API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-19 22:48:52.271332 | 2026-03-19 22:49:25.703914 | 21490676 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-10 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21490676_d976030e-54a7-434d-9320-4b4464206c04.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-10 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-19 22:49:25.703914 | 2025-11-11 01:01:48.778756 |
| 2026-03-19 22:47:43.573396 | 2026-03-19 22:48:17.153732 | 21490590 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-05 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21490590_25d8e521-b80f-4c78-94f5-4b18776bc9db.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-05 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-19 22:48:17.153732 | 2025-11-11 01:01:48.778756 |
| 2026-03-19 22:47:37.276314 | 2026-03-19 22:47:41.223465 | 21490583 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-08-17 | 2026-03-24 | F | AE | PT | 4184 | RUEMMELE | XOX815196499 | MAKENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17557872/check_21490583_bfe49e95-d5ac-4d2a-aec7-2af8873e9894.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17557872/check_21490583_29ade677-7d1d-4093-8797-0db8fb6a7a6d.json | N/A | N/A | N/A | N/A | N/A | XOX815196499 | Preferred Provider Organization (PPO) | EVOLVE SECURITY | ANTHEM BLUE CROSS | N/A | 2013-08-17 | N/A | 311614 | N/A | PR | false | RUEMMELE | N/A | RAYMOND | N/A | 9999-12-31 | 2026-03-01 | BLUEOPTIONS MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10340400709 | 167942 | N/A | 17557872 | 2222 | N/A | 20672449 | N/A | 4534546 | 2026-03-19 22:47:41.223465 | 2025-12-03 00:06:29.870228 |
| 2026-03-19 22:47:11.646397 | 2026-03-19 22:47:16.910521 | 21490539 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-07-01 | 2026-03-24 | M | AE | PT | N/A | FAIRTY | 9689511333 | BRUCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542841/check_21490539_8d348230-f528-47c8-87ca-9551b2e87b45.json | UHC | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542841/check_21490539_a8bc24f1-0a60-4529-8293-cbb7e7cab8c7.json | N/A | N/A | N/A | N/A | N/A | 968951333 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1954-07-01 | N/A | 701648 | N/A | C1 | false | FAIRTY | N/A | BRUCE | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5542841 | 2222 | N/A | 20672436 | N/A | 4214711 | 2026-03-19 22:47:16.910521 | 2025-05-13 04:29:37.229028 |
| 2026-03-19 22:46:53.422063 | 2026-03-19 22:46:55.208983 | 21490536 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1933-03-26 | 2026-03-24 | U | AE | PT | 6237 | Canyon | 31071793901 | James | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16865139/check_21490536_3cc4e307-dbee-4047-9a46-137d4bc23ce0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16865139/check_21490536_c255d518-4e0f-493e-821b-1bd4a2b96fde.json | N/A | N/A | N/A | N/A | N/A | 31071793901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1933-03-26 | N/A | N/A | N/A | N/A | false | CANYON | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16865139 | 2222 | N/A | 20672427 | N/A | 14871212 | 2026-03-19 22:46:55.208983 | 2026-03-26 18:22:57.411601 |
| 2026-03-19 22:46:51.635593 | 2026-03-19 22:46:53.419041 | 21490535 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1933-03-26 | 2026-03-24 | U | AE | PT | 6237 | Canyon | 31071793901 | James | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16865139/check_21490535_45d46f5f-fbb2-41a2-b1e7-ead9d3f3b09a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | 31071793901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1933-03-26 | N/A | N/A | N/A | N/A | false | CANYON | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16865139 | 2222 | N/A | N/A | N/A | 14871212 | 2026-03-19 22:46:53.419041 | 2026-03-26 18:22:57.411601 |
| 2026-03-19 22:46:47.037398 | 2026-03-19 22:47:20.804563 | 21490527 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2026-01-30 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_21490527_44b98ddd-5bf7-41f1-9397-0c5b7bdd0bf2.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-19 22:47:20.804563 | 2025-05-13 04:29:37.229495 |
