
| 2025-07-07 09:37:49.247631 | 2025-07-07 09:37:52.956069 | 9598706 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-11-18 | 2025-07-07 | F | AE | PT | 6411 | JACOBY | 34555828811 | LEAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9598706_6a1503cf-cd88-40f0-8a32-0d2ad485c0e0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9598706_c5410cb0-ff88-45d7-937e-ba7c40344236.json | N/A | N/A | N/A | N/A | N/A | 345558288 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1951-11-18 | N/A | N/A | N/A | N/A | false | JACOBI | N/A | LEAH | 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 | 6145941 | 2222 | N/A | 9309021 | N/A | 4786785 | 2025-07-07 09:37:52.956069 | 2025-06-13 00:55:48.629734 |
| 2025-07-07 09:37:37.666125 | 2025-07-07 09:37:41.420250 | 9598677 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-07-07 | F | AE | PT | 6411 | FABER | 331524986-11 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9598677_9b03037f-25dc-4cba-a0ac-30df811ae667.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9598677_b0357fb2-1ed3-49f9-a0ed-d756d12b9a12.json | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | 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 | 6522947 | 2222 | N/A | 9308986 | N/A | 5146127 | 2025-07-07 09:37:41.420250 | 2025-06-20 17:58:23.371130 |
| 2025-07-07 09:37:35.183264 | 2025-07-07 09:37:55.163058 | 9598673 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-07-07 | M | AE | PT | 6411 | SCOTT | 076810624-11 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9598673_b756858f-8e95-4629-bcbb-a13bc8492978.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9598673_e7de1892-cdba-421f-82d7-1e5922217613.json | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | 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 | 6105989 | 2222 | N/A | 9309028 | N/A | 4750274 | 2025-07-07 09:37:55.163058 | 2025-06-12 22:26:37.845238 |
| 2025-07-07 09:37:34.017217 | 2025-07-07 09:37:37.662736 | 9598669 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-07-07 | F | AE | PT | 6411 | FABER | 331524986-11 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9598669_47b19933-e612-481d-b575-30bdb081d509.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | 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 | 6522947 | 2222 | N/A | N/A | N/A | 5146127 | 2025-07-07 09:37:37.662736 | 2025-06-20 17:58:23.371130 |
| 2025-07-07 09:37:33.146561 | 2025-07-07 09:37:42.884652 | 9598667 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-07-02 | 2025-07-07 | M | AE | PT | 6411 | FRIEDMAN | G46825417 | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540931/check_9598667_47330b8a-9632-42f0-a76d-6d13df5a9e4d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9598667_838d4336-8f9c-463e-aab3-71a22f28b7ed.json | N/A | N/A | N/A | N/A | N/A | G46825417 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1970-07-02 | 767000416933002 | 76416933 | N/A | N/A | false | SHELBURNE | N/A | TANYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183967630 | N/A | N/A | 5540931 | 2222 | N/A | 9308989 | N/A | 4213013 | 2025-07-07 09:37:42.884652 | 2025-05-13 04:29:37.227340 |
| 2025-07-07 09:37:32.628274 | 2025-07-07 09:37:49.245391 | 9598665 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-11-18 | 2025-07-07 | F | AE | PT | 6411 | JACOBY | 34555828811 | LEAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9598665_f5883c1a-e5c5-4189-a59a-d08d064f5b19.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | 345558288 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1951-11-18 | N/A | N/A | N/A | N/A | false | JACOBI | N/A | LEAH | 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 | 6145941 | 2222 | N/A | N/A | N/A | 4786785 | 2025-07-07 09:37:49.245391 | 2025-06-13 00:55:48.629734 |
| 2025-07-07 09:37:32.332358 | 2025-07-07 09:37:35.174326 | 9598664 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-07-07 | M | AE | PT | 6411 | SCOTT | 076810624-11 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9598664_9cfe26af-2e4a-4596-94f8-4b4c587bafde.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | 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 | 6105989 | 2222 | N/A | N/A | N/A | 4750274 | 2025-07-07 09:37:35.174326 | 2025-06-12 22:26:37.845238 |
