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 | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-20 17:44:55.355508 | 2026-03-20 17:45:29.085277 | 21649373 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-01-26 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21649373_81d0071b-8fc4-44a1-a4fb-a97dd55fefb8.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-26 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-20 17:45:29.085277 | 2025-11-11 01:01:48.778756 |
| 2026-03-20 17:44:46.242839 | 2026-03-20 17:44:49.080801 | 21649370 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-11-23 | 2026-03-25 | F | PT | N/A | 4184 | Villanueva | JQU895W03134 | Jennifer | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18413103/check_21649370_081ce187-d657-4fc0-904f-b4810ef2174b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18413103/check_21649370_dd728d21-5039-46a9-bc3a-b853a07a68e5.json | N/A | N/A | N/A | N/A | N/A | JQU895W03134 | Preferred Provider Organization (PPO) | GERSHMAN PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1987-11-23 | 040 | 239736 | N/A | PR | false | VILLANUEVA | N/A | JENNIFER | N/A | 9999-12-31 | 2026-01-01 | ANTHEM PLATINUM PPO 15/250/10% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10348015010 | 167942 | N/A | 18413103 | 2222 | N/A | 20744677 | N/A | 16415924 | 2026-03-20 17:44:49.080801 | 2026-03-25 00:06:28.274965 |
| 2026-03-20 17:42:51.782076 | 2026-03-20 17:42:53.632772 | 21649200 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-24 | 2026-03-25 | F | AE | PT | 5538 | SRINIVASAN | JQC93980840H | MANGAIYERK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18420592/check_21649200_657bd24f-09f3-4e92-ba18-591e632c9ed9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18420592/check_21649200_2f9111a6-1c92-452e-bcb7-d63e96d10e72.json | N/A | N/A | N/A | N/A | N/A | JQC93980840H | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1950-03-24 | N/A | N/A | N/A | N/A | false | SRINIVASAN | N/A | MANGAIYERK | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18420592 | 2222 | N/A | 20744572 | N/A | 16422151 | 2026-03-20 17:42:53.632772 | 2026-03-19 23:39:03.983588 |
| 2026-03-20 17:42:49.137521 | 2026-03-20 17:42:51.779114 | 21649198 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-24 | 2026-03-25 | F | AE | PT | 5538 | SRINIVASAN | JQC93980840H | MANGAIYERK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18420592/check_21649198_ef3bd7e0-57ec-4909-9c69-80285915d3ac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | JQC93980840H | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1950-03-24 | N/A | N/A | N/A | N/A | false | SRINIVASAN | N/A | MANGAIYERK | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18420592 | 2222 | N/A | N/A | N/A | 16422151 | 2026-03-20 17:42:51.779114 | 2026-03-19 23:39:03.983588 |
| 2026-03-20 17:42:40.460392 | 2026-03-20 17:42:43.318641 | 21649181 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-07-09 | 2026-03-25 | M | PT | N/A | 4184 | Smith | XDP546W10767 | Aaron | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17294956/check_21649181_927bd046-bff6-4cd7-8092-ada65a18e01a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17294956/check_21649181_9c1e6539-c4d4-4ad3-abf7-59038d1ffcfd.json | N/A | N/A | N/A | N/A | N/A | JPU546W10767 | Preferred Provider Organization (PPO) | HRL LABORATORIES LLC | ANTHEM BLUE CROSS | N/A | 1982-07-09 | 040 | L04089M029 | N/A | PR | false | SMITH | N/A | AARON | N/A | 9999-12-31 | 2026-01-01 | SOLUTION PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10348003509 | 167942 | N/A | 17294956 | 2222 | N/A | 20744558 | N/A | 15312432 | 2026-03-20 17:42:43.318641 | 2026-03-06 19:08:06.092314 |
| 2026-03-20 17:42:32.503844 | 2026-03-20 17:42:35.264031 | 21649165 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-02-18 | 2026-03-25 | F | PT | N/A | 4185 | MENDOZA | JMV327W24025 | MARTHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18232470/check_21649165_7d4feb0c-a397-43b7-ae7d-f9e7e8651487.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18232470/check_21649165_522bbbdc-d200-4c21-9bf2-37b8534bd087.json | N/A | N/A | N/A | N/A | N/A | JMV327W24025 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS LIFE HLTH INS C | N/A | 1983-02-18 | 040 | 56677NR000 | N/A | HM | false | MENDOZA | N/A | GERARDO | N/A | 9999-12-31 | 2025-07-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10348002820 | 167942 | N/A | 18232470 | 2222 | N/A | 20744554 | N/A | 13900510 | 2026-03-20 17:42:35.264031 | 2026-01-27 00:13:26.286289 |
