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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-25 10:13:00.373175 | 2025-06-25 10:13:02.322144 | 9237191 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-10 | 2025-06-25 | M | AE | PT | 23295 | DEANS | U5981746801 | PHIL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540446/check_9237191_29972684-16e2-4066-900f-d784fe95e73e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540446/check_9237191_406f71b6-a44e-4a1c-8dbb-6856816fd559.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 | N/A | N/A | N/A | N/A | N/A | 5540446 | 2222 | N/A | 8955762 | N/A | 4212605 | 2025-06-25 10:13:02.322144 | 2025-05-13 04:29:37.226953 |
| 2025-06-25 10:12:59.476492 | 2025-06-25 10:13:13.218852 | 9237181 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-07 | 2025-06-25 | F | AE | PT | 23322 | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542660/check_9237181_974e9f15-e78e-42c6-808f-53f5a638dfed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_9237181_0125b468-b378-46da-84d8-fa86f218c976.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | 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 | 5542660 | 2222 | N/A | 8955791 | N/A | 4214542 | 2025-06-25 10:13:13.218852 | 2025-05-13 04:29:37.228868 |
| 2025-06-25 10:12:58.467817 | 2025-06-25 10:13:00.303760 | 9237169 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-11-03 | 2025-06-25 | U | AE | PT | 5538 | CAPISTANO | 98696372G | FERDELLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542513/check_9237169_56d7a8b0-c523-4e53-92ad-501463d88eb7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_9237169_a1eac383-8141-4659-8ef3-8840d9642c9a.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | N/A | LA CARE HEALTH PLAN LOS ANGELES CARE HEALTH PLAN | N/A | 1988-11-03 | N/A | N/A | N/A | N/A | false | CAPISTANO | N/A | FERDELLE | 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 | 5542513 | 2222 | N/A | 8955756 | N/A | 4214418 | 2025-06-25 10:13:00.303760 | 2025-07-03 18:12:11.075357 |
| 2025-06-25 10:12:58.125433 | 2025-06-25 10:12:59.906104 | 9237165 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2004-06-11 | 2025-06-25 | F | AE | PT | 23298 | ORTEGA | 319441605 | TAYLOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542310/check_9237165_0ba44121-a3fe-42e5-9984-fc34473382d1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542310/check_9237165_23b11d71-beb9-458d-aaa9-990b46801b6a.json | N/A | N/A | N/A | N/A | N/A | 319441605 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2004-06-11 | N/A | N/A | N/A | N/A | false | ORTEGA | N/A | TAYLOR | 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 | 5542310 | 2222 | N/A | 8955754 | N/A | 4214237 | 2025-06-25 10:12:59.906104 | 2025-05-23 18:06:57.303604 |
| 2025-06-25 10:12:56.853391 | 2025-06-25 10:12:58.462724 | 9237152 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-11-03 | 2025-06-25 | U | AE | PT | 5538 | CAPISTANO | 98696372G | FERDELLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542513/check_9237152_b9262a8b-471d-4961-8ab9-584098335384.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | N/A | LA CARE HEALTH PLAN LOS ANGELES CARE HEALTH PLAN | N/A | 1988-11-03 | N/A | N/A | N/A | N/A | false | CAPISTANO | N/A | FERDELLE | 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 | 5542513 | 2222 | N/A | N/A | N/A | 4214418 | 2025-06-25 10:12:58.462724 | 2025-07-03 18:12:11.075357 |
| 2025-06-25 10:12:56.734309 | 2025-06-25 10:12:59.461146 | 9237150 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-07 | 2025-06-25 | F | AE | PT | 23322 | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542660/check_9237150_8bc5a877-e88c-464e-b908-a329efa5cd62.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | 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 | 5542660 | 2222 | N/A | N/A | N/A | 4214542 | 2025-06-25 10:12:59.461146 | 2025-05-13 04:29:37.228868 |
| 2025-06-25 10:12:56.451635 | 2025-06-25 10:13:00.347173 | 9237146 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-10 | 2025-06-25 | M | AE | PT | 23295 | DEANS | U5981746801 | PHIL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540446/check_9237146_5cebfdf4-b454-4627-b60f-f1593584a56d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-25 | N/A | 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 | N/A | N/A | N/A | N/A | N/A | 5540446 | 2222 | N/A | N/A | N/A | 4212605 | 2025-06-25 10:13:00.347173 | 2025-05-13 04:29:37.226953 |
