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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-13 16:31:47.768297 | 2026-03-13 16:31:49.725997 | 20524979 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-06-12 | 2026-03-16 | U | AE | PT | 5349 | ROWLANDS | H6999219300 | KIMBERLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17870887/check_20524979_bb902663-b20d-4e7b-ab43-f4cae3e96e80.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-16 | N/A | N/A | N/A | N/A | N/A | N/A | H6999219300 | N/A | N/A | HUMANA | N/A | 1969-06-12 | N/A | N/A | N/A | N/A | false | ROWLANDS | N/A | KIMBERLY | 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 | 167942 | N/A | 17870887 | 2222 | N/A | N/A | N/A | 15914963 | 2026-03-13 16:31:49.725997 | 2026-03-15 17:01:29.240163 |
| 2026-03-13 16:29:32.546720 | 2026-03-13 16:29:34.603365 | 20524964 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-06-12 | 2026-03-16 | U | AE | PT | 5349 | ROWLANDS | H6999219300 | KIMBERLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17870887/check_20524964_cf9c7fb2-cb19-409e-b904-f0287dcb5cb2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17870887/check_20524964_0f95e790-71ec-4a4f-95bc-3bc775497d21.json | N/A | N/A | N/A | N/A | N/A | H6999219300 | N/A | N/A | HUMANA | N/A | 1969-06-12 | N/A | N/A | N/A | N/A | false | ROWLANDS | N/A | KIMBERLY | 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 | 167942 | N/A | 17870887 | 2222 | N/A | 20264437 | N/A | 15914963 | 2026-03-13 16:29:34.603365 | 2026-03-15 17:01:29.240163 |
| 2026-03-13 16:29:30.628588 | 2026-03-13 16:29:32.542528 | 20524963 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-06-12 | 2026-03-16 | U | AE | PT | 5349 | ROWLANDS | H6999219300 | KIMBERLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17870887/check_20524963_71bf9f3a-1c23-46bc-b8ee-07239b523d7e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-16 | N/A | N/A | N/A | N/A | N/A | N/A | H6999219300 | N/A | N/A | HUMANA | N/A | 1969-06-12 | N/A | N/A | N/A | N/A | false | ROWLANDS | N/A | KIMBERLY | 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 | 167942 | N/A | 17870887 | 2222 | N/A | N/A | N/A | 15914963 | 2026-03-13 16:29:32.542528 | 2026-03-15 17:01:29.240163 |
| 2026-03-13 16:26:17.915924 | 2026-03-13 16:26:51.562749 | 20524934 | 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_20524934_9ea58519-1271-4be0-9779-f5cc86d3624a.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 | 2026-03-13 16:26:51.562749 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 16:24:52.108958 | 2026-03-13 16:25:25.783767 | 20524816 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-05 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_20524816_1f94a599-8786-4d9a-9cd8-730ca544a147.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-05 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-13 16:25:25.783767 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 16:24:09.825680 | 2026-03-13 16:24:43.684084 | 20524751 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2026-01-30 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_20524751_6c9ca002-e140-434f-a789-e6744f8150da.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-13 16:24:43.684084 | 2025-05-13 04:29:37.229495 |
| 2026-03-13 16:22:32.211494 | 2026-03-13 16:23:05.710788 | 20524612 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-01-26 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_20524612_a3d89e58-23e4-4d1f-ad8f-489f6874a6bf.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-26 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-13 16:23:05.710788 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 16:18:40.626569 | 2026-03-13 16:19:14.739445 | 20524262 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-17 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_20524262_13cf7aae-14d1-4983-820c-b2e6483b2e83.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-13 16:19:14.739445 | 2025-05-13 04:29:37.229495 |
| 2026-03-13 16:10:34.248938 | 2026-03-13 16:11:07.734017 | 20523977 | 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_20523977_5d27c453-1730-489c-add5-e5f910bc7dd3.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 | 2026-03-13 16:11:07.734017 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 16:08:50.510821 | 2026-03-13 16:09:24.136240 | 20523835 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-05 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_20523835_c81b1cde-0893-4768-9b8a-c081ad8616be.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-05 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-13 16:09:24.136240 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 16:08:10.343394 | 2026-03-13 16:08:44.333427 | 20523759 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2026-01-30 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_20523759_0ec0f2e2-1501-4871-a0c4-628fae2f4f77.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-13 16:08:44.333427 | 2025-05-13 04:29:37.229495 |
