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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | insurance_company_id | 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 07:12:54.028978 | 2026-03-26 16:51:36.565644 | 21536671 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 21536671 | Athletic Physical Therapy Inc | 2007-12-08 | 2026-03-23 | F | AE | PT | LARSEN | R06053944FD1 | LANA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_21536671_bd6bf642-f7f1-4c24-b1a7-7b3a6f8f2e07.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | 2026-02-10 | 2026-01-01 | NDB COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342573307 | N/A | N/A | 5542850 | 2222 | 4793 | 21732513 | 4625 | 4214714 | 2026-03-26 16:51:36.565644 | 2025-05-13 04:29:37.229031 |
| 2026-03-20 07:12:53.912993 | 2026-03-26 16:51:37.158782 | 21536649 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 21536649 | Athletic Physical Therapy Inc | 1979-11-17 | 2026-03-23 | F | AE | PT | WOODS | 96781627F | JESSICA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542752/check_21536649_42bf7b66-061d-4d12-b03d-9b5ca3e3d77f.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | 2026-02-13 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342573306 | N/A | N/A | 5542752 | 2222 | 4793 | 21732597 | 4625 | 4214627 | 2026-03-26 16:51:37.158782 | 2025-06-23 18:58:46.304598 |
| 2026-03-20 07:12:53.804813 | 2026-03-26 16:51:35.930014 | 21536628 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 21536628 | override_provider | 1972-07-22 | 2026-03-23 | M | AE | PT | KOZMA | U9714475101 | JASON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_21536628_5133c2db-cb6e-47f3-aa90-5e95a673c372.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342573305 | N/A | N/A | 5542709 | 2222 | 4802 | 21732445 | N/A | 4214582 | 2026-03-26 16:51:35.930014 | 2025-12-02 00:00:04.433236 |
| 2026-03-20 07:12:53.673472 | 2026-03-26 16:51:36.182322 | 21536602 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 21536602 | Athletic Physical Therapy Inc | 1968-04-07 | 2026-03-23 | F | AE | PT | CHERE | 98953535F | DIANA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_21536602_3848c28d-ddf3-429c-9836-0bcc440c290c.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | 2026-02-05 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342573304 | N/A | N/A | 5542660 | 2222 | 4802 | 21732481 | 4625 | 4214542 | 2026-03-26 16:51:36.182322 | 2025-05-13 04:29:37.228868 |
| 2026-03-20 07:12:53.538345 | 2026-03-26 16:51:50.060170 | 21536582 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21536582 | Athletic Physical Therapy Inc | 1957-03-15 | 2026-03-23 | F | PT | N/A | GOLDMAN | MBL801W11756 | ROBERTA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542655/check_21536582_8e680f36-0ce0-437d-8e23-3050ec1c74ea.json | N/A | N/A | N/A | N/A | N/A | MBL801W11756 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1957-03-15 | 040 | CAEGR005 | N/A | N/A | false | GOLDMAN | N/A | ROBERTA | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342573303 | N/A | N/A | 5542655 | 2222 | 4802 | 21734457 | N/A | 4214541 | 2026-03-26 16:51:50.060170 | 2025-05-13 04:29:37.228867 |
| 2026-03-20 07:12:53.316663 | 2026-03-26 16:51:36.860093 | 21536547 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 21536547 | Athletic Physical Therapy Inc | 1962-05-03 | 2026-03-23 | M | AE | PT | MOSLEY | R02649763MM1 | MICHAEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542606/check_21536547_2e9f87bd-8cf3-4630-b805-c7c274e176ad.json | N/A | N/A | N/A | N/A | N/A | R02649763MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-03 | N/A | N/A | N/A | N/A | false | MOSLEY | N/A | MICHAEL | N/A | 2025-08-31 | 2025-01-01 | NDB COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342573302 | N/A | N/A | 5542606 | 2222 | 4801 | 21732561 | N/A | 4214496 | 2026-03-26 16:51:36.860093 | 2025-05-13 04:29:37.228812 |
| 2026-03-20 07:12:53.164416 | 2026-03-26 16:51:50.910479 | 21536525 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 21536525 | Athletic Physical Therapy Inc | 1955-08-25 | 2026-03-23 | M | PT | N/A | JEWETT | MNL165W05926 | BRAD | R R | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542557/check_21536525_21b1937c-e2a1-45c4-84e7-4b17d7082487.json | N/A | N/A | N/A | N/A | N/A | MNL165W05926 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-08-25 | 040 | CAMCRWP0 | N/A | MP | false | JEWETT | N/A | BRAD | N/A | 9999-12-31 | 2026-01-01 | CA H4471-010-001 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342573301 | N/A | N/A | 5542557 | 2222 | 4802 | 21734613 | 4185 | 4214450 | 2026-03-26 16:51:50.910479 | 2026-03-06 00:04:40.436388 |
