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 | 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 | service_type_codes_1 | service_type_codes_2 | service_type_codes_3 | service_type_codes_4 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-16 18:26:40.498105 | 2025-07-16 18:26:42.119232 | 9897541 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897541_c8332a95-2522-4c26-8a64-533125f630ec.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | N/A | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | N/A | N/A | 5248742 | 2025-07-16 18:26:42.119232 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:26:34.039382 | 2025-07-16 18:26:35.794715 | 9897540 | N/A | N/A | Z1073 | Medicare B California Southern | 1407668064 | N/A | Jacklyn Kokuashvili | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897540_d2d76aab-5ae3-4048-b904-0a4f46306205.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897540_4066d600-168a-4a12-9e57-724d3f7ba50c.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | N/A | N/A | N/A | N/A | N/A | AE | PT | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6641936 | 2222 | N/A | 9629675 | N/A | 5248742 | 2025-07-16 18:26:35.794715 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:26:32.181744 | 2025-07-16 18:26:33.925140 | 9897539 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897539_58b3045b-1b3c-417f-82de-5bf80ad75d93.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897539_46da5b44-d8f5-4226-9524-7299b3fc72ed.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | 9629674 | N/A | 5248742 | 2025-07-16 18:26:33.925140 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:26:30.653809 | 2025-07-16 18:26:32.178945 | 9897538 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897538_a02eed15-17f2-40d5-a29f-f1739ae8b90e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | N/A | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | N/A | N/A | 5248742 | 2025-07-16 18:26:32.178945 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:26:20.419383 | 2025-07-16 18:26:22.099780 | 9897536 | N/A | N/A | Z1073 | Medicare B California Southern | 1407668064 | N/A | Jacklyn Kokuashvili | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897536_05573477-b1a1-4432-9f95-a8b46ee927ea.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897536_de9a7ab3-7020-4ae8-8e2e-f0c1c95002ad.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | N/A | N/A | N/A | N/A | N/A | AE | PT | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6641936 | 2222 | N/A | 9629671 | N/A | 5248742 | 2025-07-16 18:26:22.099780 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:26:18.606679 | 2025-07-16 18:26:20.331587 | 9897535 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897535_2688738a-b09e-41c7-8004-0c58fc3d5530.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897535_fc4158fb-1a7d-4474-9167-5383565afa8f.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | 9629670 | N/A | 5248742 | 2025-07-16 18:26:20.331587 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:26:17.004934 | 2025-07-16 18:26:18.605057 | 9897534 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897534_50e4ed03-1d0b-49bd-9b08-5dc3d6b9c31e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | N/A | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | N/A | N/A | 5248742 | 2025-07-16 18:26:18.605057 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:26:01.380066 | 2025-07-16 18:26:04.068838 | 9897532 | N/A | N/A | Z1073 | Medicare B California Southern | 1407668064 | N/A | Jacklyn Kokuashvili | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897532_17ace3aa-8f55-41f6-b2ec-d3efc88b3f48.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897532_6811ee42-c4de-464b-abee-025db456a5a6.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | N/A | N/A | N/A | N/A | N/A | AE | PT | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6641936 | 2222 | N/A | 9629665 | N/A | 5248742 | 2025-07-16 18:26:04.068838 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:25:59.375928 | 2025-07-16 18:26:01.160339 | 9897531 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897531_702e7032-7729-4017-a787-44d1fffb9ea9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897531_d921aa84-b21f-4415-bc16-fb358d849d3e.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | 9629664 | N/A | 5248742 | 2025-07-16 18:26:01.160339 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:25:57.852912 | 2025-07-16 18:25:59.373575 | 9897530 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897530_a3a67952-9846-42f9-90d6-c68dce062d4f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | N/A | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | N/A | N/A | 5248742 | 2025-07-16 18:25:59.373575 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:25:40.745809 | 2025-07-16 18:25:42.456922 | 9897527 | N/A | N/A | Z1073 | Medicare B California Southern | 1407668064 | N/A | Jacklyn Kokuashvili | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897527_967fa6d4-77ab-49ec-abc8-3ce047a67939.