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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-09 23:06:25.951081 | 2026-03-09 23:06:59.266393 | 19861459 | 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_19861459_b70fb531-6679-4806-9bba-d730a4377c06.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 | 2026-03-09 23:06:59.266393 | 2025-11-11 01:01:48.778756 |
| 2026-03-09 23:01:17.574039 | 2026-03-09 23:01:51.188035 | 19861016 | 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_19861016_7e86e578-ed59-44c4-852a-7bb546c5ab25.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 | 2026-03-09 23:01:51.188035 | 2025-05-13 04:29:37.229495 |
| 2026-03-09 22:49:49.859419 | 2026-03-09 22:50:23.288641 | 19860672 | 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_19860672_28cdcf43-f9a5-41e5-b94b-49fbb3755851.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 | 2026-03-09 22:50:23.288641 | 2025-11-11 01:01:48.778756 |
| 2026-03-09 22:48:51.211474 | 2026-03-09 22:48:53.048581 | 19860582 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / ASTIVA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 178695 | STOVER | AHCA00059048 | JESUSA ESTRELLA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19860582_18ad224a-773d-4a83-9359-cdb0ab102489.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17562065/check_19860582_4b46e8d0-eb21-4faf-ac14-555371a21568.json | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP / ASTIVA | N/A | 1960-04-15 | N/A | N/A | N/A | N/A | false | STOVER | N/A | JESUSA ESTRELLA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17562065 | 2222 | N/A | 19954170 | N/A | 15609641 | 2026-03-09 22:48:53.048581 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 22:48:49.232464 | 2026-03-09 22:48:51.208183 | 19860579 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / ASTIVA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 178695 | STOVER | AHCA00059048 | JESUSA ESTRELLA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19860579_a9285e1e-7fe3-42a1-a0f3-ece0c4be3b74.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | N/A | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP / ASTIVA | N/A | 1960-04-15 | N/A | N/A | N/A | N/A | false | STOVER | N/A | JESUSA ESTRELLA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17562065 | 2222 | N/A | N/A | N/A | 15609641 | 2026-03-09 22:48:51.208183 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 22:48:47.452727 | 2026-03-09 22:49:21.163500 | 19860571 | 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_19860571_c819516c-2522-45bd-8ca3-52070e592364.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 | 2026-03-09 22:49:21.163500 | 2025-05-13 04:29:37.229495 |
| 2026-03-09 22:48:10.039795 | 2026-03-09 22:48:11.900782 | 19860511 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / ASTIVA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 178695 | STOVER | AHCA00059048 | JESUSA ESTRELLA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19860511_26de421b-9e30-4bf1-83c3-4ac5504d9a19.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17562065/check_19860511_0ca87dda-4348-4ca0-932c-c358071cbe1b.json | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP / ASTIVA | N/A | 1960-04-15 | N/A | N/A | N/A | N/A | false | STOVER | N/A | JESUSA ESTRELLA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17562065 | 2222 | N/A | 19954124 | N/A | 15609641 | 2026-03-09 22:48:11.900782 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 22:48:08.088116 | 2026-03-09 22:48:10.036005 | 19860509 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / ASTIVA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 178695 | STOVER | AHCA00059048 | JESUSA ESTRELLA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19860509_22bcd87d-ee7e-424c-9b34-739e5f2703c7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | N/A | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP / ASTIVA | N/A | 1960-04-15 | N/A | N/A | N/A | N/A | false | STOVER | N/A | JESUSA ESTRELLA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17562065 | 2222 | N/A | N/A | N/A | 15609641 | 2026-03-09 22:48:10.036005 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 22:46:54.928960 | 2026-03-09 22:47:28.331477 | 19860388 | 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_19860388_4844cc00-7b2c-4835-b82b-4829f851ab7a.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 | 2026-03-09 22:47:28.331477 | 2025-11-11 01:01:48.778756 |
