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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-26 07:13:50.622351 | 2026-03-26 07:13:53.658782 | 22254143 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-16 | 2026-03-26 | M | AE | PT | 5538 | ALCANTAR NINO JR | 91443370E | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18211182/check_22254143_49d76556-1532-4489-b855-f8b5a08fe8e9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18211182/check_22254143_694645c8-3d19-477c-a319-c02a3a6c384b.json | N/A | N/A | N/A | N/A | N/A | 91443370E | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1959-09-16 | MCLA | MWLLDAGG21 | N/A | N/A | false | NINO | N/A | ROBERT | N/A | 2078-12-31 | 2024-12-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729487 | N/A | N/A | 18211182 | 2222 | N/A | 21062427 | N/A | 16226174 | 2026-03-26 07:13:53.658782 | 2026-03-16 20:58:43.263663 |
| 2026-03-26 07:13:50.616303 | 2026-03-26 07:13:53.556939 | 22254142 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-07-25 | 2026-03-26 | M | PT | N/A | 4185 | DOBBIE | JQU942M93268 | DRAKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18097686/check_22254142_be46b6f3-e6ac-4aca-9c23-fea0b489f94b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18097686/check_22254142_9924439c-d1ab-4515-9ae4-4fa5d3f272dd.json | N/A | N/A | N/A | N/A | N/A | JQU942M93268 | Preferred Provider Organization (PPO) | CAPSIDA, INC. | ANTHEM BLUE CROSS | N/A | 1979-07-25 | 040 | G46507 | N/A | PR | false | DOBBIE | N/A | DRAKE | N/A | 9999-12-31 | 2025-08-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729489 | N/A | N/A | 18097686 | 2222 | N/A | 21062426 | N/A | 16122002 | 2026-03-26 07:13:53.556939 | 2026-03-19 18:31:16.913461 |
| 2026-03-26 07:13:50.528506 | 2026-03-26 07:13:53.774839 | 22254141 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-05-08 | 2026-03-26 | F | 30 | AD | 6237 | Capka | 40059905001 | Trina | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18203946/check_22254141_d8148821-7f94-4fd8-b0e6-9971d9d8e500.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18203946/check_22254141_226c4d42-c42b-4492-afa5-802ec67e8ec6.json | N/A | N/A | N/A | N/A | N/A | 40059905001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-05-08 | 2026H5425001 | H5425M | N/A | N/A | false | CAPKA | N/A | TRINA | 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 | 10393729481 | N/A | N/A | 18203946 | 2222 | N/A | 21062428 | N/A | 16218479 | 2026-03-26 07:13:53.774839 | 2026-03-21 17:16:07.215296 |
| 2026-03-26 07:13:50.286806 | 2026-03-26 07:13:52.972567 | 22254140 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-01-01 | 2026-03-26 | M | AE | PT | 4211 | Talasazan | 90246457E | Adam | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18095833/check_22254140_8641a6a3-0c3a-45a6-841d-cea6fe69ebf0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18095833/check_22254140_8f5aaa89-9415-4f03-be83-f85921a2c527.json | N/A | N/A | N/A | N/A | N/A | 90246457E | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2008-01-01 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | TALASAZAN | N/A | ADAM | N/A | 2078-12-31 | 2025-09-01 | ADULT FAMILY - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729473 | N/A | N/A | 18095833 | 2222 | N/A | 21062422 | N/A | 16119978 | 2026-03-26 07:13:52.972567 | 2026-04-03 21:05:07.393901 |
| 2026-03-26 07:13:50.224404 | 2026-03-26 07:13:52.027233 | 22254139 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-04-11 | 2026-03-26 | F | AE | PT | 4497 | MAJD | 8TC0P28KR43 | FLORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18036986/check_22254139_78d67994-7dbd-4e73-8a58-1a024b0ac718.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18036986/check_22254139_80fa82c0-6553-46ff-aa09-ba438f3ad5ca.json | N/A | N/A | N/A | N/A | N/A | 8TC0P28KR43 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-04-11 | S4802 | N/A | N/A | MB | false | MAJD | N/A | FLORA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 72710 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729472 | N/A | N/A | 18036986 | 2222 | N/A | 21062411 | N/A | 4209898 | 2026-03-26 07:13:52.027233 | 2026-03-12 23:16:26.192781 |
| 2026-03-26 07:13:50.218968 | 2026-03-26 07:13:52.056906 | 22254138 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-09-08 | 2026-03-26 | F | AE | PT | 4497 | DUARTE | 5R04RR0AU93 | REVE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18076656/check_22254138_05d47509-6590-4a50-886b-ee49f57088f5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18076656/check_22254138_34407d3f-6371-4558-a5f6-07ae3384a513.json | N/A | N/A | N/A | N/A | N/A | 5R04RR0AU93 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-09-08 | S5884 | N/A | N/A | MB | false | DUARTE | N/A | REVE | 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 | 10393729471 | N/A | N/A | 18076656 | 2222 | N/A | 21062412 | N/A | 16102725 | 2026-03-26 07:13:52.056906 | 2026-03-13 16:40:36.180280 |
