API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-25 07:12:03.813671 | 2026-03-25 07:12:07.758691 | 22107194 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-24 | 2026-03-25 | F | AE | PT | 4211 | CRUTCHFIELD | 90443065C | HELEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/10103203/check_22107194_8e6a0a57-5740-452a-b361-98316f4b4bfc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_22107194_50c72cc4-b5fd-4939-af1e-992b5cfd45b9.json | N/A | N/A | N/A | N/A | N/A | 90443065C | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-11-24 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038797 | N/A | N/A | 10103203 | 2222 | N/A | 20973058 | N/A | 8437251 | 2026-03-25 07:12:07.758691 | 2025-10-07 19:08:26.048804 |
| 2026-03-25 07:12:03.704126 | 2026-03-25 07:12:05.483360 | 22107178 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-01-17 | 2026-03-25 | M | AE | PT | 4497 | WAHL | 6CX2NW3WP90 | LELAND | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11364481/check_22107178_1630c91d-a820-4107-bd9b-78950cb47f46.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364481/check_22107178_4b20a349-247f-4dd8-876d-013bccd86ecc.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MB | false | WAHL | N/A | LELAND | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 138301 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038792 | N/A | N/A | 11364481 | 2222 | N/A | 20973036 | N/A | 9633229 | 2026-03-25 07:12:05.483360 | 2026-02-05 17:07:37.378883 |
| 2026-03-25 07:12:03.555380 | 2026-03-25 07:12:09.533225 | 22107165 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-04-25 | 2026-03-25 | M | PT | N/A | 4185 | GREEN | JQV184A72608 | ALLEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/10091887/check_22107165_3a455816-537e-4b3e-a323-84b23af0d101.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_22107165_01e8b8ba-3b59-42bc-b89c-45bb3c3da598.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383038779 | N/A | N/A | 10091887 | 2222 | N/A | 20973077 | N/A | 8429919 | 2026-03-25 07:12:09.533225 | 2025-10-07 22:01:52.720968 |
| 2026-03-25 07:12:03.369677 | 2026-03-25 07:13:03.902959 | 22107140 | 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 | 4185 | Moreno jr | VDHE01043007 | Hector | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9691081/check_22107140_a4f01065-3d70-4319-8c60-0c3bb75e520f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1980-07-01 | N/A | N/A | N/A | N/A | false | MORENO JR | N/A | HECTOR | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9691081 | 2222 | N/A | N/A | N/A | 8110015 | 2026-03-25 07:13:03.902959 | 2025-10-05 15:24:30.421551 |
| 2026-03-25 07:12:03.024331 | 2026-03-25 07:12:05.894039 | 22107099 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-03-16 | 2026-03-25 | M | AE | PT | 1030 | SENDEROVICH | 93289206A | RUBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9321915/check_22107099_97430552-eca2-409d-842f-dae5bca47dc0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321915/check_22107099_fcf6b488-2752-41b0-b7fa-783586fedce4.json | N/A | N/A | N/A | N/A | N/A | 93289206A | N/A | N/A | HEALTH NET, LLC | N/A | 1963-03-16 | N/A | N/A | N/A | N/A | false | SENDEROVICH | N/A | RUBIN | N/A | 2026-02-18 | 2024-11-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038748 | N/A | N/A | 9321915 | 2222 | N/A | 20973043 | N/A | 7821358 | 2026-03-25 07:12:05.894039 | 2025-09-16 21:45:39.144990 |
| 2026-03-25 07:12:02.989374 | 2026-03-25 07:12:05.856972 | 22107094 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-09 | 2026-03-25 | F | AE | PT | 23412 | OSTERHOUDT | U2156506701 | TRACY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/8471577/check_22107094_637812b0-b016-4d77-9948-8ef677e0ee35.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471577/check_22107094_b2c4cf5f-4ef2-4fa2-a9e6-ac813a145315.json | N/A | N/A | N/A | N/A | N/A | U2156506701 | Health Maintenance Organization (HMO) | CAPITAL GROUP | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1971-12-09 | N/A | 3173816 | N/A | HM | false | OSTERHOUDT | N/A | TRACY | 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 | 10383038750 | N/A | N/A | 8471577 | 2222 | N/A | 20973042 | N/A | 7142472 | 2026-03-25 07:12:05.856972 | 2025-09-06 16:19:59.701160 |
