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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-17 18:47:17.516224 | 2025-06-17 18:47:21.626174 | 9030461 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-08-20 | 2025-06-17 | F | AE | PT | 4184 | SAUCERMAN | XDM288A55735 | ALEXIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549817/check_9030461_f83968a7-22e7-4b95-b404-2c6d075dfe37.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549817/check_9030461_437cf8d8-0238-4e54-be2c-7c3835f6227a.json | N/A | N/A | N/A | N/A | N/A | XDM288A55735 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2000-08-20 | 040 | 57ARJB | N/A | HM | false | SAUCERMAN | N/A | DEANNE | N/A | 9999-12-31 | 2022-01-01 | PREMIER SELECT HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7974190349 | 5831 | N/A | 5549817 | 2222 | N/A | 8724135 | N/A | 4211143 | 2025-06-17 18:47:21.626174 | 2025-05-31 20:12:37.092503 |
| 2025-06-17 17:44:31.986045 | 2025-06-17 17:44:36.890139 | 9030184 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-06-05 | 2025-06-23 | F | PT | AE | 4185 | MENDEZ | jmv811a24569 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550836/check_9030184_1e7a06c5-cdce-476e-8e38-48f250605294.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550836/check_9030184_2af33694-2f8a-4584-963b-da078d8750cb.json | N/A | N/A | N/A | N/A | N/A | JMV811A24569 | Health Maintenance Organization (HMO) | PREMIER AMERICA CREDIT UNION | ANTHEM BLUE CROSS | N/A | 1977-06-05 | 040 | L06734H001 | N/A | HM | false | MENDEZ | N/A | SANDRA | N/A | 9999-12-31 | 2025-01-01 | DEDUCTIBLE HMO TRAD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7973691372 | 7927 | N/A | 5550836 | 2222 | N/A | 8723713 | N/A | 4219705 | 2025-06-17 17:44:36.890139 | 2025-05-13 04:29:37.230748 |
| 2025-06-17 17:36:03.054280 | 2025-06-17 17:36:05.910792 | 9030051 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-09-17 | 2025-06-18 | F | PT | AE | 4185 | MASON | MNL122W16884 | EUGENIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542540/check_9030051_c843b82e-2ec9-45c8-9d90-4dde79af0101.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542540/check_9030051_82f4a1e0-c3ea-4ab7-a8c8-f2bc4ab19adc.json | N/A | N/A | N/A | N/A | N/A | MNL122W16884 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1954-09-17 | 040 | CAMCRWP0 | N/A | MP | false | MASON | N/A | EUGENIA | N/A | 9999-12-31 | 2024-01-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7973625757 | 7927 | N/A | 5542540 | 2222 | N/A | 8723567 | N/A | 4214436 | 2025-06-17 17:36:05.910792 | 2025-05-13 04:29:37.228753 |
| 2025-06-17 17:34:43.651526 | 2025-06-17 17:34:45.469495 | 9029919 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-09-17 | 2025-06-18 | F | PT | AE | 23277 | MASON | 122W1688420 | EUGENIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542540/check_9029919_fe831a7a-f182-4213-8e57-83082d8326c0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542540/check_9029919_ade067cc-8783-49dd-9081-309634f2bd8a.json | N/A | N/A | N/A | N/A | N/A | 122W1688420 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-09-17 | N/A | N/A | N/A | N/A | false | MASON | N/A | EUGENIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542540 | 2222 | N/A | 8723431 | N/A | 4214436 | 2025-06-17 17:34:45.469495 | 2025-05-13 04:29:37.228753 |
| 2025-06-17 17:34:42.090608 | 2025-06-17 17:34:43.649909 | 9029917 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-09-17 | 2025-06-18 | F | PT | AE | 23277 | MASON | 122W1688420 | EUGENIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542540/check_9029917_14958cda-d585-4e08-83c0-fe5b2947eb4a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | 122W1688420 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-09-17 | N/A | N/A | N/A | N/A | false | MASON | N/A | EUGENIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542540 | 2222 | N/A | N/A | N/A | 4214436 | 2025-06-17 17:34:43.649909 | 2025-05-13 04:29:37.228753 |
| 2025-06-17 17:33:47.240884 | 2025-06-17 17:33:49.027638 | 9029825 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-09-17 | 2025-06-18 | F | PT | AE | 4185 | MASON | 122W1688420 | EUGENIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542540/check_9029825_ba9b917a-47f2-4dbe-b27c-3f066724c8c9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542540/check_9029825_6b258ac4-3a8f-4ecd-96b1-5cf70f2cf965.json | N/A | N/A | N/A | N/A | N/A | 122W1688420 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-09-17 | N/A | N/A | N/A | N/A | false | MASON | N/A | EUGENIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542540 | 2222 | N/A | 8723337 | N/A | 4214436 | 2025-06-17 17:33:49.027638 | 2025-05-13 04:29:37.228753 |
