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 | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-04 09:02:11.574581 | 2025-07-05 02:06:34.578689 | 9460122 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9460122 | Athletic Physical Therapy Inc | 2009-07-01 | 2025-07-07 | M | PT | PAQUETTE | JQU899A69081 | NICOLAS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115812526.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6207031/check_9460122_9d8ef41a-24f2-4ace-aa18-ce574687e970.json | N/A | N/A | N/A | N/A | N/A | JQU899A69081 | Preferred Provider Organization (PPO) | EN ROUTE TRAVEL | ANTHEM BLUE CROSS | N/A | 2009-07-01 | 040 | 371007 | N/A | PR | false | PAQUETTE | N/A | BIANCA | N/A | 9999-12-31 | 2025-06-01 | ANTHEM GOLD PPO 35/500/25% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161262558 | N/A | N/A | 6207031 | 2222 | 4793 | 9214521 | N/A | 4766758 | 2025-07-05 02:06:34.578689 | 2025-06-03 21:40:10.090592 |
| 2025-07-04 09:02:09.427683 | 2025-07-05 02:22:40.414597 | 9460031 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9460031 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-07-07 | M | AE | GRANT | 2p67ae9mf59 | ROBERT | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.120728259.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211373/check_9460031_33eb7c08-94f9-4849-a81e-eb79ccbbe309.json | N/A | N/A | N/A | N/A | N/A | 2P67AE9MF59 | Medicare Part B | N/A | AETNA HEALTH INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-04-20 | S4802 | 019303801200001 | N/A | MB | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161394168 | N/A | N/A | 6211373 | 2222 | 4793 | 9231448 | N/A | 4214087 | 2025-07-05 02:22:40.414597 | 2025-05-13 04:29:37.228402 |
| 2025-07-04 09:02:08.956927 | 2025-07-05 02:25:56.532780 | 9460013 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9460013 | Athletic Physical Therapy Inc | 1957-12-13 | 2025-07-07 | F | AE | WALLEN | 8Q55EE9RC74 | ELLYN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.120027928.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9460013_1f3ecc6e-8b2e-4d84-aa44-b20d13529d21.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-13 | S5617 | N/A | N/A | MB | false | WALLEN | N/A | ELLYN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161291490 | N/A | N/A | 6492809 | 2222 | 4793 | 9233604 | N/A | 5121955 | 2025-07-05 02:25:56.532780 | 2025-06-19 17:23:34.410819 |
| 2025-07-04 09:02:04.331028 | 2025-07-05 02:11:20.722724 | 9459806 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9459806 | Athletic Physical Therapy Inc | 1943-02-13 | 2025-07-07 | F | AE | DAVIS | 3M07R08AX76 | HOLLY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.060625035.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068062/check_9459806_d5268e02-05b4-4ec8-8507-d17613f2e580.json | N/A | N/A | N/A | N/A | N/A | 3M07R08AX76 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-02-13 | S5596 | N/A | N/A | MA | false | DAVIS | N/A | HOLLY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161385538 | N/A | N/A | 6068062 | 2222 | 4802 | 9222060 | N/A | 4713002 | 2025-07-05 02:11:20.722724 | 2025-06-03 01:39:13.971712 |
| 2025-07-04 09:01:47.521346 | 2025-07-05 02:07:15.325264 | 9458999 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9458999 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-07-07 | F | AE | MAYER | XEM912219422 | MARY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115812526.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6175091/check_9458999_4dcf4ddf-5d62-43be-830f-300ddfbdb41f.json | N/A | N/A | N/A | N/A | N/A | XEM912219422 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-05-19 | 2002SE000030 | X0001002 | N/A | OT | false | MAYER | N/A | MARY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161261954 | N/A | N/A | 6175091 | 2222 | 4801 | 9215683 | N/A | 4213917 | 2025-07-05 02:07:15.325264 | 2025-06-25 01:53:37.609327 |
| 2025-07-04 09:01:36.772942 | 2025-07-05 02:07:15.754808 | 9458495 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9458495 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-07-07 | F | AE | SHETH | XEA914147448 | SHAIVALINI | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115812526.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145898/check_9458495_e232919d-31fd-4206-8a41-4e68428ee8bd.json | N/A | N/A | N/A | N/A | N/A | XAN914147448 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1959-07-13 | 1002VX000001 | W0051411 | N/A | PR | false | SHETH | N/A | OJAS | N/A | N/A | N/A | CALPERS ASO VISION | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161260126 | N/A | N/A | 6145898 | 2222 | 4801 | 9215695 | N/A | 4786709 | 2025-07-05 02:07:15.754808 | 2025-06-20 18:28:02.399027 |
