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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-10 10:45:23.839588 | 2026-03-10 10:45:57.260014 | 20007217 | 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_20007217_29ac6df4-4426-460a-86dc-ecca859bac38.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 | 2026-03-10 10:45:57.260014 | 2025-11-11 01:01:48.778756 |
| 2026-03-10 10:40:57.629788 | 2026-03-10 10:41:30.994884 | 20006851 | 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_20006851_877e5474-7212-400d-ae35-3a0e785e3ae6.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 | 2026-03-10 10:41:30.994884 | 2025-05-13 04:29:37.229495 |
| 2026-03-10 10:23:22.248439 | 2026-03-10 10:23:55.477533 | 20006616 | 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_20006616_cc796c51-ad05-4dbe-a080-dd0a22e984ff.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 | 2026-03-10 10:23:55.477533 | 2025-11-11 01:01:48.778756 |
| 2026-03-10 10:22:20.830979 | 2026-03-10 10:22:54.345271 | 20006531 | 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_20006531_c499f11c-208e-4491-84de-eb633d251a62.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 | 2026-03-10 10:22:54.345271 | 2025-05-13 04:29:37.229495 |
| 2026-03-10 10:20:28.377892 | 2026-03-10 10:21:01.739690 | 20006377 | 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_20006377_f22066da-d8b0-4dda-996a-6926de94ff88.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 | 2026-03-10 10:21:01.739690 | 2025-11-11 01:01:48.778756 |
| 2026-03-10 10:16:01.054727 | 2026-03-10 10:16:34.800988 | 20006006 | 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_20006006_789a1c1f-b2c3-450a-8f58-5a3c4d4ea3a4.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 | 2026-03-10 10:16:34.800988 | 2025-05-13 04:29:37.229495 |
| 2026-03-10 10:08:34.689316 | 2026-03-10 10:09:11.564587 | 20005750 | 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_20005750_92026292-7a6b-4b42-9dc6-fc041d9b518a.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 | 2026-03-10 10:09:11.564587 | 2025-11-11 01:01:48.778756 |
| 2026-03-10 10:07:33.038334 | 2026-03-10 10:08:06.627100 | 20005667 | 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_20005667_53131dc7-b5d5-4e82-9db3-fa845552cee4.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 | 2026-03-10 10:08:06.627100 | 2025-05-13 04:29:37.229495 |
| 2026-03-10 10:05:39.031889 | 2026-03-10 10:06:12.346382 | 20005505 | 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_20005505_ea9e995c-dc8c-465a-984d-12dab8b6c5e7.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 | 2026-03-10 10:06:12.346382 | 2025-11-11 01:01:48.778756 |
| 2026-03-10 10:00:55.980412 | 2026-03-10 10:01:29.768973 | 20005141 | 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_20005141_14d669b1-a3c6-4f35-a49f-bf2a2a0fe697.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 | 2026-03-10 10:01:29.768973 | 2025-05-13 04:29:37.229495 |
| 2026-03-10 09:48:45.462700 | 2026-03-10 09:49:19.101388 | 20004863 | 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_20004863_8c52829e-507e-4877-8fa2-8a8c6fdb87dc.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 | 2026-03-10 09:49:19.101388 | 2025-11-11 01:01:48.778756 |
| 2026-03-10 09:47:42.464199 | 2026-03-10 09:48:16.090007 | 20004782 | 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_20004782_35f5d885-7156-45e2-bd96-242a89625a75.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 | 2026-03-10 09:48:16.090007 | 2025-05-13 04:29:37.229495 |
| 2026-03-10 09:45:50.372343 | 2026-03-10 09:46:29.145456 | 20004629 | 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_20004629_7ddc9d45-f3ab-48c2-966c-0d34b8709ef8.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 | 2026-03-10 09:46:29.145456 | 2025-11-11 01:01:48.778756 |
