API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-26 16:09:21.052040 | 2025-06-26 16:09:22.665588 | 9267810 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-03-16 | 2025-07-03 | M | PT | 23312 | KLEISS | XEH912564089 | LUCAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6609399/check_9267810_f282108e-bbcd-4a93-a0a8-a782919561c5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | N/A | N/A | N/A | N/A | N/A | N/A | XEH912564089 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1977-03-16 | N/A | N/A | N/A | N/A | false | KLEISS | N/A | LUCAS | 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 | N/A | N/A | 6609399 | 2222 | N/A | N/A | N/A | 5227772 | 2025-06-26 16:09:22.665588 | 2025-06-26 15:50:07.328044 |
| 2025-06-26 15:10:39.033541 | 2025-06-26 15:10:41.953543 | 9267453 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-25 | 2025-06-26 | M | AE | 4185 | HULUGALLE | MMA608W21048 | HARIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068050/check_9267453_636bd154-30b6-4514-8fd3-cdb77376e58d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068050/check_9267453_463e1743-4548-4acf-a7e9-22a6d5d476fe.json | N/A | N/A | N/A | N/A | N/A | MMA608W21048 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-25 | 040 | CAMCRWP0 | N/A | MP | false | HULUGALLE | N/A | HARIN | N/A | 9999-12-31 | 2025-01-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8070532684 | N/A | N/A | 6068050 | 2222 | N/A | 8982096 | N/A | 4712992 | 2025-06-26 15:10:41.953543 | 2025-06-25 14:36:13.303736 |
| 2025-06-26 09:37:54.252562 | 2025-06-26 09:37:58.386231 | 9265999 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-07-02 | 2025-06-26 | M | AE | 6411 | FRIEDMAN | G46825417 | JOEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540931/check_9265999_4f960eb6-4060-48cf-b051-db2a22f1e0a4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9265999_fb396771-b4e1-4423-8a1f-0bfb3d0f0bb2.json | N/A | N/A | N/A | N/A | N/A | G46825417 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1970-07-02 | 767000416933002 | 76416933 | N/A | N/A | false | SHELBURNE | N/A | TANYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8067232036 | N/A | N/A | 5540931 | 2222 | N/A | 8980533 | N/A | 4213013 | 2025-06-26 09:37:58.386231 | 2025-05-13 04:29:37.227340 |
| 2025-06-26 09:36:21.011490 | 2025-06-26 09:36:30.052316 | 9265751 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-09-04 | 2025-06-27 | M | AE | 6411 | Popish | 31433817600 | Elijah | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104677/check_9265751_a7461d23-d318-45d6-8679-4e5dc965129f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104677/check_9265751_4370dc77-4ce7-4e5e-a6b9-29e3886b4405.json | N/A | N/A | N/A | N/A | N/A | 31433817600 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1996-09-04 | N/A | 1626005 | N/A | C1 | false | POPISH | N/A | ELIJAH | N/A | N/A | N/A | SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8067210298 | N/A | N/A | 6104677 | 2222 | N/A | 8980294 | N/A | 4749059 | 2025-06-26 09:36:30.052316 | 2025-06-02 16:35:32.560533 |
| 2025-06-26 09:09:13.044848 | 2025-06-26 09:09:14.900398 | 9261801 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-26 | M | AE | 23322 | WYNN | 94884125G | DENNIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9261801_49728121-3349-40a3-84f5-709dec488829.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145878/check_9261801_836a5225-60b6-4b64-90cb-50c0a59b41cd.json | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | 8977458 | N/A | 4786695 | 2025-06-26 09:09:14.900398 | 2025-06-18 17:13:09.656676 |
| 2025-06-26 09:09:11.343460 | 2025-06-26 09:09:13.039348 | 9261782 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-26 | M | AE | 23322 | WYNN | 94884125G | DENNIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9261782_beaf211a-1a46-4665-94f0-9aa352715b4a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-26 | N/A | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | N/A | N/A | 4786695 | 2025-06-26 09:09:13.039348 | 2025-06-18 17:13:09.656676 |
| 2025-06-26 09:07:19.769980 | 2025-06-27 02:24:42.346625 | 9260183 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9260183 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-06-27 | M | AE | N/A | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250626.121528958.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_9260183_cf830bcc-1f1c-4b81-88a4-7d178cb758ca.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8067034663 | N/A | N/A | 5542555 | 2222 | 4793 | 8995626 | N/A | 4214447 | 2025-06-27 02:24:42.346625 | 2026-04-23 20:11:34.441054 |
