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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-24 18:46:14.864301 | 2025-06-24 18:46:16.715469 | 9227379 | 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_9227379_8383cc84-20b4-4386-b57c-38faf6ed4f85.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538289/check_9227379_4d9f1d73-faa4-49dc-a5f8-63376bf8d2a1.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 | 7927 | N/A | 5538289 | 2222 | N/A | 8934020 | N/A | 4210725 | 2025-06-24 18:46:16.715469 | 2025-06-16 16:15:05.679018 |
| 2025-06-24 18:46:13.192110 | 2025-06-24 18:46:14.861451 | 9227376 | 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_9227376_a7631bb1-17a3-4717-9e61-78a86ba2500b.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 | 7927 | N/A | 5538289 | 2222 | N/A | N/A | N/A | 4210725 | 2025-06-24 18:46:14.861451 | 2025-06-16 16:15:05.679018 |
| 2025-06-24 17:45:33.085193 | 2025-06-24 17:45:34.941400 | 9227073 | 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 | GUTIERREZ DE LA T | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227073_68536ed8-2d52-4016-98ae-b593c57b2014.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9227073_e71cbe0a-3b7d-42e0-9fcb-029c940448d3.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 | 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 | 9482 | N/A | 6436444 | 2222 | N/A | 8933508 | N/A | 5082110 | 2025-06-24 17:45:34.941400 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:45:31.442613 | 2025-06-24 17:45:33.081684 | 9227071 | 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 | GUTIERREZ DE LA T | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227071_89959bf2-af47-4d2e-a4cb-2cd691d83ea4.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 | 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 | 9482 | N/A | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 17:45:33.081684 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:31:25.809366 | 2025-06-24 17:31:28.597190 | 9227009 | 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 | DE LA TORR | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227009_c17c72d2-d9de-4ce7-afb2-98b052799d67.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9227009_b74440aa-d45c-4074-a89a-8e57c3bb5a6f.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 | DE LA 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 | 9482 | N/A | 6436444 | 2222 | N/A | 8933403 | N/A | 5082110 | 2025-06-24 17:31:28.597190 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:31:24.238453 | 2025-06-24 17:31:25.807511 | 9227007 | 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 | DE LA TORR | 99184430E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9227007_5eb7adbe-8d9f-40d6-a8da-0a9c2967c2d6.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 | DE LA 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 | 9482 | N/A | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 17:31:25.807511 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:22:23.394277 | 2025-06-24 17:22:26.185355 | 9226950 | 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 | GUTIERREZ DE LA TORR | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9226950_589d2218-fb10-4457-9ca0-9782b14df10b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9226950_da47e73a-a9b8-4c11-b119-13ecc02bceea.json | N/A | N/A | N/A | N/A | N/A | 9918443E | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6436444 | 2222 | N/A | 8933322 | N/A | 5082110 | 2025-06-24 17:22:26.185355 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:22:21.644707 | 2025-06-24 17:22:23.389506 | 9226949 | 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 | GUTIERREZ DE LA TORR | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9226949_9f622f48-659b-4821-af40-9164926094e5.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 | LAKESIDE MEDICAL GROUP | 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 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 17:22:23.389506 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:21:01.087737 | 2025-06-24 17:21:06.109201 | 9226943 | 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 | GUTIERREZ DE LA TORR | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9226943_4fe49550-d640-4d50-bead-0383d9f39b9c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9226943_8d4da30d-9966-4424-bc27-33f016ea6ebe.json | N/A | N/A | N/A | N/A | N/A | 9918443E | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6436444 | 2222 | N/A | 8933314 | N/A | 5082110 | 2025-06-24 17:21:06.109201 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:20:56.448039 | 2025-06-24 17:21:01.085546 | 9226942 | 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 | GUTIERREZ DE LA TORR | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9226942_e66e2503-cfd6-4bee-b37b-dc0fb1804910.