| 2026-03-09 22:41:42.396285 | 2026-03-09 22:42:15.982045 | 19859971 | 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_19859971_8529694f-d7bc-4ddf-ad82-5d5937f622d8.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 | 2026-03-09 22:42:15.982045 | 2025-05-13 04:29:37.229495 |
| 2026-03-09 22:24:33.586733 | 2026-03-09 22:24:35.338930 | 19859471 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / ASTIVA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 178695 | STOVER | AHCA00059048 | JESUSAESTRELLA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19859471_9b7e7360-5b56-49a0-bb36-435250587998.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17562065/check_19859471_1dff8831-2074-4598-9eea-2daa2bd4bc19.json | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP / ASTIVA | N/A | 1960-04-15 | N/A | N/A | N/A | N/A | false | STOVER | N/A | JESUSAESTRELLA | 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 | 9481 | N/A | 17562065 | 2222 | N/A | 19953407 | N/A | 15609641 | 2026-03-09 22:24:35.338930 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 22:24:31.618527 | 2026-03-09 22:24:33.582746 | 19859470 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / ASTIVA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 178695 | STOVER | AHCA00059048 | JESUSAESTRELLA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19859470_266f0aad-e4b0-4136-98ef-b0ebc0166712.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | N/A | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP / ASTIVA | N/A | 1960-04-15 | N/A | N/A | N/A | N/A | false | STOVER | N/A | JESUSAESTRELLA | 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 | 9481 | N/A | 17562065 | 2222 | N/A | N/A | N/A | 15609641 | 2026-03-09 22:24:33.582746 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 22:24:27.001800 | 2026-03-09 22:24:28.852253 | 19859468 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / ASTIVA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 178695 | STOVER | AHCA00059048 | JESUSAESTRELLA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19859468_d16dcdbd-4629-4f19-beec-ff3eae33025a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17562065/check_19859468_e224c20a-adf2-48f6-a535-e76d49d6c959.json | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP / ASTIVA | N/A | 1960-04-15 | N/A | N/A | N/A | N/A | false | STOVER | N/A | JESUSAESTRELLA | 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 | 9481 | N/A | 17562065 | 2222 | N/A | 19953403 | N/A | 15609641 | 2026-03-09 22:24:28.852253 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 22:24:25.346851 | 2026-03-09 22:24:26.998255 | 19859465 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / ASTIVA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 178695 | STOVER | AHCA00059048 | JESUSAESTRELLA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19859465_0e48d9af-cd18-42f3-b5f3-12ae9fc311d3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | N/A | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP / ASTIVA | N/A | 1960-04-15 | N/A | N/A | N/A | N/A | false | STOVER | N/A | JESUSAESTRELLA | 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 | 9481 | N/A | 17562065 | 2222 | N/A | N/A | N/A | 15609641 | 2026-03-09 22:24:26.998255 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 22:23:07.598942 | 2026-03-09 22:23:09.467969 | 19859373 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / ASTIVA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 178695 | STOVER | AHCA00059048 | JESUSAESTRELLA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19859373_0032fe78-5a9d-47c0-9a5e-ce457165c949.