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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-30 17:05:05.584295 | 2025-06-30 17:05:09.424829 | 9370281 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2006-03-24 | 2025-06-30 | M | 30 | 4184 | STRUYK | KXJ486W22729 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554190/check_9370281_9f1148e3-0b83-4e27-b71f-0c2781352068.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554190/check_9370281_56e361c1-053d-46f9-b4c2-539df3e29d4d.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 | 8108356877 | N/A | N/A | 6554190 | 2222 | N/A | 9094571 | N/A | 5177382 | 2025-06-30 17:05:09.424829 | 2025-06-30 00:02:38.867255 |
| 2025-06-30 17:02:28.379665 | 2025-06-30 17:02:36.209220 | 9370263 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-10-01 | 2025-07-17 | F | 30 | 4184 | BANDEMER | FJB21605892M | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6415297/check_9370263_9df0d953-0da2-4b85-9e3d-fc49d1aebf3d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6415297/check_9370263_01962b3e-c1f3-4ea1-a90d-39855aa1db56.json | N/A | N/A | N/A | N/A | N/A | FJB21605892M | Preferred Provider Organization (PPO) | BANK OF AMERICA CORPORATION | ANTHEM BLUE CROSS | N/A | 1970-10-01 | 101 | 174549M111 | N/A | PR | false | BANDEMER | N/A | MICHAEL | N/A | 9999-12-31 | 2024-01-01 | BLUECARD PPO | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8108331891 | N/A | N/A | 6415297 | 2222 | N/A | 9094548 | N/A | 5062987 | 2025-06-30 17:02:36.209220 | 2025-06-30 17:00:12.075578 |
| 2025-06-30 16:10:30.998735 | 2025-06-30 16:10:33.861772 | 9370036 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-04-16 | 2025-06-30 | F | 30 | 3842 | GNAD | 03840002311 | MELANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540682/check_9370036_9d0d1c05-c15c-41a7-9d70-d8e85f4a5b37.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_9370036_244a7ebe-d974-4dff-9c32-baba14173fc9.json | N/A | N/A | N/A | N/A | N/A | 03840002311 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1946-04-16 | N/A | N/A | N/A | N/A | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8107894702 | 9483 | N/A | 5540682 | 2222 | N/A | 9094247 | N/A | 4212792 | 2025-06-30 16:10:33.861772 | 2025-10-07 20:33:25.637997 |
| 2025-06-30 15:46:01.744483 | 2025-06-30 15:46:03.709231 | 9369965 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-08-04 | 2025-07-01 | F | 30 | 4185 | Rothber | XEA914346837 | Kimberly | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667273/check_9369965_0008b5aa-784d-4b30-9242-fe2201658036.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667273/check_9369965_20cc9ab5-6f01-4333-abc7-1c3a45ce2c41.json | N/A | N/A | N/A | N/A | N/A | XEA914346837 | Preferred Provider Organization (PPO) | HIRECLOUT INC | ANTHEM BLUE CROSS | N/A | 1997-08-04 | 1000VX000102 | W0079225 | N/A | PR | false | ROTHBERG | N/A | KIMBERLY | N/A | 9999-12-31 | 2025-05-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8107702443 | 160084 | N/A | 6667273 | 2222 | N/A | 9094126 | N/A | 5281075 | 2025-06-30 15:46:03.709231 | 2025-06-30 15:45:14.206017 |
| 2025-06-30 15:44:44.919764 | 2025-06-30 15:44:49.882836 | 9369958 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-08-04 | 2025-07-01 | F | 30 | 4185 | Rothber | XEA914346837 | Kimberly | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667273/check_9369958_c8d67317-875a-4c41-9b1e-91c232bf5026.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667273/check_9369958_cb11fe62-fb99-4653-8337-e841dd9c1f57.json | N/A | N/A | N/A | N/A | N/A | XEA914346837 | Preferred Provider Organization (PPO) | HIRECLOUT INC | ANTHEM BLUE CROSS | N/A | 1997-08-04 | 1000VX000102 | W0079225 | N/A | PR | false | ROTHBERG | N/A | KIMBERLY | N/A | 9999-12-31 | 2025-05-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8107692701 | 160084 | N/A | 6667273 | 2222 | N/A | 9094115 | N/A | 5281075 | 2025-06-30 15:44:49.882836 | 2025-06-30 15:45:14.206017 |
