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 03:53:01.727395 | 2025-06-25 03:53:03.482534 | 9232367 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-25 | M | AE | PT | 23318 | SULLIVAN | 36566565 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232367_592490b8-50b3-40d0-9277-da0eef86e160.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539569/check_9232367_2181bee5-eac6-42f6-b8ac-80dff74dc9bc.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 | 8940613 | N/A | 4211851 | 2025-06-25 03:53:03.482534 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 03:52:56.011770 | 2025-06-25 03:53:01.725458 | 9232366 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-25 | M | AE | PT | 23318 | SULLIVAN | 36566565 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232366_0dd3d0a7-cf3a-42ae-86a6-984c4d0e5110.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 03:53:01.725458 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 03:52:42.933346 | 2025-06-25 03:52:45.704818 | 9232365 | 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 | 36566565 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232365_ce0ecaa4-22de-4054-b83a-991baef49d43.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539569/check_9232365_ca76fe10-f42b-43d4-9ce3-4fc9cf04bfaa.json | N/A | N/A | N/A | N/A | N/A | 36566565 | 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 | 8940611 | N/A | 4211851 | 2025-06-25 03:52:45.704818 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 03:52:40.197572 | 2025-06-25 03:52:42.931205 | 9232364 | 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 | 36566565 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539569/check_9232364_9da97739-44c7-4a9e-90a1-358ed1537818.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 | 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 03:52:42.931205 | 2025-06-25 18:38:39.189571 |
| 2025-06-25 03:07:55.140577 | 2025-06-25 03:07:57.873868 | 9230651 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-09-03 | 2025-06-26 | F | AE | PT | 4199 | REZAYANI | 97093372E | SHOAYLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541334/check_9230651_2587f299-bd64-4069-aa6a-052fe26c7fe2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541334/check_9230651_65b38888-1218-4dba-9b11-9569c8905c93.json | N/A | N/A | N/A | N/A | N/A | 97093372E | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1964-09-03 | N/A | N/A | N/A | N/A | false | REZAYANI | N/A | SHOAYLA | 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 | 5541334 | 2222 | N/A | 8938907 | N/A | 4213366 | 2025-06-25 03:07:57.873868 | 2025-07-14 15:29:50.728003 |
| 2025-06-25 03:07:53.492278 | 2025-06-25 03:07:55.138323 | 9230650 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-09-03 | 2025-06-26 | F | AE | PT | 4199 | REZAYANI | 97093372E | SHOAYLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541334/check_9230650_dff68eb8-3b38-4902-88c0-0713c9c60cde.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | N/A | N/A | N/A | N/A | N/A | N/A | 97093372E | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1964-09-03 | N/A | N/A | N/A | N/A | false | REZAYANI | N/A | SHOAYLA | 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 | 5541334 | 2222 | N/A | N/A | N/A | 4213366 | 2025-06-25 03:07:55.138323 | 2025-07-14 15:29:50.728003 |
| 2025-06-25 00:03:50.969629 | 2025-06-25 00:03:57.033748 | 9230539 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-06-24 | 2025-06-24 | M | AE | PT | 5505 | Pratt | 000023308874 | Lewis | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085238/check_9230539_a1726b23-5216-47a7-96da-bd94cc0392f6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085238/check_9230539_a60696e4-3a6f-4275-b9b5-f7ab27da9730.json | N/A | N/A | N/A | N/A | N/A | 000023308874 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1967-06-24 | 4207906 | 105705 | N/A | N/A | false | PRATT | N/A | LEWIS | N/A | N/A | N/A | STATE ADMINISTERED PUBLIC AGENCIES PA REGION 3 ACT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8050102578 | 5831 | N/A | 6085238 | 2222 | N/A | 8938325 | N/A | 4728565 | 2025-06-25 00:03:57.033748 | 2025-06-02 19:34:50.683040 |