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17562065/check_19859373_4f3f2579-8300-45bc-a611-8dd265ee6bdc.json | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP / ASTIVA | N/A | 1960-04-15 | N/A | N/A | N/A | N/A | false | STOVER | N/A | JESUSAESTRELLA | 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 | 9481 | N/A | 17562065 | 2222 | N/A | 19953341 | N/A | 15609641 | 2026-03-09 22:23:09.467969 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 22:23:05.816027 | 2026-03-09 22:23:07.595848 | 19859368 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / ASTIVA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 178695 | STOVER | AHCA00059048 | JESUSAESTRELLA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19859368_8979a05b-d2dd-4f20-a543-cb6d5e10318c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | N/A | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP / ASTIVA | N/A | 1960-04-15 | N/A | N/A | N/A | N/A | false | STOVER | N/A | JESUSAESTRELLA | 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 | 9481 | N/A | 17562065 | 2222 | N/A | N/A | N/A | 15609641 | 2026-03-09 22:23:07.595848 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 22:22:21.683703 | 2026-03-09 22:22:23.473400 | 19859294 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / ASTIVA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 178695 | STOVER | AHCA00059048 | JESUSA ESTRELLA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19859294_2da59c10-dced-4d57-aa86-ad7f7aa14f95.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17562065/check_19859294_edd2a66b-6c3e-432d-88f3-84d47438af9e.json | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP / ASTIVA | N/A | 1960-04-15 | N/A | N/A | N/A | N/A | false | STOVER | N/A | JESUSA ESTRELLA | 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 | 9481 | N/A | 17562065 | 2222 | N/A | 19953280 | N/A | 15609641 | 2026-03-09 22:22:23.473400 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 22:22:19.930420 | 2026-03-09 22:22:21.680130 | 19859282 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / ASTIVA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 178695 | STOVER | AHCA00059048 | JESUSA ESTRELLA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19859282_a936bb9e-0fc7-4ee5-b407-5843694ba11c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | N/A | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP / ASTIVA | N/A | 1960-04-15 | N/A | N/A | N/A | N/A | false | STOVER | N/A | JESUSA ESTRELLA | 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 | 9481 | N/A | 17562065 | 2222 | N/A | N/A | N/A | 15609641 | 2026-03-09 22:22:21.680130 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 22:20:40.892851 | 2026-03-09 22:20:42.724909 | 19859134 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / ASTIVA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 178695 | STOVER | AHCA00059048 | JESUSA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19859134_e906a269-585d-42e9-8476-382a7aa99c32.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17562065/check_19859134_c5d45b22-ba60-4385-bde3-f8d79a4d74a6.json | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP / ASTIVA | N/A | 1960-04-15 | N/A | N/A | N/A | N/A | false | STOVER | N/A | JESUSA | 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 | 9481 | N/A | 17562065 | 2222 | N/A | 19953180 | N/A | 15609641 | 2026-03-09 22:20:42.724909 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 22:20:39.038575 | 2026-03-09 22:20:40.888533 | 19859133 | N/A | N/A | LMG01 | LAKESIDE MEDICAL GROUP / ASTIVA | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 178695 | STOVER | AHCA00059048 | JESUSA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19859133_409f2bcc-677b-4794-9376-79149de640b0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | N/A | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP / ASTIVA | N/A | 1960-04-15 | N/A | N/A | N/A | N/A | false | STOVER | N/A | JESUSA | 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 | 9481 | N/A | 17562065 | 2222 | N/A | N/A | N/A | 15609641 | 2026-03-09 22:20:40.888533 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 21:50:45.286872 | 2026-03-09 21:51:18.615439 | 19856724 | 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_19856724_290c36df-7daa-49d0-b70f-7ea04886fc9d.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 | 2026-03-09 21:51:18.615439 | 2025-11-11 01:01:48.778756 |
| 2026-03-09 21:49:28.395150 | 2026-03-09 21:50:02.163781 | 19856616 | 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_19856616_0dccb32c-0acb-4ef5-a9e6-11f1193cb795.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 | 2026-03-09 21:50:02.163781 | 2025-05-13 04:29:37.229495 |
| 2026-03-09 21:47:34.492845 | 2026-03-09 21:48:07.618695 | 19856436 | 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_19856436_4b4718b6-101a-4fc8-9896-3dca31d0c84e.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 | 2026-03-09 21:48:07.618695 | 2025-11-11 01:01:48.778756 |
