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 17:07:41.369172 | 2025-07-01 17:07:43.298506 | 9419569 | 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_9419569_bafe0052-0d77-43c7-a66a-72ff4b5b7225.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6497469/check_9419569_5134358b-62bb-4f8c-877f-a0436a352d7a.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 | 9123117 | N/A | 4211178 | 2025-07-01 17:07:43.298506 | 2025-05-13 04:29:37.225579 |
| 2025-07-01 17:07:39.601723 | 2025-07-01 17:07:41.365166 | 9419568 | 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_9419568_48b8e770-a291-47ca-8ec8-3234b303cb36.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 17:07:41.365166 | 2025-05-13 04:29:37.225579 |
| 2025-07-01 17:06:48.558864 | 2025-07-01 17:06:50.541605 | 9419544 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-11-12 | 2025-07-01 | M | 30 | 6411 | DELGADO | 972788001 | MARIANO | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542335/check_9419544_8ddd4ee6-ebe3-4760-89cf-f7f3eb6132c5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542335/check_9419544_4ac36910-9e9b-4f3f-adb8-863125721245.json | N/A | N/A | N/A | N/A | N/A | 972788001 | Commercial | AKASH MANAGEMENT LLC | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1962-11-12 | N/A | 363602 | N/A | C1 | false | DELGADO | N/A | MARIANO | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8124546234 | 7927 | N/A | 5542335 | 2222 | N/A | 9123089 | N/A | 4214261 | 2025-07-01 17:06:50.541605 | 2025-05-13 04:29:37.228594 |
| 2025-07-01 16:36:26.709968 | 2025-07-01 16:36:56.121931 | 9419362 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2010-08-19 | N/A | M | 30 | 3939 | WILLIAMS | W287449227 | PHOENIX | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550871/check_9419362_3a09a815-1111-4c87-a09a-1adc948d51f0.edi.txt | WAYSTAR | N/A | INSIGHTS | N/A | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550871/check_9419362_f2fc3809-75cc-4b15-88eb-2398ac0e90d9.json | N/A | N/A | N/A | N/A | N/A | W287449227 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 2010-08-19 | 0176567 | 017656701000046 | N/A | PS | false | WILLIAMS | N/A | RONA | N/A | N/A | N/A | OPEN ACCESS MC | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8124200342 | 9482 | N/A | 5550871 | 2222 | N/A | 9122887 | N/A | 4219728 | 2025-07-01 16:36:56.121931 | 2025-07-17 17:13:25.075934 |
| 2025-07-01 16:06:59.095749 | 2025-07-01 16:07:04.020540 | 9419161 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-11-12 | 2025-07-01 | M | 30 | 6411 | DELGADO | 972788001 | MARIANO | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542335/check_9419161_08d4beed-711a-4785-a7f8-c5b329e74b3d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542335/check_9419161_f85422cd-d555-4120-8be0-d5567882d127.json | N/A | N/A | N/A | N/A | N/A | 972788001 | Commercial | AKASH MANAGEMENT LLC | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1962-11-12 | N/A | 363602 | N/A | C1 | false | DELGADO | N/A | MARIANO | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8123809150 | 5831 | N/A | 5542335 | 2222 | N/A | 9122646 | N/A | 4214261 | 2025-07-01 16:07:04.020540 | 2025-05-13 04:29:37.228594 |
| 2025-07-01 16:01:35.078638 | 2025-07-01 16:01:47.048988 | 9419123 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-05-01 | 2025-07-01 | F | 30 | 3948 | RAPP | W460574623 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6593005/check_9419123_4f3286df-f357-43b7-9c01-605aa4589431.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6593005/check_9419123_a3c53b8e-dc93-4fdd-a1d7-a1a15a89e0a5.json | N/A | N/A | N/A | N/A | N/A | W460574623 | Point of Service (POS) | MARSH & MCLENNAN COMPANIES, INC. | AETNA | N/A | 1960-05-01 | 0868802 | 086880201300002 | N/A | PS | false | RAPP | N/A | DAVID | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8123719767 | 9482 | N/A | 6593005 | 2222 | N/A | 9122599 | N/A | 5212281 | 2025-07-01 16:01:47.048988 | 2025-08-08 19:19:53.683359 |
| 2025-07-01 15:59:53.306354 | 2025-07-01 16:01:35.074277 | 9419104 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-05-01 | 2025-07-01 | F | 30 | 3948 | RAPP | W460574623 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6593005/check_9419104_d083d5ae-8cda-4ecf-81bb-10d2671a1010.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | W460574623 | N/A | N/A | AETNA | N/A | 1960-05-01 | N/A | N/A | N/A | N/A | false | RAPP | N/A | PATRICIA | 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 | 6593005 | 2222 | N/A | N/A | N/A | 5212281 | 2025-07-01 16:01:35.074277 | 2025-08-08 19:19:53.683359 |