| 2026-03-25 07:12:02.974905 | 2026-03-25 07:12:04.799098 | 22107092 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-05-08 | 2026-03-25 | F | AE | PT | 4497 | CHICAS | 2VE9DX6NU27 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/8202975/check_22107092_33a7ff54-663f-47ae-86e2-b6b5b59aaba8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202975/check_22107092_63b02cce-643e-42e9-9ba8-f1edf18a9f05.json | N/A | N/A | N/A | N/A | N/A | 2VE9DX6NU27 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-08 | S5617 | N/A | N/A | MB | false | CHICAS | N/A | MARIA | 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 | 10383038745 | N/A | N/A | 8202975 | 2222 | N/A | 20973029 | N/A | 6965620 | 2026-03-25 07:12:04.799098 | 2025-09-03 23:20:10.287852 |
| 2026-03-25 07:12:02.756865 | 2026-03-25 07:12:06.165818 | 22107066 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-12-16 | 2026-03-25 | F | AE | PT | 4625 | DE FELICE | R07457624FM1 | CHRISTINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6140436/check_22107066_fde5651c-f4a0-4629-98b4-7cd670de0404.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_22107066_985399a9-1964-4183-83e8-7fdd831e8bde.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | 2025-11-30 | 2024-12-01 | MI4 SBP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038734 | N/A | N/A | 6140436 | 2222 | N/A | 20973044 | N/A | 4781417 | 2026-03-25 07:12:06.165818 | 2025-06-06 17:03:19.078153 |
| 2026-03-25 07:12:02.721156 | 2026-03-25 07:12:06.082851 | 22107062 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-05-25 | 2026-03-25 | F | PT | N/A | 4185 | CLOONAN | XDM481M99931 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7246170/check_22107062_61fbfe6e-f592-40ab-8bf9-b120d2a27837.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7246170/check_22107062_ddd7333e-c78e-4a84-b267-be6d4d857338.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383038738 | N/A | N/A | 7246170 | 2222 | N/A | 20973046 | N/A | 4837995 | 2026-03-25 07:12:06.082851 | 2025-06-13 00:15:18.726975 |
| 2026-03-25 07:12:02.701156 | 2026-03-25 07:12:05.809844 | 22107059 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-12-06 | 2026-03-25 | F | PT | N/A | 4185 | MARCHETTI | MMA759W18793 | PAULA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7755198/check_22107059_86e47903-19d3-4a3f-860c-deb11a94f227.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7755198/check_22107059_3c64850e-aaff-44b4-8407-e68f00f5c32f.json | N/A | N/A | N/A | N/A | N/A | MMA759W18793 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-12-06 | 040 | CAMCRWP0 | N/A | MP | false | MARCHETTI | N/A | PAULA | N/A | 9999-12-31 | 2025-01-01 | 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 | 10383038728 | N/A | N/A | 7755198 | 2222 | N/A | 20973039 | N/A | 6606171 | 2026-03-25 07:12:05.809844 | 2025-08-04 19:27:53.075551 |
| 2026-03-25 07:12:02.649641 | 2026-03-25 07:12:07.521310 | 22107050 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-12-24 | 2026-03-25 | F | PT | N/A | 4191 | Garcia | NCF409W01940 | Jessica | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7965049/check_22107050_8c0f90aa-04f5-4415-9e48-548f21e0bfdd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7965049/check_22107050_c92ab7af-0367-47e5-a154-24f930ed2013.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 | 10383038714 | N/A | N/A | 7965049 | 2222 | N/A | 20973055 | N/A | 6604326 | 2026-03-25 07:12:07.521310 | 2025-08-06 18:06:11.137864 |
| 2026-03-25 07:12:02.639705 | 2026-03-25 07:12:05.471286 | 22107047 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-06-21 | 2026-03-25 | M | AE | PT | 4211 | RAFIEI | 92836714F | SAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173002/check_22107047_0c5af54e-fde8-4c26-b1d2-2563c20ba84d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_22107047_78664bf3-4c77-42f4-b269-269614a6eb5d.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038711 | N/A | N/A | 8173002 | 2222 | N/A | 20973035 | N/A | 6939518 | 2026-03-25 07:12:05.471286 | 2025-08-18 21:40:08.349494 |
| 2026-03-25 07:12:02.407672 | 2026-03-25 07:12:04.392822 | 22107020 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-12-22 | 2026-03-25 | M | PT | N/A | 23320 | HETH | XEH910929228 | KENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7626895/check_22107020_58cf1ffc-9407-41fe-a5f1-0cb0a7ea9e44.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_22107020_394e9bc3-b951-4480-af7a-7ded1ccb2f36.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383038698 | N/A | N/A | 7626895 | 2222 | N/A | 20973026 | N/A | 6525917 | 2026-03-25 07:12:04.392822 | 2026-05-08 22:53:13.232007 |
