API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-25 07:14:51.086944 | 2026-04-26 00:47:57.047785 | 24589037 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24589037 | Athletic Physical Therapy Inc | 2011-05-29 | 2026-04-28 | F | AE | PT | Snider | 000019675824 | RACHEL | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18753996/check_24589037_7c5239f5-54e5-4bc8-ae1f-be3a58039e32.json | N/A | N/A | N/A | N/A | N/A | 000019675824 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2011-05-29 | 3076628 | 102601 | N/A | N/A | false | SNIDER | N/A | RACHEL | 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 | 10693447493 | N/A | N/A | 18753996 | 2222 | 4802 | 24784768 | N/A | 16734592 | 2026-04-26 00:47:57.047785 | 2026-03-26 18:52:03.602043 |
| 2026-04-25 07:14:50.593608 | 2026-04-26 00:48:04.295147 | 24589015 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 24589015 | override_provider | 1953-09-10 | 2026-04-27 | F | AE | PT | Siegel Bartelt | 000005545129 | Jacqueline | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18689099/check_24589015_fcf6b2d5-3cf5-471a-af61-88049a68a9fd.json | N/A | N/A | N/A | N/A | N/A | 000005545129 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1953-09-10 | N/A | N/A | N/A | N/A | false | SIEGEL BARTELT | N/A | JACQUELINE | 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 | 10693448557 | N/A | N/A | 18689099 | 2222 | 4802 | 24784884 | N/A | 16676059 | 2026-04-26 00:48:04.295147 | 2026-03-25 21:44:38.560283 |
| 2026-04-25 07:14:49.991677 | 2026-04-26 00:48:01.327875 | 24588982 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 24588982 | override_provider | 2009-05-22 | 2026-04-28 | M | AE | PT | LIVINGSTON | 000024871001 | DONNER | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18610016/check_24588982_9da13ca5-6fb7-4f6c-a786-2fa289fdc3be.json | N/A | N/A | N/A | N/A | N/A | 000024871001 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2009-05-22 | 4359961 | 108601 | N/A | N/A | false | LIVINGSTON | N/A | DONNER | N/A | 2026-12-31 | 2026-01-01 | TEAMSTERS MULTI BENEFIT TRUST TMBT-TIP-KP ONLY / 1 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448556 | N/A | N/A | 18610016 | 2222 | 4802 | 24784834 | N/A | 16611782 | 2026-04-26 00:48:01.327875 | 2026-04-29 15:29:54.461887 |
| 2026-04-25 07:14:49.726582 | 2026-04-26 00:47:52.983941 | 24588964 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24588964 | Athletic Physical Therapy Inc | 1963-04-30 | 2026-04-28 | F | AE | PT | Anderson | 000016196311 | Janice | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18599106/check_24588964_c89aed8d-ca82-464d-aeae-125d06f9f86d.json | N/A | N/A | N/A | N/A | N/A | 000016196311 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1963-04-30 | 4320310 | 1650095001 | N/A | N/A | false | ANDERSON | N/A | JANICE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448555 | N/A | N/A | 18599106 | 2222 | 4802 | 24784699 | N/A | 16601576 | 2026-04-26 00:47:52.983941 | 2026-03-24 19:40:50.353536 |
| 2026-04-25 07:14:49.338247 | 2026-04-26 00:47:57.755753 | 24588948 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24588948 | Athletic Physical Therapy Inc | 1962-11-13 | 2026-04-28 | M | AE | PT | Trevellin | 000016368983 | Maurizio | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18538335/check_24588948_85f05936-3840-4390-a73d-f16607661768.json | N/A | N/A | N/A | N/A | N/A | 000016368983 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1962-11-13 | 562547 | 103000 | N/A | N/A | false | TREVELLIN | N/A | MAURIZIO | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIACHOICE SCR GOLD DHMO 250/35 NOV PCP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448554 | N/A | N/A | 18538335 | 2222 | 4802 | 24784776 | N/A | 16540455 | 2026-04-26 00:47:57.755753 | 2026-03-23 15:50:46.266916 |
| 2026-04-25 07:14:49.093897 | 2026-04-26 00:47:31.893239 | 24588937 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24588937 | Athletic Physical Therapy Inc | 1950-03-26 | 2026-04-28 | M | AE | PT | O NEILL | 3VD0U34GW90 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18472576/check_24588937_07e9755a-09c7-4054-aa9f-217c66180449.json | N/A | N/A | N/A | N/A | N/A | 3VD0U34GW90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-03-26 | S5617 | N/A | N/A | MB | false | O'NEILL | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 78992 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448553 | N/A | N/A | 18472576 | 2222 | 4802 | 24784291 | N/A | 16472791 | 2026-04-26 00:47:31.893239 | 2026-03-20 22:44:48.876499 |
