API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-01 09:03:08.077414 | 2025-07-02 02:16:07.638802 | 9378424 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9378424 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-07-03 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250701.141430062.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068049/check_9378424_abcfdfd6-37a1-45f9-9b45-c855f402d280.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MB | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8118036197 | N/A | N/A | 6068049 | 2222 | 4793 | 9130435 | N/A | 4642852 | 2025-07-02 02:16:07.638802 | 2025-11-21 18:38:17.056437 |
| 2025-07-01 04:15:19.726427 | 2025-07-01 04:15:25.579036 | 9377672 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-02-17 | 2025-07-01 | F | 30 | N/A | HARO | N5X1918954204 | JILLIAN | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398683/check_9377672_d3f57c56-1ff2-4aec-bbd9-9aa2cff77fcb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398683/check_9377672_089d53e7-a274-44a2-b1c8-303b68b7ba95.json | N/A | N/A | N/A | N/A | N/A | N5X1918954204 | Preferred Provider Organization (PPO) | 014652 BC PPO CLASSIC - ACTIVE - CA | ANTHEM BLUE CROSS | N/A | 2008-02-17 | N/A | 014666 | N/A | PR | false | HARO | N/A | PETE | N/A | 2034-02-28 | 2023-01-01 | ACTIVE PPO PLAN_13214 | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8114062749 | N/A | N/A | 6398683 | 2222 | N/A | 9102813 | N/A | 5046240 | 2025-07-01 04:15:25.579036 | 2025-07-01 04:05:26.762675 |
| 2025-07-01 04:11:39.326712 | 2025-07-01 04:11:42.664711 | 9377432 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-20 | N/A | 30 | N/A | AZUCENA | MMA139W21606 | ESPERANZA | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6665125/check_9377432_fd3921d7-65e7-4eb1-9e26-af624c589fd5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6665125/check_9377432_c382704a-3f0b-4ac3-8377-f134eaa81106.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 | N/A | 1275 | N/A | 6665125 | 2222 | N/A | 9102569 | N/A | 4213743 | 2025-07-01 04:11:42.664711 | 2025-05-13 04:29:37.228064 |
| 2025-07-01 04:11:30.160832 | 2025-07-01 04:11:39.313987 | 9377404 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-20 | N/A | 30 | N/A | AZUCENA | MMA139W21606 | ESPERANZA | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6665125/check_9377404_cad530da-4f51-4013-8dfd-2b33781f9d4f.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 | N/A | 1275 | N/A | 6665125 | 2222 | N/A | N/A | N/A | 4213743 | 2025-07-01 04:11:39.313987 | 2025-05-13 04:29:37.228064 |
| 2025-07-01 04:10:40.618278 | 2025-07-01 04:10:50.609068 | 9377258 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-18 | N/A | 30 | N/A | AZUCENA | MMA139W21606 | ESPERANZA | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6665125/check_9377258_33873edf-a018-46d8-a72f-dc798f8e5010.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6665125/check_9377258_985dcd98-5f65-42ba-beb7-4fa8c5d193a9.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 | N/A | 1275 | N/A | 6665125 | 2222 | N/A | 9102402 | N/A | 4213743 | 2025-07-01 04:10:50.609068 | 2025-05-13 04:29:37.228064 |
| 2025-07-01 04:10:37.721468 | 2025-07-01 04:10:40.605583 | 9377256 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-06-18 | N/A | 30 | N/A | AZUCENA | MMA139W21606 | ESPERANZA | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6665125/check_9377256_238a730d-4bf2-4f37-a324-d3d47eb1a4f0.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 | N/A | 1275 | N/A | 6665125 | 2222 | N/A | N/A | N/A | 4213743 | 2025-07-01 04:10:40.605583 | 2025-05-13 04:29:37.228064 |
| 2025-07-01 03:31:09.713913 | 2025-07-01 03:31:15.621953 | 9375918 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-19 | 2025-06-11 | N/A | 30 | N/A | VALDIVIA | JQW088W14517 | CRISTINA | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549398/check_9375918_4663fd09-5618-4b31-8db9-c48523e53b43.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549398/check_9375918_9e60800d-83ea-42da-b09c-1520b1be8b6d.json | N/A | N/A | N/A | N/A | N/A | JQW088W14517 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-19 | 040 | CAMCRWP0 | N/A | MP | false | VALDIVIA | N/A | CRISTINA | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8113600936 | 1275 | N/A | 5549398 | 2222 | N/A | 9101053 | N/A | 4219064 | 2025-07-01 03:31:15.621953 | 2025-06-06 15:26:44.406275 |
