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 20:07:32.764295 | 2026-03-09 20:07:35.563632 | 19851586 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-10-20 | 2026-01-16 | N/A | PT | AE | 1030 | LIRANZO | 95222529G | ANTONIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9985996/check_19851586_23f43aad-3949-41a0-a2e8-0fb4b2f7eb99.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9985996/check_19851586_07dbe830-069f-4d75-b3aa-dd64f4e9369c.json | N/A | N/A | N/A | N/A | N/A | 95222529G | N/A | N/A | HEALTH NET, LLC | N/A | 1991-10-20 | N/A | N/A | N/A | N/A | false | LIRANZO | N/A | ANTONIO | N/A | 2026-01-16 | 2025-06-01 | KCW MCALSTD | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10245294491 | N/A | N/A | 9985996 | 2222 | N/A | 19947139 | N/A | 8356571 | 2026-03-09 20:07:35.563632 | 2025-10-27 21:41:29.184520 |
| 2026-03-09 20:07:11.999777 | 2026-03-09 20:07:15.956613 | 19851545 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-09-17 | 2026-01-20 | N/A | PT | AE | 4625 | GIANOLI | R11857813FM1 | ELSY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568076/check_19851545_1a45f668-03d4-424e-94eb-82bdaf1d3c9d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_19851545_431d3ac2-4bde-4a13-877b-c7c3a5297438.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10245290944 | N/A | N/A | 5568076 | 2222 | N/A | 19947115 | N/A | 4209480 | 2026-03-09 20:07:15.956613 | 2026-04-10 02:05:15.976484 |
| 2026-03-09 20:02:47.681142 | 2026-03-09 20:03:22.001611 | 19851173 | 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_19851173_b26b8e73-98f6-4b6c-b777-0a3ce5f1d192.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 20:03:22.001611 | 2025-05-13 04:29:37.229495 |
| 2026-03-09 19:51:19.830528 | 2026-03-09 19:51:53.521967 | 19850751 | 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_19850751_face385f-a0f9-420f-8cc7-3766b54a9ed8.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 19:51:53.521967 | 2025-05-13 04:29:37.229495 |
| 2026-03-09 19:49:04.376946 | 2026-03-09 19:49:08.165893 | 19850552 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-01-07 | 2026-01-19 | N/A | PT | AE | 4185 | SABINO LASMARIAS | NCF513A21338 | JOVELYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15930622/check_19850552_f9d4dfa9-83d8-4b40-b9a8-f08aeffcf448.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15930622/check_19850552_1d4025f1-ef7b-4ddf-ac58-2a40377c7c70.json | N/A | N/A | N/A | N/A | N/A | NCF513A21338 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1986-01-07 | 040 | 57AJCA | N/A | HM | false | LASMARIAS | N/A | ANTHONY | N/A | 9999-12-31 | 2024-11-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10245146937 | N/A | N/A | 15930622 | 2222 | N/A | 19946227 | N/A | 13567673 | 2026-03-09 19:49:08.165893 | 2026-01-28 15:52:55.238058 |
| 2026-03-09 19:45:09.858621 | 2026-03-09 19:45:13.688766 | 19850176 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-03-27 | 2026-01-02 | N/A | PT | AE | 4211 | MCCOWAN | 93341440D | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543270/check_19850176_822527ef-57d3-4bbc-8710-46a05f502d4d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_19850176_4a89dc80-f685-4043-9981-580b429ed783.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10245102384 | N/A | N/A | 5543270 | 2222 | N/A | 19945886 | N/A | 4215086 | 2026-03-09 19:45:13.688766 | 2025-05-13 04:29:37.229401 |
| 2026-03-09 19:43:13.278081 | 2026-03-09 19:43:46.996749 | 19849997 | 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_19849997_683e5c86-c317-4519-abb8-7cff15f2d375.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 19:43:46.996749 | 2025-05-13 04:29:37.229495 |
| 2026-03-09 19:14:35.707396 | 2026-03-09 19:14:38.772830 | 19849152 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-31 | 2026-03-13 | M | PT | N/A | 4185 | GODIN | MPI01391129Q | RODERICK | Paul | https://storage.googleapis.com/normandy-eligibility-checks/2222/17826471/check_19849152_77b4579f-17a4-4e25-aa09-b893bb64d033.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17826471/check_19849152_f54996e4-72b3-4ae1-80a6-af7b77d2d864.json | N/A | N/A | N/A | N/A | N/A | MPI01391129Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1970-03-31 | 040 | 277163M401 | N/A | PR | false | GODIN | N/A | RODERICK | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10244845079 | N/A | N/A | 17826471 | 2222 | N/A | 19944872 | N/A | 15870803 | 2026-03-09 19:14:38.772830 | 2026-03-09 19:03:45.705231 |