| 2026-03-10 09:41:20.036046 | 2026-03-10 09:41:53.741365 | 20004263 | 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_20004263_70756d16-f6bf-4b7d-bb0c-f31892cd680a.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 | 2026-03-10 09:41:53.741365 | 2025-05-13 04:29:37.229495 |
| 2026-03-10 09:23:37.495994 | 2026-03-10 09:24:10.843039 | 20004018 | 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_20004018_493055e3-03ea-42d3-a1f5-978cf8d60055.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 | 2026-03-10 09:24:10.843039 | 2025-11-11 01:01:48.778756 |
| 2026-03-10 09:22:36.426062 | 2026-03-10 09:23:10.010719 | 20003936 | 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_20003936_0fe6f452-e2f2-42d2-94d8-7799ee148c0e.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 | 2026-03-10 09:23:10.010719 | 2025-05-13 04:29:37.229495 |
| 2026-03-10 09:20:25.183462 | 2026-03-10 09:20:58.315159 | 20003783 | 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_20003783_fc1cbc3e-0077-475e-a3cf-ad18a394ddac.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 | 2026-03-10 09:20:58.315159 | 2025-11-11 01:01:48.778756 |
| 2026-03-10 09:15:56.705351 | 2026-03-10 09:16:30.220326 | 20003418 | 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_20003418_0cfaaa68-335a-4c96-b1b9-10ce30450dd7.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 | 2026-03-10 09:16:30.220326 | 2025-05-13 04:29:37.229495 |
| 2026-03-10 09:08:55.236932 | 2026-03-10 09:09:28.441442 | 20003183 | 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_20003183_073127b7-6139-431b-bf50-c69233c466c7.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 | 2026-03-10 09:09:28.441442 | 2025-11-11 01:01:48.778756 |
| 2026-03-10 09:07:53.724097 | 2026-03-10 09:08:27.274501 | 20003101 | 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_20003101_8df6073d-f350-4a79-be4e-86d423886b3e.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 | 2026-03-10 09:08:27.274501 | 2025-05-13 04:29:37.229495 |
| 2026-03-10 09:05:59.939225 | 2026-03-10 09:06:33.269430 | 20002950 | 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_20002950_4eeacf02-cf9f-4c40-88fa-bf1678c940bb.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 | 2026-03-10 09:06:33.269430 | 2025-11-11 01:01:48.778756 |
| 2026-03-10 09:01:19.835099 | 2026-03-10 09:01:53.559798 | 20002541 | 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_20002541_169315b1-7739-4a44-b5a6-4f14b2892aa5.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 | 2026-03-10 09:01:53.559798 | 2025-05-13 04:29:37.229495 |
| 2026-03-10 08:48:28.978030 | 2026-03-10 08:49:02.103212 | 20002306 | 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_20002306_e25ecba8-ee95-4cc7-adfa-4b6cbe2c2238.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 | 2026-03-10 08:49:02.103212 | 2025-11-11 01:01:48.778756 |
| 2026-03-10 08:47:27.043449 | 2026-03-10 08:48:00.648029 | 20002222 | 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_20002222_be42775c-dc55-4e7c-9b87-ae2e926853be.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 | 2026-03-10 08:48:00.648029 | 2025-05-13 04:29:37.229495 |
| 2026-03-10 08:45:34.488096 | 2026-03-10 08:46:07.662103 | 20002074 | 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_20002074_f4c75211-b848-4082-9725-43e29422914d.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 | 2026-03-10 08:46:07.662103 | 2025-11-11 01:01:48.778756 |
