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 | subscriber_middle_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 | 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 07:13:45.297006 | 2026-03-26 07:13:49.170817 | 22254091 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-24 | 2026-03-26 | F | PT | 4184 | MOLAYEM | XEM904126389 | JILLA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16453425/check_22254091_10c56df1-6c5c-41b2-b81d-90e5984db8ed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16453425/check_22254091_ce24271f-d76c-406f-814c-51334b7eea18.json | N/A | N/A | N/A | N/A | N/A | XEM904126389 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-24 | 2002SF000029 | X0001002 | N/A | OT | false | MOLAYEM | N/A | JILLA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729240 | N/A | N/A | 16453425 | 2222 | N/A | 21062384 | N/A | 14498125 | 2026-03-26 07:13:49.170817 | 2026-03-11 14:35:29.812051 |
| 2026-03-26 07:13:45.199482 | 2026-03-26 07:13:48.135748 | 22254090 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-10-30 | 2026-03-26 | F | PT | 4184 | Levenson | WZA683W26561 | Kyra | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16403229/check_22254090_c00fd828-6587-420f-9ab4-76de64e30af3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16403229/check_22254090_9b69a4d1-e543-4148-bd62-ed5bfb120b7c.json | N/A | N/A | N/A | N/A | N/A | WZA683W26561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1997-10-30 | 130 | 270240M11A | N/A | PR | false | LEVENSON | N/A | KYRA | N/A | 9999-12-31 | 2026-01-26 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729230 | N/A | N/A | 16403229 | 2222 | N/A | 21062370 | N/A | 11005795 | 2026-03-26 07:13:48.135748 | 2025-11-15 00:37:20.611855 |
| 2026-03-26 07:13:45.110562 | 2026-03-26 07:13:47.113763 | 22254089 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-06-30 | 2026-03-26 | F | AE | 5538 | MANZO | 97551002H | TRACY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16282386/check_22254089_7ab1a200-6b73-449f-84fb-7eae1df2f445.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16282386/check_22254089_6b5daea6-f48b-443b-a3b1-5f85675b819b.json | N/A | N/A | N/A | N/A | N/A | 97551002H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1978-06-30 | MCLA | MWLLNMEG21 | N/A | N/A | false | MANZO | N/A | TRACY | N/A | 2078-12-31 | 2025-08-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729231 | N/A | N/A | 16282386 | 2222 | N/A | 21062358 | N/A | 14331366 | 2026-03-26 07:13:47.113763 | 2026-02-03 23:08:47.204504 |
| 2026-03-26 07:13:45.043818 | 2026-03-26 07:13:48.967088 | 22254088 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-10-08 | 2026-03-26 | F | AE | 5505 | Kantor | 000002491752 | Judith | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16357604/check_22254088_b64d22e8-73a6-47be-9c20-28949a7e6ee4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16357604/check_22254088_8d33fd66-9e51-4781-8096-ef710dc8a30b.json | N/A | N/A | N/A | N/A | N/A | 000002491752 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1947-10-08 | 3032427 | 100406 | N/A | N/A | false | KANTOR | N/A | JUDITH | N/A | 2026-12-31 | 2026-01-01 | STATE ADMINISTERED PUBLIC AGENCIES PA REGION 3 RET | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729222 | N/A | N/A | 16357604 | 2222 | N/A | 21062380 | N/A | 14403242 | 2026-03-26 07:13:48.967088 | 2026-02-04 22:38:19.962874 |
| 2026-03-26 07:13:45.034577 | 2026-03-26 07:13:48.084137 | 22254087 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-10-02 | 2026-03-26 | M | PT | 4185 | TALAMANTE | MMA979W26491 | TONY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16213353/check_22254087_e2eb6187-198f-47ff-98cb-f049eb3453c0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16213353/check_22254087_908ef7a1-92e5-4a5a-92e1-f51011212b81.json | N/A | N/A | N/A | N/A | N/A | MMA979W26491 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1950-10-02 | 040 | CAMCRWP0 | N/A | MP | false | TALAMANTE | N/A | TONY | N/A | 9999-12-31 | 2026-02-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729227 | N/A | N/A | 16213353 | 2222 | N/A | 21062368 | N/A | 13411314 | 2026-03-26 07:13:48.084137 | 2026-01-13 20:31:59.541152 |
| 2026-03-26 07:13:45.016085 | 2026-03-26 07:13:50.182353 | 22254086 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-11-12 | 2026-03-26 | F | AE | 3948 | Chow | W227140792 | Yook Ying | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16237575/check_22254086_9fee4b0d-c0d0-4bdf-99b9-9124978e70cd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16237575/check_22254086_42c06c95-3de4-400a-aae9-7b12f0a74656.json | N/A | N/A | N/A | N/A | N/A | W227140792 | Point of Service (POS) | NATIONAL ASSOCIATION OF REALTORS | AETNA | N/A | 1990-11-12 | 0697728 | 069772802100001 | N/A | PS | false | CHOW | N/A | YOOK-YING | 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 | 10393729225 | N/A | N/A | 16237575 | 2222 | N/A | 21062392 | N/A | 14289458 | 2026-03-26 07:13:50.182353 | 2026-02-11 16:26:04.020916 |