| 2026-03-20 07:12:53.044193 | 2026-03-26 16:56:21.917753 | 21536507 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21536507 | Athletic Physical Therapy Inc | 1954-11-24 | 2026-03-23 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_21536507_14ab19b6-4c16-4eea-bba8-4a58299818da.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 136134 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342573300 | N/A | N/A | 5542555 | 2222 | 4793 | 21768723 | N/A | 4214447 | 2026-03-26 16:56:21.917753 | 2026-04-23 20:11:34.441054 |
| 2026-03-20 07:12:52.930426 | 2026-03-26 16:51:49.787257 | 21536482 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 21536482 | Athletic Physical Therapy Inc | 1970-10-06 | 2026-03-23 | F | AE | PT | DESLAURIERS | XDP661W21377 | AIMEE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542165/check_21536482_64ea1403-78b9-4845-a071-3b21e89738ee.json | N/A | N/A | N/A | N/A | N/A | XDP661W21377 | Preferred Provider Organization (PPO) | GRACE CHURCH AND SCHOOL | ANTHEM BLUE CROSS | N/A | 1970-10-06 | 040 | 282673M004 | N/A | PR | false | DESLAURIERS | N/A | AIMEE | N/A | 9999-12-31 | 2025-10-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342573299 | N/A | N/A | 5542165 | 2222 | 4801 | 21734408 | 4185 | 4214106 | 2026-03-26 16:51:49.787257 | 2026-03-06 19:08:06.513061 |
| 2026-03-20 07:12:52.779241 | 2026-03-26 16:48:35.758307 | 21536459 | N/A | N/A | 14163 | Lakeside Medical Group | 1114042165 | 21536459 | Athletic Physical Therapy Inc | 1951-10-31 | 2026-03-23 | M | AE | PT | VLAHOVICH | 34035035 | STEVEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542048/check_21536459_71031a31-40df-4a56-b829-34f73c47e9cc.json | N/A | N/A | N/A | N/A | N/A | 34035035 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-10-31 | 406-032-000 | N/A | N/A | N/A | false | VLAHOVICH | N/A | STEVEN | 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 | 10342573298 | N/A | N/A | 5542048 | 2222 | 4802 | 21704335 | N/A | 4214003 | 2026-03-26 16:48:35.758307 | 2025-05-13 04:29:37.228325 |
| 2026-03-20 07:12:52.566067 | 2026-03-26 16:51:52.357002 | 21536428 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21536428 | Athletic Physical Therapy Inc | 1942-12-17 | 2026-03-23 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_21536428_1b57c410-7fa0-4e67-a245-e728f8a1de5b.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342573297 | N/A | N/A | 5542014 | 2222 | 4793 | 21734853 | N/A | 4213977 | 2026-03-26 16:51:52.357002 | 2025-05-13 04:29:37.228294 |
| 2026-03-20 07:12:52.413169 | 2026-03-26 16:51:52.061518 | 21536406 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21536406 | Athletic Physical Therapy Inc | 1940-08-31 | 2026-03-23 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_21536406_e4443a32-9e90-43a8-a4c6-66457db86738.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342573296 | N/A | N/A | 5541917 | 2222 | 4793 | 21734807 | N/A | 4213891 | 2026-03-26 16:51:52.061518 | 2025-05-13 04:29:37.228207 |
| 2026-03-20 07:12:52.309003 | 2026-03-26 16:51:59.131426 | 21536393 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21536393 | Athletic Physical Therapy Inc | 1961-09-07 | 2026-03-23 | M | PT | N/A | TESAR | V6D954A52172 | SCOTT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541690/check_21536393_327517ad-351c-45b2-afb7-e4782ed6f133.json | N/A | N/A | N/A | N/A | N/A | V6D954A52172 | Preferred Provider Organization (PPO) | GUITAR CENTER | BLUE SHIELD OF CALIFORNIA | N/A | 1961-09-07 | 040 | 174315M1A6 | N/A | PR | false | TESAR | N/A | SCOTT | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342573295 | N/A | N/A | 5541690 | 2222 | 4801 | 21735974 | N/A | 4213669 | 2026-03-26 16:51:59.131426 | 2026-02-11 01:39:53.284479 |
| 2026-03-20 07:12:52.191073 | 2026-03-26 16:51:58.851133 | 21536377 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21536377 | Athletic Physical Therapy Inc | 1965-09-18 | 2026-03-23 | F | PT | N/A | SHAPIRO | XEA901579979 | ANDREA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_21536377_543de147-f5a5-4bc0-8b13-a61cde1b0f9e.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2025-11-01 | GOLD FULL PPO SAVINGS 1750 15 HDHP PREVRX OFFEX F | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342573294 | N/A | N/A | 5541315 | 2222 | 4793 | 21735928 | N/A | 4213344 | 2026-03-26 16:51:58.851133 | 2025-05-13 04:29:37.227667 |