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 | LAKESIDE MEDICAL GROUP | 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 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 17:21:01.085546 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:20:50.332991 | 2025-06-24 17:20:52.210724 | 9226941 | 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 | GUTIERREZ DE LA TORR | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9226941_6f6ea5a8-962c-4ebc-8037-af0cec27d729.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9226941_ccf064e0-bfcb-4d1e-98af-1c5d2764046a.json | N/A | N/A | N/A | N/A | N/A | 9918443E | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6436444 | 2222 | N/A | 8933311 | N/A | 5082110 | 2025-06-24 17:20:52.210724 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:20:48.686672 | 2025-06-24 17:20:50.330344 | 9226940 | 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 | GUTIERREZ DE LA TORR | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9226940_964fcd8b-799d-40ea-9534-f873016aaf54.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 | LAKESIDE MEDICAL GROUP | 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 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 17:20:50.330344 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:20:13.703193 | 2025-06-24 17:20:18.211496 | 9226936 | 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_9226936_a0064fb7-af3a-49b3-926d-e5804b05bfb4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9226936_aab37c05-7f1a-46e7-b123-6144c16f9aff.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 | 9482 | N/A | 6436444 | 2222 | N/A | 8933305 | N/A | 5082110 | 2025-06-24 17:20:18.211496 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:20:12.078008 | 2025-06-24 17:20:13.700078 | 9226935 | 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_9226935_b4ad45f8-ede6-4e06-aa5b-ba7ba438dc93.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 | 9482 | N/A | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 17:20:13.700078 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:20:08.485156 | 2025-06-24 17:20:10.409262 | 9226934 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-06-28 | 2025-06-24 | F | PT | AE | 4184 | WATFORD | 794A6172120 | MONICA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6193602/check_9226934_ef6e9d77-664b-441f-832d-fad35a023e7a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193602/check_9226934_71b00751-fed1-4ca8-8855-3efe8185a95e.json | N/A | N/A | N/A | N/A | N/A | 794A6172120 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-06-28 | N/A | N/A | N/A | N/A | false | WATFORD | N/A | MONICA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6193602 | 2222 | N/A | 8933302 | N/A | 4837815 | 2025-06-24 17:20:10.409262 | 2025-06-24 18:39:14.627021 |
| 2025-06-24 17:20:06.618435 | 2025-06-24 17:20:08.480207 | 9226933 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-06-28 | 2025-06-24 | F | PT | AE | 4184 | WATFORD | 794A6172120 | MONICA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6193602/check_9226933_596904ea-7ebe-4e28-8fdb-86d79a6f3efe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | N/A | N/A | N/A | N/A | N/A | N/A | 794A6172120 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-06-28 | N/A | N/A | N/A | N/A | false | WATFORD | N/A | MONICA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6193602 | 2222 | N/A | N/A | N/A | 4837815 | 2025-06-24 17:20:08.480207 | 2025-06-24 18:39:14.627021 |
