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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-19 15:36:58.720905 | 2025-06-19 15:37:01.417622 | 9076125 | 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_9076125_9a65668c-8ac4-4142-96f7-d295170a100a.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 | 9482 | N/A | 6236212 | 2222 | N/A | N/A | N/A | 4884170 | 2025-06-19 15:37:01.417622 | 2025-07-09 21:20:43.604452 |
| 2025-06-19 15:36:16.231277 | 2025-06-19 15:36:18.060645 | 9076122 | 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_9076122_7f6da900-2177-4ef9-bca7-1bd898171cac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236212/check_9076122_a0ff2fc1-4fc6-4050-a5db-3d3316cae72c.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 | 9482 | N/A | 6236212 | 2222 | N/A | 8776052 | N/A | 4884170 | 2025-06-19 15:36:18.060645 | 2025-07-09 21:20:43.604452 |
| 2025-06-19 15:36:14.572051 | 2025-06-19 15:36:16.228623 | 9076120 | 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_9076120_d10c917d-6c60-421a-9ef3-b6fba71217c1.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 | 9482 | N/A | 6236212 | 2222 | N/A | N/A | N/A | 4884170 | 2025-06-19 15:36:16.228623 | 2025-07-09 21:20:43.604452 |
| 2025-06-19 15:17:20.860457 | 2025-06-19 15:17:22.695640 | 9076053 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-19 | M | PT | AE | 23277 | BUI | JQS556M78105 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_9076053_3d8c6d9e-8ec8-47e9-80ce-7d5f6b549bb6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_9076053_2912fb86-4d59-4762-b2c0-8c968eb9cad6.json | N/A | N/A | N/A | N/A | N/A | JQS556M78105 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5542429 | 2222 | N/A | 8775926 | N/A | 4214340 | 2025-06-19 15:17:22.695640 | 2025-06-16 23:14:10.518236 |
| 2025-06-19 15:17:18.744272 | 2025-06-19 15:17:20.852244 | 9076051 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-19 | M | PT | AE | 23277 | BUI | JQS556M78105 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_9076051_705bca6a-3c80-4110-8e91-222cf24073e8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | JQS556M78105 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-19 15:17:20.852244 | 2025-06-16 23:14:10.518236 |
| 2025-06-19 15:16:08.388365 | 2025-06-19 15:16:10.145426 | 9076046 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-19 | M | PT | AE | 23277 | BUI | JQS556M78105 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_9076046_094a9796-f6d7-4854-9a19-3e877bc73dd3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_9076046_8b0a06b2-19f7-42b2-9fc0-d38861887745.json | N/A | N/A | N/A | N/A | N/A | JQS556M78105 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5542429 | 2222 | N/A | 8775915 | N/A | 4214340 | 2025-06-19 15:16:10.145426 | 2025-06-16 23:14:10.518236 |
| 2025-06-19 15:16:06.728262 | 2025-06-19 15:16:08.383566 | 9076045 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-19 | M | PT | AE | 23277 | BUI | JQS556M78105 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_9076045_03b928d7-4bd7-49f8-bc11-75530e3de639.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | JQS556M78105 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-19 15:16:08.383566 | 2025-06-16 23:14:10.518236 |
| 2025-06-19 15:14:43.463453 | 2025-06-19 15:14:45.398391 | 9076041 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-19 | M | PT | AE | 23277 | BUI | JQS556M78105 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_9076041_6aad4d92-99da-427c-8724-a3eff27f853f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_9076041_0a08eb03-4bec-46e2-98ec-220a0db22f37.json | N/A | N/A | N/A | N/A | N/A | JQS556M78105 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5542429 | 2222 | N/A | 8775908 | N/A | 4214340 | 2025-06-19 15:14:45.398391 | 2025-06-16 23:14:10.518236 |
| 2025-06-19 15:14:41.717033 | 2025-06-19 15:14:43.458440 | 9076040 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-19 | M | PT | AE | 23277 | BUI | JQS556M78105 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_9076040_6eff1094-f832-4dd7-92d8-42be36b6c01a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | JQS556M78105 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-19 15:14:43.458440 | 2025-06-16 23:14:10.518236 |