| 2026-03-20 17:42:25.456910 | 2026-03-20 17:42:27.365463 | 21649161 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-11-18 | 2026-03-25 | F | PT | N/A | 4185 | GUTIERREZ | 595A63188-20 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17747293/check_21649161_7083906e-6db5-45e5-aa7f-624cfa756426.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17747293/check_21649161_5af0c71b-04ff-42af-8313-b4b260b0122f.json | N/A | N/A | N/A | N/A | N/A | 595A63188-20 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-11-18 | N/A | N/A | N/A | N/A | false | GUTIERREZ | N/A | DONNA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17747293 | 2222 | N/A | 20744549 | N/A | 15796426 | 2026-03-20 17:42:27.365463 | 2026-03-25 16:15:17.757715 |
| 2026-03-20 17:42:23.721302 | 2026-03-20 17:42:25.452816 | 21649160 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-11-18 | 2026-03-25 | F | PT | N/A | 4185 | GUTIERREZ | 595A63188-20 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17747293/check_21649160_801e081a-1162-4d1f-a6ba-428994ccc134.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | 595A63188-20 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-11-18 | N/A | N/A | N/A | N/A | false | GUTIERREZ | N/A | DONNA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17747293 | 2222 | N/A | N/A | N/A | 15796426 | 2026-03-20 17:42:25.452816 | 2026-03-25 16:15:17.757715 |
| 2026-03-20 17:42:14.907210 | 2026-03-20 17:42:17.756111 | 21649145 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-02-24 | 2026-03-25 | F | PT | N/A | 4184 | Grace | JXN583W02509 | Dana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16887799/check_21649145_3cd2d383-5d23-4638-9009-7626d6b746d7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16887799/check_21649145_9f223dd4-477c-41ff-8427-f0f61445e224.json | N/A | N/A | N/A | N/A | N/A | JXN583W02509 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1987-02-24 | 040 | 174222M2A1 | N/A | PR | false | GRACE | N/A | DANA | N/A | 9999-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10348001259 | 167942 | N/A | 16887799 | 2222 | N/A | 20744537 | N/A | 14890630 | 2026-03-20 17:42:17.756111 | 2026-02-13 00:25:52.751690 |
| 2026-03-20 17:42:02.034132 | 2026-03-20 17:42:04.829811 | 21649127 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-07-03 | 2026-03-25 | F | PT | N/A | 4185 | QUEVEDO LOPEZ | NCF527W21105 | HELEN | M | https://storage.googleapis.com/normandy-eligibility-checks/2222/17661870/check_21649127_11916ccc-1b23-40f9-8c8e-9f608a6210e5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17661870/check_21649127_bf2d446c-eb31-4183-b664-bf4384a6b9e5.json | N/A | N/A | N/A | N/A | N/A | NCF527W21105 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1996-07-03 | 040 | 57AJCA | N/A | HM | false | QUEVEDO LOPEZ | N/A | HELEN | N/A | 9999-12-31 | 2024-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10347999975 | 167942 | N/A | 17661870 | 2222 | N/A | 20744528 | N/A | 15706393 | 2026-03-20 17:42:04.829811 | 2026-03-16 23:28:54.267659 |
| 2026-03-20 17:41:53.302521 | 2026-03-20 17:41:55.133090 | 21649114 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2015-03-22 | 2026-03-25 | F | PT | N/A | 4185 | FEEMSTER | DJA12853815J | Madeline | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16418575/check_21649114_edc77c4d-71dc-496e-9bd0-53aa53175ce3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16418575/check_21649114_62494983-375b-4ef8-9aaf-cae209c7d6a6.json | N/A | N/A | N/A | N/A | N/A | DJA12853815J | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2015-03-22 | N/A | N/A | N/A | N/A | false | FEEMSTER | N/A | MADELINE | N/A | 2026-12-31 | 2026-03-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16418575 | 2222 | N/A | 20744517 | N/A | 14466131 | 2026-03-20 17:41:55.133090 | 2026-02-05 19:30:21.838019 |
| 2026-03-20 17:41:51.162814 | 2026-03-20 17:42:25.175184 | 21649109 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-17 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_21649109_da96b0d1-a919-4ee0-914f-f64ca0b72d28.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-20 17:42:25.175184 | 2025-05-13 04:29:37.229495 |