| 2025-06-24 17:19:34.175879 | 2025-06-24 17:19:35.966986 | 9226919 | 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 | GUTIERREZ DE LA TORRE | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9226919_6c33deaf-9d4d-4467-8f84-9f85f0171a17.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9226919_384ff4bb-0d37-4266-b7b6-9b9dd6702d0d.json | N/A | N/A | N/A | N/A | N/A | 9918443E | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | 9482 | N/A | 6436444 | 2222 | N/A | 8933283 | N/A | 5082110 | 2025-06-24 17:19:35.966986 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:19:31.411005 | 2025-06-24 17:19:34.173410 | 9226918 | 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 | GUTIERREZ DE LA TORRE | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9226918_474b5e33-ce07-4499-a3aa-7b255f827332.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 | LAKESIDE MEDICAL GROUP | 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 | 9482 | N/A | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 17:19:34.173410 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:18:34.353644 | 2025-06-24 17:18:36.164260 | 9226905 | 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 | GUTIERREZ DE LA TORRE | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9226905_571951f7-3900-4022-ab77-bd04fe6a7595.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9226905_2afd28a5-729b-466c-a78e-101bce6a00df.json | N/A | N/A | N/A | N/A | N/A | 9918443E | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | 9482 | N/A | 6436444 | 2222 | N/A | 8933269 | N/A | 5082110 | 2025-06-24 17:18:36.164260 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:18:31.736048 | 2025-06-24 17:18:34.349955 | 9226903 | 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 | GUTIERREZ DE LA TORRE | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9226903_6dd2706f-afac-43a4-8010-91df48ff25cb.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 | LAKESIDE MEDICAL GROUP | 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 | 9482 | N/A | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 17:18:34.349955 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:18:17.931190 | 2025-06-24 17:18:19.937284 | 9226897 | 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 | GUTIERREZ DE LA TORRE | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9226897_b52364d2-52de-4d6c-a564-5bda980ad6db.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9226897_f63c3d6a-e684-4e5d-8d1e-d786275fa8da.json | N/A | N/A | N/A | N/A | N/A | 9918443E | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | 9482 | N/A | 6436444 | 2222 | N/A | 8933262 | N/A | 5082110 | 2025-06-24 17:18:19.937284 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:18:16.273304 | 2025-06-24 17:18:17.917973 | 9226896 | 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 | GUTIERREZ DE LA TORRE | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9226896_1a8a50c9-5a67-4fbd-b896-60fbbe07dbb7.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 | LAKESIDE MEDICAL GROUP | 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 | 9482 | N/A | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 17:18:17.917973 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:17:48.582494 | 2025-06-24 17:17:57.481046 | 9226885 | 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 | GUTIERREZ DE LA TORRE | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9226885_546bf927-7ca8-493f-97af-5766cee6092a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9226885_52bf43eb-7a53-4729-99a4-b8e40bcc0f21.json | N/A | N/A | N/A | N/A | N/A | 9918443E | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | 9482 | N/A | 6436444 | 2222 | N/A | 8933251 | N/A | 5082110 | 2025-06-24 17:17:57.481046 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:17:46.934189 | 2025-06-24 17:17:48.578539 | 9226884 | 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 | GUTIERREZ DE LA TORRE | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9226884_d3722d64-3b03-4e09-8d99-af2865a40203.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 | LAKESIDE MEDICAL GROUP | 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 | 9482 | N/A | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 17:17:48.578539 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 17:12:01.920409 | 2025-06-24 17:12:04.720848 | 9226826 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-08-12 | 2025-06-25 | M | AE | PT | 4437 | Abramson | U8547035201 | Mitch | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522486/check_9226826_c796fea5-f65d-4b9c-b423-796bd020fb2b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522486/check_9226826_1c8a1f98-34f3-4258-9b8b-8e49b5fe2bda.json | N/A | N/A | N/A | N/A | N/A | U8547035201 | N/A | BILL OPERATIONS, LLC AND ITS AFFILIATES | CHLIC | NEW BUSINESS RATES APPLIED PREFERRED CARE MANAGEMENT | 1992-08-12 | N/A | 3344611 | N/A | N/A | false | ABRAMSON | N/A | MITCH | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8047599044 | 7927 | N/A | 6522486 | 2222 | N/A | 8933178 | N/A | 5145779 | 2025-06-24 17:12:04.720848 | 2025-06-24 17:10:45.890456 |
