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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-18 08:09:09.285535 | 2026-03-18 08:09:48.646677 | 21259901 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-10 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21259901_f48a2bdc-3a30-4e83-b6ed-3671e1ea628c.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-10 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-18 08:09:48.646677 | 2025-11-11 01:01:48.778756 |
| 2026-03-18 08:07:56.190254 | 2026-03-18 08:08:35.793778 | 21258983 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-05 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21258983_dfa180bc-a22a-469c-b98d-c3a22ca8250d.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-05 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-18 08:08:35.793778 | 2025-11-11 01:01:48.778756 |
| 2026-03-18 08:06:57.293925 | 2026-03-18 08:07:31.108224 | 21258307 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2026-01-30 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_21258307_ad95f515-d3a5-440f-8762-08284ad1a453.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-18 08:07:31.108224 | 2025-05-13 04:29:37.229495 |
| 2026-03-18 08:05:21.522994 | 2026-03-18 08:05:55.017604 | 21257108 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-01-26 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21257108_edf8ffeb-b505-4198-85f9-1120269f91a3.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-26 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-18 08:05:55.017604 | 2025-11-11 01:01:48.778756 |
| 2026-03-18 08:01:38.444373 | 2026-03-18 08:02:18.921393 | 21254981 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-17 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_21254981_d3652ac5-7898-463e-b80d-0d40cb3061ba.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-18 08:02:18.921393 | 2025-05-13 04:29:37.229495 |
| 2026-03-18 07:59:57.447839 | 2026-03-18 07:59:59.333792 | 21253901 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-14 | 2026-03-18 | F | AE | PT | 3939 | UYGUR | GLA008101 | NUKHET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543315/check_21253901_b075a91b-5873-4bf5-b9ac-558a07c7395f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543315/check_21253901_44d43a48-6498-4988-b744-26d99ea36242.json | N/A | N/A | N/A | N/A | N/A | GLA008101 | N/A | N/A | AETNA INC | N/A | 1947-04-14 | N/A | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | 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 | 5543315 | 2222 | N/A | 20539230 | N/A | 4215116 | 2026-03-18 07:59:59.333792 | 2025-05-29 22:32:19.748297 |
| 2026-03-18 07:59:46.946926 | 2026-03-18 07:59:49.033573 | 21253779 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-15 | 2026-03-18 | M | AE | PT | 4191 | WOLFE | XEM909964699 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/10239789/check_21253779_17c6e0eb-33c7-4e81-9081-1f10ff46d3bc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239789/check_21253779_c761b48a-e9d2-4e3d-b594-2c15b828e611.json | N/A | N/A | N/A | N/A | N/A | XEM909964699 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-07-15 | 2004SF000028 | X0001002 | N/A | OT | false | WOLFE | N/A | MICHAEL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323290906 | N/A | N/A | 10239789 | 2222 | N/A | 20539098 | N/A | 8527464 | 2026-03-18 07:59:49.033573 | 2025-10-14 15:25:46.972104 |
| 2026-03-18 07:59:46.298195 | 2026-03-18 07:59:49.202024 | 21253769 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-10-11 | 2026-03-18 | M | AE | PT | 4184 | PERDUE | XEM911721434 | BRADLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15831075/check_21253769_0d028fb2-e768-49f9-b801-b713280861d0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15831075/check_21253769_40936813-f498-455f-928d-d746fa26d8c6.json | N/A | N/A | N/A | N/A | N/A | XEM911721434 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-10-11 | 2004SF000028 | X0001002 | N/A | OT | false | PERDUE | N/A | BRADLEY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323290864 | N/A | N/A | 15831075 | 2222 | N/A | 20539102 | N/A | 13920383 | 2026-03-18 07:59:49.202024 | 2026-01-27 19:17:05.539394 |
