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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_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 | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-30 07:58:05.278048 | 2026-03-30 07:58:08.019415 | 22427964 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-11-20 | 2026-03-30 | F | AE | PT | 4184 | Rund | JQE413W24976 | Stephanie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14414101/check_22427964_312431c7-2af4-4c0b-b97c-0363594700e9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14414101/check_22427964_9bc3dc94-8407-4551-84c1-fed1c64c63fe.json | N/A | N/A | N/A | N/A | N/A | JQE413W24976 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-11-20 | 040 | CASUPWP0 | N/A | N/A | false | RUND | N/A | STEPHANIE | N/A | 9999-12-31 | 2025-11-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097793 | N/A | N/A | 14414101 | 2222 | N/A | 22523907 | N/A | 5046194 | 2026-03-30 07:58:08.019415 | 2026-01-06 19:15:31.520951 |
| 2026-03-30 07:58:05.255639 | 2026-03-30 07:58:08.062913 | 22427963 | N/A | N/A | 13193 | Continental General Insurance Company - Medicare Supplement | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-25 | 2026-03-30 | M | AE | PT | 5545 | Maher | 80Y0447913 | Timothy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/13655343/check_22427963_9c5c236e-1cdb-48bb-84ed-38f4629d6fdf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13655343/check_22427963_4412942b-7c78-4b01-b28c-694756c863da.json | N/A | N/A | N/A | N/A | N/A | 80Y0447913 | N/A | N/A | GREAT AMERICAN | N/A | 1943-11-25 | MSM16F80 | N/A | N/A | N/A | false | MAHER | N/A | TIMOTHY | N/A | N/A | N/A | PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097794 | N/A | N/A | 13655343 | 2222 | N/A | 22523908 | N/A | 11803316 | 2026-03-30 07:58:08.062913 | 2025-12-16 19:29:59.872631 |
| 2026-03-30 07:58:05.250675 | 2026-03-30 07:58:06.941658 | 22427962 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-09-19 | 2026-03-30 | M | AE | PT | 4185 | DOUGHERTY | XEA913685152 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541623/check_22427962_9c8d5a0b-258b-4690-ab65-441c3dae8c2b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541623/check_22427962_f7ee719a-2017-4e1f-b0bd-816f6e3fae0c.json | N/A | N/A | N/A | N/A | N/A | XEA913685152 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1949-09-19 | N/A | N/A | N/A | N/A | false | DOUGHERTY | N/A | KENNETH | N/A | 9999-12-31 | 2025-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541623 | 2222 | N/A | 22523896 | N/A | 4213619 | 2026-03-30 07:58:06.941658 | 2025-05-13 04:29:37.227951 |
| 2026-03-30 07:58:05.215947 | 2026-03-30 07:58:06.928694 | 22427961 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-25 | 2026-03-30 | M | AE | PT | 4191 | RUBIN | XEM910074494 | RONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16917800/check_22427961_7bae64bf-4008-4698-97b8-a895f368324b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16917800/check_22427961_c2f7581d-5193-44b7-9584-9d15b6b8d529.json | N/A | N/A | N/A | N/A | N/A | XEM910074494 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-25 | 2002SE000030 | X0001002 | N/A | OT | false | RUBIN | N/A | RONALD | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097786 | N/A | N/A | 16917800 | 2222 | N/A | 22523895 | N/A | 14917009 | 2026-03-30 07:58:06.928694 | 2026-02-20 22:29:32.356717 |
| 2026-03-30 07:58:05.209952 | 2026-03-30 07:58:08.031333 | 22427960 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-08-16 | 2026-03-30 | M | AE | PT | 4185 | brosh | JQE517M95625 | RAMI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16113777/check_22427960_66bdc265-21e9-4742-ba33-f57858a9676f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16113777/check_22427960_b7afce00-837a-42e5-9be7-32c7fd670288.json | N/A | N/A | N/A | N/A | N/A | JQE517M95625 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1953-08-16 | 040 | CASUPWP0 | N/A | N/A | false | BROSH | N/A | RAMI | N/A | 9999-12-31 | 2018-09-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097787 | N/A | N/A | 16113777 | 2222 | N/A | 22523906 | N/A | 14174363 | 2026-03-30 07:58:08.031333 | 2026-05-29 18:00:53.778221 |
| 2026-03-30 07:58:04.885805 | 2026-03-30 07:58:06.486110 | 22427959 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-12-19 | 2026-03-30 | F | AE | PT | 4199 | YEN | 96046413F95176 | JENNY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/10033624/check_22427959_0b1e83f5-5840-402b-bce8-6092d57a9e64.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | N/A | N/A | N/A | N/A | N/A | N/A | 96046413F95176 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1956-12-19 | N/A | N/A | N/A | N/A | false | YEN | N/A | JENNY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 10033624 | 2222 | N/A | N/A | N/A | 8398587 | 2026-03-30 07:58:06.486110 | 2025-10-07 14:21:54.880940 |
