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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-01 20:55:50.843759 | 2025-07-01 20:55:52.503682 | 9421448 | N/A | N/A | 95288 | Employee Benefits Administration and Management EBA&M | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 1697 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421448_e22d0b69-a4e0-42f3-85f8-01e3e3989bd5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | EMPLOYEE BENEFITS ADMINISTRATION AND MANAGEMENT EBA&M | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-07-01 20:55:52.503682 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:54:03.431100 | 2025-07-01 20:54:05.201923 | 9421440 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 4709 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421440_80ec155d-847a-478c-8af6-6091a3ec46e0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9421440_1f9887c2-3cb3-4b6d-afc1-826ee876964e.json | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | CENTENE CORPORATION | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | 9125386 | N/A | 5189726 | 2025-07-01 20:54:05.201923 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:54:01.841595 | 2025-07-01 20:54:03.429109 | 9421439 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 4709 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421439_f99e30ae-35ad-4c55-8ce6-e7033f1fa44a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | CENTENE CORPORATION | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-07-01 20:54:03.429109 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:53:32.212335 | 2025-07-01 20:53:34.743403 | 9421436 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 4709 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421436_9a85b7e6-67ca-4b5e-a45f-87cbaac78105.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9421436_6a2c2b4f-a49a-4cb7-a4f8-0629774f328f.json | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | CENTENE CORPORATION | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | 9125381 | N/A | 5189726 | 2025-07-01 20:53:34.743403 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:53:30.492541 | 2025-07-01 20:53:32.209516 | 9421435 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 4709 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421435_c0bb9176-9a60-4b8f-80de-52de9bc2fc54.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | CENTENE CORPORATION | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-07-01 20:53:32.209516 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:45:29.047835 | 2025-07-01 20:45:35.895943 | 9421378 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 4709 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421378_c7454566-d87a-4043-bcaf-f1fe51d2e3f4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9421378_f1f92262-8c59-4190-90a1-df0d6ea732af.json | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | CENTENE CORPORATION | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | 9125313 | N/A | 5189726 | 2025-07-01 20:45:35.895943 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:45:25.269559 | 2025-07-01 20:45:29.045188 | 9421375 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 4709 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421375_0c08f2df-85c2-4aaa-a67f-da78d4d7e161.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | CENTENE CORPORATION | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-07-01 20:45:29.045188 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:44:12.885419 | 2025-07-01 20:44:14.783682 | 9421367 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 4625 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421367_63d6a3b6-7c84-45b4-959a-a98314a014a0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9421367_58cb555c-907f-4cc9-add0-436d09b3ade3.json | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | CENTENE CORPORATION | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | 9125303 | N/A | 5189726 | 2025-07-01 20:44:14.783682 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:44:10.249311 | 2025-07-01 20:44:12.882271 | 9421366 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 4625 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421366_a669abb9-b8a2-4dae-bacd-1646d868a3be.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | CENTENE CORPORATION | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-07-01 20:44:12.882271 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:27:13.731313 | 2025-07-01 20:27:15.503185 | 9421280 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 4709 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421280_77e3fca8-d796-45d3-95bd-b3c8c0a87bab.