| 2026-03-09 19:10:28.837547 | 2026-03-09 19:10:31.595500 | 19848954 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2019-03-04 | 2026-01-12 | N/A | PT | AE | N/A | BEJGUM | 124204503 | ABHIRAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14808680/check_19848954_292fc9fd-8340-4bf1-a5df-82c4c3cf1485.json | UHC | N/A | GOOGLE_CLOUD | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14808680/check_19848954_3a7f8759-16d9-4342-a957-a0e342b21caf.json | N/A | N/A | N/A | N/A | N/A | 124204503 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2019-03-04 | N/A | 147378 | N/A | C1 | false | BEJGUM | N/A | ABHIRAM | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14808680 | 2222 | N/A | 19944666 | N/A | 11005792 | 2026-03-09 19:10:31.595500 | 2025-12-20 00:52:29.690688 |
| 2026-03-09 19:09:27.699916 | 2026-03-09 19:09:29.695778 | 19848815 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-11-12 | 2026-01-07 | N/A | PT | AE | 1030 | BARREDA | KXJ508W22665 | JOAQUIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16294707/check_19848815_f6415a15-6500-4c1c-aec8-6e3e8ee4b868.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16294707/check_19848815_3a83394b-50b6-4887-a5cc-9b05846b1034.json | N/A | N/A | N/A | N/A | N/A | KXJ508W22665 | N/A | N/A | CENTENE CORPORATION | N/A | 1977-11-12 | N/A | N/A | N/A | N/A | false | BARREDA | N/A | JOAQUIN | 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 | 16294707 | 2222 | N/A | 19944544 | N/A | 9438953 | 2026-03-09 19:09:29.695778 | 2025-10-27 18:23:12.066967 |
| 2026-03-09 19:09:25.923699 | 2026-03-09 19:09:27.697583 | 19848811 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-11-12 | 2026-01-07 | N/A | PT | AE | 1030 | BARREDA | KXJ508W22665 | JOAQUIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16294707/check_19848811_20ad1794-0dc4-467b-921f-c6065759b71f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-07 | N/A | N/A | N/A | N/A | N/A | N/A | KXJ508W22665 | N/A | N/A | CENTENE CORPORATION | N/A | 1977-11-12 | N/A | N/A | N/A | N/A | false | BARREDA | N/A | JOAQUIN | 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 | 16294707 | 2222 | N/A | N/A | N/A | 9438953 | 2026-03-09 19:09:27.697583 | 2025-10-27 18:23:12.066967 |
| 2026-03-09 19:08:44.322460 | 2026-03-09 19:09:18.270056 | 19848732 | 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_19848732_482af6ab-9f6b-4d1b-9daa-3bcf421dd4e1.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 19:09:18.270056 | 2025-05-13 04:29:37.229495 |
| 2026-03-09 19:05:04.635016 | 2026-03-09 19:05:06.486441 | 19848387 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-11-18 | 2026-01-23 | N/A | PT | AE | 6237 | WIGGINS | 40072875001 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15534853/check_19848387_e480219c-50a3-42c3-a789-1537086526d8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15534853/check_19848387_8c051880-5655-4459-b244-61315aef65a7.json | N/A | N/A | N/A | N/A | N/A | 40072875001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-11-18 | 2026H5425001 | H5425M | N/A | N/A | false | WIGGINS | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10244749646 | N/A | N/A | 15534853 | 2222 | N/A | 19944146 | N/A | 4219334 | 2026-03-09 19:05:06.486441 | 2025-05-13 04:29:37.230357 |
| 2026-03-09 19:04:21.605972 | 2026-03-09 19:04:23.675363 | 19848314 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-06 | 2026-01-21 | N/A | PT | AE | 6237 | SACK | 40039393001 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14042644/check_19848314_c8155767-32ac-4687-b744-82dd1f566b62.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14042644/check_19848314_632fa2a3-3fcc-4a0d-9375-94aeff462d5c.json | N/A | N/A | N/A | N/A | N/A | 40039393001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-03-06 | 2026H5425001 | H5425M | N/A | N/A | false | SACK JR | N/A | ROBERT | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10244743382 | N/A | N/A | 14042644 | 2222 | N/A | 19944080 | N/A | 10314571 | 2026-03-09 19:04:23.675363 | 2026-01-04 16:54:02.110823 |
