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 07:11:21.030607 | 2026-03-19 07:11:23.084610 | 21364479 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-03-03 | 2026-03-19 | F | AE | PT | 6237 | MENEZES | 40064186001 | SHALINI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17839385/check_21364479_22c43dae-d072-4747-b8ab-94bfe776171d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17839385/check_21364479_9b123e49-859f-4f5b-a7ce-06c6538fa3a9.json | N/A | N/A | N/A | N/A | N/A | 40064186001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1946-03-03 | 2026H5425001 | H5425M | N/A | N/A | false | MENEZES | N/A | SHALINI | 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 | 10332999326 | N/A | N/A | 17839385 | 2222 | N/A | 20608438 | N/A | 4209017 | 2026-03-19 07:11:23.084610 | 2025-05-13 04:29:37.223448 |
| 2026-03-19 07:11:21.020301 | 2026-03-19 07:11:24.520085 | 21364477 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-12-05 | 2026-03-19 | F | AE | PT | 4625 | BLUEROSE | 92521676F | KYRINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17939188/check_21364477_3b9bb462-1279-48a0-9266-e87455caff43.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17939188/check_21364477_7573c446-4f6d-4fab-a2f8-e857bf94804b.json | N/A | N/A | N/A | N/A | N/A | 92521676F | N/A | N/A | HEALTH NET, LLC | N/A | 1972-12-05 | N/A | N/A | N/A | N/A | false | BLUEROSE | N/A | KYRINA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999333 | N/A | N/A | 17939188 | 2222 | N/A | 20608444 | N/A | 4214558 | 2026-03-19 07:11:24.520085 | 2026-03-07 00:55:14.494391 |
| 2026-03-19 07:11:20.745840 | 2026-03-19 07:11:23.947218 | 21364450 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-11-14 | 2026-03-19 | F | AE | PT | 5505 | RIOS | 000019686798 | SYDNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18081788/check_21364450_a29e452c-8ff9-4e57-9f6c-94314e98cd4b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18081788/check_21364450_83950fe5-960a-4e80-a2ea-34a9f90c9b91.json | N/A | N/A | N/A | N/A | N/A | 000019686798 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2011-11-14 | 4274058 | 1650095001 | N/A | N/A | false | RIOS | N/A | SYDNEY | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999322 | N/A | N/A | 18081788 | 2222 | N/A | 20608442 | N/A | 16107768 | 2026-03-19 07:11:23.947218 | 2026-03-13 19:00:39.970087 |
| 2026-03-19 07:11:20.733725 | 2026-03-19 07:11:23.721098 | 21364449 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-07-25 | 2026-03-19 | M | PT | N/A | 4184 | DOBBIE | JQU942M93268 | DRAKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18097686/check_21364449_daed34a0-e109-4bb2-9573-83e4608662a0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18097686/check_21364449_78ca2d6c-4415-4214-b27b-30a8d909ccc9.json | N/A | N/A | N/A | N/A | N/A | JQU942M93268 | Preferred Provider Organization (PPO) | CAPSIDA, INC. | ANTHEM BLUE CROSS | N/A | 1979-07-25 | 040 | G46507 | N/A | PR | false | DOBBIE | N/A | DRAKE | N/A | 9999-12-31 | 2025-08-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10332999306 | N/A | N/A | 18097686 | 2222 | N/A | 20608441 | N/A | 16122002 | 2026-03-19 07:11:23.721098 | 2026-03-19 18:31:16.913461 |
| 2026-03-19 07:11:20.607381 | 2026-03-19 07:11:24.599379 | 21364439 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1975-08-29 | 2026-03-19 | M | AE | PT | 5504 | LUMER | 000019792887 | RAYEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17925305/check_21364439_925a11a8-ae56-4e9e-beb1-93bbc2e93fdf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17925305/check_21364439_08a52234-63d3-4a23-9dac-2ebfd0684667.json | N/A | N/A | N/A | N/A | N/A | 000019792887 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1975-08-29 | 3066652 | 1650095001 | N/A | N/A | false | LUMER | N/A | RAYEE | N/A | 2026-12-31 | 2026-01-01 | CLSD JUL - KPIF DHMO GOLD 80 HMO COINSURANCE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999302 | N/A | N/A | 17925305 | 2222 | N/A | 20608446 | N/A | 15964069 | 2026-03-19 07:11:24.599379 | 2026-03-11 17:16:27.067844 |
| 2026-03-19 07:11:20.555024 | 2026-03-19 07:11:22.526786 | 21364435 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-04-11 | 2026-03-19 | F | AE | PT | 4497 | MAJD | 00000000000000 | FLORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/18036986/check_21364435_290b2f87-1983-4ba9-9529-ed71007fe975.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | 00000000000000 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1958-04-11 | N/A | N/A | N/A | N/A | false | MAJD | N/A | FLORA | 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 | N/A | N/A | 18036986 | 2222 | N/A | N/A | N/A | 4209898 | 2026-03-19 07:11:22.526786 | 2026-03-12 23:16:26.192781 |
