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 | service_type_codes_3 | 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 | service_type_codes_3 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-24 21:06:04.908330 | 2026-03-24 21:06:06.879922 | 22078007 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-03-06 | 2025-09-10 | M | 30 | AE | PT | 4199 | REGAN | 948131328E28295 | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541349/check_22078007_243c871f-3ed3-4b84-a00f-d31d25e3f320.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541349/check_22078007_60f96b97-46f4-4d8d-b348-36c76c26d6c5.json | N/A | N/A | N/A | N/A | N/A | 948131328E28295 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 2007-03-06 | N/A | N/A | N/A | N/A | false | REGAN | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 30 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 1344 | N/A | 5541349 | 2222 | N/A | 20954708 | N/A | 4213376 | 2026-03-24 21:06:06.879922 | 2025-09-22 23:59:39.068790 |
| 2026-03-24 21:06:02.804039 | 2026-03-24 21:06:04.902509 | 22078003 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-03-06 | 2025-09-10 | M | 30 | AE | PT | 4199 | REGAN | 948131328E28295 | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541349/check_22078003_e14b4230-5b94-4629-b82c-1e4a7f10c137.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-10 | N/A | N/A | N/A | N/A | N/A | N/A | 948131328E28295 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 2007-03-06 | N/A | N/A | N/A | N/A | false | REGAN | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 30 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 1344 | N/A | 5541349 | 2222 | N/A | N/A | N/A | 4213376 | 2026-03-24 21:06:04.902509 | 2025-09-22 23:59:39.068790 |
| 2026-03-24 21:05:57.964709 | 2026-03-24 21:05:59.840999 | 22077994 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-01-24 | 2026-03-30 | F | AE | PT | N/A | 4497 | DIGIOVANNI | 4N09TQ2YY18 | JILL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538592/check_22077994_471664b0-9e97-45ab-98f4-9242f84fb2ce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538592/check_22077994_9bd25606-1863-47e5-bc49-e1be623e7819.json | N/A | N/A | N/A | N/A | N/A | 4N09TQ2YY18 | Medicare Part A | N/A | SENTRY INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-24 | S4802 | DOL 11022017 | N/A | MA | false | DIGIOVANNI | N/A | JILL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 91818 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10379834516 | 167942 | N/A | 5538592 | 2222 | N/A | 20954690 | N/A | 4210993 | 2026-03-24 21:05:59.840999 | 2025-05-13 04:29:37.225395 |
| 2026-03-24 21:05:27.000607 | 2026-03-24 21:05:30.768863 | 22077965 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-02-06 | 2026-03-30 | F | AE | PT | N/A | N/A | SONG | 7597291-02 | SALLIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14324989/check_22077965_a995e13a-5fbe-4562-8a00-a366b3d82fc2.json | UHC | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14324989/check_22077965_d9ac9a17-b139-4c61-802b-c2941d1928c1.json | N/A | N/A | N/A | N/A | N/A | 759729102 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1971-02-06 | N/A | 004241 | N/A | C1 | false | SONG | N/A | SALLIAN | N/A | N/A | N/A | LB5 SV 5/100% LACERA 2011 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 14324989 | 2222 | N/A | 20954662 | N/A | 12463308 | 2026-03-24 21:05:30.768863 | 2025-12-20 18:48:50.940121 |
| 2026-03-24 21:05:16.844438 | 2026-03-24 21:05:19.778339 | 22077948 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-10-10 | 2026-03-30 | M | AE | PT | N/A | 1030 | SMITH | 99060653C | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18347087/check_22077948_03372b96-d2a8-4d6e-973f-9c26373b9b08.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18347087/check_22077948_72766a7b-39a6-40ce-a1b9-279b67b6c5ed.json | N/A | N/A | N/A | N/A | N/A | 99060653C | N/A | N/A | HEALTH NET, LLC | N/A | 1967-10-10 | N/A | N/A | N/A | N/A | false | SMITH | N/A | CHRISTOPHER | 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 | 167942 | N/A | 18347087 | 2222 | N/A | 20954645 | N/A | 16354698 | 2026-03-24 21:05:19.778339 | 2026-03-18 21:43:09.638645 |
| 2026-03-24 21:05:13.943224 | 2026-03-24 21:05:16.840688 | 22077942 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-10-10 | 2026-03-30 | M | AE | PT | N/A | 1030 | SMITH | 99060653C | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18347087/check_22077942_46642759-8174-4f78-8612-0e97c3beea43.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | N/A | N/A | N/A | N/A | N/A | N/A | 99060653C | N/A | N/A | HEALTH NET, LLC | N/A | 1967-10-10 | N/A | N/A | N/A | N/A | false | SMITH | N/A | CHRISTOPHER | 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 | 167942 | N/A | 18347087 | 2222 | N/A | N/A | N/A | 16354698 | 2026-03-24 21:05:16.840688 | 2026-03-18 21:43:09.638645 |
