API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-21 07:15:27.985465 | 2026-04-22 00:42:21.914907 | 24205845 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24205845 | Athletic Physical Therapy Inc | 1962-05-23 | 2026-04-24 | F | PT | LAFRENIERE | JQV736A54997 | DONNA | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542812/check_24205845_67fc375c-a2a1-408c-bce9-31bf8e28385e.json | N/A | N/A | N/A | N/A | N/A | JQV736A54997 | Health Maintenance Organization (HMO) | RANTEC MICROWAVE SYSTEMS INC | ANTHEM BLUE CROSS | N/A | 1962-05-23 | 040 | J05163 | N/A | HM | false | LAFRENIERE | N/A | DONNA | N/A | 2026-12-31 | 2026-03-01 | CA SG SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748353 | N/A | N/A | 5542812 | 2222 | 4801 | 24412967 | 4185 | 4214677 | 2026-04-22 00:42:21.914907 | 2026-03-18 22:35:37.752534 |
| 2026-04-21 07:15:27.726543 | 2026-04-22 00:41:53.790017 | 24205815 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 24205815 | override_provider | 1972-07-22 | 2026-04-24 | M | AE | KOZMA | U9714475101 | JASON | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_24205815_6c4b0644-3076-44f3-a068-17840d365e33.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | 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. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748352 | N/A | N/A | 5542709 | 2222 | 4802 | 24412435 | N/A | 4214582 | 2026-04-22 00:41:53.790017 | 2025-12-02 00:00:04.433236 |
| 2026-04-21 07:15:27.425961 | 2026-04-22 00:42:17.341398 | 24205778 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24205778 | Athletic Physical Therapy Inc | 1957-03-15 | 2026-04-23 | F | PT | GOLDMAN | MBL801W11756 | ROBERTA | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542655/check_24205778_c34a223f-c901-41a3-9ca5-22b6c3a05c14.json | N/A | N/A | N/A | N/A | N/A | MBL801W11756 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1957-03-15 | 040 | CAEGR005 | N/A | N/A | false | GOLDMAN | N/A | ROBERTA | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748351 | N/A | N/A | 5542655 | 2222 | 4802 | 24412879 | N/A | 4214541 | 2026-04-22 00:42:17.341398 | 2025-05-13 04:29:37.228867 |
| 2026-04-21 07:15:27.165975 | 2026-04-22 00:43:45.797763 | 24205746 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24205746 | Athletic Physical Therapy Inc | 1953-03-17 | 2026-04-24 | F | AE | MARCUS | 4VG5XF7HN64 | LISSA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_24205746_11750943-6929-401f-930d-431863145567.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MB | false | MARCUS | N/A | LISSA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 71100 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748350 | N/A | N/A | 5542318 | 2222 | 4802 | 24414689 | N/A | 4214241 | 2026-04-22 00:43:45.797763 | 2025-05-13 04:29:37.228574 |
| 2026-04-21 07:15:26.810689 | 2026-04-22 00:42:15.321913 | 24205699 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24205699 | Athletic Physical Therapy Inc | 1949-10-28 | 2026-04-24 | M | PT | FERNANDEZ | JQS315W00257 | FREDERICO | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542274/check_24205699_85a680b7-6877-4d95-a5e6-00272fddce3a.json | N/A | N/A | N/A | N/A | N/A | JQS315W00257 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-10-28 | 040 | CAMCRWP0 | N/A | MP | false | FERNANDEZ | N/A | FREDERICO | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748349 | N/A | N/A | 5542274 | 2222 | 4801 | 24412839 | 4185 | 4214212 | 2026-04-22 00:42:15.321913 | 2025-05-13 04:29:37.228546 |
| 2026-04-21 07:15:26.399989 | 2026-04-22 00:42:14.555415 | 24205651 | N/A | N/A | 14163 | Lakeside Medical Group | 1114042165 | 24205651 | Athletic Physical Therapy Inc | 1951-10-31 | 2026-04-23 | M | AE | VLAHOVICH | 34035035 | STEVEN | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542048/check_24205651_cb3936c2-4629-4df0-8a9d-d3379ddcb96e.json | N/A | N/A | N/A | N/A | N/A | 34035035 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-10-31 | 406-032-000 | N/A | N/A | N/A | false | VLAHOVICH | N/A | STEVEN | N/A | N/A | 2026-04-21 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748348 | N/A | N/A | 5542048 | 2222 | 4802 | 24412824 | N/A | 4214003 | 2026-04-22 00:42:14.555415 | 2025-05-13 04:29:37.228325 |
