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 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | service_type_codes_3 | service_type_codes_4 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-20 04:58:47.259979 | 2025-06-20 04:58:54.247020 | 9079932 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-10-16 | 2025-06-23 | F | PT | AE | 3939 | GHUMAN | A01140389 | RAWINDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676379/check_9079932_ff3ffafb-1155-4857-b8f2-10cb95aee747.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-23 | N/A | N/A | N/A | N/A | N/A | N/A | A01140389 | N/A | N/A | AETNA INC | N/A | 1987-10-16 | N/A | N/A | N/A | N/A | false | GHUMAN | N/A | RAWINDER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5676379 | 2222 | N/A | N/A | N/A | 4343434 | 2025-06-20 04:58:54.247020 | 2025-06-20 17:29:26.822242 |
| 2025-06-20 04:58:37.353500 | 2025-06-20 04:58:39.122389 | 9079931 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-10-16 | 2025-06-23 | F | PT | AE | 4185 | GHUMAN | A01140389 | RAWINDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676379/check_9079931_85d97139-2027-4f2d-ba98-6c5b8155b88c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676379/check_9079931_f83ea2ee-da65-46eb-94a0-96c1ffa50b8b.json | N/A | N/A | N/A | N/A | N/A | A01140389 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1987-10-16 | N/A | N/A | N/A | N/A | false | GHUMAN | N/A | RAWINDER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5676379 | 2222 | N/A | 8787590 | N/A | 4343434 | 2025-06-20 04:58:39.122389 | 2025-06-20 17:29:26.822242 |
| 2025-06-20 04:58:35.349802 | 2025-06-20 04:58:37.350726 | 9079930 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-10-16 | 2025-06-23 | F | PT | AE | 4185 | GHUMAN | A01140389 | RAWINDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676379/check_9079930_c32c9b96-08bf-48ac-b34c-e338c3416535.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-23 | N/A | N/A | N/A | N/A | N/A | N/A | A01140389 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1987-10-16 | N/A | N/A | N/A | N/A | false | GHUMAN | N/A | RAWINDER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5676379 | 2222 | N/A | N/A | N/A | 4343434 | 2025-06-20 04:58:37.350726 | 2025-06-20 17:29:26.822242 |
| 2025-06-20 04:57:30.293727 | 2025-06-20 04:57:32.067214 | 9079929 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-10-16 | 2025-06-23 | F | PT | AE | 6411 | GHUMAN | A01140389 | RAWINDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676379/check_9079929_4c0c5de6-ecc6-4322-9a9c-4acc241091c3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676379/check_9079929_2636cc2f-d583-43d1-84f3-59279111c441.json | N/A | N/A | N/A | N/A | N/A | A01140389 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1987-10-16 | N/A | N/A | N/A | N/A | false | GHUMAN | N/A | RAWINDER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5676379 | 2222 | N/A | 8787588 | N/A | 4343434 | 2025-06-20 04:57:32.067214 | 2025-06-20 17:29:26.822242 |
| 2025-06-20 04:57:26.514340 | 2025-06-20 04:57:30.291392 | 9079928 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-10-16 | 2025-06-23 | F | PT | AE | 6411 | GHUMAN | A01140389 | RAWINDER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676379/check_9079928_05e3f414-1594-4c18-b3dc-9911888756a5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-23 | N/A | N/A | N/A | N/A | N/A | N/A | A01140389 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1987-10-16 | N/A | N/A | N/A | N/A | false | GHUMAN | N/A | RAWINDER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5676379 | 2222 | N/A | N/A | N/A | 4343434 | 2025-06-20 04:57:30.291392 | 2025-06-20 17:29:26.822242 |
| 2025-06-19 23:07:10.990283 | 2025-06-19 23:07:13.795300 | 9079720 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-10-28 | 2025-06-19 | M | PT | N/A | 4191 | SIKDER | XEZ900049108 | SHAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6414459/check_9079720_25c79b6f-ee1a-4966-a823-b0db991d5e38.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6414459/check_9079720_69554489-aa95-4b34-b641-18266b5654f2.json | N/A | N/A | N/A | N/A | N/A | XEK900049108 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2005-10-28 | 2001ZJ002648 | X0001000 | N/A | PR | false | SIKDER | N/A | SHAWN | N/A | N/A | N/A | SILVER 1750 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7998802644 | 9489 | N/A | 6414459 | 2222 | N/A | 8781075 | N/A | 5061929 | 2025-06-19 23:07:13.795300 | 2025-06-19 23:42:27.460818 |