| 2025-07-07 09:36:26.064141 | 2025-07-07 09:36:32.224448 | 9598503 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-06-13 | 2025-07-10 | F | AE | PT | 6411 | Parr | 917536195 | Samantha | https://storage.googleapis.com/normandy-eligibility-checks/2222/6642459/check_9598503_7fb68c86-aa19-4338-ae30-98391cf04482.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6642459/check_9598503_ea746aa4-c5fa-4b91-95b0-e92c755a33fd.json | N/A | N/A | N/A | N/A | N/A | 917536195 | Commercial | VIDEOAMP, INC. | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2000-06-13 | 0005 0005 | 928362 | N/A | C1 | false | PARR | N/A | SAMANTHA | N/A | N/A | N/A | SELECT PLUS PPO CA 2023 CUJB | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183964110 | N/A | N/A | 6642459 | 2222 | N/A | 9308824 | N/A | 5249216 | 2025-07-07 09:36:32.224448 | 2025-06-27 18:39:50.819779 |
| 2025-07-07 09:35:44.430766 | 2025-07-07 09:35:52.183222 | 9598401 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-08-24 | 2025-07-10 | F | AE | PT | 6411 | DEL CAMPO | 936778989 | PAULA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583335/check_9598401_1c98ed00-f15d-460e-a49b-d3d8ece718f7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583335/check_9598401_c21170b3-efd4-4913-b6ce-6419a764fd6a.json | N/A | N/A | N/A | N/A | N/A | 936778989 | Commercial | FEDEX CORPORATION | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1967-08-24 | 0780 0780 | 920923 | N/A | C1 | false | DRECKMANN | N/A | JEAN PHILI | N/A | N/A | N/A | SELECT EPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183960957 | N/A | N/A | 6583335 | 2222 | N/A | 9308725 | N/A | 5202234 | 2025-07-07 09:35:52.183222 | 2025-07-09 21:36:44.603599 |
| 2025-07-07 09:34:21.343495 | 2025-07-07 09:34:25.057712 | 9598175 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-02-03 | 2025-07-10 | F | AE | PT | 6411 | MCKAY | 93518017100 | JEANNETTE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398744/check_9598175_d3d0587f-3318-4d85-a1f8-155818793a27.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398744/check_9598175_47b2b833-8bc8-47e7-82b7-748b369d8827.json | N/A | N/A | N/A | N/A | N/A | 935180171 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1953-02-03 | N/A | 15725 | N/A | PR | false | MCKAY | N/A | JEANNETTE | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183954336 | N/A | N/A | 6398744 | 2222 | N/A | 9308485 | N/A | 5046297 | 2025-07-07 09:34:25.057712 | 2025-06-17 15:15:28.403654 |
| 2025-07-07 09:33:47.591100 | 2025-07-07 09:33:51.255824 | 9598077 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-06-10 | 2025-07-10 | M | AE | PT | 6411 | Corpe | 985837503 | Olivier | https://storage.googleapis.com/normandy-eligibility-checks/2222/6161213/check_9598077_c30425ec-571e-48b6-ab7c-6fe12187c8d8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6161213/check_9598077_c22ae994-98a5-4d2c-bbf6-c3e32dda2200.json | N/A | N/A | N/A | N/A | N/A | 985837503 | Commercial | CANDLE MEDIA, LLC | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1991-09-10 | 0026 0026 | 932244 | N/A | C1 | false | CORPE | N/A | OLIVIER | N/A | N/A | N/A | UNITEDHEALTHCARE SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183952284 | N/A | N/A | 6161213 | 2222 | N/A | 9308397 | N/A | 4801864 | 2025-07-07 09:33:51.255824 | 2025-06-05 19:59:59.163437 |
| 2025-07-07 09:33:38.895333 | 2025-07-07 09:33:43.167995 | 9598056 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-04-06 | 2025-07-10 | M | AE | PT | 6411 | LUO | 947922550 | HONGKE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6140288/check_9598056_097d612c-51c1-46be-9ce5-ef862b8276aa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140288/check_9598056_f8a3d554-f79a-419a-b7e1-99d5fc8111a5.json | N/A | N/A | N/A | N/A | N/A | 947922550 | Commercial | COGNOSPHERE, LLC | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2000-04-06 | 0001 0001 | 928360 | N/A | C1 | false | LUO | N/A | HONGKE | N/A | N/A | N/A | EI 2018 CH+ PS1 1967A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183951782 | N/A | N/A | 6140288 | 2222 | N/A | 9308372 | N/A | 4781215 | 2025-07-07 09:33:43.167995 | 2025-06-05 03:42:55.033876 |