| 2026-03-20 07:12:52.092687 | 2026-03-26 16:56:23.665407 | 21536364 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21536364 | Athletic Physical Therapy Inc | 1943-10-18 | 2026-03-23 | F | AE | PT | PODRAT | 6PH5HJ4AF99 | CHARLOTTE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540122/check_21536364_7cd6cd00-fdba-416c-8f59-405a301c2f8e.json | N/A | N/A | N/A | N/A | N/A | 6PH5HJ4AF99 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-10-18 | S2468 | N/A | N/A | MA | false | PODRAT | N/A | CHARLOTTE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 26589 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342573293 | N/A | N/A | 5540122 | 2222 | 4793 | 21768954 | N/A | 4212321 | 2026-03-26 16:56:23.665407 | 2026-03-11 15:45:38.887850 |
| 2026-03-20 07:12:51.968397 | 2026-03-26 16:51:49.502305 | 21536342 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21536342 | Athletic Physical Therapy Inc | 1936-06-28 | 2026-03-23 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_21536342_2eb45239-50b7-4ac3-88d0-b2cf000f78e5.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342573292 | N/A | N/A | 5540074 | 2222 | 4802 | 21734363 | N/A | 4212282 | 2026-03-26 16:51:49.502305 | 2025-05-13 04:29:37.226623 |
| 2026-03-20 07:12:51.836344 | 2026-03-26 16:51:30.355746 | 21536322 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 21536322 | Athletic Physical Therapy Inc | 1971-02-10 | 2026-03-23 | M | AE | PT | RUIZ | 594887901 | EDUARDO | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539853/check_21536322_b41d4b27-7263-4563-9a7f-43d55d5ed003.json | N/A | N/A | N/A | N/A | N/A | 594887901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1971-02-10 | N/A | 682302 | N/A | C1 | false | RUIZ | N/A | EDUARDO | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342573291 | N/A | N/A | 5539853 | 2222 | 4801 | 21731657 | 6411 | 4212098 | 2026-03-26 16:51:30.355746 | 2025-05-13 04:29:37.226429 |
| 2026-03-20 07:12:51.737826 | 2026-03-26 16:56:23.382785 | 21536310 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21536310 | Athletic Physical Therapy Inc | 1958-12-10 | 2026-03-23 | F | AE | PT | LIBAW | 9T01HM2XE02 | PAMELA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539452/check_21536310_234a8a13-be4f-48e1-958b-29b682864075.json | N/A | N/A | N/A | N/A | N/A | 9T01HM2XE02 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-12-10 | S4802 | N/A | N/A | MB | false | LIBAW | N/A | PAMELA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 56671 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342573290 | N/A | N/A | 5539452 | 2222 | 4802 | 21768905 | N/A | 4211753 | 2026-03-26 16:56:23.382785 | 2025-05-13 04:29:37.226073 |
| 2026-03-20 07:12:51.595408 | 2026-03-26 16:51:51.229767 | 21536287 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 21536287 | Athletic Physical Therapy Inc | 1952-09-29 | 2026-03-23 | F | PT | N/A | JOHNSON | JQS766M90611 | JANET | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539188/check_21536287_debe4061-bd21-483d-a81b-e1cfcbb4dd93.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342573289 | N/A | N/A | 5539188 | 2222 | 4801 | 21734659 | 4185 | 4211521 | 2026-03-26 16:51:51.229767 | 2025-10-19 23:43:25.603984 |
| 2026-03-20 07:12:51.439852 | 2026-03-26 16:51:37.390047 | 21536263 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 21536263 | override_provider | 1956-10-22 | 2026-03-23 | F | AE | PT | VARGAS | C4080406701 | AUXILIADORA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538314/check_21536263_d979ddb3-6ea0-4295-8e16-c551d529073e.json | N/A | N/A | N/A | N/A | N/A | C4080406701 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1956-10-22 | N/A | CA35610008 | N/A | N/A | false | VARGAS | N/A | AUXILIADORA | N/A | N/A | N/A | WELLCARE HEALTH NET DUAL ALIGN (HMO DSNP) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342573288 | N/A | N/A | 5538314 | 2222 | 4802 | 21732640 | N/A | 4210749 | 2026-03-26 16:51:37.390047 | 2026-01-29 18:21:20.298304 |