| 2025-07-04 09:01:34.389124 | 2025-07-05 02:06:34.922686 | 9458378 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9458378 | Athletic Physical Therapy Inc | 1955-12-01 | 2025-07-07 | F | AE | PARLIER | MBL624W07406 | MERILEE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.115812526.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6143804/check_9458378_300692a6-adcf-4f81-ac8c-1ac1f297320f.json | N/A | N/A | N/A | N/A | N/A | MBL624W07406 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1955-12-01 | 040 | CAEGR002 | N/A | N/A | false | PARLIER | N/A | MERILEE | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161260106 | N/A | N/A | 6143804 | 2222 | 4801 | 9214533 | N/A | 4642861 | 2025-07-05 02:06:34.922686 | 2025-11-25 19:25:55.074534 |
| 2025-07-04 09:01:27.459803 | 2025-07-05 02:15:38.186265 | 9458067 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9458067 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-07-07 | U | PT | DE GARCIA | 843W0902920 | SMIRNA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.120027928.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6473411/check_9458067_5997ef9b-d1fa-4381-9921-93692da3bd23.json | N/A | N/A | N/A | N/A | N/A | 843W0902920 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DE GARCIA | N/A | SMIRNA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8161290209 | N/A | N/A | 6473411 | 2222 | 4801 | 9226674 | N/A | 5106449 | 2025-07-05 02:15:38.186265 | 2025-07-17 17:51:16.415897 |
| 2025-07-04 09:01:25.821339 | 2025-07-05 02:25:54.186144 | 9458013 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9458013 | Athletic Physical Therapy Inc | 1952-08-27 | 2025-07-07 | M | AE | STEINBERG | 7P65WE5DJ62 | PETER | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.120027928.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6473154/check_9458013_094b4ea1-4202-4dfd-8fa3-a1620172291a.json | N/A | N/A | N/A | N/A | N/A | 7P65WE5DJ62 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-08-27 | S5601 | N/A | N/A | MA | false | STEINBERG | N/A | PETER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161290176 | N/A | N/A | 6473154 | 2222 | 4802 | 9233578 | N/A | 5106188 | 2025-07-05 02:25:54.186144 | 2025-06-18 23:17:37.195231 |
| 2025-07-04 09:01:23.931643 | 2025-07-05 02:25:55.914433 | 9457943 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9457943 | Athletic Physical Therapy Inc | 1957-06-29 | 2025-07-07 | M | AE | WALDEN | 5AF5PY3HV89 | REGAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250704.120027928.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472393/check_9457943_cfd5ae8a-c47e-40ad-88d6-3281e10d02fd.json | N/A | N/A | N/A | N/A | N/A | 5AF5PY3HV89 | N/A | N/A | CMS | N/A | 1957-06-29 | N/A | N/A | N/A | N/A | false | WALDEN | N/A | REGAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8161290126 | N/A | N/A | 6472393 | 2222 | 4801 | 9233597 | N/A | 5105545 | 2025-07-05 02:25:55.914433 | 2025-07-07 15:29:01.484955 |
| 2025-07-04 04:05:39.709008 | 2025-07-04 04:05:41.858617 | 9457745 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-06-27 | N/A | PT | ULLMAN | 3A76X26KQ40 | DAVID | AE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535838/check_9457745_b1b60c43-d2d2-4487-bcdc-4f60cbb97d5a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_9457745_8607d3d7-adb0-4878-b8ac-eae14030dc48.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 5535838 | 2222 | N/A | 9187235 | N/A | 4208696 | 2025-07-04 04:05:41.858617 | 2025-06-07 16:16:45.844566 |
| 2025-07-04 04:05:36.670037 | 2025-07-04 04:05:39.698241 | 9457744 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-06-27 | N/A | PT | ULLMAN | 3A76X26KQ40 | DAVID | AE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535838/check_9457744_d72ab336-d258-4022-b013-a9fc8fe5e634.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-27 | N/A | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 5535838 | 2222 | N/A | N/A | N/A | 4208696 | 2025-07-04 04:05:39.698241 | 2025-06-07 16:16:45.844566 |