| 2026-03-26 07:13:44.910497 | 2026-03-26 07:13:47.990448 | 22254085 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-08-13 | 2026-03-26 | F | 30 | 6237 | SHAPIRO | 40065985101 | ONNETTE | N/A | AD | https://storage.googleapis.com/normandy-eligibility-checks/2222/16086772/check_22254085_f70d7e0b-d213-48db-b484-8aeea6d6ba4e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16086772/check_22254085_ff2ef1d9-6854-473f-b088-c2474c94e33e.json | N/A | N/A | N/A | N/A | N/A | 40065985101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1962-08-13 | 2026H5425001 | H5425M | N/A | N/A | false | SHAPIRO | N/A | ONNETTE | 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 | 10393729216 | N/A | N/A | 16086772 | 2222 | N/A | 21062366 | N/A | 14151882 | 2026-03-26 07:13:47.990448 | 2026-01-30 16:12:37.739707 |
| 2026-03-26 07:13:44.660085 | 2026-03-26 07:13:49.543674 | 22254084 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-04-21 | 2026-03-26 | F | AE | 3948 | FINK | 824993928 | DEBORAH | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16125647/check_22254084_3dff9e2f-a048-4593-97d7-63623395d6f4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16125647/check_22254084_eb8bbff1-8b94-4f5f-9833-222258fe525d.json | N/A | N/A | N/A | N/A | N/A | 824993928 | Point of Service (POS) | BANK OF AMERICA CORPORATION | AETNA | N/A | 1955-04-21 | 0326475 | 032647501000106 | N/A | PS | false | FINK | N/A | DEBORAH | 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 | 10393729199 | N/A | N/A | 16125647 | 2222 | N/A | 21062388 | N/A | 14185911 | 2026-03-26 07:13:49.543674 | 2026-01-31 00:16:18.156182 |
| 2026-03-26 07:13:44.642943 | 2026-03-26 07:13:47.640369 | 22254083 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-04 | 2026-03-26 | M | PT | 4185 | DE LUNA | 025A51982 | NOEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16086240/check_22254083_8b007bbe-167e-4ddb-bf56-20ce27592d55.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16086240/check_22254083_9860d5b6-aad6-424d-9785-ec2b03a7f370.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1967-09-04 | 040 | 56677WR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2026-03-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729196 | N/A | N/A | 16086240 | 2222 | N/A | 21062364 | N/A | 4343453 | 2026-03-26 07:13:47.640369 | 2025-05-13 04:29:37.230931 |
| 2026-03-26 07:13:44.573839 | 2026-03-26 07:13:47.536176 | 22254082 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1989-10-15 | 2026-03-26 | M | AE | 5504 | McGimpsey | 000025861666 | Gavin | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15997538/check_22254082_2eb8d478-04a8-44fe-ba51-eb2c85b2887d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15997538/check_22254082_31655897-9c66-4454-86f0-e8cb9da3c5fe.json | N/A | N/A | N/A | N/A | N/A | 000025861666 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1989-10-15 | 4361630 | 1650095001 | N/A | N/A | false | MCGIMPSEY | N/A | GAVIN | N/A | 2026-12-31 | 2026-01-01 | FEDERAL EMPLOYEES HEALTH BENEFITS FEDS - OTHER - H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729193 | N/A | N/A | 15997538 | 2222 | N/A | 21062362 | N/A | 14070204 | 2026-03-26 07:13:47.536176 | 2026-01-28 18:14:29.010151 |
| 2026-03-26 07:13:44.515054 | 2026-03-26 07:13:47.419710 | 22254081 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-09-19 | 2026-03-26 | M | PT | 4185 | Malouf | NP2044528 | Jarett | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16013458/check_22254081_c01f898d-6831-4206-befa-5e7b4f7df0e4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16013458/check_22254081_2ef248a8-d076-43a5-9fe3-b67a791e6707.json | N/A | N/A | N/A | N/A | N/A | TRJNP2044528 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 2000-09-19 | 040 | 276727M001 | N/A | PR | false | MALOUF | N/A | BRIAN | N/A | 9999-12-31 | 2018-09-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729191 | N/A | N/A | 16013458 | 2222 | N/A | 21062361 | N/A | 14085065 | 2026-03-26 07:13:47.419710 | 2026-01-29 00:27:52.581972 |
| 2026-03-26 07:13:44.215689 | 2026-03-26 07:13:47.134440 | 22254080 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-01-12 | 2026-03-26 | F | PT | 4185 | BOSSART | JQZ016W14082 | LINDSAY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15838469/check_22254080_98266e57-d2d6-486f-8b2d-752b27e291e5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15838469/check_22254080_282452c5-3aa8-4b1b-94f4-e6d7e7d1320c.json | N/A | N/A | N/A | N/A | N/A | JQV016W14082 | Health Maintenance Organization (HMO) | BFTV INC | ANTHEM BLUE CROSS | N/A | 1999-01-12 | 040 | U76970 | N/A | HM | false | BOSSART | N/A | LINDSAY | N/A | 9999-12-31 | 2026-01-01 | CA SG SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729186 | N/A | N/A | 15838469 | 2222 | N/A | 21062359 | N/A | 13837869 | 2026-03-26 07:13:47.134440 | 2026-01-23 18:37:51.711849 |
