API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-18 22:27:29.626321 | 2025-06-18 22:27:31.460765 | 9056585 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 2025-06-18 | 2025-06-26 | M | AE | PT | 4497 | STEINBERG | 7P65WE5DJ62 | PETER | https://storage.googleapis.com/normandy-eligibility-checks/2222/6473154/check_9056585_de63a7d0-301f-4ddb-912e-190025b00998.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6473154/check_9056585_557ea5f3-f350-4fb3-9eb5-0c05099db05c.json | N/A | N/A | N/A | N/A | N/A | 7P65WE5DJ62 | N/A | N/A | CMS | N/A | 2025-06-18 | N/A | N/A | N/A | N/A | false | STEINBERG | N/A | PETER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 6473154 | 2222 | N/A | 8755063 | N/A | 5106188 | 2025-06-18 22:27:31.460765 | 2025-06-18 23:17:37.195231 |
| 2025-06-18 22:27:26.926271 | 2025-06-18 22:27:29.622837 | 9056584 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 2025-06-18 | 2025-06-26 | M | AE | PT | 4497 | STEINBERG | 7P65WE5DJ62 | PETER | https://storage.googleapis.com/normandy-eligibility-checks/2222/6473154/check_9056584_f790a519-fb4c-407e-9073-569c6b1953be.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-26 | N/A | N/A | N/A | N/A | N/A | N/A | 7P65WE5DJ62 | N/A | N/A | CMS | N/A | 2025-06-18 | N/A | N/A | N/A | N/A | false | STEINBERG | N/A | PETER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 6473154 | 2222 | N/A | N/A | N/A | 5106188 | 2025-06-18 22:27:29.622837 | 2025-06-18 23:17:37.195231 |
| 2025-06-18 22:25:58.471905 | 2025-06-18 22:26:00.385285 | 9056579 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-11-30 | 2025-06-18 | F | AE | PT | 3948 | Bitton MANFREDI | W2286 88169 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6417889/check_9056579_b0c40481-3129-4b90-a1f1-2994be60af66.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417889/check_9056579_ea2440d0-2230-4eb3-89da-48992b0152db.json | N/A | N/A | N/A | N/A | N/A | W228688169 | Point of Service (POS) | AIR CANADA | AETNA | N/A | 1968-11-30 | 0479208 | 047920803100012 | N/A | PS | false | BITTON MANFREDI | N/A | SANDRA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7987407776 | 9482 | N/A | 6417889 | 2222 | N/A | 8755048 | N/A | 5065591 | 2025-06-18 22:26:00.385285 | 2025-06-18 18:47:45.179937 |
| 2025-06-18 21:25:48.606320 | 2025-06-18 21:25:50.447018 | 9055580 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-09-07 | 2025-06-18 | M | AE | PT | 22839 | SHORE | BH856053101 | RICHARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/6418620/check_9055580_c2d3e00b-6e3c-4dcf-9d49-e988a95e4e79.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6418620/check_9055580_8e7e6310-2b89-4110-81e8-f6763a63bad9.json | N/A | N/A | N/A | N/A | N/A | BH856053101 | N/A | N/A | MISSING INSURANCE NAME | N/A | 1974-09-07 | N/A | N/A | N/A | N/A | false | SHORE | N/A | RICHARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 6418620 | 2222 | N/A | 8753803 | N/A | 5066379 | 2025-06-18 21:25:50.447018 | 2025-06-17 00:26:02.093328 |
| 2025-06-18 21:25:46.765916 | 2025-06-18 21:25:48.602295 | 9055579 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-09-07 | 2025-06-18 | M | AE | PT | 22839 | SHORE | BH856053101 | RICHARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/6418620/check_9055579_34051a47-90e2-4cc8-a25a-72fd33547024.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | BH856053101 | N/A | N/A | MISSING INSURANCE NAME | N/A | 1974-09-07 | N/A | N/A | N/A | N/A | false | SHORE | N/A | RICHARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 6418620 | 2222 | N/A | N/A | N/A | 5066379 | 2025-06-18 21:25:48.602295 | 2025-06-17 00:26:02.093328 |
| 2025-06-18 20:39:53.050862 | 2025-06-18 20:39:56.898962 | 9055401 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-01-11 | 2025-05-29 | M | PT | AE | 4211 | GLIKSMAN | 99049128F | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541038/check_9055401_acfe10c4-c2d6-4cf8-ad97-d8034e0a415e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541038/check_9055401_73760b0b-fd8a-489b-9691-83c340254f46.json | N/A | N/A | N/A | N/A | N/A | 99049128F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1999-01-11 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | GLIKSMAN | N/A | DANIEL | N/A | 2078-12-31 | 2024-03-01 | ACA - LA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7986867583 | 7927 | N/A | 5541038 | 2222 | N/A | 8753437 | N/A | 4213108 | 2025-06-18 20:39:56.898962 | 2025-05-13 04:29:37.227432 |