| 2026-03-24 21:05:11.449980 | 2026-03-24 21:05:14.244257 | 22077939 | N/A | N/A | 87726 | REGAL MEDICAL GROUP / UNITED HEALTHCARE | 1114042165 | 22077939 | Athletic Physical Therapy Inc | 1947-02-05 | 2026-02-20 | N/A | PT | AE | N/A | N/A | RIOS BERNADAC | 00000242216 | IRMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17454647/check_22077939_4f20a435-cb03-486b-a785-14f90af34fc2.json | WAYSTAR | N/A | INSIGHTS | 2026-02-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17454647/check_22077939_b6c6c124-cd31-45f3-8e0e-a7a07c063c12.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 | N/A | 4206 | N/A | 17454647 | 2222 | N/A | 20954636 | N/A | 14412413 | 2026-03-24 21:05:14.244257 | 2026-02-06 01:34:12.879816 |
| 2026-03-24 21:05:01.583370 | 2026-03-24 21:05:04.551901 | 22077931 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2020-04-30 | 2026-03-30 | M | PT | N/A | N/A | 4185 | Marez | LSA753A24370 | Sebastian | Blake | https://storage.googleapis.com/normandy-eligibility-checks/2222/15242730/check_22077931_6d2b0823-c9fb-4b64-998a-9691a06f1b06.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15242730/check_22077931_56de67e2-3672-41d8-8b49-d871393014cd.json | N/A | N/A | N/A | N/A | N/A | LSA753A24370 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 2020-04-30 | 040 | 1841AC | N/A | PR | false | MAREZ | N/A | VANESSA | N/A | 9999-12-31 | 2020-05-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 10379819628 | 167942 | N/A | 15242730 | 2222 | N/A | 20954627 | N/A | 13342601 | 2026-03-24 21:05:04.551901 | 2026-01-10 00:43:10.594667 |
| 2026-03-24 21:04:45.920976 | 2026-03-24 21:04:48.842678 | 22077914 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-04-08 | 2026-03-30 | F | AE | PT | N/A | 5349 | HILL | H96403611 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17641125/check_22077914_420655cb-369b-473e-9ace-d8d9bac4be00.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17641125/check_22077914_cb5d315f-461f-490c-8378-80988b47691d.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 | N/A | 10379816569 | 167942 | N/A | 17641125 | 2222 | N/A | 20954604 | N/A | 4213760 | 2026-03-24 21:04:48.842678 | 2026-03-23 22:17:45.263893 |
| 2026-03-24 21:04:28.413020 | 2026-03-24 21:04:31.248536 | 22077901 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-04-17 | 2026-03-30 | F | AE | PT | N/A | 4625 | MULLEN | 96337043G | MELANIE | K | https://storage.googleapis.com/normandy-eligibility-checks/2222/16579498/check_22077901_ddd635e4-dc81-4124-9161-4cea0c74f3a7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16579498/check_22077901_322efa7f-257f-4c04-bd6d-5838412cff49.json | N/A | N/A | N/A | N/A | N/A | 96337043G | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1983-04-17 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELANIE | 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 | 167942 | N/A | 16579498 | 2222 | N/A | 20954592 | N/A | 14597625 | 2026-03-24 21:04:31.248536 | 2026-02-09 19:54:47.612972 |
| 2026-03-24 21:04:25.622892 | 2026-03-24 21:04:28.408271 | 22077898 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-04-17 | 2026-03-30 | F | AE | PT | N/A | 4625 | MULLEN | 96337043G | MELANIE | K | https://storage.googleapis.com/normandy-eligibility-checks/2222/16579498/check_22077898_aeb27770-7f3f-46b7-b7a5-70f5af7bdc18.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | N/A | N/A | N/A | N/A | N/A | N/A | 96337043G | N/A | N/A | HEALTH NET, LLC | N/A | 1983-04-17 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELANIE | 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 | 167942 | N/A | 16579498 | 2222 | N/A | N/A | N/A | 14597625 | 2026-03-24 21:04:28.408271 | 2026-02-09 19:54:47.612972 |
| 2026-03-24 21:04:18.014310 | 2026-03-24 21:04:19.883564 | 22077891 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-05-12 | 2026-03-30 | M | AE | PT | N/A | 4191 | EGGLETON | XEM090112120 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536871/check_22077891_8a337828-fd15-4816-86bd-3afd55ae030d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536871/check_22077891_16956716-1433-4dbe-8dd9-7b6fc2fd8660.json | N/A | N/A | N/A | N/A | N/A | XEM090112120 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1946-05-12 | N/A | N/A | N/A | N/A | false | EGGLETON | N/A | PAUL | 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 | 167942 | N/A | 5536871 | 2222 | N/A | 20954582 | N/A | 4209543 | 2026-03-24 21:04:19.883564 | 2025-06-18 17:33:51.700160 |
| 2026-03-24 21:04:16.327898 | 2026-03-24 21:04:18.012030 | 22077889 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-05-12 | 2026-03-30 | M | AE | PT | N/A | 4191 | EGGLETON | XEM090112120 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536871/check_22077889_5d00d9ee-9377-4070-899f-752e53540a03.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | N/A | N/A | N/A | N/A | N/A | N/A | XEM090112120 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1946-05-12 | N/A | N/A | N/A | N/A | false | EGGLETON | N/A | PAUL | 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 | 167942 | N/A | 5536871 | 2222 | N/A | N/A | N/A | 4209543 | 2026-03-24 21:04:18.012030 | 2025-06-18 17:33:51.700160 |
