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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-07 08:13:38.786976 | 2026-03-28 01:38:32.737165 | 19590650 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 19590650 | Athletic Physical Therapy Inc | 1952-10-01 | 2026-03-09 | M | AE | PT | IMPELLIZZERI | 3UJ4DN6CC87 | ROBERT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100122901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535551/check_19590650_639c7b3a-9dbd-4282-9e63-c1bcce096446.json | N/A | N/A | N/A | N/A | N/A | 3UJ4DN6CC87 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-01 | N/A | N/A | N/A | MA | false | IMPELLIZZERI | N/A | ROBERT | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 50323 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10228330406 | N/A | N/A | 5535551 | 2222 | 4801 | 22195842 | N/A | 4208460 | 2026-03-28 01:38:32.737165 | 2026-01-01 00:19:01.120151 |
| 2026-03-07 08:13:38.704584 | 2026-03-28 01:30:46.107887 | 19590641 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 19590641 | Athletic Physical Therapy Inc | 1952-12-16 | 2026-03-10 | F | AE | PT | PORTER | 40028215401 | SHERIL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100122901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_19590641_66cf46a0-661f-45fb-9e20-c1f1d709ad6e.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10228331064 | N/A | N/A | 5535434 | 2222 | 4793 | 22160349 | 6237 | 4208356 | 2026-03-28 01:30:46.107887 | 2025-08-25 14:49:27.724897 |
| 2026-03-07 08:13:38.628708 | 2026-03-28 01:32:05.776548 | 19590630 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 19590630 | Athletic Physical Therapy Inc | 1960-04-27 | 2026-03-09 | M | PT | N/A | ENRIGHT | DGA10462968J | HAROLD | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100122901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535419/check_19590630_66b25953-5844-4a05-bbfa-6749182c03b4.json | N/A | N/A | N/A | N/A | N/A | DGA10462968J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1960-04-27 | 040 | 276945M001 | N/A | PR | false | ENRIGHT | N/A | HAROLD | N/A | 9999-12-31 | 2017-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10228331063 | N/A | N/A | 5535419 | 2222 | 4793 | 22165486 | N/A | 4208347 | 2026-03-28 01:32:05.776548 | 2025-05-13 04:29:37.222769 |
| 2026-03-07 08:11:26.605712 | 2026-03-28 01:16:58.600103 | 19579199 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 19579199 | Athletic Physical Therapy Inc | 1979-10-08 | 2026-03-09 | U | AE | PT | Carnelo | u0670041503 | Gabriela | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17745010/check_19579199_be1f36e5-86f0-403c-9535-ddc9bf020414.json | N/A | N/A | N/A | N/A | N/A | U0670041503 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1979-10-08 | N/A | N/A | N/A | N/A | false | CARNELO | N/A | GABRIELA | 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 | 10228342970 | N/A | N/A | 17745010 | 2222 | 4793 | 22123292 | N/A | 15794127 | 2026-03-28 01:16:58.600103 | 2026-03-09 15:48:20.561395 |
| 2026-03-07 08:11:26.482855 | 2026-03-28 01:18:37.870412 | 19579197 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 19579197 | Athletic Physical Therapy Inc | 1976-10-28 | 2026-03-10 | M | PT | N/A | O ROUKE | XDL423A75299 | DAVID | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17712563/check_19579197_fe2acaf7-7830-4ba2-8fa1-f34ae10378ab.json | N/A | N/A | N/A | N/A | N/A | XDL423A75299 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1976-10-28 | 040 | Z15900 | N/A | PR | false | O ROURKE | N/A | DAVID | N/A | 9999-12-31 | 2022-02-01 | SMARTSENSE STANDARD RX | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10228342969 | N/A | N/A | 17712563 | 2222 | 4793 | 22125825 | N/A | 15758638 | 2026-03-28 01:18:37.870412 | 2026-03-06 17:00:49.827658 |
| 2026-03-07 08:11:26.395796 | 2026-03-28 01:22:59.306627 | 19579195 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 19579195 | Athletic Physical Therapy Inc | 1943-11-05 | 2026-03-09 | F | AE | PT | MILLER | 2nn1kp9mk97 | PEGGY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17663491/check_19579195_28cc9bb9-081c-475a-be73-5d7f584b9e57.json | N/A | N/A | N/A | N/A | N/A | 2NN1KP9MK97 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-05 | S5921 | N/A | N/A | MA | false | MILLER | N/A | PEGGY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 46740 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10228342968 | N/A | N/A | 17663491 | 2222 | 4802 | 22134103 | N/A | 4213453 | 2026-03-28 01:22:59.306627 | 2025-05-13 04:29:37.227772 |