| 2026-03-26 07:13:44.104783 | 2026-03-26 07:13:46.838950 | 22254079 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-07-20 | 2026-03-26 | F | AE | 5538 | NUNEZ | 577532631 | MARGARITA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15847278/check_22254079_acfcf626-6a0a-4486-96e0-b2712037db26.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15847278/check_22254079_e03031b5-7c18-4da6-960f-badaa1eba78a.json | N/A | N/A | N/A | N/A | N/A | 577532631 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1961-07-20 | LACC | 92815CA001000805 | N/A | N/A | false | NUNEZ | N/A | MARGARITA | 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 | 10393729179 | N/A | N/A | 15847278 | 2222 | N/A | 21062357 | N/A | 13936054 | 2026-03-26 07:13:46.838950 | 2026-01-26 05:01:10.189230 |
| 2026-03-26 07:13:43.971101 | 2026-03-26 07:13:46.723042 | 22254077 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-11-01 | 2026-03-26 | M | PT | 4185 | Leonard | MV7745W01525 | Nathan | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15743588/check_22254077_0295357d-6455-40d8-ae3d-60349c3250ae.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15743588/check_22254077_0221f313-804a-43ac-a2bd-de5d09b89012.json | N/A | N/A | N/A | N/A | N/A | MVT745W01525 | Preferred Provider Organization (PPO) | METROPOLIS EMPLOYEE SERVICES LLC | ANTHEM BLUE CROSS | N/A | 1995-11-01 | 040 | 174348M4A3 | N/A | PR | false | LEONARD | N/A | NATHAN | N/A | 9999-12-31 | 2026-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729171 | N/A | N/A | 15743588 | 2222 | N/A | 21062356 | N/A | 13841877 | 2026-03-26 07:13:46.723042 | 2026-01-21 18:23:55.000858 |
| 2026-03-26 07:13:43.965499 | 2026-03-26 07:13:47.963783 | 22254076 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1936-04-17 | 2026-03-26 | F | AE | 5504 | Frank | 000010875705 | Lya | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15509616/check_22254076_4fb9ac62-1e84-43ff-ae2a-7405f89b100e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15509616/check_22254076_57adac23-ce5e-41fb-a003-4182c201df9f.json | N/A | N/A | N/A | N/A | N/A | 000010875705 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1936-04-17 | 1115265 | 230739 | N/A | N/A | false | FRANK | N/A | LYA | N/A | 2026-12-31 | 2026-01-01 | KPSA CONVERSION-SOUTH KPSA B SCR | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729177 | N/A | N/A | 15509616 | 2222 | N/A | 21062367 | N/A | 13596403 | 2026-03-26 07:13:47.963783 | 2026-01-16 22:31:54.907256 |
| 2026-03-26 07:13:43.890984 | 2026-03-26 07:13:47.593621 | 22254075 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-05-01 | 2026-03-26 | M | PT | 4185 | LANDAVERDE | 833W19349 | OSCAR | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14413682/check_22254075_ebc539c6-ad4a-4b23-80b9-14ab91aaabc5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14413682/check_22254075_4f718b08-84b7-4faa-941a-4bc8e0552c90.json | N/A | N/A | N/A | N/A | N/A | MMA833W19349 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-05-01 | 040 | CAMCRWP0 | N/A | MP | false | LANDAVERDE | N/A | OSCAR | N/A | 9999-12-31 | 2026-02-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729181 | N/A | N/A | 14413682 | 2222 | N/A | 21062360 | N/A | 12549123 | 2026-03-26 07:13:47.593621 | 2025-12-18 17:22:21.485744 |
| 2026-03-26 07:13:43.794597 | 2026-03-26 07:13:48.584680 | 22254074 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-10-26 | 2026-03-26 | F | PT | 4191 | MORTENSEN | YZD737W24774 | KIRA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15312803/check_22254074_228a3a95-8fac-4924-bd8f-01efaf654898.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15312803/check_22254074_a77479e7-807b-48bc-ad9d-4222cd9c1c57.json | N/A | N/A | N/A | N/A | N/A | YZD737W24774 | Preferred Provider Organization (PPO) | MEDICAL INFORMATICS ENGINEERING LLC | BLUE SHIELD OF CALIFORNIA | N/A | 2001-10-26 | 130 | W11821M001 | N/A | PR | false | MORTENSEN | N/A | KIRA | N/A | 9999-12-31 | 2025-09-09 | ANTHEM BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729162 | N/A | N/A | 15312803 | 2222 | N/A | 21062373 | N/A | 13411691 | 2026-03-26 07:13:48.584680 | 2026-01-13 00:02:35.174807 |
| 2026-03-26 07:13:43.763038 | 2026-03-26 07:13:46.711991 | 22254073 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2020-04-30 | 2026-03-26 | M | PT | 4185 | Marez | LSA753A24370 | Sebastian | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15242730/check_22254073_9461bcbb-5e72-46dd-80ac-e885a773f645.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15242730/check_22254073_590d882d-a0b2-481d-a9b1-a7a76f923354.json | N/A | N/A | N/A | N/A | N/A | LSA753A24370 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 2020-04-30 | 040 | 1841AC | N/A | PR | false | MAREZ | N/A | VANESSA | N/A | 9999-12-31 | 2020-05-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729161 | N/A | N/A | 15242730 | 2222 | N/A | 21062355 | N/A | 13342601 | 2026-03-26 07:13:46.711991 | 2026-01-10 00:43:10.594667 |