| 2026-03-25 07:12:02.265401 | 2026-03-25 07:12:04.035396 | 22107004 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-08 | 2026-03-25 | F | PT | N/A | 4185 | CHALFIN | WAR121A52220 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7456267/check_22107004_edc63766-57bc-4be9-8452-e9a8f0fa5549.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456267/check_22107004_b54d365f-7351-435e-a19b-5f220d7efdca.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | PRUDENT BUYER EXCLUSIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383038688 | N/A | N/A | 7456267 | 2222 | N/A | 20973021 | N/A | 6405582 | 2026-03-25 07:12:04.035396 | 2025-08-04 21:58:38.426681 |
| 2026-03-25 07:12:02.259815 | 2026-03-25 07:12:05.134031 | 22107002 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-23 | 2026-03-25 | M | AE | PT | 4211 | Thur | 95641377F | Pyi | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7449843/check_22107002_7ad9d7c6-9b08-4724-b0e3-f5a853b2260a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_22107002_3854ce11-8a50-4968-9a61-53d97243cf1c.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038691 | N/A | N/A | 7449843 | 2222 | N/A | 20973033 | N/A | 6399635 | 2026-03-25 07:12:05.134031 | 2025-07-29 18:42:47.970149 |
| 2026-03-25 07:12:02.251923 | 2026-03-25 07:13:45.460970 | 22107000 | 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 | 2630 | FINE | 00000272194 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5858742/check_22107000_3f89d23b-b3d1-453d-8ccf-9fe9e8ff538a.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 07:13:45.460970 | 2025-05-13 04:29:37.230672 |
| 2026-03-25 07:12:01.990824 | 2026-03-25 07:12:04.923365 | 22106971 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-07 | 2026-03-25 | F | AE | PT | 4625 | CHERE | 98953535F | DIANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542660/check_22106971_24d22614-646d-4ec9-ab1d-38817e8a9c85.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_22106971_5b6f45a5-aaa9-4fd4-9db9-d722ec1b6c72.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | 2026-02-05 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038685 | N/A | N/A | 5542660 | 2222 | N/A | 20973032 | N/A | 4214542 | 2026-03-25 07:12:04.923365 | 2025-05-13 04:29:37.228868 |
| 2026-03-25 07:12:01.983478 | 2026-03-25 07:12:05.730995 | 22106969 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-03-22 | 2026-03-25 | M | AE | PT | 6237 | NOWAK | 31172069101 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492025/check_22106969_9891f194-9dff-4c61-8397-6f023e139f79.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492025/check_22106969_b76d2444-a73a-4f34-abae-6b8811b63b9f.json | N/A | N/A | N/A | N/A | N/A | 31172069101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-03-22 | 2026H5425001 | H5425M | N/A | N/A | false | NOWAK | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038675 | N/A | N/A | 6492025 | 2222 | N/A | 20973040 | N/A | 5121181 | 2026-03-25 07:12:05.730995 | 2025-06-19 16:42:31.208252 |
| 2026-03-25 07:12:01.873090 | 2026-03-25 07:12:06.112926 | 22106955 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-06-19 | 2026-03-25 | M | AE | PT | 6411 | HAFNER | 896752501 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542940/check_22106955_8ed8adbd-a145-4639-baaf-509209e33b32.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542940/check_22106955_836e2106-922d-464a-96ca-50adb1a9b699.json | N/A | N/A | N/A | N/A | N/A | 896752501 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1962-06-19 | N/A | 621350 | N/A | C1 | false | HAFNER | N/A | MARK | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO SILVER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038677 | N/A | N/A | 5542940 | 2222 | N/A | 20973045 | N/A | 4214793 | 2026-03-25 07:12:06.112926 | 2025-05-13 04:29:37.229118 |