| 2026-03-20 17:41:49.614306 | 2026-03-20 17:41:53.299314 | 21649098 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2015-03-22 | 2026-03-25 | F | PT | N/A | 4185 | FEEMSTER | DJA12853815J | Madeline | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16418575/check_21649098_12e672df-2df6-482a-894b-62e3140d4021.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | DJA12853815J | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2015-03-22 | N/A | N/A | N/A | N/A | false | FEEMSTER | N/A | MADELINE | N/A | 2026-12-31 | 2026-03-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16418575 | 2222 | N/A | N/A | N/A | 14466131 | 2026-03-20 17:41:53.299314 | 2026-02-05 19:30:21.838019 |
| 2026-03-20 17:41:41.830902 | 2026-03-20 17:41:44.622397 | 21649094 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-05-22 | 2026-03-25 | M | AE | PT | 4211 | SMITH | 99688004H | MATTHEW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7022680/check_21649094_6c464176-cd7a-491c-941b-8e40544ee55a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022680/check_21649094_48c5ffb3-3af2-479f-b4a8-82a79b1833d9.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-05-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | 2078-12-31 | 2025-05-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10347997519 | 167942 | N/A | 7022680 | 2222 | N/A | 20744506 | N/A | 6037802 | 2026-03-20 17:41:44.622397 | 2025-07-22 17:48:16.997014 |
| 2026-03-20 17:41:04.476729 | 2026-03-20 17:41:34.482512 | 21649031 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-12 | 2026-03-25 | F | AE | PT | 3948 | NANEJANIANS | 102233507300 | RITA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16873525/check_21649031_9eedfbaf-bf36-4394-9294-dce9e58d4033.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16873525/check_21649031_1fad94b1-3d38-4cd2-9301-f3ecf100df83.json | N/A | N/A | N/A | N/A | N/A | 102233507300 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1955-03-12 | 000003-CA000027 | 000003-CA | N/A | PR | false | NANEJANIANS | N/A | RITA | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE ENHANCED (PPO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10347993886 | 167942 | N/A | 16873525 | 2222 | N/A | 20744497 | N/A | 14878639 | 2026-03-20 17:41:34.482512 | 2026-02-18 04:20:06.759712 |
| 2026-03-20 17:39:24.499647 | 2026-03-20 17:39:26.429207 | 21648894 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-09-19 | 2026-03-25 | U | PT | N/A | 4191 | Chilakls | XAB913820374 | Janis | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18247267/check_21648894_89886cea-13f5-4769-9738-34e9b9ea0dc4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18247267/check_21648894_443ada17-fc2a-4fe3-ac35-a369c00a2341.json | N/A | N/A | N/A | N/A | N/A | XAB913820374 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1964-09-19 | N/A | N/A | N/A | N/A | false | CHILAKLS | N/A | JANIS | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18247267 | 2222 | N/A | 20744409 | N/A | 16262937 | 2026-03-20 17:39:26.429207 | 2026-03-23 18:45:59.777696 |
| 2026-03-20 17:39:22.833346 | 2026-03-20 17:39:24.496159 | 21648893 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-09-19 | 2026-03-25 | U | PT | N/A | 4191 | Chilakls | XAB913820374 | Janis | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18247267/check_21648893_85c7c162-eeae-4cb1-af8e-2ba0b04967d5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | XAB913820374 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1964-09-19 | N/A | N/A | N/A | N/A | false | CHILAKLS | N/A | JANIS | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18247267 | 2222 | N/A | N/A | N/A | 16262937 | 2026-03-20 17:39:24.496159 | 2026-03-23 18:45:59.777696 |