| 2026-03-19 07:11:20.426900 | 2026-03-19 07:11:24.880200 | 21364422 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-04-09 | 2026-03-19 | F | AE | PT | 4211 | NEWMAN | 99514677E | CHRISTINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17821217/check_21364422_acd31590-5565-44e4-a6a4-73ffe51deb55.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17821217/check_21364422_1c9b1e48-82f6-4b76-9374-42627c8c6fe0.json | N/A | N/A | N/A | N/A | N/A | 99514677E | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1971-04-09 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | NEWMAN | N/A | CHRISTINE | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999307 | N/A | N/A | 17821217 | 2222 | N/A | 20608453 | N/A | 15865943 | 2026-03-19 07:11:24.880200 | 2026-03-09 18:03:26.830821 |
| 2026-03-19 07:11:20.409357 | 2026-03-19 07:11:22.243122 | 21364418 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-10-11 | 2026-03-19 | M | PT | N/A | 4185 | Gibson | B6M8530851 | Paul | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17087478/check_21364418_5119d7c2-e045-4a1e-b110-6aa3dddb5a7a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17087478/check_21364418_7d586b36-4359-494c-81d0-2eb076bf1952.json | N/A | N/A | N/A | N/A | N/A | B6M8530851 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-10-11 | N/A | N/A | N/A | N/A | false | GIBSON | N/A | PAUL | 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 | N/A | N/A | 17087478 | 2222 | N/A | 20608430 | N/A | 15079139 | 2026-03-19 07:11:22.243122 | 2026-03-03 01:53:25.910380 |
| 2026-03-19 07:11:20.212727 | 2026-03-19 07:11:24.599349 | 21364402 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-08-17 | 2026-03-19 | F | PT | N/A | 4184 | RUEMMELE | XOX815196499 | MAKENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17557872/check_21364402_fcd4bbab-a32d-46cb-87d7-9bbb698e6660.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17557872/check_21364402_88be447e-09b1-4f84-a8bc-d7f5a2cede90.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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10332999274 | N/A | N/A | 17557872 | 2222 | N/A | 20608445 | N/A | 4534546 | 2026-03-19 07:11:24.599349 | 2025-12-03 00:06:29.870228 |
| 2026-03-19 07:11:20.119222 | 2026-03-19 07:11:22.326244 | 21364386 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-23 | 2026-03-19 | M | 30 | AD | 6237 | Sedlak | 40084772901 | Chris | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17533302/check_21364386_450e58bc-8166-4830-b4a9-b731383b78d2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17533302/check_21364386_16aed1f4-7084-4d08-a650-75593b1905cc.json | N/A | N/A | N/A | N/A | N/A | 40084772901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-07-23 | 2026H5425001 | H5425M | N/A | N/A | false | SEDLAK | N/A | CHRIS | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 10332999276 | N/A | N/A | 17533302 | 2222 | N/A | 20608431 | N/A | 15565486 | 2026-03-19 07:11:22.326244 | 2026-03-17 20:55:49.152309 |
| 2026-03-19 07:11:20.015586 | 2026-03-19 07:11:29.965727 | 21364378 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-10 | 2026-03-19 | F | AE | PT | 3948 | Kaur | 102258428900 | SARANJIT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17736385/check_21364378_41d3df9b-8a0c-480d-990f-b73e2e9848a3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17736385/check_21364378_11d76e99-adbc-4dc3-af19-3d3a4c937db0.json | N/A | N/A | N/A | N/A | N/A | 102258428900 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1966-02-10 | 000003-CA000027 | 000003-CA | N/A | QM | false | KAUR | N/A | SARANJIT | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE ENHANCED (PPO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999267 | N/A | N/A | 17736385 | 2222 | N/A | 20608500 | N/A | 15497513 | 2026-03-19 07:11:29.965727 | 2026-03-06 21:33:02.751048 |
| 2026-03-19 07:11:19.956172 | 2026-03-19 07:11:22.692355 | 21364372 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-29 | 2026-03-19 | M | PT | N/A | 4185 | Parker | JQE625A51570 | james | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17729464/check_21364372_813afb43-d365-4cae-bbc5-fd41f8317dab.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17729464/check_21364372_a463af91-1f26-4822-b983-b25ab3844de6.json | N/A | N/A | N/A | N/A | N/A | JQE625A51570 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1941-08-29 | 040 | CASUPWP0 | N/A | N/A | false | PARKER | N/A | JAMES | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10332999263 | N/A | N/A | 17729464 | 2222 | N/A | 20608435 | N/A | 15775532 | 2026-03-19 07:11:22.692355 | 2026-03-06 21:09:06.720810 |
| 2026-03-19 07:11:19.905405 | 2026-03-19 07:11:22.918018 | 21364368 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 2010-06-05 | 2026-03-19 | F | AE | PT | 5504 | Tal | 000032073042 | Ella | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17718829/check_21364368_e9a25d72-a1d8-400f-a9aa-7eb3e5395080.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17718829/check_21364368_94f1dbe0-c190-40e6-b1a2-5376754bcddf.json | N/A | N/A | N/A | N/A | N/A | 000032073042 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 2010-06-05 | 4378733 | 1650095001 | N/A | N/A | false | TAL | N/A | ELLA | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999270 | N/A | N/A | 17718829 | 2222 | N/A | 20608437 | N/A | 15764652 | 2026-03-19 07:11:22.918018 | 2026-03-20 01:39:52.693368 |