| 2026-03-09 21:27:31.826124 | 2026-03-09 21:28:05.031036 | 19855583 | 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_19855583_e44a7a6d-3385-42ae-a73a-79484f49dd04.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 | 2026-03-09 21:28:05.031036 | 2025-11-11 01:01:48.778756 |
| 2026-03-09 21:25:41.289257 | 2026-03-09 21:26:15.208233 | 19855447 | 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_19855447_1f35e158-0644-44ce-b967-fac30d774a84.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 | 2026-03-09 21:26:15.208233 | 2025-05-13 04:29:37.229495 |
| 2026-03-09 21:23:08.946509 | 2026-03-09 21:23:42.333790 | 19855222 | 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_19855222_04849f86-1afa-4f7a-9e1f-1f3fa8985399.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 | 2026-03-09 21:23:42.333790 | 2025-11-11 01:01:48.778756 |
| 2026-03-09 21:18:28.736766 | 2026-03-09 21:18:30.666195 | 19854821 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-02-23 | 2026-03-16 | M | AE | PT | 5538 | Naito | 93614355F | Arthur | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17429709/check_19854821_41439c8a-2c58-4983-b4b6-803e782daac2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17429709/check_19854821_1784838a-9328-4311-8d7b-bebef7d80bb6.json | N/A | N/A | N/A | N/A | N/A | 93614355F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1965-02-23 | MCLA | MWLLNMEG21 | N/A | N/A | false | NAITO | N/A | ARTHUR | N/A | 2078-12-31 | 2016-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10245886526 | N/A | N/A | 17429709 | 2222 | N/A | 19950066 | N/A | 15440773 | 2026-03-09 21:18:30.666195 | 2026-02-27 19:52:08.982558 |
| 2026-03-09 21:17:02.483260 | 2026-03-09 21:17:39.713418 | 19854696 | 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_19854696_293f2732-c9c5-445a-817e-effffb3f9c84.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 | 2026-03-09 21:17:39.713418 | 2025-05-13 04:29:37.229495 |
| 2026-03-09 21:15:19.376891 | 2026-03-09 21:15:21.224545 | 19854568 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2004-11-06 | 2026-03-11 | M | AE | PT | 4199 | HAZANY | 909936004H | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543309/check_19854568_0b3d7f65-43d6-4baa-9978-4da3904d0c1d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543309/check_19854568_6180aea7-96e7-406d-9ff3-3769b37d02cb.json | N/A | N/A | N/A | N/A | N/A | 909936004H | N/A | N/A | MEDICAID CALIFORNIA | N/A | 2004-11-06 | N/A | N/A | N/A | N/A | false | HAZANY | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5543309 | 2222 | N/A | 19949897 | N/A | 4215115 | 2026-03-09 21:15:21.224545 | 2026-02-17 23:55:26.098884 |
| 2026-03-09 21:15:17.643346 | 2026-03-09 21:15:19.372761 | 19854558 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2004-11-06 | 2026-03-11 | M | AE | PT | 4199 | HAZANY | 909936004H | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543309/check_19854558_83861eb3-b96a-48f5-8bdd-a6c400ea5738.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | 909936004H | N/A | N/A | MEDICAID CALIFORNIA | N/A | 2004-11-06 | N/A | N/A | N/A | N/A | false | HAZANY | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5543309 | 2222 | N/A | N/A | N/A | 4215115 | 2026-03-09 21:15:19.372761 | 2026-02-17 23:55:26.098884 |
| 2026-03-09 21:14:51.469188 | 2026-03-09 21:14:53.542381 | 19854504 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-10 | 2026-03-11 | F | AE | PT | 4497 | Kaur | 2AP8VUOHM59 | SARANJIT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17736420/check_19854504_22b39407-195f-40e9-9143-165a42dc4a3b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17736420/check_19854504_c8c6d0db-28a0-4d0c-b5c0-a2641c4e4b87.json | N/A | N/A | N/A | N/A | N/A | 2AP8VUOHM59 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1966-02-10 | N/A | N/A | N/A | N/A | false | KAUR | N/A | SARANJIT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17736420 | 2222 | N/A | 19949879 | N/A | 15497513 | 2026-03-09 21:14:53.542381 | 2026-03-06 21:33:02.751048 |
