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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | service_type_codes_2 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-02-26 23:34:57.089476 | 2026-02-26 23:34:58.746593 | 19201669 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-07-08 | 2026-02-26 | F | PT | 4184 | Barajas | 0000000000000000 | Leslie | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17394762/check_19201669_21dcd368-c444-4be8-8db9-09132b433a57.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17394762/check_19201669_63a266d0-1ab2-4b69-a6d4-7687bf99917b.json | N/A | N/A | N/A | N/A | N/A | 0000000000000000 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1994-07-08 | N/A | N/A | N/A | N/A | false | BARAJAS | N/A | LESLIE | 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 | N/A | N/A | N/A | 17394762 | 2222 | N/A | 19419650 | N/A | 15406097 | 2026-02-26 23:34:58.746593 | 2026-02-26 23:34:24.822607 |
| 2026-02-26 23:34:55.462070 | 2026-02-26 23:34:57.085596 | 19201668 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-07-08 | 2026-02-26 | F | PT | 4184 | Barajas | 0000000000000000 | Leslie | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17394762/check_19201668_0a0746b5-e1c7-408a-ba35-1d0a8a51d8fa.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-02-26 | N/A | N/A | N/A | N/A | N/A | N/A | 0000000000000000 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1994-07-08 | N/A | N/A | N/A | N/A | false | BARAJAS | N/A | LESLIE | 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 | N/A | N/A | N/A | 17394762 | 2222 | N/A | N/A | N/A | 15406097 | 2026-02-26 23:34:57.085596 | 2026-02-26 23:34:24.822607 |
| 2026-02-26 22:27:42.730320 | 2026-02-26 22:27:44.556491 | 19200951 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-20 | 2026-02-26 | F | PT | 4185 | FOX | MMA941W23869 | GENOVEVA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/12570095/check_19200951_ae0a31fb-6032-4847-aa1a-f961c3ee6db2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12570095/check_19200951_09f5a6a1-8175-402e-ad30-3491d8ce878f.json | N/A | N/A | N/A | N/A | N/A | MMA941W23869 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-20 | 040 | CAMCRWP0 | N/A | MP | false | FOX | N/A | GENOVEVA | N/A | 9999-12-31 | 2025-05-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10141831963 | 2182 | N/A | 12570095 | 2222 | N/A | 19418713 | N/A | 10741847 | 2026-02-26 22:27:44.556491 | 2025-11-17 21:17:39.202453 |
| 2026-02-26 22:06:12.164622 | 2026-02-26 22:06:15.145362 | 19200721 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-04-17 | 2026-02-27 | F | AE | 6237 | ROGERS | 31093568401 | MARY | E | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17306773/check_19200721_8fa3dfba-547c-44b3-9929-af8f56d69e56.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17306773/check_19200721_83d30907-ae8b-4d47-9ac6-bc4353a48de5.json | N/A | N/A | N/A | N/A | N/A | 31093568401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-04-17 | 2026H5425001 | H5425M | N/A | N/A | false | ROGERS | N/A | MARY | 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 | 10141688420 | N/A | N/A | 17306773 | 2222 | N/A | 19418418 | N/A | 15321704 | 2026-02-26 22:06:15.145362 | 2026-02-26 19:15:43.216582 |
| 2026-02-26 21:47:47.858623 | 2026-02-26 21:47:51.069902 | 19200476 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-12-26 | 2026-02-26 | F | AE | 1030 | REZAJOU | 92695379G | ZAHRA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17386287/check_19200476_fac5d85e-ab6f-4375-86f3-5d786ce0932d.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17386287/check_19200476_83b5e549-6ab7-43cc-8dec-f569fc3a653b.json | N/A | N/A | N/A | N/A | N/A | 92695379G | N/A | N/A | HEALTH NET, LLC | N/A | 1963-12-26 | N/A | N/A | N/A | N/A | false | REZAJOU | N/A | ZAHRA | 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 | N/A | N/A | 17386287 | 2222 | N/A | 19418100 | N/A | 15114017 | 2026-02-26 21:47:51.069902 | 2026-02-19 17:23:02.961628 |
