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 | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-27 18:28:37.107611 | 2025-06-27 18:28:38.879082 | 9310530 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23321 | FERNANDO | 391A5620540 | MANORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9310530_d8308728-33ca-463a-8622-2a2bd67afaf6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9310530_cd917650-c0ce-4d1e-9f89-a8a31435feb1.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 9014874 | N/A | 5195072 | 2025-06-27 18:28:38.879082 | 2025-07-02 23:59:09.756169 |
| 2025-06-27 18:28:34.380223 | 2025-06-27 18:28:37.105744 | 9310529 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23321 | FERNANDO | 391A5620540 | MANORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9310529_aec72ff0-acc6-4ca5-bbb5-556c5844a054.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-27 18:28:37.105744 | 2025-07-02 23:59:09.756169 |
| 2025-06-27 18:28:28.178259 | 2025-06-27 18:28:29.919589 | 9310527 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23321 | FERNANDO | 391A5620540 | MANORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9310527_da3507af-e923-4969-8687-e61f157dfabf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9310527_af9ac18d-4b92-4b01-b7c8-a67d5ae1e133.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 9014871 | N/A | 5195072 | 2025-06-27 18:28:29.919589 | 2025-07-02 23:59:09.756169 |
| 2025-06-27 18:28:26.485437 | 2025-06-27 18:28:28.174358 | 9310526 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23321 | FERNANDO | 391A5620540 | MANORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9310526_0d80a731-047b-4fca-afee-92828d5e0b06.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-27 18:28:28.174358 | 2025-07-02 23:59:09.756169 |
| 2025-06-27 18:28:15.008990 | 2025-06-27 18:28:16.807504 | 9310525 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23443 | FERNANDO | 391A5620540 | MANORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9310525_76007482-d9c7-4b39-8d8d-ee061392fe19.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9310525_58071c79-4f24-443b-9be3-f3ce8a763863.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 9014869 | N/A | 5195072 | 2025-06-27 18:28:16.807504 | 2025-07-02 23:59:09.756169 |
| 2025-06-27 18:28:12.235506 | 2025-06-27 18:28:15.006032 | 9310524 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23443 | FERNANDO | 391A5620540 | MANORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9310524_49c197e7-8c25-4d59-8bd6-9fc5f6013d1a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-27 18:28:15.006032 | 2025-07-02 23:59:09.756169 |
| 2025-06-27 18:28:06.492788 | 2025-06-27 18:28:08.234693 | 9310523 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23443 | FERNANDO | 391A5620540 | MANORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9310523_2bf8269f-39b5-4818-a3ef-21c833b5892e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9310523_31205a8f-e342-4183-8672-6df8c28d9dfb.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 9014867 | N/A | 5195072 | 2025-06-27 18:28:08.234693 | 2025-07-02 23:59:09.756169 |
| 2025-06-27 18:28:04.753256 | 2025-06-27 18:28:06.489524 | 9310522 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | 30 | 23443 | FERNANDO | 391A5620540 | MANORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9310522_2052c900-e9b7-41d3-a1ae-52c085390261.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-27 18:28:06.489524 | 2025-07-02 23:59:09.756169 |
| 2025-06-27 18:13:04.544118 | 2025-06-27 18:13:08.737755 | 9310480 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-05-27 | 2025-05-30 | F | 30 | 4191 | PARVIZI | XED914141701 | SIMONE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550844/check_9310480_729d32fd-91a5-4bc1-b03b-0039ae0a0e59.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550844/check_9310480_db9fb871-68de-4870-a5c9-d21662ffdde7.json | N/A | N/A | N/A | N/A | N/A | XED914141701 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2005-05-27 | 2001ZK002187 | X0001004 | N/A | PR | false | PARVIZI | N/A | SIMONE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8083327137 | 7927 | N/A | 5550844 | 2222 | N/A | 9014783 | N/A | 4215184 | 2025-06-27 18:13:08.737755 | 2025-05-13 04:29:37.229500 |