| 2026-03-24 21:04:09.492415 | 2026-03-24 21:04:11.407322 | 22077880 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-05-12 | 2026-03-30 | M | AE | PT | N/A | 4497 | EGGLETON | 9HG9HV5AM53 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536868/check_22077880_a87e8f70-6626-4065-917e-9427841dbcbb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536868/check_22077880_7fa38ef8-d717-4ffb-9a1a-70701a6387e3.json | N/A | N/A | N/A | N/A | N/A | 9HG9HV5AM53 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-05-12 | S5617 | N/A | N/A | MA | false | EGGLETON | N/A | PAUL | 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 | 10379804961 | 167942 | N/A | 5536868 | 2222 | N/A | 20954569 | N/A | 4209543 | 2026-03-24 21:04:11.407322 | 2025-06-18 17:33:51.700160 |
| 2026-03-24 21:03:59.608633 | 2026-03-24 21:04:03.475410 | 22077868 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1972-08-18 | 2026-03-30 | M | AE | PT | N/A | 5504 | LeMond | 000019066146 | Jonathan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18557471/check_22077868_b5eb4f59-59a0-4e77-b6d1-cdbb76fe9486.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18557471/check_22077868_850085df-59be-468a-a8a8-8e0c3695de9b.json | N/A | N/A | N/A | N/A | N/A | 000019066146 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1972-08-18 | 3004198 | 101156 | N/A | N/A | false | LEMOND | N/A | JONATHAN | N/A | 2026-12-31 | 2026-01-01 | SANTA MONICA COMMUNITY COLLEGE SANTA MONICA COMMUN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10379802231 | 167942 | N/A | 18557471 | 2222 | N/A | 20954559 | N/A | 16559408 | 2026-03-24 21:04:03.475410 | 2026-03-23 21:56:32.934023 |
| 2026-03-24 21:03:44.539823 | 2026-03-24 21:03:47.424490 | 22077854 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-17 | 2026-03-30 | F | PT | N/A | N/A | 4185 | WEISMAN | PBQ112844006 | LORI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538972/check_22077854_08954338-b89a-4abb-8c8f-5862abec36fb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538972/check_22077854_5304c528-a152-4a74-abb9-6f1dee67bfa8.json | N/A | N/A | N/A | N/A | N/A | PBQ112844006 | N/A | PROVIDENCE HEALTH & SERVICES | ANTHEM BLUE CROSS | N/A | 1959-04-17 | 936 | 000PBQ9360001009 | N/A | N/A | false | WEISMAN | N/A | LORI | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 10379799279 | 167942 | N/A | 5538972 | 2222 | N/A | 20954543 | N/A | 4211305 | 2026-03-24 21:03:47.424490 | 2025-05-13 04:29:37.225664 |
| 2026-03-24 21:03:26.030718 | 2026-03-24 21:03:27.851908 | 22077840 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-25 | 2026-03-30 | M | AE | PT | N/A | 4191 | RUBIN | XEM910074494 | RONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16917800/check_22077840_82e5738a-7dfe-4d62-9fa5-6db6a6631006.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16917800/check_22077840_c4181a3c-a7be-4303-ac47-be356f3a1a2c.json | N/A | N/A | N/A | N/A | N/A | XEM910074494 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-25 | 2002SE000030 | X0001002 | N/A | OT | false | RUBIN | N/A | RONALD | 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 | N/A | 10379796701 | 167942 | N/A | 16917800 | 2222 | N/A | 20954528 | N/A | 14917009 | 2026-03-24 21:03:27.851908 | 2026-02-20 22:29:32.356717 |
| 2026-03-24 21:03:16.686210 | 2026-03-24 21:03:19.535492 | 22077833 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-25 | 2026-03-30 | M | AE | PT | N/A | 4497 | RUBIN | 8P63F06UN75 | RONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16917799/check_22077833_59a179d0-9e50-4bb4-b22f-3de99f4c2142.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16917799/check_22077833_56416058-9204-4f4c-8af3-b1731a217bd0.json | N/A | N/A | N/A | N/A | N/A | 8P63F06UN75 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-25 | S4802 | N/A | N/A | MA | false | RUBIN | N/A | RONALD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 81280 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10379793905 | 167942 | N/A | 16917799 | 2222 | N/A | 20954523 | N/A | 14917009 | 2026-03-24 21:03:19.535492 | 2026-02-20 22:29:32.356717 |
| 2026-03-24 21:03:01.262194 | 2026-03-24 21:03:03.076560 | 22077822 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-10-18 | 2026-03-30 | F | AE | PT | N/A | 4191 | PODRAT | XEM904657915 | CHARLOTTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540124/check_22077822_49a39eb3-2e1a-4126-967b-3eaec23887e9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540124/check_22077822_13c32f44-fbda-4f45-94c1-2c3698fa6296.json | N/A | N/A | N/A | N/A | N/A | XEM904657915 | Supplemental Policy | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1943-10-18 | 2002SD000004 | X0001002 | N/A | SP | false | PODRAT | N/A | CHARLOTTE | N/A | 2026-03-31 | 2025-04-01 | MEDICARE SUPPLEMENT DENTAL 1500 APR24 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10379789306 | 167942 | N/A | 5540124 | 2222 | N/A | 20954511 | N/A | 4212321 | 2026-03-24 21:03:03.076560 | 2026-03-11 15:45:38.887850 |