| 2026-03-20 07:12:51.265074 | 2026-03-26 16:51:58.575682 | 21536237 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 21536237 | Athletic Physical Therapy Inc | 1966-10-22 | 2026-03-23 | F | PT | N/A | KINSLEY | 913281434000 | MICHELLE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537996/check_21536237_553d9804-8e53-46cb-a47a-b894c57b5c4b.json | N/A | N/A | N/A | N/A | N/A | XEH913281434 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1966-10-22 | 1000VX000001 | W0069783 | N/A | HM | false | KINSLEY | N/A | MICHELLE | N/A | 9999-12-31 | 2024-06-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342573287 | N/A | N/A | 5537996 | 2222 | 4793 | 21735886 | 4191 | 4210486 | 2026-03-26 16:51:58.575682 | 2025-05-13 04:29:37.224904 |
| 2026-03-20 07:12:51.000781 | 2026-03-26 16:51:50.656144 | 21536201 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 21536201 | Athletic Physical Therapy Inc | 1971-04-08 | 2026-03-23 | F | AE | PT | JENKINS | NCF272A68033 | DAMIAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537969/check_21536201_7281571c-af44-4cd7-a6d7-ada7c690163a.json | N/A | N/A | N/A | N/A | N/A | NCF272A68033 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1971-04-08 | 040 | 57AJCA | N/A | HM | false | JENKINS | N/A | SHAWN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342573286 | N/A | N/A | 5537969 | 2222 | 4793 | 21734554 | 4185 | 4210463 | 2026-03-26 16:51:50.656144 | 2025-10-28 17:45:45.046366 |
| 2026-03-20 07:12:50.693195 | 2026-03-26 16:51:51.766733 | 21536161 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 21536161 | Athletic Physical Therapy Inc | 1951-12-11 | 2026-03-23 | F | AE | PT | OATES | JQS723M87472 | STACY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537951/check_21536161_8e56b3c0-f8c5-42cb-85a7-5ac2f5c20196.json | N/A | N/A | N/A | N/A | N/A | JQS723M87472 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1951-12-11 | 040 | CAMCRWP0 | N/A | MP | false | OATES | N/A | STACY | 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 | 10342573285 | N/A | N/A | 5537951 | 2222 | 4793 | 21734763 | 4184 | 4210449 | 2026-03-26 16:51:51.766733 | 2026-02-25 15:35:31.486496 |
| 2026-03-20 07:12:50.550585 | 2026-03-26 16:51:51.504673 | 21536139 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21536139 | Athletic Physical Therapy Inc | 2003-06-27 | 2026-03-23 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DANIELLA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537199/check_21536139_938f6e31-47b4-4fd2-96d0-84b796884427.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 2003-06-27 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342573284 | N/A | N/A | 5537199 | 2222 | 4801 | 21734713 | N/A | 4209807 | 2026-03-26 16:51:51.504673 | 2026-02-20 19:27:47.468875 |
| 2026-03-20 07:12:50.404807 | 2026-03-26 16:51:24.762440 | 21536117 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21536117 | Athletic Physical Therapy Inc | 1949-08-09 | 2026-03-23 | F | AE | PT | NOWAK | 31183221401 | DEBORAH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537039/check_21536117_a973e137-7a1b-415f-abaf-8e2776223185.json | N/A | N/A | N/A | N/A | N/A | 31183221401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-08-09 | 2026H5425001 | H5425M | N/A | N/A | false | NOWAK | N/A | DEBORAH | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342573283 | N/A | N/A | 5537039 | 2222 | 4793 | 21730823 | 6237 | 4209676 | 2026-03-26 16:51:24.762440 | 2025-11-19 17:57:16.607946 |
| 2026-03-20 07:12:50.238998 | 2026-03-26 16:50:21.357059 | 21536092 | N/A | N/A | 61101 | HUMANA | 1114042165 | 21536092 | Athletic Physical Therapy Inc | 1952-05-02 | 2026-03-23 | F | AE | PT | HASSEY DE HANSON | H6569972200 | HILDA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536963/check_21536092_6bce1223-9cb3-4711-9466-c2e912325dd7.json | N/A | N/A | N/A | N/A | N/A | H65699722 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1952-05-02 | N/A | 2B722001 | N/A | HN | false | HASSEY DE HA | N/A | HILDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342573282 | N/A | N/A | 5536963 | 2222 | 4801 | 21719825 | 5349 | 4209616 | 2026-03-26 16:50:21.357059 | 2025-12-02 19:38:35.715555 |
| 2026-03-20 07:12:50.084894 | 2026-03-26 16:56:23.920484 | 21536071 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21536071 | Athletic Physical Therapy Inc | 1937-02-23 | 2026-03-23 | F | AE | PT | SPIGELMAN | 8FK0QJ6EQ10 | JUDY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536252/check_21536071_03aaf488-77b5-4c0a-bde6-cae57cc6e195.json | N/A | N/A | N/A | N/A | N/A | 8FK0QJ6EQ10 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-02-23 | N/A | N/A | N/A | MA | false | SPIGELMAN | N/A | JUDY | 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 | 10342573281 | N/A | N/A | 5536252 | 2222 | 4802 | 21768994 | N/A | 4209028 | 2026-03-26 16:56:23.920484 | 2026-03-12 23:35:58.198593 |