| 2025-07-01 03:29:34.311933 | 2025-07-01 03:29:37.231501 | 9375813 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-19 | 2025-06-04 | N/A | 30 | N/A | VALDIVIA | JQW088W14517 | CRISTINA | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549398/check_9375813_e1dccdcd-7f1d-4157-b838-5450ffcef6ef.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549398/check_9375813_a93da771-58fb-4d7e-964c-cf7a97aae09d.json | N/A | N/A | N/A | N/A | N/A | JQW088W14517 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-19 | 040 | CAMCRWP0 | N/A | MP | false | VALDIVIA | N/A | CRISTINA | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8113581642 | 1275 | N/A | 5549398 | 2222 | N/A | 9100949 | N/A | 4219064 | 2025-07-01 03:29:37.231501 | 2025-06-06 15:26:44.406275 |
| 2025-07-01 03:24:57.765196 | 2025-07-01 03:25:01.901047 | 9375133 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-11-22 | 2025-06-11 | N/A | 30 | N/A | SCHWARTZ | SIF825W21256 | DIANE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6203882/check_9375133_e135b5e7-1041-4b12-bfd2-6b39d2b00dd2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203882/check_9375133_060d34cf-96f9-4a60-8b18-2386ef554b0a.json | N/A | N/A | N/A | N/A | N/A | SIF825W21256 | Preferred Provider Organization (PPO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1965-11-22 | 040 | 40954D | N/A | PR | false | SCHWARTZ | N/A | DIANE | N/A | 9999-12-31 | 2024-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8113531104 | 1275 | N/A | 6203882 | 2222 | N/A | 9100268 | N/A | 4774804 | 2025-07-01 03:25:01.901047 | 2025-06-04 16:46:08.140016 |
| 2025-07-01 02:17:25.743790 | 2025-07-01 02:17:41.767627 | 9373271 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-08-11 | 2025-06-30 | F | 30 | N/A | LAU | W291238873 | LEEDA | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6417918/check_9373271_669844da-1100-4079-98bd-7413a42506cd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417918/check_9373271_4493c7d4-ae06-4910-9f3e-62714c179fab.json | N/A | N/A | N/A | N/A | N/A | W291818430 | Point of Service (POS) | CONTRACEPTIVE SERVICES PAYMENT PROG | AETNA SUPPLEMENTAL CONTRACEPTIVE PPO | N/A | 1983-08-11 | 0865224 | 086522405000004 | N/A | PS | false | LAU | N/A | LEEDA | N/A | N/A | N/A | AETNA SUPPLEMENTAL CONTRACEPTIVE PPO | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8112726628 | 9483 | N/A | 6417918 | 2222 | N/A | 9098417 | N/A | 4213429 | 2025-07-01 02:17:41.767627 | 2025-07-01 02:18:15.540744 |
| 2025-07-01 00:02:40.618934 | 2025-07-01 00:02:42.432061 | 9372551 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-04-20 | 2025-07-18 | F | 30 | N/A | NOSRAT | XEK904721388 | CAROLYN | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542109/check_9372551_d1d273d1-7cdb-4da5-910a-4f2a39a84a7e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542109/check_9372551_67bd1b1a-7911-467f-afa9-d43a616cb30d.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | ANTHEM BLUE CROSS | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED VISION | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8111189312 | 7270 | N/A | 5542109 | 2222 | N/A | 9097694 | N/A | 4214065 | 2025-07-01 00:02:42.432061 | 2025-05-13 04:29:37.228379 |
| 2025-06-30 23:41:25.817949 | 2025-06-30 23:41:27.610236 | 9372520 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | N/A | DELAZAD | A01217025 | LEILA | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9372520_19bccd4d-a3bd-4d52-8357-c9d89cd88902.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9372520_5654ff46-9804-447e-a0c3-1c6cfd970123.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 | N/A | 9482 | N/A | 6567634 | 2222 | N/A | 9097638 | N/A | 5189726 | 2025-06-30 23:41:27.610236 | 2025-07-08 23:50:39.999275 |