| 2025-06-27 17:46:23.865017 | 2025-06-27 17:46:26.840465 | 9310304 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-02-15 | 2025-07-02 | F | 30 | 4184 | Kanury | XDP072A21646 | Gretchen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6633780/check_9310304_66c318d2-1e00-4aa1-8355-25f0f2057af8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6633780/check_9310304_cab206dc-1920-4c78-8cee-a93050db562e.json | N/A | N/A | N/A | N/A | N/A | XDP072A21646 | Preferred Provider Organization (PPO) | CEDARS SINAI HEALTH SYSTEM | ANTHEM BLUE CROSS | N/A | 1967-02-15 | 040 | 1858RE | N/A | PR | false | KANURY | N/A | GRETCHEN | N/A | 9999-12-31 | 2015-07-01 | CEDARS SINAI PPO NETWORK | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8083190982 | N/A | N/A | 6633780 | 2222 | N/A | 9014555 | N/A | 5247212 | 2025-06-27 17:46:26.840465 | 2025-06-27 17:40:48.470160 |
| 2025-06-27 17:04:10.924728 | 2025-06-27 17:04:13.813308 | 9309992 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-16 | 2025-06-27 | M | 30 | 4497 | KANDELA | 6J42U95NP24 | IMAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543177/check_9309992_dac86578-b546-4535-adf1-8f6a8720ca7b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543177/check_9309992_211c0a59-5fcc-42fb-a07c-95b145f29aa5.json | N/A | N/A | N/A | N/A | N/A | 6J42U95NP24 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-16 | S4802 | N/A | N/A | MA | false | KANDELA | N/A | IMAD | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8082988082 | 7927 | N/A | 5543177 | 2222 | N/A | 9014174 | N/A | 4215003 | 2025-06-27 17:04:13.813308 | 2025-05-13 04:29:37.229322 |
| 2025-06-27 09:50:53.596409 | 2025-06-27 09:51:05.799191 | 9302688 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-06-30 | F | 30 | 6411 | FABER | 331524986-11 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9302688_3a06a6be-0c26-4054-ad91-2201cf81f3ca.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9302688_20a57314-c39c-4aa3-9653-5cae210fa216.json | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522947 | 2222 | N/A | 9006625 | N/A | 5146127 | 2025-06-27 09:51:05.799191 | 2025-06-20 17:58:23.371130 |
| 2025-06-27 09:50:50.474817 | 2025-06-27 09:50:53.571985 | 9302675 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-06-30 | F | 30 | 6411 | FABER | 331524986-11 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9302675_22206957-6c5b-4f0a-9f16-d01706a056c2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | N/A | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522947 | 2222 | N/A | N/A | N/A | 5146127 | 2025-06-27 09:50:53.571985 | 2025-06-20 17:58:23.371130 |
| 2025-06-27 09:50:38.939886 | 2025-06-27 09:50:48.820458 | 9302634 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-06-30 | M | 30 | 6411 | SCOTT | 076810624-11 | GEORGE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9302634_4f7dc5aa-292e-4ebe-a90a-e50ff6d37ee6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9302634_f5895e45-6ec8-498c-af5a-08b05b2b1b34.json | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6105989 | 2222 | N/A | 9006566 | N/A | 4750274 | 2025-06-27 09:50:48.820458 | 2025-06-12 22:26:37.845238 |
| 2025-06-27 09:50:34.226300 | 2025-06-27 09:50:37.902847 | 9302619 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-11-18 | 2025-06-30 | F | 30 | 6411 | JACOBY | 34555828811 | LEAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9302619_632bf95a-1904-41ee-883f-0727e1041d9a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9302619_75582cfd-9675-4667-b389-f629147f98c5.json | N/A | N/A | N/A | N/A | N/A | 345558288 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1951-11-18 | N/A | N/A | N/A | N/A | false | JACOBI | N/A | LEAH | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6145941 | 2222 | N/A | 9006527 | N/A | 4786785 | 2025-06-27 09:50:37.902847 | 2025-06-13 00:55:48.629734 |