| 2025-07-04 03:19:06.489743 | 2025-07-04 03:19:10.282801 | 9456080 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-01-09 | 2025-07-02 | N/A | PT | MEISTER | 000004042289 | JACQUELINE | AE | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6518751/check_9456080_74eccf00-5237-4813-9932-d611e5b21e60.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6518751/check_9456080_046d9e8c-1ea8-4801-85c0-b2bb9c51477c.json | N/A | N/A | N/A | N/A | N/A | 000004042289 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1958-01-09 | 4319864 | 101877 | N/A | N/A | false | MEISTER | N/A | JACQUELINE | N/A | N/A | N/A | KPSA SOLD TO-SOUTH KPSA SOLD TO-SOUTH | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8157970804 | 1275 | N/A | 6518751 | 2222 | N/A | 9185569 | N/A | 4766789 | 2025-07-04 03:19:10.282801 | 2025-06-04 04:12:38.642669 |
| 2025-07-03 18:49:12.794750 | 2025-07-03 18:49:14.547018 | 9452970 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-23 | 2025-07-03 | M | AE | Harvey | 1D65Z29PD77 | Roy | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6714928/check_9452970_fa3b5ac0-31ac-4c2f-803e-72df02bb5519.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_9452970_27ea0e6f-9990-4225-ab5b-8f60aaf9535d.json | N/A | N/A | N/A | N/A | N/A | 1D65Z29PD77 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-07-23 | N/A | N/A | N/A | N/A | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6714928 | 2222 | N/A | 9182204 | N/A | 5316172 | 2025-07-03 18:49:14.547018 | 2025-07-02 15:09:36.678003 |
| 2025-07-03 18:49:11.149025 | 2025-07-03 18:49:12.792321 | 9452969 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-23 | 2025-07-03 | M | AE | Harvey | 1D65Z29PD77 | Roy | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6714928/check_9452969_24335b53-d959-4bc9-93cc-d78f15a89b43.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | N/A | N/A | N/A | N/A | N/A | N/A | 1D65Z29PD77 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-07-23 | N/A | N/A | N/A | N/A | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6714928 | 2222 | N/A | N/A | N/A | 5316172 | 2025-07-03 18:49:12.792321 | 2025-07-02 15:09:36.678003 |
| 2025-07-03 18:25:45.872990 | 2025-07-03 18:25:47.569474 | 9452835 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-04-04 | 2025-07-03 | F | AE | Nowain | 980712601 | Ashley | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6612596/check_9452835_0349be35-c134-4329-89e3-bea8b83a4ba5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6612596/check_9452835_6251da58-548b-4583-93df-94404e38009f.json | N/A | N/A | N/A | N/A | N/A | 980712601 | Commercial | INVESTCLOUD | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1994-04-04 | 0133 0133 | 918298 | N/A | C1 | false | NOWAIN | N/A | ASHLEY | N/A | N/A | N/A | SELECT PLUS PPO CA 2023 CUIU MOD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8154467305 | N/A | N/A | 6612596 | 2222 | N/A | 9182063 | N/A | 5231036 | 2025-07-03 18:25:47.569474 | 2025-07-02 23:02:21.641930 |
| 2025-07-03 18:25:20.516033 | 2025-07-03 18:25:22.377157 | 9452832 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-04-04 | 2025-07-03 | F | AE | Nowain | 980712601 | Ashley | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6612596/check_9452832_436c9cfe-841f-4839-8b9f-8bbe825bd735.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6612596/check_9452832_79c1d7de-8bc6-4baf-8980-7c2d7f61c89f.json | N/A | N/A | N/A | N/A | N/A | 980712601 | Commercial | INVESTCLOUD | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1994-04-04 | 0133 0133 | 918298 | N/A | C1 | false | NOWAIN | N/A | ASHLEY | N/A | N/A | N/A | SELECT PLUS PPO CA 2023 CUIU MOD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8154463881 | N/A | N/A | 6612596 | 2222 | N/A | 9182060 | N/A | 5231036 | 2025-07-03 18:25:22.377157 | 2025-07-02 23:02:21.641930 |
| 2025-07-03 18:25:06.590313 | 2025-07-03 18:25:11.574137 | 9452830 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-04-04 | 2025-07-03 | F | AE | Nowain | 980712601 | Ashley | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6612596/check_9452830_bf6b067e-d254-4a4b-a110-4a8b930c56ac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6612596/check_9452830_2b552766-f2ef-4392-8298-e74a559595b3.json | N/A | N/A | N/A | N/A | N/A | 980712601 | Commercial | INVESTCLOUD | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1994-04-04 | 0133 0133 | 918298 | N/A | C1 | false | NOWAIN | N/A | ASHLEY | N/A | N/A | N/A | SELECT PLUS PPO CA 2023 CUIU MOD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8154462162 | N/A | N/A | 6612596 | 2222 | N/A | 9182058 | N/A | 5231036 | 2025-07-03 18:25:11.574137 | 2025-07-02 23:02:21.641930 |