| 2026-03-07 08:11:26.283118 | 2026-03-28 01:18:38.471357 | 19579191 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 19579191 | Athletic Physical Therapy Inc | 1993-04-14 | 2026-03-10 | M | PT | N/A | SANCHEZ | VDHE01075088 | LUIS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17645349/check_19579191_f793e6b6-0f26-43db-9f2e-0abd1b1c6f45.json | N/A | N/A | N/A | N/A | N/A | VDHE01075088 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1993-04-14 | 040 | 174236M1A1 | N/A | PR | false | SANCHEZ | N/A | GLENDY | N/A | 9999-12-31 | 2023-01-01 | PB INCENTIVE NO SUTTER | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10228342967 | N/A | N/A | 17645349 | 2222 | 4801 | 22125841 | N/A | 15689321 | 2026-03-28 01:18:38.471357 | 2026-03-10 14:49:11.771842 |
| 2026-03-07 08:11:26.188926 | 2026-03-28 01:14:59.023838 | 19579189 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 19579189 | Athletic Physical Therapy Inc | 1949-11-21 | 2026-03-09 | F | AE | PT | VERGARA | ICA088184 | CARMEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17600158/check_19579189_9fb2b8df-af14-48eb-bfff-2bfda2b273ab.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 | 10228342966 | N/A | N/A | 17600158 | 2222 | 4801 | 22121080 | N/A | 15647079 | 2026-03-28 01:14:59.023838 | 2026-03-04 22:16:35.562250 |
| 2026-03-07 08:11:26.098928 | 2026-03-28 01:17:24.508103 | 19579187 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 19579187 | Athletic Physical Therapy Inc | 1959-06-21 | 2026-03-09 | F | AE | PT | Mamane | 40079211601 | Marlene | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17585914/check_19579187_39ab4d4d-2564-48a3-9d08-45dacdf41f0a.json | N/A | N/A | N/A | N/A | N/A | 40079211601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1959-06-21 | 2026H5425065LA | H5425M | N/A | N/A | false | MAMANE | N/A | MARLENE | N/A | N/A | N/A | SCAN PRIME (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10228342965 | N/A | N/A | 17585914 | 2222 | 4802 | 22123961 | N/A | 15633309 | 2026-03-28 01:17:24.508103 | 2026-03-04 17:46:21.126462 |
| 2026-03-07 08:11:26.029399 | 2026-03-28 01:14:58.724863 | 19579186 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 19579186 | Athletic Physical Therapy Inc | 1960-04-15 | 2026-03-09 | F | AE | PT | STROVER | AHCA00059048 | JESUSAESTRELLA | R | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17562065/check_19579186_295fddbd-2073-419a-afd4-080c84060faa.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 | STROVER | 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 | 10228342964 | N/A | N/A | 17562065 | 2222 | 4802 | 22121078 | N/A | 15609641 | 2026-03-28 01:14:58.724863 | 2026-03-11 17:21:42.159311 |
| 2026-03-07 08:11:25.926579 | 2026-03-28 01:16:07.033241 | 19579183 | N/A | N/A | 61101 | HUMANA | 1114042165 | 19579183 | Athletic Physical Therapy Inc | 1964-02-24 | 2026-03-09 | U | AE | PT | DE LEON | H7389480100 | ANGELICA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17558284/check_19579183_b1dae161-7fb9-4de1-838c-2e37b7e36e44.json | N/A | N/A | N/A | N/A | N/A | H7389480100 | N/A | N/A | HUMANA | N/A | 1964-02-24 | N/A | N/A | N/A | N/A | false | DE LEON | N/A | ANGELICA | 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 | 10228342962 | N/A | N/A | 17558284 | 2222 | 4801 | 22122162 | 5349 | 15606173 | 2026-03-28 01:16:07.033241 | 2026-03-13 17:40:34.952918 |
| 2026-03-07 08:11:25.832329 | 2026-03-28 01:18:38.150265 | 19579181 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 19579181 | Athletic Physical Therapy Inc | 2013-08-17 | 2026-03-10 | F | AE | PT | RUEMMELE | XOX815196499 | MAKENA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17557872/check_19579181_592967db-2070-4c54-a061-f89d4ad41957.json | N/A | N/A | N/A | N/A | N/A | XOX815196499 | Preferred Provider Organization (PPO) | EVOLVE SECURITY | ANTHEM BLUE CROSS | N/A | 2013-08-17 | N/A | 311614 | N/A | PR | false | RUEMMELE | N/A | RAYMOND | N/A | 9999-12-31 | 2026-03-01 | BLUEOPTIONS MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10228342961 | N/A | N/A | 17557872 | 2222 | 4793 | 22125834 | N/A | 4534546 | 2026-03-28 01:18:38.150265 | 2025-12-03 00:06:29.870228 |
| 2026-03-07 08:11:25.740299 | 2026-03-28 01:22:58.955742 | 19579180 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 19579180 | Athletic Physical Therapy Inc | 1939-02-12 | 2026-03-10 | U | AE | PT | GAGLIANO | 4N65FA2KC96 | ROBERTA | M | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17554482/check_19579180_6c6335ea-5c8a-4a55-8744-336a9ed84a65.json | N/A | N/A | N/A | N/A | N/A | 4N65FA2KC96 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-02-12 | N/A | N/A | N/A | MB | false | GAGLIANO | N/A | ROBERTA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10228342960 | N/A | N/A | 17554482 | 2222 | 4801 | 22134091 | N/A | 15598379 | 2026-03-28 01:22:58.955742 | 2026-03-03 22:08:11.518590 |
