API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-05-04 07:16:21.519536 | 2026-05-05 00:36:32.733777 | 25416949 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 25416949 | Athletic Physical Therapy Inc | 1987-11-23 | 2026-05-06 | F | PT | Villanueva | JQU895W03134 | Jennifer | C | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18413103/check_25416949_c7538a24-8576-484d-b710-ec2836f5db8e.json | N/A | N/A | N/A | N/A | N/A | JQU895W03134 | Preferred Provider Organization (PPO) | GERSHMAN PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1987-11-23 | 040 | 239736 | N/A | PR | false | VILLANUEVA | N/A | JENNIFER | N/A | 2026-12-31 | 2026-01-01 | ANTHEM PLATINUM PPO 15/250/10% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777853441 | N/A | N/A | 18413103 | 2222 | 4802 | 25656951 | N/A | 16415924 | 2026-05-05 00:36:32.733777 | 2026-03-25 00:06:28.274965 |
| 2026-05-04 07:16:21.337999 | 2026-05-05 00:36:15.726367 | 25416923 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 25416923 | Athletic Physical Therapy Inc | 1972-01-03 | 2026-05-05 | M | AE | JACOBS | 909763451 | JESSE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18407669/check_25416923_8292aaef-66c4-44c8-93b6-a2c45c9dfaee.json | N/A | N/A | N/A | N/A | N/A | 97514465G | N/A | CFST WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1972-01-03 | CFST | CWLLNFAG21 | N/A | N/A | false | JACOBS | N/A | JESSE | N/A | 2078-12-31 | 2025-11-01 | BLUE SHIELD PROMISE, FORMERLY CARE1ST | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777853440 | N/A | N/A | 18407669 | 2222 | 4802 | 25656642 | 5538 | 16411150 | 2026-05-05 00:36:15.726367 | 2026-03-20 21:53:00.475363 |
| 2026-05-04 07:16:21.121408 | 2026-05-05 00:36:09.681353 | 25416895 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 25416895 | Athletic Physical Therapy Inc | 1988-02-19 | 2026-05-07 | F | AE | KOVACEVICH | W27795397803 | DANIELLE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18394146/check_25416895_f4b574b6-dd35-49cc-aaa6-470cfd6f0b7c.json | N/A | N/A | N/A | N/A | N/A | W277953978 | Health Maintenance Organization (HMO) | LANDSCAPE DEVELOPMENT, INC. | AETNA | N/A | 1988-02-19 | EACZ4F04 | 017515901200001 | N/A | HM | false | KOVACEVICH | N/A | MATTHEW | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777853434 | N/A | N/A | 18394146 | 2222 | 4793 | 25656523 | 3948 | 16398404 | 2026-05-05 00:36:09.681353 | 2026-03-30 15:35:26.924597 |
| 2026-05-04 07:16:20.966037 | 2026-05-05 00:36:29.407841 | 25416873 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 25416873 | Athletic Physical Therapy Inc | 1992-02-05 | 2026-05-06 | F | AE | Hipp | 000021264656 | Zoe | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18386550/check_25416873_e34f08b2-e3a8-4688-b6b4-ff8067b28a8c.json | N/A | N/A | N/A | N/A | N/A | 000021264656 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1992-02-05 | 4359377 | 399999 | N/A | N/A | false | HIPP | N/A | ZOE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE PLATINUM 90 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777853430 | N/A | N/A | 18386550 | 2222 | 4802 | 25656900 | N/A | 16392592 | 2026-05-05 00:36:29.407841 | 2026-03-19 17:35:27.889788 |
| 2026-05-04 07:16:20.823305 | 2026-05-05 00:37:08.237570 | 25416856 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 25416856 | Athletic Physical Therapy Inc | 1996-04-12 | 2026-05-05 | F | PT | JARRIN | XEA911784312 | MARIAJOSE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18335373/check_25416856_29104217-693e-418e-9ed4-574a03b15fea.json | N/A | N/A | N/A | N/A | N/A | VBG911784312 | Preferred Provider Organization (PPO) | KFA LLP | BLUE SHIELD CALIFORNIA | N/A | 1996-04-12 | 1000VX000102 | W0105276 | N/A | PR | false | JARRIN LOPEZ | N/A | MARIAJOSE | N/A | 9999-12-31 | 2022-12-01 | GOLD FULL PPO 750 35 OFFEX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777853426 | N/A | N/A | 18335373 | 2222 | 4802 | 25657758 | N/A | 16345883 | 2026-05-05 00:37:08.237570 | 2026-03-24 03:37:53.217177 |
| 2026-05-04 07:16:20.672189 | 2026-05-05 00:36:20.399733 | 25416833 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 25416833 | Athletic Physical Therapy Inc | 1992-08-20 | 2026-05-05 | F | PT | FELT | JXN853M92476 | KATHRYN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18326912/check_25416833_609a4050-b6fe-499d-9821-56e40d7a2fb2.json | N/A | N/A | N/A | N/A | N/A | JXN853M92476 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | BLUE SHIELD OF CALIFORNIA | N/A | 1992-08-20 | 040 | 174222M2A1 | N/A | PR | false | FELT II | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777853419 | N/A | N/A | 18326912 | 2222 | 4801 | 25656743 | N/A | 16337774 | 2026-05-05 00:36:20.399733 | 2026-03-18 18:21:21.968505 |