| 2025-06-30 15:43:54.251606 | 2025-06-30 15:43:57.048981 | 9369955 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-08-04 | 2025-07-01 | F | 30 | 4191 | Rothber | XEA914346837 | Kimberly | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667273/check_9369955_05feb45b-4a76-4df8-8ec2-4e3dce86fc17.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667273/check_9369955_565feb3b-0fd1-422d-b43b-02426198c9b8.json | N/A | N/A | N/A | N/A | N/A | XEA914346837 | Preferred Provider Organization (PPO) | HIRECLOUT INC | BLUE SHIELD CALIFORNIA | N/A | 1997-08-04 | 1000VX000102 | W0079225 | N/A | PR | false | ROTHBERG | N/A | KIMBERLY | N/A | 2025-11-30 | 2025-05-01 | GOLD FULL PPO 750 30 OFFEX | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8107686517 | 160084 | N/A | 6667273 | 2222 | N/A | 9094111 | N/A | 5281075 | 2025-06-30 15:43:57.048981 | 2025-06-30 15:45:14.206017 |
| 2025-06-30 15:30:40.835620 | 2025-06-30 15:30:42.664109 | 9369911 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-07-07 | 2025-07-01 | M | 30 | 4191 | Blatt | W0051486 | Omer | https://storage.googleapis.com/normandy-eligibility-checks/2222/6631136/check_9369911_148bc603-486e-4955-bc9c-b7329fde55aa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6631136/check_9369911_b4ae5c57-4835-47d5-8d88-0fece2ac3b3e.json | N/A | N/A | N/A | N/A | N/A | W0051486 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1983-07-07 | N/A | N/A | N/A | N/A | false | BLATT | N/A | OMER | 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 | 6631136 | 2222 | N/A | 9094041 | N/A | 5246980 | 2025-06-30 15:30:42.664109 | 2026-01-13 00:33:20.593425 |
| 2025-06-30 15:30:38.199277 | 2025-06-30 15:30:40.831570 | 9369910 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-07-07 | 2025-07-01 | M | 30 | 4191 | Blatt | W0051486 | Omer | https://storage.googleapis.com/normandy-eligibility-checks/2222/6631136/check_9369910_efb16068-9606-4b7d-818d-b5e09e432f88.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | W0051486 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1983-07-07 | N/A | N/A | N/A | N/A | false | BLATT | N/A | OMER | 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 | 6631136 | 2222 | N/A | N/A | N/A | 5246980 | 2025-06-30 15:30:40.831570 | 2026-01-13 00:33:20.593425 |
| 2025-06-30 15:23:57.330148 | 2025-06-30 15:23:59.163925 | 9369894 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-30 | M | 30 | 4185 | JAUDE | 313A23793 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9369894_0699dde8-7b95-4a98-9a1b-6bd686823eb8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542254/check_9369894_1202ce1e-7730-4ac2-af0a-8bd5f05eb3a5.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 | 9228 | N/A | 5542254 | 2222 | N/A | 9094017 | N/A | 4214191 | 2025-06-30 15:23:59.163925 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 15:23:55.620143 | 2025-06-30 15:23:57.327712 | 9369892 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-30 | M | 30 | 4185 | JAUDE | 313A23793 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9369892_e62094bb-59d4-4edf-90b8-802b09de0a6b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | 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 | 9228 | N/A | 5542254 | 2222 | N/A | N/A | N/A | 4214191 | 2025-06-30 15:23:57.327712 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 14:51:52.974698 | 2025-06-30 14:51:56.800181 | 9369750 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-12-04 | 2025-06-30 | F | 30 | 6798 | MURRAY | 27528113 | HESTER | https://storage.googleapis.com/normandy-eligibility-checks/2222/6225666/check_9369750_5194287d-e1b4-4dfc-bde5-43d2d40c890d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6225666/check_9369750_46754934-48ac-4a7f-8bda-bcd9a7a557bb.json | N/A | N/A | N/A | N/A | N/A | 27528113 | N/A | N/A | WELLCARE HEALTH PLANS | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. FOR ADDITIONAL BENEFIT INFORMATION REGARDING THIS MEMBER PLEASE CONTACT OUR CUSTOMER SERVICE TEAM. | 1947-12-04 | 406-024-000 | N/A | N/A | N/A | false | MURRAY | N/A | HESTER | N/A | N/A | N/A | SIMPLE (HMO) (H5087024000) | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8107172224 | N/A | N/A | 6225666 | 2222 | N/A | 9093862 | N/A | 4873309 | 2025-06-30 14:51:56.800181 | 2025-06-30 14:46:58.881605 |