| 2025-06-25 10:12:56.350509 | 2025-06-25 10:12:58.104451 | 9237144 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2004-06-11 | 2025-06-25 | F | AE | PT | 23298 | ORTEGA | 319441605 | TAYLOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542310/check_9237144_255e9687-8d41-41ae-98f5-6047b170ba86.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | 319441605 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2004-06-11 | N/A | N/A | N/A | N/A | false | ORTEGA | N/A | TAYLOR | 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 | 5542310 | 2222 | N/A | N/A | N/A | 4214237 | 2025-06-25 10:12:58.104451 | 2025-05-23 18:06:57.303604 |
| 2025-06-25 10:12:00.241617 | 2025-06-26 02:04:21.236958 | 9236588 | N/A | N/A | 39026 | UMR | 1114042165 | 9236588 | Athletic Physical Therapy Inc | 1998-08-12 | 2025-06-27 | M | AE | PT | N/A | YOUNG | 46629327 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250625.131242965.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676405/check_9236588_538bcd01-e848-425d-bfe3-0b9e1de66d87.json | N/A | N/A | N/A | N/A | N/A | 46629327 | N/A | UNITED TALENT AGENCY, LLC. | UMR | N/A | 1998-08-12 | 767000416652002 | 76416652 | N/A | N/A | false | YOUNG | N/A | CHRISTOPHER | 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 | 8055977602 | N/A | N/A | 5676405 | 2222 | 4802 | 8968401 | N/A | 4343460 | 2025-06-26 02:04:21.236958 | 2025-05-13 04:29:37.230938 |
| 2025-06-25 10:11:59.794348 | 2025-06-26 02:07:09.265118 | 9236582 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9236582 | Athletic Physical Therapy Inc | 1952-06-26 | 2025-06-27 | M | AE | PT | N/A | MATTHEWS | 00000283273 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250625.131242965.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676399/check_9236582_8463ac6e-589c-49ec-a31d-02846f3707a5.json | N/A | N/A | N/A | N/A | N/A | 00000283273 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1952-06-26 | H3815028 | N/A | N/A | HM | false | MATTHEWS | N/A | DAVID | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8055977601 | N/A | N/A | 5676399 | 2222 | 4793 | 8969790 | 2630 | 4343454 | 2025-06-26 02:07:09.265118 | 2025-05-13 04:29:37.230932 |
| 2025-06-25 10:10:34.049630 | 2025-06-26 02:07:37.600089 | 9235697 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9235697 | Athletic Physical Therapy Inc | 1979-05-08 | 2025-06-26 | F | PT | N/A | N/A | JEBBARI DELSHAD | XED913120799 | NEDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250625.131242965.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550827/check_9235697_fdafdb2f-a9d8-4b72-b33a-c5c896cf964f.json | N/A | N/A | N/A | N/A | N/A | XED913120799 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-05-08 | 2001ZK002184 | X0001004 | N/A | PR | false | DELSHAD | N/A | ALLEN | N/A | 9999-12-31 | 2024-04-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8055978138 | N/A | N/A | 5550827 | 2222 | 4802 | 8969999 | N/A | 4219700 | 2025-06-26 02:07:37.600089 | 2025-05-13 04:29:37.230745 |
| 2025-06-25 10:10:31.707305 | 2025-06-26 02:03:11.428909 | 9235682 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9235682 | Athletic Physical Therapy Inc | 2004-06-11 | 2025-06-27 | F | AE | PT | N/A | ORTEGA | 319441605 | TAYLOR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250625.131242965.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542310/check_9235682_94c6c16f-67e4-4e34-9e43-eab233c935dc.json | N/A | N/A | N/A | N/A | N/A | 319441605 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2004-06-11 | N/A | N/A | N/A | N/A | false | ORTEGA | N/A | TAYLOR | 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 | 8055978134 | N/A | N/A | 5542310 | 2222 | 4801 | 8967821 | N/A | 4214237 | 2025-06-26 02:03:11.428909 | 2025-05-23 18:06:57.303604 |
| 2025-06-25 10:10:31.155818 | 2025-06-26 02:07:14.949186 | 9235677 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9235677 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-06-27 | M | PT | N/A | N/A | FINNLEY | NGO832M81089 | ZEV | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250625.131242965.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539664/check_9235677_8ca66b9b-2c62-4960-ab10-8603c712025a.json | N/A | N/A | N/A | N/A | N/A | 474M92023 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8055978133 | N/A | N/A | 5539664 | 2222 | 4793 | 8969831 | N/A | 4211935 | 2025-06-26 02:07:14.949186 | 2025-05-13 04:29:37.226259 |