| 2026-03-18 07:59:46.280589 | 2026-03-18 07:59:49.264433 | 21253768 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-04-15 | 2026-03-18 | F | AE | PT | 4184 | Kent | JQE531W09104 | Lianne | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16886552/check_21253768_ff2964f8-1dcd-416b-b53c-1a0bde799374.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16886552/check_21253768_3b6acce1-e64a-4482-8883-17b85a2b1c91.json | N/A | N/A | N/A | N/A | N/A | JQE531W09104 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-04-15 | 040 | CASUPWP0 | N/A | N/A | false | KENT | N/A | LIANNE | N/A | 9999-12-31 | 2021-09-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323290862 | N/A | N/A | 16886552 | 2222 | N/A | 20539101 | N/A | 14889116 | 2026-03-18 07:59:49.264433 | 2026-02-12 23:35:21.377304 |
| 2026-03-18 07:59:46.212851 | 2026-03-18 07:59:47.934825 | 21253767 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-16 | 2026-03-18 | F | AE | PT | 4184 | Wolfe | XED911804086 | Nancee | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17600401/check_21253767_72d5a7e5-0645-4177-a003-dbb7f6265d69.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600401/check_21253767_6dc7336c-bffb-40bb-944f-ecb9e91ceb0c.json | N/A | N/A | N/A | N/A | N/A | XED911804086 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | ANTHEM BLUE CROSS | N/A | 1958-07-16 | 2001ZI002169 | X0001004 | N/A | PR | false | WOLFE | N/A | NANCEE | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED VISION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323290859 | N/A | N/A | 17600401 | 2222 | N/A | 20539089 | N/A | 15647296 | 2026-03-18 07:59:47.934825 | 2026-03-04 22:22:31.397944 |
| 2026-03-18 07:59:46.202798 | 2026-03-18 07:59:49.340440 | 21253766 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-08-16 | 2026-03-18 | M | AE | PT | 4185 | brosh | JQE517M95625 | RAMI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16113777/check_21253766_887bc1a9-a974-4874-bf9a-5f9c715f17a1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16113777/check_21253766_64912c1b-18cf-46be-8a98-b192bfeec220.json | N/A | N/A | N/A | N/A | N/A | JQE517M95625 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1953-08-16 | 040 | CASUPWP0 | N/A | N/A | false | BROSH | N/A | RAMI | N/A | 9999-12-31 | 2018-09-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323290863 | N/A | N/A | 16113777 | 2222 | N/A | 20539103 | N/A | 14174363 | 2026-03-18 07:59:49.340440 | 2026-05-29 18:00:53.778221 |
| 2026-03-18 07:59:46.182911 | 2026-03-18 07:59:47.906597 | 21253765 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-26 | 2026-03-18 | F | AE | PT | 4191 | SHEINBEIN | XEM910199488 | Nancy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17593382/check_21253765_ab132e37-caac-40bc-8df4-4cd9c180451f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17593382/check_21253765_5df05021-5335-46c9-8652-0cd28f5c6ca9.json | N/A | N/A | N/A | N/A | N/A | XEM910199488 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-26 | 2002SF000028 | X0001002 | N/A | OT | false | SHEINBEIN | N/A | NANCY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323290856 | N/A | N/A | 17593382 | 2222 | N/A | 20539087 | N/A | 15407829 | 2026-03-18 07:59:47.906597 | 2026-03-03 21:31:17.107791 |
| 2026-03-18 07:59:45.880163 | 2026-03-18 07:59:48.546654 | 21253764 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-01-17 | 2026-03-18 | M | AE | PT | 4191 | WAHL | XEM912647011 | LELAND | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11364482/check_21253764_379c918d-64ad-4d51-8870-e38d90a46d28.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364482/check_21253764_6d074345-7574-4b95-80bd-1fbcc3fae376.json | N/A | N/A | N/A | N/A | N/A | XEM912647011 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-01-17 | 2002SE000030 | X0001002 | N/A | OT | false | WAHL | N/A | LELAND | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323290842 | N/A | N/A | 11364482 | 2222 | N/A | 20539097 | N/A | 9633229 | 2026-03-18 07:59:48.546654 | 2026-02-05 17:07:37.378883 |
| 2026-03-18 07:59:45.796822 | 2026-03-18 07:59:48.481955 | 21253763 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-07 | 2026-03-18 | M | AE | PT | 4185 | CICCIARI | JQE123W23890 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6752939/check_21253763_bf596de1-9b54-4d47-b3ea-d0165e7083f1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_21253763_8de8a58c-c64b-4355-a9cf-7e191a3fa8c1.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323290835 | N/A | N/A | 6752939 | 2222 | N/A | 20539094 | N/A | 5065602 | 2026-03-18 07:59:48.481955 | 2025-07-01 17:25:13.681724 |