| 2025-06-25 00:03:38.651127 | 2025-06-25 00:03:40.478867 | 9230538 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-06-24 | 2025-06-24 | M | AE | PT | 5505 | Pratt | 0023308874 | Lewis | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085238/check_9230538_f58987ba-2a3a-401d-aa9c-f18e13f423a8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085238/check_9230538_86143f23-1fae-4f98-bfb0-48ee9bb504fa.json | N/A | N/A | N/A | N/A | N/A | 0023308874 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1967-06-24 | N/A | N/A | N/A | N/A | false | PRATT | N/A | LEWIS | 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 | 6085238 | 2222 | N/A | 8938324 | N/A | 4728565 | 2025-06-25 00:03:40.478867 | 2025-06-02 19:34:50.683040 |
| 2025-06-25 00:03:36.884218 | 2025-06-25 00:03:38.647060 | 9230537 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-06-24 | 2025-06-24 | M | AE | PT | 5505 | Pratt | 0023308874 | Lewis | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085238/check_9230537_24927da1-4d67-4311-8031-960a9e30420b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | N/A | N/A | N/A | N/A | N/A | N/A | 0023308874 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1967-06-24 | N/A | N/A | N/A | N/A | false | PRATT | N/A | LEWIS | 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 | 6085238 | 2222 | N/A | N/A | N/A | 4728565 | 2025-06-25 00:03:38.647060 | 2025-06-02 19:34:50.683040 |
| 2025-06-24 22:08:13.915291 | 2025-06-24 22:08:16.692562 | 9228517 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-06-06 | 2025-07-08 | F | AE | PT | 4184 | Sakamoto | XDO292A71474 | Mifuko | https://storage.googleapis.com/normandy-eligibility-checks/2222/6579315/check_9228517_855eee0f-96db-41df-8fd1-a3a0f1632d90.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6579315/check_9228517_2f82a972-3acb-4782-adad-718a677616ba.json | N/A | N/A | N/A | N/A | N/A | XDO292A71474 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1941-06-06 | 040 | CASUPWP0 | N/A | N/A | false | SAKAMOTO | N/A | MIFUKO | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR SMARTCHOICE W/O RX | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8049569886 | 7927 | N/A | 6579315 | 2222 | N/A | 8935915 | N/A | 5198821 | 2025-06-24 22:08:16.692562 | 2025-06-27 20:15:56.622303 |
| 2025-06-24 22:07:54.213109 | 2025-06-24 22:07:56.013622 | 9228503 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-06-06 | 2025-07-08 | F | AE | PT | 4497 | Sakamoto | 3DW1YP3KK94 | Mifuko | https://storage.googleapis.com/normandy-eligibility-checks/2222/6579314/check_9228503_e4b3ea66-f8b7-4553-b95b-b691372a22a0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6579314/check_9228503_ef1af117-4fb7-4472-8fa8-97df009b13ac.json | N/A | N/A | N/A | N/A | N/A | 3DW1YP3KK94 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-06-06 | S5921 | N/A | N/A | MA | false | SAKAMOTO | N/A | MIFUKO | 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 | 8049568160 | 7927 | N/A | 6579314 | 2222 | N/A | 8935901 | N/A | 5198821 | 2025-06-24 22:07:56.013622 | 2025-06-27 20:15:56.622303 |
| 2025-06-24 22:05:29.495164 | 2025-06-24 22:05:34.382590 | 9228474 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-06-06 | 2025-07-08 | F | AE | PT | 4497 | Sakamoto | 3DW1YP3KK94 | Mifuko | https://storage.googleapis.com/normandy-eligibility-checks/2222/6579314/check_9228474_b2649a82-683a-4626-a59c-c3abad83287a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6579314/check_9228474_65a0a21b-9a32-49d6-a741-c50c21695691.json | N/A | N/A | N/A | N/A | N/A | 3DW1YP3KK94 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-06-06 | S5921 | N/A | N/A | MA | false | SAKAMOTO | N/A | MIFUKO | 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 | 8049557320 | 7927 | N/A | 6579314 | 2222 | N/A | 8935856 | N/A | 5198821 | 2025-06-24 22:05:34.382590 | 2025-06-27 20:15:56.622303 |
| 2025-06-24 22:02:20.045323 | 2025-06-24 22:02:22.873731 | 9228374 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-03 | 2025-06-24 | F | AE | PT | 6798 | ZEPEDA | 35046197 | ANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6444130/check_9228374_5db87452-3b48-42d6-a993-c8f0f31ff849.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6444130/check_9228374_6aa834b3-9ec6-4111-8c05-16fbc544bdaa.json | N/A | N/A | N/A | N/A | N/A | 35046197 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1957-07-03 | 406-024-000 | N/A | N/A | N/A | false | ZEPEDA | N/A | ANA | 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 | 8049542616 | N/A | N/A | 6444130 | 2222 | N/A | 8935751 | N/A | 5083952 | 2025-06-24 22:02:22.873731 | 2025-06-24 21:58:42.583540 |