| 2026-03-20 17:38:43.388729 | 2026-03-20 17:38:56.443170 | 21648883 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-03 | 2026-03-25 | F | 30 | AD | 6237 | WIKTOR BECKER | 40085194001 | ANNA | Krystyna | https://storage.googleapis.com/normandy-eligibility-checks/2222/18319231/check_21648883_488d0df1-0967-4570-8e5e-b0fa0d04ad4f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18319231/check_21648883_91d0ff67-0e49-424a-b516-ef68e76185c5.json | N/A | N/A | N/A | N/A | N/A | 40085194001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-03-03 | 2026H5425001 | H5425M | N/A | N/A | false | WIKTOR BECKER | N/A | ANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 10347981472 | 167942 | N/A | 18319231 | 2222 | N/A | 20744401 | N/A | 16330459 | 2026-03-20 17:38:56.443170 | 2026-03-18 19:16:09.524076 |
| 2026-03-20 17:38:34.698767 | 2026-03-20 17:38:37.693945 | 21648880 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-09 | 2026-03-25 | F | AE | PT | 23412 | OSTERHOUDT | U2156506701 | TRACY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/8471577/check_21648880_b7dff094-a77d-496a-8881-1b0799205467.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471577/check_21648880_333f79e8-46bf-4dd6-a95b-382a083ebdd6.json | N/A | N/A | N/A | N/A | N/A | U2156506701 | Health Maintenance Organization (HMO) | CAPITAL GROUP | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1971-12-09 | N/A | 3173816 | N/A | HM | false | OSTERHOUDT | N/A | TRACY | N/A | N/A | N/A | NETWORK | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10347980662 | 167942 | N/A | 8471577 | 2222 | N/A | 20744396 | N/A | 7142472 | 2026-03-20 17:38:37.693945 | 2025-09-06 16:19:59.701160 |
| 2026-03-20 17:38:19.909589 | 2026-03-20 17:38:23.825245 | 21648879 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1992-02-05 | 2026-03-25 | F | AE | PT | 5504 | Hipp | 000021264656 | Zoe | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18386550/check_21648879_093dcbd2-6626-4c38-a73c-bfde310545b9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18386550/check_21648879_1ffa60b6-59dc-4bac-b6ec-25cef908d712.json | N/A | N/A | N/A | N/A | N/A | 000021264656 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1992-02-05 | 4359377 | 399999 | N/A | N/A | false | HIPP | N/A | ZOE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10347979011 | 167942 | N/A | 18386550 | 2222 | N/A | 20744395 | N/A | 16392592 | 2026-03-20 17:38:23.825245 | 2026-03-19 17:35:27.889788 |
| 2026-03-20 17:38:00.565286 | 2026-03-20 17:38:04.373399 | 21648871 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-12-26 | 2026-03-25 | M | AE | PT | 3948 | MAHINAY | W219751013 | JASON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/12366384/check_21648871_1514a4b0-77c0-429b-b443-2f815c1b1871.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12366384/check_21648871_d8b70b34-dce1-410f-9f39-171b9f116a4f.json | N/A | N/A | N/A | N/A | N/A | W219751013 | Point of Service (POS) | HOLTHOUSE CARLIN & VAN TRIGT LLP | AETNA | N/A | 1980-12-26 | 0803905 | 080390501200002 | N/A | PS | false | MAHINAY | N/A | JASON | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10347977200 | 167942 | N/A | 12366384 | 2222 | N/A | 20744387 | N/A | 10546247 | 2026-03-20 17:38:04.373399 | 2025-11-14 17:19:10.403651 |
| 2026-03-20 17:37:51.749219 | 2026-03-20 17:37:53.634510 | 21648870 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-11-28 | 2026-03-25 | U | PT | N/A | 4191 | BRAICO | XED910948464 | MICHEAL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18404919/check_21648870_f3c1803e-8fc0-418f-9db4-03978e24f937.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18404919/check_21648870_6093f57b-b00d-4913-b36f-a388b0c7c55e.json | N/A | N/A | N/A | N/A | N/A | XED910948464 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1988-11-28 | N/A | N/A | N/A | N/A | false | BRAICO | N/A | MICHEAL | N/A | 9999-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18404919 | 2222 | N/A | 20744386 | N/A | 16408525 | 2026-03-20 17:37:53.634510 | 2026-04-29 19:12:42.644870 |
| 2026-03-20 17:37:50.091492 | 2026-03-20 17:37:51.745241 | 21648868 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-11-28 | 2026-03-25 | U | PT | N/A | 4191 | BRAICO | XED910948464 | MICHEAL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18404919/check_21648868_f91accab-42e5-4286-85be-761b9a048f5d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | XED910948464 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1988-11-28 | N/A | N/A | N/A | N/A | false | BRAICO | N/A | MICHEAL | N/A | 9999-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18404919 | 2222 | N/A | N/A | N/A | 16408525 | 2026-03-20 17:37:51.745241 | 2026-04-29 19:12:42.644870 |