| 2025-06-30 14:25:40.191877 | 2025-06-30 14:25:42.024102 | 9369583 | N/A | N/A | SELF1 | SELF-PAY (NO INSURANCE) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-05 | 2025-06-30 | F | 30 | 6895 | GALLO | MISSINGPOLICYNUMBER | ROSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6196443/check_9369583_be665ade-13eb-4c1b-9a66-16a30365d18f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6196443/check_9369583_8d12e862-7a6c-4753-aa0f-1363869356ac.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | SELF PAY ESTIMATION ONLY | N/A | 1953-09-05 | N/A | N/A | N/A | N/A | false | GALLO | N/A | ROSA | 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 | 6196443 | 2222 | N/A | 9093693 | N/A | 4840255 | 2025-06-30 14:25:42.024102 | 2025-06-30 14:15:35.281843 |
| 2025-06-30 14:25:38.516073 | 2025-06-30 14:25:40.188625 | 9369581 | N/A | N/A | SELF1 | SELF-PAY (NO INSURANCE) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-05 | 2025-06-30 | F | 30 | 6895 | GALLO | MISSINGPOLICYNUMBER | ROSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6196443/check_9369581_68c6fcb4-3820-44b7-b999-4fcff99611e8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | N/A | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | SELF PAY ESTIMATION ONLY | N/A | 1953-09-05 | N/A | N/A | N/A | N/A | false | GALLO | N/A | ROSA | 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 | 6196443 | 2222 | N/A | N/A | N/A | 4840255 | 2025-06-30 14:25:40.188625 | 2025-06-30 14:15:35.281843 |
| 2025-06-30 14:06:29.499142 | 2025-06-30 14:06:31.338769 | 9369477 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-07-01 | F | 30 | 23277 | GARCIA | 666A556083-20 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_9369477_896d9e9b-2b57-4720-9048-7cf96ba49392.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_9369477_7c599f2d-9361-4024-a15e-dd5b85affc89.json | N/A | N/A | N/A | N/A | N/A | 666A556083-20 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9228 | N/A | 5541664 | 2222 | N/A | 9093568 | N/A | 4213662 | 2025-06-30 14:06:31.338769 | 2025-05-13 04:29:37.227982 |
| 2025-06-30 14:06:26.817645 | 2025-06-30 14:06:29.496529 | 9369476 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-07-01 | F | 30 | 23277 | GARCIA | 666A556083-20 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_9369476_39556776-aefc-4e2a-8fa1-bea611b9b882.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | 666A556083-20 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9228 | N/A | 5541664 | 2222 | N/A | N/A | N/A | 4213662 | 2025-06-30 14:06:29.496529 | 2025-05-13 04:29:37.227982 |
| 2025-06-30 13:42:51.512903 | 2025-06-30 13:42:56.382803 | 9369320 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-04-16 | 2025-07-18 | F | 30 | 3842 | GNAD | 3840002311 | MELANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540682/check_9369320_c5cdb655-a63c-46a9-8f79-fa928c6759fb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_9369320_9b5d1a62-5134-4139-9344-8a2b63fd8aca.json | N/A | N/A | N/A | N/A | N/A | 3840002311 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1946-04-16 | N/A | N/A | N/A | N/A | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9228 | N/A | 5540682 | 2222 | N/A | 9093356 | N/A | 4212792 | 2025-06-30 13:42:56.382803 | 2025-10-07 20:33:25.637997 |
| 2025-06-30 13:42:48.854468 | 2025-06-30 13:42:51.510045 | 9369316 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-04-16 | 2025-07-18 | F | 30 | 3842 | GNAD | 3840002311 | MELANIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540682/check_9369316_716c5434-28f6-4ec5-ae8e-66347d60ba12.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | 3840002311 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1946-04-16 | N/A | N/A | N/A | N/A | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 9228 | N/A | 5540682 | 2222 | N/A | N/A | N/A | 4212792 | 2025-06-30 13:42:51.510045 | 2025-10-07 20:33:25.637997 |