| 2026-03-24 21:02:52.205638 | 2026-03-24 21:02:54.057408 | 22077813 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-10-18 | 2026-03-30 | F | AE | PT | N/A | 4497 | PODRAT | 6PH5HJ4AF99 | CHARLOTTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540122/check_22077813_ec574505-d9ea-4fba-a6a3-53c0f244f423.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540122/check_22077813_1e28fe5b-0edc-4b4c-8d82-90db35dcb58c.json | N/A | N/A | N/A | N/A | N/A | 6PH5HJ4AF99 | Medicare Part B | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-10-18 | S2468 | N/A | N/A | MB | 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 | N/A | 10379786530 | 167942 | N/A | 5540122 | 2222 | N/A | 20954504 | N/A | 4212321 | 2026-03-24 21:02:54.057408 | 2026-03-11 15:45:38.887850 |
| 2026-03-24 21:02:28.700586 | 2026-03-24 21:02:41.761721 | 22077783 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-12-17 | 2026-03-30 | F | AE | PT | N/A | 4191 | LANDA | NRS60534973101 | JESSICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18082696/check_22077783_3b89a001-33b3-4156-bc92-99d23173c523.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18082696/check_22077783_070a4958-97fd-41df-96ac-fbf0786e2587.json | N/A | N/A | N/A | N/A | N/A | NRS60534973101 | Exclusive Provider Organization | NORDSTROM, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1986-12-17 | N/A | 4010775 | N/A | EP | false | LANDA | N/A | JESSICA | N/A | 2026-03-31 | 2026-03-01 | SELF-FUNDED HDHP HERITAGE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10379779485 | 167942 | N/A | 18082696 | 2222 | N/A | 20954481 | N/A | 13582304 | 2026-03-24 21:02:41.761721 | 2026-03-27 22:26:31.935861 |
| 2026-03-24 21:02:21.312446 | 2026-03-24 21:02:23.090493 | 22077771 | N/A | N/A | VCHCP | VENTURA COUNTY HEALTH CARE PLAN | 1114042165 | 22077771 | Athletic Physical Therapy Inc | 1995-03-16 | 2026-02-23 | N/A | PT | AE | N/A | N/A | FEATHERS | XDM945W12328 | MEGAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16737362/check_22077771_a8830829-61a7-4736-9b6a-3eb6c4454ba9.json | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16737362/check_22077771_670f8ec3-3611-4771-b22f-8904c2e2a200.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 | N/A | 4206 | N/A | 16737362 | 2222 | N/A | 20954456 | N/A | 13921724 | 2026-03-24 21:02:23.090493 | 2026-01-23 22:15:28.443333 |
| 2026-03-24 21:01:53.473984 | 2026-03-24 21:02:11.531286 | 22077736 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2026-03-30 | F | AE | PT | N/A | 6237 | SOLARES | 31168520701 | THELMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18032688/check_22077736_9def56d8-0a88-4a58-930a-e65e4128b760.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18032688/check_22077736_7b563c68-bb92-4ab3-b0c1-5128910c7de8.json | N/A | N/A | N/A | N/A | N/A | 31168520701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1947-08-18 | 2026H5425001 | H5425M | N/A | N/A | false | SOLARES | N/A | THELMA | 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 | N/A | 10379774579 | 167942 | N/A | 18032688 | 2222 | N/A | 20954444 | N/A | 16060652 | 2026-03-24 21:02:11.531286 | 2026-03-20 17:35:34.228514 |
| 2026-03-24 21:01:32.648842 | 2026-03-24 21:01:35.512425 | 22077718 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-06-28 | 2026-03-30 | F | PT | N/A | N/A | 4185 | BOYLAN | MBL857M98403 | JOAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540074/check_22077718_49935efb-dc43-44dc-9eda-4fe6c5d69182.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_22077718_544e251d-b624-444a-8350-07e9c2e7ce31.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 10379772715 | 167942 | N/A | 5540074 | 2222 | N/A | 20954404 | N/A | 4212282 | 2026-03-24 21:01:35.512425 | 2025-05-13 04:29:37.226623 |
| 2026-03-24 21:01:21.250064 | 2026-03-24 21:01:24.280074 | 22077705 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-12-07 | 2026-03-30 | F | AE | PT | N/A | 4191 | MOONVES | XEM913053395 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928920/check_22077705_4934cbba-f0c9-41b4-a390-9114e45db608.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928920/check_22077705_43111cdb-4034-4e07-bb0a-d40390ffd5bf.json | N/A | N/A | N/A | N/A | N/A | XEM913053395 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-12-07 | 2002SE000030 | X0001002 | N/A | OT | false | MOONVES | N/A | NANCY | 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 | N/A | 10379771735 | 167942 | N/A | 5928920 | 2222 | N/A | 20954389 | N/A | 4208883 | 2026-03-24 21:01:24.280074 | 2025-05-13 04:29:37.223310 |
