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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-17 07:14:04.464509 | 2026-03-17 07:14:06.241601 | 20981172 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-10-22 | 2026-03-17 | F | AE | PT | 4497 | ODONNELL | 8XF6N21DN43 | AUDREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536184/check_20981172_a6c19165-42c0-4901-940b-aa0ccff1f447.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536184/check_20981172_eec102d6-dd15-499b-9336-ab6e0a9a2067.json | N/A | N/A | N/A | N/A | N/A | 8XF6N21DN43 | N/A | N/A | CMS | N/A | 1943-10-22 | N/A | N/A | N/A | N/A | false | ODONNELL | N/A | AUDREY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536184 | 2222 | N/A | 20438034 | N/A | 4208979 | 2026-03-17 07:14:06.241601 | 2025-05-13 04:29:37.223405 |
| 2026-03-17 07:14:04.430813 | 2026-03-17 07:14:08.251591 | 20981160 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-10-09 | 2026-03-17 | M | PT | N/A | 4185 | COE | JQS589W10732 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549514/check_20981160_dd5d6e54-f332-4c8d-8e67-85d80e07af2e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549514/check_20981160_54bcf91d-8ef2-423a-b629-19eb1af6b763.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 | 10311848345 | N/A | N/A | 5549514 | 2222 | N/A | 20438063 | N/A | 4219161 | 2026-03-17 07:14:08.251591 | 2025-10-16 23:24:12.118501 |
| 2026-03-17 07:14:04.422210 | 2026-03-17 07:14:06.307758 | 20981159 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2026-03-17 | M | AE | PT | 4497 | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_20981159_153be033-d8b9-4672-9984-7f0944dba82e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_20981159_ade95186-3e3f-4567-bbe9-9cc635dcd0f4.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MB | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 125033 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848352 | N/A | N/A | 5542555 | 2222 | N/A | 20438038 | N/A | 4214447 | 2026-03-17 07:14:06.307758 | 2026-04-23 20:11:34.441054 |
| 2026-03-17 07:14:04.332266 | 2026-03-17 07:14:26.191831 | 20981149 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-02-06 | 2026-03-17 | M | AE | PT | 4625 | FORTIN | R14644640MS1 | NATHANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543425/check_20981149_00de2308-b6de-47ba-a14b-c8e150e989bf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | N/A | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | 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 | 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 | 5543425 | 2222 | N/A | N/A | N/A | 4215211 | 2026-03-17 07:14:26.191831 | 2026-04-02 22:30:20.020246 |
| 2026-03-17 07:14:04.295403 | 2026-03-17 07:14:07.401483 | 20981143 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-11 | 2026-03-17 | F | PT | N/A | 4184 | CALDERON | JQU450A75837 | DEBBIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540282/check_20981143_0e559d90-e554-4d3b-8f89-88d7b9acdb9a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540282/check_20981143_b92d5029-efa2-44e2-9793-743e4027e7d9.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848360 | N/A | N/A | 5540282 | 2222 | N/A | 20438055 | N/A | 4212465 | 2026-03-17 07:14:07.401483 | 2025-05-13 04:29:37.226801 |
| 2026-03-17 07:14:04.256707 | 2026-03-17 07:14:08.282485 | 20981137 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-07-08 | 2026-03-17 | F | AE | PT | 4211 | BERRY | 606308574 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543264/check_20981137_58963e81-f94f-4833-9e88-fc6661acff5f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543264/check_20981137_27389652-781f-4b05-80e5-457f738c50ce.json | N/A | N/A | N/A | N/A | N/A | 606308574 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-07-08 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | BERRY | N/A | KAREN | N/A | 2026-12-31 | 2026-01-01 | SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848332 | N/A | N/A | 5543264 | 2222 | N/A | 20438062 | N/A | 4215080 | 2026-03-17 07:14:08.282485 | 2025-05-13 04:29:37.229395 |