| 2026-03-10 08:41:52.359328 | 2026-03-10 08:41:57.398888 | 20001717 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-12-15 | 2026-03-09 | N/A | PT | AE | 4185 | STYLES | X3LM63380448 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17448745/check_20001717_af12ec85-d219-4bdb-8df8-9d6d7839f33a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17448745/check_20001717_4bd118a9-2498-492d-af9a-0fa87d11c6e4.json | N/A | N/A | N/A | N/A | N/A | X3LM63380448 | Preferred Provider Organization (PPO) | MPSERS MEDICARE ADVANTAGE | MEDICARE B | N/A | 1951-12-15 | 710 | 0070138470023001 | N/A | PR | false | STYLES | N/A | SUSAN | N/A | 9999-12-31 | 2026-01-01 | MED ADV | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10249667824 | 1275 | N/A | 17448745 | 2222 | N/A | 20005209 | N/A | 10999467 | 2026-03-10 08:41:57.398888 | 2025-11-14 21:36:13.911423 |
| 2026-03-10 08:41:12.278776 | 2026-03-10 08:41:15.131863 | 20001631 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-08-25 | 2026-03-04 | N/A | PT | AE | 4185 | Wagner | JPU788A52093 | Jeff | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17640446/check_20001631_84757784-a5b2-41ee-809c-690b6fb52aa3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17640446/check_20001631_24fc44f8-286c-4485-8a66-292c4b9d54a8.json | N/A | N/A | N/A | N/A | N/A | JPU788A52093 | Preferred Provider Organization (PPO) | SECRET CHARM LLC CA/OOS | ANTHEM BLUE CROSS | N/A | 1963-08-25 | 040 | L10559M004 | N/A | PR | false | WAGNER | N/A | DEBBIE | N/A | 9999-12-31 | 2025-04-01 | SOLUTION PPO | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10249664844 | 1275 | N/A | 17640446 | 2222 | N/A | 20005134 | N/A | 14632544 | 2026-03-10 08:41:15.131863 | 2026-02-06 23:59:19.940525 |
| 2026-03-10 08:40:58.386886 | 2026-03-10 08:41:32.187360 | 20001588 | 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_20001588_2ae8f833-6e1d-4820-8898-2f41dc0b243c.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 | 2026-03-10 08:41:32.187360 | 2025-05-13 04:29:37.229495 |
| 2026-03-10 08:39:07.513708 | 2026-03-10 08:39:10.468284 | 20001366 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-08-25 | 2026-03-02 | N/A | PT | AE | 4185 | Wagner | JPU788A52093 | Jeff | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17640446/check_20001366_a55ac1bf-3575-4225-ab2b-17d2b8d8019a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17640446/check_20001366_c5f7d591-1d7e-46e8-adbe-62d8f97f757c.json | N/A | N/A | N/A | N/A | N/A | JPU788A52093 | Preferred Provider Organization (PPO) | SECRET CHARM LLC CA/OOS | ANTHEM BLUE CROSS | N/A | 1963-08-25 | 040 | L10559M004 | N/A | PR | false | WAGNER | N/A | DEBBIE | N/A | 9999-12-31 | 2025-04-01 | SOLUTION PPO | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10249657067 | 1275 | N/A | 17640446 | 2222 | N/A | 20004983 | N/A | 14632544 | 2026-03-10 08:39:10.468284 | 2026-02-06 23:59:19.940525 |
| 2026-03-10 08:37:24.800424 | 2026-03-10 08:37:24.976086 | 20000727 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-09-21 | 2026-03-13 | F | AE | PT | 6341 | Grant | 1056839008V836344 | Arden | N/A | N/A | AVAILITY | N/A | GOOGLE_CLOUD | 2026-03-13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14708284 | 2222 | N/A | N/A | N/A | 12837261 | 2026-03-10 08:37:24.976086 | 2025-12-26 20:53:51.700105 |
| 2026-03-10 08:23:46.246987 | 2026-03-10 08:24:19.965691 | 19994426 | 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_19994426_5e96fea7-65a6-45a0-8fe5-fdf30ca05c06.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 | 2026-03-10 08:24:19.965691 | 2025-11-11 01:01:48.778756 |
| 2026-03-10 08:22:43.802976 | 2026-03-10 08:23:17.638112 | 19993932 | 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_19993932_d04dd215-a5a1-4e25-a18b-17c0aa608ad7.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 | 2026-03-10 08:23:17.638112 | 2025-05-13 04:29:37.229495 |