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9421280_2fd6aa38-f198-4791-957a-9fd625872b84.json | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | CENTENE CORPORATION | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | 9125189 | N/A | 5189726 | 2025-07-01 20:27:15.503185 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:27:12.157795 | 2025-07-01 20:27:13.728877 | 9421279 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 4709 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421279_26bf14b2-10ab-423b-ae7b-5da7f1fc9daa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | CENTENE CORPORATION | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-07-01 20:27:13.728877 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:27:06.338418 | 2025-07-01 20:27:08.107368 | 9421278 | N/A | N/A | 95288 | Employee Benefits Administration and Management EBA&M | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 1697 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421278_6b37c549-16e6-43ea-8086-2b9e9283b9c7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9421278_58567796-d00d-4012-8eed-3397b22823a9.json | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | EMPLOYEE BENEFITS ADMINISTRATION AND MANAGEMENT EBA&M | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | 9125186 | N/A | 5189726 | 2025-07-01 20:27:08.107368 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:27:04.625873 | 2025-07-01 20:27:06.335596 | 9421276 | N/A | N/A | 95288 | Employee Benefits Administration and Management EBA&M | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 1697 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421276_228b8ba3-019e-4840-9db0-4c777c2ca380.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | EMPLOYEE BENEFITS ADMINISTRATION AND MANAGEMENT EBA&M | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-07-01 20:27:06.335596 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:24:56.166078 | 2025-07-01 20:24:57.930743 | 9421266 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 4709 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421266_24fd9231-92ae-43d3-9331-f64ae138ab77.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9421266_e771694f-45f7-4b6e-8cc6-bc824dfa7868.json | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | CENTENE CORPORATION | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | 9125169 | N/A | 5189726 | 2025-07-01 20:24:57.930743 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:24:54.338359 | 2025-07-01 20:24:56.164287 | 9421264 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 4709 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421264_1b131472-77a9-4623-b056-4d60a9e672c7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | CENTENE CORPORATION | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-07-01 20:24:56.164287 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:24:31.360154 | 2025-07-01 20:24:33.193575 | 9421261 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 4709 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421261_17365780-ae77-4a73-9d9b-978266f92af3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9421261_5b5097de-c7c1-4763-9796-0e708c8a2be6.json | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | CENTENE CORPORATION | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | 9125163 | N/A | 5189726 | 2025-07-01 20:24:33.193575 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:24:29.762485 | 2025-07-01 20:24:31.357141 | 9421260 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 4709 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421260_e88be09e-1464-4dea-b48e-27f2b71093b6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | CENTENE CORPORATION | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-07-01 20:24:31.357141 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:23:34.105622 | 2025-07-01 20:23:35.958902 | 9421251 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 4709 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421251_b29840d2-9c48-4f34-8bde-7425e05eab4c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9421251_53fc3ae7-b18f-4b58-a8e5-f49482f40978.json | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | CENTENE CORPORATION | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | 9125152 | N/A | 5189726 | 2025-07-01 20:23:35.958902 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:23:32.410908 | 2025-07-01 20:23:34.103540 | 9421250 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 4709 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421250_ef214d68-60da-4289-9204-acb2d69dd73b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | CENTENE CORPORATION | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-07-01 20:23:34.103540 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:19:53.319103 | 2025-07-01 20:19:57.222694 | 9421213 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 23322 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421213_a95b91a7-61f1-4956-89ca-1661560fefb7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9421213_b1ef5945-02f6-4d25-9e90-620647362842.json | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | 9125110 | N/A | 5189726 | 2025-07-01 20:19:57.222694 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 20:19:48.700384 | 2025-07-01 20:19:53.317102 | 9421210 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | 23322 | DELAZAD | A01217025 | LEILA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9421210_4d541c87-3144-4a45-be29-6164999a88ae.