| 2025-06-18 20:24:54.729754 | 2025-06-18 20:24:57.660946 | 9055349 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-03-24 | 2025-02-03 | F | PT | AE | 4185 | TOMITA | TDZ603M98705 | MICHIKO | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536307/check_9055349_35d7951b-d5eb-4963-96c8-31fc5005642a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-02-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536307/check_9055349_3b863511-c459-4d6e-a4bd-017c317643dc.json | N/A | N/A | N/A | N/A | N/A | 6YU9JM8WV59 | Preferred Provider Organization (PPO) | MEDICARE SUPPLMENT PPO | MEDICARE D | N/A | 1936-03-24 | 101 | 174571M1R4 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2019-01-01 | BLUECARD PPO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7986765930 | 5831 | N/A | 5536307 | 2222 | N/A | 8753314 | N/A | 4209074 | 2025-06-18 20:24:57.660946 | 2025-05-13 04:29:37.223494 |
| 2025-06-18 20:24:46.349791 | 2025-06-18 20:24:49.296138 | 9055348 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-03-24 | 2025-02-03 | F | PT | AE | 4497 | TOMITA | 6YU9JM8WV59 | MICHIKO | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536305/check_9055348_ca6b81a4-a980-4872-892c-da1833b7e37a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-02-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536305/check_9055348_8260ec62-826c-4d13-8c17-6bf47d73d636.json | N/A | N/A | N/A | N/A | N/A | 6YU9JM8WV59 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-03-24 | S5596 | N/A | N/A | MA | false | TOMITA | N/A | MICHIKO | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7986764988 | 5831 | N/A | 5536305 | 2222 | N/A | 8753312 | N/A | 4209074 | 2025-06-18 20:24:49.296138 | 2025-05-13 04:29:37.223494 |
| 2025-06-18 20:10:46.977688 | 2025-06-18 20:10:52.128366 | 9055246 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-07-26 | 2025-06-20 | F | AE | PT | 4497 | Behnam | 7KJ0T95JJ03 | Azizi | https://storage.googleapis.com/normandy-eligibility-checks/2222/6172127/check_9055246_7cf67e69-e825-4bf3-b145-1299b0c0e8b4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6172127/check_9055246_a255fb61-4946-4ac3-a019-1dc30bb2aed1.json | N/A | N/A | N/A | N/A | N/A | 7KJ0T95JJ03 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-07-26 | S4802 | N/A | N/A | MB | false | BEHNAM | N/A | AZIZI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7986666382 | 7927 | N/A | 6172127 | 2222 | N/A | 8753154 | N/A | 4813566 | 2025-06-18 20:10:52.128366 | 2025-06-06 15:25:53.219226 |
| 2025-06-18 20:04:31.125160 | 2025-06-18 20:04:42.203878 | 9055216 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-07-01 | 2025-06-09 | M | PT | N/A | 4185 | PAQUETTE | JQU899A69081 | NICOLAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124048/check_9055216_d9917d62-dc62-4904-a7a9-69b847c302a3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124048/check_9055216_1a36004b-3aba-434c-a96d-abbca80c4e1e.json | N/A | N/A | N/A | N/A | N/A | JQU899A69081 | Preferred Provider Organization (PPO) | EN ROUTE TRAVEL | ANTHEM BLUE CROSS | N/A | 2009-07-01 | 040 | 371007 | N/A | PR | false | PAQUETTE | N/A | BIANCA | N/A | 9999-12-31 | 2025-06-01 | ANTHEM GOLD PPO 35/500/25% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7986620389 | 7927 | N/A | 6124048 | 2222 | N/A | 8753104 | N/A | 4766758 | 2025-06-18 20:04:42.203878 | 2025-06-03 21:40:10.090592 |
| 2025-06-18 18:51:24.697216 | 2025-06-18 18:51:30.652521 | 9054787 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-11-30 | 2025-06-18 | F | AE | PT | 3948 | Bitton MANFREDI | W2286 88169 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6417889/check_9054787_17fbbf3b-df8b-48e2-bdd0-b6a37cef16fa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417889/check_9054787_75d2e47e-7291-41a0-90d9-92aa4f2407e5.json | N/A | N/A | N/A | N/A | N/A | W228688169 | Point of Service (POS) | AIR CANADA | AETNA | N/A | 1968-11-30 | 0479208 | 047920803100012 | N/A | PS | false | BITTON MANFREDI | N/A | SANDRA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7986083125 | N/A | N/A | 6417889 | 2222 | N/A | 8752415 | N/A | 5065591 | 2025-06-18 18:51:30.652521 | 2025-06-18 18:47:45.179937 |