| 2026-03-09 21:14:49.818185 | 2026-03-09 21:14:51.466124 | 19854503 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-02-10 | 2026-03-11 | F | AE | PT | 4497 | Kaur | 2AP8VUOHM59 | SARANJIT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17736420/check_19854503_620b994c-f930-48df-b0a3-e5e4f565361c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | 2AP8VUOHM59 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1966-02-10 | N/A | N/A | N/A | N/A | false | KAUR | N/A | SARANJIT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17736420 | 2222 | N/A | N/A | N/A | 15497513 | 2026-03-09 21:14:51.466124 | 2026-03-06 21:33:02.751048 |
| 2026-03-09 21:14:39.516419 | 2026-03-09 21:14:41.298238 | 19854491 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-24 | 2026-03-11 | F | AE | PT | 4497 | MOLAYEN | 1FP8YH1UQ32 | JILLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16453424/check_19854491_5849c9ce-cded-4993-89a7-5bc0d8101f46.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16453424/check_19854491_07549b37-468e-4e8e-b45a-7e256391fad9.json | N/A | N/A | N/A | N/A | N/A | 1FP8YH1UQ32 | N/A | N/A | CMS | N/A | 1949-06-24 | N/A | N/A | N/A | N/A | false | MOLAYEN | N/A | JILLA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16453424 | 2222 | N/A | 19949877 | N/A | 14498125 | 2026-03-09 21:14:41.298238 | 2026-03-11 14:35:29.812051 |
| 2026-03-09 21:14:37.826840 | 2026-03-09 21:14:39.512406 | 19854489 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-06-24 | 2026-03-11 | F | AE | PT | 4497 | MOLAYEN | 1FP8YH1UQ32 | JILLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16453424/check_19854489_dc75d914-c00f-4656-b784-6c5dafe91ddf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | 1FP8YH1UQ32 | N/A | N/A | CMS | N/A | 1949-06-24 | N/A | N/A | N/A | N/A | false | MOLAYEN | N/A | JILLA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16453424 | 2222 | N/A | N/A | N/A | 14498125 | 2026-03-09 21:14:39.512406 | 2026-03-11 14:35:29.812051 |
| 2026-03-09 21:14:29.618592 | 2026-03-09 21:14:32.409497 | 19854482 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-04-17 | 2026-03-11 | F | AE | PT | 4625 | MULLEN | 96337043G | MELANIE | K | https://storage.googleapis.com/normandy-eligibility-checks/2222/16579498/check_19854482_226fde47-e0a2-4da8-8943-39615cb9c373.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16579498/check_19854482_058d3164-8ead-4f91-bd41-5372e8e5a34c.json | N/A | N/A | N/A | N/A | N/A | 96337043G | N/A | N/A | HEALTH NET, LLC | N/A | 1983-04-17 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16579498 | 2222 | N/A | 19949868 | N/A | 14597625 | 2026-03-09 21:14:32.409497 | 2026-02-09 19:54:47.612972 |
| 2026-03-09 21:14:26.824705 | 2026-03-09 21:14:29.615881 | 19854480 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-04-17 | 2026-03-11 | F | AE | PT | 4625 | MULLEN | 96337043G | MELANIE | K | https://storage.googleapis.com/normandy-eligibility-checks/2222/16579498/check_19854480_9fc2623f-bcc8-406d-9416-c3c5b8565045.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | 96337043G | N/A | N/A | HEALTH NET, LLC | N/A | 1983-04-17 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 16579498 | 2222 | N/A | N/A | N/A | 14597625 | 2026-03-09 21:14:29.615881 | 2026-02-09 19:54:47.612972 |
| 2026-03-09 21:14:03.041963 | 2026-03-09 21:14:06.131603 | 19854477 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-02-19 | 2026-03-11 | F | AE | PT | 2630 | Hale | 00000272654 | Vicki | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17249147/check_19854477_238c7807-29bb-49b4-bcab-e4a0a085fc97.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17249147/check_19854477_53def01d-7894-411a-b857-620944502510.json | N/A | N/A | N/A | N/A | N/A | 00000272654 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1948-02-19 | N/A | N/A | N/A | N/A | false | HALE | N/A | VICKI | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17249147 | 2222 | N/A | 19949863 | N/A | 15266859 | 2026-03-09 21:14:06.131603 | 2026-02-23 21:46:02.438896 |
| 2026-03-09 21:14:00.241546 | 2026-03-09 21:14:03.037896 | 19854474 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-02-19 | 2026-03-11 | F | AE | PT | 2630 | Hale | 00000272654 | Vicki | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17249147/check_19854474_d93af998-698e-4774-bf0f-90c469f1a66e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000272654 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1948-02-19 | N/A | N/A | N/A | N/A | false | HALE | N/A | VICKI | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17249147 | 2222 | N/A | N/A | N/A | 15266859 | 2026-03-09 21:14:03.037896 | 2026-02-23 21:46:02.438896 |