| 2026-03-09 19:03:44.064087 | 2026-03-09 19:03:45.994118 | 19848259 | 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_19848259_a30a5aff-9843-4fcc-824a-5b2a9a3c8930.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17562065/check_19848259_86ea64ea-c828-46a2-95cf-cb323ce05a62.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 | 7927 | N/A | 17562065 | 2222 | N/A | 19944029 | N/A | 15609641 | 2026-03-09 19:03:45.994118 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 19:03:42.334648 | 2026-03-09 19:03:44.059999 | 19848258 | 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_19848258_224c4796-9ac0-4630-a041-139f37a99a15.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 | 7927 | N/A | 17562065 | 2222 | N/A | N/A | N/A | 15609641 | 2026-03-09 19:03:44.059999 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 19:00:42.879216 | 2026-03-09 19:00:44.707769 | 19847987 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-11-21 | 2026-03-09 | F | AE | PT | 23323 | VERGARA | ICA088184 | CARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17600158/check_19847987_93b15876-758e-49fe-a104-c1de8ad7fcba.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600158/check_19847987_ac0f3089-618d-46fc-a7c6-126d75ed595e.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 | 7927 | N/A | 17600158 | 2222 | N/A | 19943787 | N/A | 15647079 | 2026-03-09 19:00:44.707769 | 2026-03-04 22:16:35.562250 |
| 2026-03-09 19:00:41.077398 | 2026-03-09 19:00:42.875022 | 19847985 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-11-21 | 2026-03-09 | F | AE | PT | 23323 | VERGARA | ICA088184 | CARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17600158/check_19847985_f3a7a858-d5ae-4fec-bb14-aad4ad73942c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | N/A | N/A | N/A | N/A | N/A | N/A | ICA088184 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-11-21 | N/A | N/A | N/A | N/A | false | VERGARA | N/A | CARMEN | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 17600158 | 2222 | N/A | N/A | N/A | 15647079 | 2026-03-09 19:00:42.875022 | 2026-03-04 22:16:35.562250 |
| 2026-03-09 18:56:56.994438 | 2026-03-09 18:56:58.963574 | 19847853 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-12-06 | 2026-03-09 | F | PT | N/A | 4185 | MARCHETTI | MMA759W18793 | PAULA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7755198/check_19847853_c213faf8-771d-4b3c-b686-789089c52b39.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7755198/check_19847853_672bcae1-d6b9-4b32-af35-4a09ff3b7d78.json | N/A | N/A | N/A | N/A | N/A | MMA759W18793 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-12-06 | 040 | CAMCRWP0 | N/A | MP | false | MARCHETTI | N/A | PAULA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10244681805 | 167942 | N/A | 7755198 | 2222 | N/A | 19943695 | N/A | 6606171 | 2026-03-09 18:56:58.963574 | 2025-08-04 19:27:53.075551 |
| 2026-03-09 18:56:46.130146 | 2026-03-09 18:56:48.906828 | 19847852 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-12-06 | 2026-02-18 | F | PT | N/A | 4185 | MARCHETTI | MMA759W18793 | PAULA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7755198/check_19847852_bb650809-dfd7-4cc7-b9a6-6e89fe0d6cd8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7755198/check_19847852_3c9b965f-7297-445e-80bd-f6d08ee90ebb.json | N/A | N/A | N/A | N/A | N/A | MMA759W18793 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-12-06 | 040 | CAMCRWP0 | N/A | MP | false | MARCHETTI | N/A | PAULA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10244680444 | 167942 | N/A | 7755198 | 2222 | N/A | 19943694 | N/A | 6606171 | 2026-03-09 18:56:48.906828 | 2025-08-04 19:27:53.075551 |
| 2026-03-09 18:56:38.927022 | 2026-03-09 18:56:41.820440 | 19847849 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-07-21 | 2026-03-09 | F | AE | PT | 4184 | MORSE | NCF753A67840 | ANNAMARIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541975/check_19847849_65e47c82-97f5-4a5c-a8fc-65c107ed5d69.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541975/check_19847849_954e08d9-5d45-4069-948f-b040680f5761.json | N/A | N/A | N/A | N/A | N/A | NCF753A67840 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1973-07-21 | 040 | 57AJCA | N/A | HM | false | MORSE | N/A | ANNAMARIE | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10244679601 | 7927 | N/A | 5541975 | 2222 | N/A | 19943690 | N/A | 4213942 | 2026-03-09 18:56:41.820440 | 2025-05-13 04:29:37.228260 |