| 2026-03-18 07:59:45.778152 | 2026-03-18 07:59:48.464287 | 21253762 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-12-10 | 2026-03-18 | F | AE | PT | 4191 | LIBAW | XEM911326489 | PAMELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928760/check_21253762_0bc9828a-413a-4caf-a074-07279efbdf40.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928760/check_21253762_eb76a263-defa-4b0e-959e-8e6869002bd3.json | N/A | N/A | N/A | N/A | N/A | XEM911326489 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-12-10 | 2004SE000030 | X0001002 | N/A | OT | false | LIBAW | N/A | EVAN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323290834 | N/A | N/A | 5928760 | 2222 | N/A | 20539093 | N/A | 4211753 | 2026-03-18 07:59:48.464287 | 2025-05-13 04:29:37.226073 |
| 2026-03-18 07:59:45.668827 | 2026-03-18 07:59:57.445243 | 21253761 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-14 | 2026-03-18 | F | AE | PT | 3939 | UYGUR | GLA008101 | NUKHET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543315/check_21253761_82dbf2ec-c86c-47c4-bf4d-4459d8c049d5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | N/A | N/A | N/A | N/A | N/A | N/A | GLA008101 | N/A | N/A | AETNA INC | N/A | 1947-04-14 | N/A | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | 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 | 5543315 | 2222 | N/A | N/A | N/A | 4215116 | 2026-03-18 07:59:57.445243 | 2025-05-29 22:32:19.748297 |
| 2026-03-18 07:59:45.652994 | 2026-03-18 07:59:47.765665 | 21253760 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2026-03-18 | M | AE | PT | 3842 | ULLMAN | 03520409411 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535842/check_21253760_1d370a07-64a1-4067-b31c-c080905c3294.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_21253760_66e7f83e-8f51-4e23-b238-6a38c5e3ba36.json | N/A | N/A | N/A | N/A | N/A | 03520409411 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1939-06-24 | N/A | N/A | N/A | SP | false | ULLMAN | N/A | DAVID | N/A | 2025-12-31 | 2025-01-01 | AARP MEDICARE SUPPLEMENT PLAN J | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323290844 | N/A | N/A | 5535842 | 2222 | N/A | 20539085 | N/A | 4208696 | 2026-03-18 07:59:47.765665 | 2025-06-07 16:16:45.844566 |
| 2026-03-18 07:59:45.468716 | 2026-03-18 07:59:47.405263 | 21253758 | N/A | N/A | 31053 | State Farm Insurance Companies | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-02-23 | 2026-03-18 | F | AE | PT | 6299 | SPIGELMAN | HC5192477575 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536257/check_21253758_d0a1e288-4530-4801-94c0-b201fbbe5f96.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536257/check_21253758_8bb714da-f293-43b8-961c-30ae5234dc31.json | N/A | N/A | N/A | N/A | N/A | HC5192477575 | Medigap Part A | N/A | STATE FARM INSURANCE COMPANIES | N/A | 1937-02-23 | N/A | N/A | N/A | MH | false | SPIGELMAN | N/A | JUDY | N/A | N/A | N/A | MEDICARE SUPPLEMENT - FOLLOWS MEDICARE GUIDELINES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323290830 | N/A | N/A | 5536257 | 2222 | N/A | 20539082 | N/A | 4209028 | 2026-03-18 07:59:47.405263 | 2026-03-12 23:35:58.198593 |
| 2026-03-18 07:51:27.133405 | 2026-03-18 07:52:00.728570 | 21249142 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-12 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21249142_7c3bb6d4-0c9a-4c97-b27f-5e185b4cee38.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-12 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-18 07:52:00.728570 | 2025-11-11 01:01:48.778756 |
| 2026-03-18 07:49:56.454721 | 2026-03-18 07:50:30.533072 | 21248398 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-10 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21248398_f43ab786-8f36-4912-bb34-e2957b51c34f.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-10 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-18 07:50:30.533072 | 2025-11-11 01:01:48.778756 |