| 2025-06-26 09:07:19.570968 | 2025-06-27 02:03:25.240724 | 9260178 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9260178 | Athletic Physical Therapy Inc | 1963-09-10 | 2025-06-27 | M | AE | N/A | DEANS | U5981746801 | PHIL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250626.121528958.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540446/check_9260178_3347d9f0-2c9f-49e4-b986-c66a47dab4bb.json | N/A | N/A | N/A | N/A | N/A | U5981746801 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1963-09-10 | N/A | N/A | N/A | N/A | false | DEANS | N/A | PHIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8067034656 | N/A | N/A | 5540446 | 2222 | 4793 | 8989435 | N/A | 4212605 | 2025-06-27 02:03:25.240724 | 2025-05-13 04:29:37.226953 |
| 2025-06-26 09:04:07.168241 | 2025-06-27 02:13:40.726496 | 9256286 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9256286 | Athletic Physical Therapy Inc | 1958-07-25 | 2025-06-27 | M | PT | N/A | HULUGALLE | MMA608W21048 | HARIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250626.121224602.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068050/check_9256286_f64fc361-d748-4b18-af5a-0e5f4d9d9238.json | N/A | N/A | N/A | N/A | N/A | MMA608W21048 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-25 | 040 | CAMCRWP0 | N/A | MP | false | HULUGALLE | N/A | HARIN | N/A | 9999-12-31 | 2025-01-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8067016718 | N/A | N/A | 6068050 | 2222 | 4793 | 8992477 | N/A | 4712992 | 2025-06-27 02:13:40.726496 | 2025-06-25 14:36:13.303736 |
| 2025-06-26 01:28:34.827203 | 2025-06-26 01:28:37.057489 | 9250190 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-07-04 | 2025-06-25 | F | PT | 4184 | STOLTZ | JQY361W23827 | ARDENN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6605808/check_9250190_ec05067d-aa2e-49a4-a1a6-ce3c17bd5683.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6605808/check_9250190_569e510b-aac7-4c6b-94a9-fb70f7801bc8.json | N/A | N/A | N/A | N/A | N/A | JQY361W23827 | Preferred Provider Organization (PPO) | KENT TAKEMOTO, M.D., INC. | ANTHEM BLUE CROSS | N/A | 1996-07-04 | 040 | Q62351 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2025-04-01 | CA SG SELECT PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8062593894 | 9481 | N/A | 6605808 | 2222 | N/A | 8967555 | N/A | 4214948 | 2025-06-26 01:28:37.057489 | 2025-06-26 01:28:07.741882 |
| 2025-06-26 01:28:25.394771 | 2025-06-26 01:28:30.213374 | 9250189 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-07-04 | 2025-06-25 | F | PT | 4184 | STOLZ | JQY361W23827 | ARDENN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6605808/check_9250189_329ffb01-cf10-4cd3-b9f9-f1724349b54f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6605808/check_9250189_a07d7061-ae1e-4d2c-a67e-df05f8f3d154.json | N/A | N/A | N/A | N/A | N/A | JQY361W23827 | Preferred Provider Organization (PPO) | KENT TAKEMOTO, M.D., INC. | ANTHEM BLUE CROSS | N/A | 1996-07-04 | 040 | Q62351 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2025-04-01 | CA SG SELECT PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8062592536 | 9481 | N/A | 6605808 | 2222 | N/A | 8967554 | N/A | 4214948 | 2025-06-26 01:28:30.213374 | 2025-06-26 01:28:07.741882 |
| 2025-06-26 01:27:31.183444 | 2025-06-26 01:27:39.198920 | 9250187 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-07-04 | 2025-06-25 | F | PT | 4185 | STOLTZ | JQY361W23827 | ARDENN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6605808/check_9250187_049abf84-5106-4136-a6c0-0a5110254f23.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6605808/check_9250187_a4b6bc8e-0cb5-404a-8442-ae5f6b5985fb.json | N/A | N/A | N/A | N/A | N/A | JQY361W23827 | Preferred Provider Organization (PPO) | KENT TAKEMOTO, M.D., INC. | ANTHEM BLUE CROSS | N/A | 1996-07-04 | 040 | Q62351 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2025-04-01 | CA SG SELECT PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8062584579 | 9481 | N/A | 6605808 | 2222 | N/A | 8967552 | N/A | 4214948 | 2025-06-26 01:27:39.198920 | 2025-06-26 01:28:07.741882 |
| 2025-06-26 00:50:54.494622 | 2025-06-26 00:51:00.302838 | 9250161 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-08-25 | 2025-07-01 | M | AE | 6798 | ZEPEDA AMBRIZ | 41933827 | LUIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582940/check_9250161_026a40ff-3efa-4efd-a59b-d88661e009ef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582940/check_9250161_1ddb673a-f7f9-4fe4-b1cb-172b64d93576.json | N/A | N/A | N/A | N/A | N/A | 41933827 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-08-25 | 406-024-000 | N/A | N/A | N/A | false | ZEPEDA AMBRIZ | N/A | LUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8062245689 | N/A | N/A | 6582940 | 2222 | N/A | 8967494 | N/A | 5201925 | 2025-06-26 00:51:00.302838 | 2025-06-26 00:47:02.467933 |