| 2025-06-30 23:41:24.176203 | 2025-06-30 23:41:25.815771 | 9372519 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | N/A | DELAZAD | A01217025 | LEILA | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9372519_6aa0b651-b20b-49f4-9161-33233a36c0d3.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 | N/A | 9482 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-06-30 23:41:25.815771 | 2025-07-08 23:50:39.999275 |
| 2025-06-30 23:40:57.563518 | 2025-06-30 23:40:59.268566 | 9372518 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | N/A | DELAZAD | A01217025 | LEILA | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9372518_94477424-d5b2-47cf-ac8e-e4589cf93510.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9372518_d5dbc596-e048-4e9b-9591-bfe181dd3e6e.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 | N/A | 9482 | N/A | 6567634 | 2222 | N/A | 9097635 | N/A | 5189726 | 2025-06-30 23:40:59.268566 | 2025-07-08 23:50:39.999275 |
| 2025-06-30 23:40:55.987543 | 2025-06-30 23:40:57.561344 | 9372516 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | N/A | DELAZAD | A01217025 | LEILA | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9372516_8fd9e32b-5a1d-4954-8bc6-769ffdb14845.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 | N/A | 9482 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-06-30 23:40:57.561344 | 2025-07-08 23:50:39.999275 |
| 2025-06-30 23:40:35.055517 | 2025-06-30 23:40:36.817416 | 9372514 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | N/A | DELAZAD | A01217025 | LEILA | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9372514_b60dcc7a-2924-456c-9e81-2a6d26c65c2f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9372514_84fd5432-71f5-4173-82ef-114855ff0263.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 | N/A | 9482 | N/A | 6567634 | 2222 | N/A | 9097631 | N/A | 5189726 | 2025-06-30 23:40:36.817416 | 2025-07-08 23:50:39.999275 |
| 2025-06-30 23:40:33.192205 | 2025-06-30 23:40:35.052266 | 9372513 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | N/A | DELAZAD | A01217025 | LEILA | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9372513_0f9b308f-ea34-4416-a1de-5f57925635d6.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 | N/A | 9482 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-06-30 23:40:35.052266 | 2025-07-08 23:50:39.999275 |
| 2025-06-30 23:40:20.609001 | 2025-06-30 23:40:25.444642 | 9372512 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | N/A | DELAZAD | A01217025 | LEILA | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9372512_7878960c-ad65-4766-98ee-3b61cee254c3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9372512_2c4ec4ef-dac8-433b-9cb6-e075bdf9e5c1.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 | N/A | 9482 | N/A | 6567634 | 2222 | N/A | 9097628 | N/A | 5189726 | 2025-06-30 23:40:25.444642 | 2025-07-08 23:50:39.999275 |
| 2025-06-30 23:40:18.892172 | 2025-06-30 23:40:20.604233 | 9372511 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-22 | 2025-07-01 | F | 30 | N/A | DELAZAD | A01217025 | LEILA | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9372511_1d9cbc9b-b06e-4984-b28e-6302a0b1684b.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 | N/A | 9482 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-06-30 23:40:20.604233 | 2025-07-08 23:50:39.999275 |
| 2025-06-30 23:31:51.882524 | 2025-06-30 23:31:57.764193 | 9372493 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-10 | 2025-07-01 | M | 30 | N/A | MEEKER | NCF417A51479 | SEAN | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6686921/check_9372493_481ee635-6952-46bc-815b-580fa09e3b74.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6686921/check_9372493_41bb08dd-80b7-4882-8747-738e13e34bc6.json | N/A | N/A | N/A | N/A | N/A | NCF417A51479 | Health Maintenance Organization (HMO) | VENTURA COUNTY DEPUTY SHERIFFS ASSOCIATION | ANTHEM BLUE CROSS | N/A | 2011-05-10 | 040 | 282004H001 | N/A | HM | false | MEEKER | N/A | JOHN | N/A | 9999-12-31 | 2022-01-01 | CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8110962361 | N/A | N/A | 6686921 | 2222 | N/A | 9097597 | N/A | 5295012 | 2025-06-30 23:31:57.764193 | 2025-06-30 23:26:42.841924 |