| 2026-04-21 07:15:26.096943 | 2026-04-22 00:42:42.235546 | 24205616 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 24205616 | override_provider | 1957-04-11 | 2026-04-24 | M | PT | ADRIAN | MBL508W11635 | NELSON | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541841/check_24205616_81116e43-167e-4923-98d3-f0a0398aa7ed.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748347 | N/A | N/A | 5541841 | 2222 | 4801 | 24413337 | N/A | 4213826 | 2026-04-22 00:42:42.235546 | 2025-05-13 04:29:37.228146 |
| 2026-04-21 07:15:25.789776 | 2026-04-22 00:43:32.085981 | 24205577 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24205577 | Athletic Physical Therapy Inc | 1961-09-07 | 2026-04-24 | M | PT | TESAR | V6D954A52172 | SCOTT | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541690/check_24205577_7d74207b-a59e-496c-9662-f365967ce7b9.json | N/A | N/A | N/A | N/A | N/A | V6D954A52172 | Preferred Provider Organization (PPO) | GUITAR CENTER | BLUE SHIELD OF CALIFORNIA | N/A | 1961-09-07 | 040 | 174315M1A6 | N/A | PR | false | TESAR | N/A | SCOTT | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748346 | N/A | N/A | 5541690 | 2222 | 4801 | 24414400 | N/A | 4213669 | 2026-04-22 00:43:32.085981 | 2026-02-11 01:39:53.284479 |
| 2026-04-21 07:15:25.422435 | 2026-04-22 00:42:22.420864 | 24205533 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 24205533 | Athletic Physical Therapy Inc | 2012-06-25 | 2026-04-22 | F | PT | LORD | JQT822A53740 | ALYSSA | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541409/check_24205533_91edf062-fd6b-480e-93e5-725e4c11e71a.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | ANTHEM BLUE CROSS | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 2026-12-31 | 2026-01-01 | CA SG PRISELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748345 | N/A | N/A | 5541409 | 2222 | 4793 | 24412974 | 4184 | 4213435 | 2026-04-22 00:42:22.420864 | 2025-05-13 04:29:37.227756 |
| 2026-04-21 07:15:25.104925 | 2026-04-22 00:41:53.187932 | 24205491 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24205491 | Athletic Physical Therapy Inc | 1966-07-31 | 2026-04-23 | F | AE | ROSS | U9215607501 | CHRISTINE | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540766/check_24205491_e4ad21c1-6596-47fb-a7df-8aee7073c8d1.json | N/A | N/A | N/A | N/A | N/A | U9215607501 | 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. | 1966-07-31 | 67138CA0620023-00 | N/A | N/A | N/A | false | ROSS | N/A | CHRISTINE | N/A | N/A | N/A | SILVER 70 OFF EXCHANGE AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748344 | N/A | N/A | 5540766 | 2222 | 4793 | 24412426 | 4625 | 4212866 | 2026-04-22 00:41:53.187932 | 2026-04-15 15:20:50.958917 |
| 2026-04-21 07:15:24.808241 | 2026-04-22 00:42:12.636074 | 24205451 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24205451 | Athletic Physical Therapy Inc | 1955-11-11 | 2026-04-23 | F | PT | CALDERON | JQU450A75837 | DEBBIE | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540282/check_24205451_a506dbe8-82ab-428e-9811-ba077a71ab0a.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 2026-12-31 | 2026-01-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748343 | N/A | N/A | 5540282 | 2222 | 4802 | 24412785 | N/A | 4212465 | 2026-04-22 00:42:12.636074 | 2025-05-13 04:29:37.226801 |
| 2026-04-21 07:15:24.533226 | 2026-04-22 00:42:12.181701 | 24205416 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24205416 | Athletic Physical Therapy Inc | 1936-06-28 | 2026-04-23 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_24205416_ddb08cd6-6f9d-4ff1-9296-012d8a7647e4.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748342 | N/A | N/A | 5540074 | 2222 | 4802 | 24412774 | N/A | 4212282 | 2026-04-22 00:42:12.181701 | 2025-05-13 04:29:37.226623 |
| 2026-04-21 07:15:23.958496 | 2026-04-22 00:43:00.766757 | 24205352 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 24205352 | Athletic Physical Therapy Inc | 1963-12-27 | 2026-04-24 | F | AE | DAVIS | W24494235902 | CHLOE | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540035/check_24205352_128d6cc8-8328-41d7-a9ef-5e767d373e81.json | N/A | N/A | N/A | N/A | N/A | W244942359 | Health Maintenance Organization (HMO) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1963-12-27 | EADN7801 | 025939902300113 | N/A | HM | false | THOMSEN | N/A | WILLIAM | N/A | N/A | N/A | HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748341 | N/A | N/A | 5540035 | 2222 | 4793 | 24413725 | 3948 | 4212250 | 2026-04-22 00:43:00.766757 | 2026-04-13 18:21:37.989674 |