| 2026-04-25 07:14:48.854084 | 2026-04-26 00:45:25.930677 | 24588926 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24588926 | Athletic Physical Therapy Inc | 1941-12-28 | 2026-04-28 | F | AE | PT | KATZOFF | H5070031200 | CAROLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18459155/check_24588926_ecdb3800-7ab8-4585-ac81-c8e799aec22c.json | N/A | N/A | N/A | N/A | N/A | H50700312 | 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 | 1941-12-28 | N/A | 2B722001 | N/A | HN | false | KATZOFF | N/A | CAROLYN | 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 | 10693448552 | N/A | N/A | 18459155 | 2222 | 4801 | 24782209 | 5349 | 16458858 | 2026-04-26 00:45:25.930677 | 2026-03-20 17:56:12.644597 |
| 2026-04-25 07:14:48.552508 | 2026-04-26 00:47:34.729784 | 24588909 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24588909 | Athletic Physical Therapy Inc | 1948-12-19 | 2026-04-28 | F | AE | PT | SULLIVAN | 5Q91C30PU13 | CATHERINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18458100/check_24588909_8dce65e1-a72f-4de1-b991-a6ece48822ee.json | N/A | N/A | N/A | N/A | N/A | 5Q91C30PU13 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-12-19 | S5921 | N/A | N/A | MA | false | SULLIVAN | N/A | CATHERINE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 66615 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448550 | N/A | N/A | 18458100 | 2222 | 4801 | 24784338 | N/A | 16457691 | 2026-04-26 00:47:34.729784 | 2026-03-20 16:17:53.406743 |
| 2026-04-25 07:14:48.218023 | 2026-04-26 00:47:52.032855 | 24588883 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24588883 | Athletic Physical Therapy Inc | 1963-01-15 | 2026-04-28 | F | AE | PT | Adams | 000008863593 | Toni | Yvette | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18427607/check_24588883_0dcd9ee4-7761-4f72-b65f-14ee97705353.json | N/A | N/A | N/A | N/A | N/A | 000008863593 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1963-01-15 | 4308537 | 105705 | N/A | N/A | false | ADAMS | N/A | TONI | N/A | 2026-12-31 | 2026-01-01 | STATE ADMINISTERED PUBLIC AGENCIES PA REGION 3 ACT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448549 | N/A | N/A | 18427607 | 2222 | 4802 | 24784677 | N/A | 16428516 | 2026-04-26 00:47:52.032855 | 2026-03-20 01:42:19.868288 |
| 2026-04-25 07:14:47.848303 | 2026-04-26 00:46:50.709511 | 24588859 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 24588859 | Athletic Physical Therapy Inc | 1972-01-03 | 2026-04-28 | M | AE | PT | JACOBS | 909763451 | JESSE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18407669/check_24588859_c97309fd-eb5b-4989-99f7-1b858dd28046.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 | 10693448548 | N/A | N/A | 18407669 | 2222 | 4802 | 24783590 | 5538 | 16411150 | 2026-04-26 00:46:50.709511 | 2026-03-20 21:53:00.475363 |
| 2026-04-25 07:14:47.039523 | 2026-04-26 00:46:08.302227 | 24588814 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24588814 | Athletic Physical Therapy Inc | 1996-04-12 | 2026-04-28 | F | PT | N/A | JARRIN | XEA911784312 | MARIAJOSE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18335373/check_24588814_1ea69659-366f-483a-8d06-56870a8dbc89.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 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693448547 | N/A | N/A | 18335373 | 2222 | 4802 | 24782922 | N/A | 16345883 | 2026-04-26 00:46:08.302227 | 2026-03-24 03:37:53.217177 |
| 2026-04-25 07:14:46.572773 | 2026-04-26 00:46:17.059469 | 24588793 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24588793 | Athletic Physical Therapy Inc | 1992-08-20 | 2026-04-28 | F | PT | N/A | FELT | JXN853M92476 | KATHRYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18326912/check_24588793_9f73ca0a-153f-4bd9-a7e7-c63c9567b179.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 | 10693448546 | N/A | N/A | 18326912 | 2222 | 4801 | 24783068 | N/A | 16337774 | 2026-04-26 00:46:17.059469 | 2026-03-18 18:21:21.968505 |