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | A01217025 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1981-07-22 | N/A | N/A | N/A | N/A | false | DELAZAD | N/A | LEILA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-07-01 20:19:53.317102 | 2025-07-08 23:50:39.999275 |
| 2025-07-01 19:12:58.771759 | 2025-07-01 19:13:01.609714 | 9420675 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-02-06 | 2025-07-01 | F | 30 | 4184 | MANALO LAMANNA | GSC134174111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554790/check_9420675_acf14a42-58e0-486a-ae1c-f8ed9ed39aff.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_9420675_228a1ef7-46ec-4449-b510-2ec3749740b5.json | N/A | N/A | N/A | N/A | N/A | 01765049801 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FUNDING TYPE = SELF INSURED | 2002-02-06 | 363 | 022039304 | N/A | PR | false | MANALOLAMANNA | N/A | ISADORE | N/A | 9999-12-31 | 2022-01-01 | BLUE CARD PPO | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8125995359 | N/A | N/A | 6554790 | 2222 | N/A | 9124400 | N/A | 5177947 | 2025-07-01 19:13:01.609714 | 2026-05-11 21:31:25.186699 |
| 2025-07-01 19:11:15.751627 | 2025-07-01 19:11:17.659078 | 9420662 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-02-06 | 2025-07-01 | F | 30 | 4184 | MANALO-LAMANNA | GSC1341714111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554790/check_9420662_71b3aab5-fdb6-4529-9d3e-5bf6f8536a1c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_9420662_1613f572-73d2-452e-8fc6-a697f5319825.json | N/A | N/A | N/A | N/A | N/A | GSC1341714111001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2002-02-06 | N/A | N/A | N/A | N/A | false | MANALO-LAMANNA | N/A | ISADORE | N/A | 9999-12-31 | 2022-01-01 | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6554790 | 2222 | N/A | 9124387 | N/A | 5177947 | 2025-07-01 19:11:17.659078 | 2026-05-11 21:31:25.186699 |
| 2025-07-01 19:11:14.138828 | 2025-07-01 19:11:15.747550 | 9420661 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-02-06 | 2025-07-01 | F | 30 | 4184 | MANALO LAMANNA | GSC1341714111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554790/check_9420661_ee0a89cf-8526-48a9-9c47-be42833c9656.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | GSC1341714111001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2002-02-06 | N/A | N/A | N/A | N/A | false | MANALO LAMANNA | N/A | ISADORE | N/A | 9999-12-31 | 2022-01-01 | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6554790 | 2222 | N/A | N/A | N/A | 5177947 | 2025-07-01 19:11:15.747550 | 2026-05-11 21:31:25.186699 |
| 2025-07-01 19:11:00.394390 | 2025-07-01 19:11:08.218195 | 9420659 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-02-06 | 2025-07-01 | F | 30 | 4184 | MANALO-LAMANNA | GSC1341714111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554790/check_9420659_a757ab63-69ce-449c-a90f-4ec72f2b2759.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_9420659_78f5d7ff-e576-46bd-ab6d-fe6fab352a3b.json | N/A | N/A | N/A | N/A | N/A | GSC1341714111001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2002-02-06 | N/A | N/A | N/A | N/A | false | MANALO-LAMANNA | N/A | ISADORE | N/A | 9999-12-31 | 2022-01-01 | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6554790 | 2222 | N/A | 9124384 | N/A | 5177947 | 2025-07-01 19:11:08.218195 | 2026-05-11 21:31:25.186699 |
| 2025-07-01 19:10:58.718132 | 2025-07-01 19:11:00.391380 | 9420658 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-02-06 | 2025-07-01 | F | 30 | 4184 | MANALO LAMANNA | GSC1341714111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554790/check_9420658_3e81cf7b-01dc-40f2-abe3-3e88bb2677f2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | GSC1341714111001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2002-02-06 | N/A | N/A | N/A | N/A | false | MANALO LAMANNA | N/A | ISADORE | N/A | 9999-12-31 | 2022-01-01 | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6554790 | 2222 | N/A | N/A | N/A | 5177947 | 2025-07-01 19:11:00.391380 | 2026-05-11 21:31:25.186699 |