| 2025-07-07 09:33:31.753634 | 2025-07-07 09:33:35.424503 | 9598036 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-15 | 2025-07-10 | F | AE | PT | 6411 | SKLAR | 997341869 | ANDREA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124041/check_9598036_103713be-a395-44b3-ab1a-dc316327ba86.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124041/check_9598036_1bfc678f-1d7f-4dc8-90a9-adb55bfae061.json | N/A | N/A | N/A | N/A | N/A | 997341869 | Commercial | PFIZER INC | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1975-07-15 | 2366 2022 | 183644 | N/A | C1 | false | SKLAR | N/A | ANDREA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183951295 | N/A | N/A | 6124041 | 2222 | N/A | 9308355 | N/A | 4766742 | 2025-07-07 09:33:35.424503 | 2025-06-04 15:23:35.717260 |
| 2025-07-07 09:33:04.337475 | 2025-07-07 09:33:09.086804 | 9597954 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-08-18 | 2025-07-10 | F | AE | PT | 6411 | DABBY JOYCE | 69863444000 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068059/check_9597954_c23a51c4-b8dc-4841-80d9-83e31a0d881f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068059/check_9597954_8bcfd992-9e77-4f0c-bc10-1b793259d140.json | N/A | N/A | N/A | N/A | N/A | 69863444000 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1978-08-18 | N/A | 1671793 | N/A | C1 | false | DABBY JOYCE | N/A | LISA | N/A | N/A | N/A | SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183949664 | N/A | N/A | 6068059 | 2222 | N/A | 9308275 | N/A | 4713001 | 2025-07-07 09:33:09.086804 | 2025-10-23 14:37:36.593472 |
| 2025-07-07 09:32:08.985831 | 2025-07-07 09:32:12.805934 | 9597794 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-01-27 | 2025-07-10 | F | AE | PT | 6411 | SHIRALI | 821763668 | MONAVAR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676381/check_9597794_7b3a4833-b628-4e21-98f8-b4da7705299c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676381/check_9597794_a1420381-da1a-4f5b-b085-9f181c03a3c4.json | N/A | N/A | N/A | N/A | N/A | 821763668 | Commercial | BANK OF AMERICA | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1957-01-27 | 0001 0001 | 905531 | N/A | C1 | false | SHIRALI | N/A | MONAVAR | N/A | N/A | N/A | POS CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183942488 | N/A | N/A | 5676381 | 2222 | N/A | 9308117 | N/A | 4343436 | 2025-07-07 09:32:12.805934 | 2025-06-05 16:13:34.180012 |
| 2025-07-07 09:31:42.788862 | 2025-07-07 09:31:47.090309 | 9597740 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-01-04 | 2025-07-10 | M | AE | PT | 6411 | GERSHMAN | 987203340 | TYLER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542830/check_9597740_099f832f-1ce8-41f5-ae27-34703ad44bd1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542830/check_9597740_c9261179-b38e-436d-beb8-104b4fb5cd8f.json | N/A | N/A | N/A | N/A | N/A | 987203340 | Consolidated Omnibus Budget Reconciliation Act (COBRA) | ORACLE | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1997-01-04 | 0169 0169 | 228485 | N/A | CO | false | GERSHMAN | N/A | TYLER | N/A | N/A | N/A | SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183938838 | N/A | N/A | 5542830 | 2222 | N/A | 9308059 | N/A | 4214699 | 2025-07-07 09:31:47.090309 | 2025-05-13 04:29:37.229016 |
| 2025-07-07 09:31:42.533299 | 2025-07-07 09:31:46.554422 | 9597739 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-06 | 2025-07-10 | F | AE | PT | 6411 | IRIZARRY | 950883047 | BERNADETTE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541827/check_9597739_59503361-b4c3-438c-9688-27fbd69f6c3f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541827/check_9597739_3bc06ecb-1b84-42b9-880b-81d7b23ca2c6.json | N/A | N/A | N/A | N/A | N/A | 950883047 | Commercial | DHL | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1969-05-06 | 0001 0001 | 905224 | N/A | C1 | false | BOERSMA | N/A | PITER | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183938827 | N/A | N/A | 5541827 | 2222 | N/A | 9308056 | N/A | 4213806 | 2025-07-07 09:31:46.554422 | 2025-05-13 04:29:37.228124 |