| 2025-06-27 09:50:30.624479 | 2025-06-27 09:50:34.221970 | 9302607 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-11-18 | 2025-06-30 | F | 30 | 6411 | JACOBY | 34555828811 | LEAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9302607_cdd48d52-f82f-4bd1-9754-04d2bd2dc326.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | N/A | N/A | N/A | N/A | N/A | N/A | 345558288 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1951-11-18 | N/A | N/A | N/A | N/A | false | JACOBI | N/A | LEAH | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6145941 | 2222 | N/A | N/A | N/A | 4786785 | 2025-06-27 09:50:34.221970 | 2025-06-13 00:55:48.629734 |
| 2025-06-27 09:50:27.315418 | 2025-06-27 09:50:38.936729 | 9302594 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-06-30 | M | 30 | 6411 | SCOTT | 076810624-11 | GEORGE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9302594_f664c0d6-7aa8-4270-801a-5e601d94a066.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | N/A | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6105989 | 2222 | N/A | N/A | N/A | 4750274 | 2025-06-27 09:50:38.936729 | 2025-06-12 22:26:37.845238 |
| 2025-06-27 09:50:18.245840 | 2025-06-27 09:50:22.190393 | 9302567 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-30 | M | 30 | 6411 | LANE | MISSINGPOLICYNUMBER | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_9302567_fd824925-9fc8-4e1f-9437-383c17392037.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928917/check_9302567_61420bba-1fba-445f-8089-36ffa5196208.json | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5928917 | 2222 | N/A | 9006474 | N/A | 4219832 | 2025-06-27 09:50:22.190393 | 2025-05-13 04:29:37.230877 |
| 2025-06-27 09:50:13.603208 | 2025-06-27 09:50:18.218178 | 9302551 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-30 | M | 30 | 6411 | LANE | MISSINGPOLICYNUMBER | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_9302551_d348f6d9-d021-4e92-91ba-ae81c9a3f6dc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | N/A | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5928917 | 2222 | N/A | N/A | N/A | 4219832 | 2025-06-27 09:50:18.218178 | 2025-05-13 04:29:37.230877 |
| 2025-06-27 09:45:34.567158 | 2025-06-27 09:45:38.685323 | 9301760 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-15 | 2025-06-30 | F | 30 | 6411 | SKLAR | 997341869 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124041/check_9301760_49d8b649-87f0-4c40-9f7e-d7a2f661c696.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124041/check_9301760_8e282c28-2778-4303-b0db-3306a4db77d9.json | N/A | N/A | N/A | N/A | N/A | 997341869 | Commercial | PFIZER INC | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1975-07-15 | 2366 2022 | 183644 | N/A | C1 | false | SKLAR | N/A | ANDREA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8079260761 | N/A | N/A | 6124041 | 2222 | N/A | 9005691 | N/A | 4766742 | 2025-06-27 09:45:38.685323 | 2025-06-04 15:23:35.717260 |
| 2025-06-27 09:45:08.703236 | 2025-06-27 09:45:18.734548 | 9301704 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-09-04 | 2025-06-30 | M | 30 | 6411 | Popish | 31433817600 | Elijah | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104677/check_9301704_9f64092a-00ae-44c9-8958-4cb2058fb14c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104677/check_9301704_1a99a899-4c07-4f62-b56c-5bdbd9f87f4e.json | N/A | N/A | N/A | N/A | N/A | 31433817600 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1996-09-04 | N/A | 1626005 | N/A | C1 | false | POPISH | N/A | ELIJAH | N/A | N/A | N/A | SELECT PLUS | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8079259263 | N/A | N/A | 6104677 | 2222 | N/A | 9005648 | N/A | 4749059 | 2025-06-27 09:45:18.734548 | 2025-06-02 16:35:32.560533 |
| 2025-06-27 09:44:46.314347 | 2025-06-27 09:44:50.213302 | 9301640 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-06-27 | 2025-06-30 | M | 30 | 6411 | BROOK | 2022325-01 | NATASHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068053/check_9301640_3e9947d3-3160-4384-a7a5-92f8f72b506e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068053/check_9301640_fd52bec4-aafd-4500-a205-48fe926fabe5.json | N/A | N/A | N/A | N/A | N/A | 002022325 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1945-06-27 | N/A | HCFA21 | N/A | HN | false | N/A | N/A | N/A | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8079257453 | N/A | N/A | 6068053 | 2222 | N/A | 9005577 | N/A | 4712995 | 2025-06-27 09:44:50.213302 | 2025-05-28 21:04:24.752114 |