| 2026-03-20 17:37:42.371599 | 2026-03-20 17:37:45.245068 | 21648866 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-08 | 2026-03-25 | F | PT | N/A | 4185 | CHALFIN | WAR121A52220 | LISA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/7456267/check_21648866_0455aa97-40f5-4e7e-a0b3-9fc87fe65198.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456267/check_21648866_412a9faf-472b-411e-9d47-a2bc8f401c43.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | PRUDENT BUYER EXCLUSIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10347975560 | 167942 | N/A | 7456267 | 2222 | N/A | 20744382 | N/A | 6405582 | 2026-03-20 17:37:45.245068 | 2025-08-04 21:58:38.426681 |
| 2026-03-20 17:37:33.785970 | 2026-03-20 17:37:35.615635 | 21648862 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-05-08 | 2026-03-25 | F | AE | PT | 4497 | CHICAS | 2VE9DX6NU27 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/8202975/check_21648862_ef7e8d17-f3a9-43cb-9264-d118a86190bc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202975/check_21648862_589338fd-9c0e-4b92-8570-88125f412533.json | N/A | N/A | N/A | N/A | N/A | 2VE9DX6NU27 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-08 | S5617 | N/A | N/A | MB | false | CHICAS | N/A | MARIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10347974766 | 167942 | N/A | 8202975 | 2222 | N/A | 20744378 | N/A | 6965620 | 2026-03-20 17:37:35.615635 | 2025-09-03 23:20:10.287852 |
| 2026-03-20 17:37:22.222491 | 2026-03-20 17:37:24.130594 | 21648857 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-04-14 | 2026-03-25 | M | PT | N/A | 4184 | SANCHEZ | VDHE010175088 | LUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17645349/check_21648857_df4806a6-008c-4f22-a8ef-91bc84763dfa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17645349/check_21648857_abd02e0d-32c4-478b-9356-781798b40825.json | N/A | N/A | N/A | N/A | N/A | VDHE010175088 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-04-14 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | LUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17645349 | 2222 | N/A | 20744372 | N/A | 15689321 | 2026-03-20 17:37:24.130594 | 2026-03-10 14:49:11.771842 |
| 2026-03-20 17:37:20.427775 | 2026-03-20 17:37:22.219136 | 21648855 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-04-14 | 2026-03-25 | M | PT | N/A | 4184 | SANCHEZ | VDHE010175088 | LUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17645349/check_21648855_f0bd0594-8f85-48b4-9dce-52faecfa6377.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | VDHE010175088 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-04-14 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | LUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17645349 | 2222 | N/A | N/A | N/A | 15689321 | 2026-03-20 17:37:22.219136 | 2026-03-10 14:49:11.771842 |
| 2026-03-20 17:37:09.950709 | 2026-03-20 17:37:14.372551 | 21648854 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-05-19 | 2026-03-25 | M | AE | PT | N/A | MALHOTRA | 934509267 | DAVE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14936491/check_21648854_4a6cddcd-214c-49ac-8a1f-1db6e5a657cb.json | UHC | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14936491/check_21648854_8af9cc89-4674-4174-ac9e-e0701fa28669.json | N/A | N/A | N/A | N/A | N/A | 934509267 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1977-05-19 | N/A | 941855 | N/A | C1 | false | MALHOTRA | N/A | DAVE | N/A | N/A | N/A | POS CHOICE PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 14936491 | 2222 | N/A | 20744370 | N/A | 8100424 | 2026-03-20 17:37:14.372551 | 2025-10-07 13:46:29.078092 |
| 2026-03-20 17:37:02.517869 | 2026-03-20 17:37:04.398653 | 21648853 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-06-03 | 2026-03-25 | F | AE | PT | 4199 | SERRANO | 98405652D77059 | LETICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550817/check_21648853_11d8be6a-a6ea-4844-8114-47539d6b122f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550817/check_21648853_a06b67b5-eac5-447a-98a7-8cfa23ac4811.json | N/A | N/A | N/A | N/A | N/A | 98405652D77059 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1961-06-03 | N/A | N/A | N/A | N/A | false | SERRANO | N/A | LETICIA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5550817 | 2222 | N/A | 20744368 | N/A | 4219694 | 2026-03-20 17:37:04.398653 | 2026-03-18 17:18:33.091985 |