| 2025-07-01 15:38:02.505134 | 2025-07-01 15:38:06.408814 | 9418905 | 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 | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418905_c70b04ed-133a-44d2-80f3-a0ffb1b04acf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9418905_851a0733-0ece-4611-8158-3d53c7f04af7.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 | 9122331 | N/A | 5195072 | 2025-07-01 15:38:06.408814 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:38:00.808023 | 2025-07-01 15:38:02.502163 | 9418903 | 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 | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418903_bb2b405f-d30e-4469-850b-b9e15839a1be.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 15:38:02.502163 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:37:54.683003 | 2025-07-01 15:37:56.531818 | 9418901 | 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 | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418901_170af615-d282-41b6-a52e-caad280da751.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9418901_b308112b-5347-4ba0-863d-c27ec6fa52bf.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 | 9122327 | N/A | 5195072 | 2025-07-01 15:37:56.531818 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:37:52.005883 | 2025-07-01 15:37:54.680753 | 9418900 | 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 | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418900_8bae428b-8ca2-40fe-8af5-20f74499acca.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 15:37:54.680753 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:32:01.173038 | 2025-07-01 15:32:03.052350 | 9418856 | 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 | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418856_a0b64e7e-ca76-4a48-b2f0-49d23c862033.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9418856_1a3ee10b-cdc3-4810-82f9-09b3ddee14c1.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 | 9122271 | N/A | 5195072 | 2025-07-01 15:32:03.052350 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:31:57.355940 | 2025-07-01 15:32:01.168520 | 9418854 | 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 | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418854_2856268e-8c3f-486e-9345-f28cc851c683.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 15:32:01.168520 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:31:00.971243 | 2025-07-01 15:31:02.801164 | 9418848 | 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 | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418848_f9ae0b0f-a901-4e09-ac09-ca1e24d27548.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9418848_1f6b8166-8445-4ea4-9e9d-6effc6b6475b.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 | 9122263 | N/A | 5195072 | 2025-07-01 15:31:02.801164 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:30:59.258771 | 2025-07-01 15:31:00.968405 | 9418847 | 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 | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418847_a20b57ee-51cc-430f-afc5-36bb20dc4995.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 15:31:00.968405 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:29:54.557773 | 2025-07-01 15:29:57.417982 | 9418841 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23322 | FERNANDO | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418841_71e1ed87-39ba-44a5-b6ab-efbf6b5272dd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9418841_d3c1dca7-895c-4045-85d9-a3e1b16506eb.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 | 9122256 | N/A | 5195072 | 2025-07-01 15:29:57.417982 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:29:52.845886 | 2025-07-01 15:29:54.555524 | 9418840 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23322 | FERNANDO | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418840_d593515e-5b9b-487f-9371-fabdf61621e5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 15:29:54.555524 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:28:13.447554 | 2025-07-01 15:28:15.254668 | 9418830 | 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 | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418830_59d27d7f-277d-40d9-9fed-6ab414beb6ac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9418830_80402c9a-afa5-4add-baab-45ecf7519700.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 | 9122241 | N/A | 5195072 | 2025-07-01 15:28:15.254668 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:28:11.790278 | 2025-07-01 15:28:13.443513 | 9418828 | 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 | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418828_83700688-4765-4306-b9e5-9224220420c8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 15:28:13.443513 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:27:48.737158 | 2025-07-01 15:27:50.681321 | 9418824 | 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 | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418824_289deef9-1282-4c35-9906-303a0f575631.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9418824_d82eee2f-71a8-4b3b-9e35-50cb681435d6.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 | 9122235 | N/A | 5195072 | 2025-07-01 15:27:50.681321 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:27:46.853310 | 2025-07-01 15:27:48.732574 | 9418823 | 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 | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418823_509cde77-9df4-4a2f-b552-7486ad1efe48.