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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-24 09:03:23.355747 | 2025-06-25 09:11:46.855284 | 9209741 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9209741 | Athletic Physical Therapy Inc | 1991-12-24 | 2025-06-27 | M | PT | KOLKER | S4G373W20309 | JOSH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.141340716.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993943/check_9209741_a5294079-c40a-4199-b63d-1b370eec9271.json | N/A | N/A | N/A | N/A | N/A | S4G373W20309 | Preferred Provider Organization (PPO) | HSA | ANTHEM BLUE CROSS | N/A | 1991-12-24 | 423 | 270237M3AA | N/A | PR | false | KOLKER | N/A | JOSH | N/A | 9999-12-31 | 2024-05-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042382484 | N/A | N/A | 5993943 | 2222 | 4802 | 8947213 | N/A | 4642875 | 2025-06-25 09:11:46.855284 | 2025-06-06 02:22:03.703999 |
| 2025-06-24 09:03:09.042247 | 2025-06-25 09:32:48.245147 | 9209428 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9209428 | Athletic Physical Therapy Inc | 1955-03-14 | 2025-06-27 | M | AE | GOTTLIEB | 5QC5Y42RU84 | ROY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.141545457.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398701/check_9209428_ecbde850-6940-4279-8253-6be31146217f.json | N/A | N/A | N/A | N/A | N/A | 5QC5Y42RU84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-03-14 | S5617 | N/A | N/A | MA | false | GOTTLIEB | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042397083 | N/A | N/A | 6398701 | 2222 | 4793 | 8954242 | N/A | 5046257 | 2025-06-25 09:32:48.245147 | 2025-06-15 19:16:28.356486 |
| 2025-06-24 09:02:56.209228 | 2025-06-25 09:18:27.227231 | 9209149 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9209149 | Athletic Physical Therapy Inc | 1959-05-18 | 2025-06-27 | F | AE | BARRUNDIA DE AVENDAN | JQW789W20031 | M | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.141545457.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236229/check_9209149_0385978c-f210-4e86-aebf-4bbcc58c15d1.json | N/A | N/A | N/A | N/A | N/A | JQW789W20031 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-18 | 040 | CAMCRWP0 | N/A | MP | false | BARRUNDIA DE AVENDAN | N/A | M | N/A | 9999-12-31 | 2024-05-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042396796 | N/A | N/A | 6236229 | 2222 | 4801 | 8950382 | N/A | 4642900 | 2025-06-25 09:18:27.227231 | 2025-12-12 21:30:04.843166 |
| 2025-06-24 09:02:39.057085 | 2025-06-25 02:05:17.831626 | 9208865 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9208865 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-06-27 | F | AE | GNAD | 9EM9VP4XX36 | MELANIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140305398.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676353/check_9208865_3c0cb2ea-e74d-470f-af99-f3b74cc1f424.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MA | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042270674 | N/A | N/A | 5676353 | 2222 | 4801 | 8938857 | N/A | 4212792 | 2025-06-25 02:05:17.831626 | 2025-10-07 20:33:25.637997 |
| 2025-06-24 09:02:17.299369 | 2025-06-25 02:03:49.945062 | 9208252 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9208252 | Athletic Physical Therapy Inc | 1957-12-13 | 2025-06-27 | F | AE | WALLEN | XEM911802583 | ELLYN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140305398.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492841/check_9208252_250a216e-9bc0-462c-9301-c4347506a1a0.json | N/A | N/A | N/A | N/A | N/A | XEM911802583 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1957-12-13 | 2002SE000028 | X0001002 | N/A | OT | false | WALLEN | N/A | ELLYN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042270761 | N/A | N/A | 6492841 | 2222 | 4793 | 8938686 | N/A | 5121955 | 2025-06-25 02:03:49.945062 | 2025-06-19 17:23:34.410819 |
| 2025-06-24 09:02:15.607228 | 2025-06-25 02:03:27.410125 | 9208196 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9208196 | Athletic Physical Therapy Inc | 1938-03-08 | 2025-06-26 | M | AE | TEAGUE | DGA10153102J | LEWIS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140305398.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491927/check_9208196_c2dcb31d-0df2-4938-8ed4-5ce6410b241a.json | N/A | N/A | N/A | N/A | N/A | 1T39QJ8JV30 | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | MEDICARE B | N/A | 1938-03-08 | 040 | 276945M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042270752 | N/A | N/A | 6491927 | 2222 | 4802 | 8938651 | N/A | 4215104 | 2025-06-25 02:03:27.410125 | 2025-05-13 04:29:37.229416 |