| 2025-06-24 16:55:44.276254 | 2025-06-24 16:55:46.050412 | 9226676 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2025-06-20 | 2025-06-25 | M | AE | PT | 4437 | Abramson | U8547035201 | Mitch | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522486/check_9226676_4c4cce2f-ad11-47e5-9fde-b34603100a09.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522486/check_9226676_ed407c57-d94d-4530-9eb3-5e2d9905999e.json | N/A | N/A | N/A | N/A | N/A | U8547035201 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2025-06-20 | N/A | N/A | N/A | N/A | false | ABRAMSON | N/A | MITCH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 6522486 | 2222 | N/A | 8932992 | N/A | 5145779 | 2025-06-24 16:55:46.050412 | 2025-06-24 17:10:45.890456 |
| 2025-06-24 16:55:42.545430 | 2025-06-24 16:55:44.274088 | 9226675 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2025-06-20 | 2025-06-25 | M | AE | PT | 4437 | Abramson | U8547035201 | Mitch | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522486/check_9226675_baba5221-8231-48f8-a64b-170f45ce3c0b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | U8547035201 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2025-06-20 | N/A | N/A | N/A | N/A | false | ABRAMSON | N/A | MITCH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2097 | N/A | 6522486 | 2222 | N/A | N/A | N/A | 5145779 | 2025-06-24 16:55:44.274088 | 2025-06-24 17:10:45.890456 |
| 2025-06-24 16:36:16.893899 | 2025-06-24 16:36:19.734917 | 9226600 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-12-12 | 2025-06-30 | M | PT | N/A | 4184 | Nagourney | Q3N579W10549 | Sam | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567077/check_9226600_06de740a-dbbb-4441-a856-33580e5f6f34.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567077/check_9226600_7433361b-7a06-4892-82e9-9362438a23a3.json | N/A | N/A | N/A | N/A | N/A | Q3N579W10549 | Preferred Provider Organization (PPO) | PPO 500 | ANTHEM BLUE CROSS | N/A | 1986-12-12 | 243 | 721352E14M | N/A | PR | false | NAGOURNEY | N/A | SAM | N/A | 2025-07-01 | 2024-08-12 | PPO NY | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8047336709 | N/A | N/A | 6567077 | 2222 | N/A | 8932892 | N/A | 5189425 | 2025-06-24 16:36:19.734917 | 2025-06-24 16:19:19.180675 |
| 2025-06-24 15:33:50.010145 | 2025-06-24 15:33:51.902378 | 9226229 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-09-03 | 2025-06-24 | F | AE | PT | 23322 | REZAYANI | 97093372E | SHOAYLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541334/check_9226229_300439d7-9b2d-4589-bff2-48870d5e0f3e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541334/check_9226229_4717d948-cbf5-476e-8563-ebb89a529d0d.json | N/A | N/A | N/A | N/A | N/A | 97093372E | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | 160084 | N/A | 5541334 | 2222 | N/A | 8932353 | N/A | 4213366 | 2025-06-24 15:33:51.902378 | 2025-07-14 15:29:50.728003 |
| 2025-06-24 15:33:39.204834 | 2025-06-24 15:33:50.008375 | 9226228 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-09-03 | 2025-06-24 | F | AE | PT | 23322 | REZAYANI | 97093372E | SHOAYLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541334/check_9226228_74263885-64d3-45b2-9263-328b9c88367d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | N/A | N/A | N/A | N/A | N/A | N/A | 97093372E | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | 160084 | N/A | 5541334 | 2222 | N/A | N/A | N/A | 4213366 | 2025-06-24 15:33:50.008375 | 2025-07-14 15:29:50.728003 |
| 2025-06-24 15:32:50.714853 | 2025-06-24 15:32:54.620096 | 9226224 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-09-03 | 2025-06-24 | F | AE | PT | 4625 | REZAYANI | 97093372E | SHOAYLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541334/check_9226224_8c689ff3-8045-4eca-8612-70375263d909.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541334/check_9226224_1f03053a-8815-4df3-b030-327770391abc.json | N/A | N/A | N/A | N/A | N/A | 97093372E | N/A | N/A | CENTENE CORPORATION | 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 | 160084 | N/A | 5541334 | 2222 | N/A | 8932346 | N/A | 4213366 | 2025-06-24 15:32:54.620096 | 2025-07-14 15:29:50.728003 |