| 2025-06-19 14:01:14.496593 | 2025-06-19 14:01:21.692504 | 9075819 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-10-06 | 2025-06-03 | F | PT | AE | 4437 | PASCUAL | ZZ2023161 | MELISSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541420/check_9075819_6ebcd9c2-7956-41ea-8245-a23f92cd0ca5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541420/check_9075819_7d3f81fc-3dc0-48a2-a0cb-afc6bcf00dc5.json | N/A | N/A | N/A | N/A | N/A | ZZ2023161 | N/A | N/A | ALLIED BENEFIT SYSTEMS, LLC | PATIENT HAS ACTIVE COVERAGE BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1994-10-06 | N/A | N/A | N/A | N/A | false | SCHWARTZ | N/A | NICOLAS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7995314465 | 2097 | N/A | 5541420 | 2222 | N/A | 8775661 | N/A | 4213444 | 2025-06-19 14:01:21.692504 | 2025-05-13 04:29:37.227763 |
| 2025-06-19 09:22:35.210391 | 2025-06-19 09:22:43.385630 | 9073441 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-06-10 | 2025-06-19 | M | AE | PT | 6411 | Corpe | 985837503 | Olivier | https://storage.googleapis.com/normandy-eligibility-checks/2222/6161213/check_9073441_ae370f09-f958-444f-97c0-8a44d2530f2f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6161213/check_9073441_ef749af6-82e8-4ea8-83b8-03e3f4f3b753.json | N/A | N/A | N/A | N/A | N/A | 985837503 | Commercial | CANDLE MEDIA, LLC | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1991-09-10 | 0026 0026 | 932244 | N/A | C1 | false | CORPE | N/A | OLIVIER | N/A | N/A | N/A | UNITEDHEALTHCARE SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992666998 | N/A | N/A | 6161213 | 2222 | N/A | 8772762 | N/A | 4801864 | 2025-06-19 09:22:43.385630 | 2025-06-05 19:59:59.163437 |
| 2025-06-19 09:22:09.291196 | 2025-06-19 09:22:13.463436 | 9073381 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-04-06 | 2025-06-19 | M | AE | PT | 6411 | LUO | 947922550 | HONGKE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6140288/check_9073381_d36eab98-0800-4969-a6f0-746a6c0b4e8e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140288/check_9073381_be51fa5a-e209-417d-bbe3-a3734130fd08.json | N/A | N/A | N/A | N/A | N/A | 947922550 | Commercial | COGNOSPHERE, LLC | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2000-04-06 | 0001 0001 | 928360 | N/A | C1 | false | LUO | N/A | HONGKE | N/A | N/A | N/A | EI 2018 CH+ PS1 1967A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992663435 | N/A | N/A | 6140288 | 2222 | N/A | 8772693 | N/A | 4781215 | 2025-06-19 09:22:13.463436 | 2025-06-05 03:42:55.033876 |
| 2025-06-19 09:22:06.869835 | 2025-06-19 09:22:11.226774 | 9073375 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-11-03 | 2025-06-19 | F | AE | PT | 6411 | PARADI | 989539094 | SUZANNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6134645/check_9073375_0a680a71-2e49-425e-8afc-4c18e429a9b9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134645/check_9073375_1a2db322-56fe-4e67-97fa-8c9dc2261cd7.json | N/A | N/A | N/A | N/A | N/A | 989539094 | Commercial | ANSCHUTZ ENTERTAINMENT GROUP | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1988-11-03 | 0014 0014 | 744401 | N/A | C1 | false | PARADI | N/A | SUZANNE | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992663081 | N/A | N/A | 6134645 | 2222 | N/A | 8772689 | N/A | 4775949 | 2025-06-19 09:22:11.226774 | 2025-06-11 16:52:59.646941 |
| 2025-06-19 09:21:12.089423 | 2025-06-19 09:21:22.535035 | 9073249 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-02-14 | 2025-06-19 | F | AE | PT | 6411 | GOLDSTEIN | 000603457 | SHARON | https://storage.googleapis.com/normandy-eligibility-checks/2222/6077490/check_9073249_0e846420-626d-4886-9fa7-995fb6a66a3d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077490/check_9073249_2ef18215-3f9f-4d2c-9bb2-f2dd5860c956.json | N/A | N/A | N/A | N/A | N/A | 000603457 | Commercial | US BANK | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1965-02-14 | 0162 0162 | 186359 | N/A | C1 | false | GOLDSTEIN | N/A | SHARON | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992654884 | N/A | N/A | 6077490 | 2222 | N/A | 8772575 | N/A | 4721602 | 2025-06-19 09:21:22.535035 | 2025-06-03 23:36:44.592003 |