| 2025-06-24 09:02:11.420917 | 2025-06-25 02:03:26.929459 | 9208072 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9208072 | Athletic Physical Therapy Inc | 1932-10-05 | 2025-06-27 | M | AE | BOLTON | XDO770A69054 | ALAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140305398.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6473159/check_9208072_4e52ad2a-43c3-4843-9b37-26b4df62654a.json | N/A | N/A | N/A | N/A | N/A | XDO770A69054 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1932-10-05 | 040 | CASUPWP0 | N/A | N/A | false | BOLTON | N/A | ALAN | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. SMARTCHOICE HIGH DEDUCT. PLAN F (NO RX | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042270725 | N/A | N/A | 6473159 | 2222 | 4793 | 8938650 | N/A | 4815871 | 2025-06-25 02:03:26.929459 | 2025-08-01 15:33:39.468574 |
| 2025-06-24 09:02:06.647712 | 2025-06-25 09:18:29.597315 | 9207941 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9207941 | Athletic Physical Therapy Inc | 2015-04-28 | 2025-06-27 | F | PT | HARRIS | ZTQ074A70562 | ADELINE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.141545457.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222060/check_9207941_2ae67c56-82d3-432a-bf80-6c184bda69d7.json | N/A | N/A | N/A | N/A | N/A | ZTQ074A70562 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC SCIENTIFIC & IMAGING | ANTHEM BLUE CROSS | N/A | 2015-04-28 | 040 | 174249M3BE | N/A | PR | false | VILLASANTA | N/A | VERONICA | N/A | 9999-12-31 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8042396332 | N/A | N/A | 6222060 | 2222 | 4801 | 8950399 | N/A | 4866077 | 2025-06-25 09:18:29.597315 | 2025-06-30 23:43:30.307325 |
| 2025-06-24 09:02:05.014496 | 2025-06-25 09:11:02.678689 | 9207896 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 9207896 | Athletic Physical Therapy Inc | 1950-06-01 | 2025-06-27 | F | AE | MCDEVITT | H7220666800 | GUADALUPE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.141545457.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6221805/check_9207896_4a192d36-7b8a-4894-8f5f-69d97f1b0043.json | N/A | N/A | N/A | N/A | N/A | H72206668 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, 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 | 1950-06-01 | N/A | 0B527001 | N/A | HN | false | MCDEVITT | N/A | GUADALUPE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042396329 | N/A | N/A | 6221805 | 2222 | 4801 | 8946868 | N/A | 4865742 | 2025-06-25 09:11:02.678689 | 2025-06-11 15:46:59.098537 |
| 2025-06-24 09:01:35.727176 | 2025-06-25 02:03:49.544329 | 9206991 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9206991 | Athletic Physical Therapy Inc | 1955-03-14 | 2025-06-27 | M | AE | GOTTLIEB | XEM909776828 | ROY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250624.140305398.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398702/check_9206991_a2bf5e65-fe7c-40e5-862b-857a770c2b55.json | N/A | N/A | N/A | N/A | N/A | XEM909776828 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-03-14 | 2002SE000029 | X0001002 | N/A | OT | false | GOTTLIEB | N/A | ROY | N/A | 2025-06-30 | 2025-01-01 | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8042270490 | N/A | N/A | 6398702 | 2222 | 4793 | 8938685 | N/A | 5046257 | 2025-06-25 02:03:49.544329 | 2025-06-15 19:16:28.356486 |
| 2025-06-24 08:49:50.540119 | 2025-06-24 08:49:55.233824 | 9206630 | N/A | N/A | -71 | NF-MEDCOMP USA DBA MTI | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-01-04 | 2025-06-25 | F | AE | Tantisira | AM7U9SX | Alicia | PT | 23331 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472303/check_9206630_967373a9-b692-49f5-ada0-85a6480bd66a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472303/check_9206630_d2408c5f-f086-447c-9f9c-5302cde166e9.json | N/A | N/A | N/A | N/A | N/A | AM7U9SX | N/A | N/A | NF-MEDCOMP USA DBA MTI | N/A | 1964-01-04 | N/A | N/A | N/A | N/A | false | TANTISIRA | N/A | ALICIA | 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 | 6472303 | 2222 | N/A | 8924602 | N/A | 5105341 | 2025-06-24 08:49:55.233824 | 2025-06-24 18:36:06.992310 |
| 2025-06-24 08:49:48.815786 | 2025-06-24 08:49:50.537183 | 9206629 | N/A | N/A | -71 | NF-MEDCOMP USA DBA MTI | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-01-04 | 2025-06-25 | F | AE | Tantisira | AM7U9SX | Alicia | PT | 23331 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472303/check_9206629_53fced1a-bca7-4949-9444-67ca91d38bcc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | AM7U9SX | N/A | N/A | NF-MEDCOMP USA DBA MTI | N/A | 1964-01-04 | N/A | N/A | N/A | N/A | false | TANTISIRA | N/A | ALICIA | 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 | 6472303 | 2222 | N/A | N/A | N/A | 5105341 | 2025-06-24 08:49:50.537183 | 2025-06-24 18:36:06.992310 |