| 2026-03-19 22:46:32.751563 | 2026-03-19 22:46:35.561316 | 21490523 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2014-01-06 | 2026-03-24 | F | PT | N/A | 4184 | HEINL | 146A63323 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14389916/check_21490523_a582e13a-032b-4a44-a42b-4d8f3d8a5b5b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14389916/check_21490523_54aba37d-9fbc-4b7f-95fd-514b95d273e5.json | N/A | N/A | N/A | N/A | N/A | LSA146A63323 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 2014-01-06 | 040 | 1841AC | N/A | PR | false | HEINL | N/A | HEIDI | N/A | 9999-12-31 | 2018-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10340397774 | 167942 | N/A | 14389916 | 2222 | N/A | 20672408 | N/A | 12524083 | 2026-03-19 22:46:35.561316 | 2025-12-17 23:40:25.293610 |
| 2026-03-19 22:46:25.443867 | 2026-03-19 22:46:28.285534 | 21490510 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-10-30 | 2026-03-24 | F | PT | N/A | 4184 | Levenson | WZA683W26561 | Kyra | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16403229/check_21490510_9a11ab8b-ac85-49b4-a748-026df92eaccf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16403229/check_21490510_dd652a85-71b9-4fac-90f7-e7d83a444dbf.json | N/A | N/A | N/A | N/A | N/A | WZA683W26561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1997-10-30 | 130 | 270240M11A | N/A | PR | false | LEVENSON | N/A | KYRA | N/A | 9999-12-31 | 2026-01-26 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10340397097 | 167942 | N/A | 16403229 | 2222 | N/A | 20672402 | N/A | 11005795 | 2026-03-19 22:46:28.285534 | 2025-11-15 00:37:20.611855 |
| 2026-03-19 22:46:17.544670 | 2026-03-19 22:46:19.458465 | 21490497 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-07-22 | 2026-03-24 | F | PT | N/A | 4185 | Amstutz | 396W12867-40 | Lauren | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16765713/check_21490497_b829c949-f582-4369-a2b1-756e34b14bea.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16765713/check_21490497_9397c128-1a8b-4968-ba85-7d7b16d9dd91.json | N/A | N/A | N/A | N/A | N/A | 396W12867-40 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-07-22 | N/A | N/A | N/A | N/A | false | AMSTUTZ | N/A | LAUREN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16765713 | 2222 | N/A | 20672401 | N/A | 14776656 | 2026-03-19 22:46:19.458465 | 2026-02-10 18:58:53.303852 |
| 2026-03-19 22:46:15.818365 | 2026-03-19 22:46:17.540662 | 21490496 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-07-22 | 2026-03-24 | F | PT | N/A | 4185 | Amstutz | 396W12867-40 | Lauren | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16765713/check_21490496_be8be661-5494-4d01-9027-724344b77b43.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | 396W12867-40 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-07-22 | N/A | N/A | N/A | N/A | false | AMSTUTZ | N/A | LAUREN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16765713 | 2222 | N/A | N/A | N/A | 14776656 | 2026-03-19 22:46:17.540662 | 2026-02-10 18:58:53.303852 |
| 2026-03-19 22:46:07.678856 | 2026-03-19 22:46:09.501481 | 21490484 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-09 | 2026-03-24 | U | PT | N/A | 4184 | Hattem | S9A901W08857 | Neil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18029271/check_21490484_124852fc-88fe-4348-beb3-e5155cb3b99e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18029271/check_21490484_fa70a61e-3573-4135-8803-b37114291655.json | N/A | N/A | N/A | N/A | N/A | S9A901W08857 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1952-03-09 | N/A | N/A | N/A | N/A | false | HATTEM | N/A | NEIL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18029271 | 2222 | N/A | 20672388 | N/A | 16057887 | 2026-03-19 22:46:09.501481 | 2026-03-23 17:30:23.761066 |