| 2025-06-24 21:52:52.555882 | 2025-06-24 21:52:54.449591 | 9228243 | N/A | N/A | Z1073 | Medicare B California Southern | 1750106241 | N/A | Jerry Hacker | 1947-09-13 | 2025-06-24 | F | AE | PT | 4497 | ELDRIDGE | 2XD1AM4AP01 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536109/check_9228243_982bb611-d23f-49da-a9b0-0b9a3c1c9204.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536109/check_9228243_cea6c5cf-3503-496d-95c4-0e2526749ec6.json | N/A | N/A | N/A | N/A | N/A | 2XD1AM4AP01 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1947-09-13 | N/A | N/A | N/A | N/A | false | ELDRIDGE | N/A | MARGARET | 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 | 5536109 | 2222 | N/A | 8935581 | N/A | 4208915 | 2025-06-24 21:52:54.449591 | 2025-07-25 17:30:46.084330 |
| 2025-06-24 21:52:50.709264 | 2025-06-24 21:52:52.480093 | 9228242 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-09-13 | 2025-06-24 | F | AE | PT | 4497 | ELDRIDGE | 2XD1AM4AP01 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536109/check_9228242_270d3ac2-2987-4add-a3d3-17f0a37b17ed.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536109/check_9228242_bb27d004-568f-4d96-b704-4b89fdf72a23.json | N/A | N/A | N/A | N/A | N/A | 2XD1AM4AP01 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1947-09-13 | N/A | N/A | N/A | N/A | false | ELDRIDGE | N/A | MARGARET | 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 | 5536109 | 2222 | N/A | 8935580 | N/A | 4208915 | 2025-06-24 21:52:52.480093 | 2025-07-25 17:30:46.084330 |
| 2025-06-24 21:52:49.094884 | 2025-06-24 21:52:50.707213 | 9228241 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-09-13 | 2025-06-24 | F | AE | PT | 4497 | ELDRIDGE | 2XD1AM4AP01 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536109/check_9228241_a5ae2186-2dc0-480f-b97e-7f3fb259371a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | N/A | N/A | N/A | N/A | N/A | N/A | 2XD1AM4AP01 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1947-09-13 | N/A | N/A | N/A | N/A | false | ELDRIDGE | N/A | MARGARET | 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 | 5536109 | 2222 | N/A | N/A | N/A | 4208915 | 2025-06-24 21:52:50.707213 | 2025-07-25 17:30:46.084330 |
| 2025-06-24 21:52:43.386849 | 2025-06-24 21:52:45.204489 | 9228239 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-09-13 | 2025-06-24 | F | AE | PT | 4497 | ELDRIDGE | 2XD1AM4AP01 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536109/check_9228239_3e775f3e-2f13-4a04-9ff9-f6e0880d72f0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536109/check_9228239_bd619462-55c2-4c2b-a779-1aec284802a1.json | N/A | N/A | N/A | N/A | N/A | 2XD1AM4AP01 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-13 | S5921 | N/A | N/A | MA | false | ELDRIDGE | N/A | MARGARET | 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 | 8049500025 | N/A | N/A | 5536109 | 2222 | N/A | 8935577 | N/A | 4208915 | 2025-06-24 21:52:45.204489 | 2025-07-25 17:30:46.084330 |
| 2025-06-24 21:52:36.179071 | 2025-06-24 21:52:37.982378 | 9228238 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-09-13 | 2025-06-24 | F | AE | PT | 4497 | ELDRIDGE | 2XD1AM4AP01 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536109/check_9228238_45273518-cb38-40ab-8678-0e7e0a91d1fa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536109/check_9228238_9bdc9f29-8d7f-43c3-b66d-ac23f7645197.json | N/A | N/A | N/A | N/A | N/A | 2XD1AM4AP01 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-13 | S5921 | N/A | N/A | MB | false | ELDRIDGE | N/A | MARGARET | 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 | 8049499358 | N/A | N/A | 5536109 | 2222 | N/A | 8935575 | N/A | 4208915 | 2025-06-24 21:52:37.982378 | 2025-07-25 17:30:46.084330 |