| 2026-03-09 21:13:45.449258 | 2026-03-09 21:13:50.634278 | 19854471 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1962-09-10 | 2026-03-11 | M | PT | N/A | 4197 | M Johnson | KWS141015355001 | David | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14108628/check_19854471_583bdbc7-d2d5-473c-af71-406568a6b445.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14108628/check_19854471_3efabeca-7176-4a8f-b6bb-8cb073404d7b.json | N/A | N/A | N/A | N/A | N/A | KWS141015355001 | Preferred Provider Organization (PPO) | BOIRON, INC. ACTIVE | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = FULLY INSURED | 1962-09-10 | 376 | 10897275 | N/A | PR | false | JOHNSON | N/A | DAVID | N/A | 9999-12-31 | 2025-07-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10245848714 | 167942 | N/A | 14108628 | 2222 | N/A | 19949854 | N/A | 12247347 | 2026-03-09 21:13:50.634278 | 2025-12-10 23:35:09.824882 |
| 2026-03-09 21:13:15.135789 | 2026-03-09 21:13:16.933815 | 19854461 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-08-25 | 2026-03-11 | M | AE | PT | 4185 | JEWETT | 165W05926-10 | BRAD | R R | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542557/check_19854461_9a0e5035-d078-4c2a-b0d4-18c4344db44a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542557/check_19854461_abde35f7-1d87-43d3-9c77-0081ed1e400d.json | N/A | N/A | N/A | N/A | N/A | 165W05926-10 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-08-25 | N/A | N/A | N/A | N/A | false | JEWETT | N/A | BRAD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5542557 | 2222 | N/A | 19949830 | N/A | 4214450 | 2026-03-09 21:13:16.933815 | 2026-03-06 00:04:40.436388 |
| 2026-03-09 21:13:12.411227 | 2026-03-09 21:13:15.131603 | 19854460 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-08-25 | 2026-03-11 | M | AE | PT | 4185 | JEWETT | 165W05926-10 | BRAD | R R | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542557/check_19854460_2db62d92-f768-40ee-bbbb-4da7d613a0c0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | 165W05926-10 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-08-25 | N/A | N/A | N/A | N/A | false | JEWETT | N/A | BRAD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5542557 | 2222 | N/A | N/A | N/A | 4214450 | 2026-03-09 21:13:15.131603 | 2026-03-06 00:04:40.436388 |
| 2026-03-09 21:13:01.696094 | 2026-03-09 21:13:03.639599 | 19854445 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-02-07 | 2026-03-11 | U | AE | PT | 2630 | Moon | 00000368608 | Karin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17553857/check_19854445_b7d23d1a-1f7c-43af-883e-c6fdb202d8c3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17553857/check_19854445_24606daa-ed8e-4307-9b8c-0ca0adfdf18f.json | N/A | N/A | N/A | N/A | N/A | 00000368608 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1954-02-07 | N/A | N/A | N/A | N/A | false | MOON | N/A | KARIN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17553857 | 2222 | N/A | 19949807 | N/A | 15597742 | 2026-03-09 21:13:03.639599 | 2026-03-11 22:05:27.092919 |
| 2026-03-09 21:12:59.745818 | 2026-03-09 21:13:01.692247 | 19854443 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-02-07 | 2026-03-11 | U | AE | PT | 2630 | Moon | 00000368608 | Karin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17553857/check_19854443_d4f9ab42-5681-40df-8233-b77f9b4d59c1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000368608 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1954-02-07 | N/A | N/A | N/A | N/A | false | MOON | N/A | KARIN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17553857 | 2222 | N/A | N/A | N/A | 15597742 | 2026-03-09 21:13:01.692247 | 2026-03-11 22:05:27.092919 |
| 2026-03-09 21:12:49.325421 | 2026-03-09 21:12:51.262705 | 19854431 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-11-21 | 2026-03-11 | F | AE | PT | 23323 | VERGARA | ICA088184 | CARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17600158/check_19854431_e844888c-834f-455a-9904-cb8c0338f655.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600158/check_19854431_fdd5bcf6-aed3-4014-9ef0-c86214453b1a.json | N/A | N/A | N/A | N/A | N/A | ICA088184 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-11-21 | N/A | N/A | N/A | N/A | false | VERGARA | N/A | CARMEN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17600158 | 2222 | N/A | 19949801 | N/A | 15647079 | 2026-03-09 21:12:51.262705 | 2026-03-04 22:16:35.562250 |