| 2025-06-24 01:22:45.415220 | 2025-06-24 01:22:48.213278 | 9202805 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-01 | 2025-06-05 | N/A | PT | VARON | MPI01422173Q | BRETT | AE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6203879/check_9202805_56fde015-7c93-4cf7-974d-332185ecaaa9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203879/check_9202805_1955f49f-5062-43aa-845d-9f61384efaff.json | N/A | N/A | N/A | N/A | N/A | MPI01422173Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1966-02-01 | 040 | 277163M401 | N/A | PR | false | VARON | N/A | BRETT | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8038009582 | 1275 | N/A | 6203879 | 2222 | N/A | 8900485 | N/A | 4219816 | 2025-06-24 01:22:48.213278 | 2025-05-13 04:29:37.230863 |
| 2025-06-24 01:20:29.398603 | 2025-06-24 01:20:32.374598 | 9202673 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-15 | 2025-06-02 | N/A | PT | SPENCE | 111502776 | CHAD | AE | 4437 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6225645/check_9202673_d3b09e4c-544b-4e47-a5a2-6280b400132a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6225645/check_9202673_62e12e0b-a52d-46df-a7fc-b5be114fa11c.json | N/A | N/A | N/A | N/A | N/A | 11150277601 | N/A | PACIFIC BIOSCIENCES OF CALIFORNIA, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 2005-12-15 | N/A | 00630607 | N/A | N/A | false | SPENCE | N/A | CHAD | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8037989861 | 1275 | N/A | 6225645 | 2222 | N/A | 8900355 | N/A | 4214787 | 2025-06-24 01:20:32.374598 | 2025-08-17 21:31:52.380866 |
| 2025-06-24 01:09:48.785307 | 2025-06-24 01:09:53.760060 | 9202087 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-12-15 | 2025-05-30 | N/A | PT | SPENCE | 111502776 | CHAD | AE | 4437 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6225645/check_9202087_54cada71-fe1a-4e23-8655-d625e8969447.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6225645/check_9202087_daf93c72-f9b4-48e8-9a18-8923b145df1e.json | N/A | N/A | N/A | N/A | N/A | 11150277601 | N/A | PACIFIC BIOSCIENCES OF CALIFORNIA, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 2005-12-15 | N/A | 00630607 | N/A | N/A | false | SPENCE | N/A | CHAD | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8037883245 | 1275 | N/A | 6225645 | 2222 | N/A | 8899774 | N/A | 4214787 | 2025-06-24 01:09:53.760060 | 2025-08-17 21:31:52.380866 |
| 2025-06-24 00:41:13.885515 | 2025-06-24 00:41:18.008087 | 9200603 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-01 | 2025-05-30 | N/A | PT | VARON | MPI01422173Q | BRETT | AE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6203879/check_9200603_e635faa9-c8df-4c27-b677-9ff4c297c1c2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203879/check_9200603_f8ab4008-812d-456c-b887-5fe8956991e5.json | N/A | N/A | N/A | N/A | N/A | MPI01422173Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1966-02-01 | 040 | 277163M401 | N/A | PR | false | VARON | N/A | BRETT | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8037592536 | 1275 | N/A | 6203879 | 2222 | N/A | 8898286 | N/A | 4219816 | 2025-06-24 00:41:18.008087 | 2025-05-13 04:29:37.230863 |
| 2025-06-23 23:51:32.324117 | 2025-06-23 23:51:34.059679 | 9199089 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-06-12 | 2025-06-30 | F | AE | Ballatore | 90665617F | Chloe | PT | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6553125/check_9199089_b1b16ba7-8cd4-4e67-84a2-dd0f3142796e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553125/check_9199089_9321c3d6-7385-4c50-bcaf-878af6327374.json | N/A | N/A | N/A | N/A | N/A | 90665617F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1969-06-12 | N/A | N/A | N/A | N/A | false | BALLATORE | N/A | CHLOE | 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 | 6553125 | 2222 | N/A | 8896742 | N/A | 5176363 | 2025-06-23 23:51:34.059679 | 2025-06-23 23:46:22.182955 |
| 2025-06-23 23:51:28.725991 | 2025-06-23 23:51:32.322207 | 9199088 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-06-12 | 2025-06-30 | F | AE | Ballatore | 90665617F | Chloe | PT | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6553125/check_9199088_8049448e-a5d1-4c57-b472-81a664cb865d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | N/A | N/A | N/A | N/A | N/A | N/A | 90665617F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1969-06-12 | N/A | N/A | N/A | N/A | false | BALLATORE | N/A | CHLOE | 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 | 6553125 | 2222 | N/A | N/A | N/A | 5176363 | 2025-06-23 23:51:32.322207 | 2025-06-23 23:46:22.182955 |