| 2026-02-26 21:47:44.721430 | 2026-02-26 21:47:47.828887 | 19200474 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-12-26 | 2026-02-26 | F | AE | 1030 | REZAJOU | 92695379G | ZAHRA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17386287/check_19200474_bafb0150-985c-4c4d-a4b5-ecc2740de4fb.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-02-26 | N/A | N/A | N/A | N/A | N/A | N/A | 92695379G | N/A | N/A | HEALTH NET, LLC | N/A | 1963-12-26 | N/A | N/A | N/A | N/A | false | REZAJOU | N/A | ZAHRA | 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 | N/A | N/A | 17386287 | 2222 | N/A | N/A | N/A | 15114017 | 2026-02-26 21:47:47.828887 | 2026-02-19 17:23:02.961628 |
| 2026-02-26 21:45:17.523939 | 2026-02-26 21:45:19.267387 | 19200442 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-01-13 | 2026-02-27 | F | AE | 5538 | ALLERS | 90545004F | EMILY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9740927/check_19200442_ea827221-709b-4787-a83c-884ff49d7f26.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9740927/check_19200442_e93f8aac-5789-4e3d-ad50-29cdaa357814.json | N/A | N/A | N/A | N/A | N/A | 90545004F | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1991-01-13 | N/A | N/A | N/A | N/A | false | ALLERS | N/A | EMILY | 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 | 167622 | N/A | 9740927 | 2222 | N/A | 19418062 | N/A | 8155009 | 2026-02-26 21:45:19.267387 | 2025-10-07 16:02:56.731329 |
| 2026-02-26 21:45:15.909924 | 2026-02-26 21:45:17.520365 | 19200441 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-01-13 | 2026-02-27 | F | AE | 5538 | ALLERS | 90545004F | EMILY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9740927/check_19200441_1af277be-728d-4137-8221-108ae72bd8d9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | N/A | N/A | N/A | N/A | N/A | N/A | 90545004F | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1991-01-13 | N/A | N/A | N/A | N/A | false | ALLERS | N/A | EMILY | 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 | 167622 | N/A | 9740927 | 2222 | N/A | N/A | N/A | 8155009 | 2026-02-26 21:45:17.520365 | 2025-10-07 16:02:56.731329 |
| 2026-02-26 21:44:53.852253 | 2026-02-26 21:44:55.688668 | 19200435 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-01-13 | 2026-02-27 | F | AE | 5538 | ALLERS | 90545004F | EMILY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9740927/check_19200435_50219f06-b1a3-4b0f-945d-33b3d1c10de1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9740927/check_19200435_d8b97795-68ad-4c23-98b7-31cdb123ef0e.json | N/A | N/A | N/A | N/A | N/A | 90545004F | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1991-01-13 | N/A | N/A | N/A | N/A | false | ALLERS | N/A | EMILY | 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 | 167622 | N/A | 9740927 | 2222 | N/A | 19418055 | N/A | 8155009 | 2026-02-26 21:44:55.688668 | 2025-10-07 16:02:56.731329 |
| 2026-02-26 21:44:51.213922 | 2026-02-26 21:44:53.849470 | 19200434 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-01-13 | 2026-02-27 | F | AE | 5538 | ALLERS | 90545004F | EMILY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/9740927/check_19200434_08b2eaaa-0542-4cc3-a8f5-adb83f0667e3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | N/A | N/A | N/A | N/A | N/A | N/A | 90545004F | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1991-01-13 | N/A | N/A | N/A | N/A | false | ALLERS | N/A | EMILY | 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 | 167622 | N/A | 9740927 | 2222 | N/A | N/A | N/A | 8155009 | 2026-02-26 21:44:53.849470 | 2025-10-07 16:02:56.731329 |
| 2026-02-26 21:39:02.123936 | 2026-02-26 21:39:04.015847 | 19200383 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-02-14 | 2026-02-27 | F | AE | 6411 | CORDOVA | 2132374-02 | SHANNON | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16088358/check_19200383_5fe5e53b-c3cd-47dc-a916-07d9f55de93b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16088358/check_19200383_e26fb057-3f89-420e-a481-700b6d1d9a52.json | N/A | N/A | N/A | N/A | N/A | 213237402 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1972-02-14 | N/A | 682302 | N/A | C1 | false | CORDOVA | N/A | SHANNON | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10141513292 | 167622 | N/A | 16088358 | 2222 | N/A | 19417981 | N/A | 14153337 | 2026-02-26 21:39:04.015847 | 2026-02-12 21:31:18.058438 |