| 2026-03-19 22:46:05.992011 | 2026-03-19 22:46:07.676874 | 21490483 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-09 | 2026-03-24 | U | PT | N/A | 4184 | Hattem | S9A901W08857 | Neil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18029271/check_21490483_cfd3ecb8-aaca-45b8-85d7-f64107e0a830.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | S9A901W08857 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1952-03-09 | N/A | N/A | N/A | N/A | false | HATTEM | N/A | NEIL | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18029271 | 2222 | N/A | N/A | N/A | 16057887 | 2026-03-19 22:46:07.676874 | 2026-03-23 17:30:23.761066 |
| 2026-03-19 22:45:49.668777 | 2026-03-19 22:45:51.471664 | 21490467 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-12-19 | 2026-03-24 | U | AE | PT | 4199 | PRABHAKARAN NAIR | 99599583H55150 | RADHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18018338/check_21490467_2fd48ac6-e911-4e93-bc19-18e627d1a9d4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18018338/check_21490467_5d3becd0-f54e-449d-8ac2-6e45dcb4158a.json | N/A | N/A | N/A | N/A | N/A | 99599583H55150 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1945-12-19 | N/A | N/A | N/A | N/A | false | PRABHAKARAN NAIR | N/A | RADHA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18018338 | 2222 | N/A | 20672374 | N/A | 16046852 | 2026-03-19 22:45:51.471664 | 2026-03-26 18:22:41.325104 |
| 2026-03-19 22:45:47.925648 | 2026-03-19 22:45:49.665313 | 21490466 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-12-19 | 2026-03-24 | U | AE | PT | 4199 | PRABHAKARAN NAIR | 99599583H55150 | RADHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18018338/check_21490466_1448227a-f8e2-4ff7-af7a-53af8848d3d3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | 99599583H55150 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1945-12-19 | N/A | N/A | N/A | N/A | false | PRABHAKARAN NAIR | N/A | RADHA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18018338 | 2222 | N/A | N/A | N/A | 16046852 | 2026-03-19 22:45:49.665313 | 2026-03-26 18:22:41.325104 |
| 2026-03-19 22:45:39.681167 | 2026-03-19 22:45:41.475528 | 21490463 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-02-12 | 2026-03-24 | M | AE | PT | 23323 | HASTINGS | ICA082816 | JAMES | S | https://storage.googleapis.com/normandy-eligibility-checks/2222/16060541/check_21490463_a79e76b7-e3e2-4c10-8b8d-538f26049aac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16060541/check_21490463_581c9723-9ece-4807-a7dd-1ab4dba9cd7d.json | N/A | N/A | N/A | N/A | N/A | ICA082816 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-02-12 | N/A | N/A | N/A | N/A | false | HASTINGS | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16060541 | 2222 | N/A | 20672364 | N/A | 6841390 | 2026-03-19 22:45:41.475528 | 2026-02-24 00:29:14.751930 |
| 2026-03-19 22:45:37.921690 | 2026-03-19 22:45:39.679153 | 21490453 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-02-12 | 2026-03-24 | M | AE | PT | 23323 | HASTINGS | ICA082816 | JAMES | S | https://storage.googleapis.com/normandy-eligibility-checks/2222/16060541/check_21490453_e050bfbf-8309-4d32-909c-51d7a7413df9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | ICA082816 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-02-12 | N/A | N/A | N/A | N/A | false | HASTINGS | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16060541 | 2222 | N/A | N/A | N/A | 6841390 | 2026-03-19 22:45:39.679153 | 2026-02-24 00:29:14.751930 |
| 2026-03-19 22:45:27.320542 | 2026-03-19 22:45:31.237382 | 21490450 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-11-22 | 2026-03-24 | F | AE | PT | 4211 | RASHIDI | 93712342E | ZAHRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18279699/check_21490450_339e620f-7aa1-4f6d-a361-e2dd8768dfd2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18279699/check_21490450_169228dc-32c5-4687-aabc-a753ee13e0ed.json | N/A | N/A | N/A | N/A | N/A | 93712342E | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-11-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RASHIDI | N/A | ZAHRA | N/A | 2078-12-31 | 2026-02-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10340392636 | 167942 | N/A | 18279699 | 2222 | N/A | 20672358 | N/A | 16293253 | 2026-03-19 22:45:31.237382 | 2026-03-17 23:01:51.545839 |