| 2026-03-25 07:12:01.783021 | 2026-03-25 07:12:05.595370 | 22106945 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-30 | 2026-03-25 | F | 30 | AD | 6237 | AMOROSA | 40037132201 | RITA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874458/check_22106945_a9b91c36-3e82-4b51-86e2-89a54724146c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874458/check_22106945_6fb6c586-90e1-4692-b1bd-ce5b97675816.json | N/A | N/A | N/A | N/A | N/A | 40037132201 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1944-11-30 | 2026H5425001 | H5425M | N/A | N/A | false | AMOROSA | N/A | RITA | 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 | 10383038661 | N/A | N/A | 5874458 | 2222 | N/A | 20973037 | N/A | 4534582 | 2026-03-25 07:12:05.595370 | 2026-03-02 22:06:30.224734 |
| 2026-03-25 07:12:01.682057 | 2026-03-25 07:12:04.898989 | 22106933 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-04-28 | 2026-03-25 | M | PT | N/A | 4185 | CORPUS | SIF943M82836 | WILBUR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549387/check_22106933_718aa994-52bd-4df4-b1d0-daeb41ed432f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549387/check_22106933_3564c13c-847e-459a-a23c-fc9990face2c.json | N/A | N/A | N/A | N/A | N/A | LDU943M82836 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 1979-04-28 | 040 | 1838NL | N/A | EP | false | CORPUS | N/A | GINA | N/A | 9999-12-31 | 2026-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383038652 | N/A | N/A | 5549387 | 2222 | N/A | 20973027 | N/A | 4219061 | 2026-03-25 07:12:04.898989 | 2025-05-13 04:29:37.230079 |
| 2026-03-25 07:12:01.536556 | 2026-03-25 07:12:04.267072 | 22106920 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-03-27 | 2026-03-25 | M | AE | PT | 4211 | MCCOWAN | 93341440D | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543270/check_22106920_d17e61b8-ccdb-41a3-8c0f-d17b83bd15dc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_22106920_ea35086a-472b-4130-a199-01e4c2e94afd.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038638 | N/A | N/A | 5543270 | 2222 | N/A | 20973024 | N/A | 4215086 | 2026-03-25 07:12:04.267072 | 2025-05-13 04:29:37.229401 |
| 2026-03-25 07:12:01.368064 | 2026-03-25 07:12:07.270487 | 22106899 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-01-21 | 2026-03-25 | M | AE | PT | 6237 | SHADDAY | 40064865601 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543011/check_22106899_5c6f26d5-8a25-4098-a807-24dfafad24ad.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_22106899_f4709c49-e41c-482a-9e2c-c5c8a48f43a7.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-01-21 | 2026H5425001 | H5425M | N/A | N/A | false | SHADDAY | N/A | STEVEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038630 | N/A | N/A | 5543011 | 2222 | N/A | 20973053 | N/A | 4214861 | 2026-03-25 07:12:07.270487 | 2026-02-04 19:10:58.526441 |
| 2026-03-25 07:12:01.280117 | 2026-03-25 07:12:06.151608 | 22106893 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-10-02 | 2026-03-25 | M | 30 | AD | 6237 | TARDIF | 40037365501 | TEDD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542894/check_22106893_49836784-810d-4d5b-bd5f-89d9023f67f5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542894/check_22106893_c8a80e90-3a30-48da-ace5-5c00617bf29f.json | N/A | N/A | N/A | N/A | N/A | 40037365501 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1954-10-02 | 2026H5425001 | H5425M | N/A | N/A | false | TARDIF | N/A | TEDD | 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 | 10383038628 | N/A | N/A | 5542894 | 2222 | N/A | 20973048 | N/A | 4214757 | 2026-03-25 07:12:06.151608 | 2026-03-20 15:26:52.406374 |
| 2026-03-25 07:12:01.074818 | 2026-03-25 07:12:04.361160 | 22106867 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-12-08 | 2026-03-25 | F | AE | PT | 4625 | LARSEN | R06053944FD1 | LANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542850/check_22106867_3bfea64f-c783-472d-9645-bf5726c5f8ee.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_22106867_b2e56132-d294-4cbb-86e5-aab8caa28813.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | 2026-02-10 | 2026-01-01 | NDB COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038613 | N/A | N/A | 5542850 | 2222 | N/A | 20973019 | N/A | 4214714 | 2026-03-25 07:12:04.361160 | 2025-05-13 04:29:37.229031 |