| 2026-04-25 07:14:45.989815 | 2026-04-26 00:47:20.287635 | 24588762 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24588762 | Athletic Physical Therapy Inc | 1964-09-19 | 2026-04-28 | F | PT | N/A | CHILAKOS | XAN913820374 | JANIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18247267/check_24588762_404f1505-395a-4c77-b639-4e5ce672b7b5.json | N/A | N/A | N/A | N/A | N/A | XAN913820374 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1964-09-19 | 1000PPOX0003 | W0051411 | N/A | PR | false | CHILAKOS | N/A | JANIS | N/A | N/A | 2026-04-25 | 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 | 10693448545 | N/A | N/A | 18247267 | 2222 | 4793 | 24784061 | N/A | 16262937 | 2026-04-26 00:47:20.287635 | 2026-03-23 18:45:59.777696 |
| 2026-04-25 07:14:45.691980 | 2026-04-26 00:46:53.422573 | 24588742 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24588742 | Athletic Physical Therapy Inc | 1976-02-07 | 2026-04-28 | F | AE | PT | MALTSEVA | 94237973H | YEVHENIIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18095882/check_24588742_87b0e9b7-a87c-4f06-a6f4-c64ef1a900cf.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 | 10693448544 | N/A | N/A | 18095882 | 2222 | 4802 | 24783627 | 4211 | 6219145 | 2026-04-26 00:46:53.422573 | 2025-07-21 16:40:35.276086 |
| 2026-04-25 07:14:45.505830 | 2026-04-26 00:47:25.700673 | 24588734 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24588734 | Athletic Physical Therapy Inc | 1949-09-08 | 2026-04-28 | F | AE | PT | DUARTE | 5R04RR0AU93 | REVE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18076656/check_24588734_35783e4d-0b97-4cb0-8a84-78e81a5daf8a.json | N/A | N/A | N/A | N/A | N/A | 5R04RR0AU93 | Medicare Part A | 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 | MA | false | DUARTE | N/A | REVE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 32305 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448543 | N/A | N/A | 18076656 | 2222 | 4801 | 24784167 | N/A | 16102725 | 2026-04-26 00:47:25.700673 | 2026-03-13 16:40:36.180280 |
| 2026-04-25 07:14:45.333598 | 2026-04-26 00:44:58.703984 | 24588721 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24588721 | Athletic Physical Therapy Inc | 1970-07-27 | 2026-04-28 | F | AE | PT | NOURI | 612170695 | MARYAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18029673/check_24588721_4525e335-d2db-424a-959c-38ea8ff6e5bd.json | N/A | N/A | N/A | N/A | N/A | 612170695 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1970-07-27 | 18126CA001000301 | QMXEM01910 | N/A | N/A | false | NOURI | N/A | MARYAM | N/A | 2026-12-31 | 2026-01-01 | SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448542 | N/A | N/A | 18029673 | 2222 | 4802 | 24781783 | 4211 | 16058383 | 2026-04-26 00:44:58.703984 | 2026-03-12 21:38:28.159137 |
| 2026-04-25 07:14:45.162110 | 2026-04-26 00:46:52.575682 | 24588712 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24588712 | Athletic Physical Therapy Inc | 1989-07-23 | 2026-04-28 | F | AE | PT | Latty | 93805163F | Maura | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17826505/check_24588712_e03f21cc-429e-4b04-b58d-f07e32bfb333.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 | 10693448541 | N/A | N/A | 17826505 | 2222 | 4793 | 24783614 | N/A | 15870859 | 2026-04-26 00:46:52.575682 | 2026-03-16 15:31:01.741367 |
| 2026-04-25 07:14:45.032806 | 2026-04-26 00:46:27.454621 | 24588701 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24588701 | Athletic Physical Therapy Inc | 1963-11-18 | 2026-04-28 | F | PT | N/A | Gutierrez | JQK595A63188 | Donna | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17747293/check_24588701_b883f17d-8645-4467-95f2-54b0bca68eba.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 | 10693448540 | N/A | N/A | 17747293 | 2222 | 4801 | 24783226 | N/A | 15796426 | 2026-04-26 00:46:27.454621 | 2026-03-25 16:15:17.757715 |
| 2026-04-25 07:14:44.827209 | 2026-04-26 00:47:30.884641 | 24588691 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24588691 | Athletic Physical Therapy Inc | 1943-11-05 | 2026-04-28 | F | AE | PT | MILLER | 2nn1kp9mk97 | PEGGY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17663491/check_24588691_d2d0a48a-88b7-4bd5-81e9-d5e8c1a49086.json | N/A | N/A | N/A | N/A | N/A | 2NN1KP9MK97 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-05 | S5921 | N/A | N/A | MA | false | MILLER | N/A | PEGGY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 168740 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448539 | N/A | N/A | 17663491 | 2222 | 4802 | 24784272 | N/A | 4213453 | 2026-04-26 00:47:30.884641 | 2025-05-13 04:29:37.227772 |