| 2025-07-01 19:10:48.211631 | 2025-07-01 19:10:51.977450 | 9420655 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-02-06 | 2025-07-01 | F | 30 | 4184 | MANALO-LAMANNA | GSC1341714111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554790/check_9420655_0875303b-767b-4e3b-9efd-8cd9f605f243.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_9420655_7825466f-430f-4d9b-9754-7f717744c976.json | N/A | N/A | N/A | N/A | N/A | GSC1341714111001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2002-02-06 | N/A | N/A | N/A | N/A | false | MANALO-LAMANNA | N/A | ISADORE | N/A | 9999-12-31 | 2022-01-01 | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6554790 | 2222 | N/A | 9124379 | N/A | 5177947 | 2025-07-01 19:10:51.977450 | 2026-05-11 21:31:25.186699 |
| 2025-07-01 19:10:45.508283 | 2025-07-01 19:10:48.209007 | 9420654 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-02-06 | 2025-07-01 | F | 30 | 4184 | MANALO LAMANNA | GSC1341714111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554790/check_9420654_b15d9df2-fd2a-4aef-862a-da088cb62a1b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | GSC1341714111001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2002-02-06 | N/A | N/A | N/A | N/A | false | MANALO LAMANNA | N/A | ISADORE | N/A | 9999-12-31 | 2022-01-01 | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6554790 | 2222 | N/A | N/A | N/A | 5177947 | 2025-07-01 19:10:48.209007 | 2026-05-11 21:31:25.186699 |
| 2025-07-01 19:02:09.989407 | 2025-07-01 19:02:12.811006 | 9420567 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-08-04 | 2025-07-02 | M | 30 | 4184 | MAGHEN | XDL992A63501 | ITZCHAK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6172263/check_9420567_7581569f-3902-4443-858a-6f68d6b3e064.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6172263/check_9420567_b32c8e24-a00d-4486-ad72-803ac11266cd.json | N/A | N/A | N/A | N/A | N/A | XDL992A63501 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 2000-08-04 | 040 | H06200 | N/A | PR | false | SHAYANI | N/A | ESTHER | N/A | 9999-12-31 | 2009-07-01 | PPO SHARE | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8125877953 | N/A | N/A | 6172263 | 2222 | N/A | 9124272 | N/A | 4813871 | 2025-07-01 19:02:12.811006 | 2025-07-08 23:07:33.420114 |
| 2025-07-01 18:49:52.184381 | 2025-07-01 18:50:00.021887 | 9420469 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 4185 | FERNANDO | NCF391A56205 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9420469_ab606e10-37ba-4b80-8769-d65f6bbf2388.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9420469_29bdcdbf-fcb3-42d0-b04f-5a69ca9b9051.json | N/A | N/A | N/A | N/A | N/A | JMV391A56205 | Health Maintenance Organization (HMO) | CAPSTONE GREEN ENERGY LLC | ANTHEM BLUE CROSS | N/A | 1975-07-06 | 040 | L10003H001 | N/A | HM | false | ARIYARATNE | N/A | SHANAKA | N/A | 9999-12-31 | 2025-01-01 | VALUE COINSURANCE TRADITIONAL HMO NETWORK NON DUR | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8125750297 | 9482 | N/A | 6574729 | 2222 | N/A | 9124148 | N/A | 5195072 | 2025-07-01 18:50:00.021887 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 18:49:41.530038 | 2025-07-01 18:49:43.372467 | 9420467 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23312 | FERNANDO | NCF391A56205 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9420467_f6f0339e-cdfa-4dbe-a35c-16fd4a30d236.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9420467_00ee6c5c-7909-4b58-8bff-41d080951c2a.json | N/A | N/A | N/A | N/A | N/A | NCF391A56205 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 9124145 | N/A | 5195072 | 2025-07-01 18:49:43.372467 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 18:49:39.858502 | 2025-07-01 18:49:41.516750 | 9420466 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23312 | FERNANDO | NCF391A56205 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9420466_7a6b8f95-a80e-47b6-b007-bd0c143bb856.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | NCF391A56205 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-07-01 18:49:41.516750 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 18:49:33.409231 | 2025-07-01 18:49:35.197273 | 9420465 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23312 | FERNANDO | NCF391A56205 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9420465_b49b5d7b-784e-4a4b-9e84-5c5ba2bd2028.