| 2025-06-24 21:52:20.995049 | 2025-06-24 21:52:22.841470 | 9228237 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-09-13 | 2025-06-24 | F | AE | PT | 4497 | ELDRIDGE | 2XD1AM4AP01 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536109/check_9228237_0cdca66f-5388-4929-bc70-5ee54b21bd5c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536109/check_9228237_e6bb025b-6b3b-495c-8cec-0f578a49331c.json | N/A | N/A | N/A | N/A | N/A | 2XD1AM4AP01 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-13 | S5921 | N/A | N/A | MB | false | ELDRIDGE | N/A | MARGARET | 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 | 8049498066 | N/A | N/A | 5536109 | 2222 | N/A | 8935572 | N/A | 4208915 | 2025-06-24 21:52:22.841470 | 2025-07-25 17:30:46.084330 |
| 2025-06-24 21:52:08.351740 | 2025-06-24 21:52:10.114451 | 9228236 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-09-13 | 2025-06-24 | F | AE | PT | 4497 | ELDRIDGE | 2XD1AM4AP01 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536109/check_9228236_18d54f09-ec11-4b34-9f55-0d89c9e6013b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536109/check_9228236_809c4718-2b9c-4143-81fa-ca9f39fd1713.json | N/A | N/A | N/A | N/A | N/A | 2XD1AM4AP01 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-13 | S5921 | N/A | N/A | MA | false | ELDRIDGE | N/A | MARGARET | 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 | 8049497067 | N/A | N/A | 5536109 | 2222 | N/A | 8935571 | N/A | 4208915 | 2025-06-24 21:52:10.114451 | 2025-07-25 17:30:46.084330 |
| 2025-06-24 21:51:55.115199 | 2025-06-24 21:52:01.893538 | 9228235 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-09-13 | 2025-06-24 | F | AE | PT | 4497 | ELDRIDGE | 2XD1AM4AP01 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536109/check_9228235_6a23daa1-618a-4bd4-9eca-536cbf5512b8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536109/check_9228235_a11ed5c7-c655-42ad-a6a8-68c0eb579e1c.json | N/A | N/A | N/A | N/A | N/A | 2XD1AM4AP01 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-13 | S5921 | N/A | N/A | MA | false | ELDRIDGE | N/A | MARGARET | 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 | 8049495988 | N/A | N/A | 5536109 | 2222 | N/A | 8935568 | N/A | 4208915 | 2025-06-24 21:52:01.893538 | 2025-07-25 17:30:46.084330 |
| 2025-06-24 21:13:01.185632 | 2025-06-24 21:13:02.880448 | 9228076 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-07-22 | 2025-06-25 | F | PT | N/A | 4191 | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541314/check_9228076_61b323d5-de5b-4196-9b2d-da3f7e4830ae.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_9228076_dfa3f2d7-253e-47ae-8042-811fd4628e09.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8049305391 | N/A | N/A | 5541314 | 2222 | N/A | 8935283 | N/A | 4213343 | 2025-06-24 21:13:02.880448 | 2025-06-06 02:21:37.603701 |
| 2025-06-24 21:12:52.445108 | 2025-06-24 21:12:55.225136 | 9228075 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-07-22 | 2025-06-25 | F | PT | N/A | 4191 | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541314/check_9228075_4dc34012-e565-4339-8e65-3e642943f2a1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_9228075_716188c6-e67b-4a27-b00e-76e3a3ef5bb8.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8049304533 | N/A | N/A | 5541314 | 2222 | N/A | 8935282 | N/A | 4213343 | 2025-06-24 21:12:55.225136 | 2025-06-06 02:21:37.603701 |
| 2025-06-24 20:50:22.814584 | 2025-06-24 20:50:35.727958 | 9227988 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-03-26 | 2025-06-24 | F | PT | AE | 4191 | Deschatres | XED912070650 | Nathalie | https://storage.googleapis.com/normandy-eligibility-checks/2222/6577909/check_9227988_ed63a7a9-e554-4e37-b4ce-75305f4c9b7a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577909/check_9227988_8cf41762-4976-4c07-8f71-186fde6dd920.json | N/A | N/A | N/A | N/A | N/A | XED912070650 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-03-26 | 2001ZK002186 | X0001004 | N/A | PR | false | DESCHATRES | N/A | NATHALIE | N/A | 9999-12-31 | 2023-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8049123746 | 160084 | N/A | 6577909 | 2222 | N/A | 8935102 | N/A | 4766701 | 2025-06-24 20:50:35.727958 | 2025-06-03 21:11:46.573919 |