| 2026-03-10 08:22:10.291894 | 2026-03-10 08:22:12.116047 | 19993645 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-10-22 | 2026-03-12 | F | AE | PT | 6411 | ORTEGA | 996044282 | CARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17063107/check_19993645_c5edc3aa-75a4-4e63-a1ad-4cdceb47088f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17063107/check_19993645_f8463a21-77a7-4738-a252-fec2885eeb9d.json | N/A | N/A | N/A | N/A | N/A | 996044282 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1964-10-22 | N/A | N/A | N/A | N/A | false | ORTEGA | 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 | N/A | N/A | 17063107 | 2222 | N/A | 20000042 | N/A | 15055452 | 2026-03-10 08:22:12.116047 | 2026-03-11 23:02:50.523379 |
| 2026-03-10 08:22:07.340169 | 2026-03-10 08:22:10.288504 | 19993622 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-10-22 | 2026-03-12 | F | AE | PT | 6411 | ORTEGA | 996044282 | CARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17063107/check_19993622_395f51b9-d67b-47f6-a26c-a6d0cd91cc46.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-12 | N/A | N/A | N/A | N/A | N/A | N/A | 996044282 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1964-10-22 | N/A | N/A | N/A | N/A | false | ORTEGA | 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 | N/A | N/A | 17063107 | 2222 | N/A | N/A | N/A | 15055452 | 2026-03-10 08:22:10.288504 | 2026-03-11 23:02:50.523379 |
| 2026-03-10 08:21:58.166530 | 2026-03-10 08:21:58.472013 | 19993542 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-10-22 | 2026-03-12 | F | AE | PT | N/A | ORTEGA | 996044282 | CARMEN | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2026-03-12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17063107 | 2222 | N/A | N/A | N/A | 15055452 | 2026-03-10 08:21:58.472013 | 2026-03-11 23:02:50.523379 |
| 2026-03-10 08:08:45.935373 | 2026-03-10 08:09:19.449713 | 19989801 | 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_19989801_cd330c12-9243-4373-bb58-af4c8ce986b8.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 | 2026-03-10 08:09:19.449713 | 2025-11-11 01:01:48.778756 |
| 2026-03-10 08:07:44.077402 | 2026-03-10 08:08:18.367487 | 19989587 | 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_19989587_a7ea77b7-fc97-4da4-bf68-a3bc6c34b15a.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 | 2026-03-10 08:08:18.367487 | 2025-05-13 04:29:37.229495 |
| 2026-03-10 08:05:49.233300 | 2026-03-10 08:06:23.031502 | 19989206 | 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_19989206_0107a894-ddd8-4506-a8cf-35a7266c7054.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 | 2026-03-10 08:06:23.031502 | 2025-11-11 01:01:48.778756 |
| 2026-03-10 08:01:00.319312 | 2026-03-10 08:01:34.132811 | 19987759 | 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_19987759_219a46c2-a3cb-44e1-9af5-05f0dd77b241.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 | 2026-03-10 08:01:34.132811 | 2025-05-13 04:29:37.229495 |
| 2026-03-10 07:59:50.368833 | 2026-03-10 07:59:50.546847 | 19987444 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-09-21 | 2026-03-13 | F | AE | PT | 6341 | Grant | 1056839008V836344 | Arden | N/A | N/A | AVAILITY | N/A | GOOGLE_CLOUD | 2026-03-13 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14708284 | 2222 | N/A | N/A | N/A | 12837261 | 2026-03-10 07:59:50.546847 | 2025-12-26 20:53:51.700105 |