| 2026-03-20 07:12:49.921903 | 2026-03-26 16:56:23.041084 | 21536052 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21536052 | Athletic Physical Therapy Inc | 1952-10-01 | 2026-03-23 | M | AE | PT | IMPELLIZZERI | 3UJ4DN6CC87 | ROBERT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535551/check_21536052_61175984-fa05-4daf-a515-e346c712d4b7.json | N/A | N/A | N/A | N/A | N/A | 3UJ4DN6CC87 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-01 | N/A | N/A | N/A | MA | false | IMPELLIZZERI | N/A | ROBERT | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 60416 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342573280 | N/A | N/A | 5535551 | 2222 | 4801 | 21768863 | N/A | 4208460 | 2026-03-26 16:56:23.041084 | 2026-01-01 00:19:01.120151 |
| 2026-03-20 07:12:49.794572 | 2026-03-26 16:51:25.030061 | 21536033 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21536033 | Athletic Physical Therapy Inc | 1952-12-16 | 2026-03-23 | F | AE | PT | PORTER | 40028215401 | SHERIL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260320.121617414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_21536033_0b01ef4a-dde6-40c7-baa1-99f374bf5bd4.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2026H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342573279 | N/A | N/A | 5535434 | 2222 | 4793 | 21730866 | 6237 | 4208356 | 2026-03-26 16:51:25.030061 | 2025-08-25 14:49:27.724897 |
| 2026-03-20 07:12:41.253089 | 2026-03-20 07:12:45.426743 | 21534779 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-02-10 | 2026-03-20 | F | AE | PT | SHARMA | H74807838 | MONIKA | N/A | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17636010/check_21534779_b61e0a21-e2cf-4768-80ab-dccd1aa5a18d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17636010/check_21534779_f71fda6d-c0df-4b29-9001-03b835f70814.json | N/A | N/A | N/A | N/A | N/A | H74807838 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1954-02-10 | N/A | 2B506001 | N/A | HN | false | SHARMA | N/A | MONIKA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342563119 | N/A | N/A | 17636010 | 2222 | N/A | 20687458 | N/A | 10330803 | 2026-03-20 07:12:45.426743 | 2025-11-03 22:25:23.404066 |
| 2026-03-20 07:11:08.679655 | 2026-03-20 07:11:56.808559 | 21520784 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-08-22 | 2026-03-20 | F | AE | PT | Clarke | W295118204 | Rebecca | N/A | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17287671/check_21520784_94b6037d-9f75-4a75-8e6f-9e58ace089d2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17287671/check_21520784_fdee34d3-b431-4ad9-8e2e-6cddb97e00dd.json | N/A | N/A | N/A | N/A | N/A | W295118204 | Point of Service (POS) | VENSURE EMPLOYER SERVICES, INC. | AETNA | N/A | 1996-08-22 | 0237219 | 023721901100033 | N/A | PS | false | CLARKE | N/A | REBECCA | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342554127 | N/A | N/A | 17287671 | 2222 | N/A | 20687017 | N/A | 15305664 | 2026-03-20 07:11:56.808559 | 2026-02-24 17:22:14.995942 |
| 2026-03-20 07:11:01.239770 | 2026-03-20 07:11:21.271243 | 21519807 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-12-19 | 2026-03-20 | F | AE | PT | BURRY | 101323278900 | CAROLYN | N/A | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8971092/check_21519807_6840deed-6c58-42b8-92c2-75050b45be4d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8971092/check_21519807_9589ef90-d90f-4c1f-a213-a06b1d5a3ead.json | N/A | N/A | N/A | N/A | N/A | 101323278900 | N/A | N/A | AETNA | N/A | 1967-12-19 | N/A | N/A | N/A | N/A | false | BURRY | N/A | CAROLYN | 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 | N/A | N/A | 8971092 | 2222 | N/A | 20686672 | N/A | 7486536 | 2026-03-20 07:11:21.271243 | 2025-09-15 03:16:44.869236 |
| 2026-03-20 07:10:56.529214 | 2026-03-20 07:10:58.491930 | 21519163 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-08-24 | 2026-03-20 | M | AE | PT | DHIR | 1C87N86JG62 | PRADEEP | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17719412/check_21519163_1fd2615b-5528-4944-9283-9cddf8dac89c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17719412/check_21519163_ef866054-2d74-43fe-90c6-c830b64bc85d.json | N/A | N/A | N/A | N/A | N/A | 1C87N86JG62 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-08-24 | S4802 | N/A | N/A | MA | false | DHIR | N/A | PRADEEP | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 43671 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342549797 | N/A | N/A | 17719412 | 2222 | N/A | 20686478 | N/A | 15603579 | 2026-03-20 07:10:58.491930 | 2026-04-17 17:11:47.109035 |