| 2026-03-19 07:11:19.711102 | 2026-03-19 07:11:21.535339 | 21364348 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-05 | 2026-03-19 | F | AE | PT | 4497 | MILLER | 2nn1kp9mk97 | PEGGY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17663491/check_21364348_c717d48c-5416-4da5-a28f-144dbbce2a11.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17663491/check_21364348_98f35de8-58e1-45ea-95c6-64b167d87b2e.json | N/A | N/A | N/A | N/A | N/A | 2NN1KP9MK97 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-05 | S5921 | N/A | N/A | MA | false | MILLER | N/A | PEGGY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 56920 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999238 | N/A | N/A | 17663491 | 2222 | N/A | 20608422 | N/A | 4213453 | 2026-03-19 07:11:21.535339 | 2025-05-13 04:29:37.227772 |
| 2026-03-19 07:11:19.683403 | 2026-03-19 07:11:21.732736 | 21364341 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-11-04 | 2026-03-19 | F | AE | PT | 5538 | RODRIGUEZ | M013647 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17501934/check_21364341_e36e5ea4-6847-4072-ba12-1b3108c1f5d9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17501934/check_21364341_48ec95c5-0c5d-464f-9757-812f8a03e6d5.json | N/A | N/A | N/A | N/A | N/A | M013647 | N/A | L.A. CARE MEDICARE PLUS | LA CARE HEALTH PLAN | N/A | 1946-11-04 | DSNP | DSNP001 | N/A | N/A | false | RODRIGUEZ | N/A | MARIA | N/A | N/A | N/A | L.A. CARE MEDICARE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999255 | N/A | N/A | 17501934 | 2222 | N/A | 20608427 | N/A | 15517334 | 2026-03-19 07:11:21.732736 | 2026-03-02 22:33:54.498929 |
| 2026-03-19 07:11:19.615349 | 2026-03-19 07:11:21.536683 | 21364335 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-06-21 | 2026-03-19 | F | AE | PT | 6237 | Mamane | 40079211601 | Marlene | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17585914/check_21364335_7dc7df9f-b164-447b-aa80-677baac6d3b1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17585914/check_21364335_fd4b0ef4-b6f9-4fb6-90b9-3c39a6927a95.json | N/A | N/A | N/A | N/A | N/A | 40079211601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1959-06-21 | 2026H5425065LA | H5425M | N/A | N/A | false | MAMANE | N/A | MARLENE | N/A | N/A | N/A | SCAN PRIME (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999250 | N/A | N/A | 17585914 | 2222 | N/A | 20608423 | N/A | 15633309 | 2026-03-19 07:11:21.536683 | 2026-03-04 17:46:21.126462 |
| 2026-03-19 07:11:19.491595 | 2026-03-19 07:11:27.408282 | 21364321 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-07-01 | 2026-03-19 | M | AE | PT | 4437 | ABDELMESSIH | U9059513401 | MINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17498631/check_21364321_ef53e28e-dc78-4e36-ac35-300c5cd82729.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17498631/check_21364321_aeef7398-7f68-4160-8749-8aaf417c25ae.json | N/A | N/A | N/A | N/A | N/A | U9059513401 | Health Maintenance Organization (HMO) | NATIONAL CEMENT COMPANY, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1978-07-01 | N/A | 3340850 | N/A | HM | false | ABDELMESSIH | N/A | MINA | N/A | N/A | N/A | HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999224 | N/A | N/A | 17498631 | 2222 | N/A | 20608476 | N/A | 15513934 | 2026-03-19 07:11:27.408282 | 2026-03-11 16:41:57.340816 |
| 2026-03-19 07:11:19.477722 | 2026-03-19 07:11:22.533971 | 21364320 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1965-07-20 | 2026-03-19 | M | AE | PT | 5504 | Williamson | 000023808951 | James | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17494392/check_21364320_1884b63d-6f05-4da1-bb05-6c31be41f919.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17494392/check_21364320_8d5d2396-cc26-447c-9169-a31aa84c40b2.json | N/A | N/A | N/A | N/A | N/A | 000023808951 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | MDC - MEDICAID | 1965-07-20 | 4362482 | 1650095001 | N/A | N/A | false | WILLIAMSON | N/A | JAMES | N/A | N/A | N/A | MEDI-CAL SCR 19_ADULT EXP M/O | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999245 | N/A | N/A | 17494392 | 2222 | N/A | 20608432 | N/A | 15115643 | 2026-03-19 07:11:22.533971 | 2026-02-19 17:55:17.333175 |
| 2026-03-19 07:11:19.413032 | 2026-03-19 07:11:29.712384 | 21364313 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-09-10 | 2026-03-19 | M | AE | PT | 3948 | Klein | W290749793 | Kevin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17542748/check_21364313_578c663e-6bc7-4283-ab9f-c3bdbcae766e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17542748/check_21364313_eb2419ce-5d5a-4c95-88b9-63048105142e.json | N/A | N/A | N/A | N/A | N/A | W290749793 | Point of Service (POS) | CUMMING MANAGEMENT GROUP, INC. | AETNA | N/A | 1976-09-10 | 0247320 | 024732001000001 | N/A | PS | false | KLEIN | N/A | KEVIN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999228 | N/A | N/A | 17542748 | 2222 | N/A | 20608496 | N/A | 15587352 | 2026-03-19 07:11:29.712384 | 2026-03-05 18:29:10.497749 |
