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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-25 07:15:59.071270 | 2026-03-26 17:47:05.573204 | 22136784 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 22136784 | Athletic Physical Therapy Inc | 1956-03-01 | 2026-03-26 | M | AE | PT | KLINGE | XEM912398996 | JOHN | Edgar | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.121825361.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539487/check_22136784_a185f1a9-8661-4c73-b4f7-82aafed7d467.json | N/A | N/A | N/A | N/A | N/A | XEM912398996 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1956-03-01 | 2004SE000030 | X0001002 | N/A | OT | false | KLINGE | N/A | JOHN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383096303 | N/A | N/A | 5539487 | 2222 | 4793 | 22028956 | N/A | 4211780 | 2026-03-26 17:47:05.573204 | 2025-10-27 16:53:51.769426 |
| 2026-03-25 07:15:58.972979 | 2026-03-26 17:22:57.042058 | 22136771 | N/A | N/A | 31053 | State Farm Insurance Companies | 1114042165 | 22136771 | Athletic Physical Therapy Inc | 1937-02-23 | 2026-03-27 | F | AE | PT | SPIGELMAN | HC5192477575 | JUDY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.121825361.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536257/check_22136771_d7caffda-b2a8-49d7-b86a-d43d4c386869.json | N/A | N/A | N/A | N/A | N/A | HC5192477575 | Medigap Part A | N/A | STATE FARM INSURANCE COMPANIES | N/A | 1937-02-23 | N/A | N/A | N/A | MH | false | SPIGELMAN | N/A | JUDY | N/A | N/A | N/A | MEDICARE SUPPLEMENT - FOLLOWS MEDICARE GUIDELINES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383096302 | N/A | N/A | 5536257 | 2222 | 4802 | 21952550 | N/A | 4209028 | 2026-03-26 17:22:57.042058 | 2026-03-12 23:35:58.198593 |
| 2026-03-25 07:15:58.750783 | 2026-03-26 17:23:19.886637 | 22136739 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 22136739 | Athletic Physical Therapy Inc | 1939-06-24 | 2026-03-27 | M | AE | PT | ULLMAN | 03520409411 | DAVID | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260325.121825361.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_22136739_27d1d5cc-229d-42e9-95cf-67318bd4c6c6.json | N/A | N/A | N/A | N/A | N/A | 03520409411 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1939-06-24 | N/A | N/A | N/A | SP | false | ULLMAN | N/A | DAVID | N/A | 2025-12-31 | 2025-01-01 | AARP MEDICARE SUPPLEMENT PLAN J | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383096301 | N/A | N/A | 5535842 | 2222 | 4801 | 21955049 | N/A | 4208696 | 2026-03-26 17:23:19.886637 | 2025-06-07 16:16:45.844566 |
| 2026-03-25 07:13:45.468772 | 2026-03-25 07:15:29.175341 | 22118738 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-03-27 | 2026-03-25 | F | AE | PT | FINE | 00000272194 | MICHELLE | N/A | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858742/check_22118738_806ea5d9-73dc-4168-bac9-391db0bc116a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | 00000272194 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1953-03-27 | N/A | N/A | N/A | N/A | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5858742 | 2222 | N/A | N/A | N/A | 4219630 | 2026-03-25 07:15:29.175341 | 2025-05-13 04:29:37.230672 |
| 2026-03-25 07:13:03.911587 | 2026-03-25 07:13:06.796762 | 22114317 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-07-01 | 2026-03-25 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9691081/check_22114317_8642198e-afb4-4a79-9dc8-933ff20fd414.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_22114317_01d85d0d-65e4-42ec-bec5-783482357448.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383044799 | N/A | N/A | 9691081 | 2222 | N/A | 20973621 | N/A | 8110015 | 2026-03-25 07:13:06.796762 | 2025-10-05 15:24:30.421551 |
| 2026-03-25 07:12:28.783405 | 2026-03-25 07:12:32.743254 | 22110250 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-08-30 | 2026-03-25 | M | AE | PT | Wilson | 40066267001 | Jesse | N/A | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/15459527/check_22110250_a1268271-5973-43c4-966c-3e7ad1391f53.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15459527/check_22110250_f432879c-e7d2-4f0f-a229-1aecca404ef1.json | N/A | N/A | N/A | N/A | N/A | 40066267001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-08-30 | 2026H0976001LAAF | H0976DSNP | N/A | N/A | false | WILSON | N/A | JESSE | N/A | N/A | N/A | CALIFORNIA MEDI-CAL PLAN 200 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383040598 | N/A | N/A | 15459527 | 2222 | N/A | 20973311 | N/A | 13546654 | 2026-03-25 07:12:32.743254 | 2026-01-15 21:26:11.579374 |
| 2026-03-25 07:12:16.297989 | 2026-03-25 07:12:18.514214 | 22108672 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-11-23 | 2026-03-25 | F | AE | PT | Villanueva | JQU895W03134 | Jennifer | N/A | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18413103/check_22108672_72dcdef9-fc1a-4578-bb22-9db4e73b1aa9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18413103/check_22108672_50288a20-bd5a-4972-8fb3-38686ff8f7a2.json | N/A | N/A | N/A | N/A | N/A | JQU895W03134 | N/A | N/A | AETNA INC | N/A | 1987-11-23 | N/A | N/A | N/A | N/A | false | VILLANUEVA | N/A | JENNIFER | 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 | 18413103 | 2222 | N/A | 20973164 | N/A | 16415924 | 2026-03-25 07:12:18.514214 | 2026-03-25 00:06:28.274965 |