| 2025-06-19 09:20:15.602075 | 2025-06-19 09:20:22.038383 | 9073129 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-09-02 | 2025-06-19 | M | AE | PT | 5505 | TCHORBAJIAN | 000015560662 | AREN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993954/check_9073129_a0e350b0-a260-4ed3-9851-7d965b417940.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993954/check_9073129_bbd2a6b7-da0d-4694-af66-07dd8ac465ea.json | N/A | N/A | N/A | N/A | N/A | 000015560662 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2002-09-02 | 3003378 | 1650095001 | N/A | N/A | false | TCHORBAJIAN | N/A | AREN | N/A | N/A | N/A | GF JANUARY - KPIF DHMO DEDUCTIBLE HMO $1500 W/CHIR | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992645949 | N/A | N/A | 5993954 | 2222 | N/A | 8772441 | N/A | 4642889 | 2025-06-19 09:20:22.038383 | 2025-06-13 05:53:58.450942 |
| 2025-06-19 09:19:15.019917 | 2025-06-19 09:19:23.837121 | 9073000 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-08-17 | 2025-06-19 | F | AE | PT | 6411 | RUEMMELE | 17940949900 | MAKENA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874412/check_9073000_0c78f4fb-4f1e-4fe2-ac5d-aebbd168d875.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874412/check_9073000_f9670758-d13d-4a01-a1ba-1608634e440f.json | N/A | N/A | N/A | N/A | N/A | 17940949902 | Commercial | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | FUNDING TYPE = FULLY INSURED - LARGE GROUP LABORATORY DESIGNATED DIAGNOSTIC BENEFITS IMAGING DESIGNATED DIAGNOSTIC BENEFITS | 2013-08-17 | N/A | 1685837 | N/A | C1 | false | RUEMMELE | N/A | MAKENA | N/A | N/A | N/A | CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992635758 | N/A | N/A | 5874412 | 2222 | N/A | 8772318 | N/A | 4534546 | 2025-06-19 09:19:23.837121 | 2025-12-03 00:06:29.870228 |
| 2025-06-19 09:17:41.661216 | 2025-06-19 09:17:45.550417 | 9072791 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-05-24 | 2025-06-19 | F | AE | PT | 6798 | REGGIANI | 41813758 | SUSANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549015/check_9072791_d90a3ce6-8f8b-4460-8856-f90c00939904.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549015/check_9072791_a72ffb0b-ad10-4eb5-9400-8ccb0edf1e51.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-024-000 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992612913 | N/A | N/A | 5549015 | 2222 | N/A | 8772091 | N/A | 4208849 | 2025-06-19 09:17:45.550417 | 2025-05-13 04:29:37.223279 |
| 2025-06-19 09:17:39.393647 | 2025-06-19 09:17:46.286262 | 9072787 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-12-05 | 2025-06-19 | F | AE | PT | 6411 | BIERNER | 941921536 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543373/check_9072787_74e09e04-554a-4ade-9350-302c624f06e4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543373/check_9072787_3347e487-ecae-4733-874d-50be10f0420f.json | N/A | N/A | N/A | N/A | N/A | 941921536 | Commercial | APPLE INC. | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1976-12-05 | 1254 1254 | 700406 | N/A | C1 | false | BIERNER | N/A | JACOB | N/A | N/A | N/A | SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992612652 | N/A | N/A | 5543373 | 2222 | N/A | 8772093 | N/A | 4215173 | 2025-06-19 09:17:46.286262 | 2025-05-13 04:29:37.229490 |
| 2025-06-19 09:17:38.227921 | 2025-06-19 09:17:49.039185 | 9072784 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-01-04 | 2025-06-19 | M | PT | AE | 6411 | GERSHMAN | 987203340 | TYLER | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542830/check_9072784_36740d43-a101-43a7-8949-d1aec88573df.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542830/check_9072784_45e16759-4657-4b8e-8565-87ac6b12dbb2.json | N/A | N/A | N/A | N/A | N/A | 987203340 | Consolidated Omnibus Budget Reconciliation Act (COBRA) | ORACLE | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1997-01-04 | 0169 0169 | 228485 | N/A | CO | false | GERSHMAN | N/A | TYLER | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7992612407 | N/A | N/A | 5542830 | 2222 | N/A | 8772095 | N/A | 4214699 | 2025-06-19 09:17:49.039185 | 2025-05-13 04:29:37.229016 |