| 2026-03-26 07:13:43.753872 | 2026-03-26 07:13:46.602845 | 22254072 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-01 | 2026-03-26 | F | PT | 4185 | DE LUNA | JMV025A51982 | MARIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15276776/check_22254072_102492cf-f02a-49b1-adf2-9c8a4b134fb8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15276776/check_22254072_c9f6fe26-2a72-4b7f-b34e-b1c419f7505d.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1966-12-01 | 040 | 56677WR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2026-03-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729160 | N/A | N/A | 15276776 | 2222 | N/A | 21062354 | N/A | 9766947 | 2026-03-26 07:13:46.602845 | 2025-11-11 21:32:02.372730 |
| 2026-03-26 07:13:43.415607 | 2026-03-26 07:13:46.125117 | 22254071 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-10-28 | 2026-03-26 | M | PT | 4184 | MORRIS | ILL532A77856 | ERIC | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15236605/check_22254071_b0a0e11e-05bd-45a8-a86c-30b603cecf1a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15236605/check_22254071_18127334-09b5-49e3-8cf0-be2635208984.json | N/A | N/A | N/A | N/A | N/A | ILL532A77856 | Preferred Provider Organization (PPO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1988-10-28 | 040 | 1854GAR000 | N/A | PR | false | MORRIS | N/A | ERIC | N/A | 9999-12-31 | 2024-07-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729144 | N/A | N/A | 15236605 | 2222 | N/A | 21062351 | N/A | 13337595 | 2026-03-26 07:13:46.125117 | 2026-01-13 22:56:53.164172 |
| 2026-03-26 07:13:43.379516 | 2026-03-26 07:13:46.280243 | 22254070 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-11-07 | 2026-03-26 | M | PT | 4185 | FRIEDMAN | JPU173A63431 | PHILLIP | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15026498/check_22254070_c1014931-b97b-4ef2-b406-f4105b8731ce.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15026498/check_22254070_9bdbe2a0-a3fa-4c55-9250-23173274f8e0.json | N/A | N/A | N/A | N/A | N/A | JPU173A63431 | Preferred Provider Organization (PPO) | NC DYNAMICS LLC | ANTHEM BLUE CROSS | N/A | 1952-11-07 | 040 | L03068M001 | N/A | PR | false | FRIEDMAN | N/A | PHILLIP | N/A | 9999-12-31 | 2025-06-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729141 | N/A | N/A | 15026498 | 2222 | N/A | 21062352 | N/A | 13139277 | 2026-03-26 07:13:46.280243 | 2026-01-08 19:03:05.462828 |
| 2026-03-26 07:13:43.297615 | 2026-03-26 07:14:05.338842 | 22254069 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-12-06 | 2026-03-26 | F | AE | 4625 | GHARAVI | 99570419E | JASMINE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/14856447/check_22254069_3fcb3b98-154f-495f-b199-ac068e539a5a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14856447/check_22254069_b9011606-4899-4f16-86b2-a3248876c8be.json | N/A | N/A | N/A | N/A | N/A | 99570419E | N/A | N/A | HEALTH NET, LLC | N/A | 1997-12-06 | N/A | N/A | N/A | N/A | false | GHARAVI | N/A | JASMINE | N/A | 2026-02-12 | 2024-05-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729140 | N/A | N/A | 14856447 | 2222 | N/A | 21062515 | N/A | 12968899 | 2026-03-26 07:14:05.338842 | 2026-01-05 20:58:07.379737 |
| 2026-03-26 07:13:43.257903 | 2026-03-26 07:13:45.069049 | 22254068 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-11-20 | 2026-03-26 | F | AE | 4497 | Rund | 5UN0TP0YV05 | Stephanie | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15024391/check_22254068_57ba012c-8b79-4ee8-aee4-22ef10b49f66.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15024391/check_22254068_1722381f-6c4e-471b-9a13-10b31d0b79c1.json | N/A | N/A | N/A | N/A | N/A | 5UN0TP0YV05 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-11-20 | S5884 | N/A | N/A | MB | false | RUND | N/A | STEPHANIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 91620 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729138 | N/A | N/A | 15024391 | 2222 | N/A | 21062343 | N/A | 5046194 | 2026-03-26 07:13:45.069049 | 2026-01-06 19:15:31.520951 |
| 2026-03-26 07:13:43.016600 | 2026-03-26 07:13:47.924256 | 22254067 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-11-21 | 2026-03-26 | M | PT | 4191 | Toobi | XDL045A69958 | Sean | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14226250/check_22254067_a1bea81e-eea1-46fc-a1b0-bfb3cce78148.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14226250/check_22254067_7ca36287-5385-416d-ac1f-e0b668fcc45e.json | N/A | N/A | N/A | N/A | N/A | XDL045A69958 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2000-11-21 | 040 | PE4800 | N/A | PR | false | TOOBI | N/A | SEAN | N/A | 9999-12-31 | 2009-03-01 | RIGHTPLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729133 | N/A | N/A | 14226250 | 2222 | N/A | 21062365 | N/A | 12357271 | 2026-03-26 07:13:47.924256 | 2025-12-12 23:21:42.214124 |