| 2025-06-30 08:41:38.094666 | 2025-06-30 08:41:39.889408 | 9365975 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-09 | F | 30 | 4497 | BRENNER | 8F12ED9EE92 | ROCIO FLORES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550896/check_9365975_4e1ebb4a-514d-41d4-ba51-b6d75bee43cd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550896/check_9365975_d71d7b01-7470-4544-a097-3e88d1f6ef11.json | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 5138 | N/A | 5550896 | 2222 | N/A | 9087630 | N/A | 4219750 | 2025-06-30 08:41:39.889408 | 2025-06-06 02:15:39.377685 |
| 2025-06-30 08:41:34.067807 | 2025-06-30 08:41:38.091915 | 9365974 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-09 | F | 30 | 4497 | BRENNER | 8F12ED9EE92 | ROCIO FLORES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550896/check_9365974_a3300c0e-7677-4487-87ba-0694a83187be.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 5138 | N/A | 5550896 | 2222 | N/A | N/A | N/A | 4219750 | 2025-06-30 08:41:38.091915 | 2025-06-06 02:15:39.377685 |
| 2025-06-30 08:40:56.201398 | 2025-06-30 08:40:58.042415 | 9365973 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-13 | F | 30 | 4497 | BRENNER | 8F12ED9EE92 | ROCIO FLORES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550896/check_9365973_22e5e4df-8882-4d09-a20e-62ddc9b53053.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550896/check_9365973_b5b29840-b956-4b12-aa95-ccb11519ebc0.json | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 5138 | N/A | 5550896 | 2222 | N/A | 9087628 | N/A | 4219750 | 2025-06-30 08:40:58.042415 | 2025-06-06 02:15:39.377685 |
| 2025-06-30 08:40:54.109976 | 2025-06-30 08:40:56.198622 | 9365972 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-13 | F | 30 | 4497 | BRENNER | 8F12ED9EE92 | ROCIO FLORES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550896/check_9365972_dd61c216-5d8f-4a53-ba52-a639aa7599f0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | N/A | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 5138 | N/A | 5550896 | 2222 | N/A | N/A | N/A | 4219750 | 2025-06-30 08:40:56.198622 | 2025-06-06 02:15:39.377685 |
| 2025-06-30 02:31:40.282221 | 2025-06-30 02:31:43.304565 | 9363179 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-11-20 | 2025-06-30 | F | 30 | 4184 | RUND | JQU141A61623 | Stephanie | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398636/check_9363179_aff4cda0-7f4a-44f5-bfea-a7085218afe5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398636/check_9363179_a6245315-99af-40ba-8241-45b983dfa55f.json | N/A | N/A | N/A | N/A | N/A | JQU141A61623 | Preferred Provider Organization (PPO) | BRUCE EDWARDS DDS | ANTHEM BLUE CROSS | N/A | 1960-11-20 | 040 | 225912 | N/A | PR | false | RUND | N/A | STEPHANIE | N/A | 9999-12-31 | 2024-12-01 | ANTHEM GOLD PPO 30/500/20% RXD | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8100573822 | N/A | N/A | 6398636 | 2222 | N/A | 9074596 | N/A | 5046194 | 2025-06-30 02:31:43.304565 | 2026-01-06 19:15:31.520951 |
| 2025-06-30 00:34:50.866311 | 2025-06-30 00:34:55.611586 | 9363134 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-07-01 | F | 30 | 23277 | GARCIA | 666A556083-20 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_9363134_be1a46e1-8734-4cfd-af71-17b40b21e5af.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_9363134_bdb182e9-83fd-4345-9a81-581da1b51f73.json | N/A | N/A | N/A | N/A | N/A | 666A556083-20 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541664 | 2222 | N/A | 9074551 | N/A | 4213662 | 2025-06-30 00:34:55.611586 | 2025-05-13 04:29:37.227982 |