| 2025-06-17 17:33:46.544058 | 2025-06-17 17:33:48.600590 | 9029823 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2016-02-11 | 2025-06-17 | M | PT | N/A | 4185 | KANG | PVG127A71148 | NATHAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542649/check_9029823_12e5765f-4a07-47b2-b01b-94d6acc4f21d.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542649/check_9029823_53fbe46c-36c1-41c4-8d93-81ea2a93da79.json | N/A | N/A | N/A | N/A | N/A | PVG127A71148 | Preferred Provider Organization (PPO) | AVAGO TECHNOLOGIES INC | ANTHEM BLUE CROSS | N/A | 2016-02-11 | 040 | 174205M6C9 | N/A | PR | false | KANG | N/A | EUGENE | N/A | 9999-12-31 | 2024-03-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7973607170 | N/A | N/A | 5542649 | 2222 | N/A | 8723335 | N/A | 4214536 | 2025-06-17 17:33:48.600590 | 2025-05-13 04:29:37.228862 |
| 2025-06-17 17:33:43.494222 | 2025-06-17 17:33:47.239204 | 9029816 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-09-17 | 2025-06-18 | F | PT | AE | 4185 | MASON | 122W1688420 | EUGENIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542540/check_9029816_f3d635b0-a37b-4c87-aa41-823154834e1d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | 122W1688420 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-09-17 | N/A | N/A | N/A | N/A | false | MASON | N/A | EUGENIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542540 | 2222 | N/A | N/A | N/A | 4214436 | 2025-06-17 17:33:47.239204 | 2025-05-13 04:29:37.228753 |
| 2025-06-17 17:33:27.624013 | 2025-06-17 17:33:29.427238 | 9029788 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-09-17 | 2025-06-18 | F | PT | AE | 23311 | MASON | 122W1688420 | EUGENIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542540/check_9029788_01b6e1af-db22-4d26-af10-f2915ba81606.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542540/check_9029788_2a220676-9c6d-428b-a097-4932b36d0369.json | N/A | N/A | N/A | N/A | N/A | 122W1688420 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-09-17 | N/A | N/A | N/A | N/A | false | MASON | N/A | EUGENIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542540 | 2222 | N/A | 8723294 | N/A | 4214436 | 2025-06-17 17:33:29.427238 | 2025-05-13 04:29:37.228753 |
| 2025-06-17 17:33:25.988925 | 2025-06-17 17:33:27.622028 | 9029784 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-09-17 | 2025-06-18 | F | PT | AE | 23311 | MASON | 122W1688420 | EUGENIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542540/check_9029784_8d05988b-07e1-4930-84c8-a1adb4ed155b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | 122W1688420 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-09-17 | N/A | N/A | N/A | N/A | false | MASON | N/A | EUGENIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542540 | 2222 | N/A | N/A | N/A | 4214436 | 2025-06-17 17:33:27.622028 | 2025-05-13 04:29:37.228753 |
| 2025-06-17 17:32:10.322226 | 2025-06-17 17:32:12.169251 | 9029679 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-09-17 | 2025-05-28 | F | PT | AE | 4185 | MASON | 122W1688420 | EUGENIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542543/check_9029679_aa674c7e-32e9-4778-93cc-0fddf9570aaa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542543/check_9029679_205baf26-c6c5-4d52-bd8c-344027664ab9.json | N/A | N/A | N/A | N/A | N/A | 122W1688420 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-09-17 | N/A | N/A | N/A | N/A | false | MASON | N/A | EUGENIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542543 | 2222 | N/A | 8723185 | N/A | 4214436 | 2025-06-17 17:32:12.169251 | 2025-05-13 04:29:37.228753 |
| 2025-06-17 17:32:07.449347 | 2025-06-17 17:32:10.318239 | 9029675 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-09-17 | 2025-05-28 | F | PT | AE | 4185 | MASON | 122W1688420 | EUGENIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542543/check_9029675_705f6e61-7917-44a5-b998-921ed3e42163.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-28 | N/A | N/A | N/A | N/A | N/A | N/A | 122W1688420 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-09-17 | N/A | N/A | N/A | N/A | false | MASON | N/A | EUGENIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542543 | 2222 | N/A | N/A | N/A | 4214436 | 2025-06-17 17:32:10.318239 | 2025-05-13 04:29:37.228753 |