| 2026-03-25 07:12:13.653405 | 2026-03-25 07:12:15.464291 | 22108364 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-04-28 | 2026-03-25 | F | PT | N/A | Chalquest | JQV812W16348 | Christine | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17660872/check_22108364_26d4db3e-7388-4bd1-aac8-e1275f1003ba.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17660872/check_22108364_aec004a3-b967-4863-9503-ad8c71f77978.json | N/A | N/A | N/A | N/A | N/A | JQV812W16348 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1958-04-28 | N/A | N/A | N/A | N/A | false | CHALQUEST | N/A | CHRISTINE | N/A | 9999-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17660872 | 2222 | N/A | 20973136 | N/A | 15705146 | 2026-03-25 07:12:15.464291 | 2026-03-05 22:44:33.989062 |
| 2026-03-25 07:12:13.050218 | 2026-03-25 07:12:16.279341 | 22108293 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-11-23 | 2026-03-25 | F | AE | PT | Villanueva | JQU895W03134 | Jennifer | N/A | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18413103/check_22108293_715ab5b5-f042-4b04-85b6-52bee0c75df0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | JQU895W03134 | N/A | N/A | AETNA INC | N/A | 1987-11-23 | N/A | N/A | N/A | N/A | false | VILLANUEVA | N/A | JENNIFER | 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 | 18413103 | 2222 | N/A | N/A | N/A | 16415924 | 2026-03-25 07:12:16.279341 | 2026-03-25 00:06:28.274965 |
| 2026-03-25 07:12:13.019955 | 2026-03-25 07:12:18.934799 | 22108290 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-03-16 | 2026-03-25 | M | AE | PT | Seccombe | W290868874 | Evan | N/A | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18472694/check_22108290_c3f2afe9-7eb7-4819-9e15-304f0128b391.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18472694/check_22108290_3b48ffce-539a-48db-bab7-5935bdfe19e3.json | N/A | N/A | N/A | N/A | N/A | W290868874 | Point of Service (POS) | TKO OPERATING COMPANY, LLC | AETNA | N/A | 1987-03-16 | 0237520 | 023752001400006 | N/A | PS | false | SECCOMBE | N/A | EVAN | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383039543 | N/A | N/A | 18472694 | 2222 | N/A | 20973168 | N/A | 16472994 | 2026-03-25 07:12:18.934799 | 2026-03-25 02:38:57.554793 |
| 2026-03-25 07:12:12.822068 | 2026-03-25 07:12:15.648484 | 22108272 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1992-02-05 | 2026-03-25 | F | AE | PT | Hipp | 000021264656 | Zoe | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18386550/check_22108272_60c6a5ec-a6a9-4311-80d6-063d6fbbaff0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18386550/check_22108272_8441612e-31c1-4be8-a753-d8aa7682e6b0.json | N/A | N/A | N/A | N/A | N/A | 000021264656 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1992-02-05 | 4359377 | 399999 | N/A | N/A | false | HIPP | N/A | ZOE | 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 | 10383039530 | N/A | N/A | 18386550 | 2222 | N/A | 20973137 | N/A | 16392592 | 2026-03-25 07:12:15.648484 | 2026-03-19 17:35:27.889788 |
| 2026-03-25 07:12:12.738995 | 2026-03-25 07:12:16.523072 | 22108261 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-11-28 | 2026-03-25 | M | PT | N/A | BRAICO | XED910948464 | MICHEAL | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18404919/check_22108261_3c13d596-90c9-47d1-9990-4f75e1b0dbc7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18404919/check_22108261_d7a8ebd1-2ee8-4f88-9297-81274a47cb3d.json | N/A | N/A | N/A | N/A | N/A | XED910948464 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | ANTHEM BLUE CROSS | N/A | 1988-11-28 | 2001ZL002187 | X0001004 | N/A | PR | false | BRAICO | N/A | MICHAEL | N/A | 9999-12-31 | 2022-01-01 | IFP EMB PED VISION | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383039523 | N/A | N/A | 18404919 | 2222 | N/A | 20973146 | N/A | 16408525 | 2026-03-25 07:12:16.523072 | 2026-04-29 19:12:42.644870 |
| 2026-03-25 07:12:12.543983 | 2026-03-25 07:12:14.634390 | 22108242 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-09-19 | 2026-03-25 | F | PT | N/A | CHILAKOS | XAN913820374 | JANIS | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18247267/check_22108242_362ba7b5-cdc0-44b1-b96d-c54d38153a7d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18247267/check_22108242_7ffb0946-d16b-49da-bede-ada7981f36f6.json | N/A | N/A | N/A | N/A | N/A | XAN913820374 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1964-09-19 | 1000PPOX0003 | W0051411 | N/A | PR | false | CHILAKOS | N/A | JANIS | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383039515 | N/A | N/A | 18247267 | 2222 | N/A | 20973128 | N/A | 16262937 | 2026-03-25 07:12:14.634390 | 2026-03-23 18:45:59.777696 |