| 2025-06-19 23:05:17.583586 | 2025-06-19 23:05:19.392083 | 9079714 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-10-28 | 2025-06-19 | M | PT | N/A | 4191 | SIKDER | EZQ00049108 | SHAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6414459/check_9079714_3cb0fc8a-8859-4dcf-a212-a30c398e5e2d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6414459/check_9079714_02d18605-beaa-4696-94eb-1764f28ac75d.json | N/A | N/A | N/A | N/A | N/A | EZQ00049108 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2005-10-28 | N/A | N/A | N/A | N/A | false | SIKDER | N/A | SHAWN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6414459 | 2222 | N/A | 8781065 | N/A | 5061929 | 2025-06-19 23:05:19.392083 | 2025-06-19 23:42:27.460818 |
| 2025-06-19 23:05:11.852964 | 2025-06-19 23:05:17.579605 | 9079713 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-10-28 | 2025-06-19 | M | PT | N/A | 4191 | SIKDER | EZQ00049108 | SHAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6414459/check_9079713_dc7dc9a2-b9ea-472e-94c2-aaef3e9fe16c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | EZQ00049108 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2005-10-28 | N/A | N/A | N/A | N/A | false | SIKDER | N/A | SHAWN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9489 | N/A | 6414459 | 2222 | N/A | N/A | N/A | 5061929 | 2025-06-19 23:05:17.579605 | 2025-06-19 23:42:27.460818 |
| 2025-06-19 21:18:28.575791 | 2025-06-19 21:18:31.532279 | 9077881 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-06-07 | 2025-06-19 | F | PT | N/A | 4184 | WATSON | NSA00625557H | SIERRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6465694/check_9077881_ea7604c8-69d1-4232-820e-3b7d5f83c0b5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6465694/check_9077881_f0d54be4-420f-4c36-b5ad-9f80085c5519.json | N/A | N/A | N/A | N/A | N/A | NSA00625557H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 1999-06-07 | 040 | L05927A001 | N/A | PR | false | CARTER | N/A | CARMEN | N/A | 9999-12-31 | 2023-01-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7998472406 | N/A | N/A | 6465694 | 2222 | N/A | 8778856 | N/A | 5101795 | 2025-06-19 21:18:31.532279 | 2025-06-19 21:16:37.661994 |
| 2025-06-19 19:50:57.806484 | 2025-06-19 19:50:59.567365 | 9077545 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-10-03 | 2025-06-20 | F | AE | PT | 4497 | REED | 2YY5KV0WP59 | SONIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542497/check_9077545_55f7705e-67c6-4113-b824-d97f3ca0df10.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542497/check_9077545_f2fc82d1-5b25-42c9-a852-1db8fbf85f69.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MB | false | REED | N/A | SONIA | 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 | 7998022772 | N/A | N/A | 5542497 | 2222 | N/A | 8778193 | N/A | 4214397 | 2025-06-19 19:50:59.567365 | 2025-05-13 04:29:37.228723 |
| 2025-06-19 19:50:31.096285 | 2025-06-19 19:50:38.089379 | 9077541 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-15 | 2025-06-19 | M | AE | PT | 4497 | SAMOFF | 9WK1PA8GW14 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/6236212/check_9077541_cd1383d2-c593-4aaa-82ef-316a82a11780.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236212/check_9077541_98854a86-db2e-4f0a-b5d5-8dc329d08ae7.json | N/A | N/A | N/A | N/A | N/A | 9WK1PA8GW14 | Medicare Part A | N/A | ALIGNMENT HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-03-15 | H3815 | N/A | N/A | MA | false | SAMOFF | N/A | WILLIAM | 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 | 7998020462 | 9482 | N/A | 6236212 | 2222 | N/A | 8778188 | N/A | 4884170 | 2025-06-19 19:50:38.089379 | 2025-07-09 21:20:43.604452 |
| 2025-06-19 19:50:29.017924 | 2025-06-19 19:50:32.136851 | 9077540 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-10-03 | 2025-06-20 | F | AE | PT | 4497 | REED | 2YY5KV0WP59 | SONIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542497/check_9077540_cfcf6404-6ceb-4650-9fa9-7947d9c28054.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542497/check_9077540_3a66ac52-df38-497e-bc25-6e22407787dc.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MB | false | REED | N/A | SONIA | 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 | 7998020264 | N/A | N/A | 5542497 | 2222 | N/A | 8778186 | N/A | 4214397 | 2025-06-19 19:50:32.136851 | 2025-05-13 04:29:37.228723 |