| 2026-04-21 07:15:23.494263 | 2026-04-22 00:42:30.219856 | 24205296 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24205296 | Athletic Physical Therapy Inc | 1967-09-30 | 2026-04-24 | F | PT | HOW | LTC753A71345 | DEBORAH | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539919/check_24205296_8e77b84e-2807-4945-b579-25cdfc02fdf4.json | N/A | N/A | N/A | N/A | N/A | LTC753A71345 | Preferred Provider Organization (PPO) | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1967-09-30 | 040 | 174151M1A3 | N/A | PR | false | TUNG | N/A | YEH-CHING | N/A | 2026-12-31 | 2026-04-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748340 | N/A | N/A | 5539919 | 2222 | 4802 | 24413145 | N/A | 4212155 | 2026-04-22 00:42:30.219856 | 2025-05-13 04:29:37.226493 |
| 2026-04-21 07:15:23.122867 | 2026-04-22 00:43:22.772276 | 24205250 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24205250 | Athletic Physical Therapy Inc | 1983-08-31 | 2026-04-23 | M | PT | FLEMING | SZF839281184 | CHASE | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_24205250_e6b4bed8-20aa-4d67-9bb7-2e6170dbe77f.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | BLUE SHIELD OF CALIFORNIA | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748339 | N/A | N/A | 5539901 | 2222 | 4793 | 24414206 | N/A | 4212134 | 2026-04-22 00:43:22.772276 | 2025-08-05 02:56:55.384378 |
| 2026-04-21 07:15:22.691385 | 2026-04-22 00:43:04.941029 | 24205201 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 24205201 | Athletic Physical Therapy Inc | 1971-02-10 | 2026-04-24 | M | AE | RUIZ | 594887901 | EDUARDO | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539853/check_24205201_0f9e5a7e-d657-4c9f-a4e6-701f92afd9db.json | N/A | N/A | N/A | N/A | N/A | 594887901 | Commercial | CALPERS-LTB050H | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1971-02-10 | N/A | 682302 | N/A | C1 | false | RUIZ | N/A | EDUARDO | 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 | 10647748338 | N/A | N/A | 5539853 | 2222 | 4801 | 24413815 | 6411 | 4212098 | 2026-04-22 00:43:04.941029 | 2025-05-13 04:29:37.226429 |
| 2026-04-21 07:15:17.934893 | 2026-04-22 00:41:59.653235 | 24204702 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24204702 | Athletic Physical Therapy Inc | 1947-05-03 | 2026-04-24 | F | AE | HANSEN | H7490330500 | CAROL | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539739/check_24204702_090dc93d-b948-47d9-ad9f-e0e932cb6eb6.json | N/A | N/A | N/A | N/A | N/A | H74903305 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO LAKESIDE MEDICAL GROUP | 1947-05-03 | N/A | 2B863001 | N/A | HN | false | HANSEN | N/A | CAROL | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748337 | N/A | N/A | 5539739 | 2222 | 4793 | 24412528 | 5349 | 4212000 | 2026-04-22 00:41:59.653235 | 2025-05-13 04:29:37.226323 |
| 2026-04-21 07:15:17.563730 | 2026-04-22 00:42:28.570879 | 24204661 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24204661 | Athletic Physical Therapy Inc | 1985-08-05 | 2026-04-24 | F | PT | ROSKUL | JQT213W04900 | ANASTASIA | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539652/check_24204661_599f962a-7f27-4076-9491-ad3f42c3e634.json | N/A | N/A | N/A | N/A | N/A | JQT213W04900 | Health Maintenance Organization (HMO) | GOLDEN ENTROPY MARKETING | ANTHEM BLUE CROSS | N/A | 1985-08-05 | 040 | F22035 | N/A | HM | false | ROSKUL | N/A | VALENTIN | N/A | 2026-12-31 | 2026-01-01 | CA SG PRISELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748336 | N/A | N/A | 5539652 | 2222 | 4793 | 24413109 | N/A | 4211923 | 2026-04-22 00:42:28.570879 | 2026-03-05 01:01:11.510730 |
| 2026-04-21 07:15:17.304069 | 2026-04-22 00:43:42.908382 | 24204629 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24204629 | Athletic Physical Therapy Inc | 1956-08-13 | 2026-04-23 | M | AE | GORODENZIK | 3MC1HC7HE13 | AMIR | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539597/check_24204629_63696a50-8d44-48c2-a30d-925562d3c936.json | N/A | N/A | N/A | N/A | N/A | 3MC1HC7HE13 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-08-13 | S5601 | N/A | N/A | MB | false | GORODENZIK | N/A | AMIR | 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 | 10647748335 | N/A | N/A | 5539597 | 2222 | 4793 | 24414631 | N/A | 4211880 | 2026-04-22 00:43:42.908382 | 2025-05-13 04:29:37.226201 |