| 2026-03-24 21:01:04.054621 | 2026-03-24 21:01:05.913873 | 22077686 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-12-07 | 2026-03-30 | F | AE | PT | N/A | 4497 | MOONVES | 9VC3KJ4XU95 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536069/check_22077686_d826c5ae-86ee-4254-8802-e1a9d58a9b3b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536069/check_22077686_e753f2f8-8dd8-4945-a8ee-e5324b4fec74.json | N/A | N/A | N/A | N/A | N/A | 9VC3KJ4XU95 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-12-07 | S4802 | N/A | N/A | MA | false | MOONVES | N/A | NANCY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 144969 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10379769995 | 167942 | N/A | 5536069 | 2222 | N/A | 20954368 | N/A | 4208883 | 2026-03-24 21:01:05.913873 | 2025-05-13 04:29:37.223310 |
| 2026-03-24 21:00:48.645123 | 2026-03-24 21:00:51.458447 | 22077675 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-02-14 | 2026-03-30 | F | PT | N/A | N/A | 4184 | CARAZO | N8E117919898001 | EILEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17553325/check_22077675_88c9bba4-4cdb-43c6-8f49-3f099dadb454.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17553325/check_22077675_e6224ce6-a070-4d28-9899-352ba7e2b844.json | N/A | N/A | N/A | N/A | N/A | N8E117919898001 | Preferred Provider Organization (PPO) | NEP GROUP ACTIVE | ANTHEM BLUE CROSS | FUNDING TYPE = SELF INSURED | 1986-02-14 | 363 | 10696646 | N/A | PR | false | PYATTE | N/A | JUSTIN | N/A | 9999-12-31 | 2026-01-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 10379768428 | 167942 | N/A | 17553325 | 2222 | N/A | 20954356 | N/A | 4214484 | 2026-03-24 21:00:51.458447 | 2025-05-13 04:29:37.228799 |
| 2026-03-24 20:59:28.981325 | 2026-03-24 20:59:30.830383 | 22077622 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-11-17 | 2026-03-30 | F | AE | PT | N/A | 4191 | CAMACHO | XEM913139717 | KIMBERLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18604379/check_22077622_781350c7-6814-468c-b398-537feffc3ff3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18604379/check_22077622_def028a2-fe52-4536-863a-1a1a60250907.json | N/A | N/A | N/A | N/A | N/A | XEM913139717 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-11-17 | 2004SF000028 | X0001002 | N/A | OT | false | CAMACHO | N/A | CELESTINO | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10379759949 | 167942 | N/A | 18604379 | 2222 | N/A | 20954299 | N/A | 16213336 | 2026-03-24 20:59:30.830383 | 2026-03-22 14:01:32.548786 |
| 2026-03-24 20:58:30.944656 | 2026-03-24 20:58:32.874632 | 22077584 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-11-17 | 2026-03-23 | F | AE | PT | N/A | 4497 | CAMACHO | 4UD4UH0JJ60 | KIMBERLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18199097/check_22077584_4c018d86-9652-4f96-b880-b2d1213a3ef5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18199097/check_22077584_3e7df8d5-86a5-4044-9874-0c3fdbe57a7d.json | N/A | N/A | N/A | N/A | N/A | 4UD4UH0JJ60 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-11-17 | S4802 | N/A | N/A | MB | false | CAMACHO | N/A | KIMBERLY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 60648 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10379754228 | 167942 | N/A | 18199097 | 2222 | N/A | 20954260 | N/A | 16213336 | 2026-03-24 20:58:32.874632 | 2026-03-22 14:01:32.548786 |
| 2026-03-24 20:58:28.966220 | 2026-03-24 20:58:30.676978 | 22077582 | N/A | N/A | SB040 | LAKESIDE MEDICAL GROUP / ANTHEM BLUE CROSS | 1114042165 | 22077582 | Athletic Physical Therapy Inc | 1949-09-22 | 2026-02-23 | N/A | PT | AE | N/A | N/A | LESTER | 334W1439320 | EILEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16808899/check_22077582_c19c2699-988f-4ce5-9b66-6b0d4b3449c3.json | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16808899/check_22077582_d4cbb1e7-5867-49d6-a587-ed02ff3ce731.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 | N/A | 4206 | N/A | 16808899 | 2222 | N/A | 20954258 | N/A | 13404177 | 2026-03-24 20:58:30.676978 | 2026-01-14 23:36:42.048049 |
| 2026-03-24 20:58:13.134827 | 2026-03-24 20:58:15.819654 | 22077563 | N/A | N/A | 87726 | REGAL MEDICAL GROUP / UNITED HEALTHCARE | 1114042165 | 22077563 | Athletic Physical Therapy Inc | 1947-02-05 | 2026-02-18 | N/A | PT | AE | N/A | N/A | RIOS BERNADAC | 00000242216 | IRMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17454647/check_22077563_8d068871-1f81-47e5-a3bc-d1ddc5ddf22a.json | WAYSTAR | N/A | INSIGHTS | 2026-02-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17454647/check_22077563_e2b25f99-eb4e-43c4-b20d-770e275fee2f.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 | N/A | 4206 | N/A | 17454647 | 2222 | N/A | 20954242 | N/A | 14412413 | 2026-03-24 20:58:15.819654 | 2026-02-06 01:34:12.879816 |