| 2025-07-03 17:05:52.085867 | 2025-07-03 17:05:53.810076 | 9452181 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-12-02 | 2025-07-09 | F | PT | NAVARRO | MMA845W21687 | SYLVIA | N/A | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6770900/check_9452181_ccf3a039-7fb3-41c2-9acb-ec08809b36ce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770900/check_9452181_cf421191-03df-43a0-8866-1c33f203d65d.json | N/A | N/A | N/A | N/A | N/A | MMA845W21687 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-12-02 | N/A | N/A | N/A | N/A | false | NAVARRO | N/A | SYLVIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6770900 | 2222 | N/A | 9181386 | N/A | 5788735 | 2025-07-03 17:05:53.810076 | 2025-07-09 16:24:26.907790 |
| 2025-07-03 17:05:43.442212 | 2025-07-03 17:05:52.082010 | 9452180 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-12-02 | 2025-07-09 | F | PT | NAVARRO | MMA845W21687 | SYLVIA | N/A | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6770900/check_9452180_ff620665-84cc-44db-ba15-e0786848bf8e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | MMA845W21687 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-12-02 | N/A | N/A | N/A | N/A | false | NAVARRO | N/A | SYLVIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6770900 | 2222 | N/A | N/A | N/A | 5788735 | 2025-07-03 17:05:52.082010 | 2025-07-09 16:24:26.907790 |
| 2025-07-03 17:05:10.417475 | 2025-07-03 17:05:12.266428 | 9452178 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-12-02 | 2025-07-09 | F | PT | NAVARRO | MMA845W21687 | SYLVIA | N/A | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6770900/check_9452178_b958f304-6290-4fd5-8095-6062807f3baf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770900/check_9452178_753e01c6-5f46-498b-9be9-1830b5a990f5.json | N/A | N/A | N/A | N/A | N/A | MMA845W21687 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-12-02 | N/A | N/A | N/A | N/A | false | NAVARRO | N/A | SYLVIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6770900 | 2222 | N/A | 9181381 | N/A | 5788735 | 2025-07-03 17:05:12.266428 | 2025-07-09 16:24:26.907790 |
| 2025-07-03 17:05:02.661532 | 2025-07-03 17:05:10.413212 | 9452174 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-12-02 | 2025-07-09 | F | PT | NAVARRO | MMA845W21687 | SYLVIA | N/A | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6770900/check_9452174_5934f478-2fb6-4eaf-b834-a3b510adf75c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | MMA845W21687 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-12-02 | N/A | N/A | N/A | N/A | false | NAVARRO | N/A | SYLVIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6770900 | 2222 | N/A | N/A | N/A | 5788735 | 2025-07-03 17:05:10.413212 | 2025-07-09 16:24:26.907790 |
| 2025-07-03 17:04:38.036751 | 2025-07-03 17:04:39.836015 | 9452165 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-12-02 | 2025-07-09 | F | PT | NAVARRO | MMA845W21687 | SYLVIA | N/A | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6770900/check_9452165_482f7299-09aa-4139-84ec-b8a2eea10ce9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770900/check_9452165_f0dc263b-98ff-41fa-9536-78d6a22ad710.json | N/A | N/A | N/A | N/A | N/A | MMA845W21687 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-12-02 | N/A | N/A | N/A | N/A | false | NAVARRO | N/A | SYLVIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6770900 | 2222 | N/A | 9181370 | N/A | 5788735 | 2025-07-03 17:04:39.836015 | 2025-07-09 16:24:26.907790 |
| 2025-07-03 17:04:36.334316 | 2025-07-03 17:04:38.031932 | 9452164 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-12-02 | 2025-07-09 | F | PT | NAVARRO | MMA845W21687 | SYLVIA | N/A | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6770900/check_9452164_0d637a0e-1f1f-4777-86d9-2a8e8694fd38.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | MMA845W21687 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-12-02 | N/A | N/A | N/A | N/A | false | NAVARRO | N/A | SYLVIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6770900 | 2222 | N/A | N/A | N/A | 5788735 | 2025-07-03 17:04:38.031932 | 2025-07-09 16:24:26.907790 |
| 2025-07-03 17:04:27.215466 | 2025-07-03 17:04:28.984125 | 9452163 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-12-02 | 2025-07-09 | F | PT | NAVARRO | MMA845W21687 | SYLVIA | N/A | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6770900/check_9452163_4406d900-0f5f-44d5-9124-06c7ed5318b6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770900/check_9452163_f02f40dc-3bdf-4947-ad77-54fbcae95635.json | N/A | N/A | N/A | N/A | N/A | MMA845W21687 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-12-02 | N/A | N/A | N/A | N/A | false | NAVARRO | N/A | SYLVIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6770900 | 2222 | N/A | 9181368 | N/A | 5788735 | 2025-07-03 17:04:28.984125 | 2025-07-09 16:24:26.907790 |