| 2025-06-24 15:32:47.987056 | 2025-06-24 15:32:50.712560 | 9226223 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-09-03 | 2025-06-24 | F | AE | PT | 4625 | REZAYANI | 97093372E | SHOAYLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541334/check_9226223_a861666a-7e4c-4b7e-96bc-aa4c82c200b1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | N/A | N/A | N/A | N/A | N/A | N/A | 97093372E | N/A | N/A | CENTENE CORPORATION | 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 | 160084 | N/A | 5541334 | 2222 | N/A | N/A | N/A | 4213366 | 2025-06-24 15:32:50.712560 | 2025-07-14 15:29:50.728003 |
| 2025-06-24 15:11:25.718752 | 2025-06-24 15:11:27.587634 | 9226136 | 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 | GUTIERREZ DE LA TORRE | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9226136_adbf85d3-3c1e-4410-96d1-cbe1d9102c42.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9226136_6ba56b54-340c-4af4-a75c-79fc7b855402.json | N/A | N/A | N/A | N/A | N/A | 9918443E | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | 6436444 | 2222 | N/A | 8932194 | N/A | 5082110 | 2025-06-24 15:11:27.587634 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 15:11:24.036313 | 2025-06-24 15:11:25.716626 | 9226135 | 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 | GUTIERREZ DE LA TORRE | 9918443E | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9226135_b02b5f79-3cf0-4492-9fde-c9e982d24208.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 | LAKESIDE MEDICAL GROUP | 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 | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-06-24 15:11:25.716626 | 2025-06-24 20:17:03.860413 |
| 2025-06-24 09:37:01.267652 | 2025-06-24 09:37:07.665303 | 9222506 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-07-02 | 2025-06-26 | M | AE | PT | 6411 | FRIEDMAN | G46825417 | JOEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540931/check_9222506_6d42357b-a46b-4955-ba55-97b5b15b1a3d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9222506_80ac2be5-6b7b-4ef1-b6a1-f151b5b44eaf.json | N/A | N/A | N/A | N/A | N/A | G46825417 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1970-07-02 | 767000416933002 | 76416933 | N/A | N/A | false | SHELBURNE | N/A | TANYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042597857 | N/A | N/A | 5540931 | 2222 | N/A | 8928042 | N/A | 4213013 | 2025-06-24 09:37:07.665303 | 2025-05-13 04:29:37.227340 |
| 2025-06-24 09:25:59.740411 | 2025-06-25 09:03:22.886932 | 9221491 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9221491 | Athletic Physical Therapy Inc | 1944-11-30 | 2025-06-25 | F | AE | PT | N/A | AMOROSA | 40037132201 | RITA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874458/check_9221491_4dea51c0-cdd1-4646-ad07-da1ece1fd52e.json | N/A | N/A | N/A | N/A | N/A | 40037132201 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1944-11-30 | N/A | N/A | N/A | N/A | false | AMOROSA | N/A | RITA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042518081 | N/A | N/A | 5874458 | 2222 | 4801 | 8943179 | N/A | 4534582 | 2025-06-25 09:03:22.886932 | 2026-03-02 22:06:30.224734 |
| 2025-06-24 09:25:59.184015 | 2025-06-25 09:14:17.634097 | 9221488 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9221488 | Athletic Physical Therapy Inc | 1994-05-07 | 2025-06-27 | F | PT | N/A | N/A | RAFFERTY | XED913453119 | ZOE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_9221488_c67922e4-349c-44ab-90b5-c81887e37bb2.json | N/A | N/A | N/A | N/A | N/A | XED913453119 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1994-05-07 | 2001ZK002187 | X0001004 | N/A | PR | false | RAFFERTY | N/A | ZOE | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042518080 | N/A | N/A | 5874430 | 2222 | 4802 | 8948442 | N/A | 4534559 | 2025-06-25 09:14:17.634097 | 2025-06-06 02:13:35.698378 |