| 2025-06-17 17:26:14.804119 | 2025-06-17 17:26:17.032180 | 9029352 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2016-02-11 | 2025-06-17 | M | PT | N/A | 4185 | KANG | PVG127A71148 | NATHAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542649/check_9029352_f0a8d69e-4bf8-4782-8c17-b0b94fe78018.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542649/check_9029352_b8457214-3a5f-4983-95cb-66b7d27f1c1a.json | N/A | N/A | N/A | N/A | N/A | PVG127A71148 | Preferred Provider Organization (PPO) | AVAGO TECHNOLOGIES INC | ANTHEM BLUE CROSS | N/A | 2016-02-11 | 040 | 174205M6C9 | N/A | PR | false | KANG | N/A | EUGENE | N/A | 9999-12-31 | 2024-03-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7973551609 | N/A | N/A | 5542649 | 2222 | N/A | 8722849 | N/A | 4214536 | 2025-06-17 17:26:17.032180 | 2025-05-13 04:29:37.228862 |
| 2025-06-17 17:24:26.176716 | 2025-06-17 17:24:28.203544 | 9029242 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-18 | 2025-06-09 | F | PT | AE | 23277 | BARRUNDIA DE AVENDAN | 789W2003120 | M | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993969/check_9029242_5da0209b-3abd-495d-b578-d0138bd9f973.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993969/check_9029242_5e6edbbe-cacc-4529-ac89-f295816e3b41.json | N/A | N/A | N/A | N/A | N/A | 789W2003120 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-05-18 | N/A | N/A | N/A | N/A | false | BARRUNDIA DE AVENDAN | N/A | M | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5993969 | 2222 | N/A | 8722734 | N/A | 4642900 | 2025-06-17 17:24:28.203544 | 2025-12-12 21:30:04.843166 |
| 2025-06-17 17:24:24.430344 | 2025-06-17 17:24:26.173832 | 9029239 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-18 | 2025-06-09 | F | PT | AE | 23277 | BARRUNDIA DE AVENDAN | 789W2003120 | M | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993969/check_9029239_f3aeccd3-1af1-44c1-a897-d7f089bbb909.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 789W2003120 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-05-18 | N/A | N/A | N/A | N/A | false | BARRUNDIA DE AVENDAN | N/A | M | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5993969 | 2222 | N/A | N/A | N/A | 4642900 | 2025-06-17 17:24:26.173832 | 2025-12-12 21:30:04.843166 |
| 2025-06-17 17:21:42.499695 | 2025-06-17 17:21:51.520689 | 9029073 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-05-23 | 2025-06-24 | F | PT | AE | 4185 | NESSIA | MMA187W16160 | GIGI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993956/check_9029073_d4e53502-445d-455b-89ac-28100893584e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993956/check_9029073_d24289a4-5399-4665-8ced-4b0bd9404a68.json | N/A | N/A | N/A | N/A | N/A | MMA187W16160 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-05-23 | 040 | CAMCRWP0 | N/A | MP | false | NESSIA | N/A | GIGI | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7973522636 | 5831 | N/A | 5993956 | 2222 | N/A | 8722572 | N/A | 4642890 | 2025-06-17 17:21:51.520689 | 2025-06-17 17:21:32.432375 |
| 2025-06-17 17:21:10.570573 | 2025-06-17 17:21:14.637713 | 9029022 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-11-18 | 2025-06-18 | F | AE | PT | 6411 | JACOBY | 34555828811 | LEAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9029022_2ee5f7ab-09b7-4f0b-a3e6-adc855da390e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9029022_81aeeaef-b063-463a-8ab7-adad7c638a97.json | N/A | N/A | N/A | N/A | N/A | 345558288 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1951-11-18 | N/A | N/A | N/A | N/A | false | JACOBI | N/A | LEAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6145941 | 2222 | N/A | 8722518 | N/A | 4786785 | 2025-06-17 17:21:14.637713 | 2025-06-13 00:55:48.629734 |
| 2025-06-17 17:21:05.289479 | 2025-06-17 17:21:10.563042 | 9029017 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-11-18 | 2025-06-18 | F | AE | PT | 6411 | JACOBY | 34555828811 | LEAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9029017_e3d74009-aa86-4950-9a58-200a72bcc8f4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | 345558288 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1951-11-18 | N/A | N/A | N/A | N/A | false | JACOBI | N/A | LEAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6145941 | 2222 | N/A | N/A | N/A | 4786785 | 2025-06-17 17:21:10.563042 | 2025-06-13 00:55:48.629734 |
