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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | service_type_codes_2 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-16 07:15:25.375750 | 2026-03-16 07:15:28.553041 | 20779322 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-04-01 | 2026-03-16 | F | PT | 4184 | Hoffmon | FJB24530065M | Desiree | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17585043/check_20779322_50cd7864-21fa-4cf8-90ff-e693e97bd55e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17585043/check_20779322_f8bb9a2e-6ed3-4f48-8a8d-49053c7fa968.json | N/A | N/A | N/A | N/A | N/A | FJB24530065M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1954-04-01 | 101 | 174549M211 | N/A | PR | false | HOFFMAN | N/A | DESIREE | N/A | 9999-12-31 | 2016-01-01 | BLUECARD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301753045 | N/A | N/A | 17585043 | 2222 | N/A | 20358037 | N/A | 15632407 | 2026-03-16 07:15:28.553041 | 2026-03-04 17:26:22.963141 |
| 2026-03-16 07:15:25.337508 | 2026-03-16 07:15:27.136901 | 20779315 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-06-21 | 2026-03-16 | F | AE | 6237 | Mamane | 40079211601 | Marlene | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17585914/check_20779315_b9e29e4a-135b-4eae-b27d-c502f463e112.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17585914/check_20779315_c9c6e702-9f8e-4700-b60f-6f235896a9c1.json | N/A | N/A | N/A | N/A | N/A | 40079211601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1959-06-21 | 2026H5425065LA | H5425M | N/A | N/A | false | MAMANE | N/A | MARLENE | N/A | N/A | N/A | SCAN PRIME (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301753014 | N/A | N/A | 17585914 | 2222 | N/A | 20358021 | N/A | 15633309 | 2026-03-16 07:15:27.136901 | 2026-03-04 17:46:21.126462 |
| 2026-03-16 07:15:25.239752 | 2026-03-16 07:15:30.557519 | 20779305 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-28 | 2026-03-16 | F | AE | 6411 | Barrientos | 958247698-00 | Antoniette | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17540931/check_20779305_9b0fd529-16e5-4084-b284-2a81e2479156.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17540931/check_20779305_13fdc26c-9123-4278-9224-ac0167ba5eca.json | N/A | N/A | N/A | N/A | N/A | 958247698 | 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 | 1959-09-28 | N/A | 22448 | N/A | HN | false | BARRIENTOS | N/A | ANTONIETTE | N/A | N/A | N/A | HMO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301753010 | N/A | N/A | 17540931 | 2222 | N/A | 20358057 | N/A | 15585907 | 2026-03-16 07:15:30.557519 | 2026-03-09 18:22:22.279915 |
| 2026-03-16 07:15:25.236411 | 2026-03-16 07:15:28.975467 | 20779304 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-07-08 | 2026-03-16 | M | PT | 4184 | Garcia | NCF047A65982 | Rene | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17350415/check_20779304_cc6e0d56-7dc9-445b-a2fa-8a0dde035bc8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17350415/check_20779304_a453ff46-3666-4d73-9753-e3b42ebfaeac.json | N/A | N/A | N/A | N/A | N/A | NCF047A65982 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1944-07-08 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | BARBARA | N/A | 9999-12-31 | 2016-08-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301753041 | N/A | N/A | 17350415 | 2222 | N/A | 20358039 | N/A | 15361849 | 2026-03-16 07:15:28.975467 | 2026-02-25 21:46:04.154980 |
| 2026-03-16 07:15:24.964363 | 2026-03-16 07:15:35.240026 | 20779279 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-02-25 | 2026-03-16 | F | PT | 4191 | Jimenez | MPI30060766Q | Arabelle | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17497004/check_20779279_cbfd7355-a4f9-4886-95a7-053528b7b78c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17497004/check_20779279_dd7ae052-2782-41cd-8fb8-5b51d56b88e4.json | N/A | N/A | N/A | N/A | N/A | MPI30060766Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | BLUE SHIELD OF CALIFORNIA | N/A | 2008-02-25 | 040 | 277163M402 | N/A | PR | false | KIM | N/A | ANNY | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301753008 | N/A | N/A | 17497004 | 2222 | N/A | 20358095 | N/A | 15511990 | 2026-03-16 07:15:35.240026 | 2026-03-02 20:39:57.609466 |
| 2026-03-16 07:15:24.960276 | 2026-03-16 07:15:27.869542 | 20779278 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-07-01 | 2026-03-16 | M | AE | 4437 | ABDELMESSIH | U9059513401 | MINA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17498631/check_20779278_8158b7d4-a66e-47f1-adda-741d3b1a555d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17498631/check_20779278_6aa1ee72-7d12-49ec-bedd-f58d80a76457.json | N/A | N/A | N/A | N/A | N/A | U9059513401 | Health Maintenance Organization (HMO) | NATIONAL CEMENT COMPANY, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1978-07-01 | N/A | 3340850 | N/A | HM | false | ABDELMESSIH | N/A | MINA | N/A | N/A | N/A | HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752985 | N/A | N/A | 17498631 | 2222 | N/A | 20358030 | N/A | 15513934 | 2026-03-16 07:15:27.869542 | 2026-03-11 16:41:57.340816 |