| 2026-03-25 07:12:12.474291 | 2026-03-25 07:12:14.246756 | 22108231 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-01-27 | 2026-03-25 | F | AE | PT | KIM | 2CK8PQ4QA27 | SARAH | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18379311/check_22108231_d57cb1a7-01ff-4924-a48d-a23379451e70.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18379311/check_22108231_cb3830b5-1fbd-4358-9765-736c20326fca.json | N/A | N/A | N/A | N/A | N/A | 2CK8PQ4QA27 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-01-27 | S4802 | N/A | N/A | MB | false | KIM | N/A | SARAH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383039501 | N/A | N/A | 18379311 | 2222 | N/A | 20973125 | N/A | 16386056 | 2026-03-25 07:12:14.246756 | 2026-03-19 16:01:57.090565 |
| 2026-03-25 07:12:12.452091 | 2026-03-25 07:12:17.449623 | 22108228 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-01-01 | 2026-03-25 | F | PT | N/A | AMEZCUA | CAI650M86977 | DAISY | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18381026/check_22108228_b008eb7d-6562-4e0e-bc20-2a08f9abbeb4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18381026/check_22108228_952a9614-3c53-449f-8131-3effeb7c734b.json | N/A | N/A | N/A | N/A | N/A | CAI650M86977 | Health Maintenance Organization (HMO) | CALPERS CA REGION TWO - SO CA | ANTHEM BLUE CROSS | N/A | 1991-01-01 | 040 | HTB050HT | N/A | HM | false | AMEZCUA | N/A | DAISY | N/A | 9999-12-31 | 2026-01-01 | PREMIER TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383039504 | N/A | N/A | 18381026 | 2222 | N/A | 20973157 | N/A | 16387780 | 2026-03-25 07:12:17.449623 | 2026-03-20 18:23:19.947495 |
| 2026-03-25 07:12:12.335200 | 2026-03-25 07:12:16.130887 | 22108215 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-03 | 2026-03-25 | F | 30 | AD | WIKTOR BECKER | 40085194001 | ANNA | N/A | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18319231/check_22108215_defecd53-730a-44b9-bf58-36c4198b4ffa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18319231/check_22108215_0e0674f2-87b9-4c71-ba5c-48cbb9b5046b.json | N/A | N/A | N/A | N/A | N/A | 40085194001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-03-03 | 2026H5425001 | H5425M | N/A | N/A | false | WIKTOR BECKER | N/A | ANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 10383039485 | N/A | N/A | 18319231 | 2222 | N/A | 20973141 | N/A | 16330459 | 2026-03-25 07:12:16.130887 | 2026-03-18 19:16:09.524076 |
| 2026-03-25 07:12:12.289589 | 2026-03-25 07:12:17.080812 | 22108212 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-08-20 | 2026-03-25 | F | PT | N/A | FELT | JXN853M92476 | KATHRYN | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18326912/check_22108212_44c6d40b-e996-4638-93b7-91e718b2de5d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18326912/check_22108212_5c4d07d7-6936-4924-9e7c-093c6dcb8c76.json | N/A | N/A | N/A | N/A | N/A | JXN853M92476 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | BLUE SHIELD OF CALIFORNIA | N/A | 1992-08-20 | 040 | 174222M2A1 | N/A | PR | false | FELT II | N/A | DONALD | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383039479 | N/A | N/A | 18326912 | 2222 | N/A | 20973151 | N/A | 16337774 | 2026-03-25 07:12:17.080812 | 2026-03-18 18:21:21.968505 |
| 2026-03-25 07:12:12.159716 | 2026-03-25 07:12:15.055552 | 22108194 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-20 | 2026-03-25 | F | AE | PT | Durant | 000008717870 | Jovanna | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18270267/check_22108194_6dae0955-5dcd-457c-97c7-45dd7cbe4161.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18270267/check_22108194_6cfb4e1d-f541-4844-b37a-0f4033cc58e5.json | N/A | N/A | N/A | N/A | N/A | 000008717870 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1987-08-20 | 4368158 | 100200 | N/A | N/A | false | DURANT | N/A | JOVANNA | N/A | 2026-12-31 | 2026-01-01 | KAISER FOUNDATION HEALTH PLAN - SCA - 100200 S.E.I | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383039476 | N/A | N/A | 18270267 | 2222 | N/A | 20973135 | N/A | 16284557 | 2026-03-25 07:12:15.055552 | 2026-03-22 16:36:56.176369 |
| 2026-03-25 07:12:12.012076 | 2026-03-25 07:12:14.789265 | 22108182 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-02-18 | 2026-03-25 | F | PT | N/A | MENDOZA | JMV327W24025 | MARTHA | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18232470/check_22108182_2f2587f6-9493-44c6-aab0-18b0108f2e06.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18232470/check_22108182_a5da8dfc-e238-45ac-864d-e97cc3541e4a.json | N/A | N/A | N/A | N/A | N/A | JMV327W24025 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS LIFE HLTH INS C | N/A | 1983-02-18 | 040 | 56677NR000 | N/A | HM | false | MENDOZA | N/A | GERARDO | N/A | 9999-12-31 | 2025-07-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383039461 | N/A | N/A | 18232470 | 2222 | N/A | 20973131 | N/A | 13900510 | 2026-03-25 07:12:14.789265 | 2026-01-27 00:13:26.286289 |