| 2025-07-03 17:04:23.561420 | 2025-07-03 17:04:27.210542 | 9452162 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-12-02 | 2025-07-09 | F | PT | NAVARRO | MMA845W21687 | SYLVIA | N/A | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6770900/check_9452162_7787ee26-6533-4ecf-8add-07feb788fe2a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | MMA845W21687 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-12-02 | N/A | N/A | N/A | N/A | false | NAVARRO | N/A | SYLVIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6770900 | 2222 | N/A | N/A | N/A | 5788735 | 2025-07-03 17:04:27.210542 | 2025-07-09 16:24:26.907790 |
| 2025-07-03 16:02:12.191439 | 2025-07-03 16:02:20.016372 | 9451855 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-10-24 | 2025-07-03 | M | PT | CROWLEY | MTA374M92552 | SEAN | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6493087/check_9451855_8ccdadaa-fead-485b-9055-e3fbddd47f9c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6493087/check_9451855_f6213a92-7dc6-4348-9c78-f583d6ba51d5.json | N/A | N/A | N/A | N/A | N/A | MTA374M92552 | Preferred Provider Organization (PPO) | SILVER PPO PLAN | ANTHEM BLUE CROSS | N/A | 1964-10-24 | 423 | 201052M4A1 | N/A | PR | false | CROWLEY | N/A | KAMEY L | N/A | 9999-12-31 | 2018-01-01 | BC PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8153349996 | N/A | N/A | 6493087 | 2222 | N/A | 9180980 | N/A | 5122224 | 2025-07-03 16:02:20.016372 | 2025-07-03 20:38:26.526222 |
| 2025-07-03 15:44:57.789092 | 2025-07-03 15:45:17.930022 | 9451740 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-01-07 | 2025-07-03 | M | AE | JACOBS | 967469544 | ZION | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549590/check_9451740_4ee64f17-d2e0-4d67-af09-61aeb22c91dc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549590/check_9451740_c22891a2-1a1c-4866-be87-1d64c96f4762.json | N/A | N/A | N/A | N/A | N/A | 967469544 | Commercial | METHOD WORKERS' COMPENSATION | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2012-01-07 | 0017 0017 | 934068 | N/A | C1 | false | JACOBS | N/A | KOBIE | N/A | N/A | N/A | POS CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8153223084 | N/A | N/A | 5549590 | 2222 | N/A | 9180840 | N/A | 4219221 | 2025-07-03 15:45:17.930022 | 2025-05-13 04:29:37.230238 |
| 2025-07-03 14:14:11.795625 | 2025-07-03 14:14:13.526735 | 9451176 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-08-20 | 2025-07-03 | F | AE | BENNETT | 5X60CU3JD37 | DENISE | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539451/check_9451176_f3d024d0-ec1a-4412-bf01-094cf875f888.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539451/check_9451176_98e79746-6208-4814-871e-46f5b6816603.json | N/A | N/A | N/A | N/A | N/A | 5X60CU3JD37 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1970-08-20 | S4802 | N/A | N/A | MA | false | BENNETT | N/A | DENISE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8152372091 | N/A | N/A | 5539451 | 2222 | N/A | 9180249 | N/A | 4211748 | 2025-07-03 14:14:13.526735 | 2025-07-03 14:04:24.524316 |
| 2025-07-03 14:13:40.858628 | 2025-07-03 14:13:42.674743 | 9451172 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-08-20 | 2025-07-03 | F | AE | BENNETT | 5X60CU3JD37 | DENISE | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539451/check_9451172_2747f758-20e5-498e-a968-7da4b985fefd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539451/check_9451172_c63697d3-3c8b-496b-896b-67e98b4e41e1.json | N/A | N/A | N/A | N/A | N/A | 5X60CU3JD37 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1970-08-20 | S4802 | N/A | N/A | MA | false | BENNETT | N/A | DENISE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8152367245 | N/A | N/A | 5539451 | 2222 | N/A | 9180245 | N/A | 4211748 | 2025-07-03 14:13:42.674743 | 2025-07-03 14:04:24.524316 |
| 2025-07-03 04:04:02.078142 | 2025-07-03 04:04:07.905076 | 9447350 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-23 | 2025-06-30 | N/A | PT | ADAMSKY | 5AR2R76UH88 | ARLEEN | AE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222571/check_9447350_f523bad1-5f3a-4b05-a34e-de7255940afd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222571/check_9447350_190785f2-a02b-4dec-8af1-43e5750134ce.json | N/A | N/A | N/A | N/A | N/A | 5AR2R76UH88 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1970-03-23 | S4802 | N/A | N/A | MB | false | ADAMSKY | N/A | ARLEEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8147031658 | 1275 | N/A | 6222571 | 2222 | N/A | 9176074 | N/A | 4219835 | 2025-07-03 04:04:07.905076 | 2025-06-11 17:06:07.512166 |