| 2025-06-18 18:38:14.982118 | 2025-06-18 18:38:35.477235 | 9054744 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 4625 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054744_e4d9b0cd-3476-400f-808d-c169d936ca1f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145878/check_9054744_734bd16c-3cf5-4a61-9222-bea6a14c9628.json | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6145878 | 2222 | N/A | 8752322 | N/A | 4786695 | 2025-06-18 18:38:35.477235 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 18:38:10.277298 | 2025-06-18 18:38:14.977799 | 9054743 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 4625 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054743_09cf61e1-4999-4151-b2eb-b801b8f3a11d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | HEALTH NET, LLC | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6145878 | 2222 | N/A | N/A | N/A | 4786695 | 2025-06-18 18:38:14.977799 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 18:34:58.785563 | 2025-06-18 18:35:01.712577 | 9054723 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-02-18 | 2025-05-30 | M | PT | AE | 3937 | ZHAO | 916547548 | CHARLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550983/check_9054723_99aca753-c47c-4d4d-82b0-c7517569cb9c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550983/check_9054723_e79bb167-be00-4f3f-a480-b28d5453481c.json | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7259 | N/A | 5550983 | 2222 | N/A | 8752293 | N/A | 4219811 | 2025-06-18 18:35:01.712577 | 2025-05-13 04:29:37.230858 |
| 2025-06-18 18:34:55.043602 | 2025-06-18 18:34:58.783024 | 9054722 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-02-18 | 2025-05-30 | M | PT | AE | 3937 | ZHAO | 916547548 | CHARLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550983/check_9054722_ed216582-9684-46d7-997d-f98f648b9d49.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7259 | N/A | 5550983 | 2222 | N/A | N/A | N/A | 4219811 | 2025-06-18 18:34:58.783024 | 2025-05-13 04:29:37.230858 |
| 2025-06-18 18:15:08.378681 | 2025-06-18 18:15:11.190876 | 9054695 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-02-18 | 2025-05-30 | M | PT | AE | 3937 | ZHAO | 916547548 | CHARLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550983/check_9054695_7bfb7030-fed2-414c-bcda-5655fe29378b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550983/check_9054695_92bb9a82-0ea6-4749-9006-786d49d15356.json | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7259 | N/A | 5550983 | 2222 | N/A | 8752247 | N/A | 4219811 | 2025-06-18 18:15:11.190876 | 2025-05-13 04:29:37.230858 |
| 2025-06-18 18:15:05.473044 | 2025-06-18 18:15:08.375116 | 9054694 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-02-18 | 2025-05-30 | M | PT | AE | 3937 | ZHAO | 916547548 | CHARLIE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550983/check_9054694_91edd064-6767-4c55-9f97-4f9b4fca34ae.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 916547548 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1962-02-18 | 0706458 | 070645801200001 | N/A | N/A | false | ZHAO | N/A | SHANLI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7259 | N/A | 5550983 | 2222 | N/A | N/A | N/A | 4219811 | 2025-06-18 18:15:08.375116 | 2025-05-13 04:29:37.230858 |
| 2025-06-18 18:02:53.971588 | 2025-06-18 18:02:56.841126 | 9054626 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2025-06-23 | F | AE | PT | 4625 | VARGAS | C4080406701 | AUXILIADORA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_9054626_4b228053-4195-403c-9b1a-8e4abea558eb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538314/check_9054626_49df08d6-4d44-4537-9110-97e98e6920c5.json | N/A | N/A | N/A | N/A | N/A | C4080406701 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1956-10-22 | N/A | CA35610008 | N/A | N/A | false | VARGAS | N/A | AUXILIADORA | N/A | N/A | N/A | WELLCARE DUAL ALIGN (HMO DSNP) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7985664590 | 7927 | N/A | 5538314 | 2222 | N/A | 8752142 | N/A | 4210749 | 2025-06-18 18:02:56.841126 | 2026-01-29 18:21:20.298304 |