| 2026-03-26 07:13:50.133015 | 2026-03-26 07:13:53.359138 | 22254137 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-02-13 | 2026-03-26 | M | AE | PT | 6422 | HARY | 2YH6-T54-NH61 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18020019/check_22254137_2e56ac40-2672-47ac-9a09-10b3f5d2037a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | N/A | N/A | N/A | N/A | N/A | N/A | 324641790 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1948-02-13 | N/A | N/A | N/A | N/A | false | HARY | N/A | DAVID | 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 | N/A | N/A | N/A | 18020019 | 2222 | N/A | N/A | N/A | 16048388 | 2026-03-26 07:13:53.359138 | 2026-03-12 19:28:18.393557 |
| 2026-03-26 07:13:49.973544 | 2026-03-26 07:13:51.907534 | 22254136 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-11-04 | 2026-03-26 | M | AE | PT | 4497 | BARDIA | 9YD1K19FG26 | KANHAIYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18033660/check_22254136_ea4e964e-2864-4001-8054-a2e4664f0285.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18033660/check_22254136_9c11f56e-f978-4b3e-b1b3-ea8cf605f2d5.json | N/A | N/A | N/A | N/A | N/A | 9YD1K19FG26 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-04 | S5884 | N/A | N/A | MB | false | BARDIA | N/A | KANHAIYA | 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 | 10393729446 | N/A | N/A | 18033660 | 2222 | N/A | 21062409 | N/A | 16061630 | 2026-03-26 07:13:51.907534 | 2026-03-18 23:17:28.107701 |
| 2026-03-26 07:13:49.889587 | 2026-03-26 07:13:51.781348 | 22254135 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-01-06 | 2026-03-26 | F | AE | PT | 4497 | WEST | 1HK9RC5WQ19 | HOLLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17961735/check_22254135_94888a0c-4d5f-4636-91d1-1c8a98837606.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17961735/check_22254135_a8ad6d22-4017-4d45-a62f-250e883a9e95.json | N/A | N/A | N/A | N/A | N/A | 1HK9RC5WQ19 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-06 | S5617 | N/A | N/A | MB | false | WEST | N/A | HOLLIE | 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 | 10393729422 | N/A | N/A | 17961735 | 2222 | N/A | 21062408 | N/A | 15883502 | 2026-03-26 07:13:51.781348 | 2026-03-11 00:48:56.434845 |
| 2026-03-26 07:13:49.791216 | 2026-03-26 07:13:52.583785 | 22254134 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-05-04 | 2026-03-26 | F | PT | N/A | 4185 | PATTERSON | MUU796W26629 | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17868567/check_22254134_72b95153-375d-4513-b106-2d19a5324cc3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17868567/check_22254134_776788f0-a7f8-4d54-a518-25b1fdebde5d.json | N/A | N/A | N/A | N/A | N/A | MUU796W26629 | Preferred Provider Organization (PPO) | MINIMED | ANTHEM BLUE CROSS | N/A | 1993-05-04 | 040 | 174353M1B1 | N/A | PR | false | PATTERSON | N/A | SARAH | N/A | 9999-12-31 | 2026-03-01 | ALTERNATE HEALTH PLAN PRODUCT (AHP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729417 | N/A | N/A | 17868567 | 2222 | N/A | 21062418 | N/A | 15913011 | 2026-03-26 07:13:52.583785 | 2026-03-16 22:33:11.392245 |
| 2026-03-26 07:13:49.753164 | 2026-03-26 07:13:51.643109 | 22254133 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-04-09 | 2026-03-26 | M | AE | PT | 4497 | Kelly | 7N90G97RP30 | Eugene | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17929435/check_22254133_7556fa94-127f-4fbf-97ab-09981c27a074.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17929435/check_22254133_4414509c-7e70-463e-8a53-581ead73c613.json | N/A | N/A | N/A | N/A | N/A | 7N90G97RP30 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-04-09 | S4802 | N/A | N/A | MA | false | KELLY | N/A | EUGENE | 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 | 10393729419 | N/A | N/A | 17929435 | 2222 | N/A | 21062405 | N/A | 15967689 | 2026-03-26 07:13:51.643109 | 2026-03-23 15:15:28.421254 |
| 2026-03-26 07:13:49.727528 | 2026-03-26 07:13:52.741940 | 22254132 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 2010-06-05 | 2026-03-26 | F | AE | PT | 5504 | Tal | 000032073042 | Ella | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17718829/check_22254132_c9f34605-8fd9-4fbe-93b4-e599a39cbd8f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17718829/check_22254132_d052a4c0-1abe-408d-842c-2e444a7df616.json | N/A | N/A | N/A | N/A | N/A | 000032073042 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2010-06-05 | 4378733 | 1650095001 | N/A | N/A | false | TAL | N/A | ELLA | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729418 | N/A | N/A | 17718829 | 2222 | N/A | 21062419 | N/A | 15764652 | 2026-03-26 07:13:52.741940 | 2026-03-20 01:39:52.693368 |