| 2025-06-24 09:25:58.610388 | 2025-06-25 09:12:43.579525 | 9221487 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9221487 | Athletic Physical Therapy Inc | 1954-07-06 | 2025-06-27 | F | PT | N/A | N/A | WONG | MBL238A51912 | LOIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874429/check_9221487_153844cd-7e48-40f5-8666-f6a5fc446572.json | N/A | N/A | N/A | N/A | N/A | MBL238A51912 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1954-07-06 | 040 | CA039GRS | N/A | N/A | false | WONG | N/A | LOIS | N/A | 9999-12-31 | 2022-01-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042518079 | N/A | N/A | 5874429 | 2222 | 4802 | 8947666 | N/A | 4534558 | 2025-06-25 09:12:43.579525 | 2025-06-02 02:24:50.975707 |
| 2025-06-24 09:21:29.894691 | 2025-06-25 09:11:58.976091 | 9220877 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9220877 | Athletic Physical Therapy Inc | 1953-04-27 | 2025-06-27 | M | AE | PT | N/A | TEDDER | 00000390480 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_9220877_9dd49c20-bd90-4122-9d5f-356ef1edaaba.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517991 | N/A | N/A | 5676415 | 2222 | 4801 | 8947301 | 2630 | 4343470 | 2025-06-25 09:11:58.976091 | 2025-05-13 04:29:37.230947 |
| 2025-06-24 09:19:38.354949 | 2025-06-25 09:12:29.206225 | 9220402 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9220402 | Athletic Physical Therapy Inc | 1975-09-11 | 2025-06-27 | F | AE | PT | N/A | AMIN | JQU610A63416 | SHIRIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5580296/check_9220402_4be2c8a5-c0bc-4613-a2d4-3b673519058e.json | N/A | N/A | N/A | N/A | N/A | JQU610A63416 | Preferred Provider Organization (PPO) | PRIMEX WORLD INC | ANTHEM BLUE CROSS | N/A | 1975-09-11 | 040 | K38905 | N/A | PR | false | AMIN | N/A | MAHMOOD | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517694 | N/A | N/A | 5580296 | 2222 | 4802 | 8947556 | N/A | 4212993 | 2025-06-25 09:12:29.206225 | 2025-05-13 04:29:37.227321 |
| 2025-06-24 09:17:41.801002 | 2025-06-25 09:12:30.703885 | 9219840 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9219840 | Athletic Physical Therapy Inc | 2008-06-03 | 2025-06-27 | M | PT | N/A | N/A | DATO | NGO555A50496 | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_9219840_c7348194-896e-4d71-a969-a34a5eb09fc8.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2008-06-03 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042516463 | N/A | N/A | 5551045 | 2222 | 4793 | 8947569 | N/A | 4219851 | 2025-06-25 09:12:30.703885 | 2025-05-13 04:29:37.230897 |
| 2025-06-24 09:17:41.005155 | 2025-06-25 09:03:28.871461 | 9219838 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9219838 | Athletic Physical Therapy Inc | 1998-01-10 | 2025-06-27 | F | PT | N/A | N/A | PALACIOS | JMV542W2270020 | JASMIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551010/check_9219838_89537d01-9586-43f6-b1b2-74c91d82a47f.json | N/A | N/A | N/A | N/A | N/A | JMV542W2270020 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1998-01-10 | N/A | N/A | N/A | N/A | false | PALACIOS | N/A | JASMIN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517980 | N/A | N/A | 5551010 | 2222 | 4802 | 8943217 | N/A | 4219831 | 2025-06-25 09:03:28.871461 | 2025-05-13 04:29:37.230876 |
| 2025-06-24 09:17:40.443301 | 2025-06-25 09:12:33.595843 | 9219836 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9219836 | Athletic Physical Therapy Inc | 1959-07-17 | 2025-06-27 | F | PT | N/A | N/A | GILBERT | JPU461A71640 | SHERRI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550973/check_9219836_862fbe18-023f-4090-a825-d3199b3d2c2b.json | N/A | N/A | N/A | N/A | N/A | 3VT9D21WD25 | Preferred Provider Organization (PPO) | AGENCY FOR THE PERFORMING ARTS INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1959-07-17 | 040 | L12155M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517979 | N/A | N/A | 5550973 | 2222 | 4793 | 8947583 | N/A | 4219803 | 2025-06-25 09:12:33.595843 | 2025-05-13 04:29:37.230842 |
| 2025-06-24 09:17:39.667661 | 2025-06-25 09:30:32.535362 | 9219834 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9219834 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-06-27 | F | AE | PT | N/A | SCHLEIKORN | 4WT5NH8WR56 | MARIETTE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550958/check_9219834_d7410be5-f098-49d0-b66b-e740e1aafe3b.json | N/A | N/A | N/A | N/A | N/A | 4WT5NH8WR56 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-20 | N/A | N/A | N/A | MA | false | SCHLEIKORN | N/A | MARIETTE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517978 | N/A | N/A | 5550958 | 2222 | 4793 | 8953989 | N/A | 4219792 | 2025-06-25 09:30:32.535362 | 2025-05-13 04:29:37.230832 |