| 2026-03-25 07:12:12.006883 | 2026-03-25 07:12:15.172766 | 22108181 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-28 | 2026-03-25 | M | PT | N/A | ANDERSON | MPI01400934Q | TODD | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18186648/check_22108181_c1a35324-47c2-4175-8f11-b951b53a2cd7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18186648/check_22108181_6f9df945-2186-4952-b75f-ae2782cad79b.json | N/A | N/A | N/A | N/A | N/A | MPI01400934Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN - RETIREE | ANTHEM BLUE CROSS | N/A | 1961-12-28 | 040 | 277163M503 | N/A | PR | false | ANDERSON | N/A | TODD | N/A | 9999-12-31 | 2024-12-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383039469 | N/A | N/A | 18186648 | 2222 | N/A | 20973134 | N/A | 16203702 | 2026-03-25 07:12:15.172766 | 2026-03-25 15:59:19.781101 |
| 2026-03-25 07:12:11.976487 | 2026-03-25 07:12:14.295793 | 22108178 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-29 | 2026-03-25 | M | PT | N/A | Lopez Flores | JQW444W17529 | Sergio | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18090769/check_22108178_bef22527-1dbd-4132-ab63-cab9968f65db.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18090769/check_22108178_51924037-fd1a-4a61-b907-d7347ebf5f24.json | N/A | N/A | N/A | N/A | N/A | JQW444W17529 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-08-29 | 040 | CAMCRWP0 | N/A | MP | false | LOPEZ FLORES | N/A | SERGIO | N/A | 9999-12-31 | 2026-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383039462 | N/A | N/A | 18090769 | 2222 | N/A | 20973124 | N/A | 16114931 | 2026-03-25 07:12:14.295793 | 2026-03-20 18:10:42.904519 |
| 2026-03-25 07:12:11.883733 | 2026-03-25 07:12:14.684762 | 22108161 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-06-27 | 2026-03-25 | M | 30 | AD | WEST | 40065315001 | KIRK | N/A | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18198006/check_22108161_8823bb44-52ef-41a7-9851-a6881b9ecab7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18198006/check_22108161_fc9f2e25-8b11-4bbe-905c-6acbdea8426d.json | N/A | N/A | N/A | N/A | N/A | 40065315001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-06-27 | 2026H5425001 | H5425M | N/A | N/A | false | WEST | N/A | KIRK | 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 | 10383039455 | N/A | N/A | 18198006 | 2222 | N/A | 20973129 | N/A | 10033486 | 2026-03-25 07:12:14.684762 | 2025-11-04 21:34:59.842331 |
| 2026-03-25 07:12:11.591229 | 2026-03-25 07:12:13.758965 | 22108128 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-07-31 | 2026-03-25 | F | AE | PT | Policarpo | 94407476E | Andrea | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17938794/check_22108128_e6cfce46-bc75-4ed1-8482-ba2e48678290.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17938794/check_22108128_f1ac4d56-bcff-45e5-b9bf-556fe9a021bc.json | N/A | N/A | N/A | N/A | N/A | 94407476E | N/A | MCLA ND AD/FA/CH<19 | LA CARE HEALTH PLAN | N/A | 2007-07-31 | MCLA | MCLANFAL19 | N/A | N/A | false | POLICARPO | N/A | ANDREA | N/A | 2078-12-31 | 2017-06-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383039445 | N/A | N/A | 17938794 | 2222 | N/A | 20973120 | N/A | 15977182 | 2026-03-25 07:12:13.758965 | 2026-03-11 20:46:09.014259 |
| 2026-03-25 07:12:11.499916 | 2026-03-25 07:12:14.826270 | 22108112 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-02-21 | 2026-03-25 | F | AE | PT | Cohen | 000026138884 | Hally | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17938276/check_22108112_caaa0be6-8aaa-4a0a-b0af-8d91b356b4e6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17938276/check_22108112_1ac1d9e9-dd81-4c06-b415-3814b940009e.json | N/A | N/A | N/A | N/A | N/A | 000026138884 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1976-02-21 | 4388738 | 102601 | N/A | N/A | false | COHEN | N/A | HALLY | N/A | 2026-12-31 | 2026-01-01 | UNIVERSITY OF CALIFORNIA UCLA - CAMPUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383039437 | N/A | N/A | 17938276 | 2222 | N/A | 20973127 | N/A | 15976613 | 2026-03-25 07:12:14.826270 | 2026-03-11 20:32:37.861830 |
| 2026-03-25 07:12:11.360345 | 2026-03-25 07:12:13.640483 | 22108099 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-12-17 | 2026-03-25 | F | PT | N/A | UPDIKE | XAN903412717 | AMIE | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18021836/check_22108099_0f4ffff1-c4d3-4a88-b67d-ba13e9afacdf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18021836/check_22108099_c24ce685-9ba6-433e-a950-52d3d925833a.json | N/A | N/A | N/A | N/A | N/A | XAN903412717 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1978-12-17 | 1478PPOX0003 | W0051411 | N/A | PR | false | UPDIKE | N/A | JOSEPH | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383039434 | N/A | N/A | 18021836 | 2222 | N/A | 20973119 | N/A | 14884291 | 2026-03-25 07:12:13.640483 | 2026-02-12 23:28:22.567862 |