| 2026-03-24 20:53:46.689489 | 2026-03-24 20:53:48.540159 | 22077355 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-11-17 | 2026-03-30 | F | AE | PT | N/A | 4497 | CAMACHO | 4UD4UH0JJ60 | KIMBERLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18199097/check_22077355_ff76446a-3963-4873-be9c-9bae6d2ca2d6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18199097/check_22077355_a0f570f4-8b51-4205-87cc-d6056ac6f5ba.json | N/A | N/A | N/A | N/A | N/A | 4UD4UH0JJ60 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-11-17 | S4802 | N/A | N/A | MB | false | CAMACHO | N/A | KIMBERLY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 60648 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10379722947 | 167942 | N/A | 18199097 | 2222 | N/A | 20954019 | N/A | 16213336 | 2026-03-24 20:53:48.540159 | 2026-03-22 14:01:32.548786 |
| 2026-03-24 20:53:43.373590 | 2026-03-24 20:53:46.081904 | 22077352 | N/A | N/A | SB040 | LAKESIDE MEDICAL GROUP / ANTHEM BLUE CROSS | 1114042165 | 22077352 | Athletic Physical Therapy Inc | 1947-05-03 | 2026-02-20 | N/A | PT | AE | N/A | N/A | KRTOLICA | MMA158W18341 | MARGARETE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17409667/check_22077352_ff298525-7569-484e-8a31-5eb06b895bfd.json | WAYSTAR | N/A | INSIGHTS | 2026-02-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17409667/check_22077352_c4671f54-8ebb-49e3-88cd-29d9089a09b1.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 | N/A | 4206 | N/A | 17409667 | 2222 | N/A | 20954017 | N/A | 14282631 | 2026-03-24 20:53:46.081904 | 2026-02-02 21:30:21.780688 |
| 2026-03-24 20:51:04.053737 | 2026-03-24 20:51:05.836512 | 22077240 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-11-17 | 2026-03-30 | F | AE | PT | N/A | 4497 | CAMACHO | 4UD4UHOJJ60 | KIMBERLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18199097/check_22077240_5aad4c2d-7a78-4b9a-89c6-34ea7e63d80b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18199097/check_22077240_148fe5c0-6ecd-4477-b385-83d31745695e.json | N/A | N/A | N/A | N/A | N/A | 4UD4UHOJJ60 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-11-17 | N/A | N/A | N/A | N/A | false | CAMACHO | N/A | KIMBERLY | 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 | 167942 | N/A | 18199097 | 2222 | N/A | 20953899 | N/A | 16213336 | 2026-03-24 20:51:05.836512 | 2026-03-22 14:01:32.548786 |
| 2026-03-24 20:51:02.328360 | 2026-03-24 20:51:04.049398 | 22077239 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-11-17 | 2026-03-30 | F | AE | PT | N/A | 4497 | CAMACHO | 4UD4UHOJJ60 | KIMBERLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18199097/check_22077239_9d98a741-ae65-4e0b-a7d5-76bd7cafa084.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | N/A | N/A | N/A | N/A | N/A | N/A | 4UD4UHOJJ60 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-11-17 | N/A | N/A | N/A | N/A | false | CAMACHO | N/A | KIMBERLY | 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 | 167942 | N/A | 18199097 | 2222 | N/A | N/A | N/A | 16213336 | 2026-03-24 20:51:04.049398 | 2026-03-22 14:01:32.548786 |
| 2026-03-24 20:50:50.782416 | 2026-03-24 20:50:54.593763 | 22077228 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-02-19 | 2026-03-30 | F | AE | PT | N/A | 3948 | KOVACEVICH | W27795397803 | DANIELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18394146/check_22077228_5268ac5c-3a6b-4c96-bea3-eb722b09101b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18394146/check_22077228_e939096f-296c-45de-8877-383d9e64ff87.json | N/A | N/A | N/A | N/A | N/A | W277953978 | Health Maintenance Organization (HMO) | LANDSCAPE DEVELOPMENT, INC. | AETNA | N/A | 1988-02-19 | EACZ4F04 | 017515901200001 | N/A | HM | false | KOVACEVICH | N/A | MATTHEW | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10379703863 | 167942 | N/A | 18394146 | 2222 | N/A | 20953888 | N/A | 16398404 | 2026-03-24 20:50:54.593763 | 2026-03-30 15:35:26.924597 |
| 2026-03-24 20:50:34.495792 | 2026-03-24 20:50:36.357179 | 22077215 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-06-02 | 2026-03-30 | M | AE | PT | N/A | 5505 | Marroquin | 0015025200 | Adrian | Daniel | https://storage.googleapis.com/normandy-eligibility-checks/2222/15800298/check_22077215_c9a5736f-b48e-44c8-b629-2901541a11c4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15800298/check_22077215_84315f3f-bd9d-4f98-be7d-73264ffa98c5.json | N/A | N/A | N/A | N/A | N/A | 0015025200 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1990-06-02 | N/A | N/A | N/A | N/A | false | MARROQUIN | N/A | ADRIAN | 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 | 167942 | N/A | 15800298 | 2222 | N/A | 20953875 | N/A | 13889062 | 2026-03-24 20:50:36.357179 | 2026-01-23 08:12:26.923252 |
| 2026-03-24 20:50:32.743296 | 2026-03-24 20:50:34.486392 | 22077212 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-06-02 | 2026-03-30 | M | AE | PT | N/A | 5505 | Marroquin | 0015025200 | Adrian | Daniel | https://storage.googleapis.com/normandy-eligibility-checks/2222/15800298/check_22077212_b7c61be7-29e5-4024-947f-4cab5de8ce9c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | N/A | N/A | N/A | N/A | N/A | N/A | 0015025200 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1990-06-02 | N/A | N/A | N/A | N/A | false | MARROQUIN | N/A | ADRIAN | 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 | 167942 | N/A | 15800298 | 2222 | N/A | N/A | N/A | 13889062 | 2026-03-24 20:50:34.486392 | 2026-01-23 08:12:26.923252 |