| 2026-04-21 07:15:17.194892 | 2026-04-22 00:43:33.820994 | 24204610 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24204610 | Athletic Physical Therapy Inc | 1945-04-13 | 2026-04-24 | F | AE | BLUM | 4TT3J24RG08 | BONNIE | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539301/check_24204610_2bd7f487-dd42-4d63-8e57-8fa026f98ca1.json | N/A | N/A | N/A | N/A | N/A | 4TT3J24RG08 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-04-13 | S5601 | N/A | N/A | MB | false | BLUM | N/A | BONNIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 154070 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748334 | N/A | N/A | 5539301 | 2222 | 4802 | 24414435 | N/A | 4211624 | 2026-04-22 00:43:33.820994 | 2025-05-13 04:29:37.225953 |
| 2026-04-21 07:15:17.015509 | 2026-04-22 00:42:39.031409 | 24204585 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24204585 | Athletic Physical Therapy Inc | 1943-07-22 | 2026-04-23 | M | AE | STEIN | 8MY3V79UN60 | DONALD | H | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538576/check_24204585_a8c0593f-2451-413b-82de-d714820bf627.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-22 | S5921 | N/A | N/A | MA | false | STEIN | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 248000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647748333 | N/A | N/A | 5538576 | 2222 | 4802 | 24413285 | N/A | 4210984 | 2026-04-22 00:42:39.031409 | 2025-08-15 17:42:50.500189 |
| 2026-04-21 07:15:16.861747 | 2026-04-22 00:42:26.228784 | 24204564 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24204564 | Athletic Physical Therapy Inc | 2007-12-18 | 2026-04-24 | M | PT | PERLMUTTER | JQH460A69253 | DREW | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538573/check_24204564_31c8fb87-e789-41ac-9b64-e2320e801bff.json | N/A | N/A | N/A | N/A | N/A | JQU460A69253 | Preferred Provider Organization (PPO) | CAL CHOICE FEBRUARY 1.00 | ANTHEM BLUE CROSS | N/A | 2007-12-18 | 040 | 476527 | N/A | PR | false | PERLMUTTER | N/A | DARREN | N/A | 2026-12-31 | 2026-02-01 | ANTHEM SILVER PPO 50/1700/40% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748332 | N/A | N/A | 5538573 | 2222 | 4801 | 24413059 | N/A | 4210980 | 2026-04-22 00:42:26.228784 | 2025-05-13 04:29:37.225377 |
| 2026-04-21 07:15:16.720274 | 2026-04-22 00:42:56.191021 | 24204545 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 24204545 | Athletic Physical Therapy Inc | 1966-10-22 | 2026-04-24 | F | PT | KINSLEY | 913281434000 | MICHELLE | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537996/check_24204545_844f1d06-56b5-47a2-9bf4-e95c922424c3.json | N/A | N/A | N/A | N/A | N/A | XEH913281434 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1966-10-22 | 1000VX000001 | W0069783 | N/A | HM | false | KINSLEY | N/A | MICHELLE | N/A | 9999-12-31 | 2024-06-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748331 | N/A | N/A | 5537996 | 2222 | 4793 | 24413622 | 4191 | 4210486 | 2026-04-22 00:42:56.191021 | 2025-05-13 04:29:37.224904 |
| 2026-04-21 07:15:16.596431 | 2026-04-22 00:42:59.338774 | 24204529 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24204529 | Athletic Physical Therapy Inc | 1974-09-12 | 2026-04-23 | M | PT | YOUNG | XEH910885070 | PAUL | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537663/check_24204529_969ed8c2-5b2b-4080-bc65-f96b0881b7fe.json | N/A | N/A | N/A | N/A | N/A | XEH910885070 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1974-09-12 | 1010VX000001 | W0069783 | N/A | HM | false | YOUNG | N/A | PAUL | N/A | 9999-12-31 | 2024-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748330 | N/A | N/A | 5537663 | 2222 | 4793 | 24413691 | N/A | 4210189 | 2026-04-22 00:42:59.338774 | 2026-02-23 16:32:53.562405 |
| 2026-04-21 07:15:16.468806 | 2026-04-22 00:42:25.121292 | 24204511 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24204511 | Athletic Physical Therapy Inc | 1964-10-19 | 2026-04-24 | M | PT | NIELSEN | XDP057A76330 | ROY | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_24204511_d9d499c9-9019-4878-b733-82acf3be1621.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC COBRA CA/OOS | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN17 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2026-05-31 | 2026-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647748329 | N/A | N/A | 5537188 | 2222 | 4802 | 24413035 | N/A | 4209789 | 2026-04-22 00:42:25.121292 | 2025-05-13 04:29:37.224215 |