| 2026-03-07 08:11:25.639714 | 2026-03-28 01:18:39.057784 | 19579177 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 19579177 | Athletic Physical Therapy Inc | 1956-01-25 | 2026-03-10 | F | PT | N/A | URIBE | 276W2583120 | ROSA | I | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17543130/check_19579177_6918e6fa-e784-4930-a230-3f39388ee70e.json | N/A | N/A | N/A | N/A | N/A | 276W2583120 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-01-25 | N/A | N/A | N/A | N/A | false | URIBE | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10228342959 | N/A | N/A | 17543130 | 2222 | 4802 | 22125855 | 4185 | 13816533 | 2026-03-28 01:18:39.057784 | 2026-03-06 21:23:14.977254 |
| 2026-03-07 08:11:25.555797 | 2026-03-28 01:17:44.365028 | 19579175 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 19579175 | Athletic Physical Therapy Inc | 1959-09-28 | 2026-03-09 | F | AE | PT | Barrientos | 958247698 | Antoniette | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17540931/check_19579175_9f8c84c4-3ef6-4533-a9db-e6c79b18890f.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 | 10228342958 | N/A | N/A | 17540931 | 2222 | 4801 | 22124486 | N/A | 15585907 | 2026-03-28 01:17:44.365028 | 2026-03-09 18:22:22.279915 |
| 2026-03-07 08:11:25.455398 | 2026-03-28 01:18:37.233506 | 19579173 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 19579173 | Athletic Physical Therapy Inc | 1995-04-03 | 2026-03-09 | M | PT | N/A | Brant | XDM186M90966 | Nicholas | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17537799/check_19579173_28c81b7a-8736-4590-bd96-6171338fdd7f.json | N/A | N/A | N/A | N/A | N/A | XDM186M90966 | Preferred Provider Organization (PPO) | CAHP HEALTH BENEFITS TRUST | ANTHEM BLUE CROSS | N/A | 1995-04-03 | 040 | 1855RA | N/A | PR | false | BRANDT | N/A | NICHOLAS | N/A | 9999-12-31 | 2024-04-01 | PPO PB CLASSIC HOSP / PBP INCENTIVE PROF | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10228342957 | N/A | N/A | 17537799 | 2222 | 4801 | 22125812 | N/A | 15582598 | 2026-03-28 01:18:37.233506 | 2026-03-03 18:12:24.590490 |
| 2026-03-07 08:11:25.360289 | 2026-03-28 01:18:06.473655 | 19579170 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 19579170 | override_provider | 1952-10-16 | 2026-03-10 | F | AE | PT | Foulkrod | 000016535395 | Patricia | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17511137/check_19579170_705e1302-148d-4ebe-9441-02341d047a65.json | N/A | N/A | N/A | N/A | N/A | 000016535395 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 1952-10-16 | 4385825 | 236396 | N/A | N/A | false | FOULKROD | N/A | PATRICIA | N/A | 2026-12-31 | 2026-01-01 | MEDI-CAL LA CARE HEALTH PLAN MM AGED FULL DUAL LTS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10228342955 | N/A | N/A | 17511137 | 2222 | 4802 | 22125017 | N/A | 15525565 | 2026-03-28 01:18:06.473655 | 2026-03-03 00:49:06.936254 |
| 2026-03-07 08:11:25.254497 | 2026-03-28 01:15:28.427863 | 19579168 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 19579168 | Athletic Physical Therapy Inc | 1957-02-06 | 2026-03-09 | M | AE | PT | Tatum | 97633918F | Tatum | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_19579168_21b491ce-7b57-4630-aacf-c5e2a06a3ee1.json | N/A | N/A | N/A | N/A | N/A | 97633918F | N/A | N/A | MEDICARE PART B CI002 | MEDICAID REDETERMINATION DATE 01/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1957-02-06 | BP0003 | NO | N/A | N/A | false | TATUM | N/A | TATUM | N/A | 2078-12-31 | 2025-04-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10228342954 | N/A | N/A | 17509843 | 2222 | 4802 | 22121518 | 4211 | 15524188 | 2026-03-28 01:15:28.427863 | 2026-03-03 00:12:08.668405 |
| 2026-03-07 08:11:25.095371 | 2026-03-28 01:16:34.656171 | 19579165 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 19579165 | Athletic Physical Therapy Inc | 1978-07-01 | 2026-03-09 | M | AE | PT | ABDELMESSIH | U9059513401 | MINA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17498631/check_19579165_0473c61e-3635-4537-906c-ab53e0c46e77.json | N/A | N/A | N/A | N/A | N/A | U9059513401 | Health Maintenance Organization (HMO) | NATIONAL CEMENT COMPANY, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1978-07-01 | N/A | 3340850 | N/A | HM | false | ABDELMESSIH | N/A | MINA | N/A | N/A | N/A | HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10228342953 | N/A | N/A | 17498631 | 2222 | 4801 | 22122728 | 4437 | 15513934 | 2026-03-28 01:16:34.656171 | 2026-03-11 16:41:57.340816 |