| 2025-06-27 09:44:45.343564 | 2025-06-27 09:44:51.190372 | 9301639 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-04-30 | 2025-06-30 | F | 30 | 6411 | URBACH | 986803155-00 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068052/check_9301639_d9ba13f6-3f1c-4922-8bac-3425fdc9025c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068052/check_9301639_7d5f63c5-b811-4c78-ad81-2fdecb332850.json | N/A | N/A | N/A | N/A | N/A | 209654791 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1941-04-30 | N/A | 74134 | N/A | PR | false | N/A | N/A | N/A | 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 | N/A | 8079257395 | N/A | N/A | 6068052 | 2222 | N/A | 9005579 | N/A | 4712993 | 2025-06-27 09:44:51.190372 | 2025-06-12 23:03:47.433557 |
| 2025-06-27 09:43:03.739647 | 2025-06-27 09:43:05.624095 | 9301384 | 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 | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541716/check_9301384_f1666904-0fe0-4eb2-9448-d5ed9cc34a9a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541716/check_9301384_e3680433-43d7-4da2-9222-78d0333d4210.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 | N/A | N/A | N/A | 5541716 | 2222 | N/A | 9005332 | N/A | 4213709 | 2025-06-27 09:43:05.624095 | 2026-01-23 21:41:52.262628 |
| 2025-06-27 09:43:01.804592 | 2025-06-27 09:43:05.835161 | 9301379 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-04-08 | 2025-06-30 | F | 30 | 6411 | GILREATH | 917909250 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550715/check_9301379_6b7cfc47-9b1f-437d-a8d1-3fba5290f896.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550715/check_9301379_91a5ecff-f510-4979-9eb3-0063a35e9d50.json | N/A | N/A | N/A | N/A | N/A | 917909250 | Commercial | PUBLICIS GROUPE | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1989-04-08 | 0169 0169 | 936200 | N/A | C1 | false | GILREATH | N/A | BRIAN | N/A | N/A | N/A | SELECT PLUS | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8079244353 | N/A | N/A | 5550715 | 2222 | N/A | 9005334 | N/A | 4219623 | 2025-06-27 09:43:05.835161 | 2026-01-16 19:11:44.707402 |
| 2025-06-27 09:42:59.927303 | 2025-06-27 09:43:03.735535 | 9301374 | 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 | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541716/check_9301374_667841f3-c0ab-418a-ae09-63a43b0b465a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 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 | N/A | N/A | N/A | 5541716 | 2222 | N/A | N/A | N/A | 4213709 | 2025-06-27 09:43:03.735535 | 2026-01-23 21:41:52.262628 |
| 2025-06-27 09:42:59.751343 | 2025-06-27 09:43:03.621332 | 9301373 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-01-24 | 2025-06-30 | M | 30 | 6411 | SAUER | 995746438 | MARCOS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539785/check_9301373_cc450ba7-dbc0-4903-8b09-129400a84f3c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539785/check_9301373_8f0cd4a2-fcd3-4d36-a751-d449a1911999.json | N/A | N/A | N/A | N/A | N/A | 995746438 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1958-01-24 | N/A | 74126 | N/A | PR | false | SAUER | N/A | MARCOS | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0029 (PPO | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8079244175 | N/A | N/A | 5539785 | 2222 | N/A | 9005326 | N/A | 4212024 | 2025-06-27 09:43:03.621332 | 2025-05-28 20:17:35.019662 |