| 2026-03-18 07:48:49.386934 | 2026-03-18 07:49:22.746457 | 21247814 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-05 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21247814_a7587ebd-b9ed-4a38-88df-703324686e27.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-05 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-18 07:49:22.746457 | 2025-11-11 01:01:48.778756 |
| 2026-03-18 07:47:58.504181 | 2026-03-18 07:48:33.122651 | 21247280 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2026-01-30 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_21247280_7c4881ba-2d01-4d9b-94ab-8dbbe00e48e9.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-18 07:48:33.122651 | 2025-05-13 04:29:37.229495 |
| 2026-03-18 07:45:53.475483 | 2026-03-18 07:46:26.950130 | 21245973 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-01-26 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21245973_7bcc8af3-52c7-4af9-899a-11eb747d04a2.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-26 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-18 07:46:26.950130 | 2025-11-11 01:01:48.778756 |
| 2026-03-18 07:42:06.009004 | 2026-03-18 07:42:40.658714 | 21243881 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-17 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_21243881_d53c2893-05cd-43dd-8c53-29f9077acbb0.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-18 07:42:40.658714 | 2025-05-13 04:29:37.229495 |
| 2026-03-18 07:26:21.354618 | 2026-03-18 07:26:54.818763 | 21232692 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-12 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21232692_dd5aaa2c-f53c-45b8-80bc-357f44336f67.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-12 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-18 07:26:54.818763 | 2025-11-11 01:01:48.778756 |
| 2026-03-18 07:25:08.034858 | 2026-03-18 07:25:41.499535 | 21231124 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-10 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21231124_2be3bc84-2dc3-49ee-a790-e8c4cc018f55.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-10 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-18 07:25:41.499535 | 2025-11-11 01:01:48.778756 |
| 2026-03-18 07:23:53.861978 | 2026-03-18 07:24:27.727102 | 21229411 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-05 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_21229411_7d93fd18-77fb-4cb3-a153-65fbd65d0685.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-05 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-18 07:24:27.727102 | 2025-11-11 01:01:48.778756 |
| 2026-03-18 07:22:43.718549 | 2026-03-18 07:23:17.555414 | 21227799 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2026-01-30 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_21227799_2c89de01-e1b5-44f1-b1a3-15de2158995b.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-18 07:23:17.555414 | 2025-05-13 04:29:37.229495 |
| 2026-03-18 07:22:30.410429 | 2026-03-26 16:38:51.633701 | 21227451 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21227451 | Athletic Physical Therapy Inc | 1951-06-01 | 2026-03-19 | F | AE | PT | N/A | BRADBURY | 5W31MW6FP03 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_21227451_f8e2be23-df00-44e5-9914-50ad6588950e.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MB | false | BRADBURY | N/A | BONNIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 101456 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323139716 | N/A | N/A | 5550534 | 2222 | 4801 | 21634515 | N/A | 4219556 | 2026-03-26 16:38:51.633701 | 2025-05-13 04:29:37.230592 |
| 2026-03-18 07:22:30.111058 | 2026-03-26 16:34:25.046773 | 21227440 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21227440 | Athletic Physical Therapy Inc | 1949-06-06 | 2026-03-19 | M | AD | 30 | N/A | WILSON | 31187497801 | MARVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_21227440_8c0526fa-7b92-476e-ab29-53e1000ea782.json | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1949-06-06 | 2026H5425001 | H5425M | N/A | N/A | false | WILSON | N/A | MARVIN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10323139713 | N/A | N/A | 5549707 | 2222 | 4801 | 21604216 | 6237 | 4219317 | 2026-03-26 16:34:25.046773 | 2025-05-13 04:29:37.230340 |