| 2025-06-19 09:17:37.985719 | 2025-06-19 09:17:42.444792 | 9072783 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-02-23 | 2025-06-19 | F | PT | AE | 6411 | CHVATIKOVA | 99518696 | MONIKA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541499/check_9072783_ffbd618b-6fec-4217-80e4-87d0df9f7064.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541499/check_9072783_c53d33ca-f70e-43e4-b5c0-199eaf894913.json | N/A | N/A | N/A | N/A | N/A | 995186969 | Commercial | ABC FITNESS SOLUTIONS LLC | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1978-02-23 | 0002 0002 | 929625 | N/A | C1 | false | CHVATIKOVA | N/A | MONIKA | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7992612389 | N/A | N/A | 5541499 | 2222 | N/A | 8772084 | N/A | 4213512 | 2025-06-19 09:17:42.444792 | 2025-05-09 03:59:22.501514 |
| 2025-06-19 09:17:37.586822 | 2025-06-19 09:17:52.924929 | 9072781 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-06-20 | 2025-06-19 | M | PT | N/A | 4191 | RITENOUR | NCF553A20679 | TIM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537911/check_9072781_32397f8f-8619-4e81-a479-5d61cb302980.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537911/check_9072781_42e12cdb-6406-4840-b88b-8d9619d7d046.json | N/A | N/A | N/A | N/A | N/A | NCF553A20679 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1979-06-20 | 040 | 57AJCA | N/A | HM | false | RITENOUR | N/A | TIM | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7992612325 | N/A | N/A | 5537911 | 2222 | N/A | 8772105 | N/A | 4210415 | 2025-06-19 09:17:52.924929 | 2025-06-11 20:40:26.862752 |
| 2025-06-19 09:11:08.648024 | 2025-06-19 09:11:09.124303 | 9069610 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9069610 | Athletic Physical Therapy Inc | 1932-10-05 | 2025-06-20 | M | AE | PT | N/A | BOLTON | XDO770A69054 | ALAN | N/A | WAYSTAR | N/A | BATCH | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6473159 | 2222 | 4793 | N/A | N/A | 4815871 | 2025-06-19 09:11:09.124303 | 2025-08-01 15:33:39.468574 |
| 2025-06-19 09:10:56.010142 | 2025-06-20 05:05:31.061339 | 9069442 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 9069442 | Athletic Physical Therapy Inc | 1953-02-03 | 2025-06-20 | F | AE | PT | N/A | MCKAY | 935180171 | JEANNETTE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250619.141327817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398744/check_9069442_456f386c-5817-47eb-870b-53f804a32f0e.json | N/A | N/A | N/A | N/A | N/A | 935180171 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1953-02-03 | N/A | 15725 | N/A | PR | false | MCKAY | N/A | JEANNETTE | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992572563 | N/A | N/A | 6398744 | 2222 | 4801 | 8788874 | N/A | 5046297 | 2025-06-20 05:05:31.061339 | 2025-06-17 15:15:28.403654 |
| 2025-06-19 09:08:53.791952 | 2025-06-19 09:08:54.131980 | 9067889 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9067889 | Athletic Physical Therapy Inc | 2009-07-01 | 2025-06-20 | M | PT | N/A | N/A | PAQUETTE | JQU899A69081 | NICOLAS | N/A | WAYSTAR | N/A | BATCH | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6207031 | 2222 | 4793 | N/A | N/A | 4766758 | 2025-06-19 09:08:54.131980 | 2025-06-03 21:40:10.090592 |
| 2025-06-19 09:08:33.717325 | 2025-06-20 05:11:04.150467 | 9067570 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9067570 | Athletic Physical Therapy Inc | 1932-10-05 | 2025-06-20 | M | AE | PT | N/A | BOLTON | 3EK5DJ1UC60 | ALAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250619.141327817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6174537/check_9067570_d041daa1-42f2-4ac4-ac5c-e48241488028.json | N/A | N/A | N/A | N/A | N/A | 3EK5DJ1UC60 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1932-10-05 | S5617 | N/A | N/A | MA | false | BOLTON | N/A | ALAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992573743 | N/A | N/A | 6174537 | 2222 | 4793 | 8790835 | N/A | 4815871 | 2025-06-20 05:11:04.150467 | 2025-08-01 15:33:39.468574 |
| 2025-06-19 09:08:11.158398 | 2025-06-20 05:07:40.351559 | 9067126 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9067126 | Athletic Physical Therapy Inc | 1968-11-26 | 2025-06-20 | F | PT | N/A | N/A | PELLEGRINI | XEA913808278 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250619.141327817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6165269/check_9067126_40d86d57-da3e-4156-ac6a-4ba99370af60.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1968-11-26 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7992572473 | N/A | N/A | 6165269 | 2222 | 4793 | 8789646 | N/A | 4807600 | 2025-06-20 05:07:40.351559 | 2025-06-18 15:19:08.524396 |