| 2025-07-07 09:14:21.070242 | 2025-07-08 02:08:49.900739 | 9595924 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9595924 | Athletic Physical Therapy Inc | 1994-05-07 | 2025-07-10 | F | PT | N/A | N/A | RAFFERTY | XED913453119 | ZOE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_9595924_f1189cac-54e6-4db9-9d92-2af9a690e265.json | N/A | N/A | N/A | N/A | N/A | XED913453119 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1994-05-07 | 2001ZK002187 | X0001004 | N/A | PR | false | RAFFERTY | N/A | ZOE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8183816602 | N/A | N/A | 5874430 | 2222 | 4802 | 9321764 | N/A | 4534559 | 2025-07-08 02:08:49.900739 | 2025-06-06 02:13:35.698378 |
| 2025-07-07 09:14:20.710601 | 2025-07-08 02:04:06.446252 | 9595918 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9595918 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-07-10 | F | AE | PT | N/A | BIKOULOVA | 92040499F | ALEXANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_9595918_08a83c67-7d88-44d0-a4dc-15278aa18772.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183816601 | N/A | N/A | 5874423 | 2222 | 4802 | 9320162 | N/A | 4534552 | 2025-07-08 02:04:06.446252 | 2025-05-30 18:01:03.324126 |
| 2025-07-07 09:11:40.350105 | 2025-07-08 02:07:01.409723 | 9594107 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 9594107 | Athletic Physical Therapy Inc | 1980-01-01 | 2025-07-10 | M | AE | PT | N/A | BAKER | 856047151 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676404/check_9594107_4589a672-9eca-4ea7-8fba-e30820ac8cdb.json | N/A | N/A | N/A | N/A | N/A | 856047151 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1980-01-01 | N/A | N/A | N/A | N/A | false | BAKER | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183816534 | N/A | N/A | 5676404 | 2222 | 4802 | 9321155 | N/A | 4343463 | 2025-07-08 02:07:01.409723 | 2025-05-13 04:29:37.230940 |
| 2025-07-07 09:11:39.949039 | 2025-07-08 02:12:14.803459 | 9594104 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9594104 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-07-10 | M | AE | PT | N/A | LANE | 4CA5FX1PJ56 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676372/check_9594104_f7af6cb9-84f2-4082-b281-2b57d500ade6.json | N/A | N/A | N/A | N/A | N/A | 4CA5FX1PJ56 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-25 | S4802 | N/A | N/A | MA | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183816533 | N/A | N/A | 5676372 | 2222 | 4802 | 9322922 | N/A | 4219832 | 2025-07-08 02:12:14.803459 | 2025-05-13 04:29:37.230877 |
| 2025-07-07 09:11:39.175101 | 2025-07-08 02:08:17.746171 | 9594098 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9594098 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-07-10 | F | PT | N/A | N/A | OBLINGER | JQS491M78254 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_9594098_2a676402-eff1-415b-b486-c0af8674af9c.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8183816532 | N/A | N/A | 5676340 | 2222 | 4793 | 9321576 | 4184 | 4210531 | 2025-07-08 02:08:17.746171 | 2025-12-09 17:09:13.960610 |
| 2025-07-07 09:10:58.886953 | 2025-07-07 09:11:38.775202 | 9593342 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-07-09 | F | AE | PT | 6338 | YUNG | 00854676304 | MAYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_9593342_f529fc70-55f3-4e1e-8a76-03168a7ffade.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | 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 | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-07-07 09:11:38.775202 | 2025-05-13 04:29:37.229495 |
| 2025-07-07 09:10:11.523774 | 2025-07-08 02:02:29.189379 | 9592393 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 9592393 | Athletic Physical Therapy Inc | 1960-02-12 | 2025-07-10 | F | AE | PT | N/A | MAJEED | 94883653800 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120435197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6613631/check_9592393_fa8c3679-5653-4812-87c1-3a80c1c32dd6.json | N/A | N/A | N/A | N/A | N/A | 94883653800 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1960-02-12 | N/A | N/A | N/A | N/A | false | MAJEED | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183821721 | N/A | N/A | 6613631 | 2222 | 4793 | 9319877 | N/A | 5232379 | 2025-07-08 02:02:29.189379 | 2025-07-03 16:30:13.139077 |