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897527_0e06cece-374e-42ad-b3cb-ee6f4f377f53.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | N/A | N/A | N/A | N/A | N/A | AE | PT | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6641936 | 2222 | N/A | 9629660 | N/A | 5248742 | 2025-07-16 18:25:42.456922 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:25:38.894670 | 2025-07-16 18:25:40.651678 | 9897526 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897526_2e36a843-85bc-4185-ba14-298663435bdd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897526_c942ad40-4fa8-48e5-ac6f-5c7f118dbb41.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | 9629659 | N/A | 5248742 | 2025-07-16 18:25:40.651678 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:25:37.302684 | 2025-07-16 18:25:38.892467 | 9897525 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897525_31f43ca3-dff9-4ab0-91b4-8bf04a147088.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | N/A | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | N/A | N/A | 5248742 | 2025-07-16 18:25:38.892467 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:22:44.589436 | 2025-07-16 18:22:46.288046 | 9897506 | N/A | N/A | Z1073 | Medicare B California Southern | 1407668064 | N/A | Jacklyn Kokuashvili | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897506_a65c4b74-0287-4fa5-9482-b80994450c7f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897506_c3ac8631-8bd3-4d47-8c4d-68a38ab2b611.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | N/A | N/A | N/A | N/A | N/A | AE | PT | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6641936 | 2222 | N/A | 9629634 | N/A | 5248742 | 2025-07-16 18:22:46.288046 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:22:42.763123 | 2025-07-16 18:22:44.478602 | 9897505 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897505_22777930-9552-44db-b80c-f40ae5aa9bef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897505_33343900-4011-4269-b299-944b4db91e0b.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | 9629633 | N/A | 5248742 | 2025-07-16 18:22:44.478602 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:22:41.142533 | 2025-07-16 18:22:42.759354 | 9897504 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897504_c46482d3-83cf-4a81-afb1-21d14ddcc2b9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | N/A | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | N/A | N/A | 5248742 | 2025-07-16 18:22:42.759354 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:22:33.361660 | 2025-07-16 18:22:35.101232 | 9897503 | N/A | N/A | Z1073 | Medicare B California Southern | 1407668064 | N/A | Jacklyn Kokuashvili | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897503_9ae3f91b-a303-485b-895d-93882a0d5878.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897503_a22d279b-5e04-4eb6-bd78-c01442d0c445.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | N/A | N/A | N/A | N/A | N/A | AE | PT | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6641936 | 2222 | N/A | 9629631 | N/A | 5248742 | 2025-07-16 18:22:35.101232 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:22:31.382193 | 2025-07-16 18:22:33.233839 | 9897502 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897502_d033d2d2-b427-4174-96b7-d6dc480981bc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897502_f8224d80-9357-49d6-bc17-217ea0f5b8c8.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | 9629630 | N/A | 5248742 | 2025-07-16 18:22:33.233839 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:22:24.736967 | 2025-07-16 18:22:31.371866 | 9897501 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897501_fcf8adf3-eec6-43f4-b99c-ffe7fd38af76.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | N/A | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | N/A | N/A | 5248742 | 2025-07-16 18:22:31.371866 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:22:06.631377 | 2025-07-16 18:22:10.413262 | 9897500 | N/A | N/A | Z1073 | Medicare B California Southern | 1407668064 | N/A | Jacklyn Kokuashvili | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897500_d2e58f3a-898b-4b3b-a843-baba7d9d9872.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897500_9189b05b-ff33-4e93-9df3-ce9703352ccc.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | N/A | N/A | N/A | N/A | N/A | AE | PT | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6641936 | 2222 | N/A | 9629628 | N/A | 5248742 | 2025-07-16 18:22:10.413262 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:22:04.729291 | 2025-07-16 18:22:06.494979 | 9897499 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897499_1f49768f-1e44-47af-a110-80c498a2ad14.