| 2026-03-09 18:52:01.530019 | 2026-03-09 18:52:03.559781 | 19847759 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-12-06 | 2026-03-09 | F | PT | N/A | 4185 | MARCHETTI | MMA759W18793 | PAULA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7755198/check_19847759_30c1d7f6-5b87-48e6-b74f-5a7943e5a442.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7755198/check_19847759_4ffbb13e-7c56-4674-a9fc-fff14ec85bc2.json | N/A | N/A | N/A | N/A | N/A | MMA759W18793 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-12-06 | 040 | CAMCRWP0 | N/A | MP | false | MARCHETTI | N/A | PAULA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10244642949 | 7927 | N/A | 7755198 | 2222 | N/A | 19943583 | N/A | 6606171 | 2026-03-09 18:52:03.559781 | 2025-08-04 19:27:53.075551 |
| 2026-03-09 18:50:10.885570 | 2026-03-09 18:50:15.217698 | 19847667 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2019-03-04 | 2025-12-17 | N/A | PT | AE | N/A | BEJGUM | 124204503 | ABHIRAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14808680/check_19847667_0fe8e935-1344-43e7-ab2e-dd69693ad854.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14808680/check_19847667_e45875b8-371e-4e35-8910-ffc57e26ba2b.json | N/A | N/A | N/A | N/A | N/A | 124204503 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2019-03-04 | N/A | 147378 | N/A | C1 | false | BEJGUM | N/A | ABHIRAM | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14808680 | 2222 | N/A | 19943485 | N/A | 11005792 | 2026-03-09 18:50:15.217698 | 2025-12-20 00:52:29.690688 |
| 2026-03-09 18:49:49.653986 | 2026-03-09 18:49:52.455031 | 19847641 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-02-07 | 2026-02-05 | N/A | PT | AE | 4625 | SHEPHERD | 93180838F | EMILY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541519/check_19847641_fd015358-fd8a-42b8-a254-50f72127e46e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_19847641_26498e11-7f91-41ac-b0b8-7282e32d1641.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | 2026-02-05 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10244621064 | N/A | N/A | 5541519 | 2222 | N/A | 19943460 | N/A | 4213530 | 2026-03-09 18:49:52.455031 | 2025-05-13 04:29:37.227860 |
| 2026-03-09 18:49:40.993238 | 2026-03-09 18:49:44.950734 | 19847630 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-03-28 | 2025-07-25 | N/A | PT | AE | 4437 | SAGMAN | U9205101701 | SYDNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9924959/check_19847630_2f756830-fab9-4944-b5a7-d4b5f10afcfb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9924959/check_19847630_e450ae22-43c0-47f8-950d-000dad379c2c.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10244619847 | N/A | N/A | 9924959 | 2222 | N/A | 19943452 | N/A | 4722569 | 2026-03-09 18:49:44.950734 | 2025-08-26 00:16:35.895658 |
| 2026-03-09 18:48:15.539922 | 2026-03-09 18:48:49.401685 | 19847507 | 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_19847507_69fece8d-1610-49fa-b665-222c5866ba31.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 18:48:49.401685 | 2025-05-13 04:29:37.229495 |
| 2026-03-09 18:46:07.274706 | 2026-03-09 18:46:09.369713 | 19847298 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 23319 | STOVER | AHCA00059048 | JESUSA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19847298_1a9254e4-1964-4893-82c7-f37dee67a989.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17562065/check_19847298_91f5cb2b-fa24-4b05-81ae-2fe14c75c35f.json | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | 167942 | N/A | 17562065 | 2222 | N/A | 19943134 | N/A | 15609641 | 2026-03-09 18:46:09.369713 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 18:46:05.187917 | 2026-03-09 18:46:07.267252 | 19847294 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 23319 | STOVER | AHCA00059048 | JESUSA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19847294_20571564-6198-4938-a97c-d7da3f84c3ce.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 | 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 | 167942 | N/A | 17562065 | 2222 | N/A | N/A | N/A | 15609641 | 2026-03-09 18:46:07.267252 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 18:45:40.625996 | 2026-03-09 18:45:42.439743 | 19847257 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-11-18 | 2026-01-09 | N/A | PT | AE | 4191 | PELLEGRINI | XEA913808278 | REY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539457/check_19847257_cf4cc7dc-b06f-431f-aed1-f6038568c10e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539457/check_19847257_a7e2f334-38b8-439a-9e8e-f972779a06e9.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2007-11-18 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10244587068 | N/A | N/A | 5539457 | 2222 | N/A | 19943097 | N/A | 4211757 | 2026-03-09 18:45:42.439743 | 2025-06-05 23:05:44.239427 |