| 2026-04-21 07:15:16.364942 | 2026-04-22 00:42:17.741894 | 24204494 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24204494 | Athletic Physical Therapy Inc | 1960-04-02 | 2026-04-24 | M | PT | GOTLER | NCF018M77628 | RONALD | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536875/check_24204494_e5e09788-a0ad-42aa-be51-61a5f2676510.json | N/A | N/A | N/A | N/A | N/A | NCF018M77628 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1960-04-02 | 040 | 57AJCA | N/A | HM | false | GOTLER | N/A | CYNTHIA | N/A | 9999-12-31 | 2018-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647747381 | N/A | N/A | 5536875 | 2222 | 4802 | 24412887 | 4185 | 4209547 | 2026-04-22 00:42:17.741894 | 2025-05-13 04:29:37.223974 |
| 2026-04-21 07:15:16.227561 | 2026-04-22 00:42:09.984010 | 24204474 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 24204474 | Athletic Physical Therapy Inc | 1947-04-18 | 2026-04-24 | F | PT | BELL | MNL880M78427 | JACQUELYN | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_24204474_d5cb0da1-fc82-4f00-bd42-4aa87792fa8d.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 9999-12-31 | 2026-01-01 | CA H4471-010-001 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647747380 | N/A | N/A | 5536041 | 2222 | 4802 | 24412725 | 4184 | 4208856 | 2026-04-22 00:42:09.984010 | 2025-05-13 04:29:37.223284 |
| 2026-04-21 07:15:16.111990 | 2026-04-22 00:43:17.476426 | 24204455 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24204455 | Athletic Physical Therapy Inc | 1953-09-19 | 2026-04-24 | F | PT | CARLON | R15684508 | JACQUELINE | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535724/check_24204455_37f36105-86cd-4b5e-a741-8e2b37d2d5c2.json | N/A | N/A | N/A | N/A | N/A | R15684508 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1953-09-19 | N/A | 106 | N/A | PR | false | CARLON | N/A | STEVEN | N/A | 9999-12-31 | 2016-01-01 | STANDARD SECONDARY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647747379 | N/A | N/A | 5535724 | 2222 | 4801 | 24414076 | N/A | 4208597 | 2026-04-22 00:43:17.476426 | 2025-05-13 04:29:37.223030 |
| 2026-04-21 07:15:15.999198 | 2026-04-22 00:42:37.837082 | 24204440 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24204440 | Athletic Physical Therapy Inc | 1941-04-16 | 2026-04-24 | F | AD | RYAN | 31026142401 | CAROL | N/A | 30 | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_24204440_2e51b25d-0319-4a60-b4ff-cea3013da8b2.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1941-04-16 | 2026H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | 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 | 10647747378 | N/A | N/A | 5535455 | 2222 | 4793 | 24413267 | 6237 | 4208375 | 2026-04-22 00:42:37.837082 | 2025-08-08 21:08:12.459471 |
| 2026-04-21 07:15:15.849096 | 2026-04-22 00:42:37.369325 | 24204422 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24204422 | Athletic Physical Therapy Inc | 1952-12-16 | 2026-04-24 | F | AE | PORTER | 40028215401 | SHERIL | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260421.122051691.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_24204422_5f8a3c7e-e44f-4b66-b98d-aea886073c44.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2026H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | 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 | 10647747377 | N/A | N/A | 5535434 | 2222 | 4793 | 24413264 | 6237 | 4208356 | 2026-04-22 00:42:37.369325 | 2025-08-25 14:49:27.724897 |
| 2026-04-21 07:14:44.767826 | 2026-04-21 07:14:46.646960 | 24200566 | N/A | N/A | 52192 | Bravo Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-02 | 2026-04-21 | F | AE | Page | 8E45-G26-HG74 | Manjeh | N/A | PT | 5323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/19742093/check_24200566_4391ceb2-659d-4623-8c36-5b8ab6c17ca3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19742093/check_24200566_f2766f1d-7411-425f-89f6-a6ba5b52879a.json | N/A | N/A | N/A | N/A | N/A | 8E45-G26-HG74 | N/A | N/A | HEALTHSPRING MEDICARE ADVANTAGE | N/A | 1957-12-02 | N/A | N/A | N/A | N/A | false | PAGE | N/A | MANJEH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 19742093 | 2222 | N/A | 24358139 | N/A | 17456094 | 2026-04-21 07:14:46.646960 | 2026-05-27 20:46:49.607010 |