| 2025-06-30 23:23:56.303117 | 2025-06-30 23:23:57.999654 | 9372469 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-05-10 | 2025-07-01 | M | 30 | N/A | KOPELOW | XEM914403682 | GREG | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6584682/check_9372469_cdb1d787-b2d3-4eaf-9e25-735fa9abfc20.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6584682/check_9372469_e807777f-23e0-4b55-8310-9d4d007af877.json | N/A | N/A | N/A | N/A | N/A | XEM914403682 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1960-05-10 | N/A | N/A | N/A | N/A | false | KOPELOW | N/A | GREG | 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 | N/A | 6584682 | 2222 | N/A | 9097559 | N/A | 5203274 | 2025-06-30 23:23:57.999654 | 2025-07-01 20:11:33.329538 |
| 2025-06-30 23:23:54.743965 | 2025-06-30 23:23:56.301541 | 9372468 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-05-10 | 2025-07-01 | M | 30 | N/A | KOPELOW | XEM914403682 | GREG | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6584682/check_9372468_570b48b3-0abe-406c-a125-6384075fa738.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | XEM914403682 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1960-05-10 | N/A | N/A | N/A | N/A | false | KOPELOW | N/A | GREG | 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 | N/A | 6584682 | 2222 | N/A | N/A | N/A | 5203274 | 2025-06-30 23:23:56.301541 | 2025-07-01 20:11:33.329538 |
| 2025-06-30 23:20:55.823788 | 2025-06-30 23:20:57.516302 | 9372463 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | N/A | FERNANDO | 391A5620540 | MANORY | 23312 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9372463_4482586c-7c29-455a-a2a3-1397bed65d60.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9372463_cc4b4a36-d88c-4b0c-b8f4-2f9da56246af.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 | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 9097544 | N/A | 5195072 | 2025-06-30 23:20:57.516302 | 2025-07-02 23:59:09.756169 |
| 2025-06-30 23:20:46.029652 | 2025-06-30 23:20:55.821827 | 9372461 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | N/A | FERNANDO | 391A5620540 | MANORY | 23312 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9372461_58f31abb-d44a-41de-bce7-9cd10b45d35e.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 | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-30 23:20:55.821827 | 2025-07-02 23:59:09.756169 |
| 2025-06-30 23:19:18.812119 | 2025-06-30 23:19:20.552499 | 9372458 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | N/A | FERNANDO | 391A5620540 | MANORY | 23443 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9372458_84b74252-1da2-496d-b34e-0fc1ad423691.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9372458_bf72a378-918e-476c-882a-991be2895301.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 | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 9097535 | N/A | 5195072 | 2025-06-30 23:19:20.552499 | 2025-07-02 23:59:09.756169 |
| 2025-06-30 23:19:17.211602 | 2025-06-30 23:19:18.809909 | 9372457 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | N/A | FERNANDO | 391A5620540 | MANORY | 23443 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9372457_9fbac25c-651f-47fc-ae99-d74d534ea872.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 | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-30 23:19:18.809909 | 2025-07-02 23:59:09.756169 |
| 2025-06-30 23:19:10.766786 | 2025-06-30 23:19:12.507595 | 9372456 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | N/A | FERNANDO | 391A5620540 | MANORY | 23443 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9372456_afff06bf-ee56-4fe3-8da2-5f1825526a38.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9372456_2a06fb50-d4be-4c85-93a4-d5504fa4003f.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 | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 9097532 | N/A | 5195072 | 2025-06-30 23:19:12.507595 | 2025-07-02 23:59:09.756169 |