| 2026-03-26 07:13:49.712603 | 2026-03-26 07:13:52.487559 | 22254131 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-10 | 2026-03-26 | F | AE | PT | 3948 | Kaur | 102258428900 | SARANJIT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17736385/check_22254131_6e60b6bb-3281-4a9e-b5e6-0aea25d62171.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17736385/check_22254131_4dfd175a-e4ae-4fc7-9d13-459452b2b1ee.json | N/A | N/A | N/A | N/A | N/A | 102258428900 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1966-02-10 | 000003-CA000027 | 000003-CA | N/A | QM | false | KAUR | N/A | SARANJIT | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE ENHANCED (PPO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729413 | N/A | N/A | 17736385 | 2222 | N/A | 21062417 | N/A | 15497513 | 2026-03-26 07:13:52.487559 | 2026-03-06 21:33:02.751048 |
| 2026-03-26 07:13:49.656046 | 2026-03-26 07:13:52.411165 | 22254130 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-07-23 | 2026-03-26 | F | AE | PT | 5538 | Latty | 93805163F | Maura | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17826505/check_22254130_bce45c4c-2fdd-4bea-b447-a9d0265de605.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17826505/check_22254130_2d6a958d-5baf-4b5c-bfc3-7136c2476b79.json | N/A | N/A | N/A | N/A | N/A | 93805163F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1989-07-23 | MCLA | MWLLNMEG21 | N/A | N/A | false | LATTY | N/A | MAURA | N/A | 2078-12-31 | 2022-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729411 | N/A | N/A | 17826505 | 2222 | N/A | 21062416 | N/A | 15870859 | 2026-03-26 07:13:52.411165 | 2026-03-16 15:31:01.741367 |
| 2026-03-26 07:13:49.516804 | 2026-03-26 07:13:51.536185 | 22254129 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-05 | 2026-03-26 | F | AE | PT | 4497 | MILLER | 2nn1kp9mk97 | PEGGY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17663491/check_22254129_4a67b897-dd57-4083-bc4c-eed730340279.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17663491/check_22254129_2b70ad77-296c-4065-b99a-c4cfb3ec158a.json | N/A | N/A | N/A | N/A | N/A | 2NN1KP9MK97 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-05 | S5921 | N/A | N/A | MA | false | MILLER | N/A | PEGGY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 87460 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729408 | N/A | N/A | 17663491 | 2222 | N/A | 21062402 | N/A | 4213453 | 2026-03-26 07:13:51.536185 | 2025-05-13 04:29:37.227772 |
| 2026-03-26 07:13:49.426790 | 2026-03-26 07:13:53.752324 | 22254128 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-02-10 | 2026-03-26 | F | AE | PT | 5349 | SHARMA | H74807838 | MONIKA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17636010/check_22254128_06df6190-f48f-4fa5-a23f-5dce1589bb81.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17636010/check_22254128_6754a971-edb6-497f-917b-4e635c3a67be.json | N/A | N/A | N/A | N/A | N/A | H74807838 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO REGAL MEDICAL GROUP | 1954-02-10 | N/A | 2B506001 | N/A | HN | false | SHARMA | N/A | MONIKA | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729405 | N/A | N/A | 17636010 | 2222 | N/A | 21062425 | N/A | 10330803 | 2026-03-26 07:13:53.752324 | 2025-11-03 22:25:23.404066 |
| 2026-03-26 07:13:49.064351 | 2026-03-26 07:13:51.222706 | 22254127 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-10-11 | 2026-03-26 | M | PT | N/A | 4185 | Gibson | B6M8530851 | Paul | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17087478/check_22254127_59c795ec-04e6-4c98-982b-3b8ad5c3c4b5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17087478/check_22254127_a3322017-8ca8-4660-9440-a54ff042a5d9.json | N/A | N/A | N/A | N/A | N/A | B6M8530851 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-10-11 | N/A | N/A | N/A | N/A | false | GIBSON | N/A | PAUL | N/A | 2026-12-31 | 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 | 17087478 | 2222 | N/A | 21062401 | N/A | 15079139 | 2026-03-26 07:13:51.222706 | 2026-03-03 01:53:25.910380 |
| 2026-03-26 07:13:49.033552 | 2026-03-26 07:13:51.908881 | 22254126 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-18 | 2026-03-26 | F | AE | PT | 5505 | Peterson | 000022138564 | Kimberly | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17598240/check_22254126_e821e550-8b9b-4b23-a985-b0112b0274f5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17598240/check_22254126_50d15688-52b5-42a4-8ea4-b43b6c1c259d.json | N/A | N/A | N/A | N/A | N/A | 000022138564 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1981-07-18 | 4287078 | 100201 | N/A | N/A | false | PETERSON | N/A | KIMBERLY | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG PHYSICIANS FT HDHP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729397 | N/A | N/A | 17598240 | 2222 | N/A | 21062410 | N/A | 15645175 | 2026-03-26 07:13:51.908881 | 2026-03-04 21:28:46.922129 |
| 2026-03-26 07:13:48.963901 | 2026-03-26 07:13:50.648778 | 22254125 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-16 | 2026-03-26 | F | AE | PT | 4497 | Wolfe | 5F67H30WC46 | Nancee | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17600400/check_22254125_fbc21ac7-ae2e-4cb5-8e62-78af73567361.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600400/check_22254125_4944247c-98f2-45f8-a60b-bedee728c9b4.json | N/A | N/A | N/A | N/A | N/A | 5F67H30WC46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-16 | S5617 | N/A | N/A | MA | false | WOLFE | N/A | NANCEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 41674 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729388 | N/A | N/A | 17600400 | 2222 | N/A | 21062397 | N/A | 15647296 | 2026-03-26 07:13:50.648778 | 2026-03-04 22:22:31.397944 |