| 2026-03-17 07:14:04.250829 | 2026-03-17 07:14:06.035964 | 20981135 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-12-25 | 2026-03-17 | M | AE | PT | 6237 | UNDERHILL | 311356558-01 | DIRK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535951/check_20981135_f54e5963-4fdb-4297-b778-800e4460c8a2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535951/check_20981135_9944b334-9285-45f7-b689-e4612269c8ca.json | N/A | N/A | N/A | N/A | N/A | 311356558-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1939-12-25 | N/A | N/A | N/A | N/A | false | UNDERHILL | N/A | DIRK | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535951 | 2222 | N/A | 20438032 | N/A | 4208785 | 2026-03-17 07:14:06.035964 | 2026-02-25 19:42:29.414844 |
| 2026-03-17 07:14:03.873732 | 2026-03-17 07:14:06.770779 | 20981083 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-12-17 | 2026-03-17 | F | PT | N/A | 4185 | STEINBERG | MBL988M98459 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542014/check_20981083_0a56a70f-e708-45aa-93a0-11857efe1709.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_20981083_a058024d-2846-4b65-b7a4-898626cbdfa5.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848251 | N/A | N/A | 5542014 | 2222 | N/A | 20438043 | N/A | 4213977 | 2026-03-17 07:14:06.770779 | 2025-05-13 04:29:37.228294 |
| 2026-03-17 07:14:03.844812 | 2026-03-17 07:14:05.665340 | 20981080 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2026-03-17 | M | AE | PT | 4497 | STEIN | 8MY3V79UN60 | DONALD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538576/check_20981080_2ba9554f-4a43-4416-a922-eb9890fbda9a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538576/check_20981080_8d30ec39-a173-4de5-9fde-e3370c14d5b3.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-22 | S5921 | N/A | N/A | MB | false | STEIN | N/A | DONALD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 193260 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848262 | N/A | N/A | 5538576 | 2222 | N/A | 20438028 | N/A | 4210984 | 2026-03-17 07:14:05.665340 | 2025-08-15 17:42:50.500189 |
| 2026-03-17 07:14:03.802966 | 2026-03-17 07:14:07.538433 | 20981076 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-10-19 | 2026-03-17 | M | PT | N/A | 4185 | NIELSEN | XDP057A76330 | ROY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537188/check_20981076_30446a43-fbb3-4304-9a78-79207f271912.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_20981076_4ae37332-c9bd-4d8f-a665-d8dab9d7830d.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC COBRA | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN17 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848298 | N/A | N/A | 5537188 | 2222 | N/A | 20438056 | N/A | 4209789 | 2026-03-17 07:14:07.538433 | 2025-05-13 04:29:37.224215 |
| 2026-03-17 07:14:03.755284 | 2026-03-17 07:14:08.737462 | 20981067 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-08-31 | 2026-03-17 | M | PT | N/A | 4191 | FLEMING | SZF839281184 | CHASE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539901/check_20981067_0b2713a9-462e-4b9a-aee5-b0c9606042e9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_20981067_e58f7e25-d593-420e-8216-538b9237d35e.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | BLUE SHIELD OF CALIFORNIA | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848241 | N/A | N/A | 5539901 | 2222 | N/A | 20438066 | N/A | 4212134 | 2026-03-17 07:14:08.737462 | 2025-08-05 02:56:55.384378 |