| 2026-03-25 07:12:11.337798 | 2026-03-25 07:12:14.347375 | 22108095 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-11-14 | 2026-03-25 | F | AE | PT | RIOS | 000019686798 | SYDNEY | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18081788/check_22108095_02249ecc-b0e2-4c25-ac51-35fbcf746238.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18081788/check_22108095_642617a6-173d-45e2-b665-dd0da7856d72.json | N/A | N/A | N/A | N/A | N/A | 000019686798 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2011-11-14 | 4274058 | 1650095001 | N/A | N/A | false | RIOS | N/A | SYDNEY | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383039426 | N/A | N/A | 18081788 | 2222 | N/A | 20973126 | N/A | 16107768 | 2026-03-25 07:12:14.347375 | 2026-03-13 19:00:39.970087 |
| 2026-03-25 07:12:11.184878 | 2026-03-25 07:12:12.986409 | 22108074 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-12-17 | 2026-03-25 | F | PT | N/A | CROSTHWAITE | XEH909146536 | DIANE | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18078000/check_22108074_a1d5b011-948b-432e-89f4-f5e878e8e74f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18078000/check_22108074_d749495e-328e-4d8d-bdea-e00fc897b637.json | N/A | N/A | N/A | N/A | N/A | XEH909146536 | Health Maintenance Organization (HMO) | PROVIDENCE HEALTH SERVICES | BLUE SHIELD CALIFORNIA | N/A | 1962-12-17 | 1005HMOX0001 | W0052198 | N/A | HM | false | CROSTHWAITE | N/A | DIANE | N/A | N/A | N/A | PROVIDENCE HEALTH SERVICES CUSTOM ACCESS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383039403 | N/A | N/A | 18078000 | 2222 | N/A | 20973112 | N/A | 16103835 | 2026-03-25 07:12:12.986409 | 2026-03-13 17:49:47.687705 |
| 2026-03-25 07:12:11.114555 | 2026-03-25 07:12:12.850693 | 22108068 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-11-04 | 2026-03-25 | M | AE | PT | BARDIA | 9YD1K19FG26 | KANHAIYA | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/18033660/check_22108068_b6aa7224-bddd-4c8d-9c5c-fb5bbf8d7f76.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18033660/check_22108068_a27e027e-4a7b-46bf-aa20-dc16da822106.json | N/A | N/A | N/A | N/A | N/A | 9YD1K19FG26 | Medicare Part A | 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 | MA | 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 | 10383039398 | N/A | N/A | 18033660 | 2222 | N/A | 20973111 | N/A | 16061630 | 2026-03-25 07:12:12.850693 | 2026-03-18 23:17:28.107701 |
| 2026-03-25 07:12:10.796628 | 2026-03-25 07:12:14.802590 | 22108031 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1995-09-26 | 2026-03-25 | M | AE | PT | Hernandez Cisneros | 000024903692 | Alexander | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17930332/check_22108031_04f271cb-ef05-4c10-97fa-0dc63a36b0da.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17930332/check_22108031_31f70b7d-a2a3-4ba9-bcdd-2a4ce81f5493.json | N/A | N/A | N/A | N/A | N/A | 000024903692 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1995-09-26 | 4308537 | 105705 | N/A | N/A | false | HERNANDEZ CISNEROS | N/A | ALEXANDER | N/A | 2026-12-31 | 2026-01-01 | SISC-SELF INSURED SCHOOLS OF CALIFORNIA RG 46 - $1 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383039382 | N/A | N/A | 17930332 | 2222 | N/A | 20973132 | N/A | 15968671 | 2026-03-25 07:12:14.802590 | 2026-03-20 18:20:29.914070 |
| 2026-03-25 07:12:10.704279 | 2026-03-25 07:12:14.788529 | 22108019 | N/A | N/A | 94134 | KAISER PERMANENTE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-07-05 | 2026-03-25 | F | AE | PT | Parker | 000016557541 | Brenda | N/A | 5503 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17924114/check_22108019_7cf4950c-c07b-4efe-940f-e2a9ad75fe8f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17924114/check_22108019_30c710fa-d2f0-476c-83f0-34c273b00ccd.json | N/A | N/A | N/A | N/A | N/A | 000016557541 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1974-07-05 | 3017901 | 201455 | N/A | N/A | false | PARKER | N/A | BRENDA | N/A | 2026-12-31 | 2026-01-01 | SCEET-BEVERLY HILLS UNIFIED SCHOOL DISTRICT SCEET- | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383039379 | N/A | N/A | 17924114 | 2222 | N/A | 20973130 | N/A | 15963069 | 2026-03-25 07:12:14.788529 | 2026-05-29 22:16:21.036276 |
| 2026-03-25 07:12:10.562389 | 2026-03-25 07:12:13.534607 | 22108002 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-11-20 | 2026-03-25 | F | AE | PT | ROMERO GUTIERREZ | 565034346 | Maria | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17885289/check_22108002_458f3639-8fcf-443f-8fc6-af921c94bffd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17885289/check_22108002_c9a89980-6630-4b99-b347-23b9ba5e74b4.json | N/A | N/A | N/A | N/A | N/A | 565034346 | N/A | L.A. CARE COVERED BRONZE 60 HMO | LA CARE HEALTH PLAN | N/A | 1967-11-20 | LACC | 92815CA001000401 | N/A | N/A | false | ROMERO GUTIERREZ | N/A | MARIA | 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 | 10383039362 | N/A | N/A | 17885289 | 2222 | N/A | 20973118 | N/A | 15930252 | 2026-03-25 07:12:13.534607 | 2026-03-10 23:36:43.250122 |