| 2026-03-20 17:37:00.794047 | 2026-03-20 17:37:02.514492 | 21648852 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-06-03 | 2026-03-25 | F | AE | PT | 4199 | SERRANO | 98405652D77059 | LETICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550817/check_21648852_02cf9e48-50c8-4fae-bc2e-2fb28d24984d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | 98405652D77059 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1961-06-03 | N/A | N/A | N/A | N/A | false | SERRANO | N/A | LETICIA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5550817 | 2222 | N/A | N/A | N/A | 4219694 | 2026-03-20 17:37:02.514492 | 2026-03-18 17:18:33.091985 |
| 2026-03-20 17:36:45.236138 | 2026-03-20 17:36:47.148970 | 21648847 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1995-09-26 | 2026-03-25 | M | AE | PT | 5504 | Cisneros | 000024903692 | Alexander | Hernandez | https://storage.googleapis.com/normandy-eligibility-checks/2222/17930332/check_21648847_95e2e123-6658-41ac-8bf1-ceb19bb7fcee.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17930332/check_21648847_782101a4-fa2b-4e81-a2f0-24d6bc5d9881.json | N/A | N/A | N/A | N/A | N/A | 000024903692 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1995-09-26 | N/A | N/A | N/A | N/A | false | CISNEROS | N/A | ALEXANDER | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17930332 | 2222 | N/A | 20744364 | N/A | 15968671 | 2026-03-20 17:36:47.148970 | 2026-03-20 18:20:29.914070 |
| 2026-03-20 17:36:42.509013 | 2026-03-20 17:36:45.233176 | 21648845 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1995-09-26 | 2026-03-25 | M | AE | PT | 5504 | Cisneros | 000024903692 | Alexander | Hernandez | https://storage.googleapis.com/normandy-eligibility-checks/2222/17930332/check_21648845_5715c7af-10c5-478c-90f3-1ebabc3feaff.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | 000024903692 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1995-09-26 | N/A | N/A | N/A | N/A | false | CISNEROS | N/A | ALEXANDER | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17930332 | 2222 | N/A | N/A | N/A | 15968671 | 2026-03-20 17:36:45.233176 | 2026-03-20 18:20:29.914070 |
| 2026-03-20 17:36:31.777015 | 2026-03-20 17:36:34.683066 | 21648842 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-28 | 2026-03-25 | M | PT | N/A | 4184 | ANDERSON | MPI01400934Q | TODD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18186648/check_21648842_f1b99b0d-9d59-49d0-9a7c-6bd2b62028e9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18186648/check_21648842_d9fed883-7d14-416b-b5a4-7428a9676c2c.json | N/A | N/A | N/A | N/A | N/A | MPI01400934Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN - RETIREE | ANTHEM BLUE CROSS | N/A | 1961-12-28 | 040 | 277163M503 | N/A | PR | false | ANDERSON | N/A | TODD | N/A | 9999-12-31 | 2024-12-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10347969420 | 167942 | N/A | 18186648 | 2222 | N/A | 20744358 | N/A | 16203702 | 2026-03-20 17:36:34.683066 | 2026-03-25 15:59:19.781101 |
| 2026-03-20 17:36:24.368565 | 2026-03-20 17:36:26.204550 | 21648841 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-29 | 2026-03-25 | M | PT | N/A | 4185 | FLORES | JQW444W17529 | SERGIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18090769/check_21648841_a3ba473c-3fd4-463b-a124-861be602a988.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18090769/check_21648841_0c52ee46-8955-4011-97ef-83a6ee353370.json | N/A | N/A | N/A | N/A | N/A | JQW444W17529 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-08-29 | N/A | N/A | N/A | N/A | false | FLORES | N/A | SERGIO | N/A | 9999-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18090769 | 2222 | N/A | 20744355 | N/A | 16114931 | 2026-03-20 17:36:26.204550 | 2026-03-20 18:10:42.904519 |
| 2026-03-20 17:36:22.677234 | 2026-03-20 17:36:24.364952 | 21648839 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-29 | 2026-03-25 | M | PT | N/A | 4185 | FLORES | JQW444W17529 | SERGIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18090769/check_21648839_d2a6af7f-8072-498c-a82b-c08a5cdb61d4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | JQW444W17529 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-08-29 | N/A | N/A | N/A | N/A | false | FLORES | N/A | SERGIO | N/A | 9999-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18090769 | 2222 | N/A | N/A | N/A | 16114931 | 2026-03-20 17:36:24.364952 | 2026-03-20 18:10:42.904519 |