| 2026-03-17 07:14:03.712949 | 2026-03-17 07:14:06.787004 | 20981062 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-12-18 | 2026-03-17 | M | PT | N/A | 4184 | PERLMUTTER | JQH460A69253 | DREW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538573/check_20981062_0e5ac5ba-a97c-4cb7-8edf-e018bb958acb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538573/check_20981062_3a88c54f-f373-432b-8ba6-84f2b9d3a2e8.json | N/A | N/A | N/A | N/A | N/A | JQU460A69253 | Preferred Provider Organization (PPO) | CAL CHOICE FEBRUARY 1.00 | ANTHEM BLUE CROSS | N/A | 2007-12-18 | 040 | 476527 | N/A | PR | false | PERLMUTTER | N/A | DARREN | N/A | 9999-12-31 | 2026-02-01 | ANTHEM SILVER PPO 50/1700/40% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848240 | N/A | N/A | 5538573 | 2222 | N/A | 20438045 | N/A | 4210980 | 2026-03-17 07:14:06.787004 | 2025-05-13 04:29:37.225377 |
| 2026-03-17 07:14:03.653538 | 2026-03-17 07:14:06.521037 | 20981051 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-08-05 | 2026-03-17 | F | PT | N/A | 4185 | ROSKUL | JQT213W04900 | ANASTASIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539652/check_20981051_56009e7b-e396-4af5-858d-1c9a78af2352.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539652/check_20981051_53a909dc-ee52-455d-8311-7adc05c5cc71.json | N/A | N/A | N/A | N/A | N/A | JQT213W04900 | Health Maintenance Organization (HMO) | GOLDEN ENTROPY MARKETING | ANTHEM BLUE CROSS | N/A | 1985-08-05 | 040 | F22035 | N/A | HM | false | ROSKUL | N/A | VALENTIN | N/A | 9999-12-31 | 2025-09-01 | CA SG PRISELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848217 | N/A | N/A | 5539652 | 2222 | N/A | 20438040 | N/A | 4211923 | 2026-03-17 07:14:06.521037 | 2026-03-05 01:01:11.510730 |
| 2026-03-17 07:14:03.485709 | 2026-03-17 07:14:05.554446 | 20981028 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-19 | 2026-03-17 | M | PT | N/A | 4191 | SWAMINATHAN | PAM911049144 | SRIHARI prasath | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537224/check_20981028_103633f2-18b0-4af3-b824-56337b31b1cc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537224/check_20981028_98fd769f-82d0-4199-93e2-3cd204b29117.json | N/A | N/A | N/A | N/A | N/A | PAM911049144 | Preferred Provider Organization (PPO) | PALO ALTO NETWORKS INC | BLUE SHIELD CALIFORNIA | N/A | 1981-07-19 | 1000PPOX0001 | W8000013 | N/A | PR | false | SWAMINATHAN | N/A | SRIHARI PRASATH | N/A | N/A | N/A | PALO ALTO NETWORKS INC ASO PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848230 | N/A | N/A | 5537224 | 2222 | N/A | 20438025 | N/A | 4209830 | 2026-03-17 07:14:05.554446 | 2026-01-05 23:05:15.485219 |
| 2026-03-17 07:14:03.435038 | 2026-03-17 07:14:06.143093 | 20981022 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-12-11 | 2026-03-17 | F | PT | N/A | 4184 | OATES | JQS723M87472 | STACY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537951/check_20981022_00eff6a8-0cb2-46c4-bf54-5044342b8837.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537951/check_20981022_45dbf9db-14fb-4ee0-8c9d-7d8e6cb55ca3.json | N/A | N/A | N/A | N/A | N/A | JQS723M87472 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1951-12-11 | 040 | CAMCRWP0 | N/A | MP | false | OATES | N/A | STACY | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848175 | N/A | N/A | 5537951 | 2222 | N/A | 20438033 | N/A | 4210449 | 2026-03-17 07:14:06.143093 | 2026-02-25 15:35:31.486496 |
| 2026-03-17 07:14:02.926093 | 2026-03-17 07:14:04.850042 | 20980964 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-08-26 | 2026-03-17 | M | AE | PT | 4497 | ROTHMAN | 6H65JC7UD67 | MIKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536194/check_20980964_bf18e07f-bda7-4fec-bd06-5be3dbec22cf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536194/check_20980964_0343848f-c1bd-4b45-9083-dff0bdf9b1f2.json | N/A | N/A | N/A | N/A | N/A | 6H65JC7UD67 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-08-26 | S4802 | N/A | N/A | MB | false | ROTHMAN | N/A | MIKE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 151263 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848115 | N/A | N/A | 5536194 | 2222 | N/A | 20438019 | N/A | 4208978 | 2026-03-17 07:14:04.850042 | 2025-05-13 04:29:37.223404 |