| 2026-03-20 07:10:55.724718 | 2026-03-20 07:10:57.475184 | 21519073 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-04-28 | 2026-03-20 | F | PT | N/A | Chalquest | JQV812W16348 | Christine | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17660872/check_21519073_dce2fc6f-d101-4096-9fd0-ac8e75f60774.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17660872/check_21519073_a0f8d591-d0a4-4195-b5b6-adb72b73a644.json | N/A | N/A | N/A | N/A | N/A | JQV812W16348 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1958-04-28 | N/A | N/A | N/A | N/A | false | CHALQUEST | N/A | CHRISTINE | 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 | N/A | N/A | 17660872 | 2222 | N/A | 20686464 | N/A | 15705146 | 2026-03-20 07:10:57.475184 | 2026-03-05 22:44:33.989062 |
| 2026-03-20 07:10:52.895678 | 2026-03-20 07:10:55.214946 | 21518730 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1957-11-13 | 2026-03-20 | F | AE | PT | PICKEI | 21354478 | DOLORES | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17173686/check_21518730_8d4ebd30-141d-4bdd-b1e0-3af936e5bafe.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17173686/check_21518730_fd8e08ae-0752-48eb-aac3-944c646f8504.json | N/A | N/A | N/A | N/A | N/A | 21354478 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1957-11-13 | N/A | N/A | N/A | N/A | false | PICKEI | N/A | DOLORES | 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 | N/A | N/A | 17173686 | 2222 | N/A | 20686439 | N/A | 15166976 | 2026-03-20 07:10:55.214946 | 2026-02-26 21:31:52.901513 |
| 2026-03-20 07:10:52.639297 | 2026-03-20 07:11:26.237145 | 21518692 | 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 | HOLGUIN | 1407861520 | VINCENT | N/A | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21518692_c619d5e8-890d-4747-8d07-af7ce5399d16.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 07:11:26.237145 | 2025-11-11 01:01:48.778756 |
| 2026-03-20 07:10:52.398791 | 2026-03-20 07:10:55.225041 | 21518656 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-04-25 | 2026-03-20 | M | PT | N/A | GREEN | JQV184A72608 | ALLEN | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10091887/check_21518656_df2aaa03-f408-4fb4-be94-d03583cf3bde.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_21518656_6db729af-d3ff-4f99-bafc-b9f46bb69a13.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342549418 | N/A | N/A | 10091887 | 2222 | N/A | 20686442 | N/A | 8429919 | 2026-03-20 07:10:55.225041 | 2025-10-07 22:01:52.720968 |
| 2026-03-20 07:10:52.076889 | 2026-03-20 07:10:56.198026 | 21518613 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1971-10-01 | 2026-03-20 | M | AE | PT | Funahashi | 000014029656 | Kenji | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17936108/check_21518613_a78f3ea0-e0b0-48cf-b4a8-4e5f8858091a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17936108/check_21518613_3e7cba3f-8bdb-4cba-91ec-1c6404c80880.json | N/A | N/A | N/A | N/A | N/A | 000014029656 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1971-10-01 | 4393049 | 231444 | N/A | N/A | false | FUNAHASHI | N/A | KENJI | N/A | 2026-12-31 | 2026-01-01 | CL2B-JUL-KPIF KPIC BRONZE HSA 4500/40% PD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342549403 | N/A | N/A | 17936108 | 2222 | N/A | 20686451 | N/A | 15974479 | 2026-03-20 07:10:56.198026 | 2026-03-11 19:55:51.324067 |
| 2026-03-20 07:10:52.075220 | 2026-03-20 07:10:53.754297 | 21518611 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-08-31 | 2026-03-20 | M | AE | PT | August Schmidt | 000010564062 | Alex | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17055953/check_21518611_ec1184ec-fed4-45c5-a70a-e5173fbf0777.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17055953/check_21518611_fc1e44ec-16f9-45fa-a3c8-2aa095a0f66a.json | N/A | N/A | N/A | N/A | N/A | 000010564062 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1992-08-31 | N/A | N/A | N/A | N/A | false | AUGUST SCHMIDT | N/A | ALEX | 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 | N/A | N/A | 17055953 | 2222 | N/A | 20686431 | N/A | 15047404 | 2026-03-20 07:10:53.754297 | 2026-03-19 15:45:14.156442 |