| 2026-05-04 07:16:20.538862 | 2026-05-05 00:37:23.509517 | 25416815 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 25416815 | Athletic Physical Therapy Inc | 1964-11-22 | 2026-05-05 | F | AE | RASHIDI | 93712342E | ZAHRA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18279699/check_25416815_0821a95c-7c63-4ee8-93b0-dff2baf21bbe.json | N/A | N/A | N/A | N/A | N/A | 93712342E | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-11-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RASHIDI | N/A | ZAHRA | N/A | 2078-12-31 | 2026-02-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777853415 | N/A | N/A | 18279699 | 2222 | 4802 | 25658093 | 4211 | 16293253 | 2026-05-05 00:37:23.509517 | 2026-03-17 23:01:51.545839 |
| 2026-05-04 07:16:20.378751 | 2026-05-05 00:36:20.646951 | 25416790 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 25416790 | Athletic Physical Therapy Inc | 1987-08-20 | 2026-05-06 | F | AE | Durant | 000008717870 | Jovanna | Sharelle Shishonna | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18270267/check_25416790_c457c730-9891-42f4-b915-234f7f65fcf9.json | N/A | N/A | N/A | N/A | N/A | 000008717870 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1987-08-20 | 4368158 | 100200 | N/A | N/A | false | DURANT | N/A | JOVANNA | N/A | 2026-12-31 | 2026-01-01 | KAISER FOUNDATION HEALTH PLAN - SCA - 100200 CKPU | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777853406 | N/A | N/A | 18270267 | 2222 | 4802 | 25656748 | N/A | 16284557 | 2026-05-05 00:36:20.646951 | 2026-03-22 16:36:56.176369 |
| 2026-05-04 07:16:20.241811 | 2026-05-05 00:35:57.740109 | 25416772 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 25416772 | override_provider | 1988-11-15 | 2026-05-06 | M | PT | RHODES | AJC914491557 | THOMAS | J | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18252435/check_25416772_6a313f3d-28dd-4b23-8100-e1379c391cd7.json | N/A | N/A | N/A | N/A | N/A | AJC914491557 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1988-11-15 | 1000MCAL0008 | E0001001 | N/A | MC | false | RHODES | N/A | THOMAS | N/A | N/A | 2026-05-04 | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777853401 | N/A | N/A | 18252435 | 2222 | 4802 | 25656342 | N/A | 16267835 | 2026-05-05 00:35:57.740109 | 2026-04-21 18:01:49.356237 |
| 2026-05-04 07:16:20.124337 | 2026-05-05 00:36:19.369486 | 25416756 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 25416756 | Athletic Physical Therapy Inc | 2012-08-12 | 2026-05-05 | M | AE | Lopez Garcia | 95890433F | Eduardo | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18216914/check_25416756_9287f069-e92f-4aaa-ac0b-6d42e5473680.json | N/A | N/A | N/A | N/A | N/A | 95890433F | N/A | MCLA ND AD/FA/CH<19 | LA CARE HEALTH PLAN | N/A | 2012-08-12 | MCLA | MCLANFAL19 | N/A | N/A | false | LOPEZ GARCIA | N/A | EDUARDO | N/A | 2078-12-31 | 2024-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777853395 | N/A | N/A | 18216914 | 2222 | 4802 | 25656721 | N/A | 16232218 | 2026-05-05 00:36:19.369486 | 2026-03-16 23:33:21.904145 |
| 2026-05-04 07:16:19.985965 | 2026-05-05 00:37:22.777084 | 25416734 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 25416734 | Athletic Physical Therapy Inc | 1976-02-07 | 2026-05-05 | F | AE | MALTSEVA | 94237973H | YEVHENIIA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18095882/check_25416734_dc52b92c-5155-4950-ac95-47d358dd993b.json | N/A | N/A | N/A | N/A | N/A | 94237973H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1976-02-07 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | 2078-12-31 | 2025-08-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777853387 | N/A | N/A | 18095882 | 2222 | 4802 | 25658075 | 4211 | 6219145 | 2026-05-05 00:37:22.777084 | 2025-07-21 16:40:35.276086 |
| 2026-05-04 07:16:19.860455 | 2026-05-05 00:37:26.723581 | 25416715 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 25416715 | Athletic Physical Therapy Inc | 2008-01-01 | 2026-05-07 | M | AE | Talasazan | 90246457E | Adam | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18095833/check_25416715_31b744e1-daf0-4b20-b1b7-b7f1d464fabf.json | N/A | N/A | N/A | N/A | N/A | 90246457E | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2008-01-01 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | TALASAZAN | N/A | ADAM | N/A | 2078-12-31 | 2025-09-01 | ADULT FAMILY - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777853386 | N/A | N/A | 18095833 | 2222 | 4802 | 25658166 | 4211 | 16119978 | 2026-05-05 00:37:26.723581 | 2026-04-03 21:05:07.393901 |