| 2025-06-19 09:07:00.972501 | 2025-06-20 05:07:39.990788 | 9065833 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9065833 | Athletic Physical Therapy Inc | 2009-07-01 | 2025-06-20 | M | PT | N/A | N/A | PAQUETTE | 490145 | NICOLAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250619.141327817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124048/check_9065833_9ddafdfa-a8ac-4962-9050-36b6d4e18255.json | N/A | N/A | N/A | N/A | N/A | 490145 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-07-01 | N/A | N/A | N/A | N/A | false | PAQUETTE | N/A | NICOLAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7992573230 | N/A | N/A | 6124048 | 2222 | 4793 | 8789644 | N/A | 4766758 | 2025-06-20 05:07:39.990788 | 2025-06-03 21:40:10.090592 |
| 2025-06-19 09:07:00.495195 | 2025-06-20 05:05:32.086739 | 9065825 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 9065825 | Athletic Physical Therapy Inc | 1975-07-15 | 2025-06-20 | F | PT | AE | N/A | SKLAR | 997341869 | ANDREA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250619.141327817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124041/check_9065825_22e5c76c-b201-4154-85ee-bd2b87faf7e8.json | N/A | N/A | N/A | N/A | N/A | 997341869 | Commercial | PFIZER INC | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1975-07-15 | 2366 2022 | 183644 | N/A | C1 | false | SKLAR | N/A | ANDREA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7992573229 | N/A | N/A | 6124041 | 2222 | 4793 | 8788880 | N/A | 4766742 | 2025-06-20 05:05:32.086739 | 2025-06-04 15:23:35.717260 |
| 2025-06-19 09:06:27.471417 | 2025-06-20 05:05:30.675135 | 9064825 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 9064825 | Athletic Physical Therapy Inc | 1982-04-09 | 2025-06-20 | M | AE | PT | N/A | LOUKISSAS | 904479453 | ALEX | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250619.141327817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6113697/check_9064825_27a43790-17c2-4d2f-a486-9c0c0453da2e.json | N/A | N/A | N/A | N/A | N/A | 904479453 | Commercial | FANATICS HOLDINGS INC | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1982-04-09 | 0037 0037 | 935941 | N/A | C1 | false | LOUKISSAS | N/A | ALEXANDER | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992573640 | N/A | N/A | 6113697 | 2222 | 4802 | 8788872 | N/A | 4756409 | 2025-06-20 05:05:30.675135 | 2025-06-12 04:47:00.860831 |
| 2025-06-19 09:05:59.765633 | 2025-06-20 05:05:31.760620 | 9064087 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 9064087 | Athletic Physical Therapy Inc | 1996-09-04 | 2025-06-20 | M | AE | PT | N/A | Popish | 314338176 | Elijah | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250619.141327817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104677/check_9064087_fb594b41-1710-4b93-8bc5-c7af633747aa.json | N/A | N/A | N/A | N/A | N/A | 31433817600 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1996-09-04 | N/A | 1626005 | N/A | C1 | false | POPISH | N/A | ELIJAH | N/A | N/A | N/A | SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992573123 | N/A | N/A | 6104677 | 2222 | 4802 | 8788878 | N/A | 4749059 | 2025-06-20 05:05:31.760620 | 2025-06-02 16:35:32.560533 |
| 2025-06-19 09:04:13.882988 | 2025-06-20 05:05:31.360967 | 9061456 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 9061456 | Athletic Physical Therapy Inc | 1997-06-29 | 2025-06-20 | F | PT | AE | N/A | Pienkowski | 996659662 | Alexandra | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250619.141327817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078295/check_9061456_9c778671-6971-428d-a6d2-245fdd94e47a.json | N/A | N/A | N/A | N/A | N/A | 996659662 | Commercial | THE INTERPUBLIC GROUP OF CO | UNITEDHEALTHCARE | PROVIDER IS OUT NETWORK FOR MEMBER FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1997-06-29 | 3142 3142 | 702551 | N/A | C1 | false | PIENKOWSKI | N/A | ALEXANDRA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7992573061 | N/A | N/A | 6078295 | 2222 | 4802 | 8788876 | N/A | 4722548 | 2025-06-20 05:05:31.360967 | 2025-05-30 04:23:27.387333 |