| 2026-03-20 07:10:51.963409 | 2026-03-20 07:10:53.677791 | 21518596 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-01-06 | 2026-03-20 | F | AE | PT | WEST | 1HK9RC5WQ19 | HOLLIE | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17961735/check_21518596_86b2e17e-9bf3-4a3b-8df3-cf0e93f7f91f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17961735/check_21518596_e00553d3-48e9-4745-9ec1-d4533106175b.json | N/A | N/A | N/A | N/A | N/A | 1HK9RC5WQ19 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-06 | S5617 | N/A | N/A | MB | false | WEST | N/A | HOLLIE | 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 | 10342549388 | N/A | N/A | 17961735 | 2222 | N/A | 20686429 | N/A | 15883502 | 2026-03-20 07:10:53.677791 | 2026-03-11 00:48:56.434845 |
| 2026-03-20 07:10:51.935398 | 2026-03-20 07:10:53.750560 | 21518594 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-09-17 | 2026-03-20 | F | AE | PT | GALERA | 5NG1DR7VP25 | EMMA | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17943086/check_21518594_bea9d826-4fcf-48b1-b887-91c12f012b03.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17943086/check_21518594_e9883a43-ab44-4fca-bd49-9482afa70636.json | N/A | N/A | N/A | N/A | N/A | 5NG1DR7VP25 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-09-17 | S5884 | N/A | N/A | MA | false | GALERA | N/A | EMMA | 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 | 10342549387 | N/A | N/A | 17943086 | 2222 | N/A | 20686430 | N/A | 15982010 | 2026-03-20 07:10:53.750560 | 2026-03-11 22:46:44.886390 |
| 2026-03-20 07:10:51.831156 | 2026-03-20 07:10:54.843542 | 21518578 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-10-21 | 2026-03-20 | F | AE | PT | RIVERA | 98369505e | Blanca | N/A | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17884589/check_21518578_a2a6b7bf-2e0a-4856-9a0b-b5c6028eb6c4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17884589/check_21518578_bfc436c8-93ee-43eb-9ac3-563129b3af59.json | N/A | N/A | N/A | N/A | N/A | 98369505E | N/A | MCLA WELL ND DIS>=21 | LA CARE HEALTH PLAN | N/A | 1962-10-21 | MCLA | MWLLNDIG21 | N/A | N/A | false | RIVERA | N/A | BLANCA | N/A | 2078-12-31 | 2024-12-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342549372 | N/A | N/A | 17884589 | 2222 | N/A | 20686438 | N/A | 15929290 | 2026-03-20 07:10:54.843542 | 2026-03-13 01:46:16.717303 |
| 2026-03-20 07:10:51.762868 | 2026-03-20 07:10:57.312221 | 21518568 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-01-30 | 2026-03-20 | F | PT | N/A | Baze | MPI30484424Q | Jacquiline | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17881989/check_21518568_2e29f189-e32b-4468-b322-f1c7b4b9fa45.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17881989/check_21518568_fe50cbbc-b9d6-44c0-bfca-2704dae80864.json | N/A | N/A | N/A | N/A | N/A | MPI30484424Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1982-01-30 | 040 | 277163M401 | N/A | PR | false | BAZE | N/A | TYLER | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342549346 | N/A | N/A | 17881989 | 2222 | N/A | 20686461 | N/A | 15926600 | 2026-03-20 07:10:57.312221 | 2026-03-13 16:52:16.878039 |
| 2026-03-20 07:10:51.604512 | 2026-03-20 07:10:54.306113 | 21518546 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-03-02 | 2026-03-20 | M | PT | N/A | Christopher | MBL100W22891 | William | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17882026/check_21518546_c8c334bf-ee87-434c-b529-743ca686b0c4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17882026/check_21518546_f0bf1188-cd86-40f5-8742-45548031cb34.json | N/A | N/A | N/A | N/A | N/A | MBL100W22891 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1960-03-02 | 040 | CAEGR005 | N/A | N/A | false | CHRISTOPHER | N/A | WILLIAM | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10342549262 | N/A | N/A | 17882026 | 2222 | N/A | 20686436 | N/A | 15926656 | 2026-03-20 07:10:54.306113 | 2026-03-20 18:37:05.778506 |