| 2026-03-17 07:14:02.767328 | 2026-03-17 07:14:04.560094 | 20980947 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-03-19 | 2026-03-17 | F | AE | PT | 4497 | ROSS | 6QX7T41GM46 | MARTHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536301/check_20980947_92f4b9d4-18d3-4b1a-a22f-30a6bb370b84.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536301/check_20980947_e3c183e7-c1f7-4c99-a9e4-e8c9432a3d3a.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MA | false | ROSS | N/A | MARTHA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 183080 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848100 | N/A | N/A | 5536301 | 2222 | N/A | 20438017 | N/A | 4209073 | 2026-03-17 07:14:04.560094 | 2025-11-19 19:47:03.642493 |
| 2026-03-17 07:14:02.595435 | 2026-03-17 07:14:05.492150 | 20980924 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-05-24 | 2026-03-17 | F | PT | N/A | 4185 | CLARK | JQU645W04003 | CLAUDIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536134/check_20980924_7547cda0-d338-43d1-bcec-d3f85f90114f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536134/check_20980924_2c48d7e0-c789-4e8b-a7d3-850d1e95b7e7.json | N/A | N/A | N/A | N/A | N/A | JQU645W04003 | Preferred Provider Organization (PPO) | ATHLETIC PHYSICAL THERAPY INC | ANTHEM BLUE CROSS | N/A | 1974-05-24 | 040 | G76231 | N/A | PR | false | CLARK | N/A | STEPHEN | N/A | 9999-12-31 | 2026-01-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311848066 | N/A | N/A | 5536134 | 2222 | N/A | 20438024 | N/A | 4208937 | 2026-03-17 07:14:05.492150 | 2026-02-26 17:45:27.761245 |
| 2026-03-17 07:14:02.584659 | 2026-03-17 07:14:04.506934 | 20980922 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-12-16 | 2026-03-17 | F | AE | PT | 6237 | PORTER | 40028215401 | SHERIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535434/check_20980922_f28a2e8f-7a24-4056-ac56-fe14bd91a42c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_20980922_ffb03393-bfaf-42c3-856e-f401eecdb52d.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2026H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311848062 | N/A | N/A | 5535434 | 2222 | N/A | 20438015 | N/A | 4208356 | 2026-03-17 07:14:04.506934 | 2025-08-25 14:49:27.724897 |
| 2026-03-17 07:14:02.574146 | 2026-03-17 07:14:04.239317 | 20980921 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-12-25 | 2026-03-17 | M | AE | PT | 6237 | UNDERHILL | 311356558-01 | DIRK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535951/check_20980921_57ade1d5-9b2a-4cc3-a226-b63161ba26b0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | N/A | N/A | N/A | N/A | N/A | N/A | 311356558-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1939-12-25 | N/A | N/A | N/A | N/A | false | UNDERHILL | N/A | DIRK | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535951 | 2222 | N/A | N/A | N/A | 4208785 | 2026-03-17 07:14:04.239317 | 2026-02-25 19:42:29.414844 |
| 2026-03-17 07:14:02.573008 | 2026-03-17 07:14:04.460963 | 20980919 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-10-22 | 2026-03-17 | F | AE | PT | 4497 | ODONNELL | 8XF6N21DN43 | AUDREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536184/check_20980919_018d3d6d-9422-4efe-944b-78e621c84090.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-17 | N/A | N/A | N/A | N/A | N/A | N/A | 8XF6N21DN43 | N/A | N/A | CMS | N/A | 1943-10-22 | N/A | N/A | N/A | N/A | false | ODONNELL | N/A | AUDREY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536184 | 2222 | N/A | N/A | N/A | 4208979 | 2026-03-17 07:14:04.460963 | 2025-05-13 04:29:37.223405 |