| 2025-06-30 23:19:00.945371 | 2025-06-30 23:19:10.764558 | 9372455 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | N/A | FERNANDO | 391A5620540 | MANORY | 23443 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9372455_4c54b611-61f0-403b-8a6e-b1885ad12d95.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 | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-30 23:19:10.764558 | 2025-07-02 23:59:09.756169 |
| 2025-06-30 23:07:08.650413 | 2025-06-30 23:07:12.462507 | 9372431 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-06-13 | 2025-07-01 | F | 30 | N/A | Parr | 917536195 | Samantha | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6642459/check_9372431_43939e12-ec0c-4980-8e16-d64a50d1205a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6642459/check_9372431_15a6e5f9-ec6a-4d5b-b2f1-ee289a03e9a3.json | N/A | N/A | N/A | N/A | N/A | 917536195 | Commercial | VIDEOAMP, INC. | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2000-06-13 | 0005 0005 | 928362 | N/A | C1 | false | PARR | N/A | SAMANTHA | N/A | N/A | N/A | SELECT PLUS PPO CA 2023 CUJB | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8110860942 | N/A | N/A | 6642459 | 2222 | N/A | 9097469 | N/A | 5249216 | 2025-06-30 23:07:12.462507 | 2025-06-27 18:39:50.819779 |
| 2025-06-30 22:15:15.933217 | 2025-06-30 22:15:17.854613 | 9372239 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-30 | M | 30 | N/A | JAUDE | 8D38EF9GV30 | KARIM | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542251/check_9372239_2e199bd1-570f-4d54-bf82-3e9453be22d6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_9372239_41735958-85af-4e9a-98d0-09f26a77718c.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MB | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8110649861 | 160084 | N/A | 5542251 | 2222 | N/A | 9097154 | N/A | 4214191 | 2025-06-30 22:15:17.854613 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 21:27:45.936315 | 2025-06-30 21:27:47.709456 | 9372038 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-10-13 | 2025-07-11 | M | 30 | N/A | LEITERMAN | 625895789 | MATTHEW | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6682359/check_9372038_d043e8c2-1d61-4fe5-adb9-c0bb16ec2009.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6682359/check_9372038_59b323fd-f340-44de-bd11-60465981a165.json | N/A | N/A | N/A | N/A | N/A | 625895789 | N/A | L.A. CARE COVERED SILVER 73 HMO | LA CARE HEALTH PLAN | N/A | 2003-10-13 | LACC | 92815CA001000804 | N/A | N/A | false | LEITERMAN | N/A | MATHEW | N/A | 2025-12-31 | 2025-03-01 | L.A. CARE COVERED | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8110391284 | 9482 | N/A | 6682359 | 2222 | N/A | 9096894 | N/A | 5290814 | 2025-06-30 21:27:47.709456 | 2025-06-30 21:22:14.577014 |
| 2025-06-30 21:27:34.918128 | 2025-06-30 21:27:37.814144 | 9372037 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-10-13 | 2025-07-11 | M | 30 | N/A | LEITERMAN | 625895789 | MATTHEW | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6682359/check_9372037_2b0865ad-bd84-42bd-8b06-e6e7e4bdcefa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6682359/check_9372037_346fd354-dd15-4ca6-9b93-3e1d916254a8.json | N/A | N/A | N/A | N/A | N/A | 625895789 | N/A | L.A. CARE COVERED SILVER 73 HMO | LA CARE HEALTH PLAN | N/A | 2003-10-13 | LACC | 92815CA001000804 | N/A | N/A | false | LEITERMAN | N/A | MATHEW | N/A | 2025-12-31 | 2025-03-01 | L.A. CARE COVERED | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8110390304 | 9482 | N/A | 6682359 | 2222 | N/A | 9096893 | N/A | 5290814 | 2025-06-30 21:27:37.814144 | 2025-06-30 21:22:14.577014 |
| 2025-06-30 20:59:46.197182 | 2025-06-30 20:59:59.139243 | 9371907 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-03-26 | 2025-06-30 | F | 30 | N/A | Deschatres | XED912070650 | Nathalie | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6577909/check_9371907_80842687-d8f9-4257-ba16-cd034769b396.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577909/check_9371907_362ae206-dd0a-426b-9f8a-9757126cb675.json | N/A | N/A | N/A | N/A | N/A | XED912070650 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-03-26 | 2001ZK002186 | X0001004 | N/A | PR | false | DESCHATRES | N/A | NATHALIE | N/A | 9999-12-31 | 2023-02-01 | IFP EMB PED VISION | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8110184715 | N/A | N/A | 6577909 | 2222 | N/A | 9096716 | N/A | 4766701 | 2025-06-30 20:59:59.139243 | 2025-06-03 21:11:46.573919 |