| 2025-06-24 20:29:04.269919 | 2025-06-24 20:29:10.170914 | 9227911 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-15 | 2025-07-07 | M | PT | N/A | 4185 | HELLER | XDL463A68495 | MATT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540316/check_9227911_40c54e61-d8ba-45c0-98c8-1353a5e9b955.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540316/check_9227911_fa4e844b-2872-40a6-8ae5-7474ed794596.json | N/A | N/A | N/A | N/A | N/A | XDL463A68495 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1967-09-15 | 040 | Z13100 | N/A | PR | false | HELLER | N/A | MATTHEW | N/A | 9999-12-31 | 2009-08-01 | LUMENOS HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8048984510 | N/A | N/A | 5540316 | 2222 | N/A | 8934921 | N/A | 4212462 | 2025-06-24 20:29:10.170914 | 2025-06-24 20:27:22.939881 |
| 2025-06-24 20:17:12.090899 | 2025-06-24 20:17:14.947422 | 9227838 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | GUTIERREZ DE LA TORR | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227838_3f0e129f-7581-479b-a2bb-7ee96b73e057.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9227838_80cd94d0-0b7e-44ad-92fd-6264a404d13b.json | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | HEALTH NET, LLC | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ DE LA TORR | N/A | JOEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8048902758 | 5831 | N/A | 6436444 | 2222 | N/A | 8934783 | N/A | 5082110 | 2025-06-24 20:17:14.947422 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:16:28.712498 | 2025-06-24 20:16:30.649933 | 9227837 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | GUTIERREZ DE LA T | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227837_1c8c17c6-c1c0-4cdb-b9ec-d5131ab5fb7e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9227837_77491189-3df3-4cf7-a87d-c7002db4a4f0.json | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | CENTENE CORPORATION | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ DE LA T | N/A | JOEL | 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 | 6436444 | 2222 | N/A | 8934775 | N/A | 5082110 | 2025-06-24 20:16:30.649933 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:16:26.002852 | 2025-06-24 20:16:28.709586 | 9227836 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | GUTIERREZ DE LA T | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227836_52e05059-6f4e-4ffb-8b8e-d22163d0af72.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | N/A | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | CENTENE CORPORATION | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ DE LA T | N/A | JOEL | 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 | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 20:16:28.709586 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:14:37.971684 | 2025-06-24 20:14:41.836348 | 9227829 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | GUTIERREZ | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227829_0c9af0fc-dc89-4aa9-8970-9ca85c5e0fe9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9227829_e6f921dd-f472-45eb-8bfc-b45728e434c8.json | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | CENTENE CORPORATION | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ | N/A | JOEL | 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 | 6436444 | 2222 | N/A | 8934760 | N/A | 5082110 | 2025-06-24 20:14:41.836348 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:14:35.102140 | 2025-06-24 20:14:37.967919 | 9227828 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | GUTIERREZ | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227828_4ec1c84e-d3fb-4a28-a107-6f3e2cf0f802.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | N/A | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | CENTENE CORPORATION | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ | N/A | JOEL | 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 | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 20:14:37.967919 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:13:04.660911 | 2025-06-24 20:13:06.501070 | 9227820 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | T | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227820_e174b0ed-a826-47bd-86a7-4a22671f886e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9227820_bc4b144e-5c86-4ae2-8653-d4c872d65d43.json | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | CENTENE CORPORATION | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | T | N/A | JOEL | 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 | 6436444 | 2222 | N/A | 8934742 | N/A | 5082110 | 2025-06-24 20:13:06.501070 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:13:00.394446 | 2025-06-24 20:13:04.656037 | 9227819 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | T | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227819_262efba1-d28f-44a7-a6ca-68ffd9bbaba9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | N/A | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | CENTENE CORPORATION | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | T | N/A | JOEL | 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 | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 20:13:04.656037 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:11:34.073222 | 2025-06-24 20:11:35.916587 | 9227808 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | T | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227808_a9b3fbab-54cf-4b4f-94ec-51e04a2f665e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9227808_59aee3ff-54a7-4413-a330-3f25c1b2e2b2.json | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | CENTENE CORPORATION | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | T | N/A | JOEL | 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 | 6436444 | 2222 | N/A | 8934726 | N/A | 5082110 | 2025-06-24 20:11:35.916587 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:11:32.297283 | 2025-06-24 20:11:34.064923 | 9227807 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | T | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227807_474bc170-cb0d-413d-9c91-35567be2b5df.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | N/A | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | CENTENE CORPORATION | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | T | N/A | JOEL | 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 | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 20:11:34.064923 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:10:26.837607 | 2025-06-24 20:10:28.886611 | 9227802 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | TORR | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227802_3e50aaa0-e0f1-4d2a-b025-aed173ebafbb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9227802_610660e6-a628-4bb2-8e25-6537c9d69af8.json | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | CENTENE CORPORATION | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | TORR | N/A | JOEL | 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 | 6436444 | 2222 | N/A | 8934713 | N/A | 5082110 | 2025-06-24 20:10:28.886611 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:10:23.174164 | 2025-06-24 20:10:26.835570 | 9227800 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | TORR | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227800_5428c810-f284-4996-af46-e79228616bc3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | N/A | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | CENTENE CORPORATION | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | TORR | N/A | JOEL | 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 | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 20:10:26.835570 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:09:59.193613 | 2025-06-24 20:10:00.993581 | 9227799 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 23322 | TORRE | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227799_597c0a7b-8cfe-45c2-9460-6215bc096c25.