| 2026-03-17 07:13:19.574078 | 2026-03-17 07:13:53.332477 | 20974918 | 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_20974918_1e59d363-797c-4b4a-8d73-486d53a7bf34.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 | 2026-03-17 07:13:53.332477 | 2025-11-11 01:01:48.778756 |
| 2026-03-17 07:12:33.509126 | 2026-03-31 20:15:18.994641 | 20967814 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 20967814 | Athletic Physical Therapy Inc | 1942-02-14 | 2026-03-19 | F | AE | PT | N/A | BELTRAN | 40067235601 | ANGIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260317.100046516.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18204816/check_20967814_b72aac57-89ac-4aac-9c57-dc848641c87c.json | N/A | N/A | N/A | N/A | N/A | 40067235601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-02-14 | 2026H5425001 | H5425M | N/A | N/A | false | BELTRAN | N/A | ANGIE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311854725 | N/A | N/A | 18204816 | 2222 | 4801 | 22688362 | 6237 | 16219626 | 2026-03-31 20:15:18.994641 | 2026-03-16 19:25:33.055259 |
| 2026-03-17 07:12:33.430289 | 2026-03-17 07:12:33.506279 | 20967801 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20967801 | Athletic Physical Therapy Inc | 1979-07-25 | 2026-03-19 | M | PT | N/A | N/A | DOBBIE | JQU942M93268 | DRAKE | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18097686 | 2222 | 4801 | N/A | N/A | 16122002 | 2026-03-17 07:12:33.506279 | 2026-03-19 18:31:16.913461 |
| 2026-03-17 07:12:33.338168 | 2026-03-17 07:12:33.427081 | 20967787 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 20967787 | Athletic Physical Therapy Inc | 1976-01-20 | 2026-03-18 | M | AE | PT | N/A | GROVE | R03563551MS1 | JAMIE | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 18091486 | 2222 | 4801 | N/A | 4625 | 16115755 | 2026-03-17 07:12:33.427081 | 2026-03-13 20:34:14.597913 |
| 2026-03-17 07:12:33.180761 | 2026-03-31 20:20:06.541033 | 20967760 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 20967760 | Athletic Physical Therapy Inc | 1956-01-25 | 2026-03-18 | F | AE | PT | N/A | URIBE | 40085522401 | ROSA | I | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260317.100046516.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18084855/check_20967760_82c84ac4-84ce-48bc-a667-8e20d214e7db.json | N/A | N/A | N/A | N/A | N/A | 40085522401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-01-25 | 2026H0976001LAAF | H0976DSNP | N/A | N/A | false | URIBE | N/A | ROSA | N/A | N/A | N/A | CALIFORNIA MEDI-CAL PLAN 200 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311854722 | N/A | N/A | 18084855 | 2222 | 4802 | 22688731 | 6237 | 13816533 | 2026-03-31 20:20:06.541033 | 2026-03-06 21:23:14.977254 |
| 2026-03-17 07:12:33.051775 | 2026-03-17 07:12:33.177275 | 20967740 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 20967740 | Athletic Physical Therapy Inc | 1986-12-17 | 2026-03-20 | F | AE | PT | N/A | LANDA | NRS60534973101 | JESSICA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 18082696 | 2222 | 4802 | N/A | N/A | 13582304 | 2026-03-17 07:12:33.177275 | 2026-03-27 22:26:31.935861 |
| 2026-03-17 07:12:32.929381 | 2026-03-17 07:12:33.047254 | 20967721 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 20967721 | override_provider | 2011-11-14 | 2026-03-19 | F | AE | PT | N/A | RIOS | 000019686798 | SYDNEY | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 18081788 | 2222 | 4801 | N/A | N/A | 16107768 | 2026-03-17 07:12:33.047254 | 2026-03-13 19:00:39.970087 |