| 2025-07-02 23:49:45.885428 | 2025-07-02 23:49:50.856542 | 9444280 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-02-28 | 2025-07-01 | F | PT | JONES | LTC290M90213 | CAROLINE | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6770884/check_9444280_ef8fc4c9-82be-4d6b-b4e7-de0427df2e3a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770884/check_9444280_3f2aeeed-fc92-4368-be2d-9b2148aa4fd8.json | N/A | N/A | N/A | N/A | N/A | LTC290M90213 | Preferred Provider Organization (PPO) | THE AEROSPACE CORPORATION | BLUE SHIELD OF CALIFORNIA | N/A | 1995-02-28 | 040 | 174151MCA3 | N/A | PR | false | JONES | N/A | CAROLINE | N/A | 9999-12-31 | 2025-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8144596010 | 160084 | N/A | 6770884 | 2222 | N/A | 9166811 | N/A | 4775735 | 2025-07-02 23:49:50.856542 | 2025-07-08 23:42:37.640916 |
| 2025-07-02 23:08:28.417918 | 2025-07-02 23:08:43.470351 | 9444187 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-11-20 | 2025-07-03 | F | PT | RUBIN | NCF027M83574 | LAUREN | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6601427/check_9444187_cda44b1b-98ee-4073-924f-855b6aa28a4d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6601427/check_9444187_2198e61d-e6a3-4502-9448-a2205d16cd2f.json | N/A | N/A | N/A | N/A | N/A | NCF027M83574 | Health Maintenance Organization (HMO) | CPE HR INC | ANTHEM BLUE CROSS | N/A | 1978-11-20 | 040 | 275730H537 | N/A | HM | false | RUBIN | N/A | LAUREN | N/A | 9999-12-31 | 2025-04-01 | ELEMENTS CHOICE HMO SELECT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8144470092 | N/A | N/A | 6601427 | 2222 | N/A | 9166647 | N/A | 5219198 | 2025-07-02 23:08:43.470351 | 2025-07-03 22:11:06.405851 |
| 2025-07-02 22:08:53.094825 | 2025-07-02 22:08:54.832882 | 9443951 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-11-09 | 2025-06-12 | M | AE | LAWSON | I09755489 | KENNETH | PT | 4437 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6213138/check_9443951_8b2a4c69-4d4c-4d81-8c36-43283533cc2f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6213138/check_9443951_65779a7f-f08e-40be-8885-ba79adcf1c7b.json | N/A | N/A | N/A | N/A | N/A | I09755489 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1976-11-09 | N/A | N/A | N/A | N/A | false | LAWSON | N/A | KENNETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6213138 | 2222 | N/A | 9166255 | N/A | 4856781 | 2025-07-02 22:08:54.832882 | 2025-06-12 21:52:37.627086 |
| 2025-07-02 22:08:50.505648 | 2025-07-02 22:08:53.092551 | 9443949 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-11-09 | 2025-06-12 | M | AE | LAWSON | I09755489 | KENNETH | PT | 4437 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6213138/check_9443949_02f8e719-8b19-449c-bf1d-517d10d98221.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-12 | N/A | N/A | N/A | N/A | N/A | N/A | I09755489 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1976-11-09 | N/A | N/A | N/A | N/A | false | LAWSON | N/A | KENNETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6213138 | 2222 | N/A | N/A | N/A | 4856781 | 2025-07-02 22:08:53.092551 | 2025-06-12 21:52:37.627086 |
| 2025-07-02 21:58:30.548089 | 2025-07-02 21:58:36.297299 | 9443870 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-11-04 | 2025-07-07 | F | PT | Gordon | XEK913013590 | Melissa | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6768302/check_9443870_45ff1751-672d-428f-89ec-22a6c674cde7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6768302/check_9443870_3e60c7f4-92ac-4e48-85d3-bbd24c9cc53f.json | N/A | N/A | N/A | N/A | N/A | XEK913013590 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-11-04 | 2001ZH002662 | X0001000 | N/A | PR | false | GORDON | N/A | MELISSA | N/A | 9999-12-31 | 2024-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8144238394 | N/A | N/A | 6768302 | 2222 | N/A | 9166150 | N/A | 5707008 | 2025-07-02 21:58:36.297299 | 2025-07-02 21:20:06.678093 |
| 2025-07-02 20:32:19.044290 | 2025-07-02 20:32:20.838634 | 9443384 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-04-28 | 2025-07-03 | F | PT | HAZARD | 794W22253-20 | PAULA | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472283/check_9443384_9862c4a6-bbaf-4799-8daf-6a7b3e56be9a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472283/check_9443384_23b5a2a4-f0d3-4241-8bfc-ebd746ee48e4.json | N/A | N/A | N/A | N/A | N/A | 794W22253-20 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-04-28 | N/A | N/A | N/A | N/A | false | HAZARD | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6472283 | 2222 | N/A | 9165458 | N/A | 5105323 | 2025-07-02 20:32:20.838634 | 2025-07-02 18:01:41.077949 |