| 2026-03-25 07:12:00.865090 | 2026-03-25 07:12:04.366180 | 22106847 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-05-03 | 2026-03-25 | M | AE | PT | 4625 | MOSLEY | R02649763MM1 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542606/check_22106847_78b9c53a-ae97-438b-a0e0-41ad800402c5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542606/check_22106847_26349405-d65b-4ecc-acdb-929556f4f59d.json | N/A | N/A | N/A | N/A | N/A | R02649763MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-03 | N/A | N/A | N/A | N/A | false | MOSLEY | N/A | MICHAEL | N/A | 2025-08-31 | 2025-01-01 | NDB COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038597 | N/A | N/A | 5542606 | 2222 | N/A | 20973015 | N/A | 4214496 | 2026-03-25 07:12:04.366180 | 2025-05-13 04:29:37.228812 |
| 2026-03-25 07:12:00.744179 | 2026-03-25 07:12:03.553160 | 22106831 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-08-25 | 2026-03-25 | M | PT | N/A | 4185 | JEWETT | MNL165W05926 | BRAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542557/check_22106831_07186b2d-7831-4e1a-90cb-07820ab93225.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542557/check_22106831_3c8475c4-c2d7-4256-9df4-d7bafd30ccb5.json | N/A | N/A | N/A | N/A | N/A | MNL165W05926 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-08-25 | 040 | CAMCRWP0 | N/A | MP | false | JEWETT | N/A | BRAD | N/A | 9999-12-31 | 2026-01-01 | CA H4471-010-001 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383038585 | N/A | N/A | 5542557 | 2222 | N/A | 20973013 | N/A | 4214450 | 2026-03-25 07:12:03.553160 | 2026-03-06 00:04:40.436388 |
| 2026-03-25 07:12:00.666507 | 2026-03-25 07:12:02.715335 | 22106820 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-10-18 | 2026-03-25 | F | AE | PT | 4497 | PODRAT | 6PH5HJ4AF99 | CHARLOTTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540122/check_22106820_8b3dd8b7-0546-42b7-afca-6d33770dd0f3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540122/check_22106820_c30b867a-64bf-4dd3-85b8-35d78064f639.json | N/A | N/A | N/A | N/A | N/A | 6PH5HJ4AF99 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-10-18 | S2468 | N/A | N/A | MA | false | PODRAT | N/A | CHARLOTTE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 26589 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038581 | N/A | N/A | 5540122 | 2222 | N/A | 20973004 | N/A | 4212321 | 2026-03-25 07:12:02.715335 | 2026-03-11 15:45:38.887850 |
| 2026-03-25 07:12:00.662133 | 2026-03-25 07:12:03.449822 | 22106818 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-03-26 | 2026-03-25 | F | AE | PT | 4211 | HEYES | 95596436F | DARCIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542233/check_22106818_6e7be9b2-2ce0-4473-b545-447fe68fffac.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_22106818_147a31eb-6cb9-45b4-9d45-1f1596b8cd2c.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038580 | N/A | N/A | 5542233 | 2222 | N/A | 20973011 | N/A | 4214178 | 2026-03-25 07:12:03.449822 | 2025-05-13 04:29:37.228506 |
| 2026-03-25 07:12:00.502028 | 2026-03-25 07:12:05.444244 | 22106804 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-08-02 | 2026-03-25 | M | AE | PT | 6237 | CHADIDA | 40060913601 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538674/check_22106804_5e4707ec-ce25-48f4-a267-99f8bd543f17.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_22106804_8841f0b2-b02d-4ebc-8560-ae3101ed5211.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2026H5425001 | H5425M | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038575 | N/A | N/A | 5538674 | 2222 | N/A | 20973034 | N/A | 4211039 | 2026-03-25 07:12:05.444244 | 2025-05-13 04:29:37.225444 |
| 2026-03-25 07:12:00.444322 | 2026-03-25 07:12:02.266199 | 22106796 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-12-10 | 2026-03-25 | F | AE | PT | 4497 | LIBAW | 9T01HM2XE02 | PAMELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539452/check_22106796_29be74e3-4cf1-4320-875f-b7b045c2e56f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539452/check_22106796_f0457724-d84d-436a-ac3d-77e9ddbdd7d9.json | N/A | N/A | N/A | N/A | N/A | 9T01HM2XE02 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-12-10 | S4802 | N/A | N/A | MB | false | LIBAW | N/A | PAMELA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 56671 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038566 | N/A | N/A | 5539452 | 2222 | N/A | 20973002 | N/A | 4211753 | 2026-03-25 07:12:02.266199 | 2025-05-13 04:29:37.226073 |