| 2026-03-16 07:15:24.706501 | 2026-03-16 07:15:27.877785 | 20779249 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-03-03 | 2026-03-16 | F | AE | 5538 | RODEN | 622540880 | BERNADETTE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17493076/check_20779249_e31c3668-9ccc-43f8-a32f-c2d7d27346f2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17493076/check_20779249_1c066283-41b8-4e9f-92af-bb32ce5ed56c.json | N/A | N/A | N/A | N/A | N/A | 622540880 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1998-03-03 | LACC | 92815CA001000805 | N/A | N/A | false | RODEN | N/A | BERNADETTE | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752963 | N/A | N/A | 17493076 | 2222 | N/A | 20358029 | N/A | 15508238 | 2026-03-16 07:15:27.877785 | 2026-03-02 19:30:52.935313 |
| 2026-03-16 07:15:24.649819 | 2026-03-16 07:15:27.730231 | 20779242 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-12-15 | 2026-03-16 | F | PT | 4185 | Silkman | JXN347A59050 | Valerie | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17490472/check_20779242_a27f8e98-c6cf-4989-975e-4d635f72d52e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17490472/check_20779242_e19796ff-08b7-4e01-b24a-d2b1e591f4fe.json | N/A | N/A | N/A | N/A | N/A | JXN347A59050 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W CARELON LESS THAN 100K | ANTHEM BLUE CROSS | N/A | 1968-12-15 | 040 | 174222M1A1 | N/A | PR | false | SILKMAN | N/A | VALERIE | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301752971 | N/A | N/A | 17490472 | 2222 | N/A | 20358028 | N/A | 15505614 | 2026-03-16 07:15:27.730231 | 2026-03-02 18:44:52.817150 |
| 2026-03-16 07:15:24.430845 | 2026-03-16 07:15:27.394945 | 20779221 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-11-06 | 2026-03-16 | F | AE | 1030 | Mosaddegh | 95255632H | Zahra | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17424788/check_20779221_6270323c-1beb-4424-a5e4-87445b3f164b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17424788/check_20779221_df39a368-1167-4abe-b902-522de1810c72.json | N/A | N/A | N/A | N/A | N/A | 95255632H | N/A | N/A | HEALTH NET, LLC | N/A | 1962-11-06 | N/A | N/A | N/A | N/A | false | MOSADDEGH | N/A | ZAHRA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752946 | N/A | N/A | 17424788 | 2222 | N/A | 20358024 | N/A | 15435665 | 2026-03-16 07:15:27.394945 | 2026-02-27 18:02:10.906286 |
| 2026-03-16 07:15:24.327680 | 2026-03-16 07:15:27.060146 | 20779214 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-02-23 | 2026-03-16 | M | AE | 5538 | Naito | 93614355F | Arthur | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17429709/check_20779214_a4f97002-f6e0-436f-aa2e-64e7d045a5d7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17429709/check_20779214_17379c72-d681-48dd-b427-bd8dfdb7039b.json | N/A | N/A | N/A | N/A | N/A | 93614355F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1965-02-23 | MCLA | MWLLNMEG21 | N/A | N/A | false | NAITO | N/A | ARTHUR | N/A | 2078-12-31 | 2016-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752932 | N/A | N/A | 17429709 | 2222 | N/A | 20358020 | N/A | 15440773 | 2026-03-16 07:15:27.060146 | 2026-02-27 19:52:08.982558 |
| 2026-03-16 07:15:24.246401 | 2026-03-16 07:15:27.356408 | 20779203 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-08-15 | 2026-03-16 | M | PT | 4184 | Maudlin | GGS117W09763 | Holden | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17376426/check_20779203_f25f8a68-a0ea-4d73-a869-4b6c61bdcecb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17376426/check_20779203_51be248c-66c3-45cd-a097-ca10a7e71e4d.json | N/A | N/A | N/A | N/A | N/A | GGS117W09763 | Preferred Provider Organization (PPO) | GOOGLE GHIP CHDP HSA W/NON-INT BANKING | ANTHEM BLUE CROSS | N/A | 1996-08-15 | 040 | 174134M7A1 | N/A | PR | false | MAUDLIN | N/A | HOLDEN | N/A | 9999-12-31 | 2023-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301752950 | N/A | N/A | 17376426 | 2222 | N/A | 20358023 | N/A | 15388700 | 2026-03-16 07:15:27.356408 | 2026-02-26 17:31:02.471884 |
| 2026-03-16 07:15:23.957540 | 2026-03-16 07:15:29.196497 | 20779174 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-03-29 | 2026-03-16 | F | 30 | 6237 | MONTALVO | 40057101101 | PAMELA | N/A | AD | https://storage.googleapis.com/normandy-eligibility-checks/2222/17396005/check_20779174_40901e8e-b5d7-4f4e-b8d5-aa6aef2cfa7c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17396005/check_20779174_5d0246f6-1318-4ba4-ab3f-ddfb3d8c3164.json | N/A | N/A | N/A | N/A | N/A | 40057101101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-03-29 | 2026H5425001 | H5425M | N/A | N/A | false | MONTALVO | N/A | PAMELA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 10301752895 | N/A | N/A | 17396005 | 2222 | N/A | 20358002 | N/A | 15407473 | 2026-03-16 07:15:29.196497 | 2026-03-02 03:41:34.276739 |