| 2026-05-04 07:16:19.686524 | 2026-05-05 00:36:36.903101 | 25416691 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 25416691 | Athletic Physical Therapy Inc | 1956-01-25 | 2026-05-07 | F | AE | URIBE | 40085522401 | ROSA | I | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18084855/check_25416691_eab09a76-e274-4c80-b83e-5e3a4c290e12.json | N/A | N/A | N/A | N/A | N/A | 40085522401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-01-25 | 2026H0976001LAAF | H0976DSNP | N/A | N/A | false | URIBE | N/A | ROSA | N/A | N/A | 2026-03-01 | SCAN CONNECTIONS ABD (HMO SNP), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777853376 | N/A | N/A | 18084855 | 2222 | 4802 | 25657029 | 6237 | 13816533 | 2026-05-05 00:36:36.903101 | 2026-03-06 21:23:14.977254 |
| 2026-05-04 07:16:19.549539 | 2026-05-05 00:36:47.003143 | 25416671 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25416671 | Athletic Physical Therapy Inc | 1950-08-28 | 2026-05-05 | F | AE | RODRIGUEZ | 7MG2YG8PF88 | BERTHA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18076982/check_25416671_12cdcae9-9b13-4afd-9f58-71f52d0788c4.json | N/A | N/A | N/A | N/A | N/A | 7MG2YG8PF88 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-08-28 | S4802 | N/A | N/A | MA | false | RODRIGUEZ | N/A | BERTHA | 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 | 10777853371 | N/A | N/A | 18076982 | 2222 | 4801 | 25657278 | N/A | 16103079 | 2026-05-05 00:36:47.003143 | 2026-05-20 02:47:01.452599 |
| 2026-05-04 07:16:19.418558 | 2026-05-05 00:36:28.587725 | 25416658 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25416658 | Athletic Physical Therapy Inc | 1949-09-08 | 2026-05-05 | F | AE | DUARTE | 5R04RR0AU93 | REVE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18076656/check_25416658_e34da815-e26f-4829-8b0c-bce40d2e9b57.json | N/A | N/A | N/A | N/A | N/A | 5R04RR0AU93 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-09-08 | S5884 | N/A | N/A | MB | false | DUARTE | N/A | REVE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 55037 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777853369 | N/A | N/A | 18076656 | 2222 | 4801 | 25656884 | N/A | 16102725 | 2026-05-05 00:36:28.587725 | 2026-03-13 16:40:36.180280 |
| 2026-05-04 07:16:19.284848 | 2026-05-05 00:36:21.785077 | 25416638 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25416638 | Athletic Physical Therapy Inc | 1946-11-04 | 2026-05-05 | M | AE | BARDIA | 9YD1K19FG26 | KANHAIYA | L | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18033660/check_25416638_05b71d33-1b95-4ece-baad-c2d1e4e64f27.json | N/A | N/A | N/A | N/A | N/A | 9YD1K19FG26 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-04 | S5884 | N/A | N/A | MB | false | BARDIA | N/A | KANHAIYA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 105113 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777853366 | N/A | N/A | 18033660 | 2222 | 4802 | 25656777 | N/A | 16061630 | 2026-05-05 00:36:21.785077 | 2026-03-18 23:17:28.107701 |
| 2026-05-04 07:16:19.181656 | 2026-05-05 00:37:17.777244 | 25416621 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 25416621 | Athletic Physical Therapy Inc | 1978-12-17 | 2026-05-06 | F | PT | UPDIKE | XAN903412717 | AMIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18021836/check_25416621_751f0064-3a83-456e-9104-c9f265094f6d.json | N/A | N/A | N/A | N/A | N/A | XAN903412717 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1978-12-17 | 1478PPOX0003 | W0051411 | N/A | PR | false | UPDIKE | N/A | JOSEPH | N/A | N/A | 2026-05-04 | CALPERS ASO GOLD PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777853364 | N/A | N/A | 18021836 | 2222 | 4801 | 25657954 | N/A | 14884291 | 2026-05-05 00:37:17.777244 | 2026-02-12 23:28:22.567862 |
| 2026-05-04 07:16:19.042138 | 2026-05-05 00:36:54.435139 | 25416603 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25416603 | Athletic Physical Therapy Inc | 1952-01-06 | 2026-05-06 | F | AE | WEST | 1HK9RC5WQ19 | HOLLIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17961735/check_25416603_40d47241-2ef4-4cde-83b3-dbd1251d2724.json | N/A | N/A | N/A | N/A | N/A | 1HK9RC5WQ19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-06 | S5617 | N/A | N/A | MA | false | WEST | N/A | HOLLIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 141169 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777853361 | N/A | N/A | 17961735 | 2222 | 4801 | 25657470 | N/A | 15883502 | 2026-05-05 00:36:54.435139 | 2026-03-11 00:48:56.434845 |