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 15:27:48.732574 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:27:40.920660 | 2025-07-01 15:27:42.858640 | 9418822 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23320 | FERNANDO | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418822_9983378d-3ca6-43e7-8977-bbd9d108419c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9418822_7e66fd5a-0f79-43e0-86ee-5666b90f11af.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 | 9122233 | N/A | 5195072 | 2025-07-01 15:27:42.858640 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:27:39.093818 | 2025-07-01 15:27:40.917641 | 9418821 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23320 | FERNANDO | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418821_570e1f86-538b-4876-9843-4ded494048a8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 15:27:40.917641 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:27:19.488464 | 2025-07-01 15:27:21.422772 | 9418819 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 4191 | FERNANDO | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418819_2382e215-5fe4-4121-95c3-7dd7d8d8b9f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9418819_acb33e57-240d-4730-9b4d-fedf87838f94.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | BLUE SHIELD CALIFORNIA | 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 | 9122229 | N/A | 5195072 | 2025-07-01 15:27:21.422772 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:27:17.690313 | 2025-07-01 15:27:19.484765 | 9418818 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 4191 | FERNANDO | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418818_90190762-1138-4362-9ef2-5a21654bcc9c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | BLUE SHIELD CALIFORNIA | 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 15:27:19.484765 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:26:45.941493 | 2025-07-01 15:26:47.760339 | 9418813 | 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 | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418813_8fae8953-7a8b-47c8-b1de-aebbc6d3769b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9418813_40e2cba2-97b7-46e5-9527-e61226793cdf.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 | 9122224 | N/A | 5195072 | 2025-07-01 15:26:47.760339 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:26:44.009183 | 2025-07-01 15:26:45.938072 | 9418811 | 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 | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418811_4c3a821b-0270-46c8-a390-0e2f0a852fc4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 15:26:45.938072 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:26:37.078612 | 2025-07-01 15:26:39.084780 | 9418807 | 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 | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418807_3a014dd0-1175-43b9-81a2-c556af0aaf33.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9418807_ef0f75b9-0782-4ba8-9817-6c759de9eafd.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 | 9122218 | N/A | 5195072 | 2025-07-01 15:26:39.084780 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:26:34.312017 | 2025-07-01 15:26:37.073172 | 9418806 | 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 | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418806_46a87da6-37e8-4625-9974-38d81e3d5f91.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | 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 15:26:37.073172 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:25:41.177760 | 2025-07-01 15:25:43.166485 | 9418802 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23306 | FERNANDO | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418802_b3c18fbb-2f23-449b-9364-f02740c6f14a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9418802_693ce5d7-14cc-4a6f-b28c-49b740cdf46c.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | REGAL 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 | 9122208 | N/A | 5195072 | 2025-07-01 15:25:43.166485 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:25:39.543253 | 2025-07-01 15:25:41.176168 | 9418800 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23306 | FERNANDO | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418800_45c15a6a-8ae1-476d-aec4-18dac7bda38a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | REGAL 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 15:25:41.176168 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:25:33.793081 | 2025-07-01 15:25:35.959612 | 9418797 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23306 | FERNANDO | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418797_aec60530-df45-4f33-8235-c8e2a138123c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9418797_23415622-28b2-40e2-a04d-0684deedbba2.