| 2025-06-27 09:37:17.080528 | 2025-06-27 09:37:24.306088 | 9300528 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-04-06 | 2025-06-27 | M | 30 | 6411 | LUO | 947922550 | HONGKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6140288/check_9300528_7684a1d6-9fd5-466b-b4d5-a33c6c6d6484.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140288/check_9300528_bb9183d7-71c3-4869-b088-d06c3991069f.json | N/A | N/A | N/A | N/A | N/A | 947922550 | Commercial | COGNOSPHERE, LLC | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2000-04-06 | 0001 0001 | 928360 | N/A | C1 | false | LUO | N/A | HONGKE | N/A | N/A | N/A | EI 2018 CH+ PS1 1967A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8079201985 | N/A | N/A | 6140288 | 2222 | N/A | 9004549 | N/A | 4781215 | 2025-06-27 09:37:24.306088 | 2025-06-05 03:42:55.033876 |
| 2025-06-27 09:17:10.248254 | 2025-06-27 09:17:20.108116 | 9298182 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-06-27 | M | 30 | 23277 | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_9298182_199522d6-a1cc-4e5e-b793-7f99dd9e6e59.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_9298182_a15f399a-2f9d-4660-9839-17be96299ca0.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542555 | 2222 | N/A | 9003075 | N/A | 4214447 | 2025-06-27 09:17:20.108116 | 2026-04-23 20:11:34.441054 |
| 2025-06-27 09:17:07.556811 | 2025-06-27 09:17:10.245652 | 9298168 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-06-27 | M | 30 | 23277 | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_9298168_3f3d3f4e-07d4-4a4a-b8a7-c2010799e0d8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-27 | N/A | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542555 | 2222 | N/A | N/A | N/A | 4214447 | 2025-06-27 09:17:10.245652 | 2026-04-23 20:11:34.441054 |
| 2025-06-27 09:14:49.848826 | 2025-06-27 09:14:53.745375 | 9297528 | N/A | N/A | 71412 | Mutual of Omaha Insurance Company | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-08-07 | 2025-06-27 | F | 30 | 5830 | JOEL | 515338-97 | CANDACE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550243/check_9297528_cf0f0d5e-64c2-48cd-a3cc-6ed53cadfeda.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550243/check_9297528_9b40ef16-6f7a-4d85-a7ff-8a9dd500ff3c.json | N/A | N/A | N/A | N/A | N/A | 515338-97 | N/A | N/A | MUTUAL OF OMAHA | MUTUAL OF OMAHA OFFERS ONLINE ACCESS TO ELIGIBILITY, BENEFITS AND DETAILED CLAIM STATUS INFORMATION AT WWW.MUTUALOFOMAHA.COM/PROVIDERACCESS | 1951-08-07 | N/A | N/A | N/A | N/A | false | JOEL | N/A | CANDACE | N/A | N/A | N/A | MEDICARE SUPPLEMENT - PLAN TYPE F | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8079134341 | N/A | N/A | 5550243 | 2222 | N/A | 9002625 | N/A | 4212766 | 2025-06-27 09:14:53.745375 | 2025-05-13 04:29:37.227101 |
| 2025-06-27 09:12:06.874422 | 2025-06-27 09:12:12.033119 | 9296616 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-03-02 | 2025-06-27 | F | 30 | 6237 | THOMPSON | 40064864701 | PORNTIPA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6609536/check_9296616_a8bc97ca-0af5-45b2-80c0-7f69a150056f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6609536/check_9296616_d6739abc-ee04-4e77-8fb8-7517a81d5000.json | N/A | N/A | N/A | N/A | N/A | 40064864701 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1954-03-02 | 2025H5425001 | H5425M | N/A | N/A | false | THOMPSON | N/A | PORNTIPA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8079110222 | N/A | N/A | 6609536 | 2222 | N/A | 9002081 | N/A | 4209233 | 2025-06-27 09:12:12.033119 | 2025-06-26 16:05:40.963247 |
| 2025-06-27 09:09:49.781023 | 2025-06-27 09:09:51.532992 | 9295381 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-03-27 | 2025-06-27 | F | 30 | 23322 | KAUFMAN | R05917930FM1 | AMANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6074035/check_9295381_9b891b48-df73-4ef0-a706-6071cb6f6f61.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_9295381_94a3179e-bf31-405d-bb82-af27f6bae2d0.json | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6074035 | 2222 | N/A | 9001687 | N/A | 4718592 | 2025-06-27 09:09:51.532992 | 2025-05-29 20:00:22.627186 |
| 2025-06-27 09:09:48.094602 | 2025-06-27 09:09:49.771421 | 9295367 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-03-27 | 2025-06-27 | F | 30 | 23322 | KAUFMAN | R05917930FM1 | AMANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6074035/check_9295367_efab5d58-6a09-44ff-b991-0c4d9c153302.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-27 | N/A | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6074035 | 2222 | N/A | N/A | N/A | 4718592 | 2025-06-27 09:09:49.771421 | 2025-05-29 20:00:22.627186 |