| 2026-03-26 07:13:42.993386 | 2026-03-26 07:13:45.707072 | 22254066 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-04-18 | 2026-03-26 | F | AE | 5505 | Carrillo | 000021555700 | Yolanda | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/14778386/check_22254066_56614c69-3d7e-4596-89f4-5df852e3cb38.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14778386/check_22254066_074e4d7f-f0fb-49a7-b710-6a740cd18d30.json | N/A | N/A | N/A | N/A | N/A | 000021555700 | N/A | N/A | KFHP 1001 | SRA - SENIOR ADVANTAGE | 1958-04-18 | 4385825 | 236396 | N/A | N/A | false | CARRILLO | N/A | YOLANDA | N/A | 2026-12-31 | 2026-01-01 | KPSA SOLD TO-SOUTH KPSA SOLD TO-SOUTH | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729128 | N/A | N/A | 14778386 | 2222 | N/A | 21062349 | N/A | 12908843 | 2026-03-26 07:13:45.707072 | 2025-12-29 19:20:06.652914 |
| 2026-03-26 07:13:42.854638 | 2026-03-26 07:13:44.515459 | 22254065 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-02 | 2026-03-26 | F | AE | 5538 | Andrieieva | 925989899G | Taisiia | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9104487/check_22254065_1a68fe36-ca34-4cf5-b9d9-866604fd985f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104487/check_22254065_ff26c92e-c3a6-454f-a5fc-2b856afb7c87.json | N/A | N/A | N/A | N/A | N/A | 925989899G | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1999-03-02 | N/A | N/A | N/A | N/A | false | ANDRIEIEVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | 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 | 9104487 | 2222 | N/A | 21062341 | N/A | 6709145 | 2026-03-26 07:13:44.515459 | 2025-08-07 23:35:55.091438 |
| 2026-03-26 07:13:42.787298 | 2026-03-26 07:13:45.700101 | 22254064 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-02-29 | 2026-03-26 | F | AE | 5505 | Elzinga | 000025992229 | Stevie | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/13437538/check_22254064_094c4a03-4d49-4f09-83e0-3f95dc348311.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13437538/check_22254064_6bfaef0b-a563-4a04-b6be-56f731b613c6.json | N/A | N/A | N/A | N/A | N/A | 000025992229 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1996-02-29 | 4383425 | 100990 | N/A | N/A | false | ELZINGA | N/A | STEVIE | N/A | 2026-12-31 | 2026-01-01 | LOS ANGELES UNIFIED SCHOOL DISTRICT L.A.USD-CERTIF | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729119 | N/A | N/A | 13437538 | 2222 | N/A | 21062348 | N/A | 11598678 | 2026-03-26 07:13:45.700101 | 2025-11-26 19:50:29.795204 |
| 2026-03-26 07:13:42.727344 | 2026-03-26 07:13:45.453464 | 22254063 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-08-04 | 2026-03-26 | M | PT | 4185 | GEFFEN | CFT037A52287 | JASON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/13669648/check_22254063_8c27c690-5840-4023-b716-967a5d0d0cbf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13669648/check_22254063_50e9f8a7-977f-4df1-8ff1-c5d1ad2f9266.json | N/A | N/A | N/A | N/A | N/A | CFT037A52287 | Preferred Provider Organization (PPO) | IMAX CORPORATION | ANTHEM BLUE CROSS | N/A | 1975-08-04 | 243 | 300539002S | N/A | PR | false | GEFFEN | N/A | JASON | N/A | 9999-12-31 | 2021-11-26 | BLUE ACCESS PPO NY | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729111 | N/A | N/A | 13669648 | 2222 | N/A | 21062346 | N/A | 10856744 | 2026-03-26 07:13:45.453464 | 2025-12-29 22:47:44.157557 |
| 2026-03-26 07:13:42.558889 | 2026-03-26 07:13:44.339545 | 22254062 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-04 | 2026-03-26 | F | AE | 4497 | Dunkerley | 9M89GR7HH33 | Elizabeth | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/13335579/check_22254062_da933166-f1e7-442a-8113-729d66b5f9a6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13335579/check_22254062_3f191e4c-2155-47a4-990c-6fd9c78fb1f5.json | N/A | N/A | N/A | N/A | N/A | 9M89GR7HH33 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-08-04 | S5884 | N/A | N/A | MB | false | DUNKERLEY | N/A | ELIZABETH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 101640 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729108 | N/A | N/A | 13335579 | 2222 | N/A | 21062340 | N/A | 8086688 | 2026-03-26 07:13:44.339545 | 2026-01-15 18:07:39.869679 |
| 2026-03-26 07:13:42.511897 | 2026-03-26 07:13:45.506171 | 22254061 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-02-27 | 2026-03-26 | F | AE | 5505 | Lee | 000017103326 | Jean | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/12437386/check_22254061_cf59f893-a365-4d78-b1fa-022e6b0f2733.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12437386/check_22254061_fc6d21eb-9d8d-47ea-94c5-c88fd76a01ea.json | N/A | N/A | N/A | N/A | N/A | 000017103326 | N/A | N/A | KP HEALTH CARE REFORM - HMO | MDC - MEDICAID | 1981-02-27 | 4378723 | 500111 | N/A | N/A | false | LEE | N/A | JEAN | N/A | 2026-12-31 | 2026-01-01 | MEDI-CAL CALOPTIMA MEDI-CAL CALOPTIMA ADULT EXPAN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729103 | N/A | N/A | 12437386 | 2222 | N/A | 21062345 | N/A | 10617653 | 2026-03-26 07:13:45.506171 | 2025-11-07 22:17:52.515771 |