| 2026-03-19 22:45:19.435256 | 2026-03-19 22:45:21.300170 | 21490436 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-10-03 | 2026-03-24 | F | AE | PT | 23323 | AUSTIN | ICA080957 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16284060/check_21490436_4b498222-d402-43f0-a326-50f1d5d38f2f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16284060/check_21490436_f1b2bcc9-8ddc-4b24-a8de-c882dae9c7c2.json | N/A | N/A | N/A | N/A | N/A | ICA080957 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-10-03 | N/A | N/A | N/A | N/A | false | AUSTIN | N/A | ANDREA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16284060 | 2222 | N/A | 20672352 | N/A | 14332703 | 2026-03-19 22:45:21.300170 | 2026-02-04 01:37:30.114754 |
| 2026-03-19 22:45:17.752854 | 2026-03-19 22:45:19.431676 | 21490434 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-10-03 | 2026-03-24 | F | AE | PT | 23323 | AUSTIN | ICA080957 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16284060/check_21490434_4566acd2-b46d-4949-82cd-ca56c698fa06.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | ICA080957 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1955-10-03 | N/A | N/A | N/A | N/A | false | AUSTIN | N/A | ANDREA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16284060 | 2222 | N/A | N/A | N/A | 14332703 | 2026-03-19 22:45:19.431676 | 2026-02-04 01:37:30.114754 |
| 2026-03-19 22:45:09.200988 | 2026-03-19 22:45:10.963352 | 21490424 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-05-14 | 2026-03-24 | M | AE | PT | 5505 | Hickey | 0025974806 | Thomas | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18081534/check_21490424_fb195456-717e-4d66-af9c-863b191b7ad8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18081534/check_21490424_aa28b696-aee5-4931-81dc-430feb032bf5.json | N/A | N/A | N/A | N/A | N/A | 0025974806 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1946-05-14 | N/A | N/A | N/A | N/A | false | HICKEY | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18081534 | 2222 | N/A | 20672341 | N/A | 16107429 | 2026-03-19 22:45:10.963352 | 2026-03-20 21:29:38.978560 |
| 2026-03-19 22:45:07.501901 | 2026-03-19 22:45:09.197330 | 21490423 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-05-14 | 2026-03-24 | M | AE | PT | 5505 | Hickey | 0025974806 | Thomas | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18081534/check_21490423_8f9aeec4-efef-4640-bfb0-e50ae6f81a81.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | 0025974806 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1946-05-14 | N/A | N/A | N/A | N/A | false | HICKEY | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18081534 | 2222 | N/A | N/A | N/A | 16107429 | 2026-03-19 22:45:09.197330 | 2026-03-20 21:29:38.978560 |
| 2026-03-19 22:45:04.081142 | 2026-03-19 22:45:37.663435 | 21490413 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-01-26 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21490413_50b1a6ad-0877-45cd-a59c-7bd2d13cedb0.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-26 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-19 22:45:37.663435 | 2025-11-11 01:01:48.778756 |
| 2026-03-19 22:44:35.152052 | 2026-03-19 22:44:37.007549 | 21490375 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-01-03 | 2026-03-24 | M | PT | N/A | 4191 | JACOBS | AJC909763451 | JESSE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18407669/check_21490375_a6b0b938-db10-41a3-b04e-c20683b0ce1c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18407669/check_21490375_ec7ac769-e342-4612-b3ae-b32b00cd8052.json | N/A | N/A | N/A | N/A | N/A | AJC909763451 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1972-01-03 | 1000MCAL0006 | E0001001 | N/A | MC | false | JACOBS | N/A | JESSE | N/A | 2078-12-31 | 2025-11-01 | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10340390638 | 167942 | N/A | 18407669 | 2222 | N/A | 20672313 | N/A | 16411150 | 2026-03-19 22:44:37.007549 | 2026-03-20 21:53:00.475363 |