| 2026-03-07 08:11:24.989631 | 2026-03-28 01:18:37.525460 | 19579162 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 19579162 | Athletic Physical Therapy Inc | 2008-02-25 | 2026-03-09 | F | PT | N/A | Jimenez | MPI30060766Q | Arabelle | M | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17497004/check_19579162_d90b6235-a2fc-4d3c-a654-fb315618acae.json | N/A | N/A | N/A | N/A | N/A | MPI30060766Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2008-02-25 | 040 | 277163M402 | N/A | PR | false | KIM | N/A | ANNY | 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 | 10228342952 | N/A | N/A | 17497004 | 2222 | 4802 | 22125819 | N/A | 15511990 | 2026-03-28 01:18:37.525460 | 2026-03-02 20:39:57.609466 |
| 2026-03-07 08:11:24.882528 | 2026-03-28 01:18:06.745808 | 19579160 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 19579160 | override_provider | 1965-07-20 | 2026-03-10 | M | AE | PT | Williamson | 000023808951 | James | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17494392/check_19579160_a5e4f05b-502c-4fb3-80f7-ad1ddb84bff0.json | N/A | N/A | N/A | N/A | N/A | 000023808951 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | MDC - MEDICAID | 1965-07-20 | 4362482 | 1650095001 | N/A | N/A | false | WILLIAMSON | N/A | JAMES | N/A | N/A | N/A | MEDI-CAL SCR 19_ADULT EXP M/O | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10228342951 | N/A | N/A | 17494392 | 2222 | 4802 | 22125024 | N/A | 15115643 | 2026-03-28 01:18:06.745808 | 2026-02-19 17:55:17.333175 |
| 2026-03-07 08:11:24.803627 | 2026-03-28 01:18:43.293926 | 19579158 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 19579158 | Athletic Physical Therapy Inc | 1977-12-01 | 2026-03-09 | F | PT | N/A | TANGER | NCF189A56429 | Ashley | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17494208/check_19579158_e82dbda0-a31a-47a7-b5b5-7cca251a71f3.json | N/A | N/A | N/A | N/A | N/A | NCF189A56429 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1977-12-01 | 040 | 57AJCA | N/A | HM | false | TANGER | N/A | ASHLEY | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10228342950 | N/A | N/A | 17494208 | 2222 | 4801 | 22125953 | N/A | 15509440 | 2026-03-28 01:18:43.293926 | 2026-03-02 19:55:05.664511 |
| 2026-03-07 08:11:24.714469 | 2026-03-28 01:18:27.475577 | 19579156 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 19579156 | Athletic Physical Therapy Inc | 1998-03-03 | 2026-03-09 | F | AE | PT | RODEN | 622540880 | BERNADETTE | MARIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17493076/check_19579156_b4de39b4-a8e5-4627-8eac-e11722d3dc8f.json | N/A | N/A | N/A | N/A | N/A | 622540880 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1998-03-03 | LACC | 92815CA001000805 | N/A | N/A | false | RODEN | N/A | BERNADETTE | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10228342949 | N/A | N/A | 17493076 | 2222 | 4802 | 22125547 | N/A | 15508238 | 2026-03-28 01:18:27.475577 | 2026-03-02 19:30:52.935313 |
| 2026-03-07 08:11:24.613251 | 2026-03-28 01:17:42.529865 | 19579154 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 19579154 | Athletic Physical Therapy Inc | 1960-03-17 | 2026-03-09 | U | AE | PT | Bischoff | 890196801 | Marc | D | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17493013/check_19579154_16457d9e-793a-4ec7-b73f-1fcb7ec05973.json | N/A | N/A | N/A | N/A | N/A | 890196801 | N/A | N/A | UNITED HEALTHCARE | N/A | 1960-03-17 | N/A | N/A | N/A | N/A | false | BISCHOFF | N/A | MARC | 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 | 10228342948 | N/A | N/A | 17493013 | 2222 | 4801 | 22124437 | 6411 | 15508155 | 2026-03-28 01:17:42.529865 | 2026-03-09 16:11:53.480346 |
| 2026-03-07 08:11:24.500954 | 2026-03-28 01:18:22.691221 | 19579151 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 19579151 | Athletic Physical Therapy Inc | 1979-06-08 | 2026-03-10 | F | AE | PT | SALIMIAN | UZ110324601 | NASHMIL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17492780/check_19579151_6e45db23-7ca3-4e3f-8ea2-605f8accce3f.json | N/A | N/A | N/A | N/A | N/A | UZ110324601 | 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. | 1979-06-08 | 67138CA0520015-05 | N/A | N/A | N/A | false | SALIMIAN | N/A | NASHMIL | N/A | N/A | N/A | SILVER 87 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10228342947 | N/A | N/A | 17492780 | 2222 | 4802 | 22125430 | 4625 | 15085116 | 2026-03-28 01:18:22.691221 | 2026-02-18 20:26:50.354139 |