| 2026-03-25 07:12:10.538035 | 2026-03-25 07:12:13.419826 | 22107998 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-05-28 | 2026-03-25 | F | AE | PT | TALEBI | 2264229 | AZADEH | N/A | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17838545/check_22107998_3dc8f3c5-6c1f-435b-89df-cfde703db65b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17838545/check_22107998_e12ce568-a09e-4d81-abb5-ff6ac14f7649.json | N/A | N/A | N/A | N/A | N/A | 2264229 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1979-05-28 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | TALEBI | N/A | AZADEH | N/A | 2026-12-31 | 2026-01-01 | SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383039363 | N/A | N/A | 17838545 | 2222 | N/A | 20973116 | N/A | 15883071 | 2026-03-25 07:12:13.419826 | 2026-03-16 15:21:21.241671 |
| 2026-03-25 07:12:10.433379 | 2026-03-25 07:12:13.236154 | 22107987 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-01-30 | 2026-03-25 | F | PT | N/A | Baze | MPI30484424Q | Jacquiline | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17881989/check_22107987_96080791-e195-4ebf-8a3c-9e16a555d0ab.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17881989/check_22107987_ba77c69f-b151-4865-a513-af67b8ee7093.json | N/A | N/A | N/A | N/A | N/A | MPI30484424Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1982-01-30 | 040 | 277163M401 | N/A | PR | false | BAZE | N/A | TYLER | 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 | 10383039352 | N/A | N/A | 17881989 | 2222 | N/A | 20973114 | N/A | 15926600 | 2026-03-25 07:12:13.236154 | 2026-03-13 16:52:16.878039 |
| 2026-03-25 07:12:10.428169 | 2026-03-25 07:12:29.439215 | 22107985 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-06-12 | 2026-03-25 | F | AE | PT | Rowlands | H69992193 | Kimberly | N/A | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17870887/check_22107985_bb552047-7e7a-4e5c-85a0-94550526f561.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17870887/check_22107985_d3205261-c8e8-4409-8f28-875b512c73aa.json | N/A | N/A | N/A | N/A | N/A | H69992193 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 695 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 | 1969-06-12 | N/A | 2B798001 | N/A | HN | false | ROWLANDS | N/A | KIMBERLY | 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 | 10383039359 | N/A | N/A | 17870887 | 2222 | N/A | 20973279 | N/A | 15914963 | 2026-03-25 07:12:29.439215 | 2026-03-15 17:01:29.240163 |
| 2026-03-25 07:12:10.336738 | 2026-03-25 07:12:12.442978 | 22107971 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-26 | 2026-03-25 | F | AE | PT | SHEINBEIN | 5NQ8U19JG46 | Nancy | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17593459/check_22107971_bd5bb57a-1805-4426-8049-8bdad65001c7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17593459/check_22107971_91169a1e-210e-48f6-9a4a-1b3aca1232e2.json | N/A | N/A | N/A | N/A | N/A | 5NQ8U19JG46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-26 | S5617 | N/A | N/A | MA | false | SHEINBEIN | N/A | NANCY | 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 | 10383039350 | N/A | N/A | 17593459 | 2222 | N/A | 20973104 | N/A | 15407829 | 2026-03-25 07:12:12.442978 | 2026-03-03 21:31:17.107791 |
| 2026-03-25 07:12:10.122385 | 2026-03-25 07:12:17.462641 | 22107952 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-04-08 | 2026-03-25 | F | AE | PT | HILL | H96403611 | KAREN | N/A | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17641125/check_22107952_4fa65f4b-3a81-4bc1-ae94-5923011566d3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17641125/check_22107952_16239dda-2f69-49a6-a5a0-dd9c48cf59cf.json | N/A | N/A | N/A | N/A | N/A | H96403611 | Preferred Provider Organization (PPO) | PFIZER | HUMANA | 079 830 MEDICARE PPO/EMPLOYER PPO PLUS | 1939-04-08 | N/A | 3B310001 | N/A | PR | false | HILL | N/A | KAREN | N/A | N/A | N/A | PFIZER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383039320 | N/A | N/A | 17641125 | 2222 | N/A | 20973153 | N/A | 4213760 | 2026-03-25 07:12:17.462641 | 2026-03-23 22:17:45.263893 |
| 2026-03-25 07:12:10.096448 | 2026-03-25 07:12:16.130257 | 22107945 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-11-18 | 2026-03-25 | F | PT | N/A | GUTIERREZ | JQK595A63188 | DONNA | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17747293/check_22107945_acf0a509-73da-469a-9adf-a5a4f71416d6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17747293/check_22107945_1e727f8b-c3ad-4d40-9b5b-31bfbb76b259.json | N/A | N/A | N/A | N/A | N/A | JQK595A63188 | Health Maintenance Organization (HMO) | CIRCULAR CONNECTORS INC | ANTHEM BLUE CROSS | N/A | 1963-11-18 | 040 | 216721 | N/A | HM | false | GUTIERREZ | N/A | DONNA | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD HMO 35 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383039317 | N/A | N/A | 17747293 | 2222 | N/A | 20973138 | N/A | 15796426 | 2026-03-25 07:12:16.130257 | 2026-03-25 16:15:17.757715 |