| 2026-03-09 18:44:38.802900 | 2026-03-09 18:44:41.710661 | 19847169 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-01-08 | 2026-01-21 | N/A | PT | AE | 4625 | ALROMAIH | 91237812E | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993940/check_19847169_f9aa0f49-596f-4195-97c0-f0c788e00d7b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_19847169_56173580-013d-4482-a442-ff4180e1077b.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | 2026-01-21 | 2024-01-01 | KCW MCALSTD | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10244577223 | N/A | N/A | 5993940 | 2222 | N/A | 19943026 | N/A | 4642877 | 2026-03-09 18:44:41.710661 | 2025-12-23 23:49:16.627667 |
| 2026-03-09 18:43:59.080210 | 2026-03-09 18:44:00.911254 | 19847114 | 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_19847114_b3242710-61f0-4cd2-b7e5-f458ad0938ad.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17562065/check_19847114_1cfbf6dd-d828-41d0-bd95-e0c7d963bdb1.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 | 167942 | N/A | 17562065 | 2222 | N/A | 19942964 | N/A | 15609641 | 2026-03-09 18:44:00.911254 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 18:43:57.155314 | 2026-03-09 18:43:59.076313 | 19847101 | 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_19847101_173a835f-6f3c-4dbf-9b35-037c5d495cc5.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 | 167942 | N/A | 17562065 | 2222 | N/A | N/A | N/A | 15609641 | 2026-03-09 18:43:59.076313 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 18:35:51.048589 | 2026-03-09 18:35:53.073444 | 19846657 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-28 | 2026-03-09 | F | AE | PT | 6422 | Barrientos | 958247698-00 | Antoniette | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17540931/check_19846657_f1c9f800-e440-4f33-8aba-091b89d7170c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17540931/check_19846657_3045d236-bb97-46b8-8e7d-ed02b0aa0e82.json | N/A | N/A | N/A | N/A | N/A | 958247698 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1959-09-28 | N/A | 22448 | N/A | HN | false | BARRIENTOS | N/A | ANTONIETTE | N/A | N/A | N/A | HMO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10244504774 | N/A | N/A | 17540931 | 2222 | N/A | 19942549 | N/A | 15585907 | 2026-03-09 18:35:53.073444 | 2026-03-09 18:22:22.279915 |
| 2026-03-09 18:27:40.560462 | 2026-03-09 18:27:42.615723 | 19846536 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 23319 | STOVER | AHCA00059048 | JESUSA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19846536_abbffcfc-f6ae-44fa-88b9-2aa9d120c81e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17562065/check_19846536_749d1089-088f-4b33-8bf6-13832849e63a.json | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | 167942 | N/A | 17562065 | 2222 | N/A | 19942421 | N/A | 15609641 | 2026-03-09 18:27:42.615723 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 18:27:38.841759 | 2026-03-09 18:27:40.555174 | 19846535 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 23319 | STOVER | AHCA00059048 | JESUSA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19846535_435d3c11-5ebb-4a2d-8e1c-a9ee222108d9.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 | 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 | 167942 | N/A | 17562065 | 2222 | N/A | N/A | N/A | 15609641 | 2026-03-09 18:27:40.555174 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 18:22:25.207100 | 2026-03-09 18:22:26.946939 | 19846417 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 23319 | STOVER | AHCA00059048 | JESUSA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19846417_483876ae-3fc7-4620-b858-2e7a8f8dd9d6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17562065/check_19846417_1d9a55d7-f152-474c-b8a6-026e6fa16192.json | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | 167942 | N/A | 17562065 | 2222 | N/A | 19942301 | N/A | 15609641 | 2026-03-09 18:22:26.946939 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 18:22:23.282084 | 2026-03-09 18:22:25.203189 | 19846415 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 23319 | STOVER | AHCA00059048 | JESUSA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19846415_5b407ce4-5879-4d6b-a034-a3883fd7424b.