| 2026-04-21 07:14:42.081869 | 2026-04-21 07:14:45.055210 | 24200232 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-10-28 | 2026-04-21 | M | PT | MORRIS | ILL532A77856 | ERIC | N/A | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/15236605/check_24200232_97d00582-4c23-47e7-9bb5-1d481c0fb71c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15236605/check_24200232_f8efb564-c4d0-459c-a46a-01b10686517f.json | N/A | N/A | N/A | N/A | N/A | ILL532A77856 | Preferred Provider Organization (PPO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1988-10-28 | 040 | 1854GAR000 | N/A | PR | false | MORRIS | N/A | ERIC | N/A | 2026-12-31 | 2026-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10647721962 | N/A | N/A | 15236605 | 2222 | N/A | 24358132 | N/A | 13337595 | 2026-04-21 07:14:45.055210 | 2026-01-13 22:56:53.164172 |
| 2026-04-21 07:14:42.017044 | 2026-04-21 07:14:44.763032 | 24200227 | N/A | N/A | 52192 | Bravo Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-02 | 2026-04-21 | F | AE | Page | 8E45-G26-HG74 | Manjeh | N/A | PT | 5323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/19742093/check_24200227_ea9ac0aa-0056-431a-9904-ce2e6933589b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-04-21 | N/A | N/A | N/A | N/A | N/A | N/A | 8E45-G26-HG74 | N/A | N/A | HEALTHSPRING MEDICARE ADVANTAGE | N/A | 1957-12-02 | N/A | N/A | N/A | N/A | false | PAGE | N/A | MANJEH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 19742093 | 2222 | N/A | N/A | N/A | 17456094 | 2026-04-21 07:14:44.763032 | 2026-05-27 20:46:49.607010 |
| 2026-04-21 07:14:41.842191 | 2026-04-21 07:14:44.734595 | 24200205 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1971-01-02 | 2026-04-21 | F | AE | SIVAMALAR | 98940148E | THANGIAH | N/A | PT | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18018879/check_24200205_e64659d7-ceb1-4c93-8e5b-c8e28d5bdc6d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18018879/check_24200205_7eccd5b8-3ac6-4e46-8ea3-254268736915.json | N/A | N/A | N/A | N/A | N/A | 98940148E | N/A | N/A | HEALTH NET, LLC | N/A | 1971-01-02 | N/A | N/A | N/A | N/A | false | SIVAMALAR | N/A | THANGIAH | N/A | 2026-03-31 | 2024-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647721927 | N/A | N/A | 18018879 | 2222 | N/A | 24358129 | N/A | 8251172 | 2026-04-21 07:14:44.734595 | 2025-10-03 18:17:22.871347 |
| 2026-04-21 07:14:41.463196 | 2026-04-21 07:14:43.226510 | 24200154 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-07-01 | 2026-04-21 | F | AE | GREER | 7H09HW9QG44 | ROBIN | N/A | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9411083/check_24200154_2925fcbc-db53-4661-b481-d7829a4e2f56.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-04-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_24200154_b9058267-56c2-445d-945f-54c006c29db8.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | N/A | ROBIN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 162560 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10647721910 | N/A | N/A | 9411083 | 2222 | N/A | 24358120 | N/A | 7879863 | 2026-04-21 07:14:43.226510 | 2026-02-04 18:21:13.840230 |
| 2026-04-21 05:35:44.984764 | 2026-04-21 05:35:47.251852 | 24193522 | N/A | N/A | Z1073 | SOUTHERN CALIFORNIA MEDICARE | 1114042165 | 24193522 | Athletic Physical Therapy Inc | 1949-06-24 | 2026-04-20 | N/A | PT | MOLAYEM | 1FP8YH1EQ32 | JILLA | N/A | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17392566/check_24193522_3446878c-1c5b-4824-af02-63da145621bf.json | WAYSTAR | N/A | INSIGHTS | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17392566/check_24193522_fbdd4be1-cd7b-4d68-a71b-9f0e5250fd44.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 17392566 | 2222 | N/A | 24356574 | N/A | 14498125 | 2026-04-21 05:35:47.251852 | 2026-03-11 14:35:29.812051 |
| 2026-04-21 05:35:37.542731 | 2026-04-21 05:35:40.863151 | 24193521 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 24193521 | Athletic Physical Therapy Inc | 2001-03-25 | 2026-04-20 | N/A | PT | PAIK | 9118772604 | JOSHUA | N/A | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542927/check_24193521_c03c2ebb-426d-4c37-af16-c49363df3d2a.json | UHC | N/A | INSIGHTS | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542927/check_24193521_d64548a7-6f98-4107-aaa6-567747bbab23.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 5542927 | 2222 | N/A | 24356572 | N/A | 4214777 | 2026-04-21 05:35:40.863151 | 2025-05-13 04:29:37.229103 |