| 2026-02-26 21:37:14.269387 | 2026-02-26 21:37:16.066038 | 19200350 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-02-14 | 2026-02-27 | F | AE | 1030 | CORDOVA | 2132374-02 | SHANNON | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16088358/check_19200350_7b4b2f80-78b3-468c-be94-869d0efa4767.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16088358/check_19200350_3fb318a9-1a78-4faa-94f8-2167ad2e11ff.json | N/A | N/A | N/A | N/A | N/A | 2132374-02 | N/A | N/A | CENTENE CORPORATION | N/A | 1972-02-14 | N/A | N/A | N/A | N/A | false | CORDOVA | N/A | SHANNON | 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 | 167622 | N/A | 16088358 | 2222 | N/A | 19417944 | N/A | 14153337 | 2026-02-26 21:37:16.066038 | 2026-02-12 21:31:18.058438 |
| 2026-02-26 21:37:11.568214 | 2026-02-26 21:37:14.262887 | 19200349 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-02-14 | 2026-02-27 | F | AE | 1030 | CORDOVA | 2132374-02 | SHANNON | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16088358/check_19200349_10e7dcbb-f767-4e06-902d-d4d98aeacb17.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | N/A | N/A | N/A | N/A | N/A | N/A | 2132374-02 | N/A | N/A | CENTENE CORPORATION | N/A | 1972-02-14 | N/A | N/A | N/A | N/A | false | CORDOVA | N/A | SHANNON | 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 | 167622 | N/A | 16088358 | 2222 | N/A | N/A | N/A | 14153337 | 2026-02-26 21:37:14.262887 | 2026-02-12 21:31:18.058438 |
| 2026-02-26 21:28:09.771914 | 2026-02-26 21:28:11.527871 | 19200251 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-15 | 2026-02-27 | M | AE | 23323 | SUCHOMEL | ICA063850 | CURTIS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16910806/check_19200251_552cbaaf-2f4f-4621-af3c-1100df85d523.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16910806/check_19200251_006b46d4-4906-40dd-8a23-3940ad226ae7.json | N/A | N/A | N/A | N/A | N/A | ICA063850 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | SUCHOMEL | N/A | CURTIS | 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 | 167622 | N/A | 16910806 | 2222 | N/A | 19417825 | N/A | 14910411 | 2026-02-26 21:28:11.527871 | 2026-02-17 22:13:49.772467 |
| 2026-02-26 21:28:08.096416 | 2026-02-26 21:28:09.767673 | 19200250 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-15 | 2026-02-27 | M | AE | 23323 | SUCHOMEL | ICA063850 | CURTIS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16910806/check_19200250_79de6f15-8786-4f88-850b-bf293755115f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | N/A | N/A | N/A | N/A | N/A | N/A | ICA063850 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | SUCHOMEL | N/A | CURTIS | 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 | 167622 | N/A | 16910806 | 2222 | N/A | N/A | N/A | 14910411 | 2026-02-26 21:28:09.767673 | 2026-02-17 22:13:49.772467 |
| 2026-02-26 21:26:54.770974 | 2026-02-26 21:26:56.596429 | 19200230 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-15 | 2026-02-27 | M | AE | 23323 | SUCHOMEL | ICA063850 | CURTIS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16910806/check_19200230_d3e7a4bb-f3d2-4508-ae0b-3f5b904fcbc3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16910806/check_19200230_98e6954d-83c5-46cb-9a82-83886f216b02.json | N/A | N/A | N/A | N/A | N/A | ICA063850 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | SUCHOMEL | N/A | CURTIS | 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 | 167622 | N/A | 16910806 | 2222 | N/A | 19417805 | N/A | 14910411 | 2026-02-26 21:26:56.596429 | 2026-02-17 22:13:49.772467 |
| 2026-02-26 21:26:52.940616 | 2026-02-26 21:26:54.766481 | 19200228 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-15 | 2026-02-27 | M | AE | 23323 | SUCHOMEL | ICA063850 | CURTIS | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16910806/check_19200228_8da3c59f-37c3-40f6-bfd0-93b826eed0d2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | N/A | N/A | N/A | N/A | N/A | N/A | ICA063850 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | SUCHOMEL | N/A | CURTIS | 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 | 167622 | N/A | 16910806 | 2222 | N/A | N/A | N/A | 14910411 | 2026-02-26 21:26:54.766481 | 2026-02-17 22:13:49.772467 |