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | REGAL 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 | 9122204 | N/A | 5195072 | 2025-07-01 15:25:35.959612 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:25:32.130161 | 2025-07-01 15:25:33.790093 | 9418796 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23306 | FERNANDO | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418796_ccd31173-30ac-4808-ad20-8b965de73a7c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | REGAL 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 15:25:33.790093 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:17:36.940886 | 2025-07-01 15:17:38.794377 | 9418716 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 4191 | FERNANDO | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418716_ae7741b6-798f-46f5-910a-5f493e9b6af8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9418716_5a9db7c8-8cfa-4d01-bdb0-6b390c0eb48d.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | BLUE SHIELD CALIFORNIA | 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 | 9122113 | N/A | 5195072 | 2025-07-01 15:17:38.794377 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:17:35.364218 | 2025-07-01 15:17:36.939473 | 9418715 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 4191 | FERNANDO | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418715_3e558422-b42b-4da9-ba5e-f438fa5247f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | BLUE SHIELD CALIFORNIA | 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 15:17:36.939473 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:17:22.828016 | 2025-07-01 15:17:29.942142 | 9418714 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 4191 | FERNANDO | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418714_3818e4f3-bdf8-4c36-8352-5f213d5e6c36.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9418714_a8d3600a-5238-4f7d-8760-e4c749ef4611.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | BLUE SHIELD CALIFORNIA | 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 | 9122110 | N/A | 5195072 | 2025-07-01 15:17:29.942142 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 15:17:18.998233 | 2025-07-01 15:17:22.825725 | 9418713 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 4191 | FERNANDO | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9418713_ab7618c1-d944-4a5e-a27d-d288751f2619.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | BLUE SHIELD CALIFORNIA | 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 15:17:22.825725 | 2025-07-02 23:59:09.756169 |
| 2025-07-01 14:52:17.959528 | 2025-07-01 14:52:22.966016 | 9418510 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-03-12 | 2025-07-01 | F | 30 | 4191 | MCNUTT | XED904914958 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6668755/check_9418510_96fcea3e-439c-49a9-b1b9-56ce8b8ddbd8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_9418510_0f83fdbe-4ca2-4f49-9d8d-96e56ea2dd90.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8122560012 | N/A | N/A | 6668755 | 2222 | N/A | 9121909 | N/A | 5282877 | 2025-07-01 14:52:22.966016 | 2025-07-01 15:56:36.473431 |
| 2025-07-01 11:58:39.296924 | 2025-07-01 11:58:41.074861 | 9415734 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-20 | N/A | 30 | 23277 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6665125/check_9415734_457973a8-2923-432c-a8e4-5c83b229ec6b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6665125/check_9415734_d7ca83fc-04f9-4957-92e6-219bda93d51e.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6665125 | 2222 | N/A | 9118888 | N/A | 4213743 | 2025-07-01 11:58:41.074861 | 2025-05-13 04:29:37.228064 |
| 2025-07-01 11:58:37.595183 | 2025-07-01 11:58:39.292968 | 9415728 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-20 | N/A | 30 | 23277 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6665125/check_9415728_a48593fd-8c34-49b0-990f-5b488d1790ca.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6665125 | 2222 | N/A | N/A | N/A | 4213743 | 2025-07-01 11:58:39.292968 | 2025-05-13 04:29:37.228064 |
| 2025-07-01 11:57:01.567906 | 2025-07-01 11:57:03.405837 | 9415636 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-18 | N/A | 30 | 23277 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6665125/check_9415636_7f5ff1ce-4d5b-4e46-898c-5d656bc5a733.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6665125/check_9415636_46bd42fb-ee57-4888-9305-eaff9250b6fb.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6665125 | 2222 | N/A | 9118792 | N/A | 4213743 | 2025-07-01 11:57:03.405837 | 2025-05-13 04:29:37.228064 |
| 2025-07-01 11:56:59.918761 | 2025-07-01 11:57:01.564914 | 9415634 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-18 | N/A | 30 | 23277 | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6665125/check_9415634_38eac6f4-5060-45d1-8d1e-8419f7fafa55.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6665125 | 2222 | N/A | N/A | N/A | 4213743 | 2025-07-01 11:57:01.564914 | 2025-05-13 04:29:37.228064 |