| 2026-05-04 07:16:18.935306 | 2026-05-05 00:36:31.006180 | 25416589 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25416589 | Athletic Physical Therapy Inc | 1968-01-17 | 2026-05-07 | F | AE | FLEMING | 1R95FV2XE71 | LORIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17944211/check_25416589_9e7a8912-2cd2-48c7-8d26-22c394653f86.json | N/A | N/A | N/A | N/A | N/A | 1R95FV2XE71 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-01-17 | S5617 | N/A | N/A | MA | false | FLEMING | N/A | LORIE | N/A | 2026-03-31 | 2026-01-01 | N/A | N/A | N/A | 58582 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777853354 | N/A | N/A | 17944211 | 2222 | 4801 | 25656921 | N/A | 15983370 | 2026-05-05 00:36:31.006180 | 2026-03-16 17:56:49.633280 |
| 2026-05-04 07:16:18.778201 | 2026-05-05 00:36:31.665622 | 25416564 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25416564 | Athletic Physical Therapy Inc | 1948-09-17 | 2026-05-06 | F | AE | GALERA | 5NG1DR7VP25 | EMMA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17943086/check_25416564_5e4e8a1c-1669-46bb-b6c9-119d9d014595.json | N/A | N/A | N/A | N/A | N/A | 5NG1DR7VP25 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-09-17 | S5884 | N/A | N/A | MB | false | GALERA | N/A | EMMA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 70511 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854283 | N/A | N/A | 17943086 | 2222 | 4801 | 25656931 | N/A | 15982010 | 2026-05-05 00:36:31.665622 | 2026-03-11 22:46:44.886390 |
| 2026-05-04 07:16:18.673753 | 2026-05-05 00:36:17.479698 | 25416550 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 25416550 | Athletic Physical Therapy Inc | 1976-02-21 | 2026-05-06 | F | AE | Cohen | 000026138884 | Hally | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17938276/check_25416550_c7f495fe-4a6a-47a6-a560-70cae2014bd9.json | N/A | N/A | N/A | N/A | N/A | 000026138884 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1976-02-21 | 4388738 | 102601 | N/A | N/A | false | COHEN | N/A | HALLY | N/A | 2026-12-31 | 2026-01-01 | UNIVERSITY OF CALIFORNIA UCLA - CAMPUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854282 | N/A | N/A | 17938276 | 2222 | 4802 | 25656682 | N/A | 15976613 | 2026-05-05 00:36:17.479698 | 2026-03-11 20:32:37.861830 |
| 2026-05-04 07:16:18.532752 | 2026-05-05 00:36:02.778694 | 25416532 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 25416532 | Athletic Physical Therapy Inc | 1960-12-21 | 2026-05-06 | M | AE | PACHECO | H90214706 | PETER | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17932257/check_25416532_67fc6d3d-d2b9-498d-8720-c189ce5be48a.json | N/A | N/A | N/A | N/A | N/A | H90214706 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1960-12-21 | N/A | 2B722001 | N/A | HN | false | PACHECO | N/A | PETER | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854281 | N/A | N/A | 17932257 | 2222 | 4793 | 25656416 | N/A | 15970549 | 2026-05-05 00:36:02.778694 | 2026-03-11 20:12:02.029845 |
| 2026-05-04 07:16:18.404405 | 2026-05-05 00:37:19.496650 | 25416515 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 25416515 | Athletic Physical Therapy Inc | 1958-08-20 | 2026-05-06 | F | PT | HAILEMICHAEL | JQQ291W22868 | ABEBU | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17880760/check_25416515_e93fd0cc-9362-4dc6-ae64-fcc4de44fd46.json | N/A | N/A | N/A | N/A | N/A | JQQ291W22868 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-08-20 | 040 | CAMCRWP0 | N/A | MP | false | HAILE MICHAEL | N/A | ABEBU | N/A | 9999-12-31 | 2025-02-01 | CA H0544-058-000 ANTHEM SELECT (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777854280 | N/A | N/A | 17880760 | 2222 | 4802 | 25657994 | 4184 | 4534565 | 2026-05-05 00:37:19.496650 | 2026-03-10 20:57:14.661259 |
| 2026-05-04 07:16:18.299256 | 2026-05-05 00:36:17.904235 | 25416503 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 25416503 | Athletic Physical Therapy Inc | 1989-07-23 | 2026-05-06 | F | AE | Latty | 93805163F | Maura | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17826505/check_25416503_bec83085-1b08-4291-9ceb-0787ba6a1eb5.json | N/A | N/A | N/A | N/A | N/A | 93805163F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1989-07-23 | MCLA | MWLLNMEG21 | N/A | N/A | false | LATTY | N/A | MAURA | N/A | 2078-12-31 | 2022-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854278 | N/A | N/A | 17826505 | 2222 | 4793 | 25656691 | N/A | 15870859 | 2026-05-05 00:36:17.904235 | 2026-03-16 15:31:01.741367 |
| 2026-05-04 07:16:18.157828 | 2026-05-05 00:36:30.989052 | 25416486 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 25416486 | Athletic Physical Therapy Inc | 1961-12-26 | 2026-05-06 | F | AE | Tadmor | 99113784F | Lisa | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17749411/check_25416486_62becc7d-a232-464d-a63d-ffe51dde4106.json | N/A | N/A | N/A | N/A | N/A | 99113784F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1961-12-26 | MCLA | MWLLNMEG21 | N/A | N/A | false | TADMOR | N/A | LISA | N/A | 2078-12-31 | 2024-12-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854277 | N/A | N/A | 17749411 | 2222 | 4802 | 25656920 | N/A | 15798656 | 2026-05-05 00:36:30.989052 | 2026-03-07 00:12:23.548270 |