| 2026-04-25 07:14:44.640108 | 2026-04-26 00:45:24.979810 | 24588676 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 24588676 | Athletic Physical Therapy Inc | 1939-04-08 | 2026-04-28 | F | AE | PT | HILL | H96403611 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17641125/check_24588676_1fc7727d-81af-4485-8508-d312214a8860.json | N/A | N/A | N/A | N/A | N/A | H96403611 | Preferred Provider Organization (PPO) | PFIZER | HUMANA | 079 830 MEDICARE PPO/EMPLOYER PPO PLUS | 1939-04-08 | N/A | 3B310001 | N/A | PR | false | HILL | N/A | KAREN | N/A | N/A | N/A | PFIZER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448538 | N/A | N/A | 17641125 | 2222 | 4793 | 24782191 | N/A | 4213760 | 2026-04-26 00:45:24.979810 | 2026-03-23 22:17:45.263893 |
| 2026-04-25 07:14:44.410053 | 2026-04-26 00:46:06.679769 | 24588663 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24588663 | Athletic Physical Therapy Inc | 1958-07-23 | 2026-04-28 | M | AD | 30 | Sedlak | 40084772901 | Chris | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17533302/check_24588663_4f5fdb9c-f9e6-4c23-a91a-8b674869ae13.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 | 10693448536 | N/A | N/A | 17533302 | 2222 | 4793 | 24782893 | 6237 | 15565486 | 2026-04-26 00:46:06.679769 | 2026-03-17 20:55:49.152309 |
| 2026-04-25 07:14:44.222413 | 2026-04-26 00:47:59.466338 | 24588649 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | 24588649 | Athletic Physical Therapy Inc | 1965-07-20 | 2026-04-28 | M | AE | PT | Williamson | 000023808951 | James | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17494392/check_24588649_da9bd3b5-f431-4c38-a021-ce6ec6057265.json | N/A | N/A | N/A | N/A | N/A | 000023808951 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | MDC - MEDICAID | 1965-07-20 | 4362482 | 1650095001 | N/A | N/A | false | WILLIAMSON | N/A | JAMES | N/A | N/A | N/A | MEDI-CAL SCR 19_ADULT EXP M/O | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448535 | N/A | N/A | 17494392 | 2222 | 4802 | 24784802 | N/A | 15115643 | 2026-04-26 00:47:59.466338 | 2026-02-19 17:55:17.333175 |
| 2026-04-25 07:14:43.788912 | 2026-04-26 00:46:08.697873 | 24588628 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24588628 | Athletic Physical Therapy Inc | 1979-06-08 | 2026-04-28 | F | AE | PT | SALIMIAN | UZ110324601 | NASHMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_24588628_f00a0c34-e5a1-450b-b1d5-1a1d42bc85dd.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 | 10693448534 | N/A | N/A | 17492780 | 2222 | 4802 | 24782926 | 4625 | 15085116 | 2026-04-26 00:46:08.697873 | 2026-02-18 20:26:50.354139 |
| 2026-04-25 07:14:43.038243 | 2026-04-26 00:46:51.658783 | 24588601 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24588601 | Athletic Physical Therapy Inc | 1978-01-20 | 2026-04-27 | M | AE | PT | GOTTLIEB | 95971728F | GUY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17437673/check_24588601_344c8c2c-63b8-44ef-86ba-37e023590381.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 | 10693448533 | N/A | N/A | 17437673 | 2222 | 4802 | 24783601 | 4211 | 15449397 | 2026-04-26 00:46:51.658783 | 2026-02-28 00:00:01.256842 |
| 2026-04-25 07:14:42.447333 | 2026-04-26 00:46:56.362782 | 24588573 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24588573 | Athletic Physical Therapy Inc | 1965-02-23 | 2026-04-28 | M | AE | PT | Naito | 93614355F | Arthur | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17429709/check_24588573_74d21918-d4c0-42ed-8231-d5972b0902f1.json | N/A | N/A | N/A | N/A | N/A | 93614355F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1965-02-23 | MCLA | MWLLNMEG21 | N/A | N/A | false | NAITO | N/A | ARTHUR | N/A | 2078-12-31 | 2016-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448532 | N/A | N/A | 17429709 | 2222 | 4802 | 24783674 | N/A | 15440773 | 2026-04-26 00:46:56.362782 | 2026-02-27 19:52:08.982558 |
| 2026-04-25 07:14:42.135370 | 2026-04-26 00:47:58.526855 | 24588551 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24588551 | Athletic Physical Therapy Inc | 1989-12-20 | 2026-04-28 | F | AE | PT | Valenza | 000026028938 | Magali | Giselle | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17355763/check_24588551_2c6747d2-5866-47f3-956d-af9f1014e287.json | N/A | N/A | N/A | N/A | N/A | 000026028938 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1989-12-20 | 4378729 | 1650095001 | N/A | N/A | false | VALENZA | N/A | MAGALI | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448531 | N/A | N/A | 17355763 | 2222 | 4802 | 24784785 | N/A | 15367776 | 2026-04-26 00:47:58.526855 | 2026-03-02 18:02:01.247721 |