| 2026-03-26 07:13:48.875741 | 2026-03-26 07:13:51.692575 | 22254124 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-06-21 | 2026-03-26 | F | AE | PT | 6237 | Mamane | 40079211601 | Marlene | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17585914/check_22254124_36545ee2-b0b1-4b13-987e-3d4efe19e2a8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17585914/check_22254124_a9eecfe2-24d1-47ad-a618-9002722bb129.json | N/A | N/A | N/A | N/A | N/A | 40079211601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1959-06-21 | 2026H5425065LA | H5425M | N/A | N/A | false | MAMANE | N/A | MARLENE | N/A | N/A | N/A | SCAN PRIME (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729383 | N/A | N/A | 17585914 | 2222 | N/A | 21062407 | N/A | 15633309 | 2026-03-26 07:13:51.692575 | 2026-03-04 17:46:21.126462 |
| 2026-03-26 07:13:48.774540 | 2026-03-26 07:13:52.726167 | 22254122 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-08-17 | 2026-03-26 | F | PT | N/A | 4184 | RUEMMELE | XOX815196499 | MAKENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17557872/check_22254122_4c348eeb-75a8-4bfd-9bba-4ff588288632.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17557872/check_22254122_0a533b46-9fc7-42f9-a39f-abfe3b9b22e9.json | N/A | N/A | N/A | N/A | N/A | XOX815196499 | Preferred Provider Organization (PPO) | EVOLVE SECURITY | ANTHEM BLUE CROSS | N/A | 2013-08-17 | N/A | 311614 | N/A | PR | false | RUEMMELE | N/A | RAYMOND | N/A | 9999-12-31 | 2026-03-01 | BLUEOPTIONS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729381 | N/A | N/A | 17557872 | 2222 | N/A | 21062420 | N/A | 4534546 | 2026-03-26 07:13:52.726167 | 2025-12-03 00:06:29.870228 |
| 2026-03-26 07:13:48.764256 | 2026-03-26 07:13:51.633691 | 22254121 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-11-04 | 2026-03-26 | F | AE | PT | 5538 | RODRIGUEZ | M013647 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17501934/check_22254121_d06343bb-b710-4511-b0e9-966deaa0678e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17501934/check_22254121_7b47d49a-2fc6-41c0-9942-81c103d4cba5.json | N/A | N/A | N/A | N/A | N/A | M013647 | N/A | L.A. CARE MEDICARE PLUS | LA CARE HEALTH PLAN | N/A | 1946-11-04 | DSNP | DSNP001 | N/A | N/A | false | RODRIGUEZ | N/A | MARIA | N/A | N/A | N/A | L.A. CARE MEDICARE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729380 | N/A | N/A | 17501934 | 2222 | N/A | 21062404 | N/A | 15517334 | 2026-03-26 07:13:51.633691 | 2026-03-02 22:33:54.498929 |
| 2026-03-26 07:13:48.588931 | 2026-03-26 07:13:55.626490 | 22254120 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-12-04 | 2026-03-26 | F | PT | N/A | 4191 | Mason | NTF411A78634 | Abigail | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17381759/check_22254120_0691984e-fc92-4fe6-9a50-6557ea7f1e03.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381759/check_22254120_5e825691-6f46-45fe-9954-c6a2e46e5f4b.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | BLUE SHIELD OF CALIFORNIA | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729379 | N/A | N/A | 17381759 | 2222 | N/A | 21062435 | N/A | 15393771 | 2026-03-26 07:13:55.626490 | 2026-02-26 19:44:45.385491 |
| 2026-03-26 07:13:48.555216 | 2026-03-26 07:13:58.408447 | 22254119 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-12-01 | 2026-03-26 | F | PT | N/A | 4185 | TANGER | NCF189A56429 | Ashley | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17494208/check_22254119_d9ddc3a1-e4a5-44fa-9f61-9bc09eb97a11.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17494208/check_22254119_15828e64-a439-4d26-b2f6-d13b77634019.json | N/A | N/A | N/A | N/A | N/A | NCF189A56429 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1977-12-01 | 040 | 57AJCA | N/A | HM | false | TANGER | N/A | ASHLEY | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729373 | N/A | N/A | 17494208 | 2222 | N/A | 21062459 | N/A | 15509440 | 2026-03-26 07:13:58.408447 | 2026-03-02 19:55:05.664511 |
| 2026-03-26 07:13:48.472737 | 2026-03-26 07:13:53.270239 | 22254118 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-02-25 | 2026-03-26 | F | PT | N/A | 4191 | Jimenez | MPI30060766Q | Arabelle | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17497004/check_22254118_ea3a550d-de32-48af-b75f-a387e20daca0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17497004/check_22254118_5a9958a5-7a3a-45e3-b3c4-2d6c40c28946.json | N/A | N/A | N/A | N/A | N/A | MPI30060766Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | BLUE SHIELD OF CALIFORNIA | N/A | 2008-02-25 | 040 | 277163M402 | N/A | PR | false | KIM | N/A | ANNY | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729366 | N/A | N/A | 17497004 | 2222 | N/A | 21062423 | N/A | 15511990 | 2026-03-26 07:13:53.270239 | 2026-03-02 20:39:57.609466 |