| 2026-03-18 07:22:29.724791 | 2026-03-26 16:35:03.629167 | 21227429 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 21227429 | Athletic Physical Therapy Inc | 1981-09-25 | 2026-03-20 | F | PT | N/A | N/A | VERSTEEG | 903359946001 | CYNTHIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549702/check_21227429_6e58d470-2c68-4652-b48e-e4a06d7a66c6.json | N/A | N/A | N/A | N/A | N/A | XEH903359946 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1981-09-25 | 1477HMOX0001 | W0051411 | N/A | HM | false | VERSTEEG | N/A | CASEY | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323139710 | N/A | N/A | 5549702 | 2222 | 4801 | 21608451 | 4191 | 4219312 | 2026-03-26 16:35:03.629167 | 2026-02-23 23:08:40.715435 |
| 2026-03-18 07:22:29.253890 | 2026-03-26 16:34:55.824241 | 21227412 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 21227412 | Athletic Physical Therapy Inc | 1955-10-09 | 2026-03-19 | M | PT | N/A | N/A | COE | JQS589W10732 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549514/check_21227412_e55e03a8-229c-4d83-8753-ee0906e545fd.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323139705 | N/A | N/A | 5549514 | 2222 | 4801 | 21607551 | 4185 | 4219161 | 2026-03-26 16:34:55.824241 | 2025-10-16 23:24:12.118501 |
| 2026-03-18 07:22:28.930774 | 2026-03-26 16:34:34.684985 | 21227398 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 21227398 | Athletic Physical Therapy Inc | 1989-11-14 | 2026-03-19 | F | AE | PT | N/A | BENNUN | 000020819448 | WENDY | LIU | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543594/check_21227398_662e3a1e-5488-423c-969a-bc9f538b91f2.json | N/A | N/A | N/A | N/A | N/A | 000020819448 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1989-11-14 | 4179553 | 500111 | N/A | N/A | false | BENNUN | N/A | WENDY | N/A | 2026-12-31 | 2026-01-01 | HEALTH ADVOCATES HEALTH ADVOCATES LLC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323139704 | N/A | N/A | 5543594 | 2222 | 4802 | 21605160 | N/A | 4215368 | 2026-03-26 16:34:34.684985 | 2026-02-04 18:31:35.622409 |
| 2026-03-18 07:22:28.569082 | 2026-03-26 16:34:23.324952 | 21227383 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21227383 | Athletic Physical Therapy Inc | 1950-03-29 | 2026-03-19 | M | AE | PT | N/A | AKHTARI | 40045421301 | SHAHROKH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_21227383_0c363107-e5f7-42f2-9ded-d3dafece95c3.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2026H5425006 | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | 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 | 10323139703 | N/A | N/A | 5543493 | 2222 | 4793 | 21604046 | 6237 | 4215273 | 2026-03-26 16:34:23.324952 | 2025-05-13 04:29:37.229594 |
| 2026-03-18 07:22:28.274996 | 2026-03-26 16:34:35.508990 | 21227370 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 21227370 | Athletic Physical Therapy Inc | 1999-02-06 | 2026-03-19 | M | AE | PT | N/A | FORTIN | R14644640MS1 | NATHANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_21227370_c5ec3df3-4f8c-4ab4-b797-ce4dcc074003.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | KVT SBGHMOWC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323139702 | N/A | N/A | 5543425 | 2222 | 4801 | 21605261 | 4625 | 4215211 | 2026-03-26 16:34:35.508990 | 2026-04-02 22:30:20.020246 |
| 2026-03-18 07:22:27.903254 | 2026-03-26 16:37:58.654454 | 21227356 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 21227356 | Athletic Physical Therapy Inc | 2004-11-06 | 2026-03-20 | M | AE | PT | N/A | HAZANY | 909936004H | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543309/check_21227356_38078f67-30a5-4746-b43b-c3a34054ea35.json | N/A | N/A | N/A | N/A | N/A | 909936004H | N/A | N/A | MEDICAID CALIFORNIA | N/A | 2004-11-06 | N/A | N/A | N/A | N/A | false | HAZANY | N/A | DAVID | 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 | 10323139696 | N/A | N/A | 5543309 | 2222 | 4802 | 21628081 | N/A | 4215115 | 2026-03-26 16:37:58.654454 | 2026-02-17 23:55:26.098884 |
| 2026-03-18 07:22:27.425210 | 2026-03-26 16:32:19.354074 | 21227341 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 21227341 | Athletic Physical Therapy Inc | 1964-03-27 | 2026-03-20 | M | AE | PT | N/A | MCCOWAN | 93341440D | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_21227341_82a04ab3-f1d3-4867-8ee3-c6793103b620.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323139695 | N/A | N/A | 5543270 | 2222 | 4793 | 21587536 | 4211 | 4215086 | 2026-03-26 16:32:19.354074 | 2025-05-13 04:29:37.229401 |