| 2026-04-25 07:14:41.841338 | 2026-04-26 00:46:10.101827 | 24588533 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24588533 | Athletic Physical Therapy Inc | 1999-08-04 | 2026-04-27 | M | AE | PT | GRAY | R15051156MM1 | DAVID | K | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309570/check_24588533_00669dda-b246-4fdf-acdb-9e2d78c20f93.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 | 10693448529 | N/A | N/A | 17309570 | 2222 | 4802 | 24782951 | 4625 | 15324565 | 2026-04-26 00:46:10.101827 | 2026-02-27 21:58:34.959613 |
| 2026-04-25 07:14:41.609545 | 2026-04-26 00:46:06.019891 | 24588517 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24588517 | Athletic Physical Therapy Inc | 1992-08-24 | 2026-04-28 | M | PT | N/A | Gaertner | XEA910044631 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309222/check_24588517_6480a2b0-e1dc-42ab-b213-142a9837106e.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 | 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 | 10693448528 | N/A | N/A | 17309222 | 2222 | 4802 | 24782882 | N/A | 15324299 | 2026-04-26 00:46:06.019891 | 2026-02-25 00:33:12.075173 |
| 2026-04-25 07:14:41.307011 | 2026-04-26 00:46:05.639975 | 24588495 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24588495 | Athletic Physical Therapy Inc | 1943-04-17 | 2026-04-28 | F | AE | PT | ROGERS | 31093568401 | MARY | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17306773/check_24588495_3dc2769c-cf19-4e13-be69-fbb036d45763.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 | 10693448527 | N/A | N/A | 17306773 | 2222 | 4801 | 24782880 | 6237 | 15321704 | 2026-04-26 00:46:05.639975 | 2026-02-26 19:15:43.216582 |
| 2026-04-25 07:14:40.956090 | 2026-04-26 00:46:21.849393 | 24588477 | N/A | N/A | 60054 | Aetna | 1114042165 | 24588477 | Athletic Physical Therapy Inc | 1996-08-22 | 2026-04-27 | F | AE | PT | Clarke | W295118204 | Rebecca | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17287671/check_24588477_c0afc65e-d9bd-4b66-baf1-7b963e168133.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 | 10693448526 | N/A | N/A | 17287671 | 2222 | 4802 | 24783141 | N/A | 15305664 | 2026-04-26 00:46:21.849393 | 2026-02-24 17:22:14.995942 |
| 2026-04-25 07:14:40.605591 | 2026-04-26 00:45:23.052086 | 24588462 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24588462 | Athletic Physical Therapy Inc | 1954-10-11 | 2026-04-28 | M | AE | PT | FARRUGIA | H6573816900 | JEFFREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17264465/check_24588462_d08a19bd-77db-49b9-b0b6-26a8b7209f46.json | N/A | N/A | N/A | N/A | N/A | H65738169 | 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 | 1954-10-11 | N/A | 2B722001 | N/A | HN | false | FARRUGIA | N/A | JEFFREY | 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 | 10693448525 | N/A | N/A | 17264465 | 2222 | 4801 | 24782158 | 5349 | 15281758 | 2026-04-26 00:45:23.052086 | 2026-04-16 18:41:33.012590 |
| 2026-04-25 07:14:40.219742 | 2026-04-26 00:47:36.238779 | 24588448 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24588448 | Athletic Physical Therapy Inc | 1959-08-14 | 2026-04-28 | M | AE | PT | YOUHANAIE | 9RG5DX0YJ71 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17247515/check_24588448_b982e816-f5c6-4194-9c69-0ce7a7ac6928.json | N/A | N/A | N/A | N/A | N/A | 9RG5DX0YJ71 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MB | false | YOUHANAIE | N/A | MARK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 111980 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448524 | N/A | N/A | 17247515 | 2222 | 4793 | 24784360 | N/A | 4211122 | 2026-04-26 00:47:36.238779 | 2025-05-13 04:29:37.225524 |
| 2026-04-25 07:14:39.729859 | 2026-04-26 00:46:54.949226 | 24588422 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 24588422 | Athletic Physical Therapy Inc | 1957-03-21 | 2026-04-28 | F | AE | PT | Moore | MNL788W15745 | Jean | Carla | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_24588422_0dc6e5c6-778f-4e93-9ba9-6f0e54d8f353.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448523 | N/A | N/A | 17099336 | 2222 | 4802 | 24783648 | 5538 | 6725117 | 2026-04-26 00:46:54.949226 | 2026-02-18 22:27:04.950292 |