| 2026-03-19 07:11:19.194358 | 2026-03-19 07:11:24.357214 | 21364293 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-02-25 | 2026-03-19 | F | PT | N/A | 4191 | Jimenez | MPI30060766Q | Arabelle | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17497004/check_21364293_f1b7434d-3076-4d7d-8ada-4f4013712de7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17497004/check_21364293_cd8b20d8-5daa-47a6-b5c5-d9588523df95.json | N/A | N/A | N/A | N/A | N/A | MPI30060766Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | BLUE SHIELD OF CALIFORNIA | N/A | 2008-02-25 | 040 | 277163M402 | N/A | PR | false | KIM | N/A | ANNY | 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 | 10332999216 | N/A | N/A | 17497004 | 2222 | N/A | 20608443 | N/A | 15511990 | 2026-03-19 07:11:24.357214 | 2026-03-02 20:39:57.609466 |
| 2026-03-19 07:11:19.002202 | 2026-03-19 07:11:24.526492 | 21364278 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-19 | M | PT | N/A | 4184 | Hymel | XYQM66935041 | Dustin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_21364278_11e076b9-c9b3-48ca-8502-1e02fe46e386.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_21364278_a30ddb6e-f48a-4f1c-a77e-e9860c039e3c.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | Preferred Provider Organization (PPO) | PIXOVR, CORP. | ANTHEM BLUE CROSS | N/A | 1986-05-18 | 710 | 0070340580002003 | N/A | PR | false | HYMEL | N/A | DUSTIN | N/A | 9999-12-31 | 2026-03-01 | SIMPLY BLUE PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10332999217 | N/A | N/A | 17346208 | 2222 | N/A | 20608440 | N/A | 15356693 | 2026-03-19 07:11:24.526492 | 2026-02-25 22:30:35.848496 |
| 2026-03-19 07:11:18.835246 | 2026-03-19 07:11:21.567798 | 21364261 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-06-08 | 2026-03-19 | F | AE | PT | 4625 | SALIMIAN | UZ110324601 | NASHMIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17492780/check_21364261_8b409baa-23e2-4d62-a1a3-3f4b27244795.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_21364261_27224179-0ccd-4405-9919-0f7b604a0227.json | N/A | N/A | N/A | N/A | N/A | UZ110324601 | 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. | 1979-06-08 | 67138CA0520015-05 | N/A | N/A | N/A | false | SALIMIAN | N/A | NASHMIL | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999194 | N/A | N/A | 17492780 | 2222 | N/A | 20608424 | N/A | 15085116 | 2026-03-19 07:11:21.567798 | 2026-02-18 20:26:50.354139 |
| 2026-03-19 07:11:18.787160 | 2026-03-19 07:11:21.683652 | 21364257 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-03-03 | 2026-03-19 | F | AE | PT | 5538 | RODEN | 622540880 | BERNADETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17493076/check_21364257_9da3350a-f9c8-41e4-bc6b-e26f938df7bf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17493076/check_21364257_d2a20456-76ca-46ca-85be-6e48e609d528.json | N/A | N/A | N/A | N/A | N/A | 622540880 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1998-03-03 | LACC | 92815CA001000805 | N/A | N/A | false | RODEN | N/A | BERNADETTE | 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 | 10332999198 | N/A | N/A | 17493076 | 2222 | N/A | 20608428 | N/A | 15508238 | 2026-03-19 07:11:21.683652 | 2026-03-02 19:30:52.935313 |
| 2026-03-19 07:11:18.632894 | 2026-03-19 07:11:20.332269 | 21364242 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-02-23 | 2026-03-19 | M | AE | PT | 5538 | Naito | 93614355F | Arthur | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17429709/check_21364242_0202eda3-4c2f-4a0b-af01-24514d38b23c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17429709/check_21364242_63a86bd3-d1c1-4b28-9897-6c5d01e881e5.json | N/A | N/A | N/A | N/A | N/A | 93614355F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1965-02-23 | MCLA | MWLLNMEG21 | N/A | N/A | false | NAITO | N/A | ARTHUR | N/A | 2078-12-31 | 2016-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999184 | N/A | N/A | 17429709 | 2222 | N/A | 20608412 | N/A | 15440773 | 2026-03-19 07:11:20.332269 | 2026-02-27 19:52:08.982558 |
| 2026-03-19 07:11:18.612017 | 2026-03-19 07:11:21.627025 | 21364240 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-11-06 | 2026-03-19 | F | AE | PT | 1030 | Mosaddegh | 95255632H | Zahra | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17424788/check_21364240_062fb0b1-6ff5-4ded-94e6-0150493ca940.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17424788/check_21364240_0aa42ee7-3cc6-4586-9264-73544fb77500.json | N/A | N/A | N/A | N/A | N/A | 95255632H | N/A | N/A | HEALTH NET, LLC | N/A | 1962-11-06 | N/A | N/A | N/A | N/A | false | MOSADDEGH | N/A | ZAHRA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999187 | N/A | N/A | 17424788 | 2222 | N/A | 20608421 | N/A | 15435665 | 2026-03-19 07:11:21.627025 | 2026-02-27 18:02:10.906286 |