| 2026-03-17 07:12:32.843393 | 2026-03-17 07:12:32.925076 | 20967708 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 20967708 | Athletic Physical Therapy Inc | 1946-05-14 | 2026-03-19 | M | AE | PT | N/A | Hickey | 0025974806 | Thomas | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 18081534 | 2222 | 4802 | N/A | N/A | 16107429 | 2026-03-17 07:12:32.925076 | 2026-03-20 21:29:38.978560 |
| 2026-03-17 07:12:32.760621 | 2026-03-17 07:12:32.839516 | 20967695 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20967695 | Athletic Physical Therapy Inc | 2001-04-18 | 2026-03-19 | M | PT | N/A | N/A | Ott | JQU538A56107 | James | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18078603 | 2222 | 4801 | N/A | N/A | 16104346 | 2026-03-17 07:12:32.839516 | 2026-03-13 17:20:37.406956 |
| 2026-03-17 07:12:32.676753 | 2026-03-31 17:54:13.805137 | 20967681 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 20967681 | override_provider | 1962-12-17 | 2026-03-18 | F | PT | N/A | N/A | CROSTHWAITE | XEH909146536 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260317.100046516.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18078000/check_20967681_a43ff912-ae97-4e0a-878a-e577a678eddf.json | N/A | N/A | N/A | N/A | N/A | XEH909146536 | Health Maintenance Organization (HMO) | PROVIDENCE HEALTH SERVICES | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1962-12-17 | 1005HMOX0001 | W0052198 | N/A | HM | false | CROSTHWAITE | N/A | DIANE | N/A | N/A | N/A | PROVIDENCE HEALTH SERVICES CUSTOM ACCESS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10311854717 | N/A | N/A | 18078000 | 2222 | 4801 | 22662883 | N/A | 16103835 | 2026-03-31 17:54:13.805137 | 2026-03-13 17:49:47.687705 |
| 2026-03-17 07:12:32.598129 | 2026-03-17 07:12:32.674376 | 20967670 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 20967670 | Athletic Physical Therapy Inc | 1999-10-29 | 2026-03-18 | F | PT | N/A | N/A | ARNOLD | XEPEA8270420 | Elizabeth | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18077548 | 2222 | 4802 | N/A | N/A | 16103655 | 2026-03-17 07:12:32.674376 | 2026-03-13 17:08:10.862674 |
| 2026-03-17 07:12:32.520884 | 2026-03-17 07:12:32.595561 | 20967657 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 20967657 | Athletic Physical Therapy Inc | 1958-04-11 | 2026-03-19 | F | PT | N/A | N/A | MAJD | 00000000000000 | FLORA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18036986 | 2222 | 4802 | N/A | N/A | 4209898 | 2026-03-17 07:12:32.595561 | 2026-03-12 23:16:26.192781 |
| 2026-03-17 07:12:32.435305 | 2026-03-17 07:12:32.517241 | 20967646 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 20967646 | Athletic Physical Therapy Inc | 1946-11-04 | 2026-03-18 | M | AE | PT | N/A | BARDIA | 9YD1K19FG26 | KEN | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 18033660 | 2222 | 4802 | N/A | N/A | 16061630 | 2026-03-17 07:12:32.517241 | 2026-03-18 23:17:28.107701 |
| 2026-03-17 07:12:32.357526 | 2026-03-31 19:58:09.595966 | 20967635 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 20967635 | Athletic Physical Therapy Inc | 1947-08-18 | 2026-03-20 | U | AE | PT | N/A | SOLARES | 31168520701 | THELMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260317.100046516.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18032688/check_20967635_30c60a6b-c6f2-4aea-8ab8-c8d08a059af3.json | N/A | N/A | N/A | N/A | N/A | 31168520701 | N/A | N/A | CENTENE HEALTH PLANS | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | SOLARES | N/A | THELMA | 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 | 10311854713 | N/A | N/A | 18032688 | 2222 | 4801 | 22686732 | N/A | 16060652 | 2026-03-31 19:58:09.595966 | 2026-03-20 17:35:34.228514 |