| 2026-03-16 07:15:23.675622 | 2026-03-16 07:15:26.363695 | 20779146 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-12-20 | 2026-03-16 | F | AE | 5505 | Valenza | 000026028938 | Magali | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17355763/check_20779146_7b17e44f-78be-4efb-bc42-4860fe923f24.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17355763/check_20779146_b12e7558-8c75-43fb-9ec3-7fa5dcc8f252.json | N/A | N/A | N/A | N/A | N/A | 000026028938 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1989-12-20 | 4378729 | 1650095001 | N/A | N/A | false | VALENZA | N/A | MAGALI | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752875 | N/A | N/A | 17355763 | 2222 | N/A | 20358013 | N/A | 15367776 | 2026-03-16 07:15:26.363695 | 2026-03-02 18:02:01.247721 |
| 2026-03-16 07:15:23.606952 | 2026-03-16 07:15:30.925527 | 20779137 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-08-22 | 2026-03-16 | F | AE | 3948 | Clarke | W295118204 | Rebecca | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17287671/check_20779137_8efc8ac1-0ce3-46de-b03e-fe4e093774ed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17287671/check_20779137_49806e79-539a-4c93-acd0-a5b7b4427a58.json | N/A | N/A | N/A | N/A | N/A | W295118204 | Point of Service (POS) | VENSURE EMPLOYER SERVICES, INC. | AETNA | N/A | 1996-08-22 | 0237219 | 023721901100033 | N/A | PS | false | CLARKE | N/A | REBECCA | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752894 | N/A | N/A | 17287671 | 2222 | N/A | 20358064 | N/A | 15305664 | 2026-03-16 07:15:30.925527 | 2026-02-24 17:22:14.995942 |
| 2026-03-16 07:15:23.551749 | 2026-03-16 07:15:27.490162 | 20779132 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-13 | 2026-03-16 | F | PT | 4184 | HOLLAND | YVA250263382 | KELSEY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257631/check_20779132_4fd47582-b2df-42bc-bddc-6d70b53ae27f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257631/check_20779132_cbbc1618-49a5-4395-ad93-ad2eda4b85c8.json | N/A | N/A | N/A | N/A | N/A | YVA250263382 | Preferred Provider Organization (PPO) | PIPEWORKS INC | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | 10018888 | N/A | PR | false | HOLLAND | N/A | KELSEY | N/A | 9999-12-31 | 2026-01-01 | CLASSIC/PREFERRED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301752862 | N/A | N/A | 17257631 | 2222 | N/A | 20358025 | N/A | 15275187 | 2026-03-16 07:15:27.490162 | 2026-02-23 23:05:07.406692 |
| 2026-03-16 07:15:23.515798 | 2026-03-16 07:15:27.640389 | 20779128 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-12 | 2026-03-16 | M | AE | 5349 | LY | H65390314 | CHAU | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257404/check_20779128_108de9fc-ed02-44a2-a6d1-68918e400361.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257404/check_20779128_42980060-c2a9-4b49-86f5-8e3937dd726d.json | N/A | N/A | N/A | N/A | N/A | H65390314 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1958-07-12 | N/A | 2B722001 | N/A | HN | false | LY | N/A | CHAU | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752863 | N/A | N/A | 17257404 | 2222 | N/A | 20358026 | N/A | 15274585 | 2026-03-16 07:15:27.640389 | 2026-02-23 22:57:14.756651 |
| 2026-03-16 07:15:23.457968 | 2026-03-16 07:15:30.084721 | 20779122 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 2007-06-23 | 2026-03-16 | M | PT | 4197 | Tzorfas | R59222577 | Roshan | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17179914/check_20779122_2a5d7733-325f-409b-ab72-2e1574b1b8f5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17179914/check_20779122_0bf2f5e5-356b-4156-8c78-34079f12a34d.json | N/A | N/A | N/A | N/A | N/A | R59222577 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2007-06-23 | N/A | 105 | N/A | PR | false | TZORFAS | N/A | POONAM | N/A | 2033-07-23 | 2013-01-13 | STANDARD | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301752869 | N/A | N/A | 17179914 | 2222 | N/A | 20358049 | N/A | 15173437 | 2026-03-16 07:15:30.084721 | 2026-02-20 18:30:49.616337 |
| 2026-03-16 07:15:23.356315 | 2026-03-16 07:15:28.135326 | 20779114 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-16 | M | PT | 4184 | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_20779114_e2b11804-881d-47ce-988d-571bc13e7b59.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_20779114_70cbedc7-1274-46dc-8929-cf504ad059aa.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | Preferred Provider Organization (PPO) | PIXOVR, CORP. | ANTHEM BLUE CROSS | N/A | 1986-05-18 | 710 | 0070340580002003 | N/A | PR | false | HYMEL | N/A | DUSTIN | N/A | 9999-12-31 | 2026-03-01 | SIMPLY BLUE PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301752839 | N/A | N/A | 17346208 | 2222 | N/A | 20358034 | N/A | 15356693 | 2026-03-16 07:15:28.135326 | 2026-02-25 22:30:35.848496 |