| 2026-03-30 07:58:04.787110 | 2026-03-30 07:58:06.510835 | 22427958 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-07-01 | 2026-03-30 | F | AE | PT | 4191 | GREER | XEM909858172 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9411084/check_22427958_fda01ad4-3319-40ac-bf6b-ab6c6ac23d52.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411084/check_22427958_f0321e64-297d-4d71-be39-114407613d09.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097765 | N/A | N/A | 9411084 | 2222 | N/A | 22523887 | N/A | 7879863 | 2026-03-30 07:58:06.510835 | 2026-02-04 18:21:13.840230 |
| 2026-03-30 07:58:04.682598 | 2026-03-30 07:58:06.597495 | 22427957 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-04-13 | 2026-03-30 | F | AE | PT | 5538 | NATALI | 94579563C | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/8979227/check_22427957_8e30ff90-6a2b-4ef0-a194-613c4554883e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979227/check_22427957_49544535-50f1-41ef-8e52-47363eb2e713.json | N/A | N/A | N/A | N/A | N/A | 94579563C | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1950-04-13 | MCLA | MWLLDAGG21 | N/A | N/A | false | NATALI | N/A | RENEE | N/A | 2025-07-31 | 2025-02-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097761 | N/A | N/A | 8979227 | 2222 | N/A | 22523888 | N/A | 7498543 | 2026-03-30 07:58:06.597495 | 2025-10-14 17:13:32.178778 |
| 2026-03-30 07:58:04.602262 | 2026-03-30 07:58:07.573892 | 22427956 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2026-03-30 | M | AE | PT | 4184 | JAUDE | JQE122A53874 | KARIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821574/check_22427956_99c9a530-38de-4727-860a-177c5db3eac9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821574/check_22427956_383e1e2b-ef2e-42f2-8d3c-0f56021c38da.json | N/A | N/A | N/A | N/A | N/A | JQE122A53874 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1936-09-29 | 040 | CASUPWP0 | N/A | N/A | false | JAUDE | N/A | KARIM | N/A | 9999-12-31 | 2023-12-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097758 | N/A | N/A | 6821574 | 2222 | N/A | 22523903 | N/A | 4214191 | 2026-03-30 07:58:07.573892 | 2025-05-13 04:29:37.228525 |
| 2026-03-30 07:58:04.539782 | 2026-03-30 07:58:07.293757 | 22427955 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-07 | 2026-03-30 | F | AE | PT | 4184 | GOEL | JQE690A74746 | VEENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/8969545/check_22427955_193510da-4c2c-404b-af84-e46f42de03c8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_22427955_4a6cb171-2c03-4b7c-8e01-1526d7e572c3.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097745 | N/A | N/A | 8969545 | 2222 | N/A | 22523902 | N/A | 7485064 | 2026-03-30 07:58:07.293757 | 2025-12-29 22:41:16.623495 |
| 2026-03-30 07:58:04.365345 | 2026-03-30 07:58:07.072617 | 22427954 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-07 | 2026-03-30 | M | AE | PT | 4185 | CICCIARI | JQE123W23890 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6752939/check_22427954_74a5dfea-5e4c-4546-a196-f8b702178f4f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_22427954_243f1190-0c8f-4316-8097-a53904b9cff5.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097711 | N/A | N/A | 6752939 | 2222 | N/A | 22523898 | N/A | 5065602 | 2026-03-30 07:58:07.072617 | 2025-07-01 17:25:13.681724 |
| 2026-03-30 07:58:04.296663 | 2026-03-30 07:58:07.046331 | 22427953 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2026-03-30 | M | AE | PT | 4185 | BLANCHFIELD | JMV780A55541 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6528155/check_22427953_88369f04-c5d8-4e60-b20f-55fd162d6195.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_22427953_f761cb33-6029-4454-9ee7-26f4262181c6.json | N/A | N/A | N/A | N/A | N/A | JMV780A55541 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | MEDICARE B | N/A | 1954-11-24 | 040 | 56677TR000 | N/A | HM | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097708 | N/A | N/A | 6528155 | 2222 | N/A | 22523897 | N/A | 4214447 | 2026-03-30 07:58:07.046331 | 2026-04-23 20:11:34.441054 |
| 2026-03-30 07:58:04.266634 | 2026-03-30 07:58:06.081615 | 22427952 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-25 | 2026-03-30 | M | AE | PT | 4185 | JACOBS | JQE406W03039 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993913/check_22427952_300fb384-cff1-494c-aafd-61e53d1bdf66.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993913/check_22427952_d50c8819-7efa-4490-a54a-2795746bd204.json | N/A | N/A | N/A | N/A | N/A | JQE406W03039 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1939-06-25 | 040 | CASUPWP0 | N/A | N/A | false | JACOBS | N/A | PATRICIA | N/A | 9999-12-31 | 2019-12-11 | CA PLAN F INNOVATIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097709 | N/A | N/A | 5993913 | 2222 | N/A | 22523885 | N/A | 4642852 | 2026-03-30 07:58:06.081615 | 2025-11-21 18:38:17.056437 |