| 2026-03-19 22:44:21.636247 | 2026-03-19 22:44:25.482627 | 21490363 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-10-23 | 2026-03-24 | M | AE | PT | 4211 | SMIT DUYZENTKUNST | 94370227G | JAMES | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/14037868/check_21490363_6c6bb16e-1871-4f48-a4a8-4b23c725f504.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14037868/check_21490363_c584be1f-60a6-4d0c-a673-afffbeb0eb46.json | N/A | N/A | N/A | N/A | N/A | 94370227G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2003-10-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMIT | N/A | LARISSA | N/A | 2078-12-31 | 2025-03-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10340390113 | 167942 | N/A | 14037868 | 2222 | N/A | 20672301 | N/A | 6038528 | 2026-03-19 22:44:25.482627 | 2025-07-24 19:34:35.056005 |
| 2026-03-19 22:44:09.519966 | 2026-03-19 22:44:42.920156 | 21490348 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-02-11 | 2026-03-24 | M | AE | PT | 6341 | SOLARES | 1457494420 | WILBER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/13852801/check_21490348_14a88187-27b7-4905-a466-3e9ab48c3c1f.json | AVAILITY | N/A | INSIGHTS | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | 1457494420 | N/A | N/A | N/A | N/A | 1994-02-11 | N/A | N/A | N/A | N/A | false | SOLARES | N/A | WILBER | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 13852801 | 2222 | N/A | N/A | N/A | 12000360 | 2026-03-19 22:44:42.920156 | 2026-01-27 17:13:10.189797 |
| 2026-03-19 22:43:40.031213 | 2026-03-19 22:43:41.826721 | 21490296 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-15 | 2026-03-24 | M | AE | PT | 23323 | SUCHOMEL | ICA063850 | CURTIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16910806/check_21490296_74396320-d2b3-4d92-a8cb-a5ee570104b7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16910806/check_21490296_db25b07e-b111-4442-a0b9-a0d9c19cface.json | N/A | N/A | N/A | N/A | N/A | ICA063850 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | SUCHOMEL | N/A | CURTIS | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16910806 | 2222 | N/A | 20672270 | N/A | 14910411 | 2026-03-19 22:43:41.826721 | 2026-02-17 22:13:49.772467 |
| 2026-03-19 22:43:38.331016 | 2026-03-19 22:43:40.027044 | 21490294 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-15 | 2026-03-24 | M | AE | PT | 23323 | SUCHOMEL | ICA063850 | CURTIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16910806/check_21490294_1197ce8c-33a1-4660-91f1-efb99ac40130.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | ICA063850 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | SUCHOMEL | N/A | CURTIS | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16910806 | 2222 | N/A | N/A | N/A | 14910411 | 2026-03-19 22:43:40.027044 | 2026-02-17 22:13:49.772467 |
| 2026-03-19 22:43:28.172368 | 2026-03-19 22:43:30.071114 | 21490279 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-29 | 2026-03-24 | F | AE | PT | 4497 | PETROSIAN | 6PKOHF2DF31 | SILVA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18321858/check_21490279_6470dc3e-c7a6-4dbe-8f0d-f1d3f8a7b7f9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18321858/check_21490279_ad112ab6-7450-4f53-bf9e-90d68d9fcb54.json | N/A | N/A | N/A | N/A | N/A | 6PKOHF2DF31 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1943-07-29 | N/A | N/A | N/A | N/A | false | PETROSIAN | N/A | SILVA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18321858 | 2222 | N/A | 20672258 | N/A | 4212923 | 2026-03-19 22:43:30.071114 | 2025-05-13 04:29:37.227251 |
| 2026-03-19 22:43:26.276160 | 2026-03-19 22:43:28.168346 | 21490278 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-29 | 2026-03-24 | F | AE | PT | 4497 | PETROSIAN | 6PKOHF2DF31 | SILVA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18321858/check_21490278_eef82798-7def-49bf-822a-6f292502ff18.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | 6PKOHF2DF31 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1943-07-29 | N/A | N/A | N/A | N/A | false | PETROSIAN | N/A | SILVA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18321858 | 2222 | N/A | N/A | N/A | 4212923 | 2026-03-19 22:43:28.168346 | 2025-05-13 04:29:37.227251 |