| 2026-03-09 21:12:47.512836 | 2026-03-09 21:12:49.321120 | 19854430 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-11-21 | 2026-03-11 | F | AE | PT | 23323 | VERGARA | ICA088184 | CARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17600158/check_19854430_a4956916-5be0-4a2b-89dc-d602885b8331.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | ICA088184 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-11-21 | N/A | N/A | N/A | N/A | false | VERGARA | N/A | CARMEN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17600158 | 2222 | N/A | N/A | N/A | 15647079 | 2026-03-09 21:12:49.321120 | 2026-03-04 22:16:35.562250 |
| 2026-03-09 21:12:34.666881 | 2026-03-09 21:12:37.844127 | 19854418 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-10-14 | 2026-03-11 | M | AE | PT | 2630 | CHISARI | 00000386684 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536007/check_19854418_ef744a7e-cc98-4d07-b453-55e2616aa8ba.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_19854418_84d5ee62-0463-498b-a930-db0381f8f522.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1952-10-14 | N/A | N/A | N/A | N/A | false | CHISARI | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5536007 | 2222 | N/A | 19949796 | N/A | 4208829 | 2026-03-09 21:12:37.844127 | 2025-06-03 01:05:45.663969 |
| 2026-03-09 21:12:31.916371 | 2026-03-09 21:12:34.661992 | 19854414 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-10-14 | 2026-03-11 | M | AE | PT | 2630 | CHISARI | 00000386684 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536007/check_19854414_9eeaec11-81ce-4092-9b02-847dd2ce62b3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000386684 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1952-10-14 | N/A | N/A | N/A | N/A | false | CHISARI | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 5536007 | 2222 | N/A | N/A | N/A | 4208829 | 2026-03-09 21:12:34.661992 | 2025-06-03 01:05:45.663969 |
| 2026-03-09 21:12:07.860467 | 2026-03-09 21:12:21.560481 | 19854378 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-04-09 | 2026-03-11 | F | AE | PT | 4211 | NEWMAN | 99514677E | CHRISTINE | M | https://storage.googleapis.com/normandy-eligibility-checks/2222/17821217/check_19854378_8ca88cda-0b27-4d88-ae85-6c127354ce9c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17821217/check_19854378_5e02c128-512c-4ebe-84e9-0faf7cb99b60.json | N/A | N/A | N/A | N/A | N/A | 99514677E | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1971-04-09 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | NEWMAN | N/A | CHRISTINE | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10245836062 | 167942 | N/A | 17821217 | 2222 | N/A | 19949751 | N/A | 15865943 | 2026-03-09 21:12:21.560481 | 2026-03-09 18:03:26.830821 |
| 2026-03-09 21:11:37.020051 | 2026-03-09 21:11:39.189284 | 19854320 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2026-03-11 | M | AE | PT | 4497 | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_19854320_8e18aae1-5b62-4fba-8a46-506741bfa920.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_19854320_f6eb390a-5202-4026-a453-ebee53e2d9d9.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MB | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 11101 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10245831684 | 167942 | N/A | 5542555 | 2222 | N/A | 19949708 | N/A | 4214447 | 2026-03-09 21:11:39.189284 | 2026-04-23 20:11:34.441054 |
| 2026-03-09 21:10:56.152499 | 2026-03-09 21:10:57.899585 | 19854236 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-20 | 2026-03-11 | F | PT | N/A | 4184 | MICHAEL | 291W2286820 | ABEBU | HAILE | https://storage.googleapis.com/normandy-eligibility-checks/2222/14345284/check_19854236_859290ae-c4a4-45ec-af78-7f6cf5c26e02.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14345284/check_19854236_8ac501c2-89a0-4048-bfcc-ccd7dade2457.json | N/A | N/A | N/A | N/A | N/A | 291W2286820 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-08-20 | N/A | N/A | N/A | N/A | false | MICHAEL | N/A | ABEBU | N/A | 9999-12-31 | 2025-02-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 14345284 | 2222 | N/A | 19949635 | N/A | 4534565 | 2026-03-09 21:10:57.899585 | 2026-03-10 20:57:14.661259 |