| 2026-04-25 07:14:39.218765 | 2026-04-26 00:45:48.951893 | 24588393 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 24588393 | override_provider | 1979-02-02 | 2026-04-28 | F | PT | N/A | Roozrokh | R60967659 | Peyman | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17094664/check_24588393_422f4dbf-6b17-455c-9b99-55aa6104a436.json | N/A | N/A | N/A | N/A | N/A | R60967659 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1979-02-02 | N/A | 104 | N/A | PR | false | ROOZROKH | N/A | PEYMAN | N/A | 9999-12-31 | 2024-01-14 | STANDARD | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693448522 | N/A | N/A | 17094664 | 2222 | 4802 | 24782625 | N/A | 15086531 | 2026-04-26 00:45:48.951893 | 2026-02-18 21:22:56.146803 |
| 2026-04-25 07:14:38.607481 | 2026-04-26 00:45:59.799952 | 24588364 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 24588364 | Athletic Physical Therapy Inc | 1963-03-21 | 2026-04-28 | F | AE | PT | Bischoff | 890196802 | Kaycee | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17003130/check_24588364_b298fae7-dec2-4ea9-8450-c0b86616117e.json | N/A | N/A | N/A | N/A | N/A | 890196802 | Commercial | CALPERS-LTB010A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1963-03-21 | N/A | 682300 | N/A | C1 | false | BISCHOFF | N/A | KAYCEE | 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 | 10693448521 | N/A | N/A | 17003130 | 2222 | 4801 | 24782790 | 6411 | 14999773 | 2026-04-26 00:45:59.799952 | 2026-02-17 00:31:52.140400 |
| 2026-04-25 07:14:38.311236 | 2026-04-26 00:46:50.432200 | 24588348 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24588348 | Athletic Physical Therapy Inc | 1963-11-15 | 2026-04-28 | F | AE | PT | DIBAEI | 95643445F | ATEFEH | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16929305/check_24588348_4487157c-7b47-418a-89c5-ac5ac9ef6e9b.json | N/A | N/A | N/A | N/A | N/A | 95643445F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 04/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-11-15 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DIBAEI | N/A | ATEFEH | 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 | 10693448520 | N/A | N/A | 16929305 | 2222 | 4802 | 24783584 | 4211 | 14928874 | 2026-04-26 00:46:50.432200 | 2026-02-13 23:07:04.697142 |
| 2026-04-25 07:14:38.129292 | 2026-04-26 00:46:19.579821 | 24588339 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24588339 | Athletic Physical Therapy Inc | 1993-07-22 | 2026-04-28 | F | PT | N/A | Amstutz | KXJ396W12867 | Lauren | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16765713/check_24588339_759b1c0a-da52-4342-a737-454cc7b4a879.json | N/A | N/A | N/A | N/A | N/A | KXJ396W12867 | Health Maintenance Organization (HMO) | CASA PACIFICA | ANTHEM BLUE CROSS | N/A | 1993-07-22 | 040 | 151213H030 | N/A | HM | false | AMSTUTZ | N/A | JORDAN | N/A | 2026-12-31 | 2026-01-01 | DEDUCTIBLE HMO SELECT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693448519 | N/A | N/A | 16765713 | 2222 | 4801 | 24783111 | 4185 | 14776656 | 2026-04-26 00:46:19.579821 | 2026-02-10 18:58:53.303852 |
| 2026-04-25 07:14:37.953200 | 2026-04-26 00:46:11.539429 | 24588328 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24588328 | Athletic Physical Therapy Inc | 1964-09-03 | 2026-04-28 | F | AE | PT | REZAYANI | 97093372E | SOHAYLA | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16679973/check_24588328_74a44591-89b2-4f3d-986f-06fa44decbab.json | N/A | N/A | N/A | N/A | N/A | 97093372E | N/A | N/A | HEALTH NET, LLC | N/A | 1964-09-03 | N/A | N/A | N/A | N/A | false | REZAYANI | N/A | SOHAYLA | N/A | 2026-03-31 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448518 | N/A | N/A | 16679973 | 2222 | 4802 | 24782975 | 4625 | 4213366 | 2026-04-26 00:46:11.539429 | 2025-07-14 15:29:50.728003 |
| 2026-04-25 07:14:37.730479 | 2026-04-26 00:46:18.053844 | 24588315 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24588315 | Athletic Physical Therapy Inc | 2001-12-10 | 2026-04-28 | M | PT | N/A | ANGHA | XXP966240802 | ZACHARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16448068/check_24588315_a7bb982a-c228-42c3-9da9-fd74a91bbd6d.json | N/A | N/A | N/A | N/A | N/A | XXP966240802 | Preferred Provider Organization (PPO) | PARTNER THERAPEUTICS INC | BLUE SHIELD OF CALIFORNIA | N/A | 2001-12-10 | N/A | 002363611 | N/A | PR | false | JASHNIAN | N/A | FARIBA | N/A | 2026-12-31 | 2026-01-01 | PPO - BLUE CARE ELECT PREFERRED 80 WITH COPAY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693448517 | N/A | N/A | 16448068 | 2222 | 4793 | 24783085 | N/A | 14493240 | 2026-04-26 00:46:18.053844 | 2026-02-25 21:26:55.970409 |