| 2026-03-16 07:15:23.345397 | 2026-03-16 07:15:26.449773 | 20779111 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-03 | 2026-03-16 | F | AE | 2630 | GONZALES | 00000374506 | ANA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15747368/check_20779111_ff195127-7079-4121-91dc-a639fbd31af9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15747368/check_20779111_2b47ca1f-47d7-428c-9e79-d7a55efd9efb.json | N/A | N/A | N/A | N/A | N/A | 00000374506 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-03 | N/A | N/A | N/A | N/A | false | GONZALES | N/A | ANA | 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 | 15747368 | 2222 | N/A | 20358014 | N/A | 13844800 | 2026-03-16 07:15:26.449773 | 2026-01-26 17:18:13.645285 |
| 2026-03-16 07:15:23.339972 | 2026-03-16 07:15:26.323864 | 20779110 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-02-19 | 2026-03-16 | F | AE | 2630 | Hale | 00000272654 | Vicki | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17249147/check_20779110_e6c624f4-866d-4c2c-8cea-e0d0742bd8f5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | N/A | N/A | N/A | N/A | N/A | N/A | 00000272654 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1948-02-19 | N/A | N/A | N/A | N/A | false | HALE | N/A | VICKI | 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 | 17249147 | 2222 | N/A | N/A | N/A | 15266859 | 2026-03-16 07:15:26.323864 | 2026-02-23 21:46:02.438896 |
| 2026-03-16 07:15:23.181116 | 2026-03-16 07:15:29.242850 | 20779094 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-07-02 | 2026-03-16 | M | AE | 3948 | Clemen | IDN268756197 | Tate | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257296/check_20779094_6e863e35-9e8a-4fd9-b2f4-d3e17e31e701.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257296/check_20779094_db890cf6-2a69-4d41-8f70-2d564008e6e1.json | N/A | N/A | N/A | N/A | N/A | W268756197 | Point of Service (POS) | THE BOSTON CONSULTING GROUP, INC. | AETNA | N/A | 1999-07-02 | 0657263 | 065726301000101 | N/A | PS | false | CLEMEN | N/A | TATE | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752838 | N/A | N/A | 17257296 | 2222 | N/A | 20358042 | N/A | 15274431 | 2026-03-16 07:15:29.242850 | 2026-02-26 01:15:47.249061 |
| 2026-03-16 07:15:23.106899 | 2026-03-16 07:15:24.888599 | 20779084 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-02-04 | 2026-03-16 | M | AE | 6237 | Seth | 40042142001 | Sushil | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17252132/check_20779084_2ddc5631-6b43-4039-836b-783dc71b1d9c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17252132/check_20779084_b7be7942-a2c5-48cb-9943-0c3d94b67354.json | N/A | N/A | N/A | N/A | N/A | 40042142001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-02-04 | 2026H5425006 | H5425M | N/A | N/A | false | SETH | N/A | SUSHIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752822 | N/A | N/A | 17252132 | 2222 | N/A | 20357994 | N/A | 15269089 | 2026-03-16 07:15:24.888599 | 2026-03-03 16:25:21.496329 |
| 2026-03-16 07:15:23.028967 | 2026-03-16 07:15:26.952876 | 20779079 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-11-05 | 2026-03-16 | M | AE | 4211 | WALTHER | 91450497C | EDGAR | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17145820/check_20779079_156776a6-f5f9-42f7-8d6f-9ac254a9d3e3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17145820/check_20779079_1277a426-a165-426a-93c4-c4560ee24317.json | N/A | N/A | N/A | N/A | N/A | 91450497C | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1989-11-05 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | WALTHER | N/A | EDGAR | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752817 | N/A | N/A | 17145820 | 2222 | N/A | 20358019 | N/A | 15134963 | 2026-03-16 07:15:26.952876 | 2026-03-05 23:10:38.165816 |
| 2026-03-16 07:15:22.982153 | 2026-03-16 07:15:26.136594 | 20779074 | N/A | N/A | 87726 | UMR | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-02-26 | 2026-03-16 | F | AE | 5083 | BEASLEY | G45096418 | AMBER | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17145684/check_20779074_873624cb-10b5-48ff-a9d4-a2196643fa8e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17145684/check_20779074_77672318-1b09-4941-b8b2-473632fb1fb7.json | N/A | N/A | N/A | N/A | N/A | G45096418 | N/A | G.E.H.A MEDICAL FEHB/PSHB | UMR | N/A | 1992-02-26 | 767000416933002 | 76416933 | N/A | N/A | false | BEASLEY | N/A | AMBER | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752833 | N/A | N/A | 17145684 | 2222 | N/A | 20358010 | N/A | 15134758 | 2026-03-16 07:15:26.136594 | 2026-02-20 20:44:43.451428 |
| 2026-03-16 07:15:22.893862 | 2026-03-16 07:15:24.799166 | 20779063 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-02-12 | 2026-03-16 | M | AE | 23323 | HASTINGS | ICA082816 | JAMES | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16060541/check_20779063_afea6961-7b81-43d2-ba1e-fcd3cf00b0a2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16060541/check_20779063_fbf58281-1597-4afd-b6a4-1bed7ab4ba40.json | N/A | N/A | N/A | N/A | N/A | ICA082816 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-02-12 | N/A | N/A | N/A | N/A | false | HASTINGS | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16060541 | 2222 | N/A | 20357992 | N/A | 6841390 | 2026-03-16 07:15:24.799166 | 2026-02-24 00:29:14.751930 |