| 2026-03-30 07:58:03.966782 | 2026-03-30 07:58:06.847359 | 22427951 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-06-01 | 2026-03-30 | F | AE | PT | 4185 | BRADBURY | JQE669W05502 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550535/check_22427951_2fde380e-ca91-45ba-b59d-e550cc0f6f2c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_22427951_7cff4d85-68bd-4382-95f9-eec48327cc8f.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2026-02-01 | CA PLAN F INNOVATIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097697 | N/A | N/A | 5550535 | 2222 | N/A | 22523894 | N/A | 4219556 | 2026-03-30 07:58:06.847359 | 2025-05-13 04:29:37.230592 |
| 2026-03-30 07:58:03.958928 | 2026-03-30 07:58:06.730952 | 22427950 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-12-07 | 2026-03-30 | F | AE | PT | 4191 | MOONVES | XEM913053395 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928920/check_22427950_167b5c60-fb9b-4c20-bbde-87b72def724e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928920/check_22427950_4f334a8a-2314-456d-97c1-69abe59be979.json | N/A | N/A | N/A | N/A | N/A | XEM913053395 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-12-07 | 2002SE000030 | X0001002 | N/A | OT | false | MOONVES | N/A | NANCY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097687 | N/A | N/A | 5928920 | 2222 | N/A | 22523893 | N/A | 4208883 | 2026-03-30 07:58:06.730952 | 2025-05-13 04:29:37.223310 |
| 2026-03-30 07:58:03.888036 | 2026-03-30 07:58:08.902556 | 22427949 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-11-11 | 2026-03-30 | M | AE | PT | 4437 | GOLDBERG | U51264966-02 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542973/check_22427949_34d5fbe3-3124-408d-a747-53a5d982b3d1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542973/check_22427949_50e2a64c-a6db-47bb-bd43-532155753cea.json | N/A | N/A | N/A | N/A | N/A | U5126496602 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1940-11-11 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | INDEMNITY | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097688 | N/A | N/A | 5542973 | 2222 | N/A | 22523919 | N/A | 4214820 | 2026-03-30 07:58:08.902556 | 2025-06-30 02:56:23.324592 |
| 2026-03-30 07:58:03.876282 | 2026-03-30 07:58:47.940743 | 22427948 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-12-10 | 2026-03-30 | F | AE | PT | 4191 | LIBAW | XEM911326489 | PAMELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928760/check_22427948_e676fc67-62c6-42db-ab6c-588410f4b44b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | N/A | N/A | N/A | N/A | N/A | N/A | XEM911326489 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1958-12-10 | N/A | N/A | N/A | N/A | false | LIBAW | N/A | PAMELA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5928760 | 2222 | N/A | N/A | N/A | 4211753 | 2026-03-30 07:58:47.940743 | 2025-05-13 04:29:37.226073 |
| 2026-03-30 07:58:03.723168 | 2026-03-30 07:58:08.721957 | 22427947 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-10-29 | 2026-03-30 | F | AE | PT | 23412 | GOLDBERG | U51264966 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542937/check_22427947_661b48aa-6bed-4a18-8e87-739f5f4c5210.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542937/check_22427947_ef6ae30e-6584-42a7-9edf-f89aa8e1b565.json | N/A | N/A | N/A | N/A | N/A | U5126496601 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1944-10-29 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | INDEMNITY | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097681 | N/A | N/A | 5542937 | 2222 | N/A | 22523918 | N/A | 4214789 | 2026-03-30 07:58:08.721957 | 2025-12-11 23:30:31.319246 |
| 2026-03-30 07:58:03.668595 | 2026-03-30 07:58:06.653700 | 22427946 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-10-18 | 2026-03-30 | F | AE | PT | 4191 | PODRAT | XEM904657915 | CHARLOTTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540124/check_22427946_b5b73973-ed2d-4568-98c9-66820cdf2a61.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540124/check_22427946_a9b7bc8d-9f29-4693-a10a-43af4c1d1a8b.json | N/A | N/A | N/A | N/A | N/A | XEM904657915 | Supplemental Policy | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1943-10-18 | 2002SD000004 | X0001002 | N/A | SP | false | PODRAT | N/A | CHARLOTTE | N/A | 2026-03-31 | 2025-04-01 | MEDICARE SUPPLEMENT DENTAL 1500 APR24 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097678 | N/A | N/A | 5540124 | 2222 | N/A | 22523891 | N/A | 4212321 | 2026-03-30 07:58:06.653700 | 2026-03-11 15:45:38.887850 |