| 2026-03-26 07:13:42.442842 | 2026-03-26 07:13:45.532921 | 22254060 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-07-03 | 2026-03-26 | M | PT | 4184 | STEALEY | JQU013W15922 | JACOB | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/12010678/check_22254060_66dafbfd-2bfa-4b34-8928-3a2c6664218b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010678/check_22254060_ef050892-9645-48ae-aab1-fefc07de518d.json | N/A | N/A | N/A | N/A | N/A | JQU013W15922 | Preferred Provider Organization (PPO) | THE SAW, INC | ANTHEM BLUE CROSS | N/A | 1994-07-03 | 040 | K45474 | N/A | PR | false | STEALEY | N/A | JACOB | N/A | 9999-12-31 | 2026-02-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729106 | N/A | N/A | 12010678 | 2222 | N/A | 21062347 | N/A | 10232475 | 2026-03-26 07:13:45.532921 | 2025-11-01 00:03:21.076437 |
| 2026-03-26 07:13:42.391836 | 2026-03-26 07:13:46.047967 | 22254059 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-28 | 2026-03-26 | M | AE | 5349 | Kisca | H6309049800 | John | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/13037589/check_22254059_9d266c16-6d08-485b-a83b-4f75c2e66b36.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13037589/check_22254059_44e465f0-54d4-4792-9d52-250e8cac6b02.json | N/A | N/A | N/A | N/A | N/A | H63090498 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 666 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1941-08-28 | N/A | 2B863001 | N/A | HN | false | KISCA | N/A | JOHN | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729094 | N/A | N/A | 13037589 | 2222 | N/A | 21062350 | N/A | 11194723 | 2026-03-26 07:13:46.047967 | 2025-12-17 17:59:32.346197 |
| 2026-03-26 07:13:42.214887 | 2026-03-26 07:13:44.115872 | 22254058 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-03-27 | 2026-03-26 | F | AE | 4497 | Verratti | 1E21E50VR34 | Kathleen | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/11936768/check_22254058_109f5517-5d4e-4580-9e5d-7ccfb1b4861d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11936768/check_22254058_abc0518a-c16e-49b9-a4cb-e55b0eedf925.json | N/A | N/A | N/A | N/A | N/A | 1E21E50VR34 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-03-27 | S4802 | N/A | N/A | MA | false | VERRATTI | N/A | KATHLEEN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 85819 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729087 | N/A | N/A | 11936768 | 2222 | N/A | 21062338 | N/A | 10163894 | 2026-03-26 07:13:44.115872 | 2025-10-30 22:58:10.977312 |
| 2026-03-26 07:13:42.182538 | 2026-03-26 07:14:04.346897 | 22254057 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-03-20 | 2026-03-26 | M | AE | 4625 | Vallez | UZ117007801 | Christopher | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/11619496/check_22254057_bc0a3ee5-a0a7-4dae-8a3b-9275511886ec.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11619496/check_22254057_4db79671-4fba-4f6d-ab81-3ded23494f27.json | N/A | N/A | N/A | N/A | N/A | UZ117007801 | 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. | 1986-03-20 | 67138CA0520015-06 | N/A | N/A | N/A | false | VALLEZ | N/A | CHRISTOPHER | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729083 | N/A | N/A | 11619496 | 2222 | N/A | 21062505 | N/A | 9856940 | 2026-03-26 07:14:04.346897 | 2025-11-10 19:43:16.763776 |
| 2026-03-26 07:13:42.159576 | 2026-03-26 07:13:43.983467 | 22254056 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-06-12 | 2026-03-26 | F | AE | 5538 | Ballatore | 90665617F | Chloe | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6553125/check_22254056_1792e95a-e506-4066-9a62-6e04a7b4d5d4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553125/check_22254056_addfa4ce-f5e8-47ef-b900-96fecd656379.json | N/A | N/A | N/A | N/A | N/A | 90665617F | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1969-06-12 | N/A | N/A | N/A | N/A | false | BALLATORE | N/A | CHLOE | N/A | 2078-12-31 | 2024-03-01 | 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 | 6553125 | 2222 | N/A | 21062336 | N/A | 5176363 | 2026-03-26 07:13:43.983467 | 2025-06-23 23:46:22.182955 |
| 2026-03-26 07:13:41.944420 | 2026-03-26 07:13:43.635068 | 22254055 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-23 | 2026-03-26 | M | AE | 4497 | Bogen | 9P98YU0FH34 | Andrew | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/11174640/check_22254055_57c90376-6ab9-49b8-987a-3d8b8568cd62.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174640/check_22254055_fcb3eea1-ca0d-4028-b848-880c99613dbf.json | N/A | N/A | N/A | N/A | N/A | 9P98YU0FH34 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-08-23 | N/A | N/A | N/A | MA | false | BOGEN | N/A | ANDREW | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 214659 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729072 | N/A | N/A | 11174640 | 2222 | N/A | 21062332 | N/A | 9519718 | 2026-03-26 07:13:43.635068 | 2026-02-02 19:30:57.219688 |