| 2026-04-21 05:35:27.534393 | 2026-04-21 05:35:34.616825 | 24193519 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 24193519 | Athletic Physical Therapy Inc | 2001-03-25 | 2026-04-20 | N/A | PT | PAIK | 9118772604 | JOSHUA | N/A | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16875060/check_24193519_24be064c-91a7-472e-8ef5-3ea3c0d9306f.json | UHC | N/A | INSIGHTS | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16875060/check_24193519_19590a8c-2fc9-40f5-8945-d7249862b0a8.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 16875060 | 2222 | N/A | 24356570 | N/A | 5065602 | 2026-04-21 05:35:34.616825 | 2025-07-01 17:25:13.681724 |
| 2026-04-21 05:35:27.460865 | 2026-04-21 05:35:30.703825 | 24193518 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 24193518 | Athletic Physical Therapy Inc | 1980-05-29 | 2026-04-20 | N/A | PT | JOHNSON | 988477947 | MICHELLE | N/A | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18554886/check_24193518_716645d9-fd9b-4ada-8e15-b0e3406ab29f.json | UHC | N/A | INSIGHTS | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18554886/check_24193518_d53185fc-9d01-4157-b719-56644ba4544e.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 18554886 | 2222 | N/A | 24356568 | N/A | 16556287 | 2026-04-21 05:35:30.703825 | 2026-03-23 21:08:18.933043 |
| 2026-04-21 05:35:13.283357 | 2026-04-21 05:35:18.322161 | 24193512 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 24193512 | Athletic Physical Therapy Inc | 1980-05-29 | 2026-04-20 | N/A | PT | JOHNSON | 988477947 | MICHELLE | N/A | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18554886/check_24193512_6e8d828e-3292-40f4-a050-03eb5323d125.json | UHC | N/A | INSIGHTS | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18554886/check_24193512_da3c0907-60e6-476c-8eae-eada98dd4d7b.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 18554886 | 2222 | N/A | 24356563 | N/A | 16556287 | 2026-04-21 05:35:18.322161 | 2026-03-23 21:08:18.933043 |
| 2026-04-21 05:34:52.539354 | 2026-04-21 05:34:55.369414 | 24193500 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / IMPERIAL HEALTH PLAN | 1114042165 | 24193500 | Athletic Physical Therapy Inc | 1959-01-13 | 2026-04-20 | N/A | PT | CHUN | ICA068643 | LINDA | N/A | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16579154/check_24193500_72d15a88-264b-4f24-b3b3-838f170b585c.json | WAYSTAR | N/A | INSIGHTS | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16579154/check_24193500_bb7c280a-5774-47ec-a9d0-2fe23c0c54dc.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 16579154 | 2222 | N/A | 24356549 | N/A | 14597301 | 2026-04-21 05:34:55.369414 | 2026-02-06 23:30:42.528802 |
| 2026-04-21 05:34:44.672888 | 2026-04-21 05:34:47.763756 | 24193497 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / IMPERIAL HEALTH PLAN | 1114042165 | 24193497 | Athletic Physical Therapy Inc | 1959-01-13 | 2026-04-20 | N/A | PT | CHUN | ICA068643 | LINDA | N/A | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16579154/check_24193497_c26f4e5b-6a99-405c-a5c2-3f792a581932.json | WAYSTAR | N/A | INSIGHTS | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16579154/check_24193497_5b27d2e9-8559-4321-aaa9-4cfad56b22e0.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 16579154 | 2222 | N/A | 24356547 | N/A | 14597301 | 2026-04-21 05:34:47.763756 | 2026-02-06 23:30:42.528802 |
| 2026-04-21 05:34:32.222823 | 2026-04-21 05:34:35.574001 | 24193491 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / IMPERIAL HEALTH PLAN | 1114042165 | 24193491 | Athletic Physical Therapy Inc | 1953-02-12 | 2026-04-20 | N/A | PT | HASTINGS | ICA082816 | JAMES | N/A | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16060541/check_24193491_f728ca28-36e6-488a-a47f-459223f0a389.json | WAYSTAR | N/A | INSIGHTS | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16060541/check_24193491_9893bedb-e2cf-4e20-b6a0-f4c55b30c630.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 16060541 | 2222 | N/A | 24356542 | N/A | 6841390 | 2026-04-21 05:34:35.574001 | 2026-02-24 00:29:14.751930 |