| 2026-04-25 07:14:37.504275 | 2026-04-26 00:47:21.053242 | 24588305 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24588305 | Athletic Physical Therapy Inc | 1958-06-09 | 2026-04-28 | F | AE | PT | ARNAL | 6MR0WV3TY01 | DOROTHY | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16362784/check_24588305_1fc043a2-741a-4fc5-a63d-311b000f56bd.json | N/A | N/A | N/A | N/A | N/A | 6MR0WV3TY01 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-06-09 | S4802 | N/A | N/A | MB | false | ARNAL | N/A | DOROTHY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 219298 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448516 | N/A | N/A | 16362784 | 2222 | 4801 | 24784075 | N/A | 8353503 | 2026-04-26 00:47:21.053242 | 2026-02-05 00:11:37.075583 |
| 2026-04-25 07:14:37.226787 | 2026-04-26 00:46:14.594626 | 24588287 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 24588287 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-04-28 | F | AE | PT | LAVORATO | 00000290307 | MARY | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16314847/check_24588287_52c7720f-c8e3-4e64-a85c-643ec4e15dbf.json | N/A | N/A | N/A | N/A | N/A | 00000290307 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1948-02-13 | H3815048 | N/A | N/A | HM | false | LAVORATO | N/A | MARY | N/A | N/A | 2025-01-01 | ALIGNMENT HEALTH HEART & DIABETES CARE (HMO C-SNP) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448515 | N/A | N/A | 16314847 | 2222 | 4793 | 24783010 | 2630 | 14364421 | 2026-04-26 00:46:14.594626 | 2026-03-10 17:29:39.446746 |
| 2026-04-25 07:14:36.881283 | 2026-04-26 00:47:22.567268 | 24588271 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24588271 | Athletic Physical Therapy Inc | 1953-08-16 | 2026-04-28 | M | AE | PT | brosh | 1AC1KJ0CT14 | RAMI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16113776/check_24588271_72832658-18ff-4533-bc8f-4d68bad04ed1.json | N/A | N/A | N/A | N/A | N/A | 1AC1KJ0CT14 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-08-16 | S4802 | N/A | N/A | MB | false | BROSH | N/A | RAMI | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 168433 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448514 | N/A | N/A | 16113776 | 2222 | 4793 | 24784107 | N/A | 14174363 | 2026-04-26 00:47:22.567268 | 2026-05-29 18:00:53.778221 |
| 2026-04-25 07:14:36.389792 | 2026-04-26 00:46:07.094476 | 24588248 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24588248 | Athletic Physical Therapy Inc | 1962-08-13 | 2026-04-28 | F | AD | 30 | SHAPIRO | 40065985101 | ONNETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16086772/check_24588248_df0fe5b0-983f-4044-beb2-1c20aef605f0.json | N/A | N/A | N/A | N/A | N/A | 40065985101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1962-08-13 | 2026H5425001 | H5425M | N/A | N/A | false | SHAPIRO | N/A | ONNETTE | 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 | 10693448513 | N/A | N/A | 16086772 | 2222 | 4801 | 24782898 | 6237 | 14151882 | 2026-04-26 00:46:07.094476 | 2026-01-30 16:12:37.739707 |
| 2026-04-25 07:14:35.763612 | 2026-04-26 00:47:29.917722 | 24588220 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24588220 | Athletic Physical Therapy Inc | 1942-08-01 | 2026-04-28 | F | AE | PT | LUAN | 8FM8N59QR51 | YUFEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16084060/check_24588220_f5978a56-4777-40de-a387-f01e0cb1a4b1.json | N/A | N/A | N/A | N/A | N/A | 8FM8N59QR51 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-08-01 | S5617 | N/A | N/A | MA | false | LUAN | N/A | YUFEN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 198780 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448512 | N/A | N/A | 16084060 | 2222 | 4801 | 24784250 | N/A | 14149068 | 2026-04-26 00:47:29.917722 | 2026-02-02 02:54:10.040114 |