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897499_d364fdf6-cf88-42b6-bb92-d623491a0a18.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | 9629627 | N/A | 5248742 | 2025-07-16 18:22:06.494979 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:22:03.029090 | 2025-07-16 18:22:04.726656 | 9897498 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897498_ab0129c8-9028-42be-9b6e-12931595c1ca.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | N/A | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | N/A | N/A | 5248742 | 2025-07-16 18:22:04.726656 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:21:52.005669 | 2025-07-16 18:21:53.785298 | 9897496 | N/A | N/A | Z1073 | Medicare B California Southern | 1407668064 | N/A | Jacklyn Kokuashvili | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897496_bdd39df7-6463-4ea3-87a9-ba060e50d4a3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897496_e288c73f-6b0e-4283-8c1f-30df8a082183.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | N/A | N/A | N/A | N/A | N/A | AE | PT | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6641936 | 2222 | N/A | 9629623 | N/A | 5248742 | 2025-07-16 18:21:53.785298 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:21:50.245116 | 2025-07-16 18:21:51.919268 | 9897495 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897495_c6371f5b-a675-4245-b272-fb441da5cdc0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897495_b1ba13a5-8c36-4094-a92e-60d03cbf4e48.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | 9629622 | N/A | 5248742 | 2025-07-16 18:21:51.919268 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:21:48.663497 | 2025-07-16 18:21:50.242462 | 9897493 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897493_592ca4aa-9e0a-4ce5-b4da-aaa464cc77b8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | N/A | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1955-12-11 | N/A | N/A | N/A | N/A | false | TATGE | N/A | GLENDA | 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 | N/A | N/A | 6641936 | 2222 | N/A | N/A | N/A | 5248742 | 2025-07-16 18:21:50.242462 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:21:40.065293 | 2025-07-16 18:21:42.849453 | 9897492 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897492_2f5ceaf0-90ec-4cdb-8a2a-90ab2cc1cf8d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897492_e4fdd1bc-345c-47a1-8007-2096b0904517.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-11 | S5601 | N/A | N/A | MB | false | TATGE | N/A | GLENDA | 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 | 8282684256 | N/A | N/A | 6641936 | 2222 | N/A | 9629619 | N/A | 5248742 | 2025-07-16 18:21:42.849453 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:21:32.389477 | 2025-07-16 18:21:34.184514 | 9897490 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897490_3dea36f2-e1be-45bf-9d23-b4006e309887.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897490_b9b03459-17d4-45ed-a513-54bcc30d721a.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-11 | S5601 | N/A | N/A | MA | false | TATGE | N/A | GLENDA | 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 | 8282683162 | N/A | N/A | 6641936 | 2222 | N/A | 9629615 | N/A | 5248742 | 2025-07-16 18:21:34.184514 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:21:07.709959 | 2025-07-16 18:21:10.490669 | 9897483 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897483_a9e50b40-2a12-4daf-a6df-384ab246f193.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897483_7191aee4-20c2-4ff6-ab24-9f14b3b4ac4c.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-11 | S5601 | N/A | N/A | MB | false | TATGE | N/A | GLENDA | 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 | 8282680034 | N/A | N/A | 6641936 | 2222 | N/A | 9629608 | N/A | 5248742 | 2025-07-16 18:21:10.490669 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:20:44.410277 | 2025-07-16 18:20:46.327297 | 9897481 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897481_243f4d8c-3461-4ef6-b155-7cbd1968700f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897481_8ee35656-c049-4f5d-8053-a402fc155ab4.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-11 | S5601 | N/A | N/A | MA | false | TATGE | N/A | GLENDA | 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 | 8282677226 | N/A | N/A | 6641936 | 2222 | N/A | 9629605 | N/A | 5248742 | 2025-07-16 18:20:46.327297 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 18:20:18.188115 | 2025-07-16 18:20:25.037074 | 9897475 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-11 | 2025-07-16 | F | AE | PT | 4497 | Tatge | 2DH1CG9VR90 | Glenda | https://storage.googleapis.com/normandy-eligibility-checks/2222/6641936/check_9897475_4d68bd58-66dc-45a7-843c-cd5217600224.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_9897475_986047cc-cf4f-404e-9bac-5ae24b1c5032.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-11 | S5601 | N/A | N/A | MB | false | TATGE | N/A | GLENDA | 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 | 8282674150 | N/A | N/A | 6641936 | 2222 | N/A | 9629598 | N/A | 5248742 | 2025-07-16 18:20:25.037074 | 2025-07-16 18:02:25.797343 |