| 2025-06-23 22:29:02.140812 | 2025-06-23 22:29:36.311700 | 9198213 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-06-02 | F | PT | YUNG | 00854676304 | MAYA | AE | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_9198213_8f68e3b8-96e6-44c0-bfd2-8c404b307ada.json | AVAILITY | N/A | INSIGHTS | 2025-06-02 | 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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 2382 | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-06-23 22:29:36.311700 | 2025-05-13 04:29:37.229495 |
| 2025-06-23 21:43:34.639803 | 2025-06-23 21:43:37.487218 | 9197287 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-01-25 | 2025-06-23 | M | PT | KASSBAUM | 803A70050 | DEVIN | AE | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550356/check_9197287_9aadb69e-9bae-43fd-a239-2dc01e96fa64.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550356/check_9197287_3cfc389e-f467-4650-a364-ec9020d8d798.json | N/A | N/A | N/A | N/A | N/A | JQK803A70050 | Health Maintenance Organization (HMO) | GENERAL PAVEMENT MANAGEMENT INC | ANTHEM BLUE CROSS | N/A | 1984-01-25 | 040 | Q36328 | N/A | HM | false | KASSBAUM | N/A | DEVIN | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8036497388 | 5831 | N/A | 5550356 | 2222 | N/A | 8894360 | N/A | 4219533 | 2025-06-23 21:43:37.487218 | 2025-05-28 20:18:05.111344 |
| 2025-06-23 20:54:57.404313 | 2025-06-23 20:55:01.201311 | 9197059 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-08-12 | 2025-06-24 | M | AE | MILLER | Y21933352 | MATTHEW | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554009/check_9197059_022910d9-4487-4f70-900e-477018cbe827.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554009/check_9197059_cc4a8188-c944-42e7-bc0d-d89e4e66f201.json | N/A | N/A | N/A | N/A | N/A | Y21933352 | N/A | AMERICAN ORTHODONTICS CORPORATION | UMR | N/A | 1988-08-12 | 767000410285001 | 76410285 | N/A | N/A | false | MILLER | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8036183592 | N/A | N/A | 6554009 | 2222 | N/A | 8893955 | N/A | 5177173 | 2025-06-23 20:55:01.201311 | 2025-06-23 20:51:27.090412 |
| 2025-06-23 18:26:53.817655 | 2025-06-23 18:26:55.722496 | 9196235 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-08-24 | 2025-07-07 | M | PT | DOLCH | 31071192101 | WALTER | AE | 23307 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676367/check_9196235_e7c1068a-c9b9-464e-b07f-af05ca353a27.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676367/check_9196235_97649f57-613a-4fc8-abba-9b31a55d48a3.json | N/A | N/A | N/A | N/A | N/A | 31071192101 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1942-08-24 | N/A | N/A | N/A | N/A | false | DOLCH | N/A | WALTER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5676367 | 2222 | N/A | 8892627 | N/A | 4219790 | 2025-06-23 18:26:55.722496 | 2025-05-13 04:29:37.230831 |
| 2025-06-23 18:26:51.882323 | 2025-06-23 18:26:53.814927 | 9196234 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-08-24 | 2025-07-07 | M | PT | DOLCH | 31071192101 | WALTER | AE | 23307 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676367/check_9196234_e953d808-bbf6-40d2-b9e5-a5e88f09ab49.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | 31071192101 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1942-08-24 | N/A | N/A | N/A | N/A | false | DOLCH | N/A | WALTER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5676367 | 2222 | N/A | N/A | N/A | 4219790 | 2025-06-23 18:26:53.814927 | 2025-05-13 04:29:37.230831 |
| 2025-06-23 18:26:06.468529 | 2025-06-23 18:26:08.390461 | 9196230 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-08-24 | 2025-07-07 | M | PT | DOLCH | 31071192101 | WALTER | AE | 23326 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676367/check_9196230_6ae41ae0-3689-4911-ad86-6811bfbedc15.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676367/check_9196230_ced684ae-dae7-4b63-9c23-6505b5c8b53d.json | N/A | N/A | N/A | N/A | N/A | 31071192101 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1942-08-24 | N/A | N/A | N/A | N/A | false | DOLCH | N/A | WALTER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5676367 | 2222 | N/A | 8892619 | N/A | 4219790 | 2025-06-23 18:26:08.390461 | 2025-05-13 04:29:37.230831 |