| 2026-03-19 07:11:18.550054 | 2026-03-19 07:11:22.013398 | 21364232 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-12-20 | 2026-03-19 | F | AE | PT | 5505 | Valenza | 000026028938 | Magali | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17355763/check_21364232_96511341-37cb-4f16-a2e7-40ec5c989bfb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17355763/check_21364232_b8cb64d6-15fa-4e9a-a0f5-c7c6d7072f4c.json | N/A | N/A | N/A | N/A | N/A | 000026028938 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1989-12-20 | 4378729 | 1650095001 | N/A | N/A | false | VALENZA | N/A | MAGALI | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999193 | N/A | N/A | 17355763 | 2222 | N/A | 20608429 | N/A | 15367776 | 2026-03-19 07:11:22.013398 | 2026-03-02 18:02:01.247721 |
| 2026-03-19 07:11:18.550617 | 2026-03-19 07:11:23.331568 | 21364229 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-12-04 | 2026-03-19 | F | PT | N/A | 4191 | Mason | NTF411A78634 | Abigail | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17381759/check_21364229_5b45fc3c-fa1a-4223-83af-e4f0151d0202.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381759/check_21364229_5beb74cc-5200-4822-9007-cae370930122.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | BLUE SHIELD OF CALIFORNIA | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | 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 | 10332999179 | N/A | N/A | 17381759 | 2222 | N/A | 20608439 | N/A | 15393771 | 2026-03-19 07:11:23.331568 | 2026-02-26 19:44:45.385491 |
| 2026-03-19 07:11:18.456412 | 2026-03-19 07:11:21.271932 | 21364216 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-04-17 | 2026-03-19 | F | AE | PT | 6237 | ROGERS | 31093568401 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17306773/check_21364216_df2a3189-291d-4d38-809a-5499950f2600.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17306773/check_21364216_5f252533-3186-4d16-844e-3bdab68b5c2b.json | N/A | N/A | N/A | N/A | N/A | 31093568401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-04-17 | 2026H5425001 | H5425M | N/A | N/A | false | ROGERS | N/A | MARY | 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 | 10332999192 | N/A | N/A | 17306773 | 2222 | N/A | 20608417 | N/A | 15321704 | 2026-03-19 07:11:21.271932 | 2026-02-26 19:15:43.216582 |
| 2026-03-19 07:11:18.419689 | 2026-03-19 07:11:22.880205 | 21364214 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-10-11 | 2026-03-19 | M | AE | PT | 5349 | FARRUGIA | H6573816900 | JEFF | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17264465/check_21364214_40252114-e662-4054-b429-348db208bfe3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17264465/check_21364214_644509a9-f7ac-4240-ac2b-3ddf86c85c36.json | N/A | N/A | N/A | N/A | N/A | H65738169 | 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 | 1954-10-11 | N/A | 2B722001 | N/A | HN | false | FARRUGIA | N/A | JEFFREY | 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 | 10332999185 | N/A | N/A | 17264465 | 2222 | N/A | 20608436 | N/A | 15281758 | 2026-03-19 07:11:22.880205 | 2026-04-16 18:41:33.012590 |
| 2026-03-19 07:11:18.352381 | 2026-03-19 07:11:20.160116 | 21364206 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-07 | 2026-03-19 | M | AE | PT | 4497 | WALLACH | 1PD0KF7JH37 | CHARLES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17378232/check_21364206_c813e905-778f-4920-bdf9-5c3c86860a5b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17378232/check_21364206_3c307c50-709e-4c10-a8e4-e5d5eabe2c4f.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MA | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 48380 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999174 | N/A | N/A | 17378232 | 2222 | N/A | 20608410 | N/A | 6660003 | 2026-03-19 07:11:20.160116 | 2026-06-01 17:03:48.982724 |
| 2026-03-19 07:11:18.035632 | 2026-03-19 07:11:21.400616 | 21364170 | N/A | N/A | 87726 | UMR | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-02-26 | 2026-03-19 | F | AE | PT | 5083 | BEASLEY | G45096418 | AMBER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17145684/check_21364170_eca98ac2-5abc-4b5e-952d-f4512261bb5c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17145684/check_21364170_34777445-4a5b-4f15-aaf3-b320b22a16d2.json | N/A | N/A | N/A | N/A | N/A | G45096418 | N/A | G.E.H.A MEDICAL FEHB/PSHB | UMR | N/A | 1992-02-26 | 767000416933002 | 76416933 | N/A | N/A | false | BEASLEY | N/A | AMBER | 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 | 10332999167 | N/A | N/A | 17145684 | 2222 | N/A | 20608418 | N/A | 15134758 | 2026-03-19 07:11:21.400616 | 2026-02-20 20:44:43.451428 |