| 2025-07-02 20:32:16.448465 | 2025-07-02 20:32:19.037776 | 9443383 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-04-28 | 2025-07-03 | F | PT | HAZARD | 794W22253-20 | PAULA | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472283/check_9443383_97341428-654f-4c17-b77c-4b9e9c5c3665.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | N/A | N/A | N/A | N/A | N/A | N/A | 794W22253-20 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-04-28 | N/A | N/A | N/A | N/A | false | HAZARD | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6472283 | 2222 | N/A | N/A | N/A | 5105323 | 2025-07-02 20:32:19.037776 | 2025-07-02 18:01:41.077949 |
| 2025-07-02 20:16:11.263619 | 2025-07-02 20:16:14.063081 | 9443312 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-02-28 | 2025-07-03 | F | PT | JONES | LTC290M90213 | CAROLINE | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6134260/check_9443312_92933b66-4c40-4cb6-a11a-5a7ab1d7260d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134260/check_9443312_13a519d8-4ee6-4f68-a35b-8f008d708b3f.json | N/A | N/A | N/A | N/A | N/A | LTC290M90213 | Preferred Provider Organization (PPO) | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1995-02-28 | 040 | 174151MCA3 | N/A | PR | false | JONES | N/A | CAROLINE | N/A | 9999-12-31 | 2025-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8143536703 | 9228 | N/A | 6134260 | 2222 | N/A | 9165360 | N/A | 4775735 | 2025-07-02 20:16:14.063081 | 2025-07-08 23:42:37.640916 |
| 2025-07-02 17:28:12.502651 | 2025-07-02 17:28:16.309180 | 9441975 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-07 | 2025-07-02 | M | PT | CICCIARI | JQE123W23890 | LOUIS | AE | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6752939/check_9441975_5706515b-a33b-4e4c-a197-f9ad2c440cd7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_9441975_93905022-133c-40fd-8dc0-7f25d403332b.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8141855194 | 9483 | N/A | 6752939 | 2222 | N/A | 9163777 | N/A | 5065602 | 2025-07-02 17:28:16.309180 | 2025-07-01 17:25:13.681724 |
| 2025-07-02 17:27:06.237480 | 2025-07-02 17:27:09.144294 | 9441965 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-07 | 2025-07-02 | M | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | AE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6752936/check_9441965_282845c7-35f1-473d-846d-9154fb236c47.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_9441965_4119f9a0-fcff-4f3a-8b12-102cdaa4303d.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8141837901 | 9483 | N/A | 6752936 | 2222 | N/A | 9163766 | N/A | 5065602 | 2025-07-02 17:27:09.144294 | 2025-07-01 17:25:13.681724 |
| 2025-07-02 16:36:47.849768 | 2025-07-02 16:36:49.584988 | 9441513 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-12-03 | 2025-07-02 | F | PT | YANG | FJB27468841M | JINING | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539727/check_9441513_904b31cf-a2e8-4455-ad04-4a2f609ab68b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539727/check_9441513_f788ace1-5f9e-466f-9797-7353b7fe54c4.json | N/A | N/A | N/A | N/A | N/A | FJB27468841M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1968-12-03 | 101 | 174549M311 | N/A | PR | false | YANG | N/A | JINING | N/A | 9999-12-31 | 2021-01-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8141137478 | N/A | N/A | 5539727 | 2222 | N/A | 9163240 | N/A | 4211988 | 2025-07-02 16:36:49.584988 | 2025-07-02 16:33:22.389736 |
| 2025-07-02 16:36:07.489444 | 2025-07-02 16:36:10.327165 | 9441509 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-12-03 | 2025-07-02 | F | PT | YANG | FJB27468841M | JINING | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539727/check_9441509_75c99dfc-d3d0-4ad9-aac8-ad7a315cbf53.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539727/check_9441509_d830476d-31b3-4978-8690-35bbe9674505.json | N/A | N/A | N/A | N/A | N/A | FJB27468841M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1968-12-03 | 101 | 174549M311 | N/A | PR | false | YANG | N/A | JINING | N/A | 9999-12-31 | 2021-01-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8141130294 | 9482 | N/A | 5539727 | 2222 | N/A | 9163235 | N/A | 4211988 | 2025-07-02 16:36:10.327165 | 2025-07-02 16:33:22.389736 |