| 2025-06-25 10:10:30.471193 | 2025-06-26 02:07:40.156803 | 9235672 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9235672 | Athletic Physical Therapy Inc | 1979-06-20 | 2025-06-27 | M | PT | N/A | N/A | RITENOUR | NCF553A20679 | TIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250625.131242965.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537911/check_9235672_1c3f9fa1-0c28-446d-9d91-d9b5c1ee1838.json | N/A | N/A | N/A | N/A | N/A | NCF553A20679 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1979-06-20 | 040 | 57AJCA | N/A | HM | false | RITENOUR | N/A | TIM | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8055978132 | N/A | N/A | 5537911 | 2222 | 4793 | 8970021 | N/A | 4210415 | 2025-06-26 02:07:40.156803 | 2025-06-11 20:40:26.862752 |
| 2025-06-25 10:10:29.531211 | 2025-06-26 02:07:08.901615 | 9235664 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9235664 | Athletic Physical Therapy Inc | 1940-07-24 | 2025-06-27 | M | AE | PT | N/A | CROSS | 00000260662 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250625.131242965.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536048/check_9235664_2d84772f-6269-428d-81a8-111a42845118.json | N/A | N/A | N/A | N/A | N/A | 00000260662 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1940-07-24 | H3815028 | N/A | N/A | HM | false | CROSS | N/A | JOHN | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8055978131 | N/A | N/A | 5536048 | 2222 | 4793 | 8969787 | 2630 | 4208859 | 2025-06-26 02:07:08.901615 | 2025-05-13 04:29:37.223287 |
| 2025-06-25 06:19:42.153425 | 2025-06-25 06:19:44.001881 | 9234020 | N/A | N/A | Z1073 | Medicare B California Southern | 1780497479 | N/A | Jonathan Kim | 1934-02-03 | 2025-06-25 | M | AE | PT | 4497 | Dayzadeh | 9A94PK6GA08 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583825/check_9234020_d63b8bfd-aaae-4fe3-b3e4-c6d392458cde.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_9234020_13f5fd5a-df75-414e-b3ae-a30a8d8c84aa.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1934-02-03 | N/A | N/A | N/A | N/A | false | DAYZADEH | N/A | NASSER | 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 | 5831 | N/A | 6583825 | 2222 | N/A | 8942366 | N/A | 5202586 | 2025-06-25 06:19:44.001881 | 2025-06-25 17:55:27.155518 |
| 2025-06-25 06:19:39.238073 | 2025-06-25 06:19:42.072398 | 9234019 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1934-02-03 | 2025-06-25 | M | AE | PT | 4497 | Dayzadeh | 9A94PK6GA08 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583825/check_9234019_b5af2979-332a-4b18-aa64-5553201e484a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_9234019_2cb3eef5-13f8-4c0a-96f0-e747be585649.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1934-02-03 | N/A | N/A | N/A | N/A | false | DAYZADEH | N/A | NASSER | 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 | 5831 | N/A | 6583825 | 2222 | N/A | 8942365 | N/A | 5202586 | 2025-06-25 06:19:42.072398 | 2025-06-25 17:55:27.155518 |
| 2025-06-25 06:19:34.409079 | 2025-06-25 06:19:39.235893 | 9234018 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1934-02-03 | 2025-06-25 | M | AE | PT | 4497 | Dayzadeh | 9A94PK6GA08 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583825/check_9234018_1c619f51-9b7c-4295-aa2f-dcd787c36afc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1934-02-03 | N/A | N/A | N/A | N/A | false | DAYZADEH | N/A | NASSER | 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 | 5831 | N/A | 6583825 | 2222 | N/A | N/A | N/A | 5202586 | 2025-06-25 06:19:39.235893 | 2025-06-25 17:55:27.155518 |
| 2025-06-25 06:17:54.226586 | 2025-06-25 06:17:56.039617 | 9234017 | N/A | N/A | Z1073 | Medicare B California Southern | 1780497479 | N/A | Jonathan Kim | 1934-02-03 | 2025-06-25 | M | AE | PT | 4497 | Dayzadeh | 9A94PK6GA08 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583825/check_9234017_320c7a68-1166-4084-a21b-2c441fcfebb7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_9234017_ed7f6939-3d0c-4edf-a9ac-924d7b873c52.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1934-02-03 | N/A | N/A | N/A | N/A | false | DAYZADEH | N/A | NASSER | 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 | 5831 | N/A | 6583825 | 2222 | N/A | 8942356 | N/A | 5202586 | 2025-06-25 06:17:56.039617 | 2025-06-25 17:55:27.155518 |