| 2026-03-20 17:36:12.897205 | 2026-03-20 17:36:14.679244 | 21648837 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1963-01-15 | 2026-03-25 | F | AE | PT | 5504 | Adams | 8863593 | Toni | Yvette | https://storage.googleapis.com/normandy-eligibility-checks/2222/18427607/check_21648837_2076a874-7e45-48de-9d2b-8f9f42eb2019.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18427607/check_21648837_4f2479df-4342-45fd-a0df-09900df0aee8.json | N/A | N/A | N/A | N/A | N/A | 8863593 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1963-01-15 | N/A | N/A | N/A | N/A | false | ADAMS | N/A | TONI | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18427607 | 2222 | N/A | 20744351 | N/A | 16428516 | 2026-03-20 17:36:14.679244 | 2026-03-20 01:42:19.868288 |
| 2026-03-20 17:36:11.176462 | 2026-03-20 17:36:12.893773 | 21648836 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1963-01-15 | 2026-03-25 | F | AE | PT | 5504 | Adams | 8863593 | Toni | Yvette | https://storage.googleapis.com/normandy-eligibility-checks/2222/18427607/check_21648836_af9d3f86-3b9f-4b1d-a656-60d79947dba4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | 8863593 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1963-01-15 | N/A | N/A | N/A | N/A | false | ADAMS | N/A | TONI | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18427607 | 2222 | N/A | N/A | N/A | 16428516 | 2026-03-20 17:36:12.893773 | 2026-03-20 01:42:19.868288 |
| 2026-03-20 17:35:52.276345 | 2026-03-20 17:35:55.146325 | 21648830 | N/A | N/A | 39026 | UMR | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-09-23 | 2026-03-25 | F | AE | PT | 6589 | MCALLISTER | 51787856 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18317871/check_21648830_8396616d-dbc0-41fc-9cd7-f2d17ac3734d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18317871/check_21648830_971807c8-7379-4565-85eb-02d8cc4c7242.json | N/A | N/A | N/A | N/A | N/A | 51787856 | N/A | N/A | UMR | N/A | 1966-09-23 | N/A | N/A | N/A | N/A | false | MCALLISTER | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18317871 | 2222 | N/A | 20744343 | N/A | 13539068 | 2026-03-20 17:35:55.146325 | 2026-01-27 19:06:57.352195 |
| 2026-03-20 17:35:49.586504 | 2026-03-20 17:35:52.273457 | 21648828 | N/A | N/A | 39026 | UMR | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-09-23 | 2026-03-25 | F | AE | PT | 6589 | MCALLISTER | 51787856 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18317871/check_21648828_ff3bb4d0-e115-4658-9f33-42baf9bd31e8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | 51787856 | N/A | N/A | UMR | N/A | 1966-09-23 | N/A | N/A | N/A | N/A | false | MCALLISTER | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18317871 | 2222 | N/A | N/A | N/A | 13539068 | 2026-03-20 17:35:52.273457 | 2026-01-27 19:06:57.352195 |
| 2026-03-20 17:35:47.152267 | 2026-03-20 17:35:47.400169 | 21648827 | N/A | N/A | 39026 | UNITED MEDICAL RESOURCES | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-09-23 | 2026-03-25 | F | AE | PT | N/A | MCALLISTER | 51787856 | KAREN | N/A | N/A | UHC | N/A | INSIGHTS | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18317871 | 2222 | N/A | N/A | N/A | 13539068 | 2026-03-20 17:35:47.400169 | 2026-01-27 19:06:57.352195 |
| 2026-03-20 17:35:37.726827 | 2026-03-20 17:35:40.576569 | 21648825 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-03-26 | 2026-03-25 | F | AE | PT | 4211 | HEYES | 95596436F | DARCIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542233/check_21648825_8f246f93-ab06-4080-ae2d-6c226149e9a4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_21648825_54a8e88a-6d1a-4d97-a776-b8944fde86cf.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10347963439 | 167942 | N/A | 5542233 | 2222 | N/A | 20744340 | N/A | 4214178 | 2026-03-20 17:35:40.576569 | 2025-05-13 04:29:37.228506 |