| 2025-07-16 17:46:13.697931 | 2025-07-16 17:46:15.454819 | 9897259 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-29 | 2025-07-16 | M | AE | PT | 3939 | TRUNNELL | 101505559100 | WAYNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6786642/check_9897259_ee6a84e0-98e3-4360-bb11-60e2c666e889.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_9897259_a7b2104c-c35f-40df-81af-a8dcf8a77507.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000074 | 000003-CA | N/A | PS | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8282420545 | N/A | N/A | 6786642 | 2222 | N/A | 9629346 | N/A | 5818009 | 2025-07-16 17:46:15.454819 | 2025-07-15 23:19:05.900633 |
| 2025-07-16 17:45:48.559651 | 2025-07-16 17:45:55.410269 | 9897255 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-29 | 2025-07-16 | M | AE | PT | 3939 | TRUNNELL | 101505559100 | WAYNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6786642/check_9897255_d82147bc-940c-44af-93f4-4a93445a040c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_9897255_a3b8932b-2b68-4f11-9566-5453ce325b07.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000074 | 000003-CA | N/A | PS | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8282417998 | N/A | N/A | 6786642 | 2222 | N/A | 9629342 | N/A | 5818009 | 2025-07-16 17:45:55.410269 | 2025-07-15 23:19:05.900633 |
| 2025-07-16 17:45:33.947923 | 2025-07-16 17:45:35.762633 | 9897254 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-29 | 2025-07-16 | M | AE | PT | 3939 | TRUNNELL | 101505559100 | WAYNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6786642/check_9897254_ee804a47-a48b-4aa8-b66c-de151a43c761.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_9897254_cdd25b26-1e9a-457e-bb4c-89a25c8d6756.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000074 | 000003-CA | N/A | PS | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8282416651 | N/A | N/A | 6786642 | 2222 | N/A | 9629341 | N/A | 5818009 | 2025-07-16 17:45:35.762633 | 2025-07-15 23:19:05.900633 |
| 2025-07-16 17:45:16.039129 | 2025-07-16 17:45:17.838923 | 9897252 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-29 | 2025-07-16 | M | AE | PT | 3939 | TRUNNELL | 101505559100 | WAYNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6786642/check_9897252_02db3e86-62c9-4983-bac9-207732d62298.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_9897252_628f3131-524a-4681-8769-678b20090e81.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000074 | 000003-CA | N/A | PS | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8282414708 | N/A | N/A | 6786642 | 2222 | N/A | 9629339 | N/A | 5818009 | 2025-07-16 17:45:17.838923 | 2025-07-15 23:19:05.900633 |
| 2025-07-16 17:45:07.025460 | 2025-07-16 17:45:08.723865 | 9897249 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-29 | 2025-07-16 | M | AE | PT | 3939 | TRUNNELL | 101505559100 | WAYNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6786642/check_9897249_c73d3a07-1e32-44f4-aeac-749a2c4f250f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_9897249_b04cd3a0-5c0d-4900-a598-4706d14f9277.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000074 | 000003-CA | N/A | PS | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8282413778 | N/A | N/A | 6786642 | 2222 | N/A | 9629336 | N/A | 5818009 | 2025-07-16 17:45:08.723865 | 2025-07-15 23:19:05.900633 |
| 2025-07-16 17:44:55.792381 | 2025-07-16 17:45:01.629826 | 9897248 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-29 | 2025-07-16 | M | AE | PT | 3939 | TRUNNELL | 101505559100 | WAYNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6786642/check_9897248_bb79a6bc-f6fd-4ab8-bf41-80c3a49bdf9b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_9897248_c1bdf744-58de-4df1-8f8c-0681a5a769b3.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000074 | 000003-CA | N/A | PS | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8282412918 | N/A | N/A | 6786642 | 2222 | N/A | 9629335 | N/A | 5818009 | 2025-07-16 17:45:01.629826 | 2025-07-15 23:19:05.900633 |