| 2025-06-17 17:20:31.259451 | 2025-06-17 17:20:36.092657 | 9028978 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-05-22 | 2025-06-18 | F | AE | PT | 6411 | Hugh | 35577967011 | Debra | https://storage.googleapis.com/normandy-eligibility-checks/2222/6074786/check_9028978_755e9210-8287-4c8a-977d-7b3e381451da.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074786/check_9028978_1255c328-a428-48f5-b0f0-cdafda585532.json | N/A | N/A | N/A | N/A | N/A | 355779670 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1957-05-22 | N/A | N/A | N/A | N/A | false | HUGH | N/A | DEBRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6074786 | 2222 | N/A | 8722471 | N/A | 4718946 | 2025-06-17 17:20:36.092657 | 2025-06-04 21:27:14.065817 |
| 2025-06-17 17:20:27.689920 | 2025-06-17 17:20:31.253742 | 9028973 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-05-22 | 2025-06-18 | F | AE | PT | 6411 | Hugh | 35577967011 | Debra | https://storage.googleapis.com/normandy-eligibility-checks/2222/6074786/check_9028973_6c89b8f4-8dc2-408f-8ae8-c81ef0feef2e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | 355779670 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1957-05-22 | N/A | N/A | N/A | N/A | false | HUGH | N/A | DEBRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6074786 | 2222 | N/A | N/A | N/A | 4718946 | 2025-06-17 17:20:31.253742 | 2025-06-04 21:27:14.065817 |
| 2025-06-17 17:19:52.410536 | 2025-06-17 17:19:56.117231 | 9028919 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-02 | 2025-06-19 | M | PT | AE | 6397 | BALLETTA | 331479122-11 | EDWARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_9028919_b70d2714-0582-4dad-ada3-24783242b748.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993962/check_9028919_4e9e4764-dd3d-444e-8c03-988bc4b7e047.json | N/A | N/A | N/A | N/A | N/A | 331479122 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1959-07-02 | N/A | N/A | N/A | N/A | false | BALLETTA | N/A | EDWARD | 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 | 5993962 | 2222 | N/A | 8722414 | N/A | 4642893 | 2025-06-17 17:19:56.117231 | 2025-05-28 20:58:29.913655 |
| 2025-06-17 17:19:47.855153 | 2025-06-17 17:19:52.408565 | 9028914 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-02 | 2025-06-19 | M | PT | AE | 6397 | BALLETTA | 331479122-11 | EDWARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_9028914_81439321-34d1-4295-9ece-3588e77f0eae.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | 331479122 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1959-07-02 | N/A | N/A | N/A | N/A | false | BALLETTA | N/A | EDWARD | 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 | 5993962 | 2222 | N/A | N/A | N/A | 4642893 | 2025-06-17 17:19:52.408565 | 2025-05-28 20:58:29.913655 |
| 2025-06-17 17:17:33.986728 | 2025-06-17 17:17:36.829276 | 9028700 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-18 | 2025-06-18 | F | AE | PT | 4184 | BARRUNDIA DE AVENDAN | JQW789W20031 | M | https://storage.googleapis.com/normandy-eligibility-checks/2222/6236229/check_9028700_c6b8866e-fa2a-4698-a22e-f9819c6f69ad.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236229/check_9028700_f60bbd75-7090-4b25-9468-219deb9d1640.json | N/A | N/A | N/A | N/A | N/A | JQW789W20031 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-18 | 040 | CAMCRWP0 | N/A | MP | false | BARRUNDIA DE AVENDAN | N/A | M | N/A | 9999-12-31 | 2024-05-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7973492381 | 5831 | N/A | 6236229 | 2222 | N/A | 8722194 | N/A | 4642900 | 2025-06-17 17:17:36.829276 | 2025-12-12 21:30:04.843166 |
| 2025-06-17 17:16:25.201980 | 2025-06-17 17:16:26.956282 | 9028573 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-05-23 | 2025-06-17 | U | PT | AE | 23311 | NESSIA | MMA187W16160 | GIGI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993956/check_9028573_446c41a3-8f8d-4598-84fa-553641161146.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993956/check_9028573_743a77f9-da71-44ae-82b8-33978ad371d6.json | N/A | N/A | N/A | N/A | N/A | MMA187W16160 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1958-05-23 | N/A | N/A | N/A | N/A | false | NESSIA | N/A | GIGI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5993956 | 2222 | N/A | 8722062 | N/A | 4642890 | 2025-06-17 17:16:26.956282 | 2025-06-17 17:21:32.432375 |