| 2026-03-19 07:11:17.844448 | 2026-03-19 07:11:19.529759 | 21364154 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-11-18 | 2026-03-19 | M | PT | N/A | 4191 | LOPEZ | 914314600-000 | RAFAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17262479/check_21364154_820b5518-3093-46a0-9285-e02ae77be37d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17262479/check_21364154_d463e020-9abe-437a-abbe-a502f1818225.json | N/A | N/A | N/A | N/A | N/A | XEH914314600 | Health Maintenance Organization (HMO) | BARRY AVENUE PLATING COMPANY INC | BLUE SHIELD CALIFORNIA | N/A | 1971-11-18 | 1000HMOX0001 | W0053916 | N/A | HM | false | LOPEZ | N/A | RAFAEL | N/A | N/A | N/A | ACCESS HMO R ZERO ADMIT 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10332999156 | N/A | N/A | 17262479 | 2222 | N/A | 20608402 | N/A | 15279850 | 2026-03-19 07:11:19.529759 | 2026-03-03 00:15:33.322173 |
| 2026-03-19 07:11:17.730744 | 2026-03-19 07:11:19.739365 | 21364144 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-02-04 | 2026-03-19 | M | AE | PT | 6237 | Seth | 40042142001 | Sushil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17252132/check_21364144_5c492f47-53a7-4d64-890e-89f1f16a45bd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17252132/check_21364144_5d014760-5dec-42f8-b5b8-279a35b1b717.json | N/A | N/A | N/A | N/A | N/A | 40042142001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-02-04 | 2026H5425006 | H5425M | N/A | N/A | false | SETH | N/A | SUSHIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999159 | N/A | N/A | 17252132 | 2222 | N/A | 20608405 | N/A | 15269089 | 2026-03-19 07:11:19.739365 | 2026-03-03 16:25:21.496329 |
| 2026-03-19 07:11:17.679131 | 2026-03-19 07:11:20.406383 | 21364136 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-10-11 | 2026-03-19 | M | PT | N/A | 4185 | Gibson | B6M8530851 | Paul | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17087478/check_21364136_af4ad05b-19b4-4e39-9459-617a6e3c276a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | B6M8530851 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-10-11 | N/A | N/A | N/A | N/A | false | GIBSON | N/A | PAUL | 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 | N/A | N/A | 17087478 | 2222 | N/A | N/A | N/A | 15079139 | 2026-03-19 07:11:20.406383 | 2026-03-03 01:53:25.910380 |
| 2026-03-19 07:11:17.497507 | 2026-03-19 07:11:19.342616 | 21364121 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-03-19 | F | AE | PT | 5538 | Moore | MNL788W15745 | Jean | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_21364121_275838cc-d7eb-4a48-b986-881d1c85d947.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_21364121_6490e131-ef8a-4f4c-a4c3-fb18ccfc5737.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999129 | N/A | N/A | 17099336 | 2222 | N/A | 20608400 | N/A | 6725117 | 2026-03-19 07:11:19.342616 | 2026-02-18 22:27:04.950292 |
| 2026-03-19 07:11:17.438158 | 2026-03-19 07:11:22.535358 | 21364115 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1979-02-02 | 2026-03-19 | F | PT | N/A | 4197 | Roozrokh | R60967659 | Peyman | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17094664/check_21364115_0172b693-3987-458a-85da-2bdce2da5804.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17094664/check_21364115_12854707-e32e-4128-a222-b25b4a147501.json | N/A | N/A | N/A | N/A | N/A | R60967659 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1979-02-02 | N/A | 104 | N/A | PR | false | ROOZROKH | N/A | PEYMAN | N/A | 9999-12-31 | 2024-01-14 | STANDARD | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10332999145 | N/A | N/A | 17094664 | 2222 | N/A | 20608433 | N/A | 15086531 | 2026-03-19 07:11:22.535358 | 2026-02-18 21:22:56.146803 |
| 2026-03-19 07:11:17.375623 | 2026-03-19 07:11:20.346249 | 21364110 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-08-28 | 2026-03-19 | F | PT | N/A | 4184 | GARCIA | FJB21294792M | STARR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17094426/check_21364110_73c122ba-043e-4c8b-935e-3865c577d5b5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17094426/check_21364110_6eeec28e-fd71-4cca-a16a-40d2cec29d76.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | Preferred Provider Organization (PPO) | BANK OF AMERICA CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-08-28 | 101 | 174549M111 | N/A | PR | false | RAY | N/A | ALLISON | N/A | 9999-12-31 | 2016-01-01 | BLUECARD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10332999125 | N/A | N/A | 17094426 | 2222 | N/A | 20608411 | N/A | 4214641 | 2026-03-19 07:11:20.346249 | 2025-12-09 08:50:02.875071 |
| 2026-03-19 07:11:17.221165 | 2026-03-19 07:11:21.229666 | 21364096 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-11-15 | 2026-03-19 | F | AE | PT | 4211 | DIBAEI | 95643445F | ATEFEH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16929305/check_21364096_6801e57a-fccb-4653-88f0-d3fc2f3d243b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16929305/check_21364096_687630f1-63d1-4757-bdd5-82d2e2dd2489.json | N/A | N/A | N/A | N/A | N/A | 95643445F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 04/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-11-15 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DIBAEI | N/A | ATEFEH | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999114 | N/A | N/A | 16929305 | 2222 | N/A | 20608419 | N/A | 14928874 | 2026-03-19 07:11:21.229666 | 2026-02-13 23:07:04.697142 |