| 2026-04-25 07:14:35.146626 | 2026-04-26 00:46:25.083480 | 24588183 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24588183 | Athletic Physical Therapy Inc | 1983-12-08 | 2026-04-28 | F | PT | N/A | ZONANA | PLY185A78990 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15960874/check_24588183_10cf5561-947e-4257-a163-831a0681ca4e.json | N/A | N/A | N/A | N/A | N/A | PLY185A78990 | Preferred Provider Organization (PPO) | MATTEL INC | ANTHEM BLUE CROSS | N/A | 1983-12-08 | 040 | 174323M3A1 | N/A | PR | false | FRIEDMAN | N/A | RON | N/A | 2026-12-31 | 2026-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693448511 | N/A | N/A | 15960874 | 2222 | 4802 | 24783190 | N/A | 14041811 | 2026-04-26 00:46:25.083480 | 2026-03-06 22:13:33.515742 |
| 2026-04-25 07:14:34.743665 | 2026-04-26 00:45:27.427634 | 24588161 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24588161 | Athletic Physical Therapy Inc | 1958-08-15 | 2026-04-28 | M | AE | PT | MARTIN | H90190700 | JAMES | P | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15941985/check_24588161_17c5773b-53e5-4eb5-b267-1fd5b4d9b7c7.json | N/A | N/A | N/A | N/A | N/A | H90190700 | 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 | 1958-08-15 | N/A | 2B722001 | N/A | HN | false | MARTIN | N/A | JAMES | 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 | 10693448510 | N/A | N/A | 15941985 | 2222 | 4793 | 24782238 | 5349 | 14024715 | 2026-04-26 00:45:27.427634 | 2026-02-27 22:16:01.917155 |
| 2026-04-25 07:14:34.454169 | 2026-04-26 00:47:28.995414 | 24588148 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24588148 | Athletic Physical Therapy Inc | 1955-07-13 | 2026-04-28 | M | AE | PT | GROSS | 5J34NT0FH08 | HUGH | R | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15810927/check_24588148_d85dbed3-c53e-43ad-bdcb-f4a98f1a749f.json | N/A | N/A | N/A | N/A | N/A | 5J34NT0FH08 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-13 | S5617 | N/A | N/A | MB | false | GROSS | N/A | HUGH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 111820 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448509 | N/A | N/A | 15810927 | 2222 | 4802 | 24784235 | N/A | 13900460 | 2026-04-26 00:47:28.995414 | 2026-01-27 16:41:56.120390 |
| 2026-04-25 07:14:34.191025 | 2026-04-26 00:47:33.214433 | 24588136 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24588136 | Athletic Physical Therapy Inc | 1947-02-06 | 2026-04-28 | F | AE | PT | RIGGS | 2A62UC8QA95 | JAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15761931/check_24588136_562b626e-0105-4b35-92dc-aeda39dc8138.json | N/A | N/A | N/A | N/A | N/A | 2A62UC8QA95 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-02-06 | S5601 | N/A | N/A | MA | false | RIGGS | N/A | JAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 91683 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448508 | N/A | N/A | 15761931 | 2222 | 4802 | 24784314 | N/A | 13855018 | 2026-04-26 00:47:33.214433 | 2026-01-21 23:02:56.677752 |
| 2026-04-25 07:14:33.846186 | 2026-04-26 00:46:13.736074 | 24588117 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24588117 | Athletic Physical Therapy Inc | 1975-06-19 | 2026-04-28 | M | PT | N/A | ZEITHAMMER | UCD914833466 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15745085/check_24588117_33ae72d3-1d3f-492c-a45f-d1a7cf28e7ba.json | N/A | N/A | N/A | N/A | N/A | UCD914833466 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1975-06-19 | 1400PPOX0001 | W3000984 | N/A | PR | false | ZEITHAMMER | N/A | ROBERT | N/A | N/A | 2026-04-25 | UNIVERSITY OF CALIFORNIA ASO UC CARE PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10693448507 | N/A | N/A | 15745085 | 2222 | 4802 | 24783014 | N/A | 13842766 | 2026-04-26 00:46:13.736074 | 2026-01-26 16:51:25.727723 |
| 2026-04-25 07:14:33.571666 | 2026-04-26 00:47:56.537133 | 24588104 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24588104 | Athletic Physical Therapy Inc | 1958-01-02 | 2026-04-28 | F | AE | PT | RYAN | 000022661269 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260425.123219442.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15738632/check_24588104_c7e19c79-7786-40d5-8ff5-40d81f02f8b2.json | N/A | N/A | N/A | N/A | N/A | 000022661269 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1958-01-02 | 4314174 | 104236 | N/A | N/A | false | RYAN | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | SEMPRA SOCALGAS RETIREES UNION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10693448506 | N/A | N/A | 15738632 | 2222 | 4802 | 24784759 | N/A | 13838088 | 2026-04-26 00:47:56.537133 | 2026-01-21 17:11:50.384756 |