| 2025-06-19 18:58:15.681801 | 2025-06-19 18:58:18.510871 | 9077166 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-27 | 2025-06-19 | F | PT | AE | 4184 | Jaude | JQE818A61594 | ELSPETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6125110/check_9077166_8f15b2ee-190f-45ab-959b-e608332cccc2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6125110/check_9077166_95a96782-dd50-40bd-9715-84c394d0bea8.json | N/A | N/A | N/A | N/A | N/A | JQE818A61594 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-03-27 | 040 | CASUPWP0 | N/A | N/A | false | JAUDE | N/A | ELSPETH | N/A | 9999-12-31 | 2021-03-01 | CA PLAN F INNOVATIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7997754238 | 9491 | N/A | 6125110 | 2222 | N/A | 8777626 | N/A | 4767362 | 2025-06-19 18:58:18.510871 | 2025-09-19 16:49:18.601418 |
| 2025-06-19 18:56:43.588657 | 2025-06-19 18:56:45.447029 | 9077153 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-27 | 2025-06-19 | F | PT | AE | 4184 | Jaude | JQE818A61594 | Anne | https://storage.googleapis.com/normandy-eligibility-checks/2222/6125110/check_9077153_b5641069-c373-41a0-9d18-5aa474d8861f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6125110/check_9077153_e75045f6-2dc6-4f57-bd0f-e11376a1c303.json | N/A | N/A | N/A | N/A | N/A | JQE818A61594 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | 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 | 9491 | N/A | 6125110 | 2222 | N/A | 8777608 | N/A | 4767362 | 2025-06-19 18:56:45.447029 | 2025-09-19 16:49:18.601418 |
| 2025-06-19 18:56:39.819755 | 2025-06-19 18:56:43.584774 | 9077152 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-27 | 2025-06-19 | F | PT | AE | 4184 | Jaude | JQE818A61594 | Anne | https://storage.googleapis.com/normandy-eligibility-checks/2222/6125110/check_9077152_31dd16dc-0f2b-4a11-97db-4ed48cdf31cb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | JQE818A61594 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | 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 | 9491 | N/A | 6125110 | 2222 | N/A | N/A | N/A | 4767362 | 2025-06-19 18:56:43.584774 | 2025-09-19 16:49:18.601418 |
| 2025-06-19 18:53:47.060359 | 2025-06-19 18:53:48.833554 | 9077136 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-07-11 | 2025-06-19 | M | PT | AE | 5538 | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_9077136_a023be7d-e59d-429a-a0ff-81fd49c0544b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_9077136_595df567-b92b-4ea9-ab62-92d4a4343006.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | 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 | 5831 | N/A | 5540113 | 2222 | N/A | 8777577 | N/A | 4212315 | 2025-06-19 18:53:48.833554 | 2025-12-29 21:20:15.158611 |
| 2025-06-19 18:53:42.185332 | 2025-06-19 18:53:47.056732 | 9077135 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-07-11 | 2025-06-19 | M | PT | AE | 5538 | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_9077135_2f136e38-2b36-4118-97a6-5e55e5dcccb2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | 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 | 5831 | N/A | 5540113 | 2222 | N/A | N/A | N/A | 4212315 | 2025-06-19 18:53:47.056732 | 2025-12-29 21:20:15.158611 |
| 2025-06-19 18:48:23.772524 | 2025-06-19 18:48:25.503103 | 9077112 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-05-26 | 2025-07-07 | F | AE | PT | 4497 | FERNANDEZ | 7XX5TU4CF61 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538194/check_9077112_e5a2a897-14ed-438b-8acc-38bfba574fc5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538194/check_9077112_90e4bb5b-afcc-458d-8108-151e5e395898.json | N/A | N/A | N/A | N/A | N/A | 7XX5TU4CF61 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1964-05-26 | S5617 | N/A | N/A | MB | false | FERNANDEZ | N/A | LISA | 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 | 7997696425 | N/A | N/A | 5538194 | 2222 | N/A | 8777538 | N/A | 4210649 | 2025-06-19 18:48:25.503103 | 2025-06-19 18:43:58.008751 |