| 2025-06-30 20:53:25.480572 | 2025-06-30 20:53:28.483017 | 9371877 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-06-30 | M | 30 | N/A | SCOTT | 2F27FV6KJ47 | GEORGE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9371877_ce16e3b0-1754-4319-be89-79a3c73adb75.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9371877_a78d82e4-bc6c-4ba2-8fe9-072f7afbe1b0.json | N/A | N/A | N/A | N/A | N/A | 2F27FV6KJ47 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-02-22 | N/A | N/A | N/A | MA | 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 | 8110137629 | 160084 | N/A | 6105989 | 2222 | N/A | 9096675 | N/A | 4750274 | 2025-06-30 20:53:28.483017 | 2025-06-12 22:26:37.845238 |
| 2025-06-30 20:23:37.749263 | 2025-06-30 20:23:39.609824 | 9371745 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-03 | M | 30 | N/A | JAUDE | 313A23793 | KARIM | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9371745_9f46cf0d-f476-4a07-a3eb-3589d84c9a17.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542254/check_9371745_42a00264-fab1-4d7e-900e-d6aae5422850.json | N/A | N/A | N/A | N/A | N/A | 313A23793 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1936-09-29 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | KARIM | 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 | 5831 | N/A | 5542254 | 2222 | N/A | 9096459 | N/A | 4214191 | 2025-06-30 20:23:39.609824 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 20:23:36.085453 | 2025-06-30 20:23:37.747080 | 9371744 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-03 | M | 30 | N/A | JAUDE | 313A23793 | KARIM | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9371744_75b5898e-1b0f-45c9-ba9a-b9e948635b79.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | 313A23793 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1936-09-29 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | KARIM | 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 | 5831 | N/A | 5542254 | 2222 | N/A | N/A | N/A | 4214191 | 2025-06-30 20:23:37.747080 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 20:23:20.958052 | 2025-06-30 20:23:23.703963 | 9371742 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-03 | M | 30 | N/A | JAUDE | NCF313A23793 | KARIM | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9371742_7cad78c1-142b-432a-9942-32f3c36326ef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542254/check_9371742_14bcdfdc-4cf6-4c8b-a052-8e47157cb7ef.json | N/A | N/A | N/A | N/A | N/A | NCF313A23793 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1936-09-29 | 040 | N/A | N/A | N/A | false | JAUDE | N/A | KARIM | 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 | 5831 | N/A | 5542254 | 2222 | N/A | 9096457 | N/A | 4214191 | 2025-06-30 20:23:23.703963 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 20:23:18.333335 | 2025-06-30 20:23:20.955522 | 9371741 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-03 | M | 30 | N/A | JAUDE | NCF313A23793 | KARIM | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9371741_eadf81b2-cf47-4ba9-829c-9d2f7147c041.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | NCF313A23793 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1936-09-29 | 040 | N/A | N/A | N/A | false | JAUDE | N/A | KARIM | 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 | 5831 | N/A | 5542254 | 2222 | N/A | N/A | N/A | 4214191 | 2025-06-30 20:23:20.955522 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 19:56:16.224666 | 2025-06-30 19:56:18.050634 | 9371557 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-03 | M | 30 | N/A | JAUDE | 313A23793 | KARIM | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9371557_04c8f42a-183b-44ac-bc76-9a307ce5dfdb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542254/check_9371557_69f4c260-6708-43ad-8451-3211b6de7a6f.json | N/A | N/A | N/A | N/A | N/A | 313A23793 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1936-09-29 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | KARIM | 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 | 5831 | N/A | 5542254 | 2222 | N/A | 9096186 | N/A | 4214191 | 2025-06-30 19:56:18.050634 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 19:56:13.346002 | 2025-06-30 19:56:16.220076 | 9371556 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-03 | M | 30 | N/A | JAUDE | 313A23793 | KARIM | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9371556_e92fff49-0576-48e1-9b5a-93bffc3d2683.