| 2026-03-20 17:35:22.713097 | 2026-03-20 17:35:24.577763 | 21648823 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-05-22 | 2026-03-25 | M | PT | N/A | 4185 | GARCIA | 328W09535-50 | MARCUS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18094155/check_21648823_e0155f99-1a41-4d5e-aab5-b097eee9d18e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18094155/check_21648823_6da0ea6e-940d-4742-b816-331eb24e5413.json | N/A | N/A | N/A | N/A | N/A | 328W09535-50 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2007-05-22 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | MARCUS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18094155 | 2222 | N/A | 20744337 | N/A | 16118115 | 2026-03-20 17:35:24.577763 | 2026-03-13 21:20:51.355905 |
| 2026-03-20 17:35:20.771806 | 2026-03-20 17:35:22.708897 | 21648822 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-05-22 | 2026-03-25 | M | PT | N/A | 4185 | GARCIA | 328W09535-50 | MARCUS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18094155/check_21648822_ea0c7ab5-3e8c-494e-812d-bb85b09663f4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-25 | N/A | N/A | N/A | N/A | N/A | N/A | 328W09535-50 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2007-05-22 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | MARCUS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18094155 | 2222 | N/A | N/A | N/A | 16118115 | 2026-03-20 17:35:22.708897 | 2026-03-13 21:20:51.355905 |
| 2026-03-20 17:23:54.988422 | 2026-03-20 17:24:28.966575 | 21648197 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-12 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21648197_7bcda6fd-d8ff-4107-a8bd-c8705d62c50e.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-12 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-20 17:24:28.966575 | 2025-11-11 01:01:48.778756 |
| 2026-03-20 17:22:42.020220 | 2026-03-20 17:23:15.604437 | 21648094 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-10 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21648094_3c5d466a-0767-4df2-90ab-776f120d18a5.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-10 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-20 17:23:15.604437 | 2025-11-11 01:01:48.778756 |
| 2026-03-20 17:22:00.767331 | 2026-03-20 17:22:34.303004 | 21648034 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-05 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21648034_8249f4dd-2d5e-4642-9b04-0874e56e48e0.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-05 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-20 17:22:34.303004 | 2025-11-11 01:01:48.778756 |
| 2026-03-20 17:21:16.066086 | 2026-03-20 17:21:49.903167 | 21647970 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2026-01-30 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_21647970_645174d7-e0e6-4e20-87a8-71d0f52ea597.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-20 17:21:49.903167 | 2025-05-13 04:29:37.229495 |
| 2026-03-20 17:19:40.940087 | 2026-03-20 17:20:15.715607 | 21647845 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-01-26 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21647845_fdce16a9-b76b-4c04-9f4b-59db957e6498.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-26 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-20 17:20:15.715607 | 2025-11-11 01:01:48.778756 |
| 2026-03-20 17:17:21.275067 | 2026-03-20 17:17:23.065270 | 21647613 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-28 | 2026-03-24 | M | AE | PT | 4185 | FERNANDEZ | JQS315W00257 | FREDERICO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542274/check_21647613_d353a7fa-4198-4b60-af8f-144c6da28af3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542274/check_21647613_ab46447c-1928-4d83-a47c-1ae8f17324e6.json | N/A | N/A | N/A | N/A | N/A | JQS315W00257 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-10-28 | 040 | CAMCRWP0 | N/A | MP | false | FERNANDEZ | N/A | FREDERICO | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10347861705 | 167942 | N/A | 5542274 | 2222 | N/A | 20743347 | N/A | 4214212 | 2026-03-20 17:17:23.065270 | 2025-05-13 04:29:37.228546 |
| 2026-03-20 17:16:36.737874 | 2026-03-20 17:17:10.604658 | 21647539 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-17 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_21647539_e861d70e-05e2-469f-9c4c-b77678075276.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-20 17:17:10.604658 | 2025-05-13 04:29:37.229495 |