| 2025-07-02 15:35:10.227760 | 2025-07-02 15:35:12.007768 | 9441117 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-23 | 2025-07-02 | M | AE | Harvey | 1D65Z29PD77 | Roy | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6714928/check_9441117_8ac22812-35aa-46c0-a906-53a366656937.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_9441117_4fe3f9e1-5fef-4b4e-a954-e57a63819afb.json | N/A | N/A | N/A | N/A | N/A | 1D65Z29PD77 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-07-23 | N/A | N/A | N/A | N/A | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6714928 | 2222 | N/A | 9162714 | N/A | 5316172 | 2025-07-02 15:35:12.007768 | 2025-07-02 15:09:36.678003 |
| 2025-07-02 15:35:08.625360 | 2025-07-02 15:35:10.225443 | 9441116 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-23 | 2025-07-02 | M | AE | Harvey | 1D65Z29PD77 | Roy | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6714928/check_9441116_58d0bc26-de77-41af-91a7-fed14738c7c8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 1D65Z29PD77 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-07-23 | N/A | N/A | N/A | N/A | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6714928 | 2222 | N/A | N/A | N/A | 5316172 | 2025-07-02 15:35:10.225443 | 2025-07-02 15:09:36.678003 |
| 2025-07-02 15:34:20.460709 | 2025-07-02 15:34:24.279192 | 9441112 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-23 | 2025-07-02 | M | AE | Harvey | 1D65V29PD77 | Roy | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6714928/check_9441112_fb010ddc-a240-44dd-8849-3c612acd1916.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_9441112_8da7bd44-c7f0-48c0-9415-6a7d9537c978.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 07092019 | N/A | MA | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8140279096 | N/A | N/A | 6714928 | 2222 | N/A | 9162707 | N/A | 5316172 | 2025-07-02 15:34:24.279192 | 2025-07-02 15:09:36.678003 |
| 2025-07-02 15:33:38.419293 | 2025-07-02 15:33:40.218028 | 9441111 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-23 | 2025-07-02 | M | AE | Harvey | 1D65V29PD77 | Roy | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6714928/check_9441111_864a7944-a5ed-4f85-97aa-b72f34d76054.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_9441111_c6619be1-db51-4556-b75b-c1216f411dcb.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 07092019 | N/A | MA | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8140269126 | N/A | N/A | 6714928 | 2222 | N/A | 9162704 | N/A | 5316172 | 2025-07-02 15:33:40.218028 | 2025-07-02 15:09:36.678003 |
| 2025-07-02 15:33:23.239214 | 2025-07-02 15:33:32.131176 | 9441110 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-23 | 2025-07-02 | M | AE | Harvey | 1D65V29PD77 | Roy | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6714928/check_9441110_51f80631-85c7-4b53-9567-ea588b1cf0ad.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_9441110_3f228a65-b592-4f6d-af51-5d9bc1cafc72.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part B | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 07092019 | N/A | MB | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8140265206 | N/A | N/A | 6714928 | 2222 | N/A | 9162703 | N/A | 5316172 | 2025-07-02 15:33:32.131176 | 2025-07-02 15:09:36.678003 |
| 2025-07-02 15:33:13.218945 | 2025-07-02 15:33:15.276147 | 9441109 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-23 | 2025-07-02 | M | AE | Harvey | 1D65V29PD77 | Roy | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6714928/check_9441109_f759a025-5af7-4dc3-8dad-307e52cc880e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_9441109_56401bbc-42d9-4678-9bbc-7f7365a31b49.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 07092019 | N/A | MA | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8140262640 | N/A | N/A | 6714928 | 2222 | N/A | 9162701 | N/A | 5316172 | 2025-07-02 15:33:15.276147 | 2025-07-02 15:09:36.678003 |
| 2025-07-02 15:32:52.496385 | 2025-07-02 15:32:55.288925 | 9441105 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-23 | 2025-07-02 | M | AE | Harvey | 1D65V29PD77 | Roy | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6714928/check_9441105_abff3010-f95d-467e-b604-ca0e09897a26.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_9441105_171a4d44-7178-4863-b386-cf124a55297b.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part B | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 07092019 | N/A | MB | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8140257490 | N/A | N/A | 6714928 | 2222 | N/A | 9162695 | N/A | 5316172 | 2025-07-02 15:32:55.288925 | 2025-07-02 15:09:36.678003 |