| 2026-03-25 07:12:00.272007 | 2026-03-25 07:12:03.057550 | 22106775 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1956-10-22 | 2026-03-25 | F | AE | PT | 4709 | VARGAS | C4080406701 | AUXILIADORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_22106775_a8ce226b-4ffa-4e75-b96f-3bfb873b6b49.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538314/check_22106775_184843b4-d4d4-4b9d-b4f2-6fac837f0a5a.json | N/A | N/A | N/A | N/A | N/A | C4080406701 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1956-10-22 | N/A | CA35610008 | N/A | N/A | false | VARGAS | N/A | AUXILIADORA | N/A | N/A | N/A | WELLCARE HEALTH NET DUAL ALIGN (HMO DSNP) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038555 | N/A | N/A | 5538314 | 2222 | N/A | 20973008 | N/A | 4210749 | 2026-03-25 07:12:03.057550 | 2026-01-29 18:21:20.298304 |
| 2026-03-25 07:12:00.271246 | 2026-03-25 07:12:02.800350 | 22106774 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-10-22 | 2026-03-25 | F | PT | N/A | 4191 | KINSLEY | 913281434-000 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537996/check_22106774_ebf769f7-d415-435d-90e2-33856c96b2f5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537996/check_22106774_f0bae4cd-5da7-470c-86d7-935aa1b29a34.json | N/A | N/A | N/A | N/A | N/A | XEH913281434 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1966-10-22 | 1000VX000001 | W0069783 | N/A | HM | false | KINSLEY | N/A | MICHELLE | N/A | 9999-12-31 | 2024-06-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383038557 | N/A | N/A | 5537996 | 2222 | N/A | 20973005 | N/A | 4210486 | 2026-03-25 07:12:02.800350 | 2025-05-13 04:29:37.224904 |
| 2026-03-25 07:12:00.058722 | 2026-03-25 07:12:04.956683 | 22106755 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-05-02 | 2026-03-25 | F | AE | PT | 5349 | HASSEY DE HANSON | H6569972200 | HILDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536963/check_22106755_0bb96e34-c859-4e54-a40f-1799466a924e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536963/check_22106755_10b26a1f-db1d-4146-83a3-c33161e22b70.json | N/A | N/A | N/A | N/A | N/A | H65699722 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 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 | 1952-05-02 | N/A | 2B722001 | N/A | HN | false | HASSEY DE HA | N/A | HILDA | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038521 | N/A | N/A | 5536963 | 2222 | N/A | 20973030 | N/A | 4209616 | 2026-03-25 07:12:04.956683 | 2025-12-02 19:38:35.715555 |
| 2026-03-25 07:12:00.046210 | 2026-03-25 07:12:03.001839 | 22106753 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-05-24 | 2026-03-25 | F | PT | N/A | 4185 | CLARK | JQU645W04003 | CLAUDIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536134/check_22106753_16f1eabc-ecf3-4cf2-bddc-f28df92eed84.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536134/check_22106753_1e27536e-c322-4c2e-a57d-93ace6afd4b5.json | N/A | N/A | N/A | N/A | N/A | JQU645W04003 | Preferred Provider Organization (PPO) | ATHLETIC PHYSICAL THERAPY INC | ANTHEM BLUE CROSS | N/A | 1974-05-24 | 040 | G76231 | N/A | PR | false | CLARK | N/A | STEPHEN | N/A | 9999-12-31 | 2026-01-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10383038531 | N/A | N/A | 5536134 | 2222 | N/A | 20973006 | N/A | 4208937 | 2026-03-25 07:12:03.001839 | 2026-02-26 17:45:27.761245 |
| 2026-03-25 07:11:59.911405 | 2026-03-25 07:12:04.805136 | 22106737 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-04-16 | 2026-03-25 | F | 30 | AD | 6237 | RYAN | 31026142401 | CAROL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535455/check_22106737_613816eb-2bb9-434e-a9bc-bcd73ee21d43.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_22106737_eaf9c1c6-c618-42a2-8341-38a26e4b80a9.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1941-04-16 | 2026H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | 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 | 10383038513 | N/A | N/A | 5535455 | 2222 | N/A | 20973028 | N/A | 4208375 | 2026-03-25 07:12:04.805136 | 2025-08-08 21:08:12.459471 |
| 2026-03-25 07:11:59.829690 | 2026-03-25 07:12:03.731016 | 22106725 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-12-16 | 2026-03-25 | F | AE | PT | 6237 | PORTER | 40028215401 | SHERIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535434/check_22106725_6d9a8ed2-4853-4b7e-915a-e41a22b4139c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_22106725_c30df218-a610-450d-8584-06c4fe329d33.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2026H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10383038506 | N/A | N/A | 5535434 | 2222 | N/A | 20973016 | N/A | 4208356 | 2026-03-25 07:12:03.731016 | 2025-08-25 14:49:27.724897 |