| 2026-03-19 22:43:15.034299 | 2026-03-19 22:43:16.840250 | 21490264 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1971-01-02 | 2026-03-24 | F | AE | PT | 4709 | SIVAMALAR | 98940148E | THANGIAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18018879/check_21490264_2ecb5787-d4ea-4233-a990-1caa07bd68c2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18018879/check_21490264_a72867ea-1d32-42fd-8773-f2475b30c218.json | N/A | N/A | N/A | N/A | N/A | 98940148E | N/A | N/A | HEALTH NET, LLC | N/A | 1971-01-02 | N/A | N/A | N/A | N/A | false | SIVAMALAR | N/A | THANGIAH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18018879 | 2222 | N/A | 20672251 | N/A | 8251172 | 2026-03-19 22:43:16.840250 | 2025-10-03 18:17:22.871347 |
| 2026-03-19 22:43:12.260777 | 2026-03-19 22:43:15.030104 | 21490263 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1971-01-02 | 2026-03-24 | F | AE | PT | 4709 | SIVAMALAR | 98940148E | THANGIAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18018879/check_21490263_4b216fb9-abed-4d0c-8e6c-f3e6bf6faaa8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | 98940148E | N/A | N/A | HEALTH NET, LLC | N/A | 1971-01-02 | N/A | N/A | N/A | N/A | false | SIVAMALAR | N/A | THANGIAH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18018879 | 2222 | N/A | N/A | N/A | 8251172 | 2026-03-19 22:43:15.030104 | 2025-10-03 18:17:22.871347 |
| 2026-03-19 22:42:41.220573 | 2026-03-19 22:42:44.021566 | 21490218 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-06-17 | 2026-03-24 | M | AE | PT | 5538 | FAVELA | 620360888 | MAXIMILIAN | RINALDO | https://storage.googleapis.com/normandy-eligibility-checks/2222/8960010/check_21490218_0b28735d-0ea6-439b-b73e-8b5ecefd1390.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_21490218_05a258c8-b53f-4f5c-bb35-7d1091014aaa.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | N/A | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10340385974 | 167942 | N/A | 8960010 | 2222 | N/A | 20672233 | N/A | 7476978 | 2026-03-19 22:42:44.021566 | 2026-01-07 18:27:22.752552 |
| 2026-03-19 22:42:34.827282 | 2026-03-19 22:42:36.639720 | 21490216 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-12-25 | 2026-03-24 | M | AE | PT | 6237 | UNDERHILL | 311356558-01 | DIRK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535951/check_21490216_7fdff0d4-661a-4de9-b981-3a7de0c3574c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535951/check_21490216_f152c7ff-9d5a-4e76-8984-b8926d053ae2.json | N/A | N/A | N/A | N/A | N/A | 311356558-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1939-12-25 | N/A | N/A | N/A | N/A | false | UNDERHILL | N/A | DIRK | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5535951 | 2222 | N/A | 20672227 | N/A | 4208785 | 2026-03-19 22:42:36.639720 | 2026-02-25 19:42:29.414844 |
| 2026-03-19 22:42:33.015223 | 2026-03-19 22:42:34.823051 | 21490204 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-12-25 | 2026-03-24 | M | AE | PT | 6237 | UNDERHILL | 311356558-01 | DIRK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535951/check_21490204_c12e69ad-cdca-4ff1-8390-c77688e6bcda.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | N/A | N/A | N/A | N/A | N/A | N/A | 311356558-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1939-12-25 | N/A | N/A | N/A | N/A | false | UNDERHILL | N/A | DIRK | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5535951 | 2222 | N/A | N/A | N/A | 4208785 | 2026-03-19 22:42:34.823051 | 2026-02-25 19:42:29.414844 |
| 2026-03-19 22:41:36.988862 | 2026-03-19 22:42:11.473010 | 21490138 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-17 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_21490138_1f82e136-0563-4577-8534-194f6199b257.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-19 22:42:11.473010 | 2025-05-13 04:29:37.229495 |