| 2025-06-27 09:08:50.731811 | 2025-06-27 09:08:53.738068 | 9294757 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-08-07 | 2025-06-27 | F | 30 | 4497 | JOEL | 9TY9VF4DK26 | CANDACE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550243/check_9294757_e7c22f1f-5345-40f8-9682-1a9e043c1533.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550243/check_9294757_16ba5146-81e1-4610-bd6b-3fd0ea316c8c.json | N/A | N/A | N/A | N/A | N/A | 9TY9VF4DK26 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-08-07 | S4802 | N/A | N/A | MA | false | JOEL | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8079079683 | N/A | N/A | 5550243 | 2222 | N/A | 9001549 | N/A | 4212766 | 2025-06-27 09:08:53.738068 | 2025-05-13 04:29:37.227101 |
| 2025-06-27 09:08:46.029053 | 2025-06-27 09:08:47.675957 | 9294716 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-04-16 | 2025-06-27 | F | 30 | 23326 | RYAN | 31026142401 | CAROL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535455/check_9294716_4fca3a14-2b4b-4f78-9f4a-c77c4bf616e0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_9294716_676bb8e2-a6a7-4090-8ad7-d901eed9f9b4.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1941-04-16 | N/A | N/A | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535455 | 2222 | N/A | 9001530 | N/A | 4208375 | 2025-06-27 09:08:47.675957 | 2025-08-08 21:08:12.459471 |
| 2025-06-27 09:08:45.391762 | 2025-06-27 09:08:48.818808 | 9294710 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-11-19 | 2025-06-27 | M | 30 | 4191 | ZARIN | XEK905647080 | ELLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541582/check_9294710_15229f6b-1af0-4da0-8a3a-76f80f9d1b33.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541582/check_9294710_c97c965c-4bc3-4723-b1d2-8ce3da98542c.json | N/A | N/A | N/A | N/A | N/A | XEK905647080 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-11-19 | 2001ZH002662 | X0001000 | N/A | PR | false | ZARIN | N/A | DORON | N/A | 2027-11-30 | 2017-02-01 | IFP EMB PED DPPO JAN15 | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | 8079079359 | N/A | N/A | 5541582 | 2222 | N/A | 9001536 | N/A | 4213586 | 2025-06-27 09:08:48.818808 | 2025-05-28 20:44:53.527917 |
| 2025-06-27 09:08:44.479433 | 2025-06-27 09:08:46.024148 | 9294703 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-04-16 | 2025-06-27 | F | 30 | 23326 | RYAN | 31026142401 | CAROL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535455/check_9294703_4c21e917-727c-4cc5-9420-f5744f9d9c52.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-27 | N/A | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1941-04-16 | N/A | N/A | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | 30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535455 | 2222 | N/A | N/A | N/A | 4208375 | 2025-06-27 09:08:46.024148 | 2025-08-08 21:08:12.459471 |
| 2025-06-27 09:08:22.030666 | 2025-06-28 05:22:46.147063 | 9294460 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9294460 | Athletic Physical Therapy Inc | 1958-08-29 | 2025-06-30 | U | AE | N/A | BARRE | 4WR8HF0MV28 | RHONDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115833148.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6418037/check_9294460_57506041-f6a5-4c82-aa69-ea090b1c41f1.json | N/A | N/A | N/A | N/A | N/A | 4WR8HF0MV28 | Medicare Part A | N/A | STATE FUND - CLAIMS PROCESSING C | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-08-29 | N/A | DOL 02061998 | N/A | MA | false | BARRE | N/A | RHONDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079101601 | N/A | N/A | 6418037 | 2222 | 4802 | 9039310 | N/A | 5065797 | 2025-06-28 05:22:46.147063 | 2025-07-28 17:08:00.544400 |