| 2026-03-13 16:06:24.517300 | 2026-03-13 16:06:58.351866 | 20523605 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-01-26 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_20523605_25358227-8368-4d91-a499-dfbe640db0b6.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-26 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-13 16:06:58.351866 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 16:02:18.015968 | 2026-03-13 16:02:51.843057 | 20523227 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-17 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_20523227_e3340d11-11cb-4054-995a-a8735da6c907.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-13 16:02:51.843057 | 2025-05-13 04:29:37.229495 |
| 2026-03-13 15:50:17.015179 | 2026-03-13 15:50:50.721892 | 20522941 | 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_20522941_4d70c29b-db9f-4a2e-802b-3d1e71251557.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 | 2026-03-13 15:50:50.721892 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 15:48:52.799339 | 2026-03-13 15:49:26.370373 | 20522807 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-05 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_20522807_1434073e-2b75-41fe-afaf-35eff7e86fcd.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-05 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-13 15:49:26.370373 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 15:48:10.735233 | 2026-03-13 15:48:44.475898 | 20522747 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2026-01-30 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_20522747_4df3d1d7-649d-489b-9b33-f06e374a2ae3.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-13 15:48:44.475898 | 2025-05-13 04:29:37.229495 |
| 2026-03-13 15:46:34.808011 | 2026-03-13 15:47:08.623112 | 20522598 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-01-26 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_20522598_fd16aa70-ebbb-4f1f-9d26-f2c9c965ab94.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-26 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-13 15:47:08.623112 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 15:44:43.802415 | 2026-03-13 15:44:45.747353 | 20522467 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-09-12 | 2026-03-13 | M | AE | PT | 4497 | SALANT | 3WH1C51VA35 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17814115/check_20522467_bd583d1e-510c-4562-a0f4-8f12308d5c4d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17814115/check_20522467_25e6aef5-79e3-42d8-a99a-0e1f62d82ac2.json | N/A | N/A | N/A | N/A | N/A | 3WH1C51VA35 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-09-12 | S5617 | N/A | N/A | MB | false | SALANT | N/A | STEVEN | 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 | 10286066888 | N/A | N/A | 17814115 | 2222 | N/A | 20262738 | N/A | 15858953 | 2026-03-13 15:44:45.747353 | 2026-03-09 15:55:48.784784 |
| 2026-03-13 15:42:37.781351 | 2026-03-13 15:43:11.677418 | 20522291 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-17 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_20522291_d0ef4fe1-f9b0-4336-b870-088cc3d8f6fc.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-13 15:43:11.677418 | 2025-05-13 04:29:37.229495 |
| 2026-03-13 15:42:13.997196 | 2026-03-13 15:42:17.852302 | 20522256 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-05 | 2026-03-16 | F | AE | PT | 6237 | MANN SHELLY | 40066654701 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17127499/check_20522256_752a385e-b474-4846-9ea6-2d2b269d24a0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17127499/check_20522256_63d86985-6804-4a11-ab74-bbecd8f54d1c.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 | 10286049955 | 167942 | N/A | 17127499 | 2222 | N/A | 20262603 | N/A | 15117739 | 2026-03-13 15:42:17.852302 | 2026-03-06 19:39:46.448612 |
| 2026-03-13 15:26:54.996041 | 2026-03-13 15:27:28.572292 | 20521930 | 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_20521930_21fade5a-410e-4517-aa42-060861269939.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 | 2026-03-13 15:27:28.572292 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 15:25:29.921981 | 2026-03-13 15:26:11.462370 | 20521811 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-05 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_20521811_e14524e9-4287-42fe-9956-bb80592be5e1.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-05 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-13 15:26:11.462370 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 15:24:46.828271 | 2026-03-13 15:25:21.164709 | 20521746 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2026-01-30 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_20521746_9b44c1dd-9caf-4371-ac9e-f8e1e1f88498.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-13 15:25:21.164709 | 2025-05-13 04:29:37.229495 |