| 2025-06-25 23:40:40.864165 | 2025-06-25 23:40:43.812775 | 9250097 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-06-25 | M | AE | 3842 | SCOTT | 07681062411 | GEORGE | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105990/check_9250097_8ff65235-bcdd-44b7-9a88-c51f6e2e599e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105990/check_9250097_b496afc6-e59e-4c24-8457-6379ac0f576b.json | N/A | N/A | N/A | N/A | N/A | 07681062411 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1929-02-22 | N/A | N/A | N/A | SP | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN C | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8061624292 | 5831 | N/A | 6105990 | 2222 | N/A | 8967389 | N/A | 4750274 | 2025-06-25 23:40:43.812775 | 2025-06-12 22:26:37.845238 |
| 2025-06-25 23:40:03.461236 | 2025-06-25 23:40:07.295200 | 9250096 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-07-07 | M | AE | 3842 | SCOTT | 07681062411 | GEORGE | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105990/check_9250096_a4d8f822-1807-407f-b10e-62bd16d34b46.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105990/check_9250096_0901c3e2-fde4-4c1b-b742-6e4e93f0ddd5.json | N/A | N/A | N/A | N/A | N/A | 07681062411 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6105990 | 2222 | N/A | 8967388 | N/A | 4750274 | 2025-06-25 23:40:07.295200 | 2025-06-12 22:26:37.845238 |
| 2025-06-25 23:39:59.525104 | 2025-06-25 23:40:03.458501 | 9250095 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-07-07 | M | AE | 3842 | SCOTT | 07681062411 | GEORGE | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105990/check_9250095_15023ef2-6313-4df9-818f-5b79c6434824.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | 07681062411 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6105990 | 2222 | N/A | N/A | N/A | 4750274 | 2025-06-25 23:40:03.458501 | 2025-06-12 22:26:37.845238 |
| 2025-06-25 23:19:21.427483 | 2025-06-25 23:19:23.106833 | 9250042 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 23325 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9250042_c3cffec7-df6b-4540-8197-660234acd3c1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9250042_bb108936-7869-4009-a647-74863145961f.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 8967278 | N/A | 5195072 | 2025-06-25 23:19:23.106833 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:19:19.725276 | 2025-06-25 23:19:21.425442 | 9250041 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 23325 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9250041_4a096613-474e-4f6f-ad23-991c88ffd339.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-25 23:19:21.425442 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:19:11.147427 | 2025-06-25 23:19:12.900643 | 9250040 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 23325 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9250040_c6d4b664-35de-490f-a6c3-450c81257423.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9250040_57b6d3d4-b599-4ba0-9a2f-b17990f1f3c4.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 8967276 | N/A | 5195072 | 2025-06-25 23:19:12.900643 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:19:09.573203 | 2025-06-25 23:19:11.145465 | 9250039 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 23325 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9250039_96413781-e570-4a2c-99bb-e00e7e119d83.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-25 23:19:11.145465 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:11:22.542327 | 2025-06-25 23:11:24.307891 | 9250016 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 23323 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9250016_c9547738-21ac-4f2e-a168-86ba59bc1eb4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9250016_dd7b2326-e6f6-4956-929f-dad6886364a2.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 8967229 | N/A | 5195072 | 2025-06-25 23:11:24.307891 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:11:20.773271 | 2025-06-25 23:11:22.538723 | 9250014 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 23323 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9250014_b9203f73-f80d-4702-a291-cbb056f79974.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-25 23:11:22.538723 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:11:14.116723 | 2025-06-25 23:11:15.915709 | 9250013 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 23323 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9250013_d3d3a992-e18e-4a6d-910a-9e1e491db301.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9250013_daa2eec9-2395-418e-a635-cbf6affdb11b.