| 2025-06-18 18:01:52.617299 | 2025-06-18 18:01:54.369578 | 9054621 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-05-12 | 2025-06-19 | M | AE | PT | 4497 | EGGLETON | 9HG9HV5AM53 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536868/check_9054621_a3343eeb-dfca-42d9-8ee8-d19fe7f2eb3c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536868/check_9054621_056acaca-ae4b-49b9-9f1e-499b3ed7875c.json | N/A | N/A | N/A | N/A | N/A | 9HG9HV5AM53 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-05-12 | S5617 | N/A | N/A | MA | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7985653052 | N/A | N/A | 5536868 | 2222 | N/A | 8752135 | N/A | 4209543 | 2025-06-18 18:01:54.369578 | 2025-06-18 17:33:51.700160 |
| 2025-06-18 17:50:42.369612 | 2025-06-18 17:50:44.135152 | 9054602 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-10-28 | 2025-06-19 | M | PT | N/A | 4191 | SIKDER | EZQ00049108 | SHAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6414459/check_9054602_0ddc0fe0-0c39-4b5e-81fe-d805e86c5c8b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6414459/check_9054602_88f7c082-0d13-46f8-b28a-c981fce2c83a.json | N/A | N/A | N/A | N/A | N/A | EZQ00049108 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2005-10-28 | N/A | N/A | N/A | N/A | false | SIKDER | N/A | SHAWN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6414459 | 2222 | N/A | 8752081 | N/A | 5061929 | 2025-06-18 17:50:44.135152 | 2025-06-19 23:42:27.460818 |
| 2025-06-18 17:50:37.723790 | 2025-06-18 17:50:42.367014 | 9054601 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-10-28 | 2025-06-19 | M | PT | N/A | 4191 | SIKDER | EZQ00049108 | SHAWN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6414459/check_9054601_bcced52b-2c9f-4ef7-b46e-5ee3a5c95ca9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | EZQ00049108 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2005-10-28 | N/A | N/A | N/A | N/A | false | SIKDER | N/A | SHAWN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6414459 | 2222 | N/A | N/A | N/A | 5061929 | 2025-06-18 17:50:42.367014 | 2025-06-19 23:42:27.460818 |
| 2025-06-18 17:48:31.321947 | 2025-06-18 17:48:34.120428 | 9054593 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 4625 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054593_12aee141-ddd5-449e-9e0b-a19a61289db5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145878/check_9054593_e5dbfccc-26f7-4ac5-bbd1-7da7f1ba71ca.json | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | HEALTH NET, LLC | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6145878 | 2222 | N/A | 8752064 | N/A | 4786695 | 2025-06-18 17:48:34.120428 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:48:28.529125 | 2025-06-18 17:48:31.316637 | 9054592 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 4625 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054592_2ea4f83e-d355-443c-9bbc-f712d1a2a227.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | HEALTH NET, LLC | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6145878 | 2222 | N/A | N/A | N/A | 4786695 | 2025-06-18 17:48:31.316637 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:48:21.379936 | 2025-06-18 17:48:26.101220 | 9054591 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 23322 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054591_cccdd546-0c1a-4905-b5bf-ed9e10470fac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145878/check_9054591_052c4bc1-6f82-4a24-9db2-85b72f699885.json | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6145878 | 2222 | N/A | 8752061 | N/A | 4786695 | 2025-06-18 17:48:26.101220 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:48:19.747280 | 2025-06-18 17:48:21.377599 | 9054590 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 23322 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054590_f87a26b1-d4a1-4fbf-8886-690e28037bfc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6145878 | 2222 | N/A | N/A | N/A | 4786695 | 2025-06-18 17:48:21.377599 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:46:44.084407 | 2025-06-18 17:46:46.848799 | 9054583 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-07 | 2025-06-18 | F | AE | PT | 4625 | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542660/check_9054583_dd9d5df1-fd77-409a-85a5-ef5afd0761f6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_9054583_12ef16ee-3fff-4ac3-abe0-fcc974ef30c9.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7985541479 | 5831 | N/A | 5542660 | 2222 | N/A | 8752050 | N/A | 4214542 | 2025-06-18 17:46:46.848799 | 2025-05-13 04:29:37.228868 |