| 2025-06-25 06:17:52.364763 | 2025-06-25 06:17:54.154336 | 9234016 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1934-02-03 | 2025-06-25 | M | AE | PT | 4497 | Dayzadeh | 9A94PK6GA08 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583825/check_9234016_da57c3d7-5fd5-461f-be33-6c26ecf8a9bd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_9234016_45906b39-4335-4e03-bc9c-742642fb24a8.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1934-02-03 | N/A | N/A | N/A | N/A | false | DAYZADEH | N/A | NASSER | 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 | 5831 | N/A | 6583825 | 2222 | N/A | 8942355 | N/A | 5202586 | 2025-06-25 06:17:54.154336 | 2025-06-25 17:55:27.155518 |
| 2025-06-25 06:17:50.174704 | 2025-06-25 06:17:52.363109 | 9234015 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1934-02-03 | 2025-06-25 | M | AE | PT | 4497 | Dayzadeh | 9A94PK6GA08 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583825/check_9234015_58d09305-fe8e-4dbf-a8b2-d67caa8b9f59.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | N/A | N/A | CMS | N/A | 1934-02-03 | N/A | N/A | N/A | N/A | false | DAYZADEH | N/A | NASSER | 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 | 5831 | N/A | 6583825 | 2222 | N/A | N/A | N/A | 5202586 | 2025-06-25 06:17:52.363109 | 2025-06-25 17:55:27.155518 |
| 2025-06-25 05:54:58.379108 | 2025-06-25 05:55:00.087680 | 9234013 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1934-02-03 | 2025-06-25 | M | AE | PT | 4497 | Dayzadeh | 9A94PK6GA08 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583825/check_9234013_3b65e91e-4a24-4f4e-b89b-2bc82814af67.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_9234013_395f2624-ae63-4e22-960d-29ced4b313db.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | N/A | N/A | CMS | N/A | 1934-02-03 | N/A | N/A | N/A | N/A | false | DAYZADEH | N/A | NASSER | 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 | 5831 | N/A | 6583825 | 2222 | N/A | 8942295 | N/A | 5202586 | 2025-06-25 05:55:00.087680 | 2025-06-25 17:55:27.155518 |
| 2025-06-25 05:54:56.502703 | 2025-06-25 05:54:58.376109 | 9234012 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1934-02-03 | 2025-06-25 | M | AE | PT | 4497 | Dayzadeh | 9A94PK6GA08 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583825/check_9234012_8952decd-9375-4ff8-8807-e83cf739e59c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | N/A | N/A | CMS | N/A | 1934-02-03 | N/A | N/A | N/A | N/A | false | DAYZADEH | N/A | NASSER | 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 | 5831 | N/A | 6583825 | 2222 | N/A | N/A | N/A | 5202586 | 2025-06-25 05:54:58.376109 | 2025-06-25 17:55:27.155518 |
| 2025-06-25 05:54:44.113219 | 2025-06-25 05:54:45.856519 | 9234011 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1934-02-03 | 2025-06-25 | M | AE | PT | 4497 | Dayzadeh | 9A94PK6GA08 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583825/check_9234011_84123794-20e1-436a-9ae2-6a179bd4766c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_9234011_01bd9284-9a7e-482b-9264-0b9868b64fb7.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | N/A | N/A | CMS | N/A | 1934-02-03 | N/A | N/A | N/A | N/A | false | DAYZADEH | N/A | NASSER | 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 | 5831 | N/A | 6583825 | 2222 | N/A | 8942293 | N/A | 5202586 | 2025-06-25 05:54:45.856519 | 2025-06-25 17:55:27.155518 |
| 2025-06-25 05:54:41.037561 | 2025-06-25 05:54:44.111670 | 9234010 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1934-02-03 | 2025-06-25 | M | AE | PT | 4497 | Dayzadeh | 9A94PK6GA08 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583825/check_9234010_2eae1fc6-c631-4059-b158-f8fe4072d9fa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | N/A | N/A | CMS | N/A | 1934-02-03 | N/A | N/A | N/A | N/A | false | DAYZADEH | N/A | NASSER | 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 | 5831 | N/A | 6583825 | 2222 | N/A | N/A | N/A | 5202586 | 2025-06-25 05:54:44.111670 | 2025-06-25 17:55:27.155518 |