| 2025-06-27 09:08:04.937912 | 2025-06-28 05:15:47.495624 | 9294263 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9294263 | Athletic Physical Therapy Inc | 1979-10-20 | 2025-06-30 | F | PT | N/A | VAUGHAN | XEH910348305 | BRIANNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115833148.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6415249/check_9294263_4e64676a-2f36-4d70-bdf4-74cbf53ba4f6.json | N/A | N/A | N/A | N/A | N/A | XEH910348305 | Health Maintenance Organization (HMO) | TRINET HR III INC | BLUE SHIELD CALIFORNIA | N/A | 1979-10-20 | 1001HMOX0014 | W0051486 | N/A | HM | false | VAUGHAN | N/A | BRIANNA | N/A | N/A | N/A | TRINET HR III INC CUSTOM HMO 30 500 ADMIT ER 250 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079101826 | N/A | N/A | 6415249 | 2222 | 4801 | 9038350 | N/A | 5062890 | 2025-06-28 05:15:47.495624 | 2025-06-30 20:31:45.414426 |
| 2025-06-27 09:08:04.130985 | 2025-06-28 05:09:14.063732 | 9294254 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 9294254 | Athletic Physical Therapy Inc | 1994-12-15 | 2025-06-30 | M | AE | N/A | MEYER | 11144010000 | BRETT | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115833148.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6414910/check_9294254_802d8f6c-678b-4425-8fa3-a5c23c71dfdf.json | N/A | N/A | N/A | N/A | N/A | 11144010000 | N/A | NIGHT MEDIA, INC | CHLIC | COMPLETE CARE MANAGEMENT | 1994-12-15 | N/A | 00658445 | N/A | N/A | false | MEYER | N/A | BRETT | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079101823 | N/A | N/A | 6414910 | 2222 | 4802 | 9037315 | N/A | 5062479 | 2025-06-28 05:09:14.063732 | 2025-06-25 19:12:27.318943 |
| 2025-06-27 09:08:01.501923 | 2025-06-28 05:15:45.625685 | 9294227 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9294227 | Athletic Physical Therapy Inc | 2005-10-28 | 2025-06-30 | M | PT | N/A | SIKDER | XEZ900049108 | SHAWN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115833148.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6414459/check_9294227_13680063-c5b4-4990-b7bd-45f4f7d45f19.json | N/A | N/A | N/A | N/A | N/A | XEK900049108 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2005-10-28 | 2001ZJ002648 | X0001000 | N/A | PR | false | SIKDER | N/A | SHAWN | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079101813 | N/A | N/A | 6414459 | 2222 | 4802 | 9038346 | N/A | 5061929 | 2025-06-28 05:15:45.625685 | 2025-06-19 23:42:27.460818 |
| 2025-06-27 09:07:53.849727 | 2025-06-28 02:16:02.106807 | 9294126 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9294126 | Athletic Physical Therapy Inc | 1966-03-26 | 2025-06-30 | F | AE | N/A | Deschatres | XED912070650 | Nathalie | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.120332369.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577909/check_9294126_9be32572-4dde-499c-8b9c-49424befc60d.json | N/A | N/A | N/A | N/A | N/A | XED912070650 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-03-26 | 2001ZK002186 | X0001004 | N/A | PR | false | DESCHATRES | N/A | NATHALIE | N/A | 9999-12-31 | 2023-02-01 | IFP EMB PED VISION | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079120596 | N/A | N/A | 6577909 | 2222 | 4802 | 9028769 | N/A | 4766701 | 2025-06-28 02:16:02.106807 | 2025-06-03 21:11:46.573919 |
| 2025-06-27 09:07:53.585600 | 2025-06-28 02:18:58.302091 | 9294124 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9294124 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-06-30 | M | AE | N/A | THOMPSON | 5NK7CD2VM65 | JAMES | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.120332369.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577657/check_9294124_cbe8fa6b-ba12-4cfe-a8bc-a5511cf91dbb.json | N/A | N/A | N/A | N/A | N/A | 5NK7CD2VM65 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-17 | S5601 | N/A | N/A | MA | false | THOMPSON | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079120595 | N/A | N/A | 6577657 | 2222 | 4793 | 9030899 | N/A | 5197700 | 2025-06-28 02:18:58.302091 | 2025-06-30 15:33:47.069983 |
| 2025-06-27 09:07:51.061752 | 2025-06-28 02:09:43.091494 | 9294090 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 9294090 | Athletic Physical Therapy Inc | 1997-06-04 | 2025-06-30 | M | AE | N/A | Meyers | U9573216901 | Robert | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.120332369.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6575962/check_9294090_07ff543f-5c16-4a2f-a17d-c21c989df899.json | N/A | N/A | N/A | N/A | N/A | U9573216901 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1997-06-04 | N/A | 3207160 | N/A | N/A | false | MEYERS | N/A | ROBERT | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079120588 | N/A | N/A | 6575962 | 2222 | 4802 | 9024117 | N/A | 5196194 | 2025-06-28 02:09:43.091494 | 2025-06-24 20:53:48.640973 |