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9227799_aef36502-8cc1-477e-b85a-3cf8c10e5bad.json | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | TORRE | N/A | JOEL | 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 | 6436444 | 2222 | N/A | 8934710 | N/A | 5082110 | 2025-06-24 20:10:00.993581 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:09:57.489191 | 2025-06-24 20:09:59.184685 | 9227798 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 23322 | TORRE | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227798_910c1ba3-2579-469b-9f32-666a837eadbd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | N/A | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | TORRE | N/A | JOEL | 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 | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 20:09:59.184685 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:08:16.017383 | 2025-06-24 20:08:17.846882 | 9227794 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | GUTIERREZ DE LA TORRE | 9918443OE | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227794_e00c751f-9191-42a3-adda-9a787e6544e1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9227794_ce033d23-355c-45fb-9814-5d0bd8d70916.json | N/A | N/A | N/A | N/A | N/A | 9918443OE | N/A | N/A | CENTENE CORPORATION | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ DE LA TORRE | N/A | JOEL | 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 | 6436444 | 2222 | N/A | 8934699 | N/A | 5082110 | 2025-06-24 20:08:17.846882 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:08:10.332300 | 2025-06-24 20:08:16.013555 | 9227793 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | GUTIERREZ DE LA TORRE | 9918443OE | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227793_e6fcdb91-46b8-456c-b5a6-5f164f72f169.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | N/A | N/A | N/A | N/A | N/A | N/A | 9918443OE | N/A | N/A | CENTENE CORPORATION | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ DE LA TORRE | N/A | JOEL | 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 | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 20:08:16.013555 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:06:58.712116 | 2025-06-24 20:07:00.502062 | 9227790 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | GUTIERREZ DE LA TORRE | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227790_c75cc321-dc08-48e1-bc9a-4125a036b27f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9227790_454d9c52-f988-416d-8b3a-dbea0e5990b0.json | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | CENTENE CORPORATION | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ DE LA TORRE | N/A | JOEL | 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 | 6436444 | 2222 | N/A | 8934691 | N/A | 5082110 | 2025-06-24 20:07:00.502062 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:06:54.965610 | 2025-06-24 20:06:58.709761 | 9227788 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | GUTIERREZ DE LA TORRE | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227788_7b7cd37a-59b5-4022-add3-4010eca614fd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | N/A | N/A | N/A | N/A | N/A | N/A | 99184430E | N/A | N/A | CENTENE CORPORATION | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ DE LA TORRE | N/A | JOEL | 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 | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 20:06:58.709761 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:04:43.043718 | 2025-06-24 20:04:44.850036 | 9227778 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | GUTIERREZ DE LA TORRE | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227778_9d344c76-0a5b-4a5f-91ac-1a9493affad1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9227778_18303502-57cd-4fa1-b15f-a1e149b1a88d.json | N/A | N/A | N/A | N/A | N/A | 9918443E | N/A | N/A | CENTENE CORPORATION | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ DE LA TORRE | N/A | JOEL | 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 | 6436444 | 2222 | N/A | 8934665 | N/A | 5082110 | 2025-06-24 20:04:44.850036 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 20:04:41.328557 | 2025-06-24 20:04:43.038706 | 9227777 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-01-12 | 2025-06-24 | M | AE | PT | 4625 | GUTIERREZ DE LA TORRE | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227777_2422fd63-f6fd-4abb-8e3f-8ad02bae635d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | N/A | N/A | N/A | N/A | N/A | N/A | 9918443E | N/A | N/A | CENTENE CORPORATION | N/A | 1998-01-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ DE LA TORRE | N/A | JOEL | 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 | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 20:04:43.038706 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 19:52:29.577896 | 2025-06-24 19:52:32.360080 | 9227733 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-06-04 | 2025-06-25 | M | AE | PT | 4437 | Meyers | U9573216901 | Robert | https://storage.googleapis.com/normandy-eligibility-checks/2222/6575962/check_9227733_8235fa44-5bf9-4064-8a4a-1d72e0424fba.