| 2026-03-26 07:13:48.467250 | 2026-03-26 07:13:51.527699 | 22254117 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-03-03 | 2026-03-26 | F | AE | PT | 5538 | RODEN | 622540880 | BERNADETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17493076/check_22254117_0d56decc-71cf-4cab-81db-5bcbd1ef3c77.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17493076/check_22254117_ff60d295-2e79-4632-8b22-b4ee7d250bbb.json | N/A | N/A | N/A | N/A | N/A | 622540880 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1998-03-03 | LACC | 92815CA001000805 | N/A | N/A | false | RODEN | N/A | BERNADETTE | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729369 | N/A | N/A | 17493076 | 2222 | N/A | 21062403 | N/A | 15508238 | 2026-03-26 07:13:51.527699 | 2026-03-02 19:30:52.935313 |
| 2026-03-26 07:13:48.448925 | 2026-03-26 07:13:51.720250 | 22254116 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-03-17 | 2026-03-26 | M | AE | PT | 6411 | Bischoff | 8901968-01 | Marc | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17493013/check_22254116_cb3d1d3e-668f-4d47-8520-7fd3800647fa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17493013/check_22254116_5bd05cff-0989-40ea-8160-5d774ae23f56.json | N/A | N/A | N/A | N/A | N/A | 890196801 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1960-03-17 | N/A | 682300 | N/A | C1 | false | BISCHOFF | N/A | MARC | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729371 | N/A | N/A | 17493013 | 2222 | N/A | 21062406 | N/A | 15508155 | 2026-03-26 07:13:51.720250 | 2026-03-09 16:11:53.480346 |
| 2026-03-26 07:13:48.257385 | 2026-03-26 07:13:50.167696 | 22254115 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-01-16 | 2026-03-26 | F | AE | PT | 4497 | Teichner | 8GX9YP6RV43 | Miriam | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17492302/check_22254115_41959fae-5596-42bd-bd20-c9da7b34ceab.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492302/check_22254115_c9b9b12f-ddaa-4ce4-994a-da5f3e41bc1c.json | N/A | N/A | N/A | N/A | N/A | 8GX9YP6RV43 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-01-16 | S4802 | N/A | N/A | MA | false | TEICHNER | N/A | MIRIAM | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 21936 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729363 | N/A | N/A | 17492302 | 2222 | N/A | 21062393 | N/A | 15507331 | 2026-03-26 07:13:50.167696 | 2026-03-02 19:12:00.362589 |
| 2026-03-26 07:13:48.134730 | 2026-03-26 07:14:01.014051 | 22254114 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-06-08 | 2026-03-26 | F | AE | PT | 4625 | SALIMIAN | UZ110324601 | NASHMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17492780/check_22254114_3ade8de3-a776-4563-ae18-3fef56f409cd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_22254114_96aa2f3a-f579-4995-92d1-511edd5b4468.json | N/A | N/A | N/A | N/A | N/A | UZ110324601 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1979-06-08 | 67138CA0520015-05 | N/A | N/A | N/A | false | SALIMIAN | N/A | NASHMIL | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729355 | N/A | N/A | 17492780 | 2222 | N/A | 21062478 | N/A | 15085116 | 2026-03-26 07:14:01.014051 | 2026-02-18 20:26:50.354139 |
| 2026-03-26 07:13:48.087549 | 2026-03-26 07:13:50.975945 | 22254113 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-01-20 | 2026-03-26 | M | AE | PT | 4211 | GOTTLIEB | 95971728F | GUY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17437673/check_22254113_d5177571-3599-4679-a773-c1dae58affd8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17437673/check_22254113_3776e158-4aaa-46df-828b-47fc1ea607cb.json | N/A | N/A | N/A | N/A | N/A | 95971728F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1978-01-20 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | GOTTLIEB | N/A | GUY | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729356 | N/A | N/A | 17437673 | 2222 | N/A | 21062399 | N/A | 15449397 | 2026-03-26 07:13:50.975945 | 2026-02-28 00:00:01.256842 |
| 2026-03-26 07:13:47.779004 | 2026-03-26 07:13:50.771547 | 22254112 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-12-19 | 2026-03-26 | F | PT | N/A | 4185 | Becerra | CZCAN2537305 | Daniella | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17433624/check_22254112_eecdd42f-e42f-4d46-88a0-f5c73bbe7ee5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17433624/check_22254112_71106d88-1b93-4348-9509-c23e3e712d29.json | N/A | N/A | N/A | N/A | N/A | CZCAN2537305 | Preferred Provider Organization (PPO) | PPO W/BLUE DISTINCTION W/AIM FTR GOLD | ANTHEM BLUE CROSS | N/A | 2002-12-19 | 060 | 270196M71A | N/A | PR | false | BECERRA | N/A | JAIME | N/A | 9999-12-31 | 2022-01-01 | CT BLUE CARD PREFERRED PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729333 | N/A | N/A | 17433624 | 2222 | N/A | 21062398 | N/A | 15445066 | 2026-03-26 07:13:50.771547 | 2026-02-27 21:30:30.313264 |