| 2026-03-19 22:41:10.233523 | 2026-03-19 22:41:13.037565 | 21490097 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-02-29 | 2026-03-24 | M | PT | N/A | 4184 | VALIDO | CQP984A51643 | THADDEUS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18188749/check_21490097_8a21efe9-2f7a-429c-9747-203fa995ed8f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18188749/check_21490097_b098be68-1733-48fc-b17f-a8992f548e40.json | N/A | N/A | N/A | N/A | N/A | CQP984A51643 | Preferred Provider Organization (PPO) | CENTENE CORPORATION | ANTHEM BLUE CROSS | N/A | 1968-02-29 | 241 | 230043M11A | N/A | PR | false | VALIDO | N/A | THADDEUS | N/A | 9999-12-31 | 2023-01-01 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10340382217 | 167942 | N/A | 18188749 | 2222 | N/A | 20672151 | N/A | 16206036 | 2026-03-19 22:41:13.037565 | 2026-03-16 15:58:46.377037 |
| 2026-03-19 22:40:51.017529 | 2026-03-19 22:40:53.837253 | 21490074 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-04-12 | 2026-03-24 | F | PT | N/A | 4191 | JARRIN | XEA911784312 | MARIAJOSE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18335373/check_21490074_df062cd3-e45e-470a-9603-19612b4e3f84.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18335373/check_21490074_d7190c95-332a-4730-86ee-1de1844f936e.json | N/A | N/A | N/A | N/A | N/A | XEA911784312 | Preferred Provider Organization (PPO) | KFA LLP | BLUE SHIELD CALIFORNIA | N/A | 1996-04-12 | 1000VX000102 | W0105276 | N/A | PR | false | JARRIN LOPEZ | N/A | MARIAJOSE | N/A | 2026-03-31 | 2025-04-01 | GOLD FULL PPO 750 30 OFFEX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10340380648 | 167942 | N/A | 18335373 | 2222 | N/A | 20672144 | N/A | 16345883 | 2026-03-19 22:40:53.837253 | 2026-03-24 03:37:53.217177 |
| 2026-03-19 22:37:32.633258 | 2026-03-19 22:38:08.684447 | 21489946 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-11-30 | 2026-03-23 | M | AE | PT | 6341 | CEDILLO | 1504580888 | ANGEL | L | https://storage.googleapis.com/normandy-eligibility-checks/2222/18271896/check_21489946_fff19549-639b-415a-8793-fa18e9636d20.json | AVAILITY | N/A | INSIGHTS | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | 1504580888 | N/A | N/A | N/A | N/A | 2012-11-30 | N/A | N/A | N/A | N/A | false | CEDILLO | N/A | ANGEL | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18271896 | 2222 | N/A | N/A | N/A | 16285856 | 2026-03-19 22:38:08.684447 | 2026-03-17 21:19:49.739104 |
| 2026-03-19 22:35:31.715626 | 2026-03-19 22:36:05.583080 | 21489933 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-11-30 | 2026-03-23 | M | AE | PT | 6341 | Cedillo | 1504580888 | Angel | L | https://storage.googleapis.com/normandy-eligibility-checks/2222/18271896/check_21489933_a96b47f4-36bc-4d24-9886-56d22dbbf8b5.json | AVAILITY | N/A | INSIGHTS | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | 1504580888 | N/A | N/A | N/A | N/A | 2012-11-30 | N/A | N/A | N/A | N/A | false | Cedillo | N/A | Angel | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18271896 | 2222 | N/A | N/A | N/A | 16285856 | 2026-03-19 22:36:05.583080 | 2026-03-17 21:19:49.739104 |
| 2026-03-19 22:34:07.682885 | 2026-03-19 22:34:41.409951 | 21489926 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-11-30 | 2026-03-23 | M | AE | PT | 6341 | CEDILLO | 1504580888 | ANGEL | L | https://storage.googleapis.com/normandy-eligibility-checks/2222/18271896/check_21489926_14d16644-a300-426a-9485-21ec52ca8509.json | AVAILITY | N/A | INSIGHTS | 2026-03-23 | N/A | N/A | N/A | N/A | N/A | N/A | 1504580888 | N/A | N/A | N/A | N/A | 2012-11-30 | N/A | N/A | N/A | N/A | false | CEDILLO | N/A | ANGEL | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18271896 | 2222 | N/A | N/A | N/A | 16285856 | 2026-03-19 22:34:41.409951 | 2026-03-17 21:19:49.739104 |
| 2026-03-19 22:24:31.772735 | 2026-03-19 22:25:05.259459 | 21489618 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-12 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21489618_e030cebc-62c2-4925-804b-4608b30ddc03.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 | 2026-03-19 22:25:05.259459 | 2025-11-11 01:01:48.778756 |