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 | 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 | 167942 | N/A | 17562065 | 2222 | N/A | N/A | N/A | 15609641 | 2026-03-09 18:22:25.203189 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 18:15:46.082578 | 2026-03-09 18:15:49.870109 | 19846275 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-11-12 | 2026-02-06 | N/A | PT | AE | 4211 | SIMONS | 94378141G | DESIREE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550102/check_19846275_bbd4a2f3-0307-4a21-bd6e-688834c5c377.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_19846275_6899e6b4-813b-45de-a3f1-978ec412514f.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1990-11-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10244312303 | N/A | N/A | 5550102 | 2222 | N/A | 19942142 | N/A | 4212176 | 2026-03-09 18:15:49.870109 | 2025-05-13 04:29:37.226514 |
| 2026-03-09 18:14:50.727334 | 2026-03-09 18:14:53.511063 | 19846188 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-10-20 | 2026-02-04 | N/A | PT | AE | 1030 | LIRANZO | 95222529G | ANTONIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9985996/check_19846188_b26e934d-87f2-41a9-8da6-cde691cb631e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9985996/check_19846188_579aab55-4cc6-4e5a-befc-1aa17851597d.json | N/A | N/A | N/A | N/A | N/A | 95222529G | N/A | N/A | HEALTH NET, LLC | N/A | 1991-10-20 | N/A | N/A | N/A | N/A | false | LIRANZO | N/A | ANTONIO | N/A | 2026-01-16 | 2025-06-01 | KCW MCALSTD | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10244302602 | N/A | N/A | 9985996 | 2222 | N/A | 19942067 | N/A | 8356571 | 2026-03-09 18:14:53.511063 | 2025-10-27 21:41:29.184520 |
| 2026-03-09 18:13:29.284927 | 2026-03-09 18:14:03.258014 | 19846052 | 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_19846052_32148de3-ecd8-434a-9714-460c9328fb65.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 18:14:03.258014 | 2025-05-13 04:29:37.229495 |
| 2026-03-09 18:11:00.861367 | 2026-03-09 18:11:02.689415 | 19845836 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 23319 | STOVER | AHCA00059048 | JESUSA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19845836_01591a50-c2e8-480a-88ca-7bb76aa7be4f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17562065/check_19845836_25c7f0c7-df12-43ac-808b-6b12ac1dcfa0.json | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | 167942 | N/A | 17562065 | 2222 | N/A | 19941752 | N/A | 15609641 | 2026-03-09 18:11:02.689415 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 18:10:58.916572 | 2026-03-09 18:11:00.857597 | 19845833 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 23319 | STOVER | AHCA00059048 | JESUSA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19845833_8207a2ea-7273-4bdb-a8ce-628776cbf738.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 | 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 | 167942 | N/A | 17562065 | 2222 | N/A | N/A | N/A | 15609641 | 2026-03-09 18:11:00.857597 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 18:10:37.995358 | 2026-03-09 18:10:39.961564 | 19845801 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-12-16 | 2026-01-23 | N/A | PT | AE | 6237 | PORTER | 40028215401 | SHERIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535434/check_19845801_71d0825b-36d2-41e6-92d4-0a73636956b0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_19845801_72926daa-f5ca-4e15-81a5-6320df6ce5f2.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2026H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10244264356 | N/A | N/A | 5535434 | 2222 | N/A | 19941715 | N/A | 4208356 | 2026-03-09 18:10:39.961564 | 2025-08-25 14:49:27.724897 |
| 2026-03-09 18:10:36.491578 | 2026-03-09 18:10:38.297877 | 19845795 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-02-20 | 2026-01-23 | N/A | PT | AE | 6798 | SALGUERO | 35955370 | DINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6711965/check_19845795_12ff1c7c-6dc0-4214-ad31-c482cc5e0ea1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_19845795_59f02606-f981-43a1-a4b7-130e2bca40ec.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | 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 | 10244264096 | N/A | N/A | 6711965 | 2222 | N/A | 19941711 | N/A | 4210430 | 2026-03-09 18:10:38.297877 | 2025-05-13 04:29:37.224841 |