| 2026-03-25 06:14:40.511513 | 2026-03-25 06:14:42.341817 | 22090449 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1963-01-15 | 2026-03-25 | F | AE | PT | 5504 | Adams | 8863593 | Toni | Yvette | https://storage.googleapis.com/normandy-eligibility-checks/2222/18427607/check_22090449_85713a3d-ebdb-4b44-b6a9-10c8e9a5876d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18427607/check_22090449_8cc9ecc8-041d-47b6-b199-6fe97a23565a.json | N/A | N/A | N/A | N/A | N/A | 8863593 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1963-01-15 | N/A | N/A | N/A | N/A | false | ADAMS | N/A | TONI | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18427607 | 2222 | N/A | 20971953 | N/A | 16428516 | 2026-03-25 06:14:42.341817 | 2026-03-20 01:42:19.868288 |
| 2026-03-25 06:14:38.783222 | 2026-03-25 06:14:40.505342 | 22090448 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1963-01-15 | 2026-03-25 | F | AE | PT | 5504 | Adams | 8863593 | Toni | Yvette | https://storage.googleapis.com/normandy-eligibility-checks/2222/18427607/check_22090448_5e581b79-0d50-4866-b125-aef5344a97f9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | 8863593 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1963-01-15 | N/A | N/A | N/A | N/A | false | ADAMS | N/A | TONI | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18427607 | 2222 | N/A | N/A | N/A | 16428516 | 2026-03-25 06:14:40.505342 | 2026-03-20 01:42:19.868288 |
| 2026-03-25 05:33:15.620661 | 2026-03-25 05:33:18.079460 | 22090105 | N/A | N/A | 77160 | GOLD COAST HEALTH PLAN | 1114042165 | 22090105 | Athletic Physical Therapy Inc | 1981-01-18 | 2026-03-24 | N/A | PT | AE | N/A | MARTINEZ | 96989654F | GRISELDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17144956/check_22090105_0ce2a079-89c6-46bf-8193-3f7b133b173b.json | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17144956/check_22090105_30b053f8-6462-4e7f-98da-9644719e5963.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 17144956 | 2222 | N/A | 20971581 | N/A | 15133557 | 2026-03-25 05:33:18.079460 | 2026-02-26 22:44:12.850912 |
| 2026-03-25 05:33:09.962365 | 2026-03-25 05:33:12.228808 | 22090104 | N/A | N/A | 77160 | GOLD COAST HEALTH PLAN | 1114042165 | 22090104 | Athletic Physical Therapy Inc | 1972-08-15 | 2026-03-24 | N/A | PT | AE | N/A | Roohparvar | 91928852F | Vida | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15840793/check_22090104_9fc9f80b-1aa6-4a1d-94c4-9059f3b7dc6e.json | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15840793/check_22090104_7e8997b7-b1b3-48a6-b87c-906b92758012.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 15840793 | 2222 | N/A | 20971579 | N/A | 13929647 | 2026-03-25 05:33:12.228808 | 2026-01-30 16:08:42.264777 |
| 2026-03-25 05:33:05.733980 | 2026-03-25 05:33:08.040220 | 22090102 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / UNITED HEALTHCARE | 1114042165 | 22090102 | Athletic Physical Therapy Inc | 1971-09-10 | 2026-03-24 | N/A | PT | AE | N/A | STRONG | 292014001 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542808/check_22090102_776ff6d7-f8f3-4bd5-a609-51dbf6b887bb.json | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542808/check_22090102_599a6893-f0a6-4453-acde-8f4a92843e09.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 5542808 | 2222 | N/A | 20971577 | N/A | 4214674 | 2026-03-25 05:33:08.040220 | 2025-05-13 04:29:37.228994 |
| 2026-03-25 05:33:02.742071 | 2026-03-25 05:33:04.906893 | 22090100 | N/A | N/A | 77160 | GOLD COAST HEALTH PLAN | 1114042165 | 22090100 | Athletic Physical Therapy Inc | 1966-11-02 | 2026-03-24 | N/A | PT | AE | N/A | PEREZ DE TRONCOSO | 98131828C | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15830839/check_22090100_e34d221a-f012-4351-882a-512dc3f152f6.json | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15830839/check_22090100_68f235bf-1dfe-45b9-9e3f-133017e6f343.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 15830839 | 2222 | N/A | 20971574 | N/A | 13920103 | 2026-03-25 05:33:04.906893 | 2026-01-23 15:27:42.333160 |