| 2026-03-16 07:15:22.870747 | 2026-03-16 07:15:24.923393 | 20779060 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-05 | 2026-03-16 | F | AE | 6237 | MANN SHELLY | 40066654701 | LISA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17127499/check_20779060_d92eee43-435a-4ed4-9a6a-89692100fb9d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17127499/check_20779060_0b9bd438-f735-474f-a4a6-0f25cadec8e6.json | N/A | N/A | N/A | N/A | N/A | 40066654701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-01-05 | 2026H5425001 | H5425M | N/A | N/A | false | MANN SHELLY | N/A | LISA | 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 | 10301752805 | N/A | N/A | 17127499 | 2222 | N/A | 20357993 | N/A | 15117739 | 2026-03-16 07:15:24.923393 | 2026-03-06 19:39:46.448612 |
| 2026-03-16 07:15:22.853487 | 2026-03-16 07:15:26.280750 | 20779059 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-10-08 | 2026-03-16 | F | PT | 4184 | STIEKEMA | JQU130W07701 | JENNIFER | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16994489/check_20779059_f6f0e844-a7db-410b-b4a1-c6798398586b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16994489/check_20779059_9ab73169-d580-4263-9e75-4f725730378a.json | N/A | N/A | N/A | N/A | N/A | JQU130W07701 | Preferred Provider Organization (PPO) | PARKWAY PEDIATRIC MEDICAL GROUP INC | ANTHEM BLUE CROSS | N/A | 1993-10-08 | 040 | U35944 | N/A | PR | false | STIEKEMA | N/A | JENNIFER | N/A | 9999-12-31 | 2026-03-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301752825 | N/A | N/A | 16994489 | 2222 | N/A | 20358008 | N/A | 14991273 | 2026-03-16 07:15:26.280750 | 2026-02-23 20:45:39.769195 |
| 2026-03-16 07:15:22.773913 | 2026-03-16 07:15:25.855571 | 20779051 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-14 | 2026-03-16 | M | PT | 4185 | BENKOVIC | NCF105A51926 | ESTEBAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17088157/check_20779051_d2841519-a1ba-4fbe-b374-d60b45b35097.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17088157/check_20779051_a891a85b-5099-422e-8144-e480d6987c41.json | N/A | N/A | N/A | N/A | N/A | NCF105A51926 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1967-09-14 | 040 | 57AJCA | N/A | HM | false | BENKOVIC | N/A | ESTEBAN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301752799 | N/A | N/A | 17088157 | 2222 | N/A | 20358004 | N/A | 15079739 | 2026-03-16 07:15:25.855571 | 2026-02-18 19:01:28.651126 |
| 2026-03-16 07:15:22.606398 | 2026-03-16 07:15:25.527778 | 20779037 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-12 | 2026-03-16 | M | PT | 4185 | MAHAARACHCHI | EXHAN7912598 | SENAKA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17122946/check_20779037_c73c34d1-48a7-4f43-8f32-683d2149887d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17122946/check_20779037_df763e9f-574e-444b-8eb5-c67024e239db.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | Preferred Provider Organization (PPO) | XEROX CORPORATION | ANTHEM BLUE CROSS | N/A | 1969-05-12 | 060 | 270101M11A | N/A | PR | false | MAHAARACHCHI | N/A | SENAKA | N/A | 9999-12-31 | 2025-01-01 | CDHP CT BC PPO HEALTH SAVINGS ACCOUNT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301752767 | N/A | N/A | 17122946 | 2222 | N/A | 20358001 | N/A | 15113667 | 2026-03-16 07:15:25.527778 | 2026-02-24 15:18:30.819287 |
| 2026-03-16 07:15:22.483969 | 2026-03-16 07:15:25.216743 | 20779023 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-03-21 | 2026-03-16 | F | AE | 5538 | Moore | MNL788W15745 | Jean | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17099336/check_20779023_e1d10c49-57f5-4bf7-af30-10bf0021635e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17099336/check_20779023_037bbef9-326e-42a3-ae65-b9aec457f53e.json | N/A | N/A | N/A | N/A | N/A | 90887353C | N/A | BCSC WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1957-03-21 | BCSC | BWLLDAGG21 | N/A | N/A | false | MOORE | N/A | JEAN | N/A | 2078-12-31 | 2023-02-01 | BLUE CROSS OF SO CA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752754 | N/A | N/A | 17099336 | 2222 | N/A | 20357999 | N/A | 6725117 | 2026-03-16 07:15:25.216743 | 2026-02-18 22:27:04.950292 |
| 2026-03-16 07:15:22.250566 | 2026-03-16 07:15:26.111362 | 20779000 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-11-15 | 2026-03-16 | F | AE | 4211 | DIBAEI | 95643445F | ATEFEH | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16929305/check_20779000_7ebcd783-e126-4aa6-a64d-51e23bd21281.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16929305/check_20779000_33e1243f-f1dd-4342-956c-df6ffc9a4105.json | N/A | N/A | N/A | N/A | N/A | 95643445F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 04/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-11-15 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DIBAEI | N/A | ATEFEH | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752735 | N/A | N/A | 16929305 | 2222 | N/A | 20358009 | N/A | 14928874 | 2026-03-16 07:15:26.111362 | 2026-02-13 23:07:04.697142 |