| 2025-06-19 09:03:13.599935 | 2025-06-20 05:05:30.363147 | 9060306 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 9060306 | Athletic Physical Therapy Inc | 1978-08-18 | 2025-06-20 | F | PT | AE | N/A | DABBY JOYCE | 698634440 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250619.141327817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068059/check_9060306_4d0f9bc3-a92f-4941-ac7d-f59175f32b8b.json | N/A | N/A | N/A | N/A | N/A | 69863444000 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | MEMBER ON DOWNSTREAM HOLD 2025-06-02 - 2025-08-02 FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1978-08-18 | N/A | 1671793 | N/A | C1 | false | DABBY JOYCE | N/A | LISA | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7992572685 | N/A | N/A | 6068059 | 2222 | 4802 | 8788870 | N/A | 4713001 | 2025-06-20 05:05:30.363147 | 2025-10-23 14:37:36.593472 |
| 2025-06-19 09:03:13.108568 | 2025-06-20 05:05:30.065931 | 9060299 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 9060299 | Athletic Physical Therapy Inc | 1945-06-27 | 2025-06-20 | M | AE | PT | N/A | BROOK | 202232501 | NATASHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250619.141327817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068053/check_9060299_d8c6b01d-e4a8-4ca0-9a0b-b82918d92f8b.json | N/A | N/A | N/A | N/A | N/A | 002022325 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1945-06-27 | N/A | HCFA21 | N/A | HN | false | N/A | N/A | N/A | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992572684 | N/A | N/A | 6068053 | 2222 | 4793 | 8788868 | N/A | 4712995 | 2025-06-20 05:05:30.065931 | 2025-05-28 21:04:24.752114 |
| 2025-06-19 09:03:12.545178 | 2025-06-20 05:05:32.408233 | 9060288 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 9060288 | Athletic Physical Therapy Inc | 1941-04-30 | 2025-06-20 | F | AE | PT | N/A | URBACH | 986803155 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250619.141327817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068052/check_9060288_c28cc7e2-7419-45ce-9466-0329c00cdec8.json | N/A | N/A | N/A | N/A | N/A | 986803155 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1941-04-30 | N/A | 74134 | N/A | PR | false | URBACH | N/A | MARY | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992572683 | N/A | N/A | 6068052 | 2222 | 4793 | 8788882 | N/A | 4712993 | 2025-06-20 05:05:32.408233 | 2025-06-12 23:03:47.433557 |
| 2025-06-19 09:02:56.174269 | 2025-06-19 09:02:56.542809 | 9059985 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 9059985 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-06-20 | F | AE | PT | N/A | LARSEN | R06053944FD1 | LANA | N/A | WAYSTAR | N/A | BATCH | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542850 | 2222 | 4793 | N/A | N/A | 4214714 | 2025-06-19 09:02:56.542809 | 2025-05-13 04:29:37.229031 |
| 2025-06-19 09:02:33.613285 | 2025-06-20 02:01:51.628800 | 9059525 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9059525 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-06-20 | F | AE | PT | N/A | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250619.141027701.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_9059525_e38e15bd-136a-48bd-a9c5-ddbb8087b341.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992531696 | N/A | N/A | 5542660 | 2222 | 4802 | 8781636 | N/A | 4214542 | 2025-06-20 02:01:51.628800 | 2025-05-13 04:29:37.228868 |
| 2025-06-19 09:02:32.938844 | 2025-06-20 02:06:59.437413 | 9059514 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 9059514 | Athletic Physical Therapy Inc | 2008-07-13 | 2025-06-20 | F | AE | PT | N/A | CONNOLLY | 974474822 | ELAINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250619.141027701.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540675/check_9059514_2c920e7c-b29b-4beb-a8d2-0ed2bb814781.json | N/A | N/A | N/A | N/A | N/A | 974474822 | Commercial | LEVI STRAUSS & CO. | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2008-07-13 | 0069 0069 | 923812 | N/A | C1 | false | HILL | N/A | JENNIFER | N/A | N/A | N/A | UNITEDHEALTHCARE SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992531689 | N/A | N/A | 5540675 | 2222 | 4793 | 8783348 | N/A | 4212786 | 2025-06-20 02:06:59.437413 | 2025-05-13 04:29:37.227120 |