| 2025-06-24 09:17:39.147888 | 2025-06-25 09:30:30.854743 | 9219832 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9219832 | Athletic Physical Therapy Inc | 1958-07-03 | 2025-06-27 | M | PT | AE | N/A | NOVORR | 8UK6F04XX74 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550906/check_9219832_e66fa6ce-ca4b-4657-9346-267249ea1181.json | N/A | N/A | N/A | N/A | N/A | 8UK6F04XX74 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-03 | S9701 | N/A | N/A | MA | false | NOVORR | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8042517977 | N/A | N/A | 5550906 | 2222 | 4801 | 8953987 | N/A | 4219758 | 2025-06-25 09:30:30.854743 | 2025-05-13 04:29:37.230800 |
| 2025-06-24 09:17:38.670567 | 2025-06-25 09:03:11.431479 | 9219829 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9219829 | Athletic Physical Therapy Inc | 1964-09-23 | 2025-06-26 | F | AE | PT | N/A | FLORES | R04366782FS1 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550814/check_9219829_a50e3741-db67-4f87-85aa-d9f7e4d8c79d.json | N/A | N/A | N/A | N/A | N/A | R04366782FS1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-09-23 | N/A | N/A | N/A | N/A | false | FLORES | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517976 | N/A | N/A | 5550814 | 2222 | 4801 | 8943101 | N/A | 4219692 | 2025-06-25 09:03:11.431479 | 2025-05-13 04:29:37.230737 |
| 2025-06-24 09:17:38.018890 | 2025-06-25 09:30:29.041234 | 9219827 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9219827 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-06-27 | F | AE | PT | N/A | MARTIN | 5YV3RT3TA75 | DOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550797/check_9219827_0a813970-ce12-4027-b25d-cd76e0b381e5.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MB | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517975 | N/A | N/A | 5550797 | 2222 | 4793 | 8953981 | N/A | 4219681 | 2025-06-25 09:30:29.041234 | 2026-01-14 20:54:02.193776 |
| 2025-06-24 09:17:25.946295 | 2025-06-25 09:30:34.440868 | 9219777 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9219777 | Athletic Physical Therapy Inc | 1945-02-14 | 2025-06-27 | M | AE | PT | N/A | SLAUGHTER | 6V77P87YA36 | KAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543377/check_9219777_5884d3ae-975a-4607-98c4-39043227bd24.json | N/A | N/A | N/A | N/A | N/A | 6V77P87YA36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-02-14 | S5601 | N/A | N/A | MA | false | SLAUGHTER | N/A | KAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042517958 | N/A | N/A | 5543377 | 2222 | 4802 | 8953993 | N/A | 4215177 | 2025-06-25 09:30:34.440868 | 2025-05-13 04:29:37.229493 |
| 2025-06-24 09:17:25.403521 | 2025-06-25 09:12:35.340929 | 9219775 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9219775 | Athletic Physical Therapy Inc | 1960-09-07 | 2025-06-27 | M | PT | N/A | N/A | MEINERT | XEH912496752 | TIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543360/check_9219775_d7ba8135-6139-4552-a552-1bea3f8bf8a6.json | N/A | N/A | N/A | N/A | N/A | XEH912496752 | Health Maintenance Organization (HMO) | MILKEN COMMUNITY SCHOOLS | ANTHEM BLUE CROSS | N/A | 1960-09-07 | 1000HMOX0001 | W0070317 | N/A | HM | false | MEINERT | N/A | TIMOTHY | N/A | N/A | N/A | ACCESS HMO R PER ADMIT 10 250 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042517957 | N/A | N/A | 5543360 | 2222 | 4793 | 8947607 | 4184 | 4215161 | 2025-06-25 09:12:35.340929 | 2025-05-13 04:29:37.229478 |
| 2025-06-24 09:17:24.774483 | 2025-06-25 09:30:35.067905 | 9219771 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9219771 | Athletic Physical Therapy Inc | 1938-03-08 | 2025-06-26 | M | AE | PT | N/A | TEAGUE | 1T39QJ8JV30 | LEWIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.143026817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543292/check_9219771_cd23bba1-4c96-445e-8bb7-ebc6adb9e57b.json | N/A | N/A | N/A | N/A | N/A | 1T39QJ8JV30 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1938-03-08 | N/A | N/A | N/A | MA | false | TEAGUE | 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 | 8042517956 | N/A | N/A | 5543292 | 2222 | 4802 | 8953995 | N/A | 4215104 | 2025-06-25 09:30:35.067905 | 2025-05-13 04:29:37.229416 |