| 2026-02-26 21:15:06.253629 | 2026-02-26 21:15:08.142012 | 19200016 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-05-13 | 2026-03-03 | M | PT | 4184 | GANEY | FYP8349549AB | ERIK | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17381322/check_19200016_b8db0d15-a179-4206-8d40-5c6758963e74.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381322/check_19200016_ae5eb5d2-d1cc-492d-9dbe-4f6800203f71.json | N/A | N/A | N/A | N/A | N/A | FYP8349549AB | Preferred Provider Organization (PPO) | GELFAND RENNERT FELDMAN LLC PREMIERE PPO | ANTHEM BLUE CROSS | N/A | 2009-05-13 | 243 | L15024M009 | N/A | PR | false | GANEY | N/A | ERIK | N/A | 9999-12-31 | 2026-01-01 | PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10141364083 | N/A | N/A | 17381322 | 2222 | N/A | 19417552 | N/A | 15393205 | 2026-02-26 21:15:08.142012 | 2026-02-26 19:19:37.365342 |
| 2026-02-26 21:14:45.125635 | 2026-02-26 21:14:46.908380 | 19200005 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-05-13 | 2026-03-03 | M | PT | 4184 | GANEY | FYP8349549AB | ERIK | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17381322/check_19200005_a4e0efa6-1fc9-4c5e-85e2-c4bd1a74f180.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381322/check_19200005_f40d1342-22be-4138-aa92-e74ea36a4d27.json | N/A | N/A | N/A | N/A | N/A | FYP8349549AB | Preferred Provider Organization (PPO) | GELFAND RENNERT FELDMAN LLC PREMIERE PPO | ANTHEM BLUE CROSS | N/A | 2009-05-13 | 243 | L15024M009 | N/A | PR | false | GANEY | N/A | ERIK | N/A | 9999-12-31 | 2026-01-01 | PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10141361713 | N/A | N/A | 17381322 | 2222 | N/A | 19417538 | N/A | 15393205 | 2026-02-26 21:14:46.908380 | 2026-02-26 19:19:37.365342 |
| 2026-02-26 21:13:26.551683 | 2026-02-26 21:13:28.314127 | 19199895 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-05-13 | 2026-03-03 | M | PT | 4184 | GANEY | FYP8349549AB | ERIK | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17381322/check_19199895_2bb44a40-c55f-4742-9949-d16b84202cd2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381322/check_19199895_badd492d-20ee-4e23-b8ab-f96f401af171.json | N/A | N/A | N/A | N/A | N/A | FYP8349549AB | Preferred Provider Organization (PPO) | GELFAND RENNERT FELDMAN LLC PREMIERE PPO | ANTHEM BLUE CROSS | N/A | 2009-05-13 | 243 | L15024M009 | N/A | PR | false | GANEY | N/A | ERIK | N/A | 9999-12-31 | 2026-01-01 | PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10141354372 | N/A | N/A | 17381322 | 2222 | N/A | 19417424 | N/A | 15393205 | 2026-02-26 21:13:28.314127 | 2026-02-26 19:19:37.365342 |
| 2026-02-26 21:12:51.118044 | 2026-02-26 21:12:53.846701 | 19199864 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-05-13 | 2026-03-03 | M | PT | 4184 | GANEY | FYP8349549AB | ERIK | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17381322/check_19199864_15ea22d1-186c-4922-9b24-6aeff7de4a5b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381322/check_19199864_b69cd5d6-8409-4449-80fe-470ba857ae84.json | N/A | N/A | N/A | N/A | N/A | FYP8349549AB | Preferred Provider Organization (PPO) | GELFAND RENNERT FELDMAN LLC PREMIERE PPO | ANTHEM BLUE CROSS | N/A | 2009-05-13 | 243 | L15024M009 | N/A | PR | false | GANEY | N/A | ERIK | N/A | 9999-12-31 | 2026-01-01 | PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10141350503 | N/A | N/A | 17381322 | 2222 | N/A | 19417392 | N/A | 15393205 | 2026-02-26 21:12:53.846701 | 2026-02-26 19:19:37.365342 |
| 2026-02-26 20:36:29.038485 | 2026-02-26 20:36:32.889416 | 19199258 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-03-31 | 2026-02-27 | M | AE | 4211 | MILLER | 93398354D | GUSSIE | C | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/12109408/check_19199258_8f230166-3094-43d6-9af7-866f18ce2bd6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12109408/check_19199258_7df8e27e-e6a5-40a1-b7ee-9e63dc66341c.json | N/A | N/A | N/A | N/A | N/A | 93398354D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-03-31 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MILLER | N/A | GUSSIE | N/A | 2078-12-31 | 2025-06-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10141127201 | 167345 | N/A | 12109408 | 2222 | N/A | 19416667 | N/A | 10327291 | 2026-02-26 20:36:32.889416 | 2025-11-04 18:11:41.886029 |