| 2026-03-30 07:58:03.573507 | 2026-03-30 07:58:05.438290 | 22427945 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-05-12 | 2026-03-30 | M | AE | PT | 4191 | EGGLETON | XEM904112010 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536871/check_22427945_898af191-79f7-44c6-83fa-56b1bcb3116e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536871/check_22427945_217bff56-c00f-4d74-93f3-a10a7620bdf1.json | N/A | N/A | N/A | N/A | N/A | XEM904112010 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-05-12 | 2004SF000029 | X0001002 | N/A | OT | false | EGGLETON | N/A | HELEN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097675 | N/A | N/A | 5536871 | 2222 | N/A | 22523879 | N/A | 4209543 | 2026-03-30 07:58:05.438290 | 2025-06-18 17:33:51.700160 |
| 2026-03-30 07:58:03.568529 | 2026-03-30 07:58:05.247205 | 22427944 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-09-19 | 2026-03-30 | M | AE | PT | 4185 | DOUGHERTY | XEA913685152 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541623/check_22427944_a4ea0028-cef5-4e3b-b280-ac72a51d2ea2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | N/A | N/A | N/A | N/A | N/A | N/A | XEA913685152 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1949-09-19 | N/A | N/A | N/A | N/A | false | DOUGHERTY | N/A | KENNETH | N/A | 9999-12-31 | 2025-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541623 | 2222 | N/A | N/A | N/A | 4213619 | 2026-03-30 07:58:05.247205 | 2025-05-13 04:29:37.227951 |
| 2026-03-30 07:58:03.476276 | 2026-03-30 07:58:06.219661 | 22427943 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-12-18 | 2026-03-30 | F | AE | PT | 4185 | DU BRIN | JQE162M93481 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538605/check_22427943_cc896e26-0b8f-4b7a-b257-fe55ed4d524a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538605/check_22427943_6dfed1f0-ffde-416a-aa30-161611e0bc41.json | N/A | N/A | N/A | N/A | N/A | JQE162M93481 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-12-18 | 040 | CASUPWP0 | N/A | N/A | false | DU BRIN | N/A | SUSAN | N/A | 9999-12-31 | 2021-03-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097668 | N/A | N/A | 5538605 | 2222 | N/A | 22523886 | N/A | 4210998 | 2026-03-30 07:58:06.219661 | 2026-02-23 18:49:01.874308 |
| 2026-03-30 07:58:03.450210 | 2026-03-30 07:58:05.233400 | 22427942 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-24 | 2026-03-30 | F | AE | PT | 4191 | DIGIOVANNI | XEM910156092 | JILL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538594/check_22427942_f4b49cf8-2a31-4dcd-a213-e2dc788322c8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538594/check_22427942_a7f6f22c-eab4-4ab0-b10f-406d0a7b103c.json | N/A | N/A | N/A | N/A | N/A | XEM910156092 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1954-01-24 | 2002SF000029 | X0001002 | N/A | OT | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097664 | N/A | N/A | 5538594 | 2222 | N/A | 22523876 | N/A | 4210993 | 2026-03-30 07:58:05.233400 | 2025-05-13 04:29:37.225395 |
| 2026-03-30 07:58:03.138733 | 2026-03-30 07:58:08.894060 | 22427941 | N/A | N/A | 31053 | State Farm Insurance Companies | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-02-23 | 2026-03-30 | F | AE | PT | 6299 | SPIGELMAN | HC5192477575 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536257/check_22427941_fac2c508-f932-4a7d-a69d-cc0082498aa1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536257/check_22427941_75f53ec8-eb5d-4349-bd80-ecc2b6305254.json | N/A | N/A | N/A | N/A | N/A | HC5192477575 | Medigap Part A | N/A | STATE FARM INSURANCE COMPANIES | N/A | 1937-02-23 | N/A | N/A | N/A | MH | false | SPIGELMAN | N/A | JUDY | N/A | N/A | N/A | MEDICARE SUPPLEMENT - FOLLOWS MEDICARE GUIDELINES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10425097654 | N/A | N/A | 5536257 | 2222 | N/A | 22523922 | N/A | 4209028 | 2026-03-30 07:58:08.894060 | 2026-03-12 23:35:58.198593 |
| 2026-03-30 07:14:27.617427 | 2026-03-30 07:14:29.951013 | 22405838 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-01-15 | 2026-03-30 | F | AE | PT | 5505 | Adams | 8863593 | Toni | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18427607/check_22405838_dea8fb60-f310-4ecd-83f2-4b84d6bdf134.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18427607/check_22405838_26606a13-ed95-4e63-b60e-f09d95628ee3.json | N/A | N/A | N/A | N/A | N/A | 8863593 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1963-01-15 | N/A | N/A | N/A | N/A | false | ADAMS | N/A | TONI | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18427607 | 2222 | N/A | 22501682 | N/A | 16428516 | 2026-03-30 07:14:29.951013 | 2026-03-20 01:42:19.868288 |
| 2026-03-30 07:14:27.339372 | 2026-03-30 07:14:29.247768 | 22405834 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-11-28 | 2026-03-30 | M | PT | N/A | 4184 | BRAICO | XED910948464 | MICHEAL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18404919/check_22405834_30dd883c-8d8a-4588-b2ca-fab9bb7c1fbd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18404919/check_22405834_44869d87-2c8b-491a-9c83-9709d87be381.json | N/A | N/A | N/A | N/A | N/A | XED910948464 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1988-11-28 | N/A | N/A | N/A | N/A | false | BRAICO | N/A | MICHEAL | N/A | 9999-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18404919 | 2222 | N/A | 22501677 | N/A | 16408525 | 2026-03-30 07:14:29.247768 | 2026-04-29 19:12:42.644870 |