| 2025-07-07 09:09:23.229003 | 2025-07-08 02:04:07.839771 | 9591500 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9591500 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-07-10 | F | AE | PT | N/A | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_9591500_02441b3f-082c-49e9-9c47-85c76850a869.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-09-17 | N/A | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183816523 | N/A | N/A | 5568076 | 2222 | 4802 | 9320170 | N/A | 4209480 | 2025-07-08 02:04:07.839771 | 2026-04-10 02:05:15.976484 |
| 2025-07-07 09:09:18.154346 | 2025-07-08 09:16:03.477551 | 9591378 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9591378 | Athletic Physical Therapy Inc | 2000-08-04 | 2025-07-10 | M | PT | N/A | N/A | MAGHEN | XDL992A63501 | ITZCHAK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115835027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6172263/check_9591378_d8b5ab35-38d5-4c15-a962-fb29a8ff0323.json | N/A | N/A | N/A | N/A | N/A | XDL992A63501 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 2000-08-04 | 040 | H06200 | N/A | PR | false | SHAYANI | N/A | ESTHER | N/A | 9999-12-31 | 2009-07-01 | PPO SHARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8183744692 | N/A | N/A | 6172263 | 2222 | 4802 | 9341282 | N/A | 4813871 | 2025-07-08 09:16:03.477551 | 2025-07-08 23:07:33.420114 |
| 2025-07-07 09:09:16.680595 | 2025-07-08 09:13:02.044360 | 9591333 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9591333 | Athletic Physical Therapy Inc | 1951-05-08 | 2025-07-09 | F | AE | PT | N/A | BERNSTEIN NOAH | XEM905917416 | PAULA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115823804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085126/check_9591333_82f62184-8526-4388-808d-5df6c380b443.json | N/A | N/A | N/A | N/A | N/A | XEM905917416 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1951-05-08 | 2002SI000007 | X0001002 | N/A | OT | false | BERNSTEIN NOAH | N/A | PAULA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN N | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183741018 | N/A | N/A | 6085126 | 2222 | 4802 | 9340737 | N/A | 4722556 | 2025-07-08 09:13:02.044360 | 2025-06-04 18:06:16.300392 |
| 2025-07-07 09:09:03.812980 | 2025-07-08 09:31:17.347856 | 9590944 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9590944 | Athletic Physical Therapy Inc | 1960-03-13 | 2025-07-10 | M | AE | PT | N/A | COLLINS | 9KH9YJ9KM24 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115835027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6165591/check_9590944_61772a44-636b-4f09-912d-100416245422.json | N/A | N/A | N/A | N/A | N/A | 9KH9YJ9KM24 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-13 | S5617 | N/A | N/A | MA | false | COLLINS | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183744636 | N/A | N/A | 6165591 | 2222 | 4801 | 9342611 | N/A | 4219605 | 2025-07-08 09:31:17.347856 | 2025-06-06 16:26:34.530119 |
| 2025-07-07 09:09:03.530674 | 2025-07-08 09:10:33.184215 | 9590935 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9590935 | Athletic Physical Therapy Inc | 1964-06-30 | 2025-07-10 | M | AE | PT | N/A | YOKICH | 108161196 | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115835027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6165588/check_9590935_21a2728c-5687-4c92-b0ae-52709ccdb1a7.json | N/A | N/A | N/A | N/A | N/A | 10816119600 | N/A | SYMPHONYAI, LLC | CHLIC | COMPLETE CARE MANAGEMENT | 1964-06-30 | N/A | 00637648 | N/A | N/A | false | YOKICH | N/A | DANIEL | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183744635 | N/A | N/A | 6165588 | 2222 | 4802 | 9340290 | N/A | 4807950 | 2025-07-08 09:10:33.184215 | 2025-06-06 21:18:25.086720 |
| 2025-07-07 09:09:03.142915 | 2025-07-08 09:16:00.687314 | 9590920 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9590920 | Athletic Physical Therapy Inc | 1968-11-26 | 2025-07-10 | F | PT | N/A | N/A | PELLEGRINI | XEA913808278 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115835027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6165269/check_9590920_7f85c09c-ff6f-405c-adfb-c29b19217821.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1968-11-26 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8183744116 | N/A | N/A | 6165269 | 2222 | 4793 | 9341275 | N/A | 4807600 | 2025-07-08 09:16:00.687314 | 2025-06-18 15:19:08.524396 |