| 2025-06-25 04:24:23.655589 | 2025-06-25 04:24:29.429771 | 9233208 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-05-21 | 2025-06-25 | F | AE | PT | 2815 | ALEMAN | 00026111804 | ALEXA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541704/check_9233208_425b3fee-2ce1-4240-8d3f-e16ce27cc462.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541704/check_9233208_e5f0aa6b-fd52-4d02-8095-c25daa41ab42.json | N/A | N/A | N/A | N/A | N/A | 00026111804 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 2007-05-21 | N/A | N/A | N/A | N/A | false | ALEMAN | N/A | ALEXA | 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 | 7927 | N/A | 5541704 | 2222 | N/A | 8941450 | N/A | 4213696 | 2025-06-25 04:24:29.429771 | 2025-05-13 04:29:37.228015 |
| 2025-06-25 04:24:21.733072 | 2025-06-25 04:24:23.652501 | 9233204 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-05-21 | 2025-06-25 | F | AE | PT | 2815 | ALEMAN | 00026111804 | ALEXA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541704/check_9233204_834e6e7b-667c-471a-ade9-dad7fc548fc6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | 00026111804 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 2007-05-21 | N/A | N/A | N/A | N/A | false | ALEMAN | N/A | ALEXA | 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 | 7927 | N/A | 5541704 | 2222 | N/A | N/A | N/A | 4213696 | 2025-06-25 04:24:23.652501 | 2025-05-13 04:29:37.228015 |
| 2025-06-25 04:19:21.447410 | 2025-06-25 04:19:24.521191 | 9232816 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-12-03 | 2025-06-25 | F | AE | PT | 4185 | HARTMANN DEBIASE | MMA051W22347 | MARIANNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539573/check_9232816_10c5d755-20d1-4348-a29b-242a68c18524.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539573/check_9232816_4bd09fde-c151-42f3-8366-7123d33c508f.json | N/A | N/A | N/A | N/A | N/A | MMA051W22347 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1956-12-03 | 040 | CAMCRWP0 | N/A | MP | false | HARTMANN DEBIASE | N/A | MARIANNE | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8052549929 | 7927 | N/A | 5539573 | 2222 | N/A | 8941062 | N/A | 4211857 | 2025-06-25 04:19:24.521191 | 2025-07-01 23:52:53.869019 |
| 2025-06-25 04:18:38.079334 | 2025-06-25 04:18:39.796039 | 9232800 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-12-03 | 2025-06-25 | F | AE | PT | 23311 | DEBIASE | MMA051W22347 | MARIANNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539573/check_9232800_5bb20ca6-a505-484f-9d7f-fc232a727126.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539573/check_9232800_cc18eabc-b51b-439a-9590-8f9378c8ad66.json | N/A | N/A | N/A | N/A | N/A | MMA051W22347 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-12-03 | N/A | N/A | N/A | N/A | false | DEBIASE | N/A | MARIANNE | 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 | 7927 | N/A | 5539573 | 2222 | N/A | 8941046 | N/A | 4211857 | 2025-06-25 04:18:39.796039 | 2025-07-01 23:52:53.869019 |
| 2025-06-25 04:18:36.329412 | 2025-06-25 04:18:38.075051 | 9232799 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-12-03 | 2025-06-25 | F | AE | PT | 23311 | DEBIASE | MMA051W22347 | MARIANNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539573/check_9232799_94a8c8a4-b531-4c78-b14b-4905f2b9dd04.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | MMA051W22347 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-12-03 | N/A | N/A | N/A | N/A | false | DEBIASE | N/A | MARIANNE | 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 | 7927 | N/A | 5539573 | 2222 | N/A | N/A | N/A | 4211857 | 2025-06-25 04:18:38.075051 | 2025-07-01 23:52:53.869019 |
| 2025-06-25 04:17:03.053259 | 2025-06-25 04:17:04.770720 | 9232762 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-12-03 | 2025-06-25 | F | AE | PT | 4185 | DEBIASE | MMA051WV22347 | MARIANNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539573/check_9232762_a22cc88c-871e-44ae-9f18-dde481325d2c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539573/check_9232762_eac5563d-4f4a-4ec3-a8c4-29d9f9a5f06e.json | N/A | N/A | N/A | N/A | N/A | MMA051WV22347 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-12-03 | N/A | N/A | N/A | N/A | false | DEBIASE | N/A | MARIANNE | 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 | 7927 | N/A | 5539573 | 2222 | N/A | 8941008 | N/A | 4211857 | 2025-06-25 04:17:04.770720 | 2025-07-01 23:52:53.869019 |