| 2025-07-01 11:40:03.806384 | 2025-07-01 11:40:06.545179 | 9414560 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-07-03 | F | 30 | 6411 | FABER | 331524986-11 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9414560_e4403730-1555-405a-afea-d87bb8f64a51.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9414560_9e13a9fc-3b19-429b-b5a9-9b2aec71b406.json | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | 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 | 6522947 | 2222 | N/A | 9117709 | N/A | 5146127 | 2025-07-01 11:40:06.545179 | 2025-06-20 17:58:23.371130 |
| 2025-07-01 11:39:54.199239 | 2025-07-01 11:40:03.803933 | 9414524 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-07-03 | F | 30 | 6411 | FABER | 331524986-11 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9414524_1a248f83-5698-4303-8f9b-1f09cb1b2f82.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-03 | N/A | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | 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 | 6522947 | 2222 | N/A | N/A | N/A | 5146127 | 2025-07-01 11:40:03.803933 | 2025-06-20 17:58:23.371130 |
| 2025-07-01 11:39:42.668549 | 2025-07-01 11:39:52.276238 | 9414486 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-07-02 | 2025-07-02 | M | 30 | 6411 | FRIEDMAN | G46825417 | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540931/check_9414486_fe41b676-e69a-4a5c-909d-db79a7b7b202.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9414486_e2c2feb7-342c-48c7-b778-307ee9025512.json | N/A | N/A | N/A | N/A | N/A | G46825417 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1970-07-02 | 767000416933002 | 76416933 | N/A | N/A | false | SHELBURNE | N/A | TANYA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8119783533 | N/A | N/A | 5540931 | 2222 | N/A | 9117650 | N/A | 4213013 | 2025-07-01 11:39:52.276238 | 2025-05-13 04:29:37.227340 |
| 2025-07-01 11:39:34.538200 | 2025-07-01 11:39:40.381469 | 9414457 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-07-02 | M | 30 | 6411 | SCOTT | 076810624-11 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9414457_51557ac3-7805-4d8c-8518-28517b189189.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9414457_aeb77260-4ef3-479e-8ce8-5de209f48db5.json | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | 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 | 6105989 | 2222 | N/A | 9117613 | N/A | 4750274 | 2025-07-01 11:39:40.381469 | 2025-06-12 22:26:37.845238 |
| 2025-07-01 11:39:28.653950 | 2025-07-01 11:39:34.535573 | 9414433 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-07-02 | M | 30 | 6411 | SCOTT | 076810624-11 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9414433_1148c20b-c161-40f7-80a9-2544bffdf37f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | 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 | 6105989 | 2222 | N/A | N/A | N/A | 4750274 | 2025-07-01 11:39:34.535573 | 2025-06-12 22:26:37.845238 |
| 2025-07-01 11:39:23.736803 | 2025-07-01 11:39:29.698130 | 9414412 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-02 | 2025-07-03 | M | 30 | 6397 | BALLETTA | 331479122-11 | EDWARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_9414412_0e7658db-8812-42c5-a36d-4377beda672a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993962/check_9414412_8a8f27e0-dbfc-4970-8177-3eb54c59c21f.json | N/A | N/A | N/A | N/A | N/A | 331479122 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1959-07-02 | N/A | N/A | N/A | N/A | false | BALLETTA | N/A | EDWARD | 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 | 5993962 | 2222 | N/A | 9117574 | N/A | 4642893 | 2025-07-01 11:39:29.698130 | 2025-05-28 20:58:29.913655 |
| 2025-07-01 11:39:20.033494 | 2025-07-01 11:39:23.723050 | 9414394 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-02 | 2025-07-03 | M | 30 | 6397 | BALLETTA | 331479122-11 | EDWARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_9414394_8e6e52d2-4df0-46a0-aa64-d82b169af231.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-03 | N/A | N/A | N/A | N/A | N/A | N/A | 331479122 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1959-07-02 | N/A | N/A | N/A | N/A | false | BALLETTA | N/A | EDWARD | 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 | 5993962 | 2222 | N/A | N/A | N/A | 4642893 | 2025-07-01 11:39:23.723050 | 2025-05-28 20:58:29.913655 |
| 2025-07-01 11:39:19.442698 | 2025-07-01 11:39:23.276228 | 9414391 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-07-03 | M | 30 | 6411 | LANE | MISSINGPOLICYNUMBER | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_9414391_7b5f4637-f76f-49d9-ae6b-10abc9bfa3b0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928917/check_9414391_424eb93a-d3a6-46b3-b49f-add000946529.json | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | 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 | 5928917 | 2222 | N/A | 9117544 | N/A | 4219832 | 2025-07-01 11:39:23.276228 | 2025-05-13 04:29:37.230877 |