| 2026-03-26 07:13:41.853079 | 2026-03-26 07:13:43.841237 | 22254054 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-05-29 | 2026-03-26 | F | PT | 4191 | LARSON | XEA913804058 | DEBRA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9562148/check_22254054_9d97d482-37a7-4682-bf18-150b4b488a2e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_22254054_70a241e2-52b7-462a-a682-72d47e543043.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729071 | N/A | N/A | 9562148 | 2222 | N/A | 21062335 | N/A | 7997320 | 2026-03-26 07:13:43.841237 | 2025-10-02 21:07:14.563938 |
| 2026-03-26 07:13:41.845200 | 2026-03-26 07:13:43.693444 | 22254053 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-04-20 | 2026-03-26 | M | 96 | 6798 | HAUSMAN | 34751866 | GARY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9280203/check_22254053_cc319513-27e4-4714-a969-49e74ca4d607.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_22254053_5d5d5f66-9108-4fc8-a92f-16966f256925.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-034-002 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10393729070 | N/A | N/A | 9280203 | 2222 | N/A | 21062334 | N/A | 7788651 | 2026-03-26 07:13:43.693444 | 2025-09-10 18:50:22.494063 |
| 2026-03-26 07:13:41.807128 | 2026-03-26 07:13:43.517018 | 22254052 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-15 | 2026-03-26 | M | AE | 4497 | WOLFE | 9Y10EH3AK90 | MICHAEL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/10239788/check_22254052_d7dbd5c0-cd32-4701-b1cc-3f5f8a9b21d5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239788/check_22254052_9a1f9ec4-1fa8-4ec0-8f62-7ca83d04d40c.json | N/A | N/A | N/A | N/A | N/A | 9Y10EH3AK90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-15 | S5617 | N/A | N/A | MA | false | WOLFE | N/A | MICHAEL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 115519 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729066 | N/A | N/A | 10239788 | 2222 | N/A | 21062331 | N/A | 8527464 | 2026-03-26 07:13:43.517018 | 2025-10-14 15:25:46.972104 |
| 2026-03-26 07:13:41.762100 | 2026-03-26 07:13:47.607086 | 22254051 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-03-28 | 2026-03-26 | F | AE | 4437 | SAGMAN | U9205101701 | SYDNEY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9924959/check_22254051_0c77a1a5-df34-4c77-8a31-104165387752.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9924959/check_22254051_437d404f-93f8-455d-b257-235cc49057e2.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729065 | N/A | N/A | 9924959 | 2222 | N/A | 21062363 | N/A | 4722569 | 2026-03-26 07:13:47.607086 | 2025-08-26 00:16:35.895658 |
| 2026-03-26 07:13:41.579498 | 2026-03-26 07:13:43.796510 | 22254050 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-06-17 | 2026-03-26 | M | AE | 5538 | FAVELA | 620360888 | MAXIMILIAN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/8960010/check_22254050_9089b576-f3ce-49a0-9fe1-dc0186462052.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_22254050_0d91ebfd-4c12-4e86-a5ad-281b9152c8e2.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | N/A | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | 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 | 10393729062 | N/A | N/A | 8960010 | 2222 | N/A | 21062333 | N/A | 7476978 | 2026-03-26 07:13:43.796510 | 2026-01-07 18:27:22.752552 |
| 2026-03-26 07:13:41.495524 | 2026-03-26 07:13:43.185291 | 22254048 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-07-01 | 2026-03-26 | F | AE | 4497 | GREER | 7H09HW9QG44 | ROBIN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9411083/check_22254048_e9ab1dfc-0ddc-4d35-87d1-97a9f0360c83.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_22254048_b9132e52-3486-4c1f-bce3-f5f54902b8e9.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MB | false | GREER | N/A | ROBIN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 111659 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729052 | N/A | N/A | 9411083 | 2222 | N/A | 21062328 | N/A | 7879863 | 2026-03-26 07:13:43.185291 | 2026-02-04 18:21:13.840230 |
| 2026-03-26 07:13:41.404474 | 2026-03-26 07:13:46.396283 | 22254047 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-12-24 | 2026-03-26 | F | PT | 4191 | Garcia | NCF409W01940 | Jessica | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7965049/check_22254047_7c0b3345-9a91-4dea-85ca-b21f3f69eb03.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7965049/check_22254047_86270d41-66eb-478a-870d-dd2354eb99a2.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1993-12-24 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | JESSICA | N/A | 9999-12-31 | 2019-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729050 | N/A | N/A | 7965049 | 2222 | N/A | 21062353 | N/A | 6604326 | 2026-03-26 07:13:46.396283 | 2025-08-06 18:06:11.137864 |