| 2026-03-16 07:15:22.171881 | 2026-03-16 07:15:24.953108 | 20778992 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-08-21 | 2026-03-16 | F | PT | 4184 | ESPINOZA | MPI30384960Q | amaya | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16930512/check_20778992_ebb2ae8f-3510-4191-a11b-ecfee810c5b9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16930512/check_20778992_a7df1866-d0a6-4b9a-900c-5a6896dd211c.json | N/A | N/A | N/A | N/A | N/A | MPI30384960Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2012-08-21 | 040 | 277163M401 | N/A | PR | false | GONZALEZ | N/A | MIGUEL | N/A | 9999-12-31 | 2022-08-15 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301752725 | N/A | N/A | 16930512 | 2222 | N/A | 20357996 | N/A | 14930156 | 2026-03-16 07:15:24.953108 | 2026-02-27 17:25:20.970187 |
| 2026-03-16 07:15:22.169014 | 2026-03-16 07:15:27.327939 | 20778991 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-03 | 2026-03-16 | M | PT | 4184 | WILSON | UAL838672820 | THOMAS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16887983/check_20778991_b07ba206-6ee7-4cd2-a090-8d4d599ac911.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16887983/check_20778991_a0d18bc7-5f71-49e5-a226-d127ac2f643c.json | N/A | N/A | N/A | N/A | N/A | UAL838672820 | Preferred Provider Organization (PPO) | UNITED AIRLINES | ANTHEM BLUE CROSS | N/A | 1954-11-03 | N/A | 168262 | N/A | PR | false | WILSON | N/A | THOMAS | N/A | 9999-12-31 | 2016-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301752744 | N/A | N/A | 16887983 | 2222 | N/A | 20358022 | N/A | 14890899 | 2026-03-16 07:15:27.327939 | 2026-02-16 16:35:16.688576 |
| 2026-03-16 07:15:22.097701 | 2026-03-16 07:15:26.175166 | 20778983 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1983-04-17 | 2026-03-16 | F | AE | 4709 | MULLEN | 96337043G | MELANIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16579498/check_20778983_00c8d12a-a3ac-44c6-a354-58cf6bd8e175.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | N/A | N/A | N/A | N/A | N/A | N/A | 96337043G | N/A | N/A | HEALTH NET, LLC | N/A | 1983-04-17 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELANIE | 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 | 16579498 | 2222 | N/A | N/A | N/A | 14597625 | 2026-03-16 07:15:26.175166 | 2026-02-09 19:54:47.612972 |
| 2026-03-16 07:15:21.936034 | 2026-03-16 07:15:25.141922 | 20778968 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-01-14 | 2026-03-16 | F | PT | 4185 | CASTELLANOS | MMA513W26339 | LETICIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16776009/check_20778968_9110b215-0588-4dd5-9950-97ae553aee48.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16776009/check_20778968_c409994a-f72e-4ab9-ab5d-15dddefcacb0.json | N/A | N/A | N/A | N/A | N/A | MMA513W26339 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-01-14 | 040 | CAMCRWP0 | N/A | MP | false | CASTELLANOS | N/A | LETICIA | N/A | 9999-12-31 | 2026-02-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301752710 | N/A | N/A | 16776009 | 2222 | N/A | 20357997 | N/A | 14786135 | 2026-03-16 07:15:25.141922 | 2026-02-10 22:07:43.706268 |
| 2026-03-16 07:15:21.895299 | 2026-03-16 07:15:25.011798 | 20778964 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-08-20 | 2026-03-16 | M | 96 | 6798 | SHARAWY | 33939897 | HUSSEIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16718923/check_20778964_a4d12267-b82e-4a79-8488-a13b5fce07aa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16718923/check_20778964_5b4a6db9-f2a1-4418-942a-a8b0451f3247.json | N/A | N/A | N/A | N/A | N/A | 33939897 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1952-08-20 | 406-034-002 | N/A | N/A | N/A | false | SHARAWY | N/A | HUSSEIN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10301752706 | N/A | N/A | 16718923 | 2222 | N/A | 20357995 | N/A | 14730725 | 2026-03-16 07:15:25.011798 | 2026-02-09 23:27:38.570173 |
| 2026-03-16 07:15:21.855686 | 2026-03-16 07:15:25.841641 | 20778957 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-08-23 | 2026-03-16 | M | PT | 4185 | MACLEAN | JQU120W20392 | JAMES | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16838110/check_20778957_9bbd5fb4-0a83-4e4c-9493-4decfa7e3986.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16838110/check_20778957_57343c4e-78f6-4f74-bab4-14adc77e9fc1.json | N/A | N/A | N/A | N/A | N/A | JQU120W20392 | Preferred Provider Organization (PPO) | CEDAR VALLEY PLUMBING SUPPLY | ANTHEM BLUE CROSS | N/A | 1971-08-23 | 040 | Q75469 | N/A | PR | false | MACLEAN | N/A | JAMES | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301752696 | N/A | N/A | 16838110 | 2222 | N/A | 20358005 | N/A | 14845258 | 2026-03-16 07:15:25.841641 | 2026-02-18 01:53:33.223443 |