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | 313A23793 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1936-09-29 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | KARIM | 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 | 5831 | N/A | 5542254 | 2222 | N/A | N/A | N/A | 4214191 | 2025-06-30 19:56:16.220076 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 19:46:16.407764 | 2025-06-30 19:46:19.265956 | 9371488 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-04-16 | 2025-07-09 | F | 30 | N/A | GNAD | H71897184 | MELANIE | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540682/check_9371488_5f052b1b-61cc-4e64-930e-d1b228014cfb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_9371488_7c2e3eba-7c41-46eb-acdb-52b0588aab8d.json | N/A | N/A | N/A | N/A | N/A | H71897184 | Supplemental Policy | HUMANA BENEFIT PLANOF ILL, INC | HUMANA | 067 023 | 1946-04-16 | N/A | 5A409005 | N/A | SP | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | MEDICARE MES | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8109617392 | 5831 | N/A | 5540682 | 2222 | N/A | 9096080 | N/A | 4212792 | 2025-06-30 19:46:19.265956 | 2025-10-07 20:33:25.637997 |
| 2025-06-30 18:54:23.461018 | 2025-06-30 18:54:26.445781 | 9371144 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-05-05 | 2025-07-01 | M | 30 | N/A | NOVORR | 5TE2WD0CR85 | JAMES | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210635/check_9371144_e623524c-9a3f-4115-a3e5-1c38be2018a5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210635/check_9371144_5b32297c-b6c9-4694-90e0-16662fc4b0bf.json | N/A | N/A | N/A | N/A | N/A | 5TE2WD0CR85 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-05-05 | S9701 | N/A | N/A | MA | false | NOVORR | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8109253684 | N/A | N/A | 6210635 | 2222 | N/A | 9095639 | N/A | 4853447 | 2025-06-30 18:54:26.445781 | 2025-06-30 18:48:47.810039 |
| 2025-06-30 17:35:41.820233 | 2025-06-30 17:35:46.716050 | 9370569 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-06-27 | F | 30 | N/A | GARCIA | NCF666A56083 | DAWN | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_9370569_453829f6-3298-437a-9168-d4ac81c00b3c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_9370569_850881c1-328c-424b-a1cb-20e449766cb5.json | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1974-10-21 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | DAWN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8108595327 | 5831 | N/A | 5541664 | 2222 | N/A | 9094915 | N/A | 4213662 | 2025-06-30 17:35:46.716050 | 2025-05-13 04:29:37.227982 |
| 2025-06-30 17:20:39.312146 | 2025-06-30 17:20:44.230897 | 9370452 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-04-20 | 2025-07-18 | F | 30 | N/A | NOSRAT | XEK904721388 | CAROLYN | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542109/check_9370452_e777bf6f-33f1-457b-8cad-6b62d373d088.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542109/check_9370452_680be1ee-d089-4ae6-a847-5424af731ad9.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | ANTHEM BLUE CROSS | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED VISION | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8108479289 | 160084 | N/A | 5542109 | 2222 | N/A | 9094768 | N/A | 4214065 | 2025-06-30 17:20:44.230897 | 2025-05-13 04:29:37.228379 |