| 2025-06-18 17:46:15.648209 | 2025-06-18 17:46:17.429399 | 9054576 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-05-12 | 2025-06-19 | M | AE | PT | 4497 | EGGLETON | 9HG9HV5AM53 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536868/check_9054576_e6939985-38cd-41d7-a334-d09d033940d8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536868/check_9054576_bd247366-1a54-48a4-86a6-a98b76f6003c.json | N/A | N/A | N/A | N/A | N/A | 9HG9HV5AM53 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-05-12 | S5617 | N/A | N/A | MA | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7985537265 | N/A | N/A | 5536868 | 2222 | N/A | 8752040 | N/A | 4209543 | 2025-06-18 17:46:17.429399 | 2025-06-18 17:33:51.700160 |
| 2025-06-18 17:46:05.518893 | 2025-06-18 17:46:07.272829 | 9054572 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-05-12 | 2025-06-19 | M | AE | PT | 4497 | EGGLETON | 9HG9HV5AM53 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536868/check_9054572_90b5b2f2-baca-47f0-a7c7-7cf4ee758a98.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536868/check_9054572_237b2710-d7f1-4c93-8c65-551c3ae44f91.json | N/A | N/A | N/A | N/A | N/A | 9HG9HV5AM53 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-05-12 | S5617 | N/A | N/A | MA | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7985536035 | N/A | N/A | 5536868 | 2222 | N/A | 8752038 | N/A | 4209543 | 2025-06-18 17:46:07.272829 | 2025-06-18 17:33:51.700160 |
| 2025-06-18 17:45:56.433770 | 2025-06-18 17:45:58.371350 | 9054570 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-05-12 | 2025-06-19 | M | AE | PT | 4497 | EGGLETON | 9HG9HV5AM53 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536868/check_9054570_21cff065-9580-4828-81b1-8fd0d884b6be.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536868/check_9054570_f614ff26-6f83-4380-8cca-ef5f75b1ca70.json | N/A | N/A | N/A | N/A | N/A | 9HG9HV5AM53 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-05-12 | S5617 | N/A | N/A | MA | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7985534839 | N/A | N/A | 5536868 | 2222 | N/A | 8752035 | N/A | 4209543 | 2025-06-18 17:45:58.371350 | 2025-06-18 17:33:51.700160 |
| 2025-06-18 17:45:39.886288 | 2025-06-18 17:45:50.784123 | 9054568 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-05-12 | 2025-06-19 | M | AE | PT | 4497 | EGGLETON | 9HG9HV5AM53 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536868/check_9054568_b41d1f18-38d4-41e6-aef1-f1414e704d1d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536868/check_9054568_20e3f731-58bd-4d1d-8bf2-62c936956eeb.json | N/A | N/A | N/A | N/A | N/A | 9HG9HV5AM53 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-05-12 | S5617 | N/A | N/A | MB | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7985532663 | N/A | N/A | 5536868 | 2222 | N/A | 8752033 | N/A | 4209543 | 2025-06-18 17:45:50.784123 | 2025-06-18 17:33:51.700160 |
| 2025-06-18 17:34:56.638342 | 2025-06-18 17:34:58.368782 | 9054515 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-07 | 2025-06-20 | F | AE | PT | 23322 | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542660/check_9054515_6477cdd7-cec6-4e0e-b4cd-3862eb5682ba.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_9054515_06ed0f91-7980-4abf-b54b-df5798b0c429.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542660 | 2222 | N/A | 8751950 | N/A | 4214542 | 2025-06-18 17:34:58.368782 | 2025-05-13 04:29:37.228868 |
| 2025-06-18 17:34:51.994678 | 2025-06-18 17:34:56.635550 | 9054514 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-07 | 2025-06-20 | F | AE | PT | 23322 | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542660/check_9054514_769b77fe-cd53-4f81-8c9d-971e46097a4b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542660 | 2222 | N/A | N/A | N/A | 4214542 | 2025-06-18 17:34:56.635550 | 2025-05-13 04:29:37.228868 |
| 2025-06-18 17:34:34.865326 | 2025-06-18 17:34:38.738392 | 9054512 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-07 | 2025-06-20 | F | AE | PT | 4625 | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542660/check_9054512_25a0cd09-6b69-4fd5-863a-a24b8959b88d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_9054512_809daed9-47f0-4906-aa08-977655bd5f12.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542660 | 2222 | N/A | 8751947 | N/A | 4214542 | 2025-06-18 17:34:38.738392 | 2025-05-13 04:29:37.228868 |