| 2026-03-25 07:12:10.084758 | 2026-03-25 07:12:12.995361 | 22107943 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-07-23 | 2026-03-25 | F | AE | PT | Latty | 93805163F | Maura | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17826505/check_22107943_128f23f2-10c2-40f6-b192-79343740118b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17826505/check_22107943_d30bc91b-bd74-437f-b72e-7c98f6c52585.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 | 10383039319 | N/A | N/A | 17826505 | 2222 | N/A | 20973113 | N/A | 15870859 | 2026-03-25 07:12:12.995361 | 2026-03-16 15:31:01.741367 |
| 2026-03-25 07:12:10.039293 | 2026-03-25 07:12:12.874536 | 22107938 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-02-27 | 2026-03-25 | M | AE | PT | SHRIVER | 8300000159953 | DANIEL | N/A | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17744755/check_22107938_3abf1dab-0381-48f4-bc50-82d1609d1b3d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17744755/check_22107938_188e23fd-3a4e-48b8-b795-16c86e8946b3.json | N/A | N/A | N/A | N/A | N/A | 8300000159953 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | QMXBPREG020038 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DAN | N/A | 2078-12-31 | 2026-03-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383039313 | N/A | N/A | 17744755 | 2222 | N/A | 20973110 | N/A | 4213934 | 2026-03-25 07:12:12.874536 | 2026-01-27 23:36:44.802366 |
| 2026-03-25 07:12:09.986407 | 2026-03-25 07:12:11.755687 | 22107931 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-26 | 2026-03-25 | F | AE | PT | Tadmor | 99113784F | Lisa | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17749411/check_22107931_a3d7a8bb-b321-447d-a6c1-8c6fb5fa5f77.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17749411/check_22107931_b5567da7-c65e-4d81-960b-57478ca589b6.json | N/A | N/A | N/A | N/A | N/A | 99113784F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1961-12-26 | MCLA | MWLLNMEG21 | N/A | N/A | false | TADMOR | N/A | LISA | 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 | 10383039304 | N/A | N/A | 17749411 | 2222 | N/A | 20973098 | N/A | 15798656 | 2026-03-25 07:12:11.755687 | 2026-03-07 00:12:23.548270 |
| 2026-03-25 07:12:09.976822 | 2026-03-25 07:12:13.647066 | 22107929 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-04-28 | 2026-03-25 | F | PT | N/A | Chalquest | JQV812W16348 | Christine | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17660872/check_22107929_d252efd1-f86d-4c97-b986-c184b52cf34a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | JQV812W16348 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1958-04-28 | N/A | N/A | N/A | N/A | false | CHALQUEST | N/A | CHRISTINE | N/A | 9999-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17660872 | 2222 | N/A | N/A | N/A | 15705146 | 2026-03-25 07:12:13.647066 | 2026-03-05 22:44:33.989062 |
| 2026-03-25 07:12:09.869991 | 2026-03-25 07:12:15.080547 | 22107918 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-12-15 | 2026-03-25 | F | PT | N/A | Silkman | JXN347A59050 | Valerie | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17490472/check_22107918_77e7da82-4605-49c9-ab04-eb9635cfe459.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17490472/check_22107918_b67bb968-8f8e-40b4-a8cd-d31d05b7c9e2.json | N/A | N/A | N/A | N/A | N/A | JXN347A59050 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W CARELON LESS THAN 100K | ANTHEM BLUE CROSS | N/A | 1968-12-15 | 040 | 174222M1A1 | N/A | PR | false | SILKMAN | N/A | VALERIE | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383039307 | N/A | N/A | 17490472 | 2222 | N/A | 20973133 | N/A | 15505614 | 2026-03-25 07:12:15.080547 | 2026-03-02 18:44:52.817150 |
| 2026-03-25 07:12:09.805365 | 2026-03-25 07:12:13.702609 | 22107913 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-08-15 | 2026-03-25 | F | AE | PT | Patel | 000017203177 | Rutvi | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17597372/check_22107913_15fc7aef-fb12-41d3-9c84-c22ac3053b0e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17597372/check_22107913_2037a197-3219-4178-b961-5af1e40b0132.json | N/A | N/A | N/A | N/A | N/A | 000017203177 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1987-08-15 | 4391123 | 101869 | N/A | N/A | false | PATEL | N/A | RUTVI | N/A | 2026-06-30 | 2025-07-01 | CHILDRENS HOSPITAL LOS ANGELES CHILDRENS HOSPITAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383039289 | N/A | N/A | 17597372 | 2222 | N/A | 20973121 | N/A | 15644152 | 2026-03-25 07:12:13.702609 | 2026-03-04 21:09:35.971399 |
| 2026-03-25 07:12:09.588506 | 2026-03-25 07:12:12.621924 | 22107886 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-02-06 | 2026-03-25 | M | AE | PT | Tatum | 97633918F | Tatum | N/A | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17509843/check_22107886_21ab552e-9e1f-4133-9ea1-b68dbe954877.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_22107886_f81922b6-6156-4884-9c1b-8eaedb18facb.json | N/A | N/A | N/A | N/A | N/A | 97633918F | N/A | N/A | MEDICARE PART B CI002 | MEDICAID REDETERMINATION DATE 01/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1957-02-06 | BP0003 | NO | N/A | N/A | false | TATUM | N/A | TATUM | N/A | 2078-12-31 | 2025-04-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383039268 | N/A | N/A | 17509843 | 2222 | N/A | 20973109 | N/A | 15524188 | 2026-03-25 07:12:12.621924 | 2026-03-03 00:12:08.668405 |