| 2025-07-16 17:34:09.481967 | 2025-07-16 17:34:16.533825 | 9897190 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-12-04 | 2025-08-06 | M | PT | N/A | 4191 | Karp | R58968799 | Aaron | https://storage.googleapis.com/normandy-eligibility-checks/2222/7036296/check_9897190_9197ccba-75a9-409b-9a62-1bb0e748243e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7036296/check_9897190_05109e7d-beec-4f78-a5d0-2689864e57fe.json | N/A | N/A | N/A | N/A | N/A | R58968799 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1978-12-04 | N/A | 112 | N/A | PR | false | KARP | N/A | JENNIFER | N/A | 9999-12-31 | 2012-12-02 | BASIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8282346771 | N/A | N/A | 7036296 | 2222 | N/A | 9629269 | N/A | 6049018 | 2025-07-16 17:34:16.533825 | 2025-07-16 16:57:31.246752 |
| 2025-07-16 17:17:02.663908 | 2025-07-16 17:17:08.737800 | 9897010 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-03-20 | 2025-07-16 | M | AE | PT | 4184 | ZAVAD | JQE410A75283 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6400573/check_9897010_ba9d5be6-c0c4-49a6-936d-3b27796a604d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6400573/check_9897010_91b58e3a-5c5d-4166-bfa4-6b2dee72e41d.json | N/A | N/A | N/A | N/A | N/A | JQE410A75283 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1946-03-20 | 040 | CASUPWP0 | N/A | N/A | false | ZAVAD | N/A | MARK | N/A | 9999-12-31 | 2019-04-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8282225013 | 9483 | N/A | 6400573 | 2222 | N/A | 9629075 | N/A | 5046284 | 2025-07-16 17:17:08.737800 | 2025-06-15 19:17:13.943381 |
| 2025-07-16 17:16:53.543890 | 2025-07-16 17:16:56.381712 | 9897006 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-03-20 | 2025-07-16 | M | AE | PT | 4497 | ZAVAD | 6EU4QE2TT70 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398732/check_9897006_f1d6e519-ee9f-4e41-89eb-e05b50047625.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398732/check_9897006_ee030058-8e36-4cd1-8779-2f721b5724d8.json | N/A | N/A | N/A | N/A | N/A | 6EU4QE2TT70 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-03-20 | S5617 | N/A | N/A | MA | false | ZAVAD | N/A | MARK | 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 | 8282224176 | 9483 | N/A | 6398732 | 2222 | N/A | 9629070 | N/A | 5046284 | 2025-07-16 17:16:56.381712 | 2025-06-15 19:17:13.943381 |
| 2025-07-16 16:16:04.853841 | 2025-07-16 16:16:06.632782 | 9896486 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-11-16 | 2025-07-16 | M | PT | N/A | 4191 | Mendelson | XEK913483846 | Simon | https://storage.googleapis.com/normandy-eligibility-checks/2222/7035802/check_9896486_1457ac63-0723-4d78-adce-0418cccbbaef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7035802/check_9896486_322b0602-3390-42c8-a3bb-499ddff82477.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1964-11-16 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8281828870 | N/A | N/A | 7035802 | 2222 | N/A | 9628409 | N/A | 6048583 | 2025-07-16 16:16:06.632782 | 2025-07-16 16:04:33.625747 |
| 2025-07-16 16:15:48.098874 | 2025-07-16 16:15:49.989896 | 9896485 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-11-16 | 2025-07-16 | M | PT | N/A | 4191 | Mendelson | XEK913483846 | Simon | https://storage.googleapis.com/normandy-eligibility-checks/2222/7035802/check_9896485_b538dbbe-ed3b-4df6-b63a-053c5e0353b7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7035802/check_9896485_0a413874-45fd-47b4-8b76-79092bbe24d7.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1964-11-16 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8281827297 | N/A | N/A | 7035802 | 2222 | N/A | 9628406 | N/A | 6048583 | 2025-07-16 16:15:49.989896 | 2025-07-16 16:04:33.625747 |
| 2025-07-16 16:05:35.501780 | 2025-07-16 16:05:38.704294 | 9896416 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-11-16 | 2025-07-16 | M | PT | N/A | 4191 | Mendelson | XEK913483846 | Simon | https://storage.googleapis.com/normandy-eligibility-checks/2222/7035802/check_9896416_737ec81e-017b-4d6b-8f47-03be94ab251f.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7035802/check_9896416_31da0b84-f243-4d0c-baa6-4e9765ad5c10.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1964-11-16 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8281763414 | N/A | N/A | 7035802 | 2222 | N/A | 9628320 | N/A | 6048583 | 2025-07-16 16:05:38.704294 | 2025-07-16 16:04:33.625747 |
| 2025-07-16 15:37:05.251756 | 2025-07-16 15:37:08.079625 | 9896161 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-07-18 | 2025-08-04 | F | PT | N/A | 4184 | HARRIS | XDM342A72124 | CAROL | https://storage.googleapis.com/normandy-eligibility-checks/2222/7035448/check_9896161_cd518107-c9b5-4499-8a4f-f244adaa439a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7035448/check_9896161_bb2f767b-369b-4036-9ac4-014e94489c09.json | N/A | N/A | N/A | N/A | N/A | XDM342A72124 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1966-07-18 | 040 | 57ARJM | N/A | HM | false | HARRIS | N/A | CAROL | N/A | 9999-12-31 | 2024-10-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8281551021 | N/A | N/A | 7035448 | 2222 | N/A | 9628022 | N/A | 6048075 | 2025-07-16 15:37:08.079625 | 2025-07-16 15:21:18.180204 |