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9420465_90c2265f-836f-4b61-8b93-610ddd300bfa.json | N/A | N/A | N/A | N/A | N/A | NCF391A56205 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 9124142 | N/A | 5195072 | 2025-07-01 18:49:35.197273 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 18:49:31.616590 | 2025-07-01 18:49:33.407125 | 9420464 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23312 | FERNANDO | NCF391A56205 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9420464_b0b1dbe6-fdaa-44d6-871a-be0f3467d33a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | NCF391A56205 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-07-01 18:49:33.407125 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 18:49:12.051564 | 2025-07-01 18:49:14.114119 | 9420461 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23312 | FERNANDO | NCF391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9420461_5c986b1f-19a1-4ee1-8b91-638b61e73d5c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9420461_184a956e-4cce-406b-92f2-10d69a846d3a.json | N/A | N/A | N/A | N/A | N/A | NCF391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 9124139 | N/A | 5195072 | 2025-07-01 18:49:14.114119 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 18:49:10.364358 | 2025-07-01 18:49:12.047868 | 9420460 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23312 | FERNANDO | NCF391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9420460_a8d1e9f8-32b2-4081-9700-955ac0e9640c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | NCF391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-07-01 18:49:12.047868 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 18:48:50.170403 | 2025-07-01 18:48:51.971340 | 9420458 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23311 | FERNANDO | NCF391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9420458_f8f3086d-c51f-42ea-af58-29829ae4a1bb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9420458_27eabda2-6f05-45c2-87bd-7359e67b1789.json | N/A | N/A | N/A | N/A | N/A | NCF391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 9124133 | N/A | 5195072 | 2025-07-01 18:48:51.971340 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 18:48:48.490894 | 2025-07-01 18:48:50.156279 | 9420457 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23311 | FERNANDO | NCF391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9420457_89bb032a-5e89-4da9-b902-2e98b45c93e9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | NCF391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-07-01 18:48:50.156279 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 18:48:25.187287 | 2025-07-01 18:48:26.969722 | 9420452 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 4185 | FERNANDO | NCF391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9420452_5015561d-607f-4520-8d0e-f8be3b3ea89d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9420452_c3a870ac-f0f8-40a4-88a5-4226c4cbb53c.json | N/A | N/A | N/A | N/A | N/A | NCF391A5620540 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 9124127 | N/A | 5195072 | 2025-07-01 18:48:26.969722 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 18:48:22.428254 | 2025-07-01 18:48:25.185252 | 9420451 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 4185 | FERNANDO | NCF391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9420451_2b2256de-c865-4cec-b9c3-2a9082e10508.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | NCF391A5620540 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-07-01 18:48:25.185252 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 17:41:53.753908 | 2025-07-01 17:41:55.560090 | 9420022 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-07-12 | 2025-07-01 | F | 30 | 23315 | CROSS | H7061645100 | VICTORIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6497469/check_9420022_512917dd-54a5-47ce-a298-737f8e042a0b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6497469/check_9420022_470ac12c-ff08-456e-838f-307460b57165.json | N/A | N/A | N/A | N/A | N/A | H7061645100 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-07-12 | N/A | N/A | N/A | N/A | false | CROSS | N/A | VICTORIA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6497469 | 2222 | N/A | 9123594 | N/A | 4211178 | 2025-07-01 17:41:55.560090 | 2025-05-13 04:29:37.225579 |
| 2025-07-01 17:41:49.064322 | 2025-07-01 17:41:53.749236 | 9420021 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-07-12 | 2025-07-01 | F | 30 | 23315 | CROSS | H7061645100 | VICTORIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6497469/check_9420021_dcb66a3b-d32a-4362-8078-e483c3fade1d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | H7061645100 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-07-12 | N/A | N/A | N/A | N/A | false | CROSS | N/A | VICTORIA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6497469 | 2222 | N/A | N/A | N/A | 4211178 | 2025-07-01 17:41:53.749236 | 2025-05-13 04:29:37.225579 |
| 2025-07-01 17:32:23.332644 | 2025-07-01 17:32:25.064593 | 9419922 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-07 | 2025-07-02 | M | 30 | 4184 | CICCIARI | 158A54895-10 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6417892/check_9419922_7d2e671b-a577-4615-8157-ecabdef55abd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417892/check_9419922_03069218-1994-49b3-987c-4a6ab48de7d7.json | N/A | N/A | N/A | N/A | N/A | 158A54895-10 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-09-07 | N/A | N/A | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6417892 | 2222 | N/A | 9123484 | N/A | 5065602 | 2025-07-01 17:32:25.064593 | 2025-07-01 17:25:13.681724 |