| 2025-06-17 17:16:23.466815 | 2025-06-17 17:16:25.198413 | 9028567 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-05-23 | 2025-06-17 | U | PT | AE | 23311 | NESSIA | MMA187W16160 | GIGI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993956/check_9028567_59b71e83-ea98-456b-afac-7eb69b84c6ff.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | N/A | N/A | N/A | N/A | N/A | N/A | MMA187W16160 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1958-05-23 | N/A | N/A | N/A | N/A | false | NESSIA | N/A | GIGI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5993956 | 2222 | N/A | N/A | N/A | 4642890 | 2025-06-17 17:16:25.198413 | 2025-06-17 17:21:32.432375 |
| 2025-06-17 17:16:20.492710 | 2025-06-17 17:16:22.290201 | 9028560 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-06-24 | 2025-06-23 | F | AE | PT | 6798 | GOMEZ | 44116442 | CAROL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6434660/check_9028560_ea5e4b00-f1ca-4ffa-814d-9f67c7987765.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6434660/check_9028560_cf090ba9-c4c7-42e6-8c84-3e3f46da1056.json | N/A | N/A | N/A | N/A | N/A | 44116442 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1962-06-24 | 406-024-000 | N/A | N/A | N/A | false | GOMEZ | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7973484612 | 9482 | N/A | 6434660 | 2222 | N/A | 8722050 | N/A | 5079832 | 2025-06-17 17:16:22.290201 | 2025-06-23 20:02:36.660262 |
| 2025-06-17 17:15:43.767738 | 2025-06-17 17:15:45.523381 | 9028486 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-05-23 | 2025-06-17 | U | PT | AE | 4497 | NESSIA | MMA187W16160 | GIGI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993956/check_9028486_18b55859-3c66-4115-87e6-0622f51600f3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993956/check_9028486_d97a3db6-5e29-49d0-b0ae-f7d09168481d.json | N/A | N/A | N/A | N/A | N/A | MMA187W16160 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1958-05-23 | N/A | N/A | N/A | N/A | false | NESSIA | N/A | GIGI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5993956 | 2222 | N/A | 8721991 | N/A | 4642890 | 2025-06-17 17:15:45.523381 | 2025-06-17 17:21:32.432375 |
| 2025-06-17 17:15:42.105996 | 2025-06-17 17:15:43.764498 | 9028480 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-05-23 | 2025-06-17 | U | PT | AE | 4497 | NESSIA | MMA187W16160 | GIGI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993956/check_9028480_3671fab9-048b-471f-8d68-eb7c72c2bbb8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | N/A | N/A | N/A | N/A | N/A | N/A | MMA187W16160 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1958-05-23 | N/A | N/A | N/A | N/A | false | NESSIA | N/A | GIGI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5993956 | 2222 | N/A | N/A | N/A | 4642890 | 2025-06-17 17:15:43.764498 | 2025-06-17 17:21:32.432375 |
| 2025-06-17 17:15:35.649699 | 2025-06-17 17:15:39.517555 | 9028452 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-06-24 | 2025-06-23 | F | AE | PT | 6798 | GOMEZ | 44116442 | CAROL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6434660/check_9028452_2bed15ff-c335-4edc-83a4-c51e626f916c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6434660/check_9028452_2e3c369c-0841-46e4-b31e-312ee99f6eac.json | N/A | N/A | N/A | N/A | N/A | 44116442 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1962-06-24 | 406-024-000 | N/A | N/A | N/A | false | GOMEZ | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7973479161 | 9482 | N/A | 6434660 | 2222 | N/A | 8721980 | N/A | 5079832 | 2025-06-17 17:15:39.517555 | 2025-06-23 20:02:36.660262 |
| 2025-06-17 17:15:17.726244 | 2025-06-17 17:15:19.502143 | 9028375 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-05-23 | 2025-06-17 | U | PT | AE | 4185 | NESSIA | MMA187W16160 | GIGI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993956/check_9028375_bbc76bde-34af-4437-a98e-c50a7ed487fe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993956/check_9028375_37fd6f88-21df-41e2-b30a-0a74bdc25ff8.json | N/A | N/A | N/A | N/A | N/A | MMA187W16160 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1958-05-23 | N/A | N/A | N/A | N/A | false | NESSIA | N/A | GIGI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5993956 | 2222 | N/A | 8721934 | N/A | 4642890 | 2025-06-17 17:15:19.502143 | 2025-06-17 17:21:32.432375 |