| 2025-07-16 11:24:26.231852 | 2025-07-16 11:24:28.042900 | 9892742 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-03-13 | 2025-07-10 | N/A | PT | AE | 23304 | NAZERALI | 95517882H | SHAHEEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9892742_97212100-f90d-4f8c-8799-838a65e7610b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9892742_81a30381-6b5d-41b7-a72b-a88f55049fb3.json | N/A | N/A | N/A | N/A | N/A | 95517882H | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1983-03-13 | N/A | N/A | N/A | N/A | false | NAZERALI | N/A | SHAHEEN | 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 | N/A | 1275 | N/A | 6782227 | 2222 | N/A | 9624410 | N/A | 5813326 | 2025-07-16 11:24:28.042900 | 2025-07-21 17:21:46.553298 |
| 2025-07-16 11:24:24.575877 | 2025-07-16 11:24:26.229600 | 9892741 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-03-13 | 2025-07-10 | N/A | PT | AE | 23304 | NAZERALI | 95517882H | SHAHEEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9892741_1cc42b66-8c9a-4476-a765-0a917f7bd437.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | 95517882H | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1983-03-13 | N/A | N/A | N/A | N/A | false | NAZERALI | N/A | SHAHEEN | 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 | N/A | 1275 | N/A | 6782227 | 2222 | N/A | N/A | N/A | 5813326 | 2025-07-16 11:24:26.229600 | 2025-07-21 17:21:46.553298 |
| 2025-07-16 11:24:03.673807 | 2025-07-16 11:24:05.651676 | 9892730 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-03-13 | 2025-07-07 | N/A | PT | AE | 23304 | NAZERALI | 95517882H | SHAHEEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9892730_cf10e92e-516f-4c3d-b607-be0ae5ab50e9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9892730_4eab01b9-fbda-499b-8260-2d784a6eff1e.json | N/A | N/A | N/A | N/A | N/A | 95517882H | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1983-03-13 | N/A | N/A | N/A | N/A | false | NAZERALI | N/A | SHAHEEN | 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 | N/A | 1275 | N/A | 6782227 | 2222 | N/A | 9624401 | N/A | 5813326 | 2025-07-16 11:24:05.651676 | 2025-07-21 17:21:46.553298 |
| 2025-07-16 11:24:01.797038 | 2025-07-16 11:24:03.665391 | 9892729 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-03-13 | 2025-07-07 | N/A | PT | AE | 23304 | NAZERALI | 95517882H | SHAHEEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9892729_f9657bbb-9c3a-4299-abc4-281260c09356.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | 95517882H | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1983-03-13 | N/A | N/A | N/A | N/A | false | NAZERALI | N/A | SHAHEEN | 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 | N/A | 1275 | N/A | 6782227 | 2222 | N/A | N/A | N/A | 5813326 | 2025-07-16 11:24:03.665391 | 2025-07-21 17:21:46.553298 |
| 2025-07-16 09:51:06.291788 | 2025-07-16 09:51:10.326405 | 9890759 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-07-17 | F | AE | PT | 6411 | FABER | 331524986-11 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9890759_29f1a5cc-f6dc-4ad1-8878-aaecf2c662d7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9890759_90bd13ba-2bb4-4738-a8ce-d52c6f906a1e.json | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | 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 | N/A | N/A | 6522947 | 2222 | N/A | 9622382 | N/A | 5146127 | 2025-07-16 09:51:10.326405 | 2025-06-20 17:58:23.371130 |
| 2025-07-16 09:50:58.780163 | 2025-07-16 09:51:02.159780 | 9890743 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-11-18 | 2025-07-18 | F | AE | PT | 6411 | JACOBY | 34555828811 | LEAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9890743_dde5cf52-048d-40f2-b0bf-97e057bbd3aa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9890743_8d3fc79b-d2e8-4a98-a6e2-8c6e705b8252.json | N/A | N/A | N/A | N/A | N/A | 345558288 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1951-11-18 | N/A | N/A | N/A | N/A | false | JACOBI | N/A | LEAH | 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 | N/A | N/A | 6145941 | 2222 | N/A | 9622360 | N/A | 4786785 | 2025-07-16 09:51:02.159780 | 2025-06-13 00:55:48.629734 |
| 2025-07-16 09:50:58.356102 | 2025-07-16 09:51:06.285410 | 9890741 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-08-18 | 2025-07-17 | F | AE | PT | 6411 | FABER | 331524986-11 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9890741_f479b7bd-170e-418a-8f3d-bb236381f5b0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | N/A | N/A | N/A | N/A | N/A | N/A | 331524986 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | N/A | LINDA | 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 | N/A | N/A | 6522947 | 2222 | N/A | N/A | N/A | 5146127 | 2025-07-16 09:51:06.285410 | 2025-06-20 17:58:23.371130 |