| 2025-06-25 04:16:51.855861 | 2025-06-25 04:17:03.051301 | 9232761 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-12-03 | 2025-06-25 | F | AE | PT | 4185 | DEBIASE | MMA051WV22347 | MARIANNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539573/check_9232761_cce9c2e2-3262-4162-aedd-d410e264a99b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | MMA051WV22347 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-12-03 | N/A | N/A | N/A | N/A | false | DEBIASE | N/A | MARIANNE | 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 | 7927 | N/A | 5539573 | 2222 | N/A | N/A | N/A | 4211857 | 2025-06-25 04:17:03.051301 | 2025-07-01 23:52:53.869019 |
| 2025-06-25 04:15:43.864386 | 2025-06-25 04:15:46.613062 | 9232752 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-12-03 | 2025-06-25 | F | AE | PT | 4185 | HARTMANN-DEBIASE | MMA051WV22347 | MARIANNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539573/check_9232752_b6e350fb-a764-4fc7-acc6-b04b47d14ed0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539573/check_9232752_a86a190b-d1e6-4ecd-9df3-efdd9ec362f0.json | N/A | N/A | N/A | N/A | N/A | MMA051WV22347 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-12-03 | N/A | N/A | N/A | N/A | false | HARTMANN-DEBIASE | N/A | MARIANNE | 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 | 7927 | N/A | 5539573 | 2222 | N/A | 8940998 | N/A | 4211857 | 2025-06-25 04:15:46.613062 | 2025-07-01 23:52:53.869019 |
| 2025-06-25 04:15:41.083916 | 2025-06-25 04:15:43.862429 | 9232750 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-12-03 | 2025-06-25 | F | AE | PT | 4185 | HARTMANN DEBIASE | MMA051WV22347 | MARIANNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539573/check_9232750_118bb5ed-ae41-4773-bd4a-4b99d83e4dcb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | MMA051WV22347 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-12-03 | N/A | N/A | N/A | N/A | false | HARTMANN DEBIASE | N/A | MARIANNE | 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 | 7927 | N/A | 5539573 | 2222 | N/A | N/A | N/A | 4211857 | 2025-06-25 04:15:43.862429 | 2025-07-01 23:52:53.869019 |
| 2025-06-25 04:15:26.899359 | 2025-06-25 04:15:28.710181 | 9232748 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-12-03 | 2025-06-25 | F | AE | PT | 23311 | HARTMANN-DEBIASE | MMA051WV22347 | MARIANNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539573/check_9232748_3f67d9bd-332e-42f3-b1a6-267fac6e85f5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539573/check_9232748_d36fac8e-869a-42cf-8c8f-0fd24cf2b231.json | N/A | N/A | N/A | N/A | N/A | MMA051WV22347 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-12-03 | N/A | N/A | N/A | N/A | false | HARTMANN-DEBIASE | N/A | MARIANNE | 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 | 7927 | N/A | 5539573 | 2222 | N/A | 8940994 | N/A | 4211857 | 2025-06-25 04:15:28.710181 | 2025-07-01 23:52:53.869019 |
| 2025-06-25 04:15:25.184080 | 2025-06-25 04:15:26.896594 | 9232747 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-12-03 | 2025-06-25 | F | AE | PT | 23311 | HARTMANN DEBIASE | MMA051WV22347 | MARIANNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539573/check_9232747_338d6d0a-c6e8-4247-b42f-16edd7cad3b1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | MMA051WV22347 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-12-03 | N/A | N/A | N/A | N/A | false | HARTMANN DEBIASE | N/A | MARIANNE | 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 | 7927 | N/A | 5539573 | 2222 | N/A | N/A | N/A | 4211857 | 2025-06-25 04:15:26.896594 | 2025-07-01 23:52:53.869019 |
| 2025-06-25 04:01:38.892505 | 2025-06-25 04:01:41.711927 | 9232540 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-25 | M | AE | PT | 2630 | SULLIVAN | 00000375700 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232540_90bb2a82-3e50-443d-99cc-fa7e8455de36.