| 2026-03-10 07:59:50.227872 | 2026-03-10 07:59:58.570480 | 19987441 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-01 | 2026-03-11 | M | AE | PT | 6341 | Gonzalez | 01358434700 | Elliott | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14362980/check_19987441_437dd05a-0a14-4d07-9908-6174d9c8942a.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14362980/check_19987441_b5b38b85-5645-4196-bce4-772ea009eb62.json | N/A | N/A | N/A | N/A | N/A | 01358434700 | N/A | N/A | TRIWEST - TRICARE | N/A | 1992-09-01 | N/A | N/A | N/A | N/A | false | GONZALEZ | N/A | ELLIOTT | 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 | 14362980 | 2222 | N/A | 19995397 | N/A | 12500529 | 2026-03-10 07:59:58.570480 | 2025-12-17 16:44:32.237676 |
| 2026-03-10 07:49:18.668278 | 2026-03-10 07:49:20.608515 | 19980759 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-11-15 | 2026-03-10 | F | AE | PT | 4199 | NOGHREIAN | 95391425F20105 | FLORIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5548971/check_19980759_f49fae2c-06b9-4025-8a92-a14cce32a98f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548971/check_19980759_d2a59238-7046-4ae9-8ede-eff38bfc67ae.json | N/A | N/A | N/A | N/A | N/A | 95391425F20105 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1947-11-15 | N/A | N/A | N/A | N/A | false | NOGHREIAN | N/A | FLORIA | 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 | 5548971 | 2222 | N/A | 19988837 | N/A | 4218728 | 2026-03-10 07:49:20.608515 | 2025-05-13 04:29:37.229718 |
| 2026-03-10 07:49:08.126178 | 2026-03-10 07:49:10.110847 | 19980618 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-12-31 | 2026-03-10 | F | AE | PT | 4199 | BERRY | 986088282G15311 | ERIKA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16040629/check_19980618_7c3e5f56-8870-4cb8-bb58-275ac69180d0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16040629/check_19980618_26ca771d-7b80-408d-aecc-4191fd46b76e.json | N/A | N/A | N/A | N/A | N/A | 986088282G15311 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1981-12-31 | N/A | N/A | N/A | N/A | false | BERRY | N/A | ERIKA | 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 | 16040629 | 2222 | N/A | 19988699 | N/A | 4209869 | 2026-03-10 07:49:10.110847 | 2025-05-13 04:29:37.224290 |
| 2026-03-10 07:49:07.901555 | 2026-03-10 07:49:09.790121 | 19980616 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-07-09 | 2026-03-10 | F | AE | PT | 4199 | JOHNSON OLAD | 97773451D53165 | CATINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/12713664/check_19980616_fc01f0b9-56e7-487b-b7bb-27ea0e52993b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12713664/check_19980616_afbb1371-b88a-4457-9ef2-b9b98f1934c9.json | N/A | N/A | N/A | N/A | N/A | 97773451D53165 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1972-07-09 | N/A | N/A | N/A | N/A | false | JOHNSON OLAD | N/A | CATINA | 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 | 12713664 | 2222 | N/A | 19988693 | N/A | 9669773 | 2026-03-10 07:49:09.790121 | 2025-10-30 23:36:57.101747 |
| 2026-03-10 07:49:06.266515 | 2026-03-10 07:49:08.096673 | 19980592 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-25 | 2026-03-10 | M | AE | PT | 4191 | RUBIN | XEM910074494 | RONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16917800/check_19980592_22f71cea-556a-46ef-a8f1-b982892f0cba.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16917800/check_19980592_f3b07c72-b500-4a1e-bf78-d77a7276e599.json | N/A | N/A | N/A | N/A | N/A | XEM910074494 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-25 | 2002SE000030 | X0001002 | N/A | OT | false | RUBIN | N/A | RONALD | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10249399151 | N/A | N/A | 16917800 | 2222 | N/A | 19988673 | N/A | 14917009 | 2026-03-10 07:49:08.096673 | 2026-02-20 22:29:32.356717 |