| 2026-03-26 07:13:47.396113 | 2026-03-26 07:13:52.138742 | 22254111 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-03-29 | 2026-03-26 | F | 30 | AD | 6237 | MONTALVO | 40057101101 | PAMELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17396005/check_22254111_0c520270-4629-4fc2-b642-9e7d44c2c165.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17396005/check_22254111_12ed0940-2bc9-4bd3-ba5c-22a0518ff960.json | N/A | N/A | N/A | N/A | N/A | 40057101101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-03-29 | 2026H5425001 | H5425M | N/A | N/A | false | MONTALVO | N/A | PAMELA | 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 | 10393729315 | N/A | N/A | 17396005 | 2222 | N/A | 21062413 | N/A | 15407473 | 2026-03-26 07:13:52.138742 | 2026-03-02 03:41:34.276739 |
| 2026-03-26 07:13:47.202295 | 2026-03-26 07:13:48.903041 | 22254110 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-07 | 2026-03-26 | M | AE | PT | 4497 | WALLACH | 1PD0KF7JH37 | CHARLES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17378232/check_22254110_f6afcc8c-efad-4b8a-8d1d-8cf1928a3b2f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17378232/check_22254110_949172b6-ab0d-44f1-8f50-1cc090dec377.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MA | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 68784 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729309 | N/A | N/A | 17378232 | 2222 | N/A | 21062378 | N/A | 6660003 | 2026-03-26 07:13:48.903041 | 2026-06-01 17:03:48.982724 |
| 2026-03-26 07:13:47.049671 | 2026-03-26 07:13:49.158552 | 22254109 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-04-17 | 2026-03-26 | F | AE | PT | 6237 | ROGERS | 31093568401 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17306773/check_22254109_c34b357a-9577-4f78-96c5-00f534e69055.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17306773/check_22254109_55c8879b-a5b5-477d-bf0c-e7a4c484e525.json | N/A | N/A | N/A | N/A | N/A | 31093568401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-04-17 | 2026H5425001 | H5425M | N/A | N/A | false | ROGERS | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729308 | N/A | N/A | 17306773 | 2222 | N/A | 21062381 | N/A | 15321704 | 2026-03-26 07:13:49.158552 | 2026-02-26 19:15:43.216582 |
| 2026-03-26 07:13:46.960755 | 2026-03-26 07:13:49.991657 | 22254108 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-02-04 | 2026-03-26 | M | AE | PT | 6237 | Seth | 40042142001 | Sushil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17252132/check_22254108_f4d49ee7-e20f-4de7-a542-a20b2df7d987.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17252132/check_22254108_47f7028c-beef-4f6f-ae3d-aa3e39ecb952.json | N/A | N/A | N/A | N/A | N/A | 40042142001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-02-04 | 2026H5425006 | H5425M | N/A | N/A | false | SETH | N/A | SUSHIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729305 | N/A | N/A | 17252132 | 2222 | N/A | 21062391 | N/A | 15269089 | 2026-03-26 07:13:49.991657 | 2026-03-03 16:25:21.496329 |
| 2026-03-26 07:13:46.952300 | 2026-03-26 07:13:49.690273 | 22254107 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-12-20 | 2026-03-26 | F | AE | PT | 5505 | Valenza | 000026028938 | Magali | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17355763/check_22254107_0b53db47-8fe3-4406-9f9e-a1f56f19ef2e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17355763/check_22254107_df9d9a57-7f2f-421e-bc9f-96878728bfa1.json | N/A | N/A | N/A | N/A | N/A | 000026028938 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1989-12-20 | 4378729 | 1650095001 | N/A | N/A | false | VALENZA | N/A | MAGALI | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729300 | N/A | N/A | 17355763 | 2222 | N/A | 21062390 | N/A | 15367776 | 2026-03-26 07:13:49.690273 | 2026-03-02 18:02:01.247721 |
| 2026-03-26 07:13:46.842498 | 2026-03-26 07:13:50.644484 | 22254106 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-26 | M | PT | N/A | 4184 | Hymel | XYQM66935041 | Dustin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_22254106_016f945a-c5b0-4e7a-9e76-a996524b6ac8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_22254106_0968a4f9-8693-4e95-ab66-2257ee8ebdc4.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | Preferred Provider Organization (PPO) | PIXOVR, CORP. | ANTHEM BLUE CROSS | N/A | 1986-05-18 | 710 | 0070340580002003 | N/A | PR | false | HYMEL | N/A | DUSTIN | N/A | 9999-12-31 | 2026-03-01 | SIMPLY BLUE PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729298 | N/A | N/A | 17346208 | 2222 | N/A | 21062396 | N/A | 15356693 | 2026-03-26 07:13:50.644484 | 2026-02-25 22:30:35.848496 |