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539569/check_9232540_94f7a18d-ec82-44fb-9828-eddabc1990a1.json | N/A | N/A | N/A | N/A | N/A | 00000375700 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-11 | N/A | N/A | N/A | N/A | false | SULLIVAN | N/A | STEVEN | 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 | 7927 | N/A | 5539569 | 2222 | N/A | 8940786 | N/A | 4211851 | 2025-06-25 04:01:41.711927 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 04:01:36.209093 | 2025-06-25 04:01:38.889210 | 9232539 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-25 | M | AE | PT | 2630 | SULLIVAN | 00000375700 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232539_170c34af-9ab2-42a6-b050-623fef4cacaa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375700 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-11 | N/A | N/A | N/A | N/A | false | SULLIVAN | N/A | STEVEN | 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 | 7927 | N/A | 5539569 | 2222 | N/A | N/A | N/A | 4211851 | 2025-06-25 04:01:38.889210 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 04:00:30.251999 | 2025-06-25 04:00:33.993422 | 9232529 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-25 | M | AE | PT | 23299 | SULLIVAN | 00000375700 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232529_cd662355-c703-458a-acfc-afe0a8682293.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539569/check_9232529_25e7432a-023c-4edd-86a7-c5e382e39ee9.json | N/A | N/A | N/A | N/A | N/A | 00000375700 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1956-11-11 | N/A | N/A | N/A | N/A | false | SULLIVAN | N/A | STEVEN | 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 | 7927 | N/A | 5539569 | 2222 | N/A | 8940775 | N/A | 4211851 | 2025-06-25 04:00:33.993422 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 04:00:28.678118 | 2025-06-25 04:00:30.250225 | 9232528 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-25 | M | AE | PT | 23299 | SULLIVAN | 00000375700 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232528_33e31e71-7293-4f15-987e-dfc14277e1b6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375700 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1956-11-11 | N/A | N/A | N/A | N/A | false | SULLIVAN | N/A | STEVEN | 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 | 7927 | N/A | 5539569 | 2222 | N/A | N/A | N/A | 4211851 | 2025-06-25 04:00:30.250225 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 04:00:13.792671 | 2025-06-25 04:00:19.659903 | 9232527 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-25 | M | AE | PT | 2630 | SULLIVAN | 00000375700 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232527_dda271c6-49dc-463c-a737-77ba6c26e6ed.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539569/check_9232527_af3ed012-b0a0-4483-8110-29f852582e46.json | N/A | N/A | N/A | N/A | N/A | 00000375700 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-11 | N/A | N/A | N/A | N/A | false | SULLIVAN | N/A | STEVEN | 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 | 7927 | N/A | 5539569 | 2222 | N/A | 8940773 | N/A | 4211851 | 2025-06-25 04:00:19.659903 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 04:00:03.826309 | 2025-06-25 04:00:13.790645 | 9232524 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-25 | M | AE | PT | 2630 | SULLIVAN | 00000375700 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232524_48c4e4ad-58ec-4b19-8a8b-63edb41a18ad.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375700 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-11 | N/A | N/A | N/A | N/A | false | SULLIVAN | N/A | STEVEN | 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 | 7927 | N/A | 5539569 | 2222 | N/A | N/A | N/A | 4211851 | 2025-06-25 04:00:13.790645 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 03:59:27.669536 | 2025-06-25 03:59:29.414659 | 9232513 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-25 | M | AE | PT | 23305 | SULLIVAN | H3815-028 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232513_ad91f502-3eab-4fa4-910b-9ce32b9af30c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539569/check_9232513_15456896-f92d-4af4-8b87-78274c7236b5.json | N/A | N/A | N/A | N/A | N/A | H3815-028 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1956-11-11 | N/A | N/A | N/A | N/A | false | SULLIVAN | N/A | STEVEN | 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 | 7927 | N/A | 5539569 | 2222 | N/A | 8940759 | N/A | 4211851 | 2025-06-25 03:59:29.414659 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 03:59:26.001521 | 2025-06-25 03:59:27.667778 | 9232509 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-25 | M | AE | PT | 23305 | SULLIVAN | H3815-028 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232509_c83095b7-e97f-452a-90ed-750266195c79.