| 2026-05-04 07:16:18.025548 | 2026-05-05 00:37:18.933180 | 25416466 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 25416466 | Athletic Physical Therapy Inc | 1963-11-18 | 2026-05-05 | F | PT | Gutierrez | JQK595A63188 | Donna | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17747293/check_25416466_c582cffd-37bc-4e75-bee0-5a9bfea53ba4.json | N/A | N/A | N/A | N/A | N/A | JQK595A63188 | Health Maintenance Organization (HMO) | CIRCULAR CONNECTORS INC | ANTHEM BLUE CROSS | N/A | 1963-11-18 | 040 | 216721 | N/A | HM | false | GUTIERREZ | N/A | DONNA | N/A | 2026-12-31 | 2026-01-01 | ANTHEM GOLD HMO 35 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777854276 | N/A | N/A | 17747293 | 2222 | 4801 | 25657984 | N/A | 15796426 | 2026-05-05 00:37:18.933180 | 2026-03-25 16:15:17.757715 |
| 2026-05-04 07:16:17.912318 | 2026-05-05 00:37:24.320739 | 25416450 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 25416450 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-05-06 | M | AE | SHRIVER | 8300000159953 | DANIEL | Adam | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17744755/check_25416450_0eab5b00-fcd3-477d-86d8-4311e592aa95.json | N/A | N/A | N/A | N/A | N/A | 8300000159953 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | QMXBPREG020038 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DAN | N/A | 2078-12-31 | 2026-03-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854275 | N/A | N/A | 17744755 | 2222 | 4802 | 25658110 | 4211 | 4213934 | 2026-05-05 00:37:24.320739 | 2026-01-27 23:36:44.802366 |
| 2026-05-04 07:16:17.757773 | 2026-05-05 00:36:24.819099 | 25416433 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 25416433 | Athletic Physical Therapy Inc | 1941-08-29 | 2026-05-05 | M | PT | Parker | JQE625A51570 | james | Alan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17729464/check_25416433_11512c2d-5404-4d7f-81e7-4b59a29f7ae9.json | N/A | N/A | N/A | N/A | N/A | JQE625A51570 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1941-08-29 | 040 | CASUPWP0 | N/A | N/A | false | PARKER | N/A | JAMES | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777854274 | N/A | N/A | 17729464 | 2222 | 4801 | 25656825 | N/A | 15775532 | 2026-05-05 00:36:24.819099 | 2026-03-06 21:09:06.720810 |
| 2026-05-04 07:16:17.631520 | 2026-05-05 00:36:26.828887 | 25416418 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25416418 | Athletic Physical Therapy Inc | 1953-08-24 | 2026-05-05 | M | AE | DHIR | 1C87N86JG62 | PRADEEP | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17719412/check_25416418_62fd1230-7a0d-4e45-a738-a9f0f836519b.json | N/A | N/A | N/A | N/A | N/A | 1C87N86JG62 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-08-24 | S4802 | N/A | N/A | MA | false | DHIR | N/A | PRADEEP | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 111867 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854273 | N/A | N/A | 17719412 | 2222 | 4801 | 25656856 | N/A | 15603579 | 2026-05-05 00:36:26.828887 | 2026-04-17 17:11:47.109035 |
| 2026-05-04 07:16:17.509159 | 2026-05-05 00:36:15.006493 | 25416401 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 25416401 | Athletic Physical Therapy Inc | 1964-02-23 | 2026-05-05 | F | AE | GHAFARI MOBARHANI | 3247934 | MARYAM | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17650446/check_25416401_641a6317-5bf2-4339-8ee8-9c22c33aa1b7.json | N/A | N/A | N/A | N/A | N/A | 3247934 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1964-02-23 | LACC | 92815CA001000805 | N/A | N/A | false | GHAFARI-MOBARHANI | N/A | MARYAM | N/A | 2026-12-31 | 2026-02-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854272 | N/A | N/A | 17650446 | 2222 | 4802 | 25656625 | N/A | 9635663 | 2026-05-05 00:36:15.006493 | 2025-10-22 19:43:50.510670 |
| 2026-05-04 07:16:17.348013 | 2026-05-05 00:36:55.566525 | 25416376 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25416376 | Athletic Physical Therapy Inc | 1958-07-16 | 2026-05-07 | F | AE | Wolfe | 5F67H30WC46 | Nancee | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600400/check_25416376_8939c631-28c9-4bea-b7c8-a45f9f1c8678.json | N/A | N/A | N/A | N/A | N/A | 5F67H30WC46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-16 | S5617 | N/A | N/A | MB | false | WOLFE | N/A | NANCEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 105220 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854271 | N/A | N/A | 17600400 | 2222 | 4793 | 25657498 | N/A | 15647296 | 2026-05-05 00:36:55.566525 | 2026-03-04 22:22:31.397944 |