| 2025-06-30 17:20:19.580338 | 2025-06-30 17:20:21.566604 | 9370448 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-04-20 | 2025-07-18 | F | 30 | N/A | NOSRAT | XEK904721388 | CAROLYN | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542109/check_9370448_eafaa1d3-cdbc-49b6-9ffb-a254bb4ebcc6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542109/check_9370448_b00aba1e-8fa1-4b5c-9f4e-a5e892a51a06.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED VISION | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8108476919 | 160084 | N/A | 5542109 | 2222 | N/A | 9094762 | N/A | 4214065 | 2025-06-30 17:20:21.566604 | 2025-05-13 04:29:37.228379 |
| 2025-06-30 17:20:01.220099 | 2025-06-30 17:20:04.218739 | 9370441 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-04-20 | 2025-07-18 | F | 30 | N/A | NOSRAT | XEK904721388 | CAROLYN | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542109/check_9370441_fc1920de-09f1-4ac9-993a-65f3978b93af.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542109/check_9370441_79e613e2-471d-49e8-8eb3-18155a66521c.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED DPPO JAN15 | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8108474498 | 160084 | N/A | 5542109 | 2222 | N/A | 9094756 | N/A | 4214065 | 2025-06-30 17:20:04.218739 | 2025-05-13 04:29:37.228379 |
| 2025-06-30 17:07:27.868055 | 2025-06-30 17:07:29.827604 | 9370301 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2006-03-24 | 2025-06-30 | M | 30 | N/A | STRUYK | KXJ856W22729 | WILLIAM | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554190/check_9370301_8a86755a-fa9c-4e2a-a3a3-ce20b91a9497.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554190/check_9370301_4c2f9310-b67e-4d82-86db-13751d30be33.json | N/A | N/A | N/A | N/A | N/A | KXJ856W22729 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2006-03-24 | N/A | N/A | N/A | N/A | false | STRUYK | N/A | WILLIAM | 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 | N/A | 6554190 | 2222 | N/A | 9094592 | N/A | 5177382 | 2025-06-30 17:07:29.827604 | 2025-06-30 00:02:38.867255 |
| 2025-06-30 17:07:20.123673 | 2025-06-30 17:07:27.865059 | 9370299 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2006-03-24 | 2025-06-30 | M | 30 | N/A | STRUYK | KXJ856W22729 | WILLIAM | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554190/check_9370299_4d5e15f1-acb7-4c7c-a105-b6a307b91972.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | N/A | N/A | N/A | N/A | N/A | N/A | KXJ856W22729 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2006-03-24 | N/A | N/A | N/A | N/A | false | STRUYK | N/A | WILLIAM | 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 | N/A | 6554190 | 2222 | N/A | N/A | N/A | 5177382 | 2025-06-30 17:07:27.865059 | 2025-06-30 00:02:38.867255 |
| 2025-06-30 17:06:31.100231 | 2025-06-30 17:06:34.040300 | 9370295 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-08-29 | 2025-06-30 | M | 30 | N/A | HARDING | XDP157A51099 | NATHAN | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398773/check_9370295_5acf74f9-98b1-401d-8b05-9d5e35589a1a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398773/check_9370295_67267624-e2c3-43a6-813c-8af8c5e4226c.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1967-08-29 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8108367950 | N/A | N/A | 6398773 | 2222 | N/A | 9094584 | N/A | 5046326 | 2025-06-30 17:06:34.040300 | 2025-06-30 17:04:21.721546 |
| 2025-06-30 17:05:27.098157 | 2025-06-30 17:05:28.944255 | 9370285 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2006-03-24 | 2025-06-30 | M | 30 | N/A | STRUYK | KXJ486W22729 | WILLIAM | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554190/check_9370285_badb2e62-42d4-4092-b3c6-0e5a8d38d258.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554190/check_9370285_41cbfba2-c745-420d-8cfc-f5c5e3bdbf63.json | N/A | N/A | N/A | N/A | N/A | KXJ486W22729 | Health Maintenance Organization (HMO) | FEHBP FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM | ANTHEM BLUE CROSS | N/A | 2006-03-24 | 040 | 277579H011 | N/A | HM | false | STRUYK | N/A | JAMES | N/A | 9999-12-31 | 2025-01-01 | VALUE SELECT HMO | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8108359802 | N/A | N/A | 6554190 | 2222 | N/A | 9094573 | N/A | 5177382 | 2025-06-30 17:05:28.944255 | 2025-06-30 00:02:38.867255 |