| 2025-07-01 17:32:20.709132 | 2025-07-01 17:32:23.328506 | 9419920 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-07 | 2025-07-02 | M | 30 | 4184 | CICCIARI | 158A54895-10 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6417892/check_9419920_45fbd1be-c49b-4c2f-9fe2-5b93cd04c8fc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 158A54895-10 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-09-07 | N/A | N/A | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6417892 | 2222 | N/A | N/A | N/A | 5065602 | 2025-07-01 17:32:23.328506 | 2025-07-01 17:25:13.681724 |
| 2025-07-01 17:08:22.829458 | 2025-07-01 17:08:24.712731 | 9419581 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-07-12 | 2025-07-01 | F | 30 | 23315 | CROSS | H7061645100 | VICTORIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6497469/check_9419581_197d16f6-3a14-49ac-8bfe-1198adea5d9c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6497469/check_9419581_0c479796-4ce1-4d84-a8be-86db10ed7222.json | N/A | N/A | N/A | N/A | N/A | H7061645100 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-07-12 | N/A | N/A | N/A | N/A | false | CROSS | N/A | VICTORIA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6497469 | 2222 | N/A | 9123128 | N/A | 4211178 | 2025-07-01 17:08:24.712731 | 2025-05-13 04:29:37.225579 |
| 2025-07-01 17:08:21.184328 | 2025-07-01 17:08:22.827300 | 9419579 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-07-12 | 2025-07-01 | F | 30 | 23315 | CROSS | H7061645100 | VICTORIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6497469/check_9419579_fdf799bf-ed0e-4ad6-80b0-a354735443c6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | H7061645100 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-07-12 | N/A | N/A | N/A | N/A | false | CROSS | N/A | VICTORIA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6497469 | 2222 | N/A | N/A | N/A | 4211178 | 2025-07-01 17:08:22.827300 | 2025-05-13 04:29:37.225579 |
| 2025-07-01 17:08:09.045054 | 2025-07-01 17:08:11.011875 | 9419576 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-07-12 | 2025-07-01 | F | 30 | 23309 | CROSS | H7061645100 | VICTORIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6497469/check_9419576_5475e8e1-579e-4566-96b0-3c86d98f8b97.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6497469/check_9419576_1d722ccd-ef67-4426-8e19-0a11eef8e7e8.json | N/A | N/A | N/A | N/A | N/A | H7061645100 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-07-12 | N/A | N/A | N/A | N/A | false | CROSS | N/A | VICTORIA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6497469 | 2222 | N/A | 9123125 | N/A | 4211178 | 2025-07-01 17:08:11.011875 | 2025-05-13 04:29:37.225579 |
| 2025-07-01 17:08:07.413853 | 2025-07-01 17:08:09.042871 | 9419575 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-07-12 | 2025-07-01 | F | 30 | 23309 | CROSS | H7061645100 | VICTORIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6497469/check_9419575_580b3c5c-413a-4f63-a669-f15dd46f6b59.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | H7061645100 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-07-12 | N/A | N/A | N/A | N/A | false | CROSS | N/A | VICTORIA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6497469 | 2222 | N/A | N/A | N/A | 4211178 | 2025-07-01 17:08:09.042871 | 2025-05-13 04:29:37.225579 |
| 2025-07-01 17:07:59.677877 | 2025-07-01 17:08:01.534857 | 9419573 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-07-12 | 2025-07-01 | F | 30 | 23309 | CROSS | H7061645100 | VICTORIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6497469/check_9419573_039e0f79-61cc-48a8-846f-000ce1afd32d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6497469/check_9419573_a4e509ff-c423-4bf7-b6ec-b2070bd000d4.json | N/A | N/A | N/A | N/A | N/A | H7061645100 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-07-12 | N/A | N/A | N/A | N/A | false | CROSS | N/A | VICTORIA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6497469 | 2222 | N/A | 9123120 | N/A | 4211178 | 2025-07-01 17:08:01.534857 | 2025-05-13 04:29:37.225579 |
| 2025-07-01 17:07:57.967881 | 2025-07-01 17:07:59.675358 | 9419571 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-07-12 | 2025-07-01 | F | 30 | 23309 | CROSS | H7061645100 | VICTORIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6497469/check_9419571_d9742d22-a83a-4467-b1b1-d7d009b534d3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | H7061645100 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-07-12 | N/A | N/A | N/A | N/A | false | CROSS | N/A | VICTORIA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6497469 | 2222 | N/A | N/A | N/A | 4211178 | 2025-07-01 17:07:59.675358 | 2025-05-13 04:29:37.225579 |