| 2026-03-13 15:23:13.615878 | 2026-03-13 15:23:47.162639 | 20521595 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-01-26 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_20521595_bbc36c42-b3b9-476d-acc9-975fb6e84747.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-26 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-13 15:23:47.162639 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 15:22:07.000752 | 2026-03-13 15:22:09.962095 | 20521518 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-05-08 | 2026-03-16 | F | AE | PT | 2630 | KENT | 00000365314 | BARBARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537777/check_20521518_aa1e0575-79c0-46a2-b401-812e74755d31.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537777/check_20521518_61c260fd-54c2-409d-a8fc-b1699031e6ee.json | N/A | N/A | N/A | N/A | N/A | 00000365314 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1936-05-08 | N/A | N/A | N/A | N/A | false | KENT | N/A | BARBARA | 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 | 167942 | N/A | 5537777 | 2222 | N/A | 20262052 | N/A | 4210288 | 2026-03-13 15:22:09.962095 | 2025-05-13 04:29:37.224698 |
| 2026-03-13 15:22:04.281591 | 2026-03-13 15:22:06.997152 | 20521507 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-05-08 | 2026-03-16 | F | AE | PT | 2630 | KENT | 00000365314 | BARBARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537777/check_20521507_fd69b325-e971-4e27-911e-a3e97930746e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-16 | N/A | N/A | N/A | N/A | N/A | N/A | 00000365314 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1936-05-08 | N/A | N/A | N/A | N/A | false | KENT | N/A | BARBARA | 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 | 167942 | N/A | 5537777 | 2222 | N/A | N/A | N/A | 4210288 | 2026-03-13 15:22:06.997152 | 2025-05-13 04:29:37.224698 |
| 2026-03-13 15:19:10.774767 | 2026-03-13 15:19:44.633903 | 20521251 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-17 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_20521251_ff0665c3-e5f9-493c-8dd4-5599dcd37212.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-13 15:19:44.633903 | 2025-05-13 04:29:37.229495 |
| 2026-03-13 15:14:15.684225 | 2026-03-13 15:14:20.587577 | 20521011 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-12-05 | 2026-03-13 | F | AE | PT | 4625 | BLUEROSE | 92521676F | KYRINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17939188/check_20521011_5dd6e91f-f78c-4ce5-9f47-ca0787346c3e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17939188/check_20521011_e0be51da-55da-46b2-9b4e-55c69eb4e2a9.json | N/A | N/A | N/A | N/A | N/A | 92521676F | N/A | N/A | HEALTH NET, LLC | N/A | 1972-12-05 | N/A | N/A | N/A | N/A | false | BLUEROSE | N/A | KYRINA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10285834205 | 9481 | N/A | 17939188 | 2222 | N/A | 20261759 | N/A | 4214558 | 2026-03-13 15:14:20.587577 | 2026-03-07 00:55:14.494391 |
| 2026-03-13 15:09:26.234303 | 2026-03-13 15:09:59.937176 | 20520931 | 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_20520931_68b06ac8-9613-4429-a3c9-ae0c9dd4dc0f.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 | 2026-03-13 15:09:59.937176 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 15:07:58.059257 | 2026-03-13 15:08:31.412665 | 20520787 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-05 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_20520787_aa39bae3-0fb4-40c0-b7dc-1cd7b580a363.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-05 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-13 15:08:31.412665 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 15:07:14.720211 | 2026-03-13 15:07:48.771991 | 20520700 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2026-01-30 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_20520700_d6417edc-9cab-425c-8923-edf0b1d3c613.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-13 15:07:48.771991 | 2025-05-13 04:29:37.229495 |
| 2026-03-13 15:06:46.206356 | 2026-03-13 15:06:49.070017 | 20520633 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-08-09 | 2026-03-13 | M | PT | N/A | 23320 | MELENDEZ | XEH906557764 | GEOVANY | S | https://storage.googleapis.com/normandy-eligibility-checks/2222/17558479/check_20520633_4219638c-b8ab-404b-8c92-24dee374cfe6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17558479/check_20520633_84e94506-35c4-4432-b2a3-c309b880be89.json | N/A | N/A | N/A | N/A | N/A | XEH906557764 | Health Maintenance Organization (HMO) | LOS ANGELES TOURISM AND CONVENTION BOARD | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1984-08-09 | 1000LSXX0001 | W0002870 | N/A | HM | false | MELENDEZ | N/A | GEOVANY | N/A | 9999-12-31 | 2023-03-01 | SMILE SM SPECTRUM PREMIER 50 1500 ORTHO U90 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10285767325 | N/A | N/A | 17558479 | 2222 | N/A | 20261459 | N/A | 15606345 | 2026-03-13 15:06:49.070017 | 2026-03-04 00:09:36.953684 |