| 2026-03-07 08:11:24.380603 | 2026-03-28 01:18:38.717615 | 19579148 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 19579148 | Athletic Physical Therapy Inc | 1968-12-15 | 2026-03-10 | F | PT | N/A | Silkman | JXN347A59050 | Valerie | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/Archive/272741.20260307.100315197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17490472/check_19579148_1b93d336-7b74-4307-aed1-f11ba91391ef.json | N/A | N/A | N/A | N/A | N/A | JXN347A59050 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W CARELON LESS THAN 100K | ANTHEM BLUE CROSS | N/A | 1968-12-15 | 040 | 174222M1A1 | N/A | PR | false | SILKMAN | N/A | VALERIE | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10228342946 | N/A | N/A | 17490472 | 2222 | 4801 | 22125848 | N/A | 15505614 | 2026-03-28 01:18:38.717615 | 2026-03-02 18:44:52.817150 |
| 2026-03-07 02:43:39.170241 | 2026-03-07 02:43:40.889540 | 19576792 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2006-03-24 | 2025-07-23 | N/A | PT | AE | STRUYK | KXJ856W22729 | WILLIAM | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554190/check_19576792_aa5c1579-3f5b-495b-a35d-b0f22c11cbf8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554190/check_19576792_9d08c6fb-d24a-41b8-80f9-9adbe2aa0e32.json | N/A | N/A | N/A | N/A | N/A | KXJ856W22729 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2006-03-24 | N/A | N/A | N/A | N/A | false | STRUYK | N/A | WILLIAM | 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 | 6554190 | 2222 | N/A | 19816229 | N/A | 5177382 | 2026-03-07 02:43:40.889540 | 2025-06-30 00:02:38.867255 |
| 2026-03-07 02:43:37.555829 | 2026-03-07 02:43:39.165943 | 19576784 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2006-03-24 | 2025-07-23 | N/A | PT | AE | STRUYK | KXJ856W22729 | WILLIAM | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554190/check_19576784_87d08654-c740-4696-9639-aea89aa366f5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-23 | N/A | N/A | N/A | N/A | N/A | N/A | KXJ856W22729 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2006-03-24 | N/A | N/A | N/A | N/A | false | STRUYK | N/A | WILLIAM | 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 | 6554190 | 2222 | N/A | N/A | N/A | 5177382 | 2026-03-07 02:43:39.165943 | 2025-06-30 00:02:38.867255 |
| 2026-03-07 00:03:57.336811 | 2026-03-07 00:04:00.226801 | 19571086 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-04-12 | 2026-03-06 | F | AE | PT | BANKI | JQU128A72700 | AFSANEH | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17369730/check_19571086_c15a0239-1769-4218-8407-6a33032587d6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17369730/check_19571086_052709a9-3275-4771-ae32-efe1ab29e958.json | N/A | N/A | N/A | N/A | N/A | JQU128A72700 | Preferred Provider Organization (PPO) | BRUCE EDWARDS DDS | ANTHEM BLUE CROSS | N/A | 1963-04-12 | 040 | 225912 | N/A | PR | false | BANKI | N/A | AFSANEH | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10226099504 | 9481 | N/A | 17369730 | 2222 | N/A | 19810996 | N/A | 14333576 | 2026-03-07 00:04:00.226801 | 2026-02-10 01:00:55.560606 |
| 2026-03-06 23:59:08.635385 | 2026-03-06 23:59:10.343052 | 19570991 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-10-08 | 2026-03-09 | U | AE | PT | Carnelo | u0670041503 | Gabriela | N/A | 4437 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17745010/check_19570991_e330fc6e-10b1-4d7c-8ab4-27ef89d586d5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17745010/check_19570991_aa992e0f-b7e3-4f0b-97b8-f1f53659d3a5.json | N/A | N/A | N/A | N/A | N/A | U0670041503 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1979-10-08 | N/A | N/A | N/A | N/A | false | CARNELO | N/A | GABRIELA | 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 | 17745010 | 2222 | N/A | 19810912 | N/A | 15794127 | 2026-03-06 23:59:10.343052 | 2026-03-09 15:48:20.561395 |
| 2026-03-06 23:59:06.801657 | 2026-03-06 23:59:08.632569 | 19570990 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-10-08 | 2026-03-09 | U | AE | PT | Carnelo | u0670041503 | Gabriela | N/A | 4437 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17745010/check_19570990_74e80a16-d902-43f3-8864-40a40d7a0913.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-09 | N/A | N/A | N/A | N/A | N/A | N/A | U0670041503 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1979-10-08 | N/A | N/A | N/A | N/A | false | CARNELO | N/A | GABRIELA | 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 | 17745010 | 2222 | N/A | N/A | N/A | 15794127 | 2026-03-06 23:59:08.632569 | 2026-03-09 15:48:20.561395 |