| 2026-02-26 20:35:55.763665 | 2026-02-26 20:35:57.569651 | 19199248 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-03-31 | 2026-02-27 | M | AE | 4211 | MILLER | 9339835D | GUSSIE | C | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/12109408/check_19199248_2438108e-dedb-4203-9df9-a2b258b4ca2f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12109408/check_19199248_39ad1d9e-e913-4591-a19c-25d197a73931.json | N/A | N/A | N/A | N/A | N/A | 9339835D | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1963-03-31 | N/A | N/A | N/A | N/A | false | MILLER | N/A | GUSSIE | 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 | 167345 | N/A | 12109408 | 2222 | N/A | 19416651 | N/A | 10327291 | 2026-02-26 20:35:57.569651 | 2025-11-04 18:11:41.886029 |
| 2026-02-26 20:35:52.130901 | 2026-02-26 20:35:55.760313 | 19199243 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-03-31 | 2026-02-27 | M | AE | 4211 | MILLER | 9339835D | GUSSIE | C | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/12109408/check_19199243_4ccec24b-25b2-4cd5-a542-7c9c93c4ab3f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | N/A | N/A | N/A | N/A | N/A | N/A | 9339835D | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1963-03-31 | N/A | N/A | N/A | N/A | false | MILLER | N/A | GUSSIE | 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 | 167345 | N/A | 12109408 | 2222 | N/A | N/A | N/A | 10327291 | 2026-02-26 20:35:55.760313 | 2025-11-04 18:11:41.886029 |
| 2026-02-26 20:07:05.061649 | 2026-02-26 20:07:06.928858 | 19198596 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-01-06 | 2026-02-27 | F | AE | 1030 | MORGEN | 5852851 | MINDY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15287121/check_19198596_b1015b30-85e4-4ab2-b858-862fb1f19de9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15287121/check_19198596_f4a33526-4158-4245-9a70-bcd2e7ee305e.json | N/A | N/A | N/A | N/A | N/A | 5852851 | N/A | N/A | CENTENE CORPORATION | N/A | 1960-01-06 | N/A | N/A | N/A | N/A | false | MORGEN | N/A | MINDY | 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 | 167622 | N/A | 15287121 | 2222 | N/A | 19415904 | N/A | 13387979 | 2026-02-26 20:07:06.928858 | 2026-05-04 18:00:09.918838 |
| 2026-02-26 20:07:02.311427 | 2026-02-26 20:07:05.049902 | 19198595 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-01-06 | 2026-02-27 | F | AE | 1030 | MORGEN | 5852851 | MINDY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15287121/check_19198595_fc5a07c1-ef82-4e9f-aa4f-1f7a68acd942.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | N/A | N/A | N/A | N/A | N/A | N/A | 5852851 | N/A | N/A | CENTENE CORPORATION | N/A | 1960-01-06 | N/A | N/A | N/A | N/A | false | MORGEN | N/A | MINDY | 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 | 167622 | N/A | 15287121 | 2222 | N/A | N/A | N/A | 13387979 | 2026-02-26 20:07:05.049902 | 2026-05-04 18:00:09.918838 |
| 2026-02-26 20:06:10.608770 | 2026-02-26 20:06:12.452088 | 19198575 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-07-09 | 2026-02-27 | F | AE | 4199 | JOHNSON OLAD | 97773451D | CATINA | L | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/12713664/check_19198575_b751ae30-2409-4a68-a45e-85ce3c8c188b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12713664/check_19198575_f5a3c661-8c72-4ff7-9904-b576221855df.json | N/A | N/A | N/A | N/A | N/A | 97773451D | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1972-07-09 | N/A | N/A | N/A | N/A | false | JOHNSON OLAD | N/A | CATINA | 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 | 167345 | N/A | 12713664 | 2222 | N/A | 19415874 | N/A | 9669773 | 2026-02-26 20:06:12.452088 | 2025-10-30 23:36:57.101747 |