| 2026-03-17 07:12:32.268512 | 2026-03-31 17:41:56.339583 | 20967623 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 20967623 | Athletic Physical Therapy Inc | 1970-07-27 | 2026-03-18 | F | AE | PT | N/A | NOURI | 612170695 | MARYAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260317.100046516.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18029673/check_20967623_5d503e68-026a-4fe3-8d56-5b38f9b81f32.json | N/A | N/A | N/A | N/A | N/A | 612170695 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1970-07-27 | 18126CA001000301 | QMXEM01910 | N/A | N/A | false | NOURI | N/A | MARYAM | N/A | 2026-12-31 | 2026-01-01 | SILVER 70 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311854712 | N/A | N/A | 18029673 | 2222 | 4802 | 22661467 | 4211 | 16058383 | 2026-03-31 17:41:56.339583 | 2026-03-12 21:38:28.159137 |
| 2026-03-17 07:12:32.201054 | 2026-03-17 07:12:32.266011 | 20967611 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 20967611 | Athletic Physical Therapy Inc | 1978-12-17 | 2026-03-18 | F | PT | N/A | N/A | UPDIKE | XAN903412717 | AMIE | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 18021836 | 2222 | 4801 | N/A | N/A | 14884291 | 2026-03-17 07:12:32.266011 | 2026-02-12 23:28:22.567862 |
| 2026-03-17 07:12:32.124632 | 2026-03-31 20:35:35.037282 | 20967599 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 20967599 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-03-18 | M | AE | PT | N/A | HARY | 2YH6T54NH61 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260317.100046516.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18020019/check_20967599_c68b5891-a10d-4192-8ad0-6e4d0f016dbf.json | N/A | N/A | N/A | N/A | N/A | 324641790 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1948-02-13 | N/A | N/A | N/A | N/A | false | HARY | N/A | DAVID | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311854709 | N/A | N/A | 18020019 | 2222 | 4802 | 22689883 | N/A | 16048388 | 2026-03-31 20:35:35.037282 | 2026-03-12 19:28:18.393557 |
| 2026-03-17 07:12:32.057245 | 2026-03-17 07:12:32.119924 | 20967588 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 20967588 | Athletic Physical Therapy Inc | 1948-09-17 | 2026-03-20 | F | AE | PT | N/A | GALERA | 5NG1DR7VP25 | EMMA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 17943086 | 2222 | 4801 | N/A | N/A | 15982010 | 2026-03-17 07:12:32.119924 | 2026-03-11 22:46:44.886390 |
| 2026-03-17 07:12:31.971842 | 2026-03-17 07:12:32.049610 | 20967576 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 20967576 | Athletic Physical Therapy Inc | 1972-12-05 | 2026-03-19 | F | AE | PT | N/A | BLUEROSE | 92521676F | KYRINA | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 17939188 | 2222 | 4802 | N/A | 4625 | 4214558 | 2026-03-17 07:12:32.049610 | 2026-03-07 00:55:14.494391 |
| 2026-03-17 07:12:31.906192 | 2026-03-17 07:12:31.969660 | 20967567 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 20967567 | override_provider | 1976-02-21 | 2026-03-18 | F | AE | PT | N/A | Cohen | 000026138884 | Hally | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 17938276 | 2222 | 4802 | N/A | N/A | 15976613 | 2026-03-17 07:12:31.969660 | 2026-03-11 20:32:37.861830 |
| 2026-03-17 07:12:31.811632 | 2026-03-17 07:12:31.903722 | 20967553 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 20967553 | override_provider | 1971-10-01 | 2026-03-20 | M | AE | PT | N/A | Funahashi | 000014029656 | Kenji | L | N/A | WAYSTAR | N/A | BATCH | 2026-03-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 17936108 | 2222 | 4802 | N/A | N/A | 15974479 | 2026-03-17 07:12:31.903722 | 2026-03-11 19:55:51.324067 |
| 2026-03-17 07:12:31.723945 | 2026-03-17 07:12:31.803593 | 20967542 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 20967542 | override_provider | 1995-09-26 | 2026-03-18 | M | AE | PT | N/A | Cisneros | 000024903692 | Alexander | Hernandez | N/A | WAYSTAR | N/A | BATCH | 2026-03-18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 17930332 | 2222 | 4802 | N/A | N/A | 15968671 | 2026-03-17 07:12:31.803593 | 2026-03-20 18:20:29.914070 |