| 2026-03-30 07:14:26.774328 | 2026-03-30 07:14:28.673142 | 22405827 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-05-27 | 2026-03-30 | M | PT | N/A | 4184 | KUMAR | 59W0689910 | TONEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18758358/check_22405827_18598663-988f-4870-9fa8-cac4772ba9b5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18758358/check_22405827_587d4ec0-072f-49a5-acfd-2096a7844fe6.json | N/A | N/A | N/A | N/A | N/A | 59W0689910 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1953-05-27 | N/A | N/A | N/A | N/A | false | KUMAR | N/A | TONEY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18758358 | 2222 | N/A | 22501672 | N/A | 4219591 | 2026-03-30 07:14:28.673142 | 2025-05-13 04:29:37.230632 |
| 2026-03-30 07:14:26.564460 | 2026-03-30 07:14:28.521982 | 22405824 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-24 | 2026-03-30 | F | AE | PT | 5538 | SRINIVASAN | JQC93980840H | MANGAIYERK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18420592/check_22405824_15cf48de-f8f6-4450-a7cf-942c6ce30d6c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18420592/check_22405824_7ff0aacd-8153-4851-bb0a-00d766f8a5d6.json | N/A | N/A | N/A | N/A | N/A | JQC93980840H | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1950-03-24 | N/A | N/A | N/A | N/A | false | SRINIVASAN | N/A | MANGAIYERK | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18420592 | 2222 | N/A | 22501670 | N/A | 16422151 | 2026-03-30 07:14:28.521982 | 2026-03-19 23:39:03.983588 |
| 2026-03-30 07:14:25.422316 | 2026-03-30 07:14:29.330769 | 22405805 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-11-13 | 2026-03-30 | M | AE | PT | 5505 | Trevellin | 000016368983 | Maurizio | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18538335/check_22405805_5527afc2-2c92-4909-8c53-d9cf6b1425ca.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18538335/check_22405805_65830116-78b4-45b1-b306-ab55530e5ed6.json | N/A | N/A | N/A | N/A | N/A | 000016368983 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1962-11-13 | 562547 | 103000 | N/A | N/A | false | TREVELLIN | N/A | MAURIZIO | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIACHOICE SCR GOLD DHMO 250/35 NOV PCP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10424930147 | N/A | N/A | 18538335 | 2222 | N/A | 22501679 | N/A | 16540455 | 2026-03-30 07:14:29.330769 | 2026-03-23 15:50:46.266916 |
| 2026-03-30 07:14:25.381043 | 2026-03-30 07:14:27.604301 | 22405803 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-01-15 | 2026-03-30 | F | AE | PT | 5505 | Adams | 8863593 | Toni | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18427607/check_22405803_509d03db-14b4-4ada-b77b-073417cb61b4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | N/A | N/A | N/A | N/A | N/A | N/A | 8863593 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1963-01-15 | N/A | N/A | N/A | N/A | false | ADAMS | N/A | TONI | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18427607 | 2222 | N/A | N/A | N/A | 16428516 | 2026-03-30 07:14:27.604301 | 2026-03-20 01:42:19.868288 |
| 2026-03-30 07:14:25.184880 | 2026-03-30 07:14:26.921353 | 22405801 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-07-22 | 2026-03-30 | F | PT | N/A | 4184 | Noshi | KAE820275362 | Lisa | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18274089/check_22405801_0371bcc5-5e24-459e-a8c6-171747d835ba.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18274089/check_22405801_62129af4-2771-4a6b-a068-9e177ff065c2.json | N/A | N/A | N/A | N/A | N/A | KAE820275362 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1969-07-22 | N/A | N/A | N/A | N/A | false | NOSHI | N/A | LISA | N/A | 9999-12-31 | 2014-07-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18274089 | 2222 | N/A | 22501651 | N/A | 16288996 | 2026-03-30 07:14:26.921353 | 2026-03-17 22:30:09.889822 |
| 2026-03-30 07:14:25.143623 | 2026-03-30 07:14:26.771533 | 22405800 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-05-27 | 2026-03-30 | M | PT | N/A | 4184 | KUMAR | 59W0689910 | TONEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18758358/check_22405800_596282ee-c500-4fab-a651-28a3ebd29587.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | N/A | N/A | N/A | N/A | N/A | N/A | 59W0689910 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1953-05-27 | N/A | N/A | N/A | N/A | false | KUMAR | N/A | TONEY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18758358 | 2222 | N/A | N/A | N/A | 4219591 | 2026-03-30 07:14:26.771533 | 2025-05-13 04:29:37.230632 |