| 2025-06-23 18:26:04.792464 | 2025-06-23 18:26:06.464737 | 9196229 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-08-24 | 2025-07-07 | M | PT | DOLCH | 31071192101 | WALTER | AE | 23326 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676367/check_9196229_e09e7f1f-2af1-41bc-b1ab-c20872ef32a5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | 31071192101 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1942-08-24 | N/A | N/A | N/A | N/A | false | DOLCH | N/A | WALTER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5676367 | 2222 | N/A | N/A | N/A | 4219790 | 2025-06-23 18:26:06.464737 | 2025-05-13 04:29:37.230831 |
| 2025-06-23 18:25:25.538399 | 2025-06-23 18:25:28.401021 | 9196225 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-08-24 | 2025-07-07 | M | PT | DOLCH | 31071192101 | WALTER | AE | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676367/check_9196225_a79b9f18-1fed-47e5-9749-f0189ad4eb70.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676367/check_9196225_f9a149c4-70dc-4da2-81f3-62c5f37a8a58.json | N/A | N/A | N/A | N/A | N/A | 31071192101 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | DOLCH | N/A | WALTER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5676367 | 2222 | N/A | 8892612 | N/A | 4219790 | 2025-06-23 18:25:28.401021 | 2025-05-13 04:29:37.230831 |
| 2025-06-23 18:25:23.759598 | 2025-06-23 18:25:25.534970 | 9196224 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-08-24 | 2025-07-07 | M | PT | DOLCH | 31071192101 | WALTER | AE | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676367/check_9196224_60d76fc1-0b07-49a8-b3be-b45fd3ae4305.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | 31071192101 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | DOLCH | N/A | WALTER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5676367 | 2222 | N/A | N/A | N/A | 4219790 | 2025-06-23 18:25:25.534970 | 2025-05-13 04:29:37.230831 |
| 2025-06-23 18:24:32.830448 | 2025-06-23 18:24:34.972547 | 9196221 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-08-24 | 2025-07-07 | M | PT | DOLCH | 31071192101 | WALTER | AE | 23326 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676367/check_9196221_c6d8f150-d6cb-4bc0-9f56-a9a9154fc0fd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676367/check_9196221_0f0d6576-8f7f-4485-b056-8d505a790ae4.json | N/A | N/A | N/A | N/A | N/A | 31071192101 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1942-08-24 | N/A | N/A | N/A | N/A | false | DOLCH | N/A | WALTER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5676367 | 2222 | N/A | 8892606 | N/A | 4219790 | 2025-06-23 18:24:34.972547 | 2025-05-13 04:29:37.230831 |
| 2025-06-23 18:24:30.965462 | 2025-06-23 18:24:32.826730 | 9196220 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-08-24 | 2025-07-07 | M | PT | DOLCH | 31071192101 | WALTER | AE | 23326 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676367/check_9196220_ff5613e9-d737-49f4-b3b6-7cd678f4e0eb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | 31071192101 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1942-08-24 | N/A | N/A | N/A | N/A | false | DOLCH | N/A | WALTER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5676367 | 2222 | N/A | N/A | N/A | 4219790 | 2025-06-23 18:24:32.826730 | 2025-05-13 04:29:37.230831 |
| 2025-06-23 17:54:54.455587 | 2025-06-23 17:54:58.273794 | 9196075 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-12 | 2025-07-07 | M | AE | SAPATNEKAR | 14388918 | AMEYA | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6551060/check_9196075_093a6ee7-bf7d-4b98-9cf3-73c4e7867bf5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6551060/check_9196075_b831f90e-892a-43b2-ab09-a908e564f6d7.json | N/A | N/A | N/A | N/A | N/A | 14388918 | N/A | ZS ASSOCIATES, INC. | UMR | N/A | 1980-09-12 | 417007411289001 | 76411289 | N/A | N/A | false | SAPATNEKAR | N/A | AMEYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8034758730 | N/A | N/A | 6551060 | 2222 | N/A | 8892368 | N/A | 5174307 | 2025-06-23 17:54:58.273794 | 2025-07-31 17:40:30.683427 |
| 2025-06-23 17:40:29.157806 | 2025-06-23 17:40:31.208367 | 9196024 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-11-16 | 2025-06-03 | M | PT | MUELLER | 00023746903 | AIDEN | AE | 2815 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543009/check_9196024_1d7b9ac2-65fe-4099-94f9-cfd12dcda040.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543009/check_9196024_272490e3-6532-4004-b2b5-ee382781e687.json | N/A | N/A | N/A | N/A | N/A | 00023746903 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 2007-11-16 | N/A | N/A | N/A | N/A | false | MUELLER | N/A | AIDEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7259 | N/A | 5543009 | 2222 | N/A | 8892270 | N/A | 4214856 | 2025-06-23 17:40:31.208367 | 2025-05-13 04:29:37.229180 |