| 2025-06-19 18:48:14.801810 | 2025-06-19 18:48:18.670689 | 9077110 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-05-26 | 2025-07-07 | F | AE | PT | 4497 | FERNANDEZ | 7XX5TU4CF61 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538194/check_9077110_31f31e0c-d786-4232-adf4-640536498b57.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538194/check_9077110_822d71a7-7f65-4e7a-8fad-f818033fd244.json | N/A | N/A | N/A | N/A | N/A | 7XX5TU4CF61 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1964-05-26 | S5617 | N/A | N/A | MA | false | FERNANDEZ | N/A | LISA | 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 | 7997695658 | N/A | N/A | 5538194 | 2222 | N/A | 8777535 | N/A | 4210649 | 2025-06-19 18:48:18.670689 | 2025-06-19 18:43:58.008751 |
| 2025-06-19 18:40:53.301518 | 2025-06-19 18:40:55.078723 | 9077085 | N/A | N/A | Z1073 | Medicare B California Southern | 1750106241 | N/A | Jerry Hacker | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9077085_f9b0b19c-b4c6-409e-bb07-4d27ed1904f9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9077085_e7fcb0cc-fff7-44c7-b453-62aae2a9ed34.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1957-12-13 | N/A | N/A | N/A | N/A | false | WALLEN | N/A | ELLYN | N/A | N/A | N/A | N/A | N/A | AE | PT | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6492809 | 2222 | N/A | 8777496 | N/A | 5121955 | 2025-06-19 18:40:55.078723 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:40:51.227678 | 2025-06-19 18:40:53.047602 | 9077084 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9077084_6f604f39-a465-462d-8dd9-f564d3497408.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9077084_7b469486-bb7a-44df-9372-f3ed32e4ad24.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1957-12-13 | N/A | N/A | N/A | N/A | false | WALLEN | N/A | ELLYN | 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 | N/A | N/A | 6492809 | 2222 | N/A | 8777494 | N/A | 5121955 | 2025-06-19 18:40:53.047602 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:40:49.635934 | 2025-06-19 18:40:51.225039 | 9077083 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9077083_728a4724-77ae-4d96-bcc2-fe2e8761a367.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | N/A | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1957-12-13 | N/A | N/A | N/A | N/A | false | WALLEN | N/A | ELLYN | 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 | N/A | N/A | 6492809 | 2222 | N/A | N/A | N/A | 5121955 | 2025-06-19 18:40:51.225039 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:40:32.052260 | 2025-06-19 18:40:35.909379 | 9077082 | N/A | N/A | Z1073 | Medicare B California Southern | 1750106241 | N/A | Jerry Hacker | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9077082_53875b60-36c6-4bcb-b35e-67a9148d54d6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9077082_c111ec55-2869-4a9d-9222-b50ce70ac3d3.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1957-12-13 | N/A | N/A | N/A | N/A | false | WALLEN | N/A | ELLYN | N/A | N/A | N/A | N/A | N/A | AE | PT | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6492809 | 2222 | N/A | 8777489 | N/A | 5121955 | 2025-06-19 18:40:35.909379 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:40:30.086514 | 2025-06-19 18:40:31.914173 | 9077081 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9077081_dc8052c3-1b42-4dee-9b29-8236223c8cda.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9077081_6f04b779-f1b1-4ea3-a2df-1a3413b15602.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1957-12-13 | N/A | N/A | N/A | N/A | false | WALLEN | N/A | ELLYN | 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 | N/A | N/A | 6492809 | 2222 | N/A | 8777487 | N/A | 5121955 | 2025-06-19 18:40:31.914173 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:40:28.298989 | 2025-06-19 18:40:30.078575 | 9077079 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9077079_668c6e38-4b15-4955-9c6b-7919312b1ce3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | N/A | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1957-12-13 | N/A | N/A | N/A | N/A | false | WALLEN | N/A | ELLYN | 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 | N/A | N/A | 6492809 | 2222 | N/A | N/A | N/A | 5121955 | 2025-06-19 18:40:30.078575 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:27:29.033018 | 2025-06-19 18:27:33.841899 | 9077033 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-07-05 | 2025-06-19 | M | PT | AE | 5505 | CANIZALES | 000016975259 | OVIDIO | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874451/check_9077033_5841bea7-926b-41eb-b7d1-749753a5cea4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874451/check_9077033_3a1cfeb3-142f-4f8a-a05d-aedfacdd0cc7.json | N/A | N/A | N/A | N/A | N/A | 000016975259 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1962-07-05 | 4089229 | 100200 | N/A | N/A | false | CANIZALES | N/A | OVIDIO | N/A | N/A | N/A | COUNTRYWIDE FINANCIAL CORP TRADITIONAL HMO SCR | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7997571288 | 5831 | N/A | 5874451 | 2222 | N/A | 8777396 | N/A | 4534574 | 2025-06-19 18:27:33.841899 | 2025-06-18 22:47:05.035641 |
| 2025-06-19 18:11:30.126014 | 2025-06-19 18:11:31.806274 | 9076990 | N/A | N/A | Z1073 | Medicare B California Southern | 1750106241 | N/A | Jerry Hacker | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9076990_cfc1e07f-c904-45e0-824a-3063ffbf7999.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9076990_594a6027-6aed-4c9e-aa3d-71e2b1f3691e.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1957-12-13 | N/A | N/A | N/A | N/A | false | WALLEN | N/A | ELLYN | N/A | N/A | N/A | N/A | N/A | AE | PT | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6492809 | 2222 | N/A | 8777296 | N/A | 5121955 | 2025-06-19 18:11:31.806274 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:11:27.295183 | 2025-06-19 18:11:29.957234 | 9076989 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9076989_530bf847-e65e-4822-8d4c-35a6cb58d99b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9076989_dc79b60e-5c47-491e-8ae1-a7851e05957e.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1957-12-13 | N/A | N/A | N/A | N/A | false | WALLEN | N/A | ELLYN | 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 | N/A | N/A | 6492809 | 2222 | N/A | 8777293 | N/A | 5121955 | 2025-06-19 18:11:29.957234 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:11:25.719950 | 2025-06-19 18:11:27.291203 | 9076987 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9076987_1c313dec-6ec4-4b77-9e26-10b5d676c578.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | N/A | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1957-12-13 | N/A | N/A | N/A | N/A | false | WALLEN | N/A | ELLYN | 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 | N/A | N/A | 6492809 | 2222 | N/A | N/A | N/A | 5121955 | 2025-06-19 18:11:27.291203 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:11:15.706713 | 2025-06-19 18:11:17.461798 | 9076985 | N/A | N/A | Z1073 | Medicare B California Southern | 1750106241 | N/A | Jerry Hacker | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9076985_d7b8b9d8-85d1-46a2-a1bf-d1f694d14f1e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9076985_c56e2161-6bcf-42e0-9450-8926398c0feb.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1957-12-13 | N/A | N/A | N/A | N/A | false | WALLEN | N/A | ELLYN | N/A | N/A | N/A | N/A | N/A | AE | PT | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6492809 | 2222 | N/A | 8777290 | N/A | 5121955 | 2025-06-19 18:11:17.461798 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:11:13.854074 | 2025-06-19 18:11:15.641393 | 9076984 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9076984_cce01e71-6feb-4d8a-83be-8b59050dc659.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9076984_d89beefe-ebca-4ed1-87ce-00485daa0979.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1957-12-13 | N/A | N/A | N/A | N/A | false | WALLEN | N/A | ELLYN | 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 | N/A | N/A | 6492809 | 2222 | N/A | 8777289 | N/A | 5121955 | 2025-06-19 18:11:15.641393 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:11:12.004417 | 2025-06-19 18:11:13.851642 | 9076983 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9076983_38c56929-b74f-4b35-8a7e-35503340c156.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | N/A | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1957-12-13 | N/A | N/A | N/A | N/A | false | WALLEN | N/A | ELLYN | 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 | N/A | N/A | 6492809 | 2222 | N/A | N/A | N/A | 5121955 | 2025-06-19 18:11:13.851642 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:10:58.518280 | 2025-06-19 18:11:04.312020 | 9076981 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9076981_2723cd45-273f-4583-8324-7ac56db61568.