| 2026-03-18 07:22:27.159205 | 2026-03-26 16:34:57.556310 | 21227331 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21227331 | Athletic Physical Therapy Inc | 1972-06-23 | 2026-03-19 | F | PT | N/A | N/A | LAWSON | JXN663W00172 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543167/check_21227331_771563cf-db30-4108-87b7-4be68ab8a9c2.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323139694 | N/A | N/A | 5543167 | 2222 | 4793 | 21607761 | N/A | 4214995 | 2026-03-26 16:34:57.556310 | 2025-05-13 04:29:37.229315 |
| 2026-03-18 07:22:26.891105 | 2026-03-26 16:34:57.029522 | 21227322 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21227322 | Athletic Physical Therapy Inc | 1974-08-13 | 2026-03-20 | F | PT | N/A | N/A | HUGGINS | JXN261A50994 | DEEDEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_21227322_70853976-c7ae-4d91-b405-47b5496fd9e9.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323139693 | N/A | N/A | 5543043 | 2222 | 4801 | 21607689 | N/A | 4214884 | 2026-03-26 16:34:57.029522 | 2025-11-12 00:46:10.301659 |
| 2026-03-18 07:22:26.587089 | 2026-03-26 16:34:24.493297 | 21227308 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 21227308 | Athletic Physical Therapy Inc | 1954-10-02 | 2026-03-20 | M | AD | 30 | N/A | TARDIF | 40037365501 | TEDD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542894/check_21227308_2ad16c15-0ef8-4bca-8de9-8780a7c3b818.json | N/A | N/A | N/A | N/A | N/A | 40037365501 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1954-10-02 | 2026H5425001 | H5425M | N/A | N/A | false | TARDIF | N/A | TEDD | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10323139686 | N/A | N/A | 5542894 | 2222 | 4801 | 21604164 | 6237 | 4214757 | 2026-03-26 16:34:24.493297 | 2026-03-20 15:26:52.406374 |
| 2026-03-18 07:22:26.221422 | 2026-03-26 16:34:30.670263 | 21227290 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 21227290 | Athletic Physical Therapy Inc | 1971-09-10 | 2026-03-19 | M | AE | PT | N/A | STRONG | 292014001 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542808/check_21227290_79880f27-8e92-41df-9c7d-fa6def9ea80c.json | N/A | N/A | N/A | N/A | N/A | 292014001 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1971-09-10 | N/A | 234485 | N/A | C1 | false | STRONG | N/A | JOHN | N/A | N/A | N/A | SIGNATUREVALUE HMO PLATINUM | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323139685 | N/A | N/A | 5542808 | 2222 | 4801 | 21604751 | 6411 | 4214674 | 2026-03-26 16:34:30.670263 | 2025-05-13 04:29:37.228994 |
| 2026-03-18 07:22:25.939093 | 2026-03-26 16:34:36.027500 | 21227279 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 21227279 | Athletic Physical Therapy Inc | 1979-11-17 | 2026-03-19 | F | AE | PT | N/A | WOODS | 96781627F | JESSICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542752/check_21227279_043f262a-28d6-4a82-8e2f-da66f778464a.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | 2026-02-13 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323139684 | N/A | N/A | 5542752 | 2222 | 4793 | 21605321 | 4625 | 4214627 | 2026-03-26 16:34:36.027500 | 2025-06-23 18:58:46.304598 |
| 2026-03-18 07:22:25.681139 | 2026-03-26 16:35:03.090285 | 21227270 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 21227270 | Athletic Physical Therapy Inc | 1991-05-27 | 2026-03-20 | M | PT | N/A | N/A | MOYNIHAN | QMS905764029 | KEITH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542720/check_21227270_7541d040-f7fc-4c54-b979-784b0782bca7.json | N/A | N/A | N/A | N/A | N/A | QMS905764029 | Preferred Provider Organization (PPO) | MILLENNIUM SPACE SYSTEMS INC | BLUE SHIELD CALIFORNIA | N/A | 1991-05-27 | 1000VX000102 | W0037357 | N/A | PR | false | MOYNIHAN | N/A | KEITH | N/A | N/A | N/A | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323139683 | N/A | N/A | 5542720 | 2222 | 4802 | 21608396 | N/A | 4214596 | 2026-03-26 16:35:03.090285 | 2025-05-13 04:29:37.228923 |