| 2026-03-06 23:58:22.736667 | 2026-03-06 23:58:24.684432 | 19570985 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-02-04 | 2026-03-11 | F | AE | PT | SMITS | 9TF8JW2XU20 | HEIDI | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9681583/check_19570985_a5c5ab02-105a-49ea-9ba3-be2acb5857c9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681583/check_19570985_8a476471-c99d-4712-ac79-eb416e602a6b.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MA | false | SMITS | N/A | HEIDI | N/A | N/A | N/A | N/A | N/A | N/A | 52701 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10226077488 | 167942 | N/A | 9681583 | 2222 | N/A | 19810906 | N/A | 8101289 | 2026-03-06 23:58:24.684432 | 2025-09-24 17:05:46.431721 |
| 2026-03-06 23:58:07.275194 | 2026-03-06 23:58:09.054476 | 19570984 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-10-18 | 2026-03-11 | F | AE | PT | PODRAT | 6PH5HJ4AF99 | CHARLOTTE | N/A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540122/check_19570984_0dee9aa5-9aed-44a7-8989-629e72774068.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540122/check_19570984_3bafcddd-c63e-4436-a1a7-fec8656fcec1.json | N/A | N/A | N/A | N/A | N/A | 6PH5HJ4AF99 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-10-18 | S2468 | N/A | N/A | MA | false | PODRAT | N/A | CHARLOTTE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 6389 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10226076072 | 167942 | N/A | 5540122 | 2222 | N/A | 19810905 | N/A | 4212321 | 2026-03-06 23:58:09.054476 | 2026-03-11 15:45:38.887850 |
| 2026-03-06 23:58:00.099846 | 2026-03-06 23:58:02.969959 | 19570983 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-08-12 | 2026-03-11 | F | AE | PT | RIDEMAN | 00000367386 | DONNA | N/A | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17187759/check_19570983_128c389b-e118-48e4-9ba1-5b0246870c99.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17187759/check_19570983_8a65cb0a-06da-4578-8ad8-3b62a7a735d2.json | N/A | N/A | N/A | N/A | N/A | 00000367386 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1954-08-12 | N/A | N/A | N/A | N/A | false | RIDEMAN | N/A | DONNA | 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 | 17187759 | 2222 | N/A | 19810904 | N/A | 15183404 | 2026-03-06 23:58:02.969959 | 2026-02-25 23:05:43.877455 |
| 2026-03-06 23:57:58.414309 | 2026-03-06 23:58:00.096424 | 19570982 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-08-12 | 2026-03-11 | F | AE | PT | RIDEMAN | 00000367386 | DONNA | N/A | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17187759/check_19570982_3df9ac16-f902-4752-a0e7-6963e2db9a3a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000367386 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1954-08-12 | N/A | N/A | N/A | N/A | false | RIDEMAN | N/A | DONNA | 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 | 17187759 | 2222 | N/A | N/A | N/A | 15183404 | 2026-03-06 23:58:00.096424 | 2026-02-25 23:05:43.877455 |
| 2026-03-06 23:57:42.581315 | 2026-03-06 23:57:44.347987 | 19570980 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-02-22 | 2026-03-11 | M | AE | PT | FAZLY | ICA090323 | MOKHTAR | N/A | 23323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16266284/check_19570980_955362dc-8fb6-4007-af58-8bfa97cded9b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16266284/check_19570980_b4d04b64-eb80-4b78-b57d-5e5aa8960425.json | N/A | N/A | N/A | N/A | N/A | ICA090323 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-02-22 | N/A | N/A | N/A | N/A | false | FAZLY | N/A | MOKHTAR | 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 | 16266284 | 2222 | N/A | 19810901 | N/A | 4212949 | 2026-03-06 23:57:44.347987 | 2025-05-13 04:29:37.227281 |
| 2026-03-06 23:57:40.769302 | 2026-03-06 23:57:42.578545 | 19570979 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-02-22 | 2026-03-11 | M | AE | PT | FAZLY | ICA090323 | MOKHTAR | N/A | 23323 | https://storage.googleapis.com/normandy-eligibility-checks/2222/16266284/check_19570979_3e240c68-dedf-4f92-b7bb-9b8f6d9b4c07.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | ICA090323 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1948-02-22 | N/A | N/A | N/A | N/A | false | FAZLY | N/A | MOKHTAR | 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 | 16266284 | 2222 | N/A | N/A | N/A | 4212949 | 2026-03-06 23:57:42.578545 | 2025-05-13 04:29:37.227281 |
| 2026-03-06 23:57:27.396428 | 2026-03-06 23:57:29.221098 | 19570978 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1987-08-15 | 2026-03-11 | F | AE | PT | Patel | 0000000000 | Rutvi | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17597372/check_19570978_317a3f51-c4f3-43c8-a0d3-845009b6a87d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17597372/check_19570978_dbd56307-a78e-48b7-9ff1-ad8ec3d01e1d.json | N/A | N/A | N/A | N/A | N/A | 0000000000 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1987-08-15 | N/A | N/A | N/A | N/A | false | PATEL | N/A | RUTVI | 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 | 17597372 | 2222 | N/A | 19810899 | N/A | 15644152 | 2026-03-06 23:57:29.221098 | 2026-03-04 21:09:35.971399 |