| 2026-05-04 07:16:17.213529 | 2026-05-05 00:36:40.885008 | 25416358 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 25416358 | Athletic Physical Therapy Inc | 1981-07-18 | 2026-05-06 | F | AE | Peterson | 000022138564 | Kimberly | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17598240/check_25416358_9968e1db-9fc8-49e6-9722-4e9e91ce42cd.json | N/A | N/A | N/A | N/A | N/A | 000022138564 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1981-07-18 | 4287078 | 100201 | N/A | N/A | false | PETERSON | N/A | KIMBERLY | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG - PHYSICIANS - FULL TIME | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854270 | N/A | N/A | 17598240 | 2222 | 4802 | 25657119 | N/A | 15645175 | 2026-05-05 00:36:40.885008 | 2026-03-04 21:28:46.922129 |
| 2026-05-04 07:16:17.086862 | 2026-05-05 00:36:48.983603 | 25416346 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25416346 | Athletic Physical Therapy Inc | 1955-11-26 | 2026-05-05 | F | AE | SHEINBEIN | 5NQ8U19JG46 | Nancy | THURLO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17593459/check_25416346_e9fecacd-03af-4ff3-9637-1acaf663a5d7.json | N/A | N/A | N/A | N/A | N/A | 5NQ8U19JG46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-26 | S5617 | N/A | N/A | MA | false | SHEINBEIN | N/A | NANCY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 92441 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854268 | N/A | N/A | 17593459 | 2222 | 4802 | 25657324 | N/A | 15407829 | 2026-05-05 00:36:48.983603 | 2026-03-03 21:31:17.107791 |
| 2026-05-04 07:16:16.926812 | 2026-05-05 00:36:49.907667 | 25416325 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 25416325 | Athletic Physical Therapy Inc | 1959-09-28 | 2026-05-06 | F | AE | Barrientos | 958247698 | Antoniette | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17540931/check_25416325_e3942065-80d8-4205-b59b-676b495ffba9.json | N/A | N/A | N/A | N/A | N/A | 958247698 | 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 | 1959-09-28 | N/A | 22448 | N/A | HN | false | BARRIENTOS | N/A | ANTONIETTE | N/A | N/A | N/A | HMO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854267 | N/A | N/A | 17540931 | 2222 | 4801 | 25657349 | 6411 | 15585907 | 2026-05-05 00:36:49.907667 | 2026-03-09 18:22:22.279915 |
| 2026-05-04 07:16:16.782717 | 2026-05-05 00:36:36.208444 | 25416306 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 25416306 | Athletic Physical Therapy Inc | 1958-07-23 | 2026-05-05 | M | AD | Sedlak | 40084772901 | Chris | N/A | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17533302/check_25416306_e372b332-64cd-4f83-b93d-9f4767029a6b.json | N/A | N/A | N/A | N/A | N/A | 40084772901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-07-23 | 2026H5425001 | H5425M | N/A | N/A | false | SEDLAK | N/A | CHRIS | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10777854266 | N/A | N/A | 17533302 | 2222 | 4793 | 25657016 | 6237 | 15565486 | 2026-05-05 00:36:36.208444 | 2026-03-17 20:55:49.152309 |
| 2026-05-04 07:16:16.671043 | 2026-05-05 00:37:27.596945 | 25416293 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 25416293 | Athletic Physical Therapy Inc | 1957-02-06 | 2026-05-06 | M | AE | Tatum | 97633918F | Tatum | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_25416293_e19185d5-8114-45a7-adfd-90bb04fe0650.json | N/A | N/A | N/A | N/A | N/A | 97633918F | N/A | N/A | MEDICARE PART B CI002 | MEDICAID REDETERMINATION DATE 01/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1957-02-06 | BP0003 | NO | N/A | N/A | false | TATUM | N/A | TATUM | N/A | 2078-12-31 | 2025-04-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854265 | N/A | N/A | 17509843 | 2222 | 4802 | 25658185 | 4211 | 15524188 | 2026-05-05 00:37:27.596945 | 2026-03-03 00:12:08.668405 |
| 2026-05-04 07:16:16.521685 | 2026-05-05 00:36:28.951586 | 25416269 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 25416269 | Athletic Physical Therapy Inc | 1946-11-04 | 2026-05-07 | F | AE | RODRIGUEZ | M013647 | MARIA | C | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17501934/check_25416269_3c4c3734-6b17-4899-bfce-4967ef19a597.json | N/A | N/A | N/A | N/A | N/A | M013647 | N/A | L.A. CARE MEDICARE PLUS | LA CARE HEALTH PLAN | N/A | 1946-11-04 | DSNP | DSNP001 | N/A | N/A | false | RODRIGUEZ | N/A | MARIA | N/A | 2078-12-31 | 2023-01-01 | L.A. CARE MEDICARE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854264 | N/A | N/A | 17501934 | 2222 | 4802 | 25656892 | 5538 | 15517334 | 2026-05-05 00:36:28.951586 | 2026-03-02 22:33:54.498929 |