| 2025-06-17 17:15:16.025580 | 2025-06-17 17:15:17.722579 | 9028369 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-05-23 | 2025-06-17 | U | PT | AE | 4185 | NESSIA | MMA187W16160 | GIGI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993956/check_9028369_86e13c8d-e946-41f8-95d2-a87e9278055a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | N/A | N/A | N/A | N/A | N/A | N/A | MMA187W16160 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1958-05-23 | N/A | N/A | N/A | N/A | false | NESSIA | N/A | GIGI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5993956 | 2222 | N/A | N/A | N/A | 4642890 | 2025-06-17 17:15:17.722579 | 2025-06-17 17:21:32.432375 |
| 2025-06-17 17:13:37.596563 | 2025-06-17 17:13:39.364665 | 9028144 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-18 | 2025-06-18 | F | AE | PT | 4184 | BARRUNDIA DE AVENDAN | JQW789W20031 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6236229/check_9028144_88472b77-c890-4e42-a1d1-c7085f016c64.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236229/check_9028144_61279eb4-080d-43b6-9f63-6a177ddb452f.json | N/A | N/A | N/A | N/A | N/A | JQW789W20031 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-18 | N/A | N/A | N/A | N/A | false | BARRUNDIA DE AVENDAN | N/A | MARIA | 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 | 6236229 | 2222 | N/A | 8721752 | N/A | 4642900 | 2025-06-17 17:13:39.364665 | 2025-12-12 21:30:04.843166 |
| 2025-06-17 17:13:34.929490 | 2025-06-17 17:13:37.594661 | 9028141 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-18 | 2025-06-18 | F | AE | PT | 4184 | BARRUNDIA DE AVENDAN | JQW789W20031 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6236229/check_9028141_ea17b0db-c60d-4c73-8d39-74083ef6025c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | N/A | N/A | N/A | N/A | N/A | N/A | JQW789W20031 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-18 | N/A | N/A | N/A | N/A | false | BARRUNDIA DE AVENDAN | N/A | MARIA | 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 | 6236229 | 2222 | N/A | N/A | N/A | 4642900 | 2025-06-17 17:13:37.594661 | 2025-12-12 21:30:04.843166 |
| 2025-06-17 17:12:51.976318 | 2025-06-17 17:12:53.845568 | 9028093 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-05-23 | 2025-06-17 | U | PT | AE | 4185 | NESSIA | 187W1616020 | GIGI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993956/check_9028093_5a21d932-5723-4ff4-a9ed-3bb411ec3a87.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993956/check_9028093_b3a6709a-e543-456a-a8a1-b686869c9d74.json | N/A | N/A | N/A | N/A | N/A | 187W1616020 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1958-05-23 | N/A | N/A | N/A | N/A | false | NESSIA | N/A | GIGI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5993956 | 2222 | N/A | 8721699 | N/A | 4642890 | 2025-06-17 17:12:53.845568 | 2025-06-17 17:21:32.432375 |
| 2025-06-17 17:12:50.736204 | 2025-06-17 17:12:52.632359 | 9028091 | N/A | N/A | REGAL | Regal Medical Group | 1093463788 | N/A | override_provider | 1960-10-26 | 2025-06-03 | M | PT | AE | 23277 | SUCHER | NCF577A55433 | JAY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6231503/check_9028091_ef6cc92d-2442-4264-baa0-d7fb76436f4f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6231503/check_9028091_7af1a4bf-ad28-4f72-82b6-814befa88fb1.json | N/A | N/A | N/A | N/A | N/A | NCF577A55433 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1960-10-26 | N/A | N/A | N/A | N/A | false | SUCHER | N/A | JAY | 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 | 6231503 | 2222 | N/A | 8721697 | N/A | 4209436 | 2025-06-17 17:12:52.632359 | 2025-06-27 22:58:27.733010 |
| 2025-06-17 17:12:50.353597 | 2025-06-17 17:12:51.973878 | 9028090 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-05-23 | 2025-06-17 | U | PT | AE | 4185 | NESSIA | 187W1616020 | GIGI | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993956/check_9028090_8bc27a99-395a-4824-9bb9-fe231ac84407.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | N/A | N/A | N/A | N/A | N/A | N/A | 187W1616020 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1958-05-23 | N/A | N/A | N/A | N/A | false | NESSIA | N/A | GIGI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5993956 | 2222 | N/A | N/A | N/A | 4642890 | 2025-06-17 17:12:51.973878 | 2025-06-17 17:21:32.432375 |
| 2025-06-17 17:12:48.956405 | 2025-06-17 17:12:50.726044 | 9028088 | N/A | N/A | REGAL | Regal Medical Group | 1093463788 | N/A | override_provider | 1960-10-26 | 2025-06-03 | M | PT | AE | 23277 | SUCHER | NCF577A55433 | JAY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6231503/check_9028088_f7024818-9049-4729-a7af-da20c0002c47.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | N/A | N/A | N/A | N/A | N/A | N/A | NCF577A55433 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1960-10-26 | N/A | N/A | N/A | N/A | false | SUCHER | N/A | JAY | 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 | 6231503 | 2222 | N/A | N/A | N/A | 4209436 | 2025-06-17 17:12:50.726044 | 2025-06-27 22:58:27.733010 |