| 2026-04-21 05:34:22.629521 | 2026-04-21 05:34:26.495611 | 24193486 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / IMPERIAL HEALTH PLAN | 1114042165 | 24193486 | Athletic Physical Therapy Inc | 1953-02-12 | 2026-04-20 | N/A | PT | HASTINGS | ICA082816 | JAMES | N/A | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16060541/check_24193486_c0b9b810-274d-4df6-b449-17b3443cef19.json | WAYSTAR | N/A | INSIGHTS | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16060541/check_24193486_e0af128e-045c-4f39-9a15-ba0d3f26b083.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 16060541 | 2222 | N/A | 24356534 | N/A | 6841390 | 2026-04-21 05:34:26.495611 | 2026-02-24 00:29:14.751930 |
| 2026-04-21 05:34:21.270772 | 2026-04-21 05:34:24.375329 | 24193484 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 24193484 | Athletic Physical Therapy Inc | 2000-05-20 | 2026-04-20 | N/A | PT | LIPP | JQC97583205F | ANDREW | N/A | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/19988972/check_24193484_92d373d5-544c-4804-a9b0-247dd3bb57b1.json | WAYSTAR | N/A | INSIGHTS | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19988972/check_24193484_5b29f255-ab77-4c55-9568-a6edc8ed7fe0.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 19988972 | 2222 | N/A | 24356533 | N/A | 13573473 | 2026-04-21 05:34:24.375329 | 2026-01-26 19:07:00.510896 |
| 2026-04-21 05:34:10.674310 | 2026-04-21 05:34:14.954279 | 24193481 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 24193481 | Athletic Physical Therapy Inc | 2000-05-20 | 2026-04-20 | N/A | PT | LIPP | JQC97583205F | ANDREW | N/A | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/19988972/check_24193481_5da5ccd0-a698-4b89-ac77-1cd32743ddad.json | WAYSTAR | N/A | INSIGHTS | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/19988972/check_24193481_fc5e8f7f-9322-4517-9b90-12cf0e717d83.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 19988972 | 2222 | N/A | 24356530 | N/A | 13573473 | 2026-04-21 05:34:14.954279 | 2026-01-26 19:07:00.510896 |
| 2026-04-21 05:34:08.461708 | 2026-04-21 05:34:17.035820 | 24193480 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 24193480 | Athletic Physical Therapy Inc | 2007-12-18 | 2026-04-20 | N/A | PT | ROSEN | 610279 | Rhys | N/A | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18022387/check_24193480_ffa8d3de-11a4-45ba-81e5-6635e71a61d4.json | UHC | N/A | INSIGHTS | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18022387/check_24193480_1c09e167-e099-452c-ad8e-3cedf1373891.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 18022387 | 2222 | N/A | 24356531 | N/A | 16050721 | 2026-04-21 05:34:17.035820 | 2026-03-25 17:25:12.805429 |
| 2026-04-21 05:34:04.484990 | 2026-04-21 05:34:07.441497 | 24193478 | N/A | N/A | 77160 | GOLD COAST HEALTH PLAN | 1114042165 | 24193478 | Athletic Physical Therapy Inc | 1999-04-28 | 2026-04-20 | N/A | PT | LAXTON | 91305634H | BROOKE | N/A | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17838462/check_24193478_41f6dc2f-c19c-4b38-9027-9e9fd2466c1f.json | WAYSTAR | N/A | INSIGHTS | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17838462/check_24193478_92d2de01-d2b2-456f-aa9f-2def6f6c8eac.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 17838462 | 2222 | N/A | 24356528 | N/A | 15882982 | 2026-04-21 05:34:07.441497 | 2026-03-09 23:58:03.841418 |
| 2026-04-21 05:33:56.514389 | 2026-04-21 05:34:05.586119 | 24193476 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 24193476 | Athletic Physical Therapy Inc | 2007-12-18 | 2026-04-20 | N/A | PT | ROSEN | 610279 | Rhys | N/A | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18022387/check_24193476_7b572644-a243-4df5-a5cc-5027e99cd514.json | UHC | N/A | INSIGHTS | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18022387/check_24193476_e8f0b8a1-6ab8-4838-807f-643ae152d7a8.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 18022387 | 2222 | N/A | 24356527 | N/A | 16050721 | 2026-04-21 05:34:05.586119 | 2026-03-25 17:25:12.805429 |
| 2026-04-21 05:33:54.285903 | 2026-04-21 05:33:57.547188 | 24193474 | N/A | N/A | 77160 | GOLD COAST HEALTH PLAN | 1114042165 | 24193474 | Athletic Physical Therapy Inc | 1999-04-28 | 2026-04-20 | N/A | PT | LAXTON | 91305634H | BROOKE | N/A | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17838462/check_24193474_015a173b-ac5d-42d6-b35b-79c33c56ec49.json | WAYSTAR | N/A | INSIGHTS | 2026-04-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17838462/check_24193474_10da695f-4506-41f2-a379-78d44d532b49.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 17838462 | 2222 | N/A | 24356523 | N/A | 15882982 | 2026-04-21 05:33:57.547188 | 2026-03-09 23:58:03.841418 |