| 2026-03-19 22:23:33.654091 | 2026-03-19 22:24:07.197435 | 21489528 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-10 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21489528_c21a5a8b-612d-40df-b154-6c8f13306116.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-10 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-19 22:24:07.197435 | 2025-11-11 01:01:48.778756 |
| 2026-03-19 22:22:24.179829 | 2026-03-19 22:22:57.571362 | 21489449 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-05 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21489449_a6ba00a8-5459-4196-a214-8bd6bcf2018b.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-05 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-19 22:22:57.571362 | 2025-11-11 01:01:48.778756 |
| 2026-03-19 22:21:39.568689 | 2026-03-19 22:22:13.555342 | 21489394 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2026-01-30 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_21489394_1cb54027-3047-46ab-9a6b-6780f34aa7f6.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-19 22:22:13.555342 | 2025-05-13 04:29:37.229495 |
| 2026-03-19 22:20:08.071431 | 2026-03-19 22:20:41.552532 | 21489282 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-01-26 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21489282_71d8c823-c0a6-48f3-b76c-9d33d3b2d9e9.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-26 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-19 22:20:41.552532 | 2025-11-11 01:01:48.778756 |
| 2026-03-19 22:16:38.044709 | 2026-03-19 22:17:12.528374 | 21489005 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-17 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_21489005_d4859572-00fd-4cf8-a21c-e972570269ec.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-19 22:17:12.528374 | 2025-05-13 04:29:37.229495 |
| 2026-03-19 22:08:36.462193 | 2026-03-19 22:08:37.911705 | 21488642 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-11-30 | 2026-03-23 | M | AE | PT | 6341 | CEDILLO | 00918353405 | ANGEL | L | https://storage.googleapis.com/normandy-eligibility-checks/2222/18271896/check_21488642_f681c617-cc29-48d8-966d-10f7ff70ef00.json | AVAILITY | N/A | INSIGHTS | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18271896/check_21488642_af60158b-e0c1-42af-9588-c22363d4aaa7.json | N/A | N/A | N/A | N/A | N/A | 00918353405 | N/A | N/A | TRIWEST - TRICARE | N/A | 2012-11-30 | N/A | N/A | N/A | N/A | false | CEDILLO | N/A | ANGEL | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18271896 | 2222 | N/A | 20671095 | N/A | 16285856 | 2026-03-19 22:08:37.911705 | 2026-03-17 21:19:49.739104 |
| 2026-03-19 22:08:29.594172 | 2026-03-19 22:08:31.253249 | 21488641 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-11-30 | 2026-03-23 | M | AE | PT | 6341 | CEDILLO | 009183534-05 | ANGEL | L | https://storage.googleapis.com/normandy-eligibility-checks/2222/18271896/check_21488641_cda88a62-b777-423b-b57f-08aa3f618504.json | AVAILITY | N/A | INSIGHTS | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18271896/check_21488641_b789954f-c65f-495c-ae65-8c66cf145136.json | N/A | N/A | N/A | N/A | N/A | 00918353405 | N/A | N/A | TRIWEST - TRICARE | N/A | 2012-11-30 | N/A | N/A | N/A | N/A | false | CEDILLO | N/A | ANGEL | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 18271896 | 2222 | N/A | 20671091 | N/A | 16285856 | 2026-03-19 22:08:31.253249 | 2026-03-17 21:19:49.739104 |
| 2026-03-19 21:40:45.646725 | 2026-03-19 21:40:52.030340 | 21488349 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-12-14 | 2026-03-23 | F | AE | PT | N/A | Dayan | 74902179003 | Rebecca | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16841690/check_21488349_83c13b45-1144-4c5a-be95-96e5e1423343.json | UHC | N/A | INSIGHTS | 2026-03-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16841690/check_21488349_b05af369-35d2-4e37-9a5c-7c463df1c59e.json | N/A | N/A | N/A | N/A | N/A | 74902179003 | Commercial | N/A | UnitedHealthcare Benefits Plan of California | N/A | 2008-12-14 | N/A | 1712819 | N/A | C1 | false | DAYAN | N/A | REBECCA | N/A | N/A | N/A | Select Plus | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16841690 | 2222 | N/A | 20670701 | N/A | 14848605 | 2026-03-19 21:40:52.030340 | 2026-02-19 16:34:10.897360 |