| 2026-03-19 07:11:17.173078 | 2026-03-19 07:11:20.926404 | 21364093 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1944-07-17 | 2026-03-19 | F | AE | PT | 5504 | Yin | 000002896249 | Cherry | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17086413/check_21364093_fe0462d6-96f2-4af0-a289-575f96c0e19f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17086413/check_21364093_bc16904a-89c3-4126-8bdd-1486c9e5c679.json | N/A | N/A | N/A | N/A | N/A | 000002896249 | N/A | N/A | KP MEDICARE | HMO - HMO COMMERCIAL | 1944-07-17 | 3029308 | 115509 | N/A | N/A | false | YIN | N/A | CHERRY | N/A | 2026-12-31 | 2026-01-01 | LOS ANGELES UNIFIED SCHOOL DISTRICT EFF 1/1/11-USE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999107 | N/A | N/A | 17086413 | 2222 | N/A | 20608416 | N/A | 15078236 | 2026-03-19 07:11:20.926404 | 2026-02-18 17:56:56.986469 |
| 2026-03-19 07:11:17.027288 | 2026-03-19 07:11:21.518841 | 21364077 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1935-09-03 | 2026-03-19 | M | AE | PT | 5505 | Demir | 000015023753 | Andre | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16981849/check_21364077_b64828ae-0dc9-4dce-b3aa-4baaa6631714.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16981849/check_21364077_5f6658d2-6140-41b8-97a7-09f5aef8233f.json | N/A | N/A | N/A | N/A | N/A | 000015023753 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1935-09-03 | 1115265 | 230737 | N/A | N/A | false | DEMIR | N/A | ANDRE | N/A | 2026-12-31 | 2026-01-01 | KPSA SOLD TO-SOUTH KPSA SOLD TO-SOUTH | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999113 | N/A | N/A | 16981849 | 2222 | N/A | 20608420 | N/A | 14978789 | 2026-03-19 07:11:21.518841 | 2026-02-16 22:21:39.816698 |
| 2026-03-19 07:11:16.805601 | 2026-03-19 07:11:21.615236 | 21364057 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-03 | 2026-03-19 | M | PT | N/A | 4184 | WILSON | UAL838672820 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16887983/check_21364057_12a660a0-7b82-48bb-893f-9ff088d60ada.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16887983/check_21364057_2ed32afb-c4a3-4bd9-ad8c-c9e1d9019d97.json | N/A | N/A | N/A | N/A | N/A | UAL838672820 | Preferred Provider Organization (PPO) | UNITED AIRLINES | ANTHEM BLUE CROSS | N/A | 1954-11-03 | N/A | 168262 | N/A | PR | false | WILSON | N/A | THOMAS | N/A | 9999-12-31 | 2016-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10332999093 | N/A | N/A | 16887983 | 2222 | N/A | 20608426 | N/A | 14890899 | 2026-03-19 07:11:21.615236 | 2026-02-16 16:35:16.688576 |
| 2026-03-19 07:11:16.750572 | 2026-03-19 07:11:19.955546 | 21364050 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-08-19 | 2026-03-19 | F | AE | PT | 2630 | SHIRLEY | 00000473306 | CHERYLL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16719138/check_21364050_a78e01b7-a730-4c9b-aa33-ecc6c33f1e32.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16719138/check_21364050_dd6923cb-85f0-40b6-a820-468c80c3f2b9.json | N/A | N/A | N/A | N/A | N/A | 00000473306 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-08-19 | H3815028 | N/A | N/A | HM | false | SHIRLEY | N/A | CHERYLL | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999096 | N/A | N/A | 16719138 | 2222 | N/A | 20608407 | N/A | 14730996 | 2026-03-19 07:11:19.955546 | 2026-02-10 01:02:18.142372 |
| 2026-03-19 07:11:16.688097 | 2026-03-19 07:11:21.736465 | 21364043 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2015-08-07 | 2026-03-19 | M | AE | PT | 3948 | Pederson | W245231300-03 | Camden | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16713614/check_21364043_09ac0d48-5c95-4e69-ab60-fced25d779fb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16713614/check_21364043_43042e8b-77e5-4f3d-be2d-76106453db3f.json | N/A | N/A | N/A | N/A | N/A | W245231300 | Point of Service (POS) | ALIGN TECHNOLOGY, INC. | AETNA | N/A | 2015-08-07 | 0883552 | 088355201400001 | N/A | PS | false | PEDERSON | N/A | RYAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999088 | N/A | N/A | 16713614 | 2222 | N/A | 20608425 | N/A | 14725710 | 2026-03-19 07:11:21.736465 | 2026-02-10 21:08:46.744563 |
| 2026-03-19 07:11:16.581648 | 2026-03-19 07:11:19.603670 | 21364029 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-09-07 | 2026-03-19 | F | AE | PT | 5505 | BATES | 000020963640 | DAISHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16698600/check_21364029_15dcc4d3-a5f6-4e8b-8482-bb03cacdb6f8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16698600/check_21364029_842e8f8d-7bba-467a-8f87-4939311282a8.json | N/A | N/A | N/A | N/A | N/A | 000020963640 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1990-09-07 | 4320968 | 1650095001 | N/A | N/A | false | BATES | N/A | DAISHA | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE-AMERICAN INDIAN BRO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999085 | N/A | N/A | 16698600 | 2222 | N/A | 20608404 | N/A | 14711287 | 2026-03-19 07:11:19.603670 | 2026-02-20 02:01:03.455950 |