| 2026-03-26 07:13:46.743209 | 2026-03-26 07:13:48.892640 | 22254105 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-11-18 | 2026-03-26 | M | PT | N/A | 4191 | LOPEZ | 914314600-000 | RAFAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17262479/check_22254105_e11e2219-a551-49f0-bac7-72d550eb7275.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17262479/check_22254105_bfb148aa-f741-4ef9-b353-b702ea635ac7.json | N/A | N/A | N/A | N/A | N/A | XEH914314600 | Health Maintenance Organization (HMO) | BARRY AVENUE PLATING COMPANY INC | BLUE SHIELD CALIFORNIA | N/A | 1971-11-18 | 1000HMOX0001 | W0053916 | N/A | HM | false | LOPEZ | N/A | RAFAEL | N/A | N/A | N/A | ACCESS HMO R ZERO ADMIT 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729296 | N/A | N/A | 17262479 | 2222 | N/A | 21062376 | N/A | 15279850 | 2026-03-26 07:13:48.892640 | 2026-03-03 00:15:33.322173 |
| 2026-03-26 07:13:46.641336 | 2026-03-26 07:13:49.510735 | 22254104 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-07-26 | 2026-03-26 | M | AE | PT | 5538 | Michael | 93519276F | Thomas | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17302887/check_22254104_c64fea14-8701-48fb-bfb5-611be6a19d03.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17302887/check_22254104_6a3ce217-e3b6-4732-9425-074ec3b02508.json | N/A | N/A | N/A | N/A | N/A | 93519276F | N/A | MCLA WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1978-07-26 | MCLA | MWLLNFAG21 | N/A | N/A | false | MICHAEL | N/A | THOMAS | N/A | 2078-12-31 | 2019-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729293 | N/A | N/A | 17302887 | 2222 | N/A | 21062386 | N/A | 15318734 | 2026-03-26 07:13:49.510735 | 2026-02-27 16:33:40.478105 |
| 2026-03-26 07:13:46.459186 | 2026-03-26 07:13:48.385866 | 22254103 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-03-26 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_22254103_cfd87551-8d07-4eb2-b0e1-26d1a23868f2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_22254103_6887c7ab-ce9a-4859-a2b2-a9b64affeaef.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729286 | N/A | N/A | 17099336 | 2222 | N/A | 21062372 | N/A | 6725117 | 2026-03-26 07:13:48.385866 | 2026-02-18 22:27:04.950292 |
| 2026-03-26 07:13:46.400045 | 2026-03-26 07:13:49.291501 | 22254102 | N/A | N/A | 87726 | UMR | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-02-26 | 2026-03-26 | F | AE | PT | 5083 | BEASLEY | G45096418 | AMBER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17145684/check_22254102_5bad645f-0caf-4478-8ac9-0a3f39241f1b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17145684/check_22254102_e92e07ff-9026-4622-9ef0-74b29ff19adc.json | N/A | N/A | N/A | N/A | N/A | G45096418 | N/A | G.E.H.A MEDICAL FEHB/PSHB | UMR | N/A | 1992-02-26 | 767000416933002 | 76416933 | N/A | N/A | false | BEASLEY | N/A | AMBER | 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 | 10393729282 | N/A | N/A | 17145684 | 2222 | N/A | 21062385 | N/A | 15134758 | 2026-03-26 07:13:49.291501 | 2026-02-20 20:44:43.451428 |
| 2026-03-26 07:13:46.303249 | 2026-03-26 07:13:48.002014 | 22254101 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-05-02 | 2026-03-26 | F | PT | N/A | 4191 | Eshelman | TGX910443258 | Breanne | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17192333/check_22254101_7caae2c6-2bf2-45aa-8930-015831986bef.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17192333/check_22254101_21eea5ff-ac6c-4e94-99a1-aa941cd1c0c4.json | N/A | N/A | N/A | N/A | N/A | TGX910443258 | Preferred Provider Organization (PPO) | TRINET HR III INC | BLUE SHIELD CALIFORNIA | N/A | 1983-05-02 | 1001PPOX0033 | W0051486 | N/A | PR | false | ESHELMAN | N/A | BREANNE | N/A | N/A | N/A | TRINET HR III INC CUSTOM PPO 1000 FF | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729277 | N/A | N/A | 17192333 | 2222 | N/A | 21062369 | N/A | 15188748 | 2026-03-26 07:13:48.002014 | 2026-02-21 00:09:03.991509 |
| 2026-03-26 07:13:46.121052 | 2026-03-26 07:13:49.054228 | 22254100 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-10-11 | 2026-03-26 | M | PT | N/A | 4185 | Gibson | B6M8530851 | Paul | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17087478/check_22254100_8a800471-8800-4857-af56-7ec3d56c663c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | N/A | N/A | N/A | N/A | N/A | N/A | B6M8530851 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-10-11 | N/A | N/A | N/A | N/A | false | GIBSON | N/A | PAUL | N/A | 2026-12-31 | 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 | 17087478 | 2222 | N/A | N/A | N/A | 15079139 | 2026-03-26 07:13:49.054228 | 2026-03-03 01:53:25.910380 |
| 2026-03-26 07:13:46.086167 | 2026-03-26 07:13:51.005088 | 22254099 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1979-02-02 | 2026-03-26 | F | PT | N/A | 4197 | Roozrokh | R60967659 | Peyman | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17094664/check_22254099_e01f294a-c39c-4bd0-a8d6-668cd41c9975.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17094664/check_22254099_fac29767-3a91-4ea3-ad75-0269e6495d97.json | N/A | N/A | N/A | N/A | N/A | R60967659 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1979-02-02 | N/A | 104 | N/A | PR | false | ROOZROKH | N/A | PEYMAN | N/A | 9999-12-31 | 2024-01-14 | STANDARD | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729269 | N/A | N/A | 17094664 | 2222 | N/A | 21062400 | N/A | 15086531 | 2026-03-26 07:13:51.005088 | 2026-02-18 21:22:56.146803 |