| 2025-06-19 09:02:32.502412 | 2025-06-20 02:07:00.514234 | 9059508 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 9059508 | Athletic Physical Therapy Inc | 1958-01-24 | 2025-06-20 | M | AE | PT | N/A | SAUER | 995746438 | MARCOS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250619.141027701.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539785/check_9059508_4dd22f40-cbb3-4731-a47e-75796907ade5.json | N/A | N/A | N/A | N/A | N/A | 995746438 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1958-01-24 | N/A | 74126 | N/A | PR | false | SAUER | N/A | MARCOS | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0029 (PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992531688 | N/A | N/A | 5539785 | 2222 | 4793 | 8783351 | N/A | 4212024 | 2025-06-20 02:07:00.514234 | 2025-05-28 20:17:35.019662 |
| 2025-06-19 09:02:32.280991 | 2025-06-20 02:06:58.862370 | 9059502 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 9059502 | Athletic Physical Therapy Inc | 1996-05-29 | 2025-06-20 | F | AE | PT | N/A | CORNELISON | 990430252 | ASHLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250619.141027701.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539453/check_9059502_379c83d9-eb9b-4c75-8ed9-404bba4d96c4.json | N/A | N/A | N/A | N/A | N/A | 990430252 | Commercial | HELUNA HEALTH | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1996-05-29 | 0010 0010 | 928077 | N/A | C1 | false | CORNELISON | N/A | ASHLEY | N/A | N/A | N/A | SELECT PLUS PPO CA 2023 CUJA MOD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7992531687 | N/A | N/A | 5539453 | 2222 | 4802 | 8783344 | N/A | 4211755 | 2025-06-20 02:06:58.862370 | 2025-05-13 04:29:37.226075 |
| 2025-06-19 03:22:46.180926 | 2025-06-19 03:22:52.038753 | 9057557 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-05-24 | 2025-06-18 | F | PT | AE | 6798 | REGGIANI | 41813758 | SUSANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549015/check_9057557_cb71e52d-1c2c-4881-ac37-e7c69795fd7e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549015/check_9057557_dd57ee29-e004-4cf3-91da-4fa73bf55326.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-024-000 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7989613632 | 9483 | N/A | 5549015 | 2222 | N/A | 8769649 | N/A | 4208849 | 2025-06-19 03:22:52.038753 | 2025-05-13 04:29:37.223279 |
| 2025-06-19 00:11:55.320125 | 2025-06-19 00:11:57.154742 | 9057455 | 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_9057455_b07bcc73-7a82-4fdb-b110-c6d13d8b8416.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_9057455_9fc32088-23c5-4e66-8446-748939c271a0.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 | 7927 | N/A | 5540113 | 2222 | N/A | 8756294 | N/A | 4212315 | 2025-06-19 00:11:57.154742 | 2025-12-29 21:20:15.158611 |
| 2025-06-19 00:11:52.598744 | 2025-06-19 00:11:55.317410 | 9057454 | 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_9057454_256a7b0f-9b9d-44aa-8b8a-75d893726e3a.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 | 7927 | N/A | 5540113 | 2222 | N/A | N/A | N/A | 4212315 | 2025-06-19 00:11:55.317410 | 2025-12-29 21:20:15.158611 |
| 2025-06-19 00:09:43.276370 | 2025-06-19 00:09:45.186775 | 9057453 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-07-11 | 2025-06-19 | M | PT | AE | 23442 | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_9057453_8a0ea342-c037-4fad-9179-0662495cc3e4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_9057453_2f952c72-f212-419a-9fd5-ebc6cddf5b36.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | REGAL MEDICAL GROUP | 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 | 7927 | N/A | 5540113 | 2222 | N/A | 8756292 | N/A | 4212315 | 2025-06-19 00:09:45.186775 | 2025-12-29 21:20:15.158611 |
| 2025-06-19 00:09:41.519177 | 2025-06-19 00:09:43.272268 | 9057452 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-07-11 | 2025-06-19 | M | PT | AE | 23442 | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_9057452_c3501229-43c1-4cc3-aed4-649997b8b2d0.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 | REGAL MEDICAL GROUP | 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 | 7927 | N/A | 5540113 | 2222 | N/A | N/A | N/A | 4212315 | 2025-06-19 00:09:43.272268 | 2025-12-29 21:20:15.158611 |