| 2026-03-09 18:10:01.036502 | 2026-03-09 18:10:03.026528 | 19845747 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 23319 | STOVER | AHCA00059048 | JESUSAESTRELLA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19845747_81428e51-028e-4fad-bc5a-cb88b5b64623.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17562065/check_19845747_4cf057b8-4c4b-4691-b684-420b82551698.json | N/A | N/A | N/A | N/A | N/A | AHCA00059048 | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | 167942 | N/A | 17562065 | 2222 | N/A | 19941669 | N/A | 15609641 | 2026-03-09 18:10:03.026528 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 18:09:59.216896 | 2026-03-09 18:10:01.031076 | 19845746 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | 23319 | STOVER | AHCA00059048 | JESUSAESTRELLA | R | https://storage.googleapis.com/normandy-eligibility-checks/2222/17562065/check_19845746_f8acbad4-acdc-43df-866c-6effcc89b016.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 | 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 | 167942 | N/A | 17562065 | 2222 | N/A | N/A | N/A | 15609641 | 2026-03-09 18:10:01.031076 | 2026-03-11 17:21:42.159311 |
| 2026-03-09 17:54:19.280149 | 2026-03-09 17:54:27.488144 | 19844932 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-10-14 | 2026-03-09 | F | PT | N/A | 4191 | Cherry | XDP380A22244 | Megan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14387696/check_19844932_6ea964d3-90c9-4853-b7ed-83de7fa5ab2a.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14387696/check_19844932_0d03e2cc-11b6-4a9d-85d3-a2d419d4588c.json | N/A | N/A | N/A | N/A | N/A | NCF380A22244 | Point of Service (POS) | COUNTY OF LOS ANGELES | BLUE SHIELD OF CALIFORNIA | N/A | 1976-10-14 | 040 | 56061A | N/A | PS | false | CHERRY | N/A | MEGAN | N/A | 9999-12-31 | 2025-01-01 | POINT OF SERVICE COUNTY OF LOS ANGELES | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10244073314 | N/A | N/A | 14387696 | 2222 | N/A | 19940893 | N/A | 12521666 | 2026-03-09 17:54:27.488144 | 2025-12-17 22:18:09.286393 |
| 2026-03-09 17:49:31.936108 | 2026-03-09 17:49:37.285605 | 19844748 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2019-03-04 | 2025-12-19 | N/A | PT | AE | N/A | BEJGUM | 124204503 | ABHIRAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14808680/check_19844748_f54e1805-391b-438b-a40e-e808f518c1d9.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14808680/check_19844748_af1997f7-df38-4369-bddf-f92f9b3bc6a9.json | N/A | N/A | N/A | N/A | N/A | 124204503 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2019-03-04 | N/A | 147378 | N/A | C1 | false | BEJGUM | N/A | ABHIRAM | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14808680 | 2222 | N/A | 19940700 | N/A | 11005792 | 2026-03-09 17:49:37.285605 | 2025-12-20 00:52:29.690688 |
| 2026-03-09 17:49:01.279403 | 2026-03-09 17:49:10.244979 | 19844695 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-03-28 | 2025-08-22 | N/A | PT | AE | 4437 | SAGMAN | U9205101701 | SYDNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9924959/check_19844695_d089e938-b066-4b61-9003-60b407ffd2dd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9924959/check_19844695_9a5d146a-40b9-4f3e-99e6-fee90eedb7fe.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10244016044 | N/A | N/A | 9924959 | 2222 | N/A | 19940654 | N/A | 4722569 | 2026-03-09 17:49:10.244979 | 2025-08-26 00:16:35.895658 |
| 2026-03-09 17:48:32.854139 | 2026-03-09 17:48:38.714493 | 19844654 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-29 | 2026-02-03 | N/A | PT | AE | 3939 | TRUNNELL | 101505559100 | WAYNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6786642/check_19844654_601a8284-cd8d-4a6a-ae35-1182d68d9458.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_19844654_7a540170-c369-4eef-a924-1e403bd84cc6.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000116 | 000003-CA | N/A | HM | false | TRUNNELL | N/A | WAYNE | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE SIGNATURE (HMO) | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 10244010618 | N/A | N/A | 6786642 | 2222 | N/A | 19940610 | N/A | 5818009 | 2026-03-09 17:48:38.714493 | 2025-07-15 23:19:05.900633 |