| 2026-03-17 07:12:31.641547 | 2026-03-31 20:35:46.372421 | 20967530 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 20967530 | Athletic Physical Therapy Inc | 1954-02-05 | 2026-03-20 | M | AE | PT | N/A | HERNANDEZ | 254679401 | FELIPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260317.100046516.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17930034/check_20967530_4d1123b7-7cf6-42aa-8fe8-12583d7aa1bf.json | N/A | N/A | N/A | N/A | N/A | 254679401 | Commercial | N/A | MEDICARE PART A | PCP TO SUBMIT A SPECIALIST REFERRAL | 1954-02-05 | N/A | 370035 | N/A | C1 | false | HERNANDEZ | N/A | FELIPE | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311854703 | N/A | N/A | 17930034 | 2222 | 4793 | 22689889 | 6411 | 8252801 | 2026-03-31 20:35:46.372421 | 2026-02-23 23:58:40.440949 |
| 2026-03-17 07:12:31.573179 | 2026-03-17 07:12:31.638714 | 20967517 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 20967517 | Athletic Physical Therapy Inc | 1965-08-06 | 2026-03-18 | M | AE | PT | N/A | PATTON | 95560382C | RODNEY | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 17925731 | 2222 | 4802 | N/A | N/A | 15964472 | 2026-03-17 07:12:31.638714 | 2026-03-11 17:23:56.877509 |
| 2026-03-17 07:12:31.490252 | 2026-03-17 07:12:31.569996 | 20967505 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 20967505 | override_provider | 1975-08-29 | 2026-03-19 | M | AE | PT | N/A | LUMER | 000019792887 | RAYEE | N/A | N/A | WAYSTAR | N/A | BATCH | 2026-03-19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 17925305 | 2222 | 4802 | N/A | N/A | 15964069 | 2026-03-17 07:12:31.569996 | 2026-03-11 17:16:27.067844 |
| 2026-03-17 07:12:31.411836 | 2026-03-17 07:12:31.486285 | 20967492 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 20967492 | override_provider | 1974-07-05 | 2026-03-20 | F | AE | PT | N/A | Parker | 000016557541 | Brenda | I | N/A | WAYSTAR | N/A | BATCH | 2026-03-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 17924114 | 2222 | 4802 | N/A | N/A | 15963069 | 2026-03-17 07:12:31.486285 | 2026-05-29 22:16:21.036276 |
| 2026-03-17 07:12:31.331546 | 2026-03-31 20:35:11.147586 | 20967479 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 20967479 | Athletic Physical Therapy Inc | 1957-01-09 | 2026-03-18 | F | AE | PT | N/A | COLEY | 910143184 | GWENDOLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260317.100046516.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17918121/check_20967479_7ffacd35-67d2-4669-9805-6102cad8dd19.json | N/A | N/A | N/A | N/A | N/A | 910143184 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1957-01-09 | N/A | 01991 | N/A | HN | false | COLEY | N/A | GWENDOLYN | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10311854699 | N/A | N/A | 17918121 | 2222 | 4802 | 22689863 | N/A | 4213018 | 2026-03-31 20:35:11.147586 | 2025-05-22 00:04:46.399580 |
| 2026-03-17 07:12:31.260711 | 2026-03-17 07:12:31.328715 | 20967468 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 20967468 | Athletic Physical Therapy Inc | 1975-02-05 | 2026-03-18 | M | AE | PT | N/A | Chow | R129702238MM1 | Claude | C | N/A | WAYSTAR | N/A | BATCH | 2026-03-18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 17892830 | 2222 | 4802 | N/A | N/A | 15348203 | 2026-03-17 07:12:31.328715 | 2026-03-04 19:35:37.847456 |
| 2026-03-17 07:12:31.197524 | 2026-03-17 07:12:31.257237 | 20967455 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 20967455 | Athletic Physical Therapy Inc | 1967-11-20 | 2026-03-18 | F | AE | PT | N/A | ROMERO GUTIERREZ | 565034346 | Maria | Emma | N/A | WAYSTAR | N/A | BATCH | 2026-03-18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 17885289 | 2222 | 4802 | N/A | N/A | 15930252 | 2026-03-17 07:12:31.257237 | 2026-03-10 23:36:43.250122 |