| 2026-03-06 23:57:25.674752 | 2026-03-06 23:57:27.393034 | 19570977 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | N/A | override_provider | 1987-08-15 | 2026-03-11 | F | AE | PT | Patel | 0000000000 | Rutvi | N/A | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17597372/check_19570977_255fe6d2-651c-47f1-95fb-5b9466998306.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | 0000000000 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1987-08-15 | N/A | N/A | N/A | N/A | false | PATEL | N/A | RUTVI | 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 | 17597372 | 2222 | N/A | N/A | N/A | 15644152 | 2026-03-06 23:57:27.393034 | 2026-03-04 21:09:35.971399 |
| 2026-03-06 23:57:17.804692 | 2026-03-06 23:57:19.586146 | 19570976 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-08-02 | 2026-03-11 | F | AE | PT | Tchorbajian | 0011878915 | Tamar | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/15811539/check_19570976_684e3299-d7f3-4ee4-9845-d24735d5ce35.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15811539/check_19570976_b50ec5af-40f7-4711-9aa0-16b0cde340d4.json | N/A | N/A | N/A | N/A | N/A | 0011878915 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-08-02 | N/A | N/A | N/A | N/A | false | TCHORBAJIAN | N/A | TAMAR | 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 | 15811539 | 2222 | N/A | 19810897 | N/A | 13901033 | 2026-03-06 23:57:19.586146 | 2026-02-23 00:55:06.143481 |
| 2026-03-06 23:57:16.161059 | 2026-03-06 23:57:17.800934 | 19570975 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-08-02 | 2026-03-11 | F | AE | PT | Tchorbajian | 0011878915 | Tamar | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/15811539/check_19570975_ef4b7a61-5bbd-4fca-8037-3d0c7e9e7c3b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | 0011878915 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1969-08-02 | N/A | N/A | N/A | N/A | false | TCHORBAJIAN | N/A | TAMAR | 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 | 15811539 | 2222 | N/A | N/A | N/A | 13901033 | 2026-03-06 23:57:17.800934 | 2026-02-23 00:55:06.143481 |
| 2026-03-06 23:57:07.648547 | 2026-03-06 23:57:10.423741 | 19570972 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-08-31 | 2026-03-11 | M | AE | PT | August-Schmidt | 000010564062 | Alexander | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17055953/check_19570972_ea39c721-3773-4362-ae5d-55f30a09e35e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17055953/check_19570972_6b7bf7c6-0fc8-4e24-aa34-39fb28d80240.json | N/A | N/A | N/A | N/A | N/A | 000010564062 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1992-08-31 | N/A | N/A | N/A | N/A | false | AUGUST-SCHMIDT | N/A | ALEXANDER | N/A | 2026-12-31 | 2026-01-01 | 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 | 17055953 | 2222 | N/A | 19810893 | N/A | 15047404 | 2026-03-06 23:57:10.423741 | 2026-03-19 15:45:14.156442 |
| 2026-03-06 23:57:04.973319 | 2026-03-06 23:57:07.645935 | 19570971 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-08-31 | 2026-03-11 | M | AE | PT | August Schmidt | 000010564062 | Alexander | N/A | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17055953/check_19570971_603c8df7-37a5-4179-8450-ab09fb228d49.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-11 | N/A | N/A | N/A | N/A | N/A | N/A | 000010564062 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1992-08-31 | N/A | N/A | N/A | N/A | false | AUGUST SCHMIDT | N/A | ALEXANDER | N/A | 2026-12-31 | 2026-01-01 | 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 | 17055953 | 2222 | N/A | N/A | N/A | 15047404 | 2026-03-06 23:57:07.645935 | 2026-03-19 15:45:14.156442 |
| 2026-03-06 23:37:14.017497 | 2026-03-06 23:37:15.502856 | 19570874 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-08-28 | 2026-03-10 | F | AE | PT | Cedillo | 00918353404 | Dina | N/A | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13975922/check_19570874_7d254003-4bdb-4046-98eb-e93e6abb10c8.json | AVAILITY | N/A | INSIGHTS | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13975922/check_19570874_a0165ea4-f749-4591-9626-4829357c3949.json | N/A | N/A | N/A | N/A | N/A | 00918353404 | N/A | N/A | TRIWEST - TRICARE | N/A | 1974-08-28 | N/A | N/A | N/A | N/A | false | CEDILLO | N/A | DINA | 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 | 13975922 | 2222 | N/A | 19810775 | N/A | 12126264 | 2026-03-06 23:37:15.502856 | 2025-12-20 00:48:52.984127 |