| 2026-03-24 20:50:21.712146 | 2026-03-24 20:50:26.674133 | 22077199 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-06-18 | 2026-03-30 | F | AE | PT | N/A | 3948 | THEODORE | 101217709600 | DAWN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18386671/check_22077199_21690a98-750c-45a0-b3d2-ee827dc9318c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18386671/check_22077199_dd6c043c-4734-4d95-afdb-3870f4fd613a.json | N/A | N/A | N/A | N/A | N/A | 101217709600 | Preferred Provider Organization (PPO) | UNITED AIRLINES - MA | AETNA | MEDICARE | 1956-06-18 | 100117-02EG0001 | 100117-02 | N/A | PR | false | THEODORE | N/A | DAWN | N/A | 2026-12-31 | 2026-01-01 | MEDICARE ADV ESA PPO PLAN | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10379698936 | 167942 | N/A | 18386671 | 2222 | N/A | 20953857 | N/A | 16392709 | 2026-03-24 20:50:26.674133 | 2026-03-19 17:41:51.337704 |
| 2026-03-24 20:50:05.484082 | 2026-03-24 20:50:10.622289 | 22077186 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-09-14 | 2026-03-30 | M | AE | PT | N/A | N/A | Luthra | 70548686400 | Rahil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9415757/check_22077186_86f4aa19-5801-41f0-a58b-b00d8abd934a.json | UHC | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415757/check_22077186_1631c983-92a5-4da0-b2d6-97020e5e49a6.json | N/A | N/A | N/A | N/A | N/A | 70548686400 | Commercial | N/A | UnitedHealthcare Benefits Plan of California | N/A | 2005-09-14 | N/A | 1727199 | N/A | C1 | false | LUTHRA | N/A | RAHIL | N/A | N/A | N/A | Select Plus | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 9415757 | 2222 | N/A | 20953845 | N/A | 7884645 | 2026-03-24 20:50:10.622289 | 2025-09-23 18:47:24.441583 |
| 2026-03-24 20:49:55.854482 | 2026-03-24 20:49:58.663615 | 22077172 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-02-13 | 2026-03-30 | M | AE | PT | N/A | 6422 | HARY | 2YH6-T54-NH61 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18020019/check_22077172_3fc3fef9-67fa-45c2-95b6-c87bf1328879.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18020019/check_22077172_a25b120a-048b-4b44-8a00-a6c228fe3f50.json | N/A | N/A | N/A | N/A | N/A | 324641790 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1948-02-13 | N/A | N/A | N/A | N/A | false | HARY | N/A | DAVID | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18020019 | 2222 | N/A | 20953830 | N/A | 16048388 | 2026-03-24 20:49:58.663615 | 2026-03-12 19:28:18.393557 |
| 2026-03-24 20:49:53.014074 | 2026-03-24 20:49:55.851641 | 22077169 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-02-13 | 2026-03-30 | M | AE | PT | N/A | 6422 | HARY | 2YH6-T54-NH61 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18020019/check_22077169_5e451b2b-2208-47b8-8c45-76062f98ad35.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | N/A | N/A | N/A | N/A | N/A | N/A | 324641790 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1948-02-13 | N/A | N/A | N/A | N/A | false | HARY | N/A | DAVID | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18020019 | 2222 | N/A | N/A | N/A | 16048388 | 2026-03-24 20:49:55.851641 | 2026-03-12 19:28:18.393557 |
| 2026-03-24 20:49:42.171073 | 2026-03-24 20:49:45.168075 | 22077159 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-12-19 | 2026-03-30 | F | PT | N/A | N/A | 4185 | Becerra | CZCAN2537305 | Daniella | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17433624/check_22077159_b3c2f680-96ee-4d0b-a034-ccaf582da014.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17433624/check_22077159_63085e58-c4b9-4e20-8adc-a03134b79d50.json | N/A | N/A | N/A | N/A | N/A | CZCAN2537305 | Preferred Provider Organization (PPO) | PPO W/BLUE DISTINCTION W/AIM FTR GOLD | ANTHEM BLUE CROSS | N/A | 2002-12-19 | 060 | 270196M71A | N/A | PR | false | BECERRA | N/A | JAIME | N/A | 9999-12-31 | 2022-01-01 | CT BLUE CARD PREFERRED PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 10379694428 | 167942 | N/A | 17433624 | 2222 | N/A | 20953817 | N/A | 15445066 | 2026-03-24 20:49:45.168075 | 2026-02-27 21:30:30.313264 |
| 2026-03-24 20:49:30.588866 | 2026-03-24 20:49:35.530429 | 22077146 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-09-07 | 2026-03-30 | F | AE | PT | N/A | 3948 | Garcia | W276674223 | Andrea | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18560603/check_22077146_2b8842b0-3f85-4b81-98a4-275c59369ef8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18560603/check_22077146_49d2d069-9648-4545-b2c2-201cf2e05b8f.json | N/A | N/A | N/A | N/A | N/A | W276674223 | Point of Service (POS) | MARSH & MCLENNAN COMPANIES, INC. | AETNA | N/A | 1998-09-07 | 0868802 | 086880201300003 | N/A | PS | false | GARCIA | N/A | ANDREA | 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 | N/A | 10379693195 | 167942 | N/A | 18560603 | 2222 | N/A | 20953807 | N/A | 16562595 | 2026-03-24 20:49:35.530429 | 2026-03-23 23:34:37.453846 |