| 2025-06-17 17:10:22.212290 | 2025-06-17 17:10:24.007131 | 9027997 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-18 | 2025-06-27 | F | AE | PT | 4184 | BARRUNDIA DE AVENDAN | JQW789W20031 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6236229/check_9027997_94f7d9b4-b317-4d61-b63e-b21b945f69b9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236229/check_9027997_ec3bafd4-ac5d-4016-a6ab-70b91d2cc3d6.json | N/A | N/A | N/A | N/A | N/A | JQW789W20031 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-18 | N/A | N/A | N/A | N/A | false | BARRUNDIA DE AVENDAN | N/A | MARIA | 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 | 6236229 | 2222 | N/A | 8721602 | N/A | 4642900 | 2025-06-17 17:10:24.007131 | 2025-12-12 21:30:04.843166 |
| 2025-06-17 17:10:19.451687 | 2025-06-17 17:10:22.210315 | 9027995 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-18 | 2025-06-27 | F | AE | PT | 4184 | BARRUNDIA DE AVENDAN | JQW789W20031 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6236229/check_9027995_ad7a4fc6-a1c1-44e8-84cd-dfa56bcdcd2a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | N/A | N/A | N/A | N/A | N/A | N/A | JQW789W20031 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-18 | N/A | N/A | N/A | N/A | false | BARRUNDIA DE AVENDAN | N/A | MARIA | 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 | 6236229 | 2222 | N/A | N/A | N/A | 4642900 | 2025-06-17 17:10:22.210315 | 2025-12-12 21:30:04.843166 |
| 2025-06-17 17:02:31.387799 | 2025-06-17 17:02:33.380091 | 9027918 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-18 | 2025-06-09 | F | PT | AE | 4185 | BARRUNDIA DE AVENDAN | 789W2003120 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993969/check_9027918_53aa7592-88f5-4600-9782-48d9901cbe3e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993969/check_9027918_ddb3e6c1-edbf-4e67-acf2-8b44a881e7de.json | N/A | N/A | N/A | N/A | N/A | 789W2003120 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-18 | N/A | N/A | N/A | N/A | false | BARRUNDIA DE AVENDAN | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5993969 | 2222 | N/A | 8721510 | N/A | 4642900 | 2025-06-17 17:02:33.380091 | 2025-12-12 21:30:04.843166 |
| 2025-06-17 17:02:27.725375 | 2025-06-17 17:02:31.385514 | 9027916 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-18 | 2025-06-09 | F | PT | AE | 4185 | BARRUNDIA DE AVENDAN | 789W2003120 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993969/check_9027916_e23513a6-91b8-4e01-aac5-012bdd774fd9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-09 | N/A | N/A | N/A | N/A | N/A | N/A | 789W2003120 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-18 | N/A | N/A | N/A | N/A | false | BARRUNDIA DE AVENDAN | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5993969 | 2222 | N/A | N/A | N/A | 4642900 | 2025-06-17 17:02:31.385514 | 2025-12-12 21:30:04.843166 |
| 2025-06-17 16:59:50.676255 | 2025-06-17 16:59:55.435905 | 9027875 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-03-31 | 2025-05-30 | M | PT | AE | 4185 | LOPEZ | 787A54824-10 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549492/check_9027875_43df9dd1-5d75-482b-b412-b3c3e5046549.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549492/check_9027875_253b8892-7a9b-4740-9671-9f4b387ff9ed.json | N/A | N/A | N/A | N/A | N/A | 787A54824-10 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-03-31 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5549492 | 2222 | N/A | 8721464 | N/A | 4219143 | 2025-06-17 16:59:55.435905 | 2025-05-13 04:29:37.230161 |
| 2025-06-17 16:59:48.972770 | 2025-06-17 16:59:50.672908 | 9027873 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-03-31 | 2025-05-30 | M | PT | AE | 4185 | LOPEZ | 787A54824-10 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549492/check_9027873_1f99b3fb-f3b4-4194-b433-9cfb4834db2d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | 787A54824-10 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-03-31 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5549492 | 2222 | N/A | N/A | N/A | 4219143 | 2025-06-17 16:59:50.672908 | 2025-05-13 04:29:37.230161 |