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 8967226 | N/A | 5195072 | 2025-06-25 23:11:15.915709 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:11:12.547108 | 2025-06-25 23:11:14.114507 | 9250012 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 23323 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9250012_49ce4397-dd7f-401f-abca-71184407cb3c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-25 23:11:14.114507 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:10:47.021294 | 2025-06-25 23:10:48.967802 | 9250011 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 23313 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9250011_87cce5a9-0d3a-47a7-9146-a30cc41ae681.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9250011_a5ca59bd-01af-4a83-970a-48c152eb868c.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 8967223 | N/A | 5195072 | 2025-06-25 23:10:48.967802 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:10:45.452873 | 2025-06-25 23:10:47.019409 | 9250010 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 23313 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9250010_b3f4214d-5574-4c70-9ade-8c565eca8186.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-25 23:10:47.019409 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:10:38.566571 | 2025-06-25 23:10:40.281445 | 9250009 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 23313 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9250009_e793d0f7-1354-4264-af07-e803a45cf64e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9250009_589b63e2-8331-4a37-867a-63649c95ca23.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 8967220 | N/A | 5195072 | 2025-06-25 23:10:40.281445 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:10:36.824618 | 2025-06-25 23:10:38.561676 | 9250008 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 23313 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9250008_8446e06a-1bcd-43ff-8ddd-ea4f0d0ba1b9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-25 23:10:38.561676 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:10:04.665605 | 2025-06-25 23:10:06.396894 | 9250005 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 23443 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9250005_88b1c787-fc35-46d8-91c4-5c4caa9726a9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9250005_d2f177ff-126a-4dec-ae35-ef2b36e8bf8c.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 8967214 | N/A | 5195072 | 2025-06-25 23:10:06.396894 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:10:03.066781 | 2025-06-25 23:10:04.662046 | 9250004 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 23443 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9250004_b407008a-8b32-4bfb-a69c-d80a7a5ff95d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-25 23:10:04.662046 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:09:48.552080 | 2025-06-25 23:09:50.387689 | 9250001 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 4199 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9250001_808c5805-e957-460b-9ac2-2108c3971bd8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9250001_89cc92e1-4549-420d-ba59-ce2806e1776a.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 8967210 | N/A | 5195072 | 2025-06-25 23:09:50.387689 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:09:46.800299 | 2025-06-25 23:09:48.548147 | 9249999 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 4199 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9249999_3827abdc-ebef-4e6b-8b3b-958e096876f7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-25 23:09:48.548147 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:09:41.339204 | 2025-06-25 23:09:43.093406 | 9249998 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 4199 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9249998_92b73880-95a5-4998-bae2-834df2e66d5c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9249998_d6d22dd5-996d-4eee-886a-3262cccb51f5.json | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 8967207 | N/A | 5195072 | 2025-06-25 23:09:43.093406 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:09:37.746005 | 2025-06-25 23:09:41.336930 | 9249997 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | 4199 | FERNANDO | 391A5620540 | MANORY | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9249997_33a598ab-2bee-4493-8d68-5cae7c0130c4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | 391A5620540 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1975-07-06 | N/A | N/A | N/A | N/A | false | FERNANDO | N/A | MANORY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-25 23:09:41.336930 | 2025-07-02 23:59:09.756169 |
| 2025-06-25 23:03:59.866293 | 2025-06-25 23:04:01.631358 | 9249976 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-10-23 | 2025-07-10 | F | AE | 4497 | SCHOFIELD | 5F35P40FC63 | JAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6601819/check_9249976_281f108c-e3cc-4833-8441-3f11888f3140.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6601819/check_9249976_cd05dde8-a268-4193-9f43-2edd30ab168c.json | N/A | N/A | N/A | N/A | N/A | 5F35P40FC63 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-23 | S5601 | N/A | N/A | MA | false | SCHOFIELD | N/A | JANET | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8061550882 | N/A | N/A | 6601819 | 2222 | N/A | 8967166 | N/A | 5219416 | 2025-06-25 23:04:01.631358 | 2025-06-25 22:58:45.652209 |