| 2025-06-18 17:34:27.155085 | 2025-06-18 17:34:34.863090 | 9054511 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-07 | 2025-06-20 | F | AE | PT | 4625 | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542660/check_9054511_410e0799-4bdf-4b7b-9bea-4b18fcbdbe48.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542660 | 2222 | N/A | N/A | N/A | 4214542 | 2025-06-18 17:34:34.863090 | 2025-05-13 04:29:37.228868 |
| 2025-06-18 17:22:34.347454 | 2025-06-18 17:22:36.692003 | 9054395 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 23322 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054395_b5b24e6f-769d-444c-8d04-e2910d874ec5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145878/check_9054395_c392d40e-5f57-46f8-8adb-f9c71dbe6191.json | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | 8751800 | N/A | 4786695 | 2025-06-18 17:22:36.692003 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:22:32.762767 | 2025-06-18 17:22:34.344870 | 9054393 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 23322 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054393_c31b1ebd-4250-4086-a36d-ab1f06c7c58b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | N/A | N/A | 4786695 | 2025-06-18 17:22:34.344870 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:22:11.718797 | 2025-06-18 17:22:15.567632 | 9054391 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 4625 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054391_1cec3025-6cdd-456d-bdc2-7950e373f5e7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145878/check_9054391_f0eaa0e8-8fca-496c-b3e5-8429926d39eb.json | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | HEALTH NET, LLC | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | 8751796 | N/A | 4786695 | 2025-06-18 17:22:15.567632 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:22:08.166302 | 2025-06-18 17:22:11.716540 | 9054389 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 4625 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054389_09d14f44-3121-453c-a3cd-51ed51c6ff6d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | HEALTH NET, LLC | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | N/A | N/A | 4786695 | 2025-06-18 17:22:11.716540 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:20:05.479460 | 2025-06-18 17:20:14.349964 | 9054351 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 4625 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054351_61820c28-ff61-44a5-8b8b-29185e73f8fb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145878/check_9054351_d581e30a-6ffd-41ad-834d-d52c930e8d23.json | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | HEALTH NET, LLC | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | 8751755 | N/A | 4786695 | 2025-06-18 17:20:14.349964 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:20:02.681498 | 2025-06-18 17:20:05.476323 | 9054350 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 4625 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054350_01689472-bb46-439a-929c-4ea929a5c64c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | HEALTH NET, LLC | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | N/A | N/A | 4786695 | 2025-06-18 17:20:05.476323 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:17:39.893387 | 2025-06-18 17:17:44.795411 | 9054330 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 4625 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054330_9c0ebbae-e8c4-4d42-8d24-c9235e703848.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145878/check_9054330_fa48180d-ccb1-407f-9543-b46176045d3a.json | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | HEALTH NET, LLC | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | 8751724 | N/A | 4786695 | 2025-06-18 17:17:44.795411 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:17:37.160942 | 2025-06-18 17:17:39.890091 | 9054329 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 4625 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054329_183cd5f0-ea46-49b7-94a2-ec8a284582e9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | HEALTH NET, LLC | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | N/A | N/A | 4786695 | 2025-06-18 17:17:39.890091 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:14:28.967610 | 2025-06-18 17:14:32.831920 | 9054309 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 23322 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054309_49ed4ac2-2fc8-4c79-9957-c5c74fe05508.