| 2026-05-04 07:16:16.383471 | 2026-05-05 00:37:25.949879 | 25416249 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 25416249 | Athletic Physical Therapy Inc | 2008-02-25 | 2026-05-06 | F | PT | Jimenez | MPI30060766Q | Arabelle | M | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17497004/check_25416249_77479e92-0051-4e2c-9e8a-26ebbb3f311f.json | N/A | N/A | N/A | N/A | N/A | MPI30060766Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2008-02-25 | 040 | 277163M402 | N/A | PR | false | KIM | N/A | ANNY | 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 | 10777854263 | N/A | N/A | 17497004 | 2222 | 4802 | 25658148 | N/A | 15511990 | 2026-05-05 00:37:25.949879 | 2026-03-02 20:39:57.609466 |
| 2026-05-04 07:16:16.236612 | 2026-05-05 00:36:51.197793 | 25416229 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 25416229 | Athletic Physical Therapy Inc | 1960-03-17 | 2026-05-07 | M | AE | Bischoff | 890196801 | Marc | D | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17493013/check_25416229_b0dc8942-e81e-4ba4-b78e-f4e26453cb23.json | N/A | N/A | N/A | N/A | N/A | 890196801 | Commercial | CALPERS-LTB010A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1960-03-17 | N/A | 682300 | N/A | C1 | false | BISCHOFF | N/A | MARC | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854262 | N/A | N/A | 17493013 | 2222 | 4801 | 25657385 | 6411 | 15508155 | 2026-05-05 00:36:51.197793 | 2026-03-09 16:11:53.480346 |
| 2026-05-04 07:16:16.101453 | 2026-05-05 00:37:01.068099 | 25416212 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 25416212 | Athletic Physical Therapy Inc | 1979-06-08 | 2026-05-05 | F | AE | SALIMIAN | UZ110324601 | NASHMIL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_25416212_62dae3a9-fec1-4750-b6a8-46d590192498.json | N/A | N/A | N/A | N/A | N/A | UZ110324601 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1979-06-08 | 67138CA0520015-05 | N/A | N/A | N/A | false | SALIMIAN | N/A | NASHMIL | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854261 | N/A | N/A | 17492780 | 2222 | 4802 | 25657627 | 4625 | 15085116 | 2026-05-05 00:37:01.068099 | 2026-02-18 20:26:50.354139 |
| 2026-05-04 07:16:15.950368 | 2026-05-05 00:37:20.872970 | 25416191 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 25416191 | Athletic Physical Therapy Inc | 1961-08-03 | 2026-05-07 | M | PT | Higa | NCF843A55961 | Parrish | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17446858/check_25416191_49e0ac0f-e44e-46cf-b095-50805fa2d23e.json | N/A | N/A | N/A | N/A | N/A | NCF843A55961 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1961-08-03 | 040 | 276193H001 | N/A | HM | false | HIGA | N/A | PARRISH | N/A | 9999-12-31 | 2023-07-01 | PREMIER SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777854260 | N/A | N/A | 17446858 | 2222 | 4801 | 25658027 | 4185 | 14698980 | 2026-05-05 00:37:20.872970 | 2026-02-09 18:51:36.820546 |
| 2026-05-04 07:16:15.823587 | 2026-05-05 00:37:20.774843 | 25416168 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 25416168 | Athletic Physical Therapy Inc | 1978-01-20 | 2026-05-05 | M | AE | GOTTLIEB | 95971728F | GUY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17437673/check_25416168_b5a3da3c-1c3e-4f89-b3ea-8e441621f707.json | N/A | N/A | N/A | N/A | N/A | 95971728F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1978-01-20 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | GOTTLIEB | N/A | GUY | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854259 | N/A | N/A | 17437673 | 2222 | 4802 | 25658024 | 4211 | 15449397 | 2026-05-05 00:37:20.774843 | 2026-02-28 00:00:01.256842 |
| 2026-05-04 07:16:15.718265 | 2026-05-05 00:36:36.650252 | 25416153 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 25416153 | Athletic Physical Therapy Inc | 1997-04-29 | 2026-05-06 | M | AE | Nguyen | 000025947427 | Taylor | D | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17435550/check_25416153_a69e1e6d-d18c-4948-92d2-2ecbdf5021a3.json | N/A | N/A | N/A | N/A | N/A | 000025947427 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1997-04-29 | 4382799 | 232182 | N/A | N/A | false | NGUYEN | N/A | TAYLOR | N/A | 2026-12-31 | 2026-01-01 | COMCAST CORPORATION NBCUNIVERSAL_DHMO_ACTIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854258 | N/A | N/A | 17435550 | 2222 | 4802 | 25657026 | N/A | 15447177 | 2026-05-05 00:36:36.650252 | 2026-02-27 22:36:21.536137 |
| 2026-05-04 07:16:15.530703 | 2026-05-05 00:36:32.915793 | 25416126 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 25416126 | Athletic Physical Therapy Inc | 1958-03-29 | 2026-05-06 | F | AE | MONTALVO | 40057101101 | PAMELA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17396005/check_25416126_ee33cbab-cbd3-46a1-950e-4bd64c4eff3b.json | N/A | N/A | N/A | N/A | N/A | 40057101101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1958-03-29 | 2026H5425001 | H5425M | N/A | N/A | false | MONTALVO | N/A | PAMELA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854257 | N/A | N/A | 17396005 | 2222 | 4801 | 25656954 | 6237 | 15407473 | 2026-05-05 00:36:32.915793 | 2026-03-02 03:41:34.276739 |