| 2025-06-25 23:03:50.169858 | 2025-06-25 23:03:52.891160 | 9249975 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-10-23 | 2025-07-10 | F | AE | 4497 | SCHOFIELD | 5F35P40FC63 | JAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6601819/check_9249975_2d31b8e2-da1a-417a-ab0f-daaa53fa1e9e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6601819/check_9249975_217d330f-acd3-4d93-8d4c-79895d324b26.json | N/A | N/A | N/A | N/A | N/A | 5F35P40FC63 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-23 | S5601 | N/A | N/A | MA | false | SCHOFIELD | N/A | JANET | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8061550541 | N/A | N/A | 6601819 | 2222 | N/A | 8967164 | N/A | 5219416 | 2025-06-25 23:03:52.891160 | 2025-06-25 22:58:45.652209 |
| 2025-06-25 23:01:55.656552 | 2025-06-25 23:02:02.695444 | 9249973 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-12-01 | 2025-06-17 | F | PT | 4497 | PARLIER | 7D70AM9KX14 | MERILEE | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993924/check_9249973_a2bc887c-ae70-434d-aca6-8623e3dc09d2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993924/check_9249973_caa31ae9-4971-410f-91bf-87230f63560b.json | N/A | N/A | N/A | N/A | N/A | 7D70AM9KX14 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-01 | H4036 | N/A | N/A | MB | false | PARLIER | N/A | MERILEE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8061544704 | 5284 | N/A | 5993924 | 2222 | N/A | 8967154 | N/A | 4642861 | 2025-06-25 23:02:02.695444 | 2025-11-25 19:25:55.074534 |
| 2025-06-25 23:00:18.762530 | 2025-06-25 23:00:20.537898 | 9249970 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-06-08 | M | PT | 4497 | ULLMAN | 3A76X26KQ40 | DAVID | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543200/check_9249970_e7d48129-a3fd-47a7-9f76-37ce3036dff1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543200/check_9249970_74574cee-9a53-406d-b154-90ff8a5c5d68.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5284 | N/A | 5543200 | 2222 | N/A | 8967148 | N/A | 4215026 | 2025-06-25 23:00:20.537898 | 2025-06-07 16:16:41.178119 |
| 2025-06-25 23:00:15.994134 | 2025-06-25 23:00:18.759557 | 9249969 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-06-08 | M | PT | 4497 | ULLMAN | 3A76X26KQ40 | DAVID | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543200/check_9249969_33a98c65-7292-4c68-b4ef-20907a34b973.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-08 | N/A | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 5284 | N/A | 5543200 | 2222 | N/A | N/A | N/A | 4215026 | 2025-06-25 23:00:18.759557 | 2025-06-07 16:16:41.178119 |
| 2025-06-25 22:10:16.238453 | 2025-06-25 22:10:18.247064 | 9249706 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-11-21 | 2025-06-26 | M | AE | 4497 | WOLFE | 7JF6YW4EF47 | KEVIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542521/check_9249706_886e8a3b-76b1-408c-9345-6983eecb6180.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542521/check_9249706_745dd60b-0c56-4c0e-8951-92174c8ac509.json | N/A | N/A | N/A | N/A | N/A | 7JF6YW4EF47 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-11-21 | S4802 | N/A | N/A | MB | false | WOLFE | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8061380908 | N/A | N/A | 5542521 | 2222 | N/A | 8966685 | N/A | 4214422 | 2025-06-25 22:10:18.247064 | 2025-05-13 04:29:37.228745 |
| 2025-06-25 22:09:54.910677 | 2025-06-25 22:09:56.645131 | 9249704 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-11-21 | 2025-06-26 | M | AE | 4497 | WOLFE | 7JF6YW4EF47 | KEVIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542521/check_9249704_805e8ac1-6273-4fee-9092-cfcc9354b635.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542521/check_9249704_4423a7d9-ec07-47a4-bb36-da325e796526.json | N/A | N/A | N/A | N/A | N/A | 7JF6YW4EF47 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-11-21 | S4802 | N/A | N/A | MB | false | WOLFE | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8061379683 | N/A | N/A | 5542521 | 2222 | N/A | 8966681 | N/A | 4214422 | 2025-06-25 22:09:56.645131 | 2025-05-13 04:29:37.228745 |
| 2025-06-25 22:09:35.479502 | 2025-06-25 22:09:46.126999 | 9249696 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-11-21 | 2025-06-26 | M | AE | 4497 | WOLFE | 7JF6YW4EF47 | KEVIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542521/check_9249696_da17c0ec-2673-4936-ac0f-6cd841226650.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542521/check_9249696_d58d941c-e475-473d-ad90-023506a50b22.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 | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542521 | 2222 | N/A | 8966673 | N/A | 4214422 | 2025-06-25 22:09:46.126999 | 2025-05-13 04:29:37.228745 |