| 2026-03-26 07:13:46.007350 | 2026-03-26 07:13:48.971592 | 22254098 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-14 | 2026-03-26 | M | PT | N/A | 4185 | BENKOVIC | NCF105A51926 | ESTEBAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17088157/check_22254098_3eaa75ce-d9b1-471c-a785-94cbcc44d57e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17088157/check_22254098_c014b9f9-14ef-4e3d-b28b-bcb29375288e.json | N/A | N/A | N/A | N/A | N/A | NCF105A51926 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1967-09-14 | 040 | 57AJCA | N/A | HM | false | BENKOVIC | N/A | ESTEBAN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729266 | N/A | N/A | 17088157 | 2222 | N/A | 21062379 | N/A | 15079739 | 2026-03-26 07:13:48.971592 | 2026-02-18 19:01:28.651126 |
| 2026-03-26 07:13:45.894384 | 2026-03-26 07:13:48.845825 | 22254097 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-09-07 | 2026-03-26 | F | AE | PT | 5505 | BATES | 000020963640 | DAISHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16698600/check_22254097_7d7671a0-aec9-4142-90cc-22036eedb5c9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16698600/check_22254097_96bc6477-e7b6-47c4-82be-2b008411c2c8.json | N/A | N/A | N/A | N/A | N/A | 000020963640 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1990-09-07 | 4320968 | 1650095001 | N/A | N/A | false | BATES | N/A | DAISHA | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE-AMERICAN INDIAN BRO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729265 | N/A | N/A | 16698600 | 2222 | N/A | 21062375 | N/A | 14711287 | 2026-03-26 07:13:48.845825 | 2026-02-20 02:01:03.455950 |
| 2026-03-26 07:13:45.779587 | 2026-03-26 07:13:49.624696 | 22254096 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1944-07-17 | 2026-03-26 | F | AE | PT | 5504 | Yin | 000002896249 | Cherry | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17086413/check_22254096_5aa8e879-768a-45c9-a7a1-c03c085a0679.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17086413/check_22254096_8943bb7d-148b-4e21-b79d-3b878a376da5.json | N/A | N/A | N/A | N/A | N/A | 000002896249 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1944-07-17 | 3029308 | 115509 | N/A | N/A | false | YIN | N/A | CHERRY | N/A | 2026-12-31 | 2026-01-01 | LOS ANGELES UNIFIED SCHOOL DISTRICT EFF 1/1/11-USE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729261 | N/A | N/A | 17086413 | 2222 | N/A | 21062389 | N/A | 15078236 | 2026-03-26 07:13:49.624696 | 2026-02-18 17:56:56.986469 |
| 2026-03-26 07:13:45.734450 | 2026-03-26 07:13:48.681257 | 22254095 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-07-22 | 2026-03-26 | F | PT | N/A | 4185 | Amstutz | KXJ396W12867 | Lauren | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16765713/check_22254095_461ef42d-3bc9-49f1-a41e-72544510faaa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16765713/check_22254095_1b15f880-00fd-43b0-a0ac-5fb224c678ad.json | N/A | N/A | N/A | N/A | N/A | KXJ396W12867 | Health Maintenance Organization (HMO) | CASA PACIFICA | ANTHEM BLUE CROSS | N/A | 1993-07-22 | 040 | 151213H030 | N/A | HM | false | AMSTUTZ | N/A | JORDAN | N/A | 9999-12-31 | 2026-01-01 | DEDUCTIBLE HMO SELECT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729262 | N/A | N/A | 16765713 | 2222 | N/A | 21062374 | N/A | 14776656 | 2026-03-26 07:13:48.681257 | 2026-02-10 18:58:53.303852 |
| 2026-03-26 07:13:45.722637 | 2026-03-26 07:13:49.593200 | 22254094 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-03 | 2026-03-26 | M | PT | N/A | 4184 | WILSON | UAL838672820 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16887983/check_22254094_d3fb86be-96cf-491a-9290-a9de04d0c903.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16887983/check_22254094_e600e484-b08d-4dd0-8b6e-80696a295d1b.json | N/A | N/A | N/A | N/A | N/A | UAL838672820 | Preferred Provider Organization (PPO) | UNITED AIRLINES | ANTHEM BLUE CROSS | N/A | 1954-11-03 | N/A | 168262 | N/A | PR | false | WILSON | N/A | THOMAS | N/A | 9999-12-31 | 2016-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729259 | N/A | N/A | 16887983 | 2222 | N/A | 21062387 | N/A | 14890899 | 2026-03-26 07:13:49.593200 | 2026-02-16 16:35:16.688576 |
| 2026-03-26 07:13:45.455911 | 2026-03-26 07:13:50.201582 | 22254093 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2015-08-07 | 2026-03-26 | M | AE | PT | 3948 | Pederson | W245231300-03 | Camden | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16713614/check_22254093_bfc693f8-ee70-469c-83c8-c8d0e930a86b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16713614/check_22254093_fd886ff4-4ebe-4ea9-b768-8a5b0b9c0323.json | N/A | N/A | N/A | N/A | N/A | W245231300 | Point of Service (POS) | ALIGN TECHNOLOGY, INC. | AETNA | N/A | 2015-08-07 | 0883552 | 088355201400001 | N/A | PS | false | PEDERSON | N/A | RYAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729250 | N/A | N/A | 16713614 | 2222 | N/A | 21062394 | N/A | 14725710 | 2026-03-26 07:13:50.201582 | 2026-02-10 21:08:46.744563 |