| 2025-06-30 00:34:48.241561 | 2025-06-30 00:34:50.864107 | 9363133 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-07-01 | F | 30 | 23277 | GARCIA | 666A556083-20 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_9363133_e32095bd-2292-4979-b815-690313aed3d8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | 666A556083-20 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541664 | 2222 | N/A | N/A | N/A | 4213662 | 2025-06-30 00:34:50.864107 | 2025-05-13 04:29:37.227982 |
| 2025-06-30 00:34:14.640655 | 2025-06-30 00:34:16.456699 | 9363132 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-06-17 | F | 30 | 4185 | GARCIA | 666A556083-20 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_9363132_88986c7c-ca83-4d54-ba28-7d834cf2e3b0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_9363132_0de7bc05-62a7-4549-9f0c-1033a2dacfb4.json | N/A | N/A | N/A | N/A | N/A | 666A556083-20 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541664 | 2222 | N/A | 9074549 | N/A | 4213662 | 2025-06-30 00:34:16.456699 | 2025-05-13 04:29:37.227982 |
| 2025-06-30 00:34:12.883862 | 2025-06-30 00:34:14.637788 | 9363131 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-06-17 | F | 30 | 4185 | GARCIA | 666A556083-20 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_9363131_f40dfd01-3d28-43cc-91e7-bd860d6768eb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | N/A | N/A | N/A | N/A | N/A | N/A | 666A556083-20 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541664 | 2222 | N/A | N/A | N/A | 4213662 | 2025-06-30 00:34:14.637788 | 2025-05-13 04:29:37.227982 |
| 2025-06-30 00:33:03.815835 | 2025-06-30 00:33:06.604612 | 9363130 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-07-01 | F | 30 | 23277 | GARCIA | 666A56083-20 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_9363130_7135abde-6e0d-4fd4-944e-7da29a84c0c1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_9363130_c41659da-e551-4475-804d-7f847b47dc5a.json | N/A | N/A | N/A | N/A | N/A | 666A56083-20 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541664 | 2222 | N/A | 9074547 | N/A | 4213662 | 2025-06-30 00:33:06.604612 | 2025-05-13 04:29:37.227982 |
| 2025-06-30 00:32:59.978949 | 2025-06-30 00:33:03.814103 | 9363129 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-07-01 | F | 30 | 23277 | GARCIA | 666A56083-20 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_9363129_b0b0b0e4-0bbd-410d-abba-613d7358e463.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | 666A56083-20 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541664 | 2222 | N/A | N/A | N/A | 4213662 | 2025-06-30 00:33:03.814103 | 2025-05-13 04:29:37.227982 |
| 2025-06-30 00:32:17.588434 | 2025-06-30 00:32:19.352041 | 9363128 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-07-01 | F | 30 | 23277 | GARCIA | NCFG66A56083 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_9363128_250bcdc7-96ac-4610-98f8-0086f76846cb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_9363128_82b03f9c-ca9f-4819-a95e-fe29a65abac0.json | N/A | N/A | N/A | N/A | N/A | NCFG66A56083 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541664 | 2222 | N/A | 9074545 | N/A | 4213662 | 2025-06-30 00:32:19.352041 | 2025-05-13 04:29:37.227982 |
| 2025-06-30 00:32:15.734952 | 2025-06-30 00:32:17.584189 | 9363127 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-07-01 | F | 30 | 23277 | GARCIA | NCFG66A56083 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_9363127_583f98b5-9a3e-4c3e-b391-c59705a091c4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | NCFG66A56083 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541664 | 2222 | N/A | N/A | N/A | 4213662 | 2025-06-30 00:32:17.584189 | 2025-05-13 04:29:37.227982 |
| 2025-06-30 00:31:35.925348 | 2025-06-30 00:31:37.771721 | 9363126 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-07-01 | F | 30 | 4185 | GARCIA | NCFG66A56083 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_9363126_ebc71059-004c-4b92-905b-7fc771aaddfc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_9363126_5e838f01-0a51-4afb-a26a-430b91c763c0.json | N/A | N/A | N/A | N/A | N/A | NCFG66A56083 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541664 | 2222 | N/A | 9074543 | N/A | 4213662 | 2025-06-30 00:31:37.771721 | 2025-05-13 04:29:37.227982 |