| 2026-03-16 07:15:21.699580 | 2026-03-16 07:15:26.184996 | 20778942 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-03-20 | 2026-03-16 | F | AE | 4211 | SIEGEL | 20245734 | MELANIE | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15746316/check_20778942_7a4b44dd-408f-4bcd-b7f6-ca7c4f57fadf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15746316/check_20778942_0086b300-2fe1-4df5-a151-c8119ce6735f.json | N/A | N/A | N/A | N/A | N/A | 20245734 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1988-03-20 | 18126CA001000301 | QMXEM01910 | N/A | N/A | false | SIEGEL | N/A | MELANIE | 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 | 10301752694 | N/A | N/A | 15746316 | 2222 | N/A | 20358006 | N/A | 13843731 | 2026-03-16 07:15:26.184996 | 2026-03-30 23:59:22.956591 |
| 2026-03-16 07:15:21.615329 | 2026-03-16 07:15:24.700082 | 20778936 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-07-18 | 2026-03-16 | F | AE | 2630 | watson | 00000380103 | stella | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/13644272/check_20778936_34fa9955-f2fd-4b24-9548-86cb6509f69f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13644272/check_20778936_ee0362a9-71c4-4ae8-8871-95f3819d5595.json | N/A | N/A | N/A | N/A | N/A | 00000380103 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-07-18 | N/A | N/A | N/A | N/A | false | WATSON | N/A | STELLA | N/A | 2025-12-31 | 2025-01-01 | 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 | 13644272 | 2222 | N/A | 20357990 | N/A | 11792017 | 2026-03-16 07:15:24.700082 | 2025-12-04 01:49:08.682293 |
| 2026-03-16 07:15:21.533538 | 2026-03-16 07:15:25.844619 | 20778928 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-03 | 2026-03-16 | M | PT | 4185 | Higa | NCF843A55961 | Parrish | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16685165/check_20778928_7639b194-5f51-47ae-9b59-23dc23702b1e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16685165/check_20778928_a38bada3-6561-4869-8fda-63e52c5fa7cd.json | N/A | N/A | N/A | N/A | N/A | NCF843A55961 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1961-08-03 | 040 | 276193H001 | N/A | HM | false | HIGA | N/A | PARRISH | N/A | 9999-12-31 | 2023-07-01 | PREMIER SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301752687 | N/A | N/A | 16685165 | 2222 | N/A | 20358003 | N/A | 14698980 | 2026-03-16 07:15:25.844619 | 2026-02-09 18:51:36.820546 |
| 2026-03-16 07:15:21.461374 | 2026-03-16 07:15:23.308952 | 20778919 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-08-30 | 2026-03-16 | M | AE | 6237 | Wilson | 400662670-01 | Jesse | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15459527/check_20778919_c4481eb7-4f17-4cae-bd9b-7d00f96a4d85.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15459527/check_20778919_281d2996-b3cf-4cf2-8275-06ac5c23041d.json | N/A | N/A | N/A | N/A | N/A | 400662670-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-08-30 | N/A | N/A | N/A | N/A | false | WILSON | N/A | JESSE | 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 | 15459527 | 2222 | N/A | 20357983 | N/A | 13546654 | 2026-03-16 07:15:23.308952 | 2026-01-15 21:26:11.579374 |
| 2026-03-16 07:15:21.354875 | 2026-03-16 07:15:25.339401 | 20778906 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-24 | 2026-03-16 | F | PT | 4184 | MOLAYEM | XEM904126389 | JILLA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16453425/check_20778906_f279902a-1df5-4c74-903e-a2c262c6846a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16453425/check_20778906_938fbe3e-1673-4aea-8fae-c5e82761396e.json | N/A | N/A | N/A | N/A | N/A | XEM904126389 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-24 | 2002SF000029 | X0001002 | N/A | OT | false | MOLAYEM | N/A | JILLA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301752658 | N/A | N/A | 16453425 | 2222 | N/A | 20358000 | N/A | 14498125 | 2026-03-16 07:15:25.339401 | 2026-03-11 14:35:29.812051 |
| 2026-03-16 07:15:21.332435 | 2026-03-16 07:15:23.515289 | 20778903 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-12-31 | 2026-03-16 | F | AE | 4497 | BERRY | 7YM1UE5WC09 | ERIKA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16040602/check_20778903_a3a7c748-6e9f-4b2c-b5c4-3d116f7aafb9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16040602/check_20778903_dc2d1c5b-ce9e-46a4-b1fb-8222cd85149a.json | N/A | N/A | N/A | N/A | N/A | 7YM1UE5WC09 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1981-12-31 | S5617 | N/A | N/A | MA | false | BERRY | N/A | ERIKA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 90699 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752652 | N/A | N/A | 16040602 | 2222 | N/A | 20357981 | N/A | 4209869 | 2026-03-16 07:15:23.515289 | 2025-05-13 04:29:37.224290 |
| 2026-03-16 07:15:21.143569 | 2026-03-16 07:15:24.327414 | 20778887 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-01-05 | 2026-03-16 | F | PT | 4185 | ZARRAONANDIA | JQU263A62637 | JENNIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16233568/check_20778887_afcc3d25-2485-42a1-9a51-eb42e37532d5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16233568/check_20778887_c6921d49-610b-4932-85b8-d7f7b76c91ed.json | N/A | N/A | N/A | N/A | N/A | JQU263A62637 | Preferred Provider Organization (PPO) | PRE-CON INSTALLERS | ANTHEM BLUE CROSS | N/A | 1969-01-05 | 040 | K77610 | N/A | PR | false | ZARRAONANDIA | N/A | DANIEL | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10301752657 | N/A | N/A | 16233568 | 2222 | N/A | 20357988 | N/A | 4209386 | 2026-03-16 07:15:24.327414 | 2026-02-06 18:31:25.628854 |