| 2025-06-19 00:07:48.006026 | 2025-06-19 00:07:50.938336 | 9057450 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-07-11 | 2025-06-19 | M | PT | AE | 4625 | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_9057450_4a1a7e04-cc36-4f9d-b516-87bf38ba67a9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_9057450_1f3a09b4-dfd5-4b73-809a-0762e8dc9590.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | 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 | 7927 | N/A | 5540113 | 2222 | N/A | 8756289 | N/A | 4212315 | 2025-06-19 00:07:50.938336 | 2025-12-29 21:20:15.158611 |
| 2025-06-19 00:07:45.181829 | 2025-06-19 00:07:48.002534 | 9057449 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-07-11 | 2025-06-19 | M | PT | AE | 4625 | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_9057449_30e92e3b-c069-4cad-9fbc-085dbf5e1a1f.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 | HEALTH NET, LLC | 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 | 7927 | N/A | 5540113 | 2222 | N/A | N/A | N/A | 4212315 | 2025-06-19 00:07:48.002534 | 2025-12-29 21:20:15.158611 |
| 2025-06-18 23:53:09.031339 | 2025-06-18 23:53:15.895264 | 9057432 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-05-12 | 2025-06-19 | M | AE | PT | 4191 | EGGLETON | XEM904112010 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536871/check_9057432_242e8210-595d-4ae2-8cd3-fe0a3c2d805a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536871/check_9057432_327c16bf-721c-4a73-a105-f81855cbcfb4.json | N/A | N/A | N/A | N/A | N/A | XEM904112010 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-05-12 | 2004SE000029 | X0001002 | N/A | OT | false | EGGLETON | N/A | HELEN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7987685012 | 7927 | N/A | 5536871 | 2222 | N/A | 8756254 | N/A | 4209543 | 2025-06-18 23:53:15.895264 | 2025-06-18 17:33:51.700160 |
| 2025-06-18 23:51:50.549220 | 2025-06-18 23:51:52.430909 | 9057431 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-05-12 | 2025-06-19 | M | AE | PT | 4191 | EGGLETON | XEM090112120 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536871/check_9057431_f1e855c2-9748-4f0b-be47-78c73659535e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536871/check_9057431_b7bf5f88-6750-4746-a227-3d8028e852be.json | N/A | N/A | N/A | N/A | N/A | XEM090112120 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1946-05-12 | N/A | N/A | N/A | N/A | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5536871 | 2222 | N/A | 8756247 | N/A | 4209543 | 2025-06-18 23:51:52.430909 | 2025-06-18 17:33:51.700160 |
| 2025-06-18 23:51:48.802920 | 2025-06-18 23:51:50.544348 | 9057430 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-05-12 | 2025-06-19 | M | AE | PT | 4191 | EGGLETON | XEM090112120 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536871/check_9057430_696fb0a0-557a-4f2c-8799-bce3b7c96f01.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | XEM090112120 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1946-05-12 | N/A | N/A | N/A | N/A | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5536871 | 2222 | N/A | N/A | N/A | 4209543 | 2025-06-18 23:51:50.544348 | 2025-06-18 17:33:51.700160 |
| 2025-06-18 23:51:12.038543 | 2025-06-18 23:51:16.914919 | 9057427 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-09-08 | 2025-06-19 | F | PT | AE | 4437 | MERRILL | U8140032304 | KYRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6417552/check_9057427_d73d6c4f-acc1-4f58-9b5d-e76426ecc39e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417552/check_9057427_eac645cf-8afe-4131-bc65-8c47a1a8c194.json | N/A | N/A | N/A | N/A | N/A | U8140032304 | Health Maintenance Organization (HMO) | SHEPHERD OF THE HILLS CHURCH DBA SHEPHER | CGLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 2011-09-08 | N/A | 3344770 | N/A | HM | false | MERRILL | N/A | KYRA | N/A | N/A | N/A | HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7987667039 | 7927 | N/A | 6417552 | 2222 | N/A | 8756240 | N/A | 4219614 | 2025-06-18 23:51:16.914919 | 2025-05-13 04:29:37.230656 |