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6575962/check_9227733_c62ba712-332a-4215-8ad3-7648f7abea1f.json | N/A | N/A | N/A | N/A | N/A | U9573216901 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1997-06-04 | N/A | 3207160 | N/A | N/A | false | MEYERS | N/A | ROBERT | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8048721438 | 7927 | N/A | 6575962 | 2222 | N/A | 8934570 | N/A | 5196194 | 2025-06-24 19:52:32.360080 | 2025-06-24 20:53:48.640973 |
| 2025-06-24 19:04:56.846748 | 2025-06-24 19:05:05.664740 | 9227451 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-21 | 2025-06-24 | M | PT | AE | 4199 | ROOFEH | 96113754F03034 | NADDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538289/check_9227451_c9143b96-314d-4488-ae72-08b75ad0f09a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538289/check_9227451_77276718-1fe2-4302-9927-082e1570c51a.json | N/A | N/A | N/A | N/A | N/A | 96113754F03034 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1957-07-21 | N/A | N/A | N/A | N/A | false | ROOFEH | N/A | NADDER | 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 | 5831 | N/A | 5538289 | 2222 | N/A | 8934142 | N/A | 4210725 | 2025-06-24 19:05:05.664740 | 2025-06-16 16:15:05.679018 |
| 2025-06-24 19:04:55.270190 | 2025-06-24 19:04:56.843639 | 9227450 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-21 | 2025-06-24 | M | PT | AE | 4199 | ROOFEH | 96113754F03034 | NADDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538289/check_9227450_763993ec-347f-4cc6-af6c-4c46cb21c96f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | N/A | N/A | N/A | N/A | N/A | N/A | 96113754F03034 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1957-07-21 | N/A | N/A | N/A | N/A | false | ROOFEH | N/A | NADDER | 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 | 5831 | N/A | 5538289 | 2222 | N/A | N/A | N/A | 4210725 | 2025-06-24 19:04:56.843639 | 2025-06-16 16:15:05.679018 |
| 2025-06-24 19:02:52.581711 | 2025-06-24 19:02:54.742837 | 9227441 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | PT | 4199 | FERNANDO | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9227441_047e85c2-34d5-4034-bb14-fdccbdc3aff2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9227441_340399b6-06c5-41e6-b203-f1053c90e9f1.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 | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | 8934123 | N/A | 5195072 | 2025-06-24 19:02:54.742837 | 2025-07-02 23:59:09.756169 |
| 2025-06-24 19:02:50.519599 | 2025-06-24 19:02:52.579934 | 9227440 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-06 | 2025-07-02 | F | AE | PT | 4199 | FERNANDO | 391A5620540 | MANORY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6574729/check_9227440_22a9f7f9-813d-45e1-878f-9c7fa59807c4.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 | N/A | N/A | 9482 | N/A | 6574729 | 2222 | N/A | N/A | N/A | 5195072 | 2025-06-24 19:02:52.579934 | 2025-07-02 23:59:09.756169 |
| 2025-06-24 18:51:45.855589 | 2025-06-24 18:51:48.641962 | 9227409 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-06-28 | 2025-06-25 | F | PT | N/A | 4184 | WATFORD | JMV794A61721 | MONICA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6193602/check_9227409_9af0d914-7194-4b4a-9861-34efd58eeb76.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193602/check_9227409_fac6cc08-880e-4b4b-9717-f2a31d7795af.json | N/A | N/A | N/A | N/A | N/A | JMV794A61721 | Health Maintenance Organization (HMO) | CAPSTONE GREEN ENERGY LLC | ANTHEM BLUE CROSS | N/A | 1965-06-28 | 040 | L10003H001 | N/A | HM | false | WATFORD | N/A | MONICA | N/A | 9999-12-31 | 2025-01-01 | VALUE COINSURANCE TRADITIONAL HMO NETWORK NON DUR | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8048313883 | N/A | N/A | 6193602 | 2222 | N/A | 8934069 | N/A | 4837815 | 2025-06-24 18:51:48.641962 | 2025-06-24 18:39:14.627021 |