| 2025-06-27 09:07:28.530973 | 2025-06-28 02:16:09.927194 | 9293845 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9293845 | Athletic Physical Therapy Inc | 1986-12-12 | 2025-06-30 | M | PT | N/A | Nagourney | Q3N579W10549 | Sam | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.120332369.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567077/check_9293845_1e579795-e5c2-4145-9b42-0992bb49e452.json | N/A | N/A | N/A | N/A | N/A | Q3N579W10549 | Preferred Provider Organization (PPO) | PPO 500 | BLUE SHIELD OF CALIFORNIA | N/A | 1986-12-12 | 243 | 721352E14M | N/A | PR | false | NAGOURNEY | N/A | SAM | N/A | 2025-07-01 | 2024-08-12 | PPO NY | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079120167 | N/A | N/A | 6567077 | 2222 | 4802 | 9028837 | N/A | 5189425 | 2025-06-28 02:16:09.927194 | 2025-06-24 16:19:19.180675 |
| 2025-06-27 09:06:56.683161 | 2025-06-28 02:16:02.490622 | 9293480 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9293480 | Athletic Physical Therapy Inc | 1995-01-31 | 2025-06-30 | F | PT | N/A | MAJD | XED911263594 | SYDNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.120332369.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555034/check_9293480_6421644d-8b74-4366-ae5d-c35179c40eec.json | N/A | N/A | N/A | N/A | N/A | XED911263594 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1995-01-31 | 2001ZK002185 | X0001004 | N/A | PR | false | MAJD | N/A | SYDNEY | N/A | 9999-12-31 | 2022-03-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079121314 | N/A | N/A | 6555034 | 2222 | 4793 | 9028772 | N/A | 5178259 | 2025-06-28 02:16:02.490622 | 2025-07-08 22:15:02.277880 |
| 2025-06-27 09:06:49.556810 | 2025-06-28 02:14:14.468374 | 9293399 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9293399 | Athletic Physical Therapy Inc | 2006-03-24 | 2025-06-30 | M | PT | N/A | STRUYK | 486W2272950 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.120332369.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554190/check_9293399_72285cea-1d7e-4a48-bc27-f458935d6104.json | N/A | N/A | N/A | N/A | N/A | 486W2272950 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2006-03-24 | N/A | N/A | N/A | N/A | false | STRUYK | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079121288 | N/A | N/A | 6554190 | 2222 | 4793 | 9027689 | N/A | 5177382 | 2025-06-28 02:14:14.468374 | 2025-06-30 00:02:38.867255 |
| 2025-06-27 09:06:46.178884 | 2025-06-28 05:13:34.323315 | 9293360 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9293360 | Athletic Physical Therapy Inc | 1967-08-29 | 2025-06-30 | M | PT | N/A | HARDING | XDP157A51099 | NATHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115833148.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398773/check_9293360_b94ad989-ee5f-4abf-a85f-fa6a0a61c3c3.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1967-08-29 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8079101002 | N/A | N/A | 6398773 | 2222 | 4801 | 9038097 | N/A | 5046326 | 2025-06-28 05:13:34.323315 | 2025-06-30 17:04:21.721546 |
| 2025-06-27 09:06:45.465823 | 2025-06-28 05:22:47.445090 | 9293351 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9293351 | Athletic Physical Therapy Inc | 1955-03-14 | 2025-06-30 | M | AE | N/A | GOTTLIEB | 5QC5Y42RU84 | ROY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250627.115833148.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398701/check_9293351_0e9c5401-7136-4e89-86d2-81abc25c50fe.json | N/A | N/A | N/A | N/A | N/A | 5QC5Y42RU84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-03-14 | S5617 | N/A | N/A | MA | false | GOTTLIEB | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8079100996 | N/A | N/A | 6398701 | 2222 | 4793 | 9039314 | N/A | 5046257 | 2025-06-28 05:22:47.445090 | 2025-06-15 19:16:28.356486 |