| 2025-07-07 09:08:58.208659 | 2025-07-08 05:12:47.726587 | 9590750 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9590750 | Athletic Physical Therapy Inc | 1974-11-01 | 2025-07-10 | M | PT | N/A | N/A | RAMIREZ | FJB20014734M | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115934373.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528169/check_9590750_fa269dca-12ec-4164-b6a4-2e58f0e052a4.json | N/A | N/A | N/A | N/A | N/A | FJB20014734M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1974-11-01 | 101 | 174549M411 | N/A | PR | false | RAMIREZ | N/A | JOSEPH | N/A | 9999-12-31 | 2022-01-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8183746492 | N/A | N/A | 6528169 | 2222 | 4801 | 9332503 | N/A | 5149079 | 2025-07-08 05:12:47.726587 | 2025-07-10 14:52:54.279391 |
| 2025-07-07 09:08:52.029587 | 2025-07-08 05:24:01.891036 | 9590537 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9590537 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-07-10 | F | AE | PT | N/A | FABER | 4X26K21EE83 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115934373.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9590537_45cb3341-4b98-447b-87bb-23a3d4f96e2f.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MA | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183747992 | N/A | N/A | 6522947 | 2222 | 4802 | 9337444 | N/A | 5146127 | 2025-07-08 05:24:01.891036 | 2025-06-20 17:58:23.371130 |
| 2025-07-07 09:08:50.701603 | 2025-07-08 05:03:45.214423 | 9590497 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9590497 | Athletic Physical Therapy Inc | 1944-03-21 | 2025-07-10 | F | PT | N/A | N/A | WEBB | JQS041M77883 | ALICE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115934373.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522470/check_9590497_f37ce49d-091d-4d74-b3fb-443e59925259.json | N/A | N/A | N/A | N/A | N/A | JQS041M77883 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1944-03-21 | N/A | N/A | N/A | N/A | false | WEBB | N/A | ALICE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8183747985 | N/A | N/A | 6522470 | 2222 | 4801 | 9327551 | N/A | 4214765 | 2025-07-08 05:03:45.214423 | 2025-05-13 04:29:37.229089 |
| 2025-07-07 09:08:43.991607 | 2025-07-08 09:31:19.923076 | 9590281 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9590281 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-07-10 | F | AE | PT | N/A | SHETH | 4T52DU0KY22 | SHAIVALINI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115835027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145897/check_9590281_b9d55ff9-c4f0-455b-b905-53e33159dacc.json | N/A | N/A | N/A | N/A | N/A | 4T52DU0KY22 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-13 | N/A | N/A | N/A | MA | false | SHETH | N/A | SHAIVALINI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183745570 | N/A | N/A | 6145897 | 2222 | 4801 | 9342613 | N/A | 4786709 | 2025-07-08 09:31:19.923076 | 2025-06-20 18:28:02.399027 |
| 2025-07-07 09:08:43.746049 | 2025-07-08 09:16:01.845213 | 9590270 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9590270 | Athletic Physical Therapy Inc | 2010-10-08 | 2025-07-10 | M | PT | N/A | N/A | REBEAUD | DYZ6283553AB | JUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115835027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145860/check_9590270_d3cd4598-6d4e-4e3f-a857-77dd39a1307f.json | N/A | N/A | N/A | N/A | N/A | DYZ6283553AB | Point of Service (POS) | CLASSIC COLLISION LLC | ANTHEM BLUE CROSS | N/A | 2010-10-08 | 101 | L08292M003 | N/A | PS | false | REBEAUD | N/A | MARIA | N/A | 9999-12-31 | 2023-08-01 | GA POS BLUECHOICE OA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8183745568 | N/A | N/A | 6145860 | 2222 | 4793 | 9341278 | N/A | 4786676 | 2025-07-08 09:16:01.845213 | 2025-06-10 23:45:59.927015 |