| 2026-03-30 07:14:25.110201 | 2026-03-30 07:14:31.914078 | 22405798 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-09-07 | 2026-03-30 | F | AE | PT | 3948 | Garcia | W276674223 | Andrea | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18560603/check_22405798_181cdff5-fd74-4506-ab25-502c146ede61.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18560603/check_22405798_cfddf7db-e1ce-42ee-a8d1-974e204c3243.json | N/A | N/A | N/A | N/A | N/A | W276674223 | Point of Service (POS) | MARSH & MCLENNAN COMPANIES, INC. | AETNA | N/A | 1998-09-07 | 0868802 | 086880201300003 | N/A | PS | false | GARCIA | N/A | ANDREA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10424930098 | N/A | N/A | 18560603 | 2222 | N/A | 22501716 | N/A | 16562595 | 2026-03-30 07:14:31.914078 | 2026-03-23 23:34:37.453846 |
| 2026-03-30 07:14:25.056952 | 2026-03-30 07:14:26.902843 | 22405797 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-08-06 | 2026-03-30 | F | AE | PT | 5538 | Cameron | 96734867G | Heather | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18541737/check_22405797_f18e561c-a150-49d3-9309-e964f721856f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18541737/check_22405797_1f0f5cca-2be9-4365-a441-a5752377462f.json | N/A | N/A | N/A | N/A | N/A | 96734867G | N/A | MCLA WELL ND DIS>=21 | LA CARE HEALTH PLAN | N/A | 1966-08-06 | MCLA | MWLLNDIG21 | N/A | N/A | false | CAMERON | N/A | HEATHER | N/A | 2078-12-31 | 2025-02-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10424930099 | N/A | N/A | 18541737 | 2222 | N/A | 22501648 | N/A | 16543612 | 2026-03-30 07:14:26.902843 | 2026-03-23 19:08:02.862564 |
| 2026-03-30 07:14:25.003169 | 2026-03-30 07:14:28.788087 | 22405796 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1972-08-18 | 2026-03-30 | M | AE | PT | 5504 | LeMond | 000019066146 | Jonathan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18557471/check_22405796_f8075107-76e3-40fa-8312-82ea66cb015e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18557471/check_22405796_840297da-6392-4fd6-bb64-c002239872f4.json | N/A | N/A | N/A | N/A | N/A | 000019066146 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1972-08-18 | 3004198 | 101156 | N/A | N/A | false | LEMOND | N/A | JONATHAN | N/A | 2026-12-31 | 2026-01-01 | SANTA MONICA COMMUNITY COLLEGE SANTA MONICA COMMUN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10424930086 | N/A | N/A | 18557471 | 2222 | N/A | 22501675 | N/A | 16559408 | 2026-03-30 07:14:28.788087 | 2026-03-23 21:56:32.934023 |
| 2026-03-30 07:14:24.739810 | 2026-03-30 07:14:26.553317 | 22405795 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-24 | 2026-03-30 | F | AE | PT | 5538 | SRINIVASAN | JQC93980840H | MANGAIYERK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18420592/check_22405795_5cc65403-fdf2-430d-a312-afc8f77b5139.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | N/A | N/A | N/A | N/A | N/A | N/A | JQC93980840H | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1950-03-24 | N/A | N/A | N/A | N/A | false | SRINIVASAN | N/A | MANGAIYERK | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18420592 | 2222 | N/A | N/A | N/A | 16422151 | 2026-03-30 07:14:26.553317 | 2026-03-19 23:39:03.983588 |
| 2026-03-30 07:14:24.725146 | 2026-03-30 07:14:27.528368 | 22405794 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-06-23 | 2026-03-30 | M | AE | PT | 5503 | Fields | 000008100545 | Renny | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18473083/check_22405794_876f68e5-da40-4066-93ae-e4a837312b92.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18473083/check_22405794_039afcde-ac98-48c2-90f4-a0b1d7d1780b.json | N/A | N/A | N/A | N/A | N/A | 000008100545 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1953-06-23 | 4073761 | 100232 | N/A | N/A | false | FIELDS | N/A | RENNY | N/A | 2026-12-31 | 2026-01-01 | THE AEROSPACE CORPORATION AERO ACTIVES NON-UNION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10424930054 | N/A | N/A | 18473083 | 2222 | N/A | 22501660 | N/A | 16473148 | 2026-03-30 07:14:27.528368 | 2026-03-29 14:38:33.964725 |
| 2026-03-30 07:14:24.529915 | 2026-03-30 07:14:27.335024 | 22405793 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-11-28 | 2026-03-30 | M | PT | N/A | 4184 | BRAICO | XED910948464 | MICHEAL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18404919/check_22405793_51aed44d-bf25-4856-be06-7028c3b88339.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | N/A | N/A | N/A | N/A | N/A | N/A | XED910948464 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1988-11-28 | N/A | N/A | N/A | N/A | false | BRAICO | N/A | MICHEAL | N/A | 9999-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18404919 | 2222 | N/A | N/A | N/A | 16408525 | 2026-03-30 07:14:27.335024 | 2026-04-29 19:12:42.644870 |