| 2026-03-24 20:49:22.983957 | 2026-03-24 20:49:24.761369 | 22077135 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-11-18 | 2026-03-30 | M | PT | N/A | N/A | 4191 | Ratsch | UCD914872609 | Christian | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17232261/check_22077135_ca087424-dbdb-4a09-9284-233272852c51.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17232261/check_22077135_fe2ee734-867b-4052-b324-d83e6692a851.json | N/A | N/A | N/A | N/A | N/A | UCD914872609 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1966-11-18 | 1400PPOX0001 | W3000984 | N/A | PR | false | RATSCH | N/A | CHRISTIAN | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA ASO UC CARE PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 10379692498 | 167942 | N/A | 17232261 | 2222 | N/A | 20953793 | N/A | 15250062 | 2026-03-24 20:49:24.761369 | 2026-02-23 15:20:23.082808 |
| 2026-03-24 20:49:12.076724 | 2026-03-24 20:49:14.914569 | 22077124 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-06-09 | 2026-03-30 | F | PT | N/A | N/A | 4184 | FARDAD FINN | JQU683A20101 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14765769/check_22077124_d799f628-ffd7-4781-af7e-d1bc9fd9e666.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14765769/check_22077124_9f6fa322-32c5-480c-87e7-f66327abd802.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | Preferred Provider Organization (PPO) | GLOBALWIDE MEDIA INC | ANTHEM BLUE CROSS | N/A | 2003-06-09 | 040 | Q18255 | N/A | PR | false | FINN | N/A | PATRICK | N/A | 9999-12-31 | 2025-12-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 10379691288 | 167942 | N/A | 14765769 | 2222 | N/A | 20953783 | N/A | 12896808 | 2026-03-24 20:49:14.914569 | 2025-12-29 16:45:47.287583 |
| 2026-03-24 20:49:05.073322 | 2026-03-24 20:49:06.844385 | 22077117 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-02 | 2026-03-30 | F | AE | PT | N/A | 6411 | ISRAEL | 925576042 | JJ | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17004851/check_22077117_c6130a95-4a3e-46b8-946d-fe5f4186368c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17004851/check_22077117_36a6757b-0943-41bc-a93f-b01af140c3ae.json | N/A | N/A | N/A | N/A | N/A | 925576042 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1966-06-02 | N/A | N/A | N/A | N/A | false | ISRAEL | N/A | JJ | 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 | 167942 | N/A | 17004851 | 2222 | N/A | 20953775 | N/A | 4214617 | 2026-03-24 20:49:06.844385 | 2025-07-28 17:06:19.583415 |
| 2026-03-24 20:49:02.310224 | 2026-03-24 20:49:05.069316 | 22077115 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-06-02 | 2026-03-30 | F | AE | PT | N/A | 6411 | ISRAEL | 925576042 | JJ | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17004851/check_22077115_74914e9d-d94d-4355-9003-0855afd450a2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | N/A | N/A | N/A | N/A | N/A | N/A | 925576042 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1966-06-02 | N/A | N/A | N/A | N/A | false | ISRAEL | N/A | JJ | 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 | 167942 | N/A | 17004851 | 2222 | N/A | N/A | N/A | 4214617 | 2026-03-24 20:49:05.069316 | 2025-07-28 17:06:19.583415 |
| 2026-03-24 20:48:40.165106 | 2026-03-24 20:48:43.999612 | 22077102 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1971-01-02 | 2026-03-30 | F | AE | PT | N/A | 4709 | SIVAMALAR | 98940148E | THANGIAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18018879/check_22077102_fb50a6c2-59db-4fca-9047-01881d063704.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18018879/check_22077102_d76a7b50-b718-4a5d-87a2-a876a9b4e13d.json | N/A | N/A | N/A | N/A | N/A | 98940148E | N/A | N/A | HEALTH NET, LLC | N/A | 1971-01-02 | N/A | N/A | N/A | N/A | false | SIVAMALAR | N/A | THANGIAH | 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 | 167942 | N/A | 18018879 | 2222 | N/A | 20953758 | N/A | 8251172 | 2026-03-24 20:48:43.999612 | 2025-10-03 18:17:22.871347 |
| 2026-03-24 20:48:36.430402 | 2026-03-24 20:48:40.160270 | 22077099 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1971-01-02 | 2026-03-30 | F | AE | PT | N/A | 4709 | SIVAMALAR | 98940148E | THANGIAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18018879/check_22077099_dd242977-84b4-4783-be73-4e4204a16f8f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-30 | N/A | N/A | N/A | N/A | N/A | N/A | 98940148E | N/A | N/A | HEALTH NET, LLC | N/A | 1971-01-02 | N/A | N/A | N/A | N/A | false | SIVAMALAR | N/A | THANGIAH | 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 | 167942 | N/A | 18018879 | 2222 | N/A | N/A | N/A | 8251172 | 2026-03-24 20:48:40.160270 | 2025-10-03 18:17:22.871347 |