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9076981_0d0a3654-6f08-4c5b-889f-7bb2210099ff.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-13 | S5617 | N/A | N/A | MB | false | WALLEN | N/A | ELLYN | 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 | 7997427925 | N/A | N/A | 6492809 | 2222 | N/A | 8777286 | N/A | 5121955 | 2025-06-19 18:11:04.312020 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:07:31.563062 | 2025-06-19 18:07:33.394826 | 9076972 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9076972_f1663d9f-bc62-4427-a5c8-ab63dd095d31.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9076972_3227bced-6b8f-4b3a-b6d6-5b72d5e08442.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-13 | S5617 | N/A | N/A | MB | false | WALLEN | N/A | ELLYN | 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 | 7997400127 | N/A | N/A | 6492809 | 2222 | N/A | 8777265 | N/A | 5121955 | 2025-06-19 18:07:33.394826 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:06:47.371223 | 2025-06-19 18:06:49.180525 | 9076968 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9076968_6bb7ec47-3fe3-4fdf-a3f2-0c2077986995.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9076968_db65d64d-ea45-45e0-8859-19581713a782.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-13 | S5617 | N/A | N/A | MB | false | WALLEN | N/A | ELLYN | 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 | 7997394610 | N/A | N/A | 6492809 | 2222 | N/A | 8777254 | N/A | 5121955 | 2025-06-19 18:06:49.180525 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:06:23.639038 | 2025-06-19 18:06:25.583931 | 9076966 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9076966_4675b13e-c146-4810-a5a6-3e25ac75f582.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9076966_401ace6c-09cd-4071-96b4-7fbd088e99f7.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-13 | S5617 | N/A | N/A | MA | false | WALLEN | N/A | ELLYN | 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 | 7997391185 | N/A | N/A | 6492809 | 2222 | N/A | 8777252 | N/A | 5121955 | 2025-06-19 18:06:25.583931 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:06:08.535277 | 2025-06-19 18:06:14.270149 | 9076961 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-13 | 2025-06-27 | F | AE | PT | 4497 | WALLEN | 8Q55EE9RC74 | ELLYN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6492809/check_9076961_898ddd5e-0853-4a7d-a93c-6f1deafd3b66.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9076961_dc8867fa-92ff-48d8-b06c-de47381dd337.json | N/A | N/A | N/A | N/A | N/A | 8Q55EE9RC74 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-13 | S5617 | N/A | N/A | MB | false | WALLEN | N/A | ELLYN | 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 | 7997389314 | N/A | N/A | 6492809 | 2222 | N/A | 8777248 | N/A | 5121955 | 2025-06-19 18:06:14.270149 | 2025-06-19 17:23:34.410819 |
| 2025-06-19 18:02:41.308362 | 2025-06-19 18:02:47.208202 | 9076943 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-07-05 | 2025-06-19 | F | PT | AE | 5505 | CANIZALES | 000016975259 | OVIDIO | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874451/check_9076943_e7e3a3ca-5fcc-44a7-9a67-625c4d1ec43b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874451/check_9076943_f4a00166-ce7e-4a4e-92db-e9ccd5053a35.json | N/A | N/A | N/A | N/A | N/A | 000016975259 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1962-07-05 | N/A | N/A | N/A | N/A | false | CANIZALES | N/A | OVIDIO | 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 | 5831 | N/A | 5874451 | 2222 | N/A | 8777221 | N/A | 4534574 | 2025-06-19 18:02:47.208202 | 2025-06-18 22:47:05.035641 |
| 2025-06-19 18:02:32.413440 | 2025-06-19 18:02:41.305613 | 9076942 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-07-05 | 2025-06-19 | F | PT | AE | 5505 | CANIZALES | 000016975259 | OVIDIO | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874451/check_9076942_a6c0e31f-f0d4-4ae2-96e7-6359ef136dc4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | 000016975259 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1962-07-05 | N/A | N/A | N/A | N/A | false | CANIZALES | N/A | OVIDIO | 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 | 5831 | N/A | 5874451 | 2222 | N/A | N/A | N/A | 4534574 | 2025-06-19 18:02:41.305613 | 2025-06-18 22:47:05.035641 |