| 2026-03-25 05:33:02.075293 | 2026-03-25 05:33:04.421844 | 22090099 | N/A | N/A | 77160 | GOLD COAST HEALTH PLAN | 1114042165 | 22090099 | Athletic Physical Therapy Inc | 1989-12-16 | 2026-03-24 | N/A | PT | AE | N/A | MILLER | 97388561C | TYLER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16727031/check_22090099_88b5b7b7-fc59-4e40-a727-6246f97cf405.json | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16727031/check_22090099_71efa7dd-bd84-47be-b875-e6028bacd4c7.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 16727031 | 2222 | N/A | 20971573 | N/A | 14738180 | 2026-03-25 05:33:04.421844 | 2026-03-26 00:17:50.455028 |
| 2026-03-25 05:33:01.428275 | 2026-03-25 05:33:01.453602 | 22090097 | N/A | N/A | CCHPC | REGAL MEDICAL GROUP / ALIGNMENT HEALTH PLAN | 1114042165 | 22090097 | Athletic Physical Therapy Inc | 1957-01-26 | 2026-03-24 | N/A | PT | AE | N/A | REED | 00000391094 | JAMES | N/A | N/A | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 13634717 | 2222 | N/A | N/A | N/A | 11782524 | 2026-03-25 05:33:01.453602 | 2025-12-08 14:47:13.868275 |
| 2026-03-25 05:32:53.698789 | 2026-03-25 05:32:56.113663 | 22090094 | N/A | N/A | 77160 | GOLD COAST HEALTH PLAN | 1114042165 | 22090094 | Athletic Physical Therapy Inc | 1983-06-25 | 2026-03-24 | N/A | PT | AE | N/A | PAPALEO | 94038826C | JASMINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17587113/check_22090094_dfb56253-8a28-42f5-9d22-5b4247dc879b.json | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17587113/check_22090094_f99877f2-d4d6-4a4d-bb6d-1c8707fcffba.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 17587113 | 2222 | N/A | 20971569 | N/A | 15634463 | 2026-03-25 05:32:56.113663 | 2026-03-06 21:40:40.177873 |
| 2026-03-25 05:32:48.714506 | 2026-03-25 05:32:50.820796 | 22090092 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / IMPERIAL HEALTH PLAN | 1114042165 | 22090092 | Athletic Physical Therapy Inc | 1955-10-03 | 2026-03-24 | N/A | PT | AE | N/A | AUSTIN | ICA080957 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16284060/check_22090092_5a16e0f7-1374-4801-8078-b3ba2f269c24.json | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16284060/check_22090092_1c4ce1ad-113c-4cca-a900-4d993b78fe84.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 16284060 | 2222 | N/A | 20971567 | N/A | 14332703 | 2026-03-25 05:32:50.820796 | 2026-02-04 01:37:30.114754 |
| 2026-03-25 05:32:38.949717 | 2026-03-25 05:32:42.347121 | 22090087 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 22090087 | Athletic Physical Therapy Inc | 1961-12-01 | 2026-03-24 | N/A | PT | AE | N/A | TOOCH | JPU633M84536 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/10326678/check_22090087_077c9529-d9b2-4b25-950f-afb637d751a6.json | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10326678/check_22090087_ab79490a-b086-43f8-95b5-9858a6fa668f.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 10326678 | 2222 | N/A | 20971563 | N/A | 4211227 | 2026-03-25 05:32:42.347121 | 2025-05-13 04:29:37.225625 |
| 2026-03-25 05:32:35.841013 | 2026-03-25 05:32:37.988323 | 22090086 | N/A | N/A | 77160 | GOLD COAST HEALTH PLAN | 1114042165 | 22090086 | Athletic Physical Therapy Inc | 1968-06-18 | 2026-03-24 | N/A | PT | AE | N/A | CRABTREE | 92348775E | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15061116/check_22090086_96bc4f89-8922-4c36-bac5-04c77a80353d.json | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15061116/check_22090086_eeb9664b-2ea0-4d41-900e-d7b0d1b80dd6.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 15061116 | 2222 | N/A | 20971560 | N/A | 12770330 | 2026-03-25 05:32:37.988323 | 2025-12-25 05:37:03.142144 |
| 2026-03-25 05:32:35.838325 | 2026-03-25 05:33:11.810243 | 22090085 | N/A | N/A | AETNA | AETNA - CHOICE POS II | 1114042165 | 22090085 | Athletic Physical Therapy Inc | 2011-05-18 | 2026-03-24 | N/A | PT | AE | N/A | WILLIAMS | W298940161 | PIPER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15509648/check_22090085_145153de-17da-4468-9d0e-374ea5a51ede.json | AVAILITY | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15509648/check_22090085_5330ddf5-0b52-4421-ad88-9f074102f340.json | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 4206 | N/A | 15509648 | 2222 | N/A | 20971578 | N/A | 4212367 | 2026-03-25 05:33:11.810243 | 2025-05-13 04:29:37.226697 |