| 2026-03-16 07:15:21.070320 | 2026-03-16 07:15:25.039302 | 20778876 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-04-05 | 2026-03-16 | M | AE | 5505 | GREY | 000023251060 | MO | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16284323/check_20778876_7a1b4740-4c38-4e3d-b431-69c10df2d8a5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16284323/check_20778876_40363b49-f745-44d1-af0e-d107784c44dc.json | N/A | N/A | N/A | N/A | N/A | 000023251060 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1993-04-05 | 4285549 | 296002 | N/A | N/A | false | GREY | N/A | MO | N/A | 2026-12-31 | 2026-01-01 | RIOT GAMES RIOT GAMES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752623 | N/A | N/A | 16284323 | 2222 | N/A | 20357998 | N/A | 14332946 | 2026-03-16 07:15:25.039302 | 2026-02-11 16:44:34.390628 |
| 2026-03-16 07:15:20.942510 | 2026-03-16 07:15:24.017905 | 20778863 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-08-16 | 2026-03-16 | M | AE | 4497 | brosh | 1AC1KJ0CT14 | RAMI | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16113776/check_20778863_5f91d508-d6ec-4e3b-979a-dcffa19adcb7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16113776/check_20778863_3392f0c0-f198-4a26-ab17-0fb9b30b15e1.json | N/A | N/A | N/A | N/A | N/A | 1AC1KJ0CT14 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-08-16 | S4802 | N/A | N/A | MA | false | BROSH | N/A | RAMI | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 76704 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752632 | N/A | N/A | 16113776 | 2222 | N/A | 20357987 | N/A | 14174363 | 2026-03-16 07:15:24.017905 | 2026-05-29 18:00:53.778221 |
| 2026-03-16 07:15:20.882065 | 2026-03-16 07:15:26.804571 | 20778856 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-11-12 | 2026-03-16 | F | AE | 3948 | Chow | W227140792 | Yook Ying | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16237575/check_20778856_8efda252-5373-4eb1-a4db-7ff978a9ea3d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16237575/check_20778856_934c8b5c-34b9-4566-a9f7-67b3d5832a22.json | N/A | N/A | N/A | N/A | N/A | W227140792 | Point of Service (POS) | NATIONAL ASSOCIATION OF REALTORS | AETNA | N/A | 1990-11-12 | 0697728 | 069772802100001 | N/A | PS | false | CHOW | N/A | YOOK-YING | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752620 | N/A | N/A | 16237575 | 2222 | N/A | 20358017 | N/A | 14289458 | 2026-03-16 07:15:26.804571 | 2026-02-11 16:26:04.020916 |
| 2026-03-16 07:15:20.840580 | 2026-03-16 07:15:23.123120 | 20778849 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-08-13 | 2026-03-16 | F | 30 | 6237 | SHAPIRO | 40065985101 | ONNETTE | N/A | AD | https://storage.googleapis.com/normandy-eligibility-checks/2222/16086772/check_20778849_ac821d03-6f99-4c87-92cb-3144d9402d78.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16086772/check_20778849_b07aa62f-9d18-4901-b22d-f8114aafa1a8.json | N/A | N/A | N/A | N/A | N/A | 40065985101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1962-08-13 | 2026H5425001 | H5425M | N/A | N/A | false | SHAPIRO | N/A | ONNETTE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | 30 | AD | N/A | N/A | N/A | N/A | N/A | 10301752629 | N/A | N/A | 16086772 | 2222 | N/A | 20357979 | N/A | 14151882 | 2026-03-16 07:15:23.123120 | 2026-01-30 16:12:37.739707 |
| 2026-03-16 07:15:20.767107 | 2026-03-16 07:15:22.887640 | 20778840 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-02-12 | 2026-03-16 | M | AE | 23323 | HASTINGS | ICA082816 | JAMES | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16060541/check_20778840_7fcc9815-f876-479b-a751-5984dfec26dc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | N/A | N/A | N/A | N/A | N/A | N/A | ICA082816 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-02-12 | N/A | N/A | N/A | N/A | false | HASTINGS | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 16060541 | 2222 | N/A | N/A | N/A | 6841390 | 2026-03-16 07:15:22.887640 | 2026-02-24 00:29:14.751930 |
| 2026-03-16 07:15:20.581897 | 2026-03-16 07:15:23.611250 | 20778820 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1970-10-11 | 2026-03-16 | M | AE | 5504 | Downes | 000032002308 | Gile | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15904788/check_20778820_4c11eac0-f8aa-4d3d-90a8-64384d804094.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15904788/check_20778820_3a3d6ff4-fea6-4768-b94c-a4de93ac8990.json | N/A | N/A | N/A | N/A | N/A | 000032002308 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1970-10-11 | 4362456 | 1650095001 | N/A | N/A | false | DOWNES | N/A | GILE | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 73 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10301752577 | N/A | N/A | 15904788 | 2222 | N/A | 20357985 | N/A | 13988678 | 2026-03-16 07:15:23.611250 | 2026-01-26 21:20:00.552687 |