| 2025-06-19 17:59:48.627335 | 2025-06-19 17:59:51.372497 | 9076939 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-05-13 | M | PT | AE | 4185 | BUI | JQS556M78105 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_9076939_a1892789-8809-461a-a028-15eb6260243e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_9076939_13f788bb-894f-4a11-9c0a-ac7f55c54cb1.json | N/A | N/A | N/A | N/A | N/A | JQS556M78105 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1940-12-23 | 040 | CAMCRWP0 | N/A | MP | false | BUI | N/A | KHIET | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7997340235 | 5831 | N/A | 5542429 | 2222 | N/A | 8777206 | N/A | 4214340 | 2025-06-19 17:59:51.372497 | 2025-06-16 23:14:10.518236 |
| 2025-06-19 16:25:19.898790 | 2025-06-19 16:25:22.826741 | 9076434 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1938-03-08 | 2025-06-19 | M | AE | PT | 4184 | TEAGUE | DGA10153102J | LEWIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6491927/check_9076434_2af4e7ef-570a-4a2a-a46d-0087298ac750.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491927/check_9076434_a410e5e3-aaa2-4b40-83d5-986bbcc0cc39.json | N/A | N/A | N/A | N/A | N/A | DGA10153102J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1938-03-08 | 040 | 276945M001 | N/A | PR | false | TEAGUE | N/A | LEWIS | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7996654976 | 9489 | N/A | 6491927 | 2222 | N/A | 8776505 | N/A | 4215104 | 2025-06-19 16:25:22.826741 | 2025-05-13 04:29:37.229416 |
| 2025-06-19 15:41:21.731795 | 2025-06-19 15:41:25.510388 | 9076152 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-08-22 | 2025-06-19 | F | PT | N/A | 4191 | FREEMAN | XEH903689809 | KELLY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6414703/check_9076152_33f35a71-6510-4ce4-b608-fe97183c4756.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6414703/check_9076152_a4053a5e-4c13-45ec-a10f-fee80f592f8f.json | N/A | N/A | N/A | N/A | N/A | XEH903689809 | Health Maintenance Organization (HMO) | AIRCONDITIONING REFRIGERATION FI | BLUE SHIELD CALIFORNIA | N/A | 1971-08-22 | 1000HMOX0001 | W0051533 | N/A | HM | false | FREEMAN | N/A | JAMES | N/A | N/A | N/A | AIRCONDITIONING REFRIGERATION FI CUSTOM LOCAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7996359695 | N/A | N/A | 6414703 | 2222 | N/A | 8776103 | N/A | 5062225 | 2025-06-19 15:41:25.510388 | 2025-06-19 17:04:10.080520 |
| 2025-06-19 15:40:58.101056 | 2025-06-19 15:40:59.900727 | 9076150 | N/A | N/A | Z1073 | Medicare B California Southern | 1992576235 | N/A | Julissa Lopez | 1948-03-15 | 2025-06-19 | M | AE | PT | 4497 | SAMOFF | 9WK1PH86W14 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/6236212/check_9076150_b71b9f4b-a4ac-442a-914b-b7d59556d494.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236212/check_9076150_51d64933-eaf9-4168-bad1-048d71a60308.json | N/A | N/A | N/A | N/A | N/A | 9WK1PH86W14 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1948-03-15 | N/A | N/A | N/A | N/A | false | SAMOFF | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | AE | PT | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6236212 | 2222 | N/A | 8776099 | N/A | 4884170 | 2025-06-19 15:40:59.900727 | 2025-07-09 21:20:43.604452 |
| 2025-06-19 15:40:56.165805 | 2025-06-19 15:40:58.005332 | 9076149 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-15 | 2025-06-19 | M | AE | PT | 4497 | SAMOFF | 9WK1PH86W14 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/6236212/check_9076149_a20b83c4-f3b7-41ee-9afc-cd185c31576b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236212/check_9076149_3e0fb9eb-3b9b-4992-808d-2e1d78e11118.json | N/A | N/A | N/A | N/A | N/A | 9WK1PH86W14 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1948-03-15 | N/A | N/A | N/A | N/A | false | SAMOFF | N/A | WILLIAM | 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 | 9482 | N/A | 6236212 | 2222 | N/A | 8776098 | N/A | 4884170 | 2025-06-19 15:40:58.005332 | 2025-07-09 21:20:43.604452 |