| 2026-03-26 07:13:41.327303 | 2026-03-26 07:13:44.522195 | 22254045 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2010-03-18 | 2026-03-26 | M | PT | 23320 | MARTIN | XEH906532391-003 | CHRISTOPHER | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6967909/check_22254045_8f269a1e-7605-4d0e-9f1f-f72c287f9931.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967909/check_22254045_08d5f42e-7830-4442-99c4-be6fcb0cf2b2.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2029-03-31 | 2018-06-01 | DENTAL HMO PLUS | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10393729047 | N/A | N/A | 6967909 | 2222 | N/A | 21062339 | N/A | 5990447 | 2026-03-26 07:13:44.522195 | 2025-07-21 18:40:33.917911 |
| 2026-03-26 07:13:41.292309 | 2026-03-26 07:13:42.851380 | 22254044 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-02 | 2026-03-26 | F | AE | 5538 | Andrieieva | 925989899G | Taisiia | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9104487/check_22254044_abb5d0f3-4fbe-4091-8b07-d1b3ff885b08.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | N/A | N/A | N/A | N/A | N/A | N/A | 925989899G | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1999-03-02 | N/A | N/A | N/A | N/A | false | ANDRIEIEVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | 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 | 9104487 | 2222 | N/A | N/A | N/A | 6709145 | 2026-03-26 07:13:42.851380 | 2025-08-07 23:35:55.091438 |
| 2026-03-26 07:13:41.286210 | 2026-03-26 07:13:43.125743 | 22254043 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-14 | 2026-03-26 | F | AE | 4497 | McKinnon | 4Q81VP4NU12 | Dawn | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/7783105/check_22254043_9af0912d-734b-4a82-a5bf-475e3e37d427.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783105/check_22254043_46edb8ce-1117-4202-8442-2438f36c4cf4.json | N/A | N/A | N/A | N/A | N/A | 4Q81VP4NU12 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MA | false | MCKINNON | N/A | DAWN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 223800 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729042 | N/A | N/A | 7783105 | 2222 | N/A | 21062327 | N/A | 6628331 | 2026-03-26 07:13:43.125743 | 2025-08-22 15:16:03.942743 |
| 2026-03-26 07:13:41.201757 | 2026-03-26 07:13:43.256417 | 22254042 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-02-07 | 2026-03-26 | M | AE | 4497 | BHAMRAH | 8FX0NA8MD19 | KULDIP | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/7442857/check_22254042_6bade3d0-9360-4483-89d0-a8cd44ff6694.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442857/check_22254042_3afe1812-311f-4cc2-abac-7d4c658ebfba.json | N/A | N/A | N/A | N/A | N/A | 8FX0NA8MD19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-07 | S5617 | N/A | N/A | MA | false | BHAMRAH | N/A | KULDIP | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 116041 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729037 | N/A | N/A | 7442857 | 2222 | N/A | 21062329 | N/A | 6393941 | 2026-03-26 07:13:43.256417 | 2025-08-13 16:33:53.313259 |
| 2026-03-26 07:13:41.089191 | 2026-03-26 07:13:43.001319 | 22254041 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-07 | 2026-03-26 | M | AE | 4497 | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6752936/check_22254041_eb470c61-c4ce-4955-90a3-186a79f32cfa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_22254041_c0d184e6-58e7-4ffe-9d7f-5b62251ca1f5.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 204135 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393729036 | N/A | N/A | 6752936 | 2222 | N/A | 21062324 | N/A | 5065602 | 2026-03-26 07:13:43.001319 | 2025-07-01 17:25:13.681724 |
| 2026-03-26 07:13:40.927086 | 2026-03-26 07:13:42.927073 | 22254040 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-10-10 | 2026-03-26 | M | AE | 4497 | Walter | 1TQ1EQ4FJ98 | Howard | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6751304/check_22254040_de17ca09-8257-4e5e-aebe-c078dfe2d053.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_22254040_757ff075-0561-4474-bc68-a7e205426331.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MB | false | WALTER | N/A | HOWARD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 91460 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393728998 | N/A | N/A | 6751304 | 2222 | N/A | 21062322 | N/A | 5557241 | 2026-03-26 07:13:42.927073 | 2025-07-22 17:08:51.810153 |
| 2026-03-26 07:13:40.464064 | 2026-03-26 07:13:42.651400 | 22254039 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2026-03-26 | F | AE | 4497 | FABER | 4X26K21EE83 | LINDA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_22254039_400a339d-71fe-4a3a-9652-911e12b26657.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_22254039_6c348cd8-5ce6-4e44-8bea-edb74054bab7.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MB | false | FABER | N/A | LINDA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 97235 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10393728973 | N/A | N/A | 6522947 | 2222 | N/A | 21062317 | N/A | 5146127 | 2026-03-26 07:13:42.651400 | 2025-06-20 17:58:23.371130 |