| 2026-03-10 07:49:06.113152 | 2026-03-10 07:49:07.897776 | 19980591 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-07-09 | 2026-03-10 | F | AE | PT | 4199 | JOHNSON OLAD | 97773451D53165 | CATINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/12713664/check_19980591_e98dd9d9-67a3-4c39-b565-21b5a5883ab5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-10 | N/A | N/A | N/A | N/A | N/A | N/A | 97773451D53165 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1972-07-09 | N/A | N/A | N/A | N/A | false | JOHNSON OLAD | N/A | CATINA | 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 | 12713664 | 2222 | N/A | N/A | N/A | 9669773 | 2026-03-10 07:49:07.897776 | 2025-10-30 23:36:57.101747 |
| 2026-03-10 07:49:06.077059 | 2026-03-10 07:49:08.121262 | 19980590 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-12-31 | 2026-03-10 | F | AE | PT | 4199 | BERRY | 986088282G15311 | ERIKA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16040629/check_19980590_d7ec3d04-b205-40a6-a76a-1cf5be6d8087.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-10 | N/A | N/A | N/A | N/A | N/A | N/A | 986088282G15311 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1981-12-31 | N/A | N/A | N/A | N/A | false | BERRY | N/A | ERIKA | 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 | 16040629 | 2222 | N/A | N/A | N/A | 4209869 | 2026-03-10 07:49:08.121262 | 2025-05-13 04:29:37.224290 |
| 2026-03-10 07:49:06.008770 | 2026-03-10 07:49:07.887687 | 19980589 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-07-13 | 2026-03-10 | M | AE | PT | 4191 | GROSS | XEM909910709 | HUGH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15810928/check_19980589_91b875c5-93c5-4535-950d-7d46c8546523.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15810928/check_19980589_0fd0bd1d-2e25-412c-a3fd-e19455dc3e56.json | N/A | N/A | N/A | N/A | N/A | XEM909910709 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-13 | 2002SE000030 | X0001002 | N/A | OT | false | GROSS | N/A | HUGH | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10249399136 | N/A | N/A | 15810928 | 2222 | N/A | 19988671 | N/A | 13900460 | 2026-03-10 07:49:07.887687 | 2026-01-27 16:41:56.120390 |
| 2026-03-10 07:49:05.914075 | 2026-03-10 07:49:07.995891 | 19980588 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-06-18 | 2026-03-10 | F | AE | PT | 4185 | REISMAN | WRXA13289369 | GAIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/10984907/check_19980588_d9793c1a-b534-4a24-ae4d-70e4bb40b43d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984907/check_19980588_7d2aadf3-6be6-4f9c-9e98-09f7e916d79e.json | N/A | N/A | N/A | N/A | N/A | WRXA13289369 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | MEDICARE B | N/A | 1953-06-18 | 040 | 277242M003 | N/A | PR | false | REISMAN | N/A | MARK | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10249399131 | N/A | N/A | 10984907 | 2222 | N/A | 19988672 | N/A | 9156222 | 2026-03-10 07:49:07.995891 | 2026-01-08 22:56:20.879547 |
| 2026-03-10 07:49:05.790668 | 2026-03-10 07:49:07.477388 | 19980587 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-15 | 2026-03-10 | M | AE | PT | 4191 | WOLFE | XEM909964699 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/10239789/check_19980587_bd847ce3-dae3-4241-a5e6-e018cb843588.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239789/check_19980587_66d0c0b3-6796-461c-9d00-31eade003713.json | N/A | N/A | N/A | N/A | N/A | XEM909964699 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-07-15 | 2004SF000028 | X0001002 | N/A | OT | false | WOLFE | N/A | MICHAEL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10249399113 | N/A | N/A | 10239789 | 2222 | N/A | 19988667 | N/A | 8527464 | 2026-03-10 07:49:07.477388 | 2025-10-14 15:25:46.972104 |