| 2025-06-19 15:40:54.448266 | 2025-06-19 15:40:56.162429 | 9076147 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-15 | 2025-06-19 | M | AE | PT | 4497 | SAMOFF | 9WK1PH86W14 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/6236212/check_9076147_9e08a16d-73cb-4b7b-a3ff-631f46ef7f8f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | 9WK1PH86W14 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1948-03-15 | N/A | N/A | N/A | N/A | false | SAMOFF | N/A | WILLIAM | 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 | 9482 | N/A | 6236212 | 2222 | N/A | N/A | N/A | 4884170 | 2025-06-19 15:40:56.162429 | 2025-07-09 21:20:43.604452 |
| 2025-06-19 15:38:16.721983 | 2025-06-19 15:38:19.491012 | 9076133 | N/A | N/A | Z1073 | Medicare B California Southern | 1992576235 | N/A | Julissa Lopez | 1948-03-15 | 2025-06-19 | M | AE | PT | 4497 | SAMOFF | 9WK1PH86W14 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/6236212/check_9076133_6f86dd97-264d-4083-beb7-bb79910eb531.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236212/check_9076133_8e64127b-fa54-4ba4-be25-409081bf96bc.json | N/A | N/A | N/A | N/A | N/A | 9WK1PH86W14 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1948-03-15 | N/A | N/A | N/A | N/A | false | SAMOFF | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | AE | PT | 30 | 98 | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6236212 | 2222 | N/A | 8776073 | N/A | 4884170 | 2025-06-19 15:38:19.491012 | 2025-07-09 21:20:43.604452 |
| 2025-06-19 15:38:11.687334 | 2025-06-19 15:38:16.633263 | 9076132 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-15 | 2025-06-19 | M | AE | PT | 4497 | SAMOFF | 9WK1PH86W14 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/6236212/check_9076132_e078d179-2d4d-4e81-8dda-d77ab51d0b8b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236212/check_9076132_ed07af6f-4a39-455a-8ac9-0d024f777142.json | N/A | N/A | N/A | N/A | N/A | 9WK1PH86W14 | N/A | N/A | MEDICARE B CALIFORNIA SOUTHERN | N/A | 1948-03-15 | N/A | N/A | N/A | N/A | false | SAMOFF | N/A | WILLIAM | 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 | 9482 | N/A | 6236212 | 2222 | N/A | 8776071 | N/A | 4884170 | 2025-06-19 15:38:16.633263 | 2025-07-09 21:20:43.604452 |
| 2025-06-19 15:38:10.026199 | 2025-06-19 15:38:11.684969 | 9076131 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-15 | 2025-06-19 | M | AE | PT | 4497 | SAMOFF | 9WK1PH86W14 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/6236212/check_9076131_bc8c686b-de51-4ab8-a41e-33e97ac480be.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | 9WK1PH86W14 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1948-03-15 | N/A | N/A | N/A | N/A | false | SAMOFF | N/A | WILLIAM | 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 | 9482 | N/A | 6236212 | 2222 | N/A | N/A | N/A | 4884170 | 2025-06-19 15:38:11.684969 | 2025-07-09 21:20:43.604452 |
| 2025-06-19 15:37:17.381679 | 2025-06-19 15:37:20.314793 | 9076130 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-15 | 2025-06-19 | M | AE | PT | 2630 | SAMOFF | 00000411951 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/6491719/check_9076130_a9d7cd32-2343-4edc-a19a-743b5d7c85be.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491719/check_9076130_10c4ea4d-8ae6-4d99-bb2f-20df2d7c1dbf.json | N/A | N/A | N/A | N/A | N/A | 00000411951 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1948-03-15 | H3815028 | N/A | N/A | HM | false | SAMOFF | N/A | WILLIAM | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7996330980 | 9482 | N/A | 6491719 | 2222 | N/A | 8776064 | N/A | 4884170 | 2025-06-19 15:37:20.314793 | 2025-07-09 21:20:43.604452 |
| 2025-06-19 15:37:01.421565 | 2025-06-19 15:37:03.208435 | 9076127 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-03-15 | 2025-06-19 | M | AE | PT | 4497 | SAMOFF | 9WK1PH86W14 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/6236212/check_9076127_41f7fd16-b379-4664-b984-7ee7f10d57fd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236212/check_9076127_060070f4-eb9a-424e-86c6-9cd2b8e830ae.json | N/A | N/A | N/A | N/A | N/A | 9WK1PH86W14 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1948-03-15 | N/A | N/A | N/A | N/A | false | SAMOFF | N/A | WILLIAM | 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 | 9482 | N/A | 6236212 | 2222 | N/A | 8776059 | N/A | 4884170 | 2025-06-19 15:37:03.208435 | 2025-07-09 21:20:43.604452 |