| 2026-03-30 07:14:24.529789 | 2026-03-30 07:14:26.241108 | 22405792 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-09-27 | 2026-03-30 | F | AE | PT | 4497 | Benton | 1AJ9K18AK34 | Harriet | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18416720/check_22405792_c320935f-135e-4cc2-ac58-bbec74cdbbf2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18416720/check_22405792_0926c213-ecf1-4b77-af0f-f77e00b55657.json | N/A | N/A | N/A | N/A | N/A | 1AJ9K18AK34 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-27 | S5596 | N/A | N/A | MB | false | BENTON | N/A | HARRIET | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10424930020 | N/A | N/A | 18416720 | 2222 | N/A | 22501641 | N/A | 16419098 | 2026-03-30 07:14:26.241108 | 2026-03-19 23:28:36.268438 |
| 2026-03-30 07:14:24.260611 | 2026-03-30 07:14:32.350856 | 22405791 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-06-18 | 2026-03-30 | F | AE | PT | 3948 | THEODORE | 101217709600 | DAWN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18386671/check_22405791_2046c3bc-aaf5-4e5e-9d23-de9fdab5d970.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18386671/check_22405791_fd37472d-89b6-4e3c-abaa-79f8f9500e5f.json | N/A | N/A | N/A | N/A | N/A | 101217709600 | Preferred Provider Organization (PPO) | UNITED AIRLINES - MA | AETNA | MEDICARE | 1956-06-18 | 100117-02EG0001 | 100117-02 | N/A | PR | false | THEODORE | N/A | DAWN | N/A | 2026-12-31 | 2026-01-01 | MEDICARE ADV ESA PPO PLAN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10424930003 | N/A | N/A | 18386671 | 2222 | N/A | 22501729 | N/A | 16392709 | 2026-03-30 07:14:32.350856 | 2026-03-19 17:41:51.337704 |
| 2026-03-30 07:14:24.117623 | 2026-03-30 07:14:31.971472 | 22405790 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-02-19 | 2026-03-30 | F | AE | PT | 3948 | KOVACEVICH | W27795397803 | DANIELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18394146/check_22405790_b508bf53-ff81-433c-99ec-7264d3755ca0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18394146/check_22405790_e6bc8be9-b294-43d7-b51d-69c16838107a.json | N/A | N/A | N/A | N/A | N/A | W277953978 | Health Maintenance Organization (HMO) | LANDSCAPE DEVELOPMENT, INC. | AETNA | N/A | 1988-02-19 | EACZ4F04 | 017515901200001 | N/A | HM | false | KOVACEVICH | N/A | MATTHEW | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10424929976 | N/A | N/A | 18394146 | 2222 | N/A | 22501718 | N/A | 16398404 | 2026-03-30 07:14:31.971472 | 2026-03-30 15:35:26.924597 |
| 2026-03-30 07:14:24.062550 | 2026-03-30 07:14:26.926702 | 22405789 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-01-01 | 2026-03-30 | F | PT | N/A | 4185 | AMEZCUA | CAI650M86977 | DAISY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18381026/check_22405789_482e111d-4fbb-412b-a1bf-7bb343430d62.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18381026/check_22405789_c3e2873e-cd2c-484f-8bca-61ffc1215e22.json | N/A | N/A | N/A | N/A | N/A | CAI650M86977 | Health Maintenance Organization (HMO) | CALPERS CA REGION TWO - SO CA | ANTHEM BLUE CROSS | N/A | 1991-01-01 | 040 | HTB050HT | N/A | HM | false | AMEZCUA | N/A | DAISY | N/A | 9999-12-31 | 2026-01-01 | PREMIER TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10424929971 | N/A | N/A | 18381026 | 2222 | N/A | 22501649 | N/A | 16387780 | 2026-03-30 07:14:26.926702 | 2026-03-20 18:23:19.947495 |
| 2026-03-30 07:14:23.889182 | 2026-03-30 07:14:25.799368 | 22405788 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-01-27 | 2026-03-30 | F | AE | PT | 4497 | KIM | 2CK8PQ4QA27 | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18379311/check_22405788_9cfefba1-449d-4436-ad77-6b407f7363c5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18379311/check_22405788_cd309a4e-0275-4b58-add0-409e4b32a3dc.json | N/A | N/A | N/A | N/A | N/A | 2CK8PQ4QA27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-01-27 | S4802 | N/A | N/A | MA | false | KIM | N/A | SARAH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10424929950 | N/A | N/A | 18379311 | 2222 | N/A | 22501636 | N/A | 16386056 | 2026-03-30 07:14:25.799368 | 2026-03-19 16:01:57.090565 |
| 2026-03-30 07:14:23.670151 | 2026-03-30 07:14:26.468596 | 22405787 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-10-10 | 2026-03-30 | M | AE | PT | 4625 | SMITH | 99060653C | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18347087/check_22405787_2f5c52f5-35c7-45a0-92a7-eec1a9773330.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18347087/check_22405787_9623ed11-0da6-4cab-bece-ce7996e313e2.json | N/A | N/A | N/A | N/A | N/A | 99060653C | N/A | N/A | HEALTH NET, LLC | N/A | 1967-10-10 | N/A | N/A | N/A | N/A | false | SMITH | N/A | CHRISTOPHER | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10424929920 | N/A | N/A | 18347087 | 2222 | N/A | 22501644 | N/A | 16354698 | 2026-03-30 07:14:26.468596 | 2026-03-18 21:43:09.638645 |