| 2025-06-23 17:40:27.333019 | 2025-06-23 17:40:29.155630 | 9196023 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-11-16 | 2025-06-03 | M | PT | MUELLER | 00023746903 | AIDEN | AE | 2815 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543009/check_9196023_a0ec1e2a-1af6-4589-9de3-28786f09b086.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | 00023746903 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 2007-11-16 | N/A | N/A | N/A | N/A | false | MUELLER | N/A | AIDEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7259 | N/A | 5543009 | 2222 | N/A | N/A | N/A | 4214856 | 2025-06-23 17:40:29.155630 | 2025-05-13 04:29:37.229180 |
| 2025-06-23 17:38:04.667082 | 2025-06-23 17:38:07.870064 | 9196002 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-15 | 2025-07-01 | M | PT | HELLER | XDL463A68495 | MATT | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540316/check_9196002_65bd28c0-1d6b-4322-92c5-d3cf8896602b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540316/check_9196002_b00ebde7-5eb5-4790-98fc-5e49a1f5da17.json | N/A | N/A | N/A | N/A | N/A | XDL463A68495 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1967-09-15 | 040 | Z13100 | N/A | PR | false | HELLER | N/A | MATTHEW | N/A | 9999-12-31 | 2009-08-01 | LUMENOS HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8034618528 | 9482 | N/A | 5540316 | 2222 | N/A | 8892244 | N/A | 4212462 | 2025-06-23 17:38:07.870064 | 2025-06-24 20:27:22.939881 |
| 2025-06-23 13:39:59.309091 | 2025-06-23 13:40:01.177267 | 9194541 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-10-16 | 2025-05-06 | F | PT | GHUMAN | A01140389 | RAWINDER | AE | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676379/check_9194541_e8d8d1ff-f3d3-4dfb-8aaa-008091d859f3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676379/check_9194541_f553d49f-9861-4365-ac26-c48f20cf39a6.json | N/A | N/A | N/A | N/A | N/A | A01140389 | N/A | N/A | CENTENE CORPORATION | N/A | 1987-10-16 | N/A | N/A | N/A | N/A | false | GHUMAN | N/A | RAWINDER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9228 | N/A | 5676379 | 2222 | N/A | 8890486 | N/A | 4343434 | 2025-06-23 13:40:01.177267 | 2025-06-20 17:29:26.822242 |
| 2025-06-23 13:39:52.556899 | 2025-06-23 13:39:59.306039 | 9194538 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-10-16 | 2025-05-06 | F | PT | GHUMAN | A01140389 | RAWINDER | AE | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676379/check_9194538_50d08d76-ebc9-4cdb-b129-35599e17f639.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-06 | N/A | N/A | N/A | N/A | N/A | N/A | A01140389 | N/A | N/A | CENTENE CORPORATION | N/A | 1987-10-16 | N/A | N/A | N/A | N/A | false | GHUMAN | N/A | RAWINDER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9228 | N/A | 5676379 | 2222 | N/A | N/A | N/A | 4343434 | 2025-06-23 13:39:59.306039 | 2025-06-20 17:29:26.822242 |
| 2025-06-23 11:51:51.643032 | 2025-06-23 11:51:56.104238 | 9193839 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-07-02 | 2025-06-26 | M | AE | FRIEDMAN | G46825417 | JOEL | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540931/check_9193839_46943483-1e46-4e20-8943-bdb38fbd2550.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9193839_3a3365ce-4ca2-4d42-b53c-5b223bd96a09.json | N/A | N/A | N/A | N/A | N/A | G46825417 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1970-07-02 | 767000416933002 | 76416933 | N/A | N/A | false | SHELBURNE | N/A | TANYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8031469386 | N/A | N/A | 5540931 | 2222 | N/A | 8889634 | N/A | 4213013 | 2025-06-23 11:51:56.104238 | 2025-05-13 04:29:37.227340 |
| 2025-06-23 11:50:55.617664 | 2025-06-23 11:51:02.012625 | 9193728 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-26 | M | AE | LANE | MISSINGPOLICYNUMBER | STEVEN | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_9193728_da20750b-813b-4134-a510-66fb389d9124.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928917/check_9193728_89cf3622-3a11-416b-b656-00e9c8a9110d.json | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | 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 | 5928917 | 2222 | N/A | 8889525 | N/A | 4219832 | 2025-06-23 11:51:02.012625 | 2025-05-13 04:29:37.230877 |