| 2026-03-25 07:12:09.517022 | 2026-03-25 07:12:12.295860 | 22107877 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-07-01 | 2026-03-25 | M | AE | PT | ABDELMESSIH | U9059513401 | MINA | N/A | 4437 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17498631/check_22107877_56855f65-feeb-4998-a33b-e8dab7b2c45e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17498631/check_22107877_af65731f-816d-40c4-a773-63d87313a82e.json | N/A | N/A | N/A | N/A | N/A | U9059513401 | Health Maintenance Organization (HMO) | NATIONAL CEMENT COMPANY, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1978-07-01 | N/A | 3340850 | N/A | HM | false | ABDELMESSIH | N/A | MINA | N/A | N/A | N/A | HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383039252 | N/A | N/A | 17498631 | 2222 | N/A | 20973103 | N/A | 15513934 | 2026-03-25 07:12:12.295860 | 2026-03-11 16:41:57.340816 |
| 2026-03-25 07:12:09.466874 | 2026-03-25 07:12:12.312007 | 22107870 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-03-29 | 2026-03-25 | F | 30 | AD | MONTALVO | 40057101101 | PAMELA | N/A | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17396005/check_22107870_cbd4fbc1-6f01-4121-9b08-205bde0940f4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17396005/check_22107870_44163071-5fbe-4cc2-a206-0d9a8be18340.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 | 10383039250 | N/A | N/A | 17396005 | 2222 | N/A | 20973105 | N/A | 15407473 | 2026-03-25 07:12:12.312007 | 2026-03-02 03:41:34.276739 |
| 2026-03-25 07:12:09.306501 | 2026-03-25 07:12:12.081595 | 22107854 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-12-20 | 2026-03-25 | F | AE | PT | Valenza | 000026028938 | Magali | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17355763/check_22107854_4cf06560-0556-4964-afcc-9c785836cd3e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17355763/check_22107854_73077528-c892-4cb7-bc70-f7a54c337687.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 | 10383039234 | N/A | N/A | 17355763 | 2222 | N/A | 20973100 | N/A | 15367776 | 2026-03-25 07:12:12.081595 | 2026-03-02 18:02:01.247721 |
| 2026-03-25 07:12:09.082960 | 2026-03-25 07:12:10.831630 | 22107825 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-12-31 | 2026-03-25 | F | AE | PT | TABATABAI | 94947179G | NIKKI | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17353836/check_22107825_b88b4986-52bb-49f8-b30b-d279b7fe09ed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17353836/check_22107825_741395b6-e642-4243-92a2-1505f3915255.json | N/A | N/A | N/A | N/A | N/A | 94947179G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1997-12-31 | MCLA | MWLLNMEG21 | N/A | N/A | false | TABATABAI | N/A | NIKKI | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383039215 | N/A | N/A | 17353836 | 2222 | N/A | 20973088 | N/A | 15365501 | 2026-03-25 07:12:10.831630 | 2026-02-25 23:23:03.660443 |
| 2026-03-25 07:12:08.843727 | 2026-03-25 07:12:10.665237 | 22107795 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-08-24 | 2026-03-25 | M | PT | N/A | Gaertner | XEA910044631 | Michael | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17309222/check_22107795_46196b9a-98e0-43ae-bc44-258c8b199648.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17309222/check_22107795_fa15b14d-51fd-44aa-92c9-638d6591eaab.json | N/A | N/A | N/A | N/A | N/A | VBG910044631 | Preferred Provider Organization (PPO) | BURBETTO PRODUCTIONS LLC | BLUE SHIELD CALIFORNIA | N/A | 1992-08-24 | 1000VX000102 | W0111153 | N/A | PR | false | GAERTNER | N/A | MICHAEL | N/A | 9999-12-31 | 2020-09-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383039206 | N/A | N/A | 17309222 | 2222 | N/A | 20973087 | N/A | 15324299 | 2026-03-25 07:12:10.665237 | 2026-02-25 00:33:12.075173 |
| 2026-03-25 07:12:08.658575 | 2026-03-25 07:12:11.528855 | 22107772 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-07-09 | 2026-03-25 | M | PT | N/A | Smith | XDP546W10767 | Aaron | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17294956/check_22107772_8915a38a-e5fc-455c-abff-abbffaf20e6d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17294956/check_22107772_c5612d2b-de6c-4b6b-a31d-c66b4b144d34.json | N/A | N/A | N/A | N/A | N/A | JPU546W10767 | Preferred Provider Organization (PPO) | HRL LABORATORIES LLC | ANTHEM BLUE CROSS | N/A | 1982-07-09 | 040 | L04089M029 | N/A | PR | false | SMITH | N/A | AARON | N/A | 9999-12-31 | 2026-01-01 | SOLUTION PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383039188 | N/A | N/A | 17294956 | 2222 | N/A | 20973095 | N/A | 15312432 | 2026-03-25 07:12:11.528855 | 2026-03-06 19:08:06.092314 |