| 2026-03-30 07:14:23.655725 | 2026-03-30 07:14:25.408408 | 22405786 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-29 | 2026-03-30 | F | AE | PT | 4497 | PETROSIAN | 6PK0HF2DF31 | SILVA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18321858/check_22405786_33eaf6c6-58ba-418f-96c7-c569e58acd97.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18321858/check_22405786_90a4d092-b56d-4fac-baed-a2e7483fd5d9.json | N/A | N/A | N/A | N/A | N/A | 6PK0HF2DF31 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-29 | S4802 | N/A | N/A | MA | false | PETROSIAN | N/A | SILVA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 17774 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10424929915 | N/A | N/A | 18321858 | 2222 | N/A | 22501634 | N/A | 4212923 | 2026-03-30 07:14:25.408408 | 2025-05-13 04:29:37.227251 |
| 2026-03-30 07:14:23.624107 | 2026-03-30 07:14:26.452931 | 22405785 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-03 | 2026-03-30 | F | 30 | AD | 6237 | WIKTOR BECKER | 40085194001 | ANNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18319231/check_22405785_645d0caf-3fdb-4129-ae81-dd6e0231aa6c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18319231/check_22405785_d5c731ea-4b1c-4af5-9bbd-7360324c44ff.json | N/A | N/A | N/A | N/A | N/A | 40085194001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-03-03 | 2026H5425001 | H5425M | N/A | N/A | false | WIKTOR BECKER | N/A | ANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 10424929916 | N/A | N/A | 18319231 | 2222 | N/A | 22501643 | N/A | 16330459 | 2026-03-30 07:14:26.452931 | 2026-03-18 19:16:09.524076 |
| 2026-03-30 07:14:23.620607 | 2026-03-30 07:14:26.477072 | 22405784 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-11-22 | 2026-03-30 | F | AE | PT | 4211 | RASHIDI | 93712342E | ZAHRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18279699/check_22405784_4dfdaa7f-6400-4266-852e-e34ee4a859f3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18279699/check_22405784_6fafed00-9a5d-48be-9800-bb9aa29e82ed.json | N/A | N/A | N/A | N/A | N/A | 93712342E | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-11-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RASHIDI | N/A | ZAHRA | N/A | 2078-12-31 | 2026-02-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10424929919 | N/A | N/A | 18279699 | 2222 | N/A | 22501642 | N/A | 16293253 | 2026-03-30 07:14:26.477072 | 2026-03-17 23:01:51.545839 |
| 2026-03-30 07:14:23.548637 | 2026-03-30 07:14:25.181800 | 22405783 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-07-22 | 2026-03-30 | F | PT | N/A | 4184 | Noshi | KAE820275362 | Lisa | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18274089/check_22405783_0f855cd4-a6ed-4ed7-8775-978555ce31df.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | N/A | N/A | N/A | N/A | N/A | N/A | KAE820275362 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1969-07-22 | N/A | N/A | N/A | N/A | false | NOSHI | N/A | LISA | N/A | 9999-12-31 | 2014-07-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18274089 | 2222 | N/A | N/A | N/A | 16288996 | 2026-03-30 07:14:25.181800 | 2026-03-17 22:30:09.889822 |
| 2026-03-30 07:14:23.547531 | 2026-03-30 07:14:26.609465 | 22405782 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-02-18 | 2026-03-30 | F | PT | N/A | 4185 | MENDOZA | JMV327W24025 | MARTHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18232470/check_22405782_7d8b491e-c8d7-4896-b63e-d7875c5bfc2d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18232470/check_22405782_d3e37eda-133b-4ade-9ed0-b72567da020d.json | N/A | N/A | N/A | N/A | N/A | JMV327W24025 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS LIFE HLTH INS C | N/A | 1983-02-18 | 040 | 56677NR000 | N/A | HM | false | MENDOZA | N/A | GERARDO | N/A | 9999-12-31 | 2025-07-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10424929922 | N/A | N/A | 18232470 | 2222 | N/A | 22501646 | N/A | 13900510 | 2026-03-30 07:14:26.609465 | 2026-01-27 00:13:26.286289 |
| 2026-03-30 07:14:23.498982 | 2026-03-30 07:14:25.395457 | 22405781 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1988-11-15 | 2026-03-30 | M | PT | N/A | 4197 | RHODES | AJC914491557 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18252435/check_22405781_fb7932d6-4568-4ac3-aa24-b5d5dd549734.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18252435/check_22405781_31f299ac-bca8-40e3-af53-ab78c655222b.json | N/A | N/A | N/A | N/A | N/A | AJC914491557 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1988-11-15 | 1000MCAL0008 | E0001001 | N/A | MC | false | RHODES | N/A | THOMAS | N/A | 2078-12-31 | 2025-07-01 | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10424929907 | N/A | N/A | 18252435 | 2222 | N/A | 22501633 | N/A | 16267835 | 2026-03-30 07:14:25.395457 | 2026-04-21 18:01:49.356237 |