| 2025-06-30 00:31:33.338000 | 2025-06-30 00:31:35.923822 | 9363125 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-07-01 | F | 30 | 4185 | GARCIA | NCFG66A56083 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_9363125_6fbf5a44-a328-4b48-9ffb-77184e88c6c1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | NCFG66A56083 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541664 | 2222 | N/A | N/A | N/A | 4213662 | 2025-06-30 00:31:35.923822 | 2025-05-13 04:29:37.227982 |
| 2025-06-30 00:28:32.733740 | 2025-06-30 00:28:36.654146 | 9363124 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-27 | 2025-06-30 | M | 30 | 6411 | SINGLETON | 984413410 | TOM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541716/check_9363124_578c8a2a-15c6-44c8-943e-c93a8bb2ad14.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541716/check_9363124_a6fa86dd-1248-4dd1-af0b-ebc57e2173eb.json | N/A | N/A | N/A | N/A | N/A | 984413410 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1961-11-27 | N/A | 74134 | N/A | PR | false | SINGLETON | N/A | TOM | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8099366979 | 7927 | N/A | 5541716 | 2222 | N/A | 9074541 | N/A | 4213709 | 2025-06-30 00:28:36.654146 | 2026-01-23 21:41:52.262628 |
| 2025-06-30 00:25:13.267431 | 2025-06-30 00:25:15.059628 | 9363123 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-27 | 2025-06-30 | M | 30 | 6411 | SINGLETON | 984413410 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541716/check_9363123_b7ef6697-1e20-4983-b01f-c31746f806b6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541716/check_9363123_8a5838f3-5e6e-4306-ab61-9feb6d5bb3a3.json | N/A | N/A | N/A | N/A | N/A | 984413410 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1961-11-27 | N/A | N/A | N/A | N/A | false | SINGLETON | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541716 | 2222 | N/A | 9074540 | N/A | 4213709 | 2025-06-30 00:25:15.059628 | 2026-01-23 21:41:52.262628 |
| 2025-06-30 00:25:10.566035 | 2025-06-30 00:25:13.263696 | 9363122 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-27 | 2025-06-30 | M | 30 | 6411 | SINGLETON | 984413410 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541716/check_9363122_bb3445ab-b8d7-42bc-9c50-4efc0902de0b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | N/A | N/A | N/A | N/A | N/A | N/A | 984413410 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1961-11-27 | N/A | N/A | N/A | N/A | false | SINGLETON | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541716 | 2222 | N/A | N/A | N/A | 4213709 | 2025-06-30 00:25:13.263696 | 2026-01-23 21:41:52.262628 |
| 2025-06-30 00:24:18.211699 | 2025-06-30 00:24:19.937839 | 9363121 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-30 | M | 30 | 4185 | JAUDE | 313A23793 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9363121_722bff45-92ac-4e2c-8a05-9dbda5c15a1f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542254/check_9363121_6286b580-9f77-4762-bcbb-82a39c66a88a.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 | 7927 | N/A | 5542254 | 2222 | N/A | 9074538 | N/A | 4214191 | 2025-06-30 00:24:19.937839 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 00:24:16.424836 | 2025-06-30 00:24:18.209616 | 9363120 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-30 | M | 30 | 4185 | JAUDE | 313A23793 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9363120_987cd6f0-07c7-4fa2-9c76-e1659064d45e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | 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 | 7927 | N/A | 5542254 | 2222 | N/A | N/A | N/A | 4214191 | 2025-06-30 00:24:18.209616 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 00:24:02.714854 | 2025-06-30 00:24:05.733961 | 9363119 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-30 | M | 30 | 4497 | JAUDE | 8D38EF9GV30 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542251/check_9363119_a086c427-ba3a-4a58-abdc-0f3cf1007a49.