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | H3815-028 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1956-11-11 | N/A | N/A | N/A | N/A | false | SULLIVAN | N/A | STEVEN | 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 | 7927 | N/A | 5539569 | 2222 | N/A | N/A | N/A | 4211851 | 2025-06-25 03:59:27.667778 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 03:59:08.386664 | 2025-06-25 03:59:11.097581 | 9232489 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-25 | M | AE | PT | 6798 | SULLIVAN | H3815-028 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232489_7490732a-e5ec-49fe-9331-a51108def9f5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539569/check_9232489_79e96540-eeb9-4856-b6f2-bbb3437bcaec.json | N/A | N/A | N/A | N/A | N/A | 36566565 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1956-11-11 | N/A | N/A | N/A | N/A | false | SULLIVAN | N/A | STEVEN | 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 | 8052378645 | 7927 | N/A | 5539569 | 2222 | N/A | 8940735 | N/A | 4211851 | 2025-06-25 03:59:11.097581 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 03:58:05.035347 | 2025-06-25 03:58:06.787800 | 9232441 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-25 | M | AE | PT | 23299 | SULLIVAN | 36566565 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232441_15e8b287-0ca2-4b17-bcf8-2d089c5a5221.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539569/check_9232441_7215f0ce-6df1-4646-a931-83d2e1ac64e5.json | N/A | N/A | N/A | N/A | N/A | 36566565 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1956-11-11 | N/A | N/A | N/A | N/A | false | SULLIVAN | N/A | STEVEN | 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 | 7927 | N/A | 5539569 | 2222 | N/A | 8940687 | N/A | 4211851 | 2025-06-25 03:58:06.787800 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 03:58:01.464756 | 2025-06-25 03:58:05.031523 | 9232440 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-25 | M | AE | PT | 23299 | SULLIVAN | 36566565 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232440_f23e1e5d-cc11-4a06-a20b-2c3fc47c7ec0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | 36566565 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1956-11-11 | N/A | N/A | N/A | N/A | false | SULLIVAN | N/A | STEVEN | 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 | 7927 | N/A | 5539569 | 2222 | N/A | N/A | N/A | 4211851 | 2025-06-25 03:58:05.031523 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 03:54:16.373909 | 2025-06-25 03:54:29.341358 | 9232399 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-25 | M | AE | PT | 6798 | SULLIVAN | 36566565 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232399_64ee54bf-ed73-4193-a304-056135dd48f0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539569/check_9232399_7c6569c2-344f-4b60-8a6b-1a62049e2e11.json | N/A | N/A | N/A | N/A | N/A | 36566565 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1956-11-11 | N/A | N/A | N/A | N/A | false | SULLIVAN | N/A | STEVEN | 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 | 8052338126 | 7927 | N/A | 5539569 | 2222 | N/A | 8940656 | N/A | 4211851 | 2025-06-25 03:54:29.341358 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 03:54:06.515559 | 2025-06-25 03:54:08.272599 | 9232385 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-25 | M | AE | PT | 23325 | SULLIVAN | 36566565 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232385_c68131e9-4bd4-424c-8647-8be2e2288575.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539569/check_9232385_d8e2e884-ffe0-41bd-b46f-ce2f77c57cfd.json | N/A | N/A | N/A | N/A | N/A | 36566565 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-11-11 | N/A | N/A | N/A | N/A | false | SULLIVAN | N/A | STEVEN | 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 | 7927 | N/A | 5539569 | 2222 | N/A | 8940631 | N/A | 4211851 | 2025-06-25 03:54:08.272599 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 03:54:04.761176 | 2025-06-25 03:54:06.513527 | 9232382 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-25 | M | AE | PT | 23325 | SULLIVAN | 36566565 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232382_e441b8c1-e952-4958-af78-16c6879172ac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | 36566565 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-11-11 | N/A | N/A | N/A | N/A | false | SULLIVAN | N/A | STEVEN | 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 | 7927 | N/A | 5539569 | 2222 | N/A | N/A | N/A | 4211851 | 2025-06-25 03:54:06.513527 | 2025-06-25 18:38:39.189571 |