| 2026-05-04 07:16:15.409662 | 2026-05-05 00:36:41.338463 | 25416107 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 25416107 | Athletic Physical Therapy Inc | 1949-06-24 | 2026-05-06 | F | AE | MOLAYEM | 1FP8YH1EQ32 | JILLA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17392566/check_25416107_a23dde47-73a5-4020-87e0-6862bfae0b6c.json | N/A | N/A | N/A | N/A | N/A | 1FP8YH1EQ32 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-24 | S5617 | N/A | N/A | MA | false | MOLAYEM | N/A | JILLA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 235117 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854256 | N/A | N/A | 17392566 | 2222 | 4802 | 25657133 | N/A | 14498125 | 2026-05-05 00:36:41.338463 | 2026-03-11 14:35:29.812051 |
| 2026-05-04 07:16:15.282466 | 2026-05-05 00:37:22.964546 | 25416087 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 25416087 | Athletic Physical Therapy Inc | 1986-05-18 | 2026-05-07 | M | PT | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_25416087_bbd3dd0d-0476-4217-8387-21ac045d7bf0.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | Preferred Provider Organization (PPO) | PIXOVR, CORP. | ANTHEM BLUE CROSS | N/A | 1986-05-18 | 710 | 0070340580002003 | N/A | PR | false | HYMEL | N/A | DUSTIN | N/A | 2026-12-31 | 2026-03-01 | SIMPLY BLUE PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777854255 | N/A | N/A | 17346208 | 2222 | 4802 | 25658079 | N/A | 15356693 | 2026-05-05 00:37:22.964546 | 2026-02-25 22:30:35.848496 |
| 2026-05-04 07:16:15.151173 | 2026-05-05 00:37:06.770897 | 25416071 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 25416071 | Athletic Physical Therapy Inc | 1999-08-04 | 2026-05-05 | M | AE | GRAY | R15051156MM1 | DAVID | K | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309570/check_25416071_0838ac5a-5476-4892-a452-2c460ccabb41.json | N/A | N/A | N/A | N/A | N/A | R15051156MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-08-04 | N/A | N/A | N/A | N/A | false | GRAY | N/A | DAVID | N/A | N/A | N/A | NCE UCNNHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854254 | N/A | N/A | 17309570 | 2222 | 4802 | 25657733 | 4625 | 15324565 | 2026-05-05 00:37:06.770897 | 2026-02-27 21:58:34.959613 |
| 2026-05-04 07:16:14.975184 | 2026-05-05 00:37:03.674820 | 25416046 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 25416046 | Athletic Physical Therapy Inc | 1992-08-24 | 2026-05-06 | M | PT | Gaertner | XEA910044631 | Michael | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309222/check_25416046_e51c791f-147f-4d18-ad77-22d8e78cb5ad.json | N/A | N/A | N/A | N/A | N/A | VBG910044631 | Preferred Provider Organization (PPO) | BURBETTO PRODUCTIONS LLC | BLUE SHIELD CALIFORNIA | N/A | 1992-08-24 | 1000VX000102 | W0111153 | N/A | PR | false | GAERTNER | N/A | MICHAEL | N/A | 9999-12-31 | 2024-03-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10777854253 | N/A | N/A | 17309222 | 2222 | 4802 | 25657674 | N/A | 15324299 | 2026-05-05 00:37:03.674820 | 2026-02-25 00:33:12.075173 |
| 2026-05-04 07:16:14.840516 | 2026-05-05 00:36:35.494901 | 25416027 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 25416027 | Athletic Physical Therapy Inc | 1943-04-17 | 2026-05-05 | F | AE | ROGERS | 31093568401 | MARY | E | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17306773/check_25416027_d2c01712-7c02-42f7-8be5-cc58a4c6fd45.json | N/A | N/A | N/A | N/A | N/A | 31093568401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-04-17 | 2026H5425001 | H5425M | N/A | N/A | false | ROGERS | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10777854252 | N/A | N/A | 17306773 | 2222 | 4801 | 25657001 | 6237 | 15321704 | 2026-05-05 00:36:35.494901 | 2026-02-26 19:15:43.216582 |
| 2026-05-04 07:16:14.715689 | 2026-05-05 00:36:05.620351 | 25416007 | N/A | N/A | 60054 | Aetna | 1114042165 | 25416007 | Athletic Physical Therapy Inc | 1996-08-22 | 2026-05-06 | F | AE | Clarke | W295118204 | Rebecca | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260504.122218655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17287671/check_25416007_17a95677-fdb6-43f3-98a4-eb3001747eb8.json | N/A | N/A | N/A | N/A | N/A | W295118204 | Point of Service (POS) | VENSURE EMPLOYER SERVICES, INC. | AETNA | N/A | 1996-08-22 | 0237219 | 023721901100033 | N/A | PS | false | CLARKE | N/A | REBECCA | 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 | 10777854251 | N/A | N/A | 17287671 | 2222 | 4802 | 25656456 | N/A | 15305664 | 2026-05-05 00:36:05.620351 | 2026-02-24 17:22:14.995942 |