| 2025-06-25 22:09:25.020125 | 2025-06-25 22:09:35.477375 | 9249687 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-11-21 | 2025-06-26 | M | AE | 4497 | WOLFE | 7JF6YW4EF47 | KEVIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542521/check_9249687_ab14a4b2-cb9a-4968-a310-91e67c750faf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | 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 | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542521 | 2222 | N/A | N/A | N/A | 4214422 | 2025-06-25 22:09:35.477375 | 2025-05-13 04:29:37.228745 |
| 2025-06-25 21:52:19.954343 | 2025-06-25 21:52:23.962109 | 9249631 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-06-25 | M | AE | 6411 | SCOTT | 07681062411 | GEORGE | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105990/check_9249631_dfd85c5e-37fa-4d92-9665-0e122bc8fbeb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105990/check_9249631_9256cc8a-08d5-4171-b56e-70cf21c53ca1.json | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6105990 | 2222 | N/A | 8966556 | N/A | 4750274 | 2025-06-25 21:52:23.962109 | 2025-06-12 22:26:37.845238 |
| 2025-06-25 21:52:12.310757 | 2025-06-25 21:52:19.952705 | 9249630 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-06-25 | M | AE | 6411 | SCOTT | 07681062411 | GEORGE | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105990/check_9249630_48a6df99-5a41-430a-9b69-bd6bc44e672a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | 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 | false | N/A | 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 | 7927 | N/A | 6105990 | 2222 | N/A | N/A | N/A | 4750274 | 2025-06-25 21:52:19.952705 | 2025-06-12 22:26:37.845238 |
| 2025-06-25 21:49:17.989503 | 2025-06-25 21:49:24.725749 | 9249613 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-06-25 | M | AE | 6411 | SCOTT | 07681062411 | GEORGE | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105990/check_9249613_a24c17c9-a96c-422f-9f27-c1d857280dd4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105990/check_9249613_e7b36a26-ba0f-48b1-822d-aef5337d8a91.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 | false | N/A | 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 | 7927 | N/A | 6105990 | 2222 | N/A | 8966524 | N/A | 4750274 | 2025-06-25 21:49:24.725749 | 2025-06-12 22:26:37.845238 |
| 2025-06-25 21:49:07.538223 | 2025-06-25 21:49:17.987656 | 9249612 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-06-25 | M | AE | 6411 | SCOTT | 07681062411 | GEORGE | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105990/check_9249612_9f4beea8-cafc-4e37-8585-452de36c012e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | 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 | false | N/A | 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 | 7927 | N/A | 6105990 | 2222 | N/A | N/A | N/A | 4750274 | 2025-06-25 21:49:17.987656 | 2025-06-12 22:26:37.845238 |
| 2025-06-25 21:43:22.161872 | 2025-06-25 21:43:29.648674 | 9249586 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-06-06 | M | PT | 6411 | SCOTT | 07681062411 | GEORGE | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105990/check_9249586_c2e4822a-08a0-42be-a267-1548a55ca77b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105990/check_9249586_5673a147-96f6-4f45-b1b9-6307ba4920a2.json | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6105990 | 2222 | N/A | 8966473 | N/A | 4750274 | 2025-06-25 21:43:29.648674 | 2025-06-12 22:26:37.845238 |
| 2025-06-25 21:43:16.907707 | 2025-06-25 21:43:22.154852 | 9249585 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-06-06 | M | PT | 6411 | SCOTT | 07681062411 | GEORGE | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105990/check_9249585_542d4600-639d-42d3-aa85-7b6eb5df1315.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6105990 | 2222 | N/A | N/A | N/A | 4750274 | 2025-06-25 21:43:22.154852 | 2025-06-12 22:26:37.845238 |
| 2025-06-25 21:40:49.231145 | 2025-06-25 21:40:52.997809 | 9249573 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-06-06 | M | PT | 6411 | SCOTT | 07681062411 | GEORGE | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105990/check_9249573_7c406434-744a-44e4-8dd1-9d30a5056ea4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105990/check_9249573_664a8034-5e61-4500-9ad8-b5791eab51b0.json | N/A | N/A | N/A | N/A | N/A | 076810624 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1929-02-22 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6105990 | 2222 | N/A | 8966452 | N/A | 4750274 | 2025-06-25 21:40:52.997809 | 2025-06-12 22:26:37.845238 |