| 2026-03-20 07:10:51.423941 | 2026-03-20 07:10:55.228190 | 21518521 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-08-17 | 2026-03-20 | M | AE | PT | Cruz | 000022373578 | Edwin | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17815376/check_21518521_bccdd698-ee95-405e-bc9d-d02bfadec8b2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17815376/check_21518521_2d5c09f0-ff3f-4e4f-92fd-0b0f6c7e7d89.json | N/A | N/A | N/A | N/A | N/A | 000022373578 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1985-08-17 | 4383886 | 105705 | N/A | N/A | false | CRUZ | N/A | EDWIN | N/A | 2026-12-31 | 2026-01-01 | STATE ADMINISTERED PUBLIC AGENCIES PA REGION 3 ACT | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342548913 | N/A | N/A | 17815376 | 2222 | N/A | 20686440 | N/A | 15860207 | 2026-03-20 07:10:55.228190 | 2026-03-09 16:33:41.451823 |
| 2026-03-20 07:10:51.285312 | 2026-03-20 07:10:53.060275 | 21518504 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-09-12 | 2026-03-20 | M | AE | PT | SALANT | 3WH1C51VA35 | STEVEN | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17814115/check_21518504_1586e222-c87a-41de-8223-c14a9a261968.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17814115/check_21518504_28923c0a-55c1-4ff9-a830-fc22a24448c0.json | N/A | N/A | N/A | N/A | N/A | 3WH1C51VA35 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-09-12 | S5617 | N/A | N/A | MA | false | SALANT | N/A | STEVEN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 30380 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342548503 | N/A | N/A | 17814115 | 2222 | N/A | 20686423 | N/A | 15858953 | 2026-03-20 07:10:53.060275 | 2026-03-09 15:55:48.784784 |
| 2026-03-20 07:10:51.213688 | 2026-03-20 07:10:53.947546 | 21518492 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-02-27 | 2026-03-20 | M | AE | PT | SHRIVER | 8300000159953 | DANIEL | N/A | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17744755/check_21518492_cbb44fe2-4ecc-43a7-8696-56be5769e5b4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17744755/check_21518492_b2b5e952-78de-43a0-a2c6-246bce6e5f29.json | N/A | N/A | N/A | N/A | N/A | 8300000159953 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | QMXBPREG020038 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DAN | N/A | 2078-12-31 | 2026-03-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342548449 | N/A | N/A | 17744755 | 2222 | N/A | 20686433 | N/A | 4213934 | 2026-03-20 07:10:53.947546 | 2026-01-27 23:36:44.802366 |
| 2026-03-20 07:10:51.109385 | 2026-03-20 07:10:55.721415 | 21518480 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-04-28 | 2026-03-20 | F | PT | N/A | Chalquest | JQV812W16348 | Christine | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17660872/check_21518480_90f3f423-9f20-4cd1-bb9b-13dbb18720cd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | N/A | N/A | N/A | N/A | N/A | N/A | JQV812W16348 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1958-04-28 | N/A | N/A | N/A | N/A | false | CHALQUEST | N/A | CHRISTINE | 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 | N/A | N/A | 17660872 | 2222 | N/A | N/A | N/A | 15705146 | 2026-03-20 07:10:55.721415 | 2026-03-05 22:44:33.989062 |
| 2026-03-20 07:10:50.930714 | 2026-03-20 07:10:52.692740 | 21518452 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-16 | 2026-03-20 | F | AE | PT | Wolfe | 5F67H30WC46 | Nancee | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17600400/check_21518452_12f7458c-da5d-4be7-b01a-e5840b9a777e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600400/check_21518452_671f63f9-03aa-4646-b858-91a1bdf8a753.json | N/A | N/A | N/A | N/A | N/A | 5F67H30WC46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-16 | S5617 | N/A | N/A | MB | false | WOLFE | N/A | NANCEE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 31083 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342548094 | N/A | N/A | 17600400 | 2222 | N/A | 20686417 | N/A | 15647296 | 2026-03-20 07:10:52.692740 | 2026-03-04 22:22:31.397944 |
| 2026-03-20 07:10:50.929697 | 2026-03-20 07:10:54.106015 | 21518450 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-28 | 2026-03-20 | F | AE | PT | Barrientos | 958247698-00 | Antoniette | N/A | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17540931/check_21518450_9c9303b4-fb18-4da4-8c60-5ad7e51f106d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17540931/check_21518450_f3fc66c1-700c-4ab1-b825-2be9213fe910.json | N/A | N/A | N/A | N/A | N/A | 958247698 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1959-09-28 | N/A | 22448 | N/A | HN | false | BARRIENTOS | N/A | ANTONIETTE | N/A | N/A | N/A | HMO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10342548103 | N/A | N/A | 17540931 | 2222 | N/A | 20686432 | N/A | 15585907 | 2026-03-20 07:10:54.106015 | 2026-03-09 18:22:22.279915 |