| 2026-03-06 22:25:40.788178 | 2026-03-06 22:25:51.693439 | 19570280 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-04-14 | 2026-03-10 | M | PT | N/A | SANCHEZ | VDHE01075088 | LUIS | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17645349/check_19570280_15940184-fde8-43f4-bf90-fafd893057d2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17645349/check_19570280_46ab167c-5f54-4071-b52b-719e192f5ba3.json | N/A | N/A | N/A | N/A | N/A | VDHE01075088 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1993-04-14 | 040 | 174236M1A1 | N/A | PR | false | SANCHEZ | N/A | GLENDY | N/A | 9999-12-31 | 2023-01-01 | PB INCENTIVE NO SUTTER | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10225686448 | 167942 | N/A | 17645349 | 2222 | N/A | 19809995 | N/A | 15689321 | 2026-03-06 22:25:51.693439 | 2026-03-10 14:49:11.771842 |
| 2026-03-06 22:25:03.471150 | 2026-03-06 22:25:05.263779 | 19570276 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-04-14 | 2026-03-10 | U | PT | N/A | SANCHEZ | VDHE01075088 | LUIS | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17645349/check_19570276_33970c56-8f3a-40d1-aa43-a659dc2c0f88.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17645349/check_19570276_1e4eca0a-d948-46ef-956b-bda007d26799.json | N/A | N/A | N/A | N/A | N/A | VDHE01075088 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1993-04-14 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | LUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17645349 | 2222 | N/A | 19809988 | N/A | 15689321 | 2026-03-06 22:25:05.263779 | 2026-03-10 14:49:11.771842 |
| 2026-03-06 22:25:01.719380 | 2026-03-06 22:25:03.468450 | 19570275 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-04-14 | 2026-03-10 | U | PT | N/A | SANCHEZ | VDHE01075088 | LUIS | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17645349/check_19570275_ba691eb8-e9c2-4028-b3a6-0017fff0a8f0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-10 | N/A | N/A | N/A | N/A | N/A | N/A | VDHE01075088 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1993-04-14 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | LUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17645349 | 2222 | N/A | N/A | N/A | 15689321 | 2026-03-06 22:25:03.468450 | 2026-03-10 14:49:11.771842 |
| 2026-03-06 22:24:03.843687 | 2026-03-06 22:24:05.762488 | 19570267 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-04-14 | 2026-03-10 | U | PT | N/A | SANCHEZ | VDHE01075088 | LUIS | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17645349/check_19570267_622c8df8-da33-49e0-8d15-3f0537f8560e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17645349/check_19570267_0fdf27e8-6e80-452a-b0d9-9ef322f14358.json | N/A | N/A | N/A | N/A | N/A | VDHE01075088 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1993-04-14 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | LUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17645349 | 2222 | N/A | 19809976 | N/A | 15689321 | 2026-03-06 22:24:05.762488 | 2026-03-10 14:49:11.771842 |
| 2026-03-06 22:24:02.063321 | 2026-03-06 22:24:03.838435 | 19570266 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-04-14 | 2026-03-10 | U | PT | N/A | SANCHEZ | VDHE01075088 | LUIS | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17645349/check_19570266_1aa096c2-15fe-4f24-bc05-ce3b5661ad12.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-10 | N/A | N/A | N/A | N/A | N/A | N/A | VDHE01075088 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1993-04-14 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | LUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17645349 | 2222 | N/A | N/A | N/A | 15689321 | 2026-03-06 22:24:03.838435 | 2026-03-10 14:49:11.771842 |
| 2026-03-06 22:23:03.520519 | 2026-03-06 22:23:05.322978 | 19570256 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-04-14 | 2026-03-10 | U | PT | N/A | SANCHEZ | VDHE01075088 | LUIS | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/17645349/check_19570256_86758196-b821-4fcc-8f39-fd9f34001c97.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17645349/check_19570256_e908fe37-86a6-48be-9414-7efd85d039a3.json | N/A | N/A | N/A | N/A | N/A | VDHE01075088 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1993-04-14 | N/A | N/A | N/A | N/A | false | SANCHEZ | N/A | LUIS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 167942 | N/A | 17645349 | 2222 | N/A | 19809964 | N/A | 15689321 | 2026-03-06 22:23:05.322978 | 2026-03-10 14:49:11.771842 |