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_9363119_3d8371bd-da75-4a64-8bea-c77c614a7e28.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 | 8099321244 | 7927 | N/A | 5542251 | 2222 | N/A | 9074536 | N/A | 4214191 | 2025-06-30 00:24:05.733961 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 00:20:39.235539 | 2025-06-30 00:20:41.030343 | 9363118 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-30 | M | 30 | 4185 | JAUDE | 313A23793 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9363118_6e1f3f0d-8b89-4f16-907d-690acc251aa0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542254/check_9363118_3ae3d7c6-3211-4455-9ac6-9631286ff653.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 | 7927 | N/A | 5542254 | 2222 | N/A | 9074535 | N/A | 4214191 | 2025-06-30 00:20:41.030343 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 00:20:37.547571 | 2025-06-30 00:20:39.233291 | 9363117 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-30 | M | 30 | 4185 | JAUDE | 313A23793 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9363117_0150a90e-39e2-4f43-8b3f-b3e0bba53677.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | 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 | 7927 | N/A | 5542254 | 2222 | N/A | N/A | N/A | 4214191 | 2025-06-30 00:20:39.233291 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 00:20:13.881425 | 2025-06-30 00:20:21.757531 | 9363116 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-30 | M | 30 | 4191 | JAUDE | 313A23793 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9363116_8ad12cf7-025a-48d2-8b4c-44907b51d0f9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542254/check_9363116_6ed7aa80-e59b-4638-9d63-65181673b853.json | N/A | N/A | N/A | N/A | N/A | 313A23793 | N/A | N/A | BLUE SHIELD CALIFORNIA | 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 | 7927 | N/A | 5542254 | 2222 | N/A | 9074533 | N/A | 4214191 | 2025-06-30 00:20:21.757531 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 00:20:10.680833 | 2025-06-30 00:20:13.867997 | 9363115 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-30 | M | 30 | 4191 | JAUDE | 313A23793 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9363115_14a793f3-ffac-4f0c-8a04-2f339c419a2f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | N/A | N/A | N/A | N/A | N/A | N/A | 313A23793 | N/A | N/A | BLUE SHIELD CALIFORNIA | 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 | 7927 | N/A | 5542254 | 2222 | N/A | N/A | N/A | 4214191 | 2025-06-30 00:20:13.867997 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 00:19:55.588267 | 2025-06-30 00:19:57.359359 | 9363114 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-30 | M | 30 | 4185 | JAUDE | 313A23793 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9363114_a5cb65a2-0c5c-4eeb-b367-c24765b9f3fc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542254/check_9363114_2625c479-e9af-4617-a319-7760060bddbc.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 | 7927 | N/A | 5542254 | 2222 | N/A | 9074531 | N/A | 4214191 | 2025-06-30 00:19:57.359359 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 00:19:53.826202 | 2025-06-30 00:19:55.584939 | 9363113 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-30 | M | 30 | 4185 | JAUDE | 313A23793 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9363113_2ed0400b-1b41-4ad1-8651-c3e8fdee0a77.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | 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 | 7927 | N/A | 5542254 | 2222 | N/A | N/A | N/A | 4214191 | 2025-06-30 00:19:55.584939 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 00:00:42.557797 | 2025-06-30 00:00:44.390594 | 9363109 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-30 | M | 30 | 4185 | JAUDE | 313A23793 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9363109_b9083ff5-7ed8-435f-b673-a551e21765d9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542254/check_9363109_7cbe9121-89f3-4f75-94d7-ec7f79e6e49f.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 | 7927 | N/A | 5542254 | 2222 | N/A | 9074526 | N/A | 4214191 | 2025-06-30 00:00:44.390594 | 2025-05-13 04:29:37.228525 |