| 2026-03-18 07:22:25.399523 | 2026-03-26 16:34:34.960366 | 21227261 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 21227261 | override_provider | 1972-07-22 | 2026-03-20 | M | AE | PT | N/A | KOZMA | U9714475101 | JASON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_21227261_5c787131-e27e-4ba6-91cf-470cd6528dba.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323139676 | N/A | N/A | 5542709 | 2222 | 4802 | 21605197 | N/A | 4214582 | 2026-03-26 16:34:34.960366 | 2025-12-02 00:00:04.433236 |
| 2026-03-18 07:22:24.972775 | 2026-03-26 16:34:35.266276 | 21227245 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 21227245 | Athletic Physical Therapy Inc | 1968-04-07 | 2026-03-19 | F | AE | PT | N/A | CHERE | 98953535F | DIANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_21227245_0b7e2dea-8629-41a6-8885-44f679e4aa0a.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | 2026-02-05 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323139675 | N/A | N/A | 5542660 | 2222 | 4802 | 21605231 | 4625 | 4214542 | 2026-03-26 16:34:35.266276 | 2025-05-13 04:29:37.228868 |
| 2026-03-18 07:22:24.629421 | 2026-03-26 16:34:56.459708 | 21227234 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 21227234 | Athletic Physical Therapy Inc | 1957-03-15 | 2026-03-19 | F | PT | N/A | N/A | GOLDMAN | MBL801W11756 | ROBERTA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542655/check_21227234_b39dc267-5588-4ae5-a9a7-84b5a6a30124.json | N/A | N/A | N/A | N/A | N/A | MBL801W11756 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1957-03-15 | 040 | CAEGR005 | N/A | N/A | false | GOLDMAN | N/A | ROBERTA | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10323139674 | N/A | N/A | 5542655 | 2222 | 4802 | 21607616 | N/A | 4214541 | 2026-03-26 16:34:56.459708 | 2025-05-13 04:29:37.228867 |
| 2026-03-18 07:22:24.283862 | 2026-03-26 16:38:52.913854 | 21227223 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21227223 | Athletic Physical Therapy Inc | 1953-03-17 | 2026-03-20 | F | AE | PT | N/A | MARCUS | 4VG5XF7HN64 | LISSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_21227223_a0252d06-1c3f-493a-b5a0-ad8602a72a3a.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MB | false | MARCUS | N/A | LISSA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 50740 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323139673 | N/A | N/A | 5542318 | 2222 | 4802 | 21634672 | N/A | 4214241 | 2026-03-26 16:38:52.913854 | 2025-05-13 04:29:37.228574 |
| 2026-03-18 07:22:23.902728 | 2026-03-26 16:38:52.570673 | 21227209 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21227209 | Athletic Physical Therapy Inc | 1936-09-29 | 2026-03-20 | M | AE | PT | N/A | JAUDE | 8D38EF9GV30 | KARIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_21227209_8c247938-2532-454b-8f8f-141d8fbd5407.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 101038 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323139672 | N/A | N/A | 5542251 | 2222 | 4802 | 21634634 | N/A | 4214191 | 2026-03-26 16:38:52.570673 | 2025-05-13 04:29:37.228525 |
| 2026-03-18 07:22:23.601464 | 2026-03-26 16:38:52.285854 | 21227197 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 21227197 | Athletic Physical Therapy Inc | 1937-05-08 | 2026-03-19 | F | AE | PT | N/A | GRINBERG | 6W60TM0KP36 | HANNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542161/check_21227197_5912b108-1e13-4fa6-8eb6-555f732d5ca2.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MA | false | GRINBERG | N/A | HANNA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 50706 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323139662 | N/A | N/A | 5542161 | 2222 | 4802 | 21634599 | N/A | 4214112 | 2026-03-26 16:38:52.285854 | 2025-05-13 04:29:37.228426 |
| 2026-03-18 07:22:23.194018 | 2026-03-26 16:32:00.478268 | 21227182 | N/A | N/A | 14163 | Lakeside Medical Group | 1114042165 | 21227182 | Athletic Physical Therapy Inc | 1951-10-31 | 2026-03-20 | M | AE | PT | N/A | VLAHOVICH | 34035035 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260318.104847907.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542048/check_21227182_2a8abeb3-0c27-45ff-9089-0efea9f4f5d7.json | N/A | N/A | N/A | N/A | N/A | 34035035 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-10-31 | 406-032-000 | N/A | N/A | N/A | false | VLAHOVICH | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10323139661 | N/A | N/A | 5542048 | 2222 | 4802 | 21585128 | N/A | 4214003 | 2026-03-26 16:32:00.478268 | 2025-05-13 04:29:37.228325 |