| 2025-06-23 11:50:51.843141 | 2025-06-23 11:50:55.595160 | 9193717 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-26 | M | AE | LANE | MISSINGPOLICYNUMBER | STEVEN | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_9193717_7a60de59-78bd-4796-bd21-a347b266c2c1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-26 | N/A | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | 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 | 5928917 | 2222 | N/A | N/A | N/A | 4219832 | 2025-06-23 11:50:55.595160 | 2025-05-13 04:29:37.230877 |
| 2025-06-23 11:49:04.046006 | 2025-06-23 11:49:07.753883 | 9193472 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-11-18 | 2025-06-23 | F | AE | JACOBY | 34555828811 | LEAH | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9193472_17055e97-782b-4782-b22c-ffc89a893050.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9193472_bcb0d9ca-6cd0-457a-a470-a9dc1f8d4e66.json | N/A | N/A | N/A | N/A | N/A | 345558288 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1951-11-18 | N/A | N/A | N/A | N/A | false | JACOBI | N/A | LEAH | 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 | 6145941 | 2222 | N/A | 8889256 | N/A | 4786785 | 2025-06-23 11:49:07.753883 | 2025-06-13 00:55:48.629734 |
| 2025-06-23 11:49:00.227613 | 2025-06-23 11:49:04.043566 | 9193463 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-11-18 | 2025-06-23 | F | AE | JACOBY | 34555828811 | LEAH | PT | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9193463_e5ca21ec-6019-49d1-b28c-05bdfef2bfe7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-23 | N/A | N/A | N/A | N/A | N/A | N/A | 345558288 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1951-11-18 | N/A | N/A | N/A | N/A | false | JACOBI | N/A | LEAH | 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 | 6145941 | 2222 | N/A | N/A | N/A | 4786785 | 2025-06-23 11:49:04.043566 | 2025-06-13 00:55:48.629734 |
| 2025-06-23 11:11:25.945584 | 2025-06-24 02:06:33.201033 | 9188455 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9188455 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-06-26 | F | PT | BIKOULOVA | 92040499F | ALEXANDRA | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.161729097.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_9188455_c477b0a5-ea14-435f-be66-31b105b970fb.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8031244235 | N/A | N/A | 5874423 | 2222 | 4802 | 8902757 | N/A | 4534552 | 2025-06-24 02:06:33.201033 | 2025-05-30 18:01:03.324126 |
| 2025-06-23 11:08:11.868323 | 2025-06-24 02:14:37.428126 | 9186350 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9186350 | Athletic Physical Therapy Inc | 1964-10-24 | 2025-06-26 | M | PT | CROWLEY | MTA374M92552 | SEAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.161336392.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6493087/check_9186350_06e938e0-9f49-4d4d-a4fc-818a1a37b2db.json | N/A | N/A | N/A | N/A | N/A | MTA374M92552 | Preferred Provider Organization (PPO) | SILVER PPO PLAN | ANTHEM BLUE CROSS | N/A | 1964-10-24 | 423 | 201052M4A1 | N/A | PR | false | CROWLEY | N/A | KAMEY L | N/A | 9999-12-31 | 2018-01-01 | BC PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8031200312 | N/A | N/A | 6493087 | 2222 | 4793 | 8907395 | N/A | 5122224 | 2025-06-24 02:14:37.428126 | 2025-07-03 20:38:26.526222 |
| 2025-06-23 11:08:05.376553 | 2025-06-24 02:04:02.908912 | 9186269 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9186269 | Athletic Physical Therapy Inc | 1949-03-22 | 2025-06-26 | M | AE | NOWAK | 31172069101 | DAVID | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.161336392.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492025/check_9186269_6aff11a9-8486-4b12-a886-457aca2e84f4.json | N/A | N/A | N/A | N/A | N/A | 31172069101 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1949-03-22 | N/A | N/A | N/A | N/A | false | NOWAK | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8031200235 | N/A | N/A | 6492025 | 2222 | 4793 | 8901998 | N/A | 5121181 | 2025-06-24 02:04:02.908912 | 2025-06-19 16:42:31.208252 |
| 2025-06-23 11:08:04.812557 | 2025-06-24 02:14:16.323151 | 9186258 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9186258 | Athletic Physical Therapy Inc | 1948-03-15 | 2025-06-26 | M | AE | SAMOFF | 00000411951 | WILLIAM | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.161336392.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491719/check_9186258_7a740c1f-5de2-422e-b588-55f75064a2a4.json | N/A | N/A | N/A | N/A | N/A | 00000411951 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1948-03-15 | H3815028 | N/A | N/A | HM | false | SAMOFF | N/A | WILLIAM | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8031200226 | N/A | N/A | 6491719 | 2222 | 4793 | 8907102 | 2630 | 4884170 | 2025-06-24 02:14:16.323151 | 2025-07-09 21:20:43.604452 |