| 2025-07-07 09:08:40.181092 | 2025-07-08 02:04:12.276445 | 9590158 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9590158 | Athletic Physical Therapy Inc | 1998-01-10 | 2025-07-10 | F | PT | N/A | N/A | PALACIOS | JMV542W2270020 | JASMIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551010/check_9590158_69888b5d-c589-4bf6-9c9d-ac704eb1408b.json | N/A | N/A | N/A | N/A | N/A | JMV542W2270020 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1998-01-10 | N/A | N/A | N/A | N/A | false | PALACIOS | N/A | JASMIN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8183815962 | N/A | N/A | 5551010 | 2222 | 4802 | 9320194 | N/A | 4219831 | 2025-07-08 02:04:12.276445 | 2025-05-13 04:29:37.230876 |
| 2025-07-07 09:08:39.885961 | 2025-07-08 02:07:37.376960 | 9590150 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 9590150 | Athletic Physical Therapy Inc | 1965-07-31 | 2025-07-10 | F | PT | AE | N/A | GUEVARA | G45053839 | DIANE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550940/check_9590150_c2c87b0a-aaee-4dbd-a85a-ddf058c772a1.json | N/A | N/A | N/A | N/A | N/A | G45053839 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1965-07-31 | 767000416933001 | 76416933 | N/A | N/A | false | GUEVARA | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8183815961 | N/A | N/A | 5550940 | 2222 | 4793 | 9321350 | N/A | 4219779 | 2025-07-08 02:07:37.376960 | 2025-05-13 04:29:37.230820 |
| 2025-07-07 09:08:39.447834 | 2025-07-08 02:08:48.532832 | 9590135 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9590135 | Athletic Physical Therapy Inc | 1986-08-03 | 2025-07-10 | M | PT | N/A | N/A | AMENT | XED913057951 | NATHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550865/check_9590135_827b29af-1cb0-4a76-86f6-989e95102edc.json | N/A | N/A | N/A | N/A | N/A | XED913057951 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-08-03 | 2001ZK002185 | X0001004 | N/A | PR | false | AMENT | N/A | NATHAN | N/A | 9999-12-31 | 2024-03-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8183815960 | N/A | N/A | 5550865 | 2222 | 4802 | 9321755 | N/A | 4215196 | 2025-07-08 02:08:48.532832 | 2025-05-13 04:29:37.229513 |
| 2025-07-07 09:08:39.041657 | 2025-07-08 02:12:16.147013 | 9590124 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9590124 | Athletic Physical Therapy Inc | 1970-03-04 | 2025-07-10 | F | AE | PT | N/A | VITATOE | 4YM5KY1DG73 | RHONDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550839/check_9590124_bcc614a4-2cf4-4738-b81b-5a15cc4af3e9.json | N/A | N/A | N/A | N/A | N/A | 4YM5KY1DG73 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1970-03-04 | S4802 | N/A | N/A | MA | false | VITATOE | N/A | RHONDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183815389 | N/A | N/A | 5550839 | 2222 | 4801 | 9322929 | N/A | 4219707 | 2025-07-08 02:12:16.147013 | 2025-05-13 04:29:37.230750 |
| 2025-07-07 09:08:38.677482 | 2025-07-08 02:08:48.918248 | 9590112 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9590112 | Athletic Physical Therapy Inc | 1979-05-08 | 2025-07-10 | F | PT | N/A | N/A | JEBBARI DELSHAD | XED913120799 | NEDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550827/check_9590112_c43379d8-7eba-41f4-af74-780203d5226c.json | N/A | N/A | N/A | N/A | N/A | XED913120799 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-05-08 | 2001ZK002184 | X0001004 | N/A | PR | false | DELSHAD | N/A | ALLEN | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8183815388 | N/A | N/A | 5550827 | 2222 | 4802 | 9321757 | N/A | 4219700 | 2025-07-08 02:08:48.918248 | 2025-05-13 04:29:37.230745 |
| 2025-07-07 09:08:38.368305 | 2025-07-08 02:05:22.415086 | 9590105 | N/A | N/A | 60054 | Aetna | 1114042165 | 9590105 | Athletic Physical Therapy Inc | 1970-02-16 | 2025-07-10 | M | AE | PT | N/A | OCHOA | W263373040 | JACK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550823/check_9590105_899485d3-e97d-4214-8f06-4e406390aab8.json | N/A | N/A | N/A | N/A | N/A | W263373040 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1970-02-16 | 0160879 | 016087905000013 | N/A | PR | false | OCHOA | N/A | JACK | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8183815387 | N/A | N/A | 5550823 | 2222 | 4801 | 9320581 | N/A | 4219698 | 2025-07-08 02:05:22.415086 | 2025-05-13 04:29:37.230743 |