| 2025-06-30 00:00:39.901695 | 2025-06-30 00:00:42.550729 | 9363108 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-06-30 | M | 30 | 4185 | JAUDE | 313A23793 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542254/check_9363108_4b3231e9-14a4-4e56-ac10-99d4a3146ccb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | 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 | 7927 | N/A | 5542254 | 2222 | N/A | N/A | N/A | 4214191 | 2025-06-30 00:00:42.550729 | 2025-05-13 04:29:37.228525 |
| 2025-06-29 23:59:44.813012 | 2025-06-29 23:59:47.752648 | 9363107 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-10-20 | 2025-06-30 | M | 30 | 4185 | BONILLA | JQC90900331D | GUSTAVO | https://storage.googleapis.com/normandy-eligibility-checks/2222/6234914/check_9363107_c70ae57b-abd4-4131-b6e1-29d018783858.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6234914/check_9363107_377abb72-df1a-429b-b217-b7eb73f9d124.json | N/A | N/A | N/A | N/A | N/A | JQC90900331D | Medicaid | LOS ANGELES/MEDI-CAL/LIHP | ANTHEM BLUE CROSS | N/A | 1995-10-20 | 040 | 1191ZT | N/A | MC | false | BONILLA | N/A | GUSTAVO EL | N/A | 9999-12-31 | 2021-05-01 | MEDI-CAL LA | N/A | 30 | N/A | N/A | N/A | N/A | N/A | 8099097559 | 7927 | N/A | 6234914 | 2222 | N/A | 9074524 | N/A | 4882663 | 2025-06-29 23:59:47.752648 | 2025-06-29 23:59:35.783056 |
| 2025-06-29 23:59:22.799631 | 2025-06-29 23:59:24.581494 | 9363106 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-10-20 | 2025-06-30 | U | 30 | 4185 | BONILLA | JQC90900331D | GUSTAVO | https://storage.googleapis.com/normandy-eligibility-checks/2222/6234914/check_9363106_2966741a-496f-40d8-9b9b-a9e16704447e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6234914/check_9363106_1f263451-cef7-4add-8435-9bf006d1ad04.json | N/A | N/A | N/A | N/A | N/A | JQC90900331D | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1995-10-20 | N/A | N/A | N/A | N/A | false | BONILLA | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6234914 | 2222 | N/A | 9074523 | N/A | 4882663 | 2025-06-29 23:59:24.581494 | 2025-06-29 23:59:35.783056 |
| 2025-06-29 23:59:21.179121 | 2025-06-29 23:59:22.796279 | 9363105 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-10-20 | 2025-06-30 | U | 30 | 4185 | BONILLA | JQC90900331D | GUSTAVO | https://storage.googleapis.com/normandy-eligibility-checks/2222/6234914/check_9363105_58f417f0-abd8-4308-8d40-4f9801365ed4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | N/A | N/A | N/A | N/A | N/A | N/A | JQC90900331D | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1995-10-20 | N/A | N/A | N/A | N/A | false | BONILLA | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6234914 | 2222 | N/A | N/A | N/A | 4882663 | 2025-06-29 23:59:22.796279 | 2025-06-29 23:59:35.783056 |
| 2025-06-29 23:58:11.207998 | 2025-06-29 23:58:12.952991 | 9363104 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-10-20 | 2025-06-30 | U | 30 | 4185 | BONILLA | JQC90900331D | GUSTAVO | https://storage.googleapis.com/normandy-eligibility-checks/2222/6234914/check_9363104_55cc2b6b-34f2-4df5-8888-33312090480d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6234914/check_9363104_7998929e-a329-440f-8818-aa01b8cac3e1.json | N/A | N/A | N/A | N/A | N/A | JQC90900331D | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1995-10-20 | N/A | N/A | N/A | N/A | false | BONILLA | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6234914 | 2222 | N/A | 9074521 | N/A | 4882663 | 2025-06-29 23:58:12.952991 | 2025-06-29 23:59:35.783056 |