| 2026-03-13 15:05:36.056724 | 2026-03-13 15:06:09.709224 | 20520508 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-01-26 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_20520508_90133db0-ca17-4f1c-80d9-17e1141b3446.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-26 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-13 15:06:09.709224 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 15:05:26.466879 | 2026-03-13 15:05:28.373629 | 20520502 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-02-24 | 2026-03-13 | U | AE | PT | 4497 | DE LEON | 1WM7GR5VX75 | ANGELICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17940656/check_20520502_ccf102cc-d165-4e9c-9b6d-766c9948a341.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-03-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17940656/check_20520502_3d726268-33b8-440e-8437-dec6614394a8.json | N/A | N/A | N/A | N/A | N/A | 1WM7GR5VX75 | Medicare Part B | N/A | ARCADIAN HEALTH PLAN, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1964-02-24 | H5619 | N/A | N/A | MB | false | DE LEON | N/A | ANGELICA | 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 | 10285757442 | N/A | N/A | 17940656 | 2222 | N/A | 20261370 | N/A | 15606173 | 2026-03-13 15:05:28.373629 | 2026-03-13 17:40:34.952918 |
| 2026-03-13 15:01:52.012743 | 2026-03-13 15:02:25.881233 | 20520169 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-17 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_20520169_a308cb08-717c-4d9e-8438-3593d6d7eae5.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-13 15:02:25.881233 | 2025-05-13 04:29:37.229495 |
| 2026-03-13 14:49:38.535307 | 2026-03-13 14:50:12.016174 | 20519852 | 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_20519852_dd93205d-2b63-4598-a246-8f536be18697.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 | 2026-03-13 14:50:12.016174 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 14:49:06.630270 | 2026-03-13 14:49:08.656721 | 20519794 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-11-21 | 2026-03-09 | F | AE | PT | 23323 | VERGARA | ICA088184 | CARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17600158/check_20519794_65942ec6-ac83-43c9-9e3a-59b9752746b2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600158/check_20519794_3a300ad7-dcf3-40cf-826f-978d1f0f2b2c.json | N/A | N/A | N/A | N/A | N/A | ICA088184 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-11-21 | N/A | N/A | N/A | N/A | false | VERGARA | N/A | CARMEN | 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 | 167942 | N/A | 17600158 | 2222 | N/A | 20260936 | N/A | 15647079 | 2026-03-13 14:49:08.656721 | 2026-03-04 22:16:35.562250 |
| 2026-03-13 14:49:04.906451 | 2026-03-13 14:49:06.626599 | 20519793 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-11-21 | 2026-03-09 | F | AE | PT | 23323 | VERGARA | ICA088184 | CARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17600158/check_20519793_2632c7e4-5868-4578-8cff-31caccd5903e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | N/A | N/A | N/A | N/A | N/A | N/A | ICA088184 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-11-21 | N/A | N/A | N/A | N/A | false | VERGARA | N/A | CARMEN | 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 | 167942 | N/A | 17600158 | 2222 | N/A | N/A | N/A | 15647079 | 2026-03-13 14:49:06.626599 | 2026-03-04 22:16:35.562250 |
| 2026-03-13 14:48:49.619605 | 2026-03-13 14:48:51.602428 | 20519782 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-11-21 | 2026-03-16 | F | AE | PT | 23323 | VERGARA | ICA088184 | CARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17600158/check_20519782_7de5ef05-f1eb-418c-b326-e50044a034bc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600158/check_20519782_fc3376a2-eaca-4cd4-890c-0dee37dfbfea.json | N/A | N/A | N/A | N/A | N/A | ICA088184 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-11-21 | N/A | N/A | N/A | N/A | false | VERGARA | N/A | CARMEN | 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 | 167942 | N/A | 17600158 | 2222 | N/A | 20260923 | N/A | 15647079 | 2026-03-13 14:48:51.602428 | 2026-03-04 22:16:35.562250 |
| 2026-03-13 14:48:47.833074 | 2026-03-13 14:48:49.612865 | 20519779 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-11-21 | 2026-03-16 | F | AE | PT | 23323 | VERGARA | ICA088184 | CARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17600158/check_20519779_72d34c54-ab1d-42b9-a9a8-659a6d1b469e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-16 | N/A | N/A | N/A | N/A | N/A | N/A | ICA088184 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-11-21 | N/A | N/A | N/A | N/A | false | VERGARA | N/A | CARMEN | 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 | 167942 | N/A | 17600158 | 2222 | N/A | N/A | N/A | 15647079 | 2026-03-13 14:48:49.612865 | 2026-03-04 22:16:35.562250 |