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145878/check_9054309_6e872147-086c-4bf3-a557-6eb7731f56c0.json | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | 8751697 | N/A | 4786695 | 2025-06-18 17:14:32.831920 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:14:27.275114 | 2025-06-18 17:14:28.964898 | 9054306 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 23322 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054306_7663e61d-9f17-42a4-8747-585e34e8e641.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | N/A | N/A | 4786695 | 2025-06-18 17:14:28.964898 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:13:53.172312 | 2025-06-18 17:13:55.950567 | 9054296 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 4625 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054296_ef546d1f-e7e7-4bf5-9a47-686df97f7ce9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145878/check_9054296_02ed93ca-158d-45eb-9b74-686fa8cd4e61.json | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | HEALTH NET, LLC | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | 8751683 | N/A | 4786695 | 2025-06-18 17:13:55.950567 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:13:50.533945 | 2025-06-18 17:13:53.169462 | 9054295 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 4625 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054295_a6740825-281f-48c5-a356-7200aebd9a29.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | HEALTH NET, LLC | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | N/A | N/A | 4786695 | 2025-06-18 17:13:53.169462 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:12:52.426415 | 2025-06-18 17:12:55.268785 | 9054291 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 4625 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054291_d27cba69-1c46-4590-93e5-3df1a3d8e1b6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145878/check_9054291_cd2183db-c4a8-4dc6-b5e1-8acf1441b925.json | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | HEALTH NET, LLC | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | 8751673 | N/A | 4786695 | 2025-06-18 17:12:55.268785 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:12:38.738550 | 2025-06-18 17:12:52.423611 | 9054289 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | M | AE | PT | 4625 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054289_34437e54-02af-4262-9e41-6808c40c06ca.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | N/A | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | HEALTH NET, LLC | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | N/A | N/A | 4786695 | 2025-06-18 17:12:52.423611 | 2025-06-18 17:13:09.656676 |
| 2025-06-18 17:10:23.565682 | 2025-06-18 17:10:26.497953 | 9054259 | N/A | N/A | 39026 | UMR | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-01-15 | 2025-06-11 | M | AD | N/A | 6602 | VERRONE | 34165931 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539211/check_9054259_d060a9f4-f975-4901-9132-48c745469122.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539211/check_9054259_ba0f4191-aad2-440b-9cd6-8ec5293689a1.json | N/A | N/A | N/A | N/A | N/A | 34165931 | N/A | MEMORIAL HEALTH SERVICES | UMR | N/A | 1978-01-15 | 767000415574001 | 76415574 | N/A | N/A | false | IEM | N/A | GARY | N/A | 2025-03-31 | 2023-01-01 | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7985271449 | 9489 | N/A | 5539211 | 2222 | N/A | 8751636 | N/A | 4211547 | 2025-06-18 17:10:26.497953 | 2025-05-13 04:29:37.225884 |
| 2025-06-18 17:10:08.674186 | 2025-06-18 17:10:14.467603 | 9054256 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-07 | 2025-06-20 | U | AE | PT | 23322 | WYNN | 94884125G | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145878/check_9054256_1b04b9bc-b792-49fc-ac53-b726e620979a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145878/check_9054256_d73cd6ac-2d49-400c-ad5c-abcea9b7b5a0.json | N/A | N/A | N/A | N/A | N/A | 94884125G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1992-09-07 | N/A | N/A | N/A | N/A | false | WYNN | N/A | DENNIS | 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 | 6145878 | 2222 | N/A | 8751632 | N/A | 4786695 | 2025-06-18 17:10:14.467603 | 2025-06-18 17:13:09.656676 |