| 2025-06-17 16:29:48.455262 | 2025-06-17 16:29:51.343705 | 9027555 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2016-02-11 | 2025-06-17 | M | PT | N/A | 4185 | KANG | PVG127A71148 | NATHAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542649/check_9027555_5e446b03-4a8d-4195-8bb8-82f55bb5c6d8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542649/check_9027555_ab8920d6-6430-4fdb-8e2a-138c65a434dd.json | N/A | N/A | N/A | N/A | N/A | PVG127A71148 | Preferred Provider Organization (PPO) | AVAGO TECHNOLOGIES INC | ANTHEM BLUE CROSS | N/A | 2016-02-11 | 040 | 174205M6C9 | N/A | PR | false | KANG | N/A | EUGENE | N/A | 9999-12-31 | 2024-03-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7973169928 | 9482 | N/A | 5542649 | 2222 | N/A | 8721079 | N/A | 4214536 | 2025-06-17 16:29:51.343705 | 2025-05-13 04:29:37.228862 |
| 2025-06-17 16:01:44.566500 | 2025-06-17 16:01:49.426274 | 9027328 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-02-10 | 2025-06-18 | M | AE | PT | 3948 | BEANEY | W2867 54300 | BLAKE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6417592/check_9027328_df383a2f-e9fc-45c0-bc73-f69b9afe2ae2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417592/check_9027328_d92125bd-01e4-41b5-8c72-fa7c75891d25.json | N/A | N/A | N/A | N/A | N/A | W286754300 | Point of Service (POS) | ASTRAZENECA PHARMACEUTICALS LP | AETNA | N/A | 2011-02-10 | 0192654 | 019265403800001 | N/A | PS | false | BEANEY | N/A | KASI | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7972881468 | N/A | N/A | 6417592 | 2222 | N/A | 8720759 | N/A | 5065296 | 2025-06-17 16:01:49.426274 | 2025-06-17 15:56:39.436060 |
| 2025-06-17 16:01:41.492169 | 2025-06-17 16:01:43.247994 | 9027327 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-17 | M | PT | AE | 23277 | BUI | JQS556M78105 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_9027327_b2946250-8d01-4841-aa06-89958287c201.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_9027327_f1c3a17d-6157-4dd2-9d35-0f24f87a80c6.json | N/A | N/A | N/A | N/A | N/A | JQS556M78105 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5542429 | 2222 | N/A | 8720757 | N/A | 4214340 | 2025-06-17 16:01:43.247994 | 2025-06-16 23:14:10.518236 |
| 2025-06-17 16:01:39.790889 | 2025-06-17 16:01:41.485105 | 9027325 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-17 | M | PT | AE | 23277 | BUI | JQS556M78105 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_9027325_737fa435-717d-4acc-9f07-44d4d0cace43.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | N/A | N/A | N/A | N/A | N/A | N/A | JQS556M78105 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-17 16:01:41.485105 | 2025-06-16 23:14:10.518236 |
| 2025-06-17 16:01:34.095365 | 2025-06-17 16:01:35.862014 | 9027324 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-17 | M | PT | AE | 23277 | BUI | JQS556M78105 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_9027324_94387201-aa52-48bf-bf72-0a86ce126711.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_9027324_5cf8d484-fea5-45e2-b769-7d8e717ebaa9.json | N/A | N/A | N/A | N/A | N/A | JQS556M78105 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5542429 | 2222 | N/A | 8720755 | N/A | 4214340 | 2025-06-17 16:01:35.862014 | 2025-06-16 23:14:10.518236 |
| 2025-06-17 16:01:32.511488 | 2025-06-17 16:01:34.093706 | 9027322 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-17 | M | PT | AE | 23277 | BUI | JQS556M78105 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_9027322_2964a2ec-45fe-4f43-b021-e4a29829fe9f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | N/A | N/A | N/A | N/A | N/A | N/A | JQS556M78105 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5542429 | 2222 | N/A | N/A | N/A | 4214340 | 2025-06-17 16:01:34.093706 | 2025-06-16 23:14:10.518236 |
| 2025-06-17 16:01:15.857166 | 2025-06-17 16:01:17.740625 | 9027318 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-12-23 | 2025-06-17 | M | PT | AE | 23277 | BUI | JQS556M7810510 | KHIET | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542429/check_9027318_a21be9bf-11bf-419d-958b-112ab8c45163.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542429/check_9027318_4c92dd39-c780-4382-babb-7cf46118d22b.json | N/A | N/A | N/A | N/A | N/A | JQS556M7810510 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-12-23 | N/A | N/A | N/A | N/A | false | BUI | N/A | KHIET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 5542429 | 2222 | N/A | 8720737 | N/A | 4214340 | 2025-06-17 16:01:17.740625 | 2025-06-16 23:14:10.518236 |