| 2026-03-19 07:11:16.501072 | 2026-03-19 07:11:19.580643 | 21364020 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-09-03 | 2026-03-19 | F | AE | PT | 4625 | REZAYANI | 97093372E | SOHAYLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16679973/check_21364020_fc5e593c-5917-4d38-be1d-6b8d453a4f0b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16679973/check_21364020_bef5c6e6-4b9c-49bd-add6-37fb40f767d2.json | N/A | N/A | N/A | N/A | N/A | 97093372E | N/A | N/A | HEALTH NET, LLC | N/A | 1964-09-03 | N/A | N/A | N/A | N/A | false | REZAYANI | N/A | SOHAYLA | N/A | 2026-03-12 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999090 | N/A | N/A | 16679973 | 2222 | N/A | 20608403 | N/A | 4213366 | 2026-03-19 07:11:19.580643 | 2025-07-14 15:29:50.728003 |
| 2026-03-19 07:11:16.310640 | 2026-03-19 07:11:19.650732 | 21363996 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-24 | 2026-03-19 | F | PT | N/A | 4184 | MOLAYEM | XEM904126389 | JILLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16453425/check_21363996_e0878186-e593-4c2a-ad2a-1635c4e7a47d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16453425/check_21363996_82cbadf1-d3d2-4f4f-81d7-291b907dfdd8.json | N/A | N/A | N/A | N/A | N/A | XEM904126389 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-24 | 2002SF000029 | X0001002 | N/A | OT | false | MOLAYEM | N/A | JILLA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10332999084 | N/A | N/A | 16453425 | 2222 | N/A | 20608401 | N/A | 14498125 | 2026-03-19 07:11:19.650732 | 2026-03-11 14:35:29.812051 |
| 2026-03-19 07:11:16.275365 | 2026-03-19 07:11:18.142245 | 21363991 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-11-01 | 2026-03-19 | M | PT | N/A | 4191 | PANCER | STS914365541 | JORDAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16366027/check_21363991_ad52bff5-87bb-4c6f-b233-8b503b94ee52.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16366027/check_21363991_662b5d02-abb3-4417-b99d-a34aa0786d27.json | N/A | N/A | N/A | N/A | N/A | STS914365541 | Preferred Provider Organization (PPO) | CAREISMATIC BRANDS INC | BLUE SHIELD CALIFORNIA | N/A | 1997-11-01 | 1000PPOX0004 | W0054275 | N/A | PR | false | PANCER | N/A | JORDAN | N/A | N/A | N/A | CAREISMATIC BRANDS INC ASO PPO COMBINED DEDUCTIB | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10332999073 | N/A | N/A | 16366027 | 2222 | N/A | 20608391 | N/A | 4213469 | 2026-03-19 07:11:18.142245 | 2025-05-13 04:29:37.227786 |
| 2026-03-19 07:11:16.163096 | 2026-03-19 07:11:18.248684 | 21363981 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-06-09 | 2026-03-19 | F | AE | PT | 4497 | ARNAL | 6MR0WV3TY01 | DOROTHY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16362784/check_21363981_f18595b5-4dd5-413e-b2a0-f592418c6bc8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16362784/check_21363981_5170040b-65df-4a5f-b075-d62cfbe8a8ed.json | N/A | N/A | N/A | N/A | N/A | 6MR0WV3TY01 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-06-09 | S4802 | N/A | N/A | MA | false | ARNAL | N/A | DOROTHY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 154369 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999066 | N/A | N/A | 16362784 | 2222 | N/A | 20608392 | N/A | 8353503 | 2026-03-19 07:11:18.248684 | 2026-02-05 00:11:37.075583 |
| 2026-03-19 07:11:16.053636 | 2026-03-19 07:11:19.771221 | 21363974 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-10-08 | 2026-03-19 | F | AE | PT | 5505 | Kantor | 000002491752 | Judith | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16357604/check_21363974_8fc05736-014e-4f7d-8c95-00eade49cb19.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16357604/check_21363974_2081042d-f4d0-4a55-ac04-b3a514405668.json | N/A | N/A | N/A | N/A | N/A | 000002491752 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1947-10-08 | 3032427 | 100406 | N/A | N/A | false | KANTOR | N/A | JUDITH | N/A | 2026-12-31 | 2026-01-01 | STATE ADMINISTERED PUBLIC AGENCIES PA REGION 3 RET | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999063 | N/A | N/A | 16357604 | 2222 | N/A | 20608406 | N/A | 14403242 | 2026-03-19 07:11:19.771221 | 2026-02-04 22:38:19.962874 |
| 2026-03-19 07:11:15.995478 | 2026-03-19 07:11:17.958079 | 21363966 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-09-09 | 2026-03-19 | F | AE | PT | 5538 | Edwards | 98326476F | Alethea | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16285370/check_21363966_18cae6e0-bbcc-4c31-badb-23a95cb5e4fc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16285370/check_21363966_5dba6e42-5345-4ce8-b264-5d105730c131.json | N/A | N/A | N/A | N/A | N/A | 98326476F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1968-09-09 | MCLA | MWLLNMEG21 | N/A | N/A | false | EDWARDS | N/A | ALETHEA | N/A | 2078-12-31 | 2025-06-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10332999062 | N/A | N/A | 16285370 | 2222 | N/A | 20608389 | N/A | 14334011 | 2026-03-19 07:11:17.958079 | 2026-02-04 00:05:43.902310 |