| 2025-06-23 11:06:51.884079 | 2025-06-24 02:20:38.748276 | 9185323 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9185323 | Athletic Physical Therapy Inc | 1952-08-27 | 2025-06-26 | M | AE | STEINBERG | 7P65WE5DJ62 | PETER | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.161336392.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6473154/check_9185323_a51241ab-61a9-4546-a644-69cdb68d15da.json | N/A | N/A | N/A | N/A | N/A | 7P65WE5DJ62 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-08-27 | S5601 | N/A | N/A | MB | false | STEINBERG | N/A | PETER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8031203126 | N/A | N/A | 6473154 | 2222 | 4802 | 8910875 | N/A | 5106188 | 2025-06-24 02:20:38.748276 | 2025-06-18 23:17:37.195231 |
| 2025-06-23 11:05:57.954416 | 2025-06-24 02:21:50.728425 | 9184736 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9184736 | Athletic Physical Therapy Inc | 2001-04-04 | 2025-06-26 | F | PT | NEBENS | XNK909607418 | PAYTON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.161729097.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676414/check_9184736_5924b929-e07b-4d78-92b4-4671b589f670.json | N/A | N/A | N/A | N/A | N/A | XNK909607418 | Preferred Provider Organization (PPO) | FIRST PACIFIC ADVISORS LP | BLUE SHIELD CALIFORNIA | N/A | 2001-04-04 | 100AVX000102 | W0109644 | N/A | PR | false | NEBENS | N/A | EDWARD | N/A | 2027-04-30 | 2025-01-01 | PLATINUM TANDEM PPO 250 15 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8031245429 | N/A | N/A | 5676414 | 2222 | 4802 | 8911403 | N/A | 4343466 | 2025-06-24 02:21:50.728425 | 2025-06-02 16:41:34.870528 |
| 2025-06-23 11:05:57.624300 | 2025-06-24 02:06:37.283993 | 9184730 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9184730 | Athletic Physical Therapy Inc | 1995-05-22 | 2025-06-26 | M | AE | DUKOVIC | 91996483H | KEVIN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.161729097.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676383/check_9184730_b9530641-1e11-4bcb-9fa0-2a1a5d09240b.json | N/A | N/A | N/A | N/A | N/A | 91996483H | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1995-05-22 | N/A | N/A | N/A | N/A | false | DUKOVIC | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8031245428 | N/A | N/A | 5676383 | 2222 | 4802 | 8902779 | N/A | 4343442 | 2025-06-24 02:06:37.283993 | 2025-05-13 04:29:37.230921 |
| 2025-06-23 11:05:57.259029 | 2025-06-24 02:34:26.321513 | 9184725 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9184725 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-26 | M | AE | LANE | 4CA5FX1PJ56 | STEVEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.161729097.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676372/check_9184725_ac46f1bc-7621-463d-8eb6-48d700d36311.json | N/A | N/A | N/A | N/A | N/A | 4CA5FX1PJ56 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-25 | S4802 | N/A | N/A | MB | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8031245426 | N/A | N/A | 5676372 | 2222 | 4802 | 8916423 | N/A | 4219832 | 2025-06-24 02:34:26.321513 | 2025-05-13 04:29:37.230877 |
| 2025-06-23 11:05:54.520311 | 2025-06-24 02:20:01.625885 | 9184681 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9184681 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-06-26 | F | PT | SHU | XAN913831469 | GABRIELA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.160830630.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_9184681_20dc1ee7-9b3a-40a4-bbfb-0dc31742f71e.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8031159371 | N/A | N/A | 6121701 | 2222 | 4793 | 8910565 | N/A | 4764460 | 2025-06-24 02:20:01.625885 | 2025-06-04 04:30:06.494155 |
| 2025-06-23 11:05:53.724804 | 2025-06-24 02:14:23.844235 | 9184669 | N/A | N/A | 60054 | Aetna | 1114042165 | 9184669 | Athletic Physical Therapy Inc | 2011-02-10 | 2025-06-26 | M | AE | BEANEY | W286754300 | BLAKE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250623.160828096.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417592/check_9184669_cd06e341-4c36-4dde-841a-004ab86aa927.json | N/A | N/A | N/A | N/A | N/A | W286754300 | Point of Service (POS) | ASTRAZENECA PHARMACEUTICALS LP | AETNA | N/A | 2011-02-10 | 0192654 | 019265403800001 | N/A | PS | false | BEANEY | N/A | KASI | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8031157379 | N/A | N/A | 6417592 | 2222 | 4802 | 8907201 | N/A | 5065296 | 2025-06-24 02:14:23.844235 | 2025-06-17 15:56:39.436060 |