| 2026-03-13 14:48:15.195831 | 2026-03-13 14:48:52.289939 | 20519721 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-05 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_20519721_33ba90c2-d03c-4bf8-9afa-595dc2676f23.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-05 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-13 14:48:52.289939 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 14:47:34.248151 | 2026-03-13 14:48:08.287566 | 20519668 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2026-01-30 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_20519668_a389d3a6-3532-43b2-90d5-97159a42d3ac.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-13 14:48:08.287566 | 2025-05-13 04:29:37.229495 |
| 2026-03-13 14:46:00.875269 | 2026-03-13 14:46:34.489743 | 20519534 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-01-26 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_20519534_2d63f332-f475-4a02-8dbd-61a76c031fbb.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-26 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-13 14:46:34.489743 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 14:44:02.112662 | 2026-03-13 14:44:03.877616 | 20519371 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-02-10 | 2026-03-16 | M | AE | PT | 6411 | RUIZ | 5948879-01 | EDUARDO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539853/check_20519371_b200d370-e4ce-47a6-b6e6-c294c6a2a80d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539853/check_20519371_72faa6fe-cc62-4fa9-92c6-e49cc7275664.json | N/A | N/A | N/A | N/A | N/A | 594887901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1971-02-10 | N/A | 682302 | N/A | C1 | false | RUIZ | N/A | EDUARDO | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10285579896 | 167942 | N/A | 5539853 | 2222 | N/A | 20260693 | N/A | 4212098 | 2026-03-13 14:44:03.877616 | 2025-05-13 04:29:37.226429 |
| 2026-03-13 14:42:18.750089 | 2026-03-13 14:43:00.224291 | 20519238 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-17 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_20519238_a11890a0-243d-4560-9a6d-21ebbd9a469a.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-13 14:43:00.224291 | 2025-05-13 04:29:37.229495 |
| 2026-03-13 14:23:41.511399 | 2026-03-13 14:24:15.098553 | 20518839 | 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_20518839_bf74cefd-ef48-4159-ad9b-3b5b85ecb705.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 | 2026-03-13 14:24:15.098553 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 14:22:18.357187 | 2026-03-13 14:22:51.783457 | 20518712 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-02-05 | N/A | PT | AE | 6341 | HOLGUIN | 1407861520 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_20518712_8c160a96-afdc-491b-934c-af2547b447cd.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-02-05 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | 2011-01-07 | N/A | N/A | N/A | N/A | false | HOLGUIN | N/A | VINCENT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-03-13 14:22:51.783457 | 2025-11-11 01:01:48.778756 |
| 2026-03-13 14:21:34.429501 | 2026-03-13 14:22:08.177505 | 20518659 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2026-01-30 | N/A | PT | AE | 6338 | YUNG | 00854676304 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_20518659_56069fee-4ff2-4601-ad1a-4bfbf87d4eeb.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2026-03-13 14:22:08.177505 | 2025-05-13 04:29:37.229495 |
| 2026-03-13 14:20:43.943010 | 2026-03-13 14:20:52.873365 | 20518597 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-12-05 | 2026-03-13 | F | AE | PT | 4199 | BLUEROSE | 92517676F | KYRINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542681/check_20518597_3ded01ef-cb77-49da-86dd-503d81c9a88e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542681/check_20518597_df86e487-a009-4c07-b8c6-f2da85589580.json | N/A | N/A | N/A | N/A | N/A | 92517676F | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1972-12-05 | N/A | N/A | N/A | N/A | false | BLUEROSE | N/A | KYRINA | 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 | 159980 | N/A | 5542681 | 2222 | N/A | 20260166 | N/A | 4214558 | 2026-03-13 14:20:52.873365 | 2026-03-07 00:55:14.494391 |
| 2026-03-13 14:20:35.956450 | 2026-03-13 14:20:43.940118 | 20518585 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-12-05 | 2026-03-13 | F | AE | PT | 4199 | BLUEROSE | 92517676F | KYRINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542681/check_20518585_5553b10b-7248-4f2a-99c8-cfa8c7755e81.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-13 | N/A | N/A | N/A | N/A | N/A | N/A | 92517676F | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1972-12-05 | N/A | N/A | N/A | N/A | false | BLUEROSE | N/A | KYRINA | 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 | 159980 | N/A | 5542681 | 2222 | N/A | N/A | N/A | 4214558 | 2026-03-13 14:20:43.940118 | 2026-03-07 00:55:14.494391 |