| 2026-02-26 20:06:08.662078 | 2026-02-26 20:06:10.605902 | 19198574 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-07-09 | 2026-02-27 | F | AE | 4199 | JOHNSON OLAD | 97773451D | CATINA | L | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/12713664/check_19198574_e135eb94-3382-4ae7-9a86-54d03a37bd63.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | N/A | N/A | N/A | N/A | N/A | N/A | 97773451D | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1972-07-09 | N/A | N/A | N/A | N/A | false | JOHNSON OLAD | N/A | CATINA | 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 | 167345 | N/A | 12713664 | 2222 | N/A | N/A | N/A | 9669773 | 2026-02-26 20:06:10.605902 | 2025-10-30 23:36:57.101747 |
| 2026-02-26 20:05:54.228523 | 2026-02-26 20:05:58.099431 | 19198566 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-07-09 | 2026-02-27 | F | AE | 5349 | JOHNSON OLAD | H6507221700 | CATINA | L | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/11415027/check_19198566_6c1977bd-984a-4c1a-9661-352c91a9fac7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415027/check_19198566_2be6549b-4190-4451-bb6a-9579c80f45f6.json | N/A | N/A | N/A | N/A | N/A | H65072217 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1972-07-09 | N/A | 2B506001 | N/A | HN | false | JOHNSON OLAD | N/A | CATINA | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10140936798 | 167345 | N/A | 11415027 | 2222 | N/A | 19415863 | N/A | 9669773 | 2026-02-26 20:05:58.099431 | 2025-10-30 23:36:57.101747 |
| 2026-02-26 19:58:17.644061 | 2026-02-26 19:58:19.489119 | 19198441 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-12-04 | 2026-03-06 | F | PT | 4184 | Mason | NTF411A78634 | Abigail | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17381759/check_19198441_c077138a-001d-43a3-a56d-2c61a3bc39af.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381759/check_19198441_07360eed-728d-4e31-8558-da4ba2c1cda8.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10140883080 | N/A | N/A | 17381759 | 2222 | N/A | 19415720 | N/A | 15393771 | 2026-02-26 19:58:19.489119 | 2026-02-26 19:44:45.385491 |
| 2026-02-26 19:58:12.047875 | 2026-02-26 19:58:13.975754 | 19198440 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-06-12 | 2026-02-26 | F | AE | 5538 | Ballatore | 90665617F | Chloe | K | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6553125/check_19198440_1c22989a-75b4-44cc-bf0d-742288f719cb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553125/check_19198440_815b8b10-b344-4b82-93d0-13dbbf0d8a5f.json | N/A | N/A | N/A | N/A | N/A | 90665617F | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1969-06-12 | N/A | N/A | N/A | N/A | false | BALLATORE | N/A | CHLOE | 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 | 167622 | N/A | 6553125 | 2222 | N/A | 19415719 | N/A | 5176363 | 2026-02-26 19:58:13.975754 | 2025-06-23 23:46:22.182955 |
| 2026-02-26 19:58:09.313808 | 2026-02-26 19:58:12.042558 | 19198439 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-06-12 | 2026-02-26 | F | AE | 5538 | Ballatore | 90665617F | Chloe | K | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6553125/check_19198439_e44a4b33-bd71-4143-be89-c965ec59d965.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-26 | N/A | N/A | N/A | N/A | N/A | N/A | 90665617F | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1969-06-12 | N/A | N/A | N/A | N/A | false | BALLATORE | N/A | CHLOE | 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 | 167622 | N/A | 6553125 | 2222 | N/A | N/A | N/A | 5176363 | 2026-02-26 19:58:12.042558 | 2025-06-23 23:46:22.182955 |
| 2026-02-26 19:56:45.926867 | 2026-02-26 19:56:47.653341 | 19198430 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-12-04 | 2026-03-06 | F | PT | 4184 | Mason | NTF411A78634 | Abigail | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17381759/check_19198430_90307b41-1f59-4a35-999c-1aaca8555004.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381759/check_19198430_16023818-8f96-4390-aa5c-e8bd422659aa.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10140872961 | N/A | N/A | 17381759 | 2222 | N/A | 19415708 | N/A | 15393771 | 2026-02-26 19:56:47.653341 | 2026-02-26 19:44:45.385491 |
| 2026-02-26 19:56:25.886200 | 2026-02-26 19:56:27.665081 | 19198423 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-12-04 | 2026-03-06 | F | PT | 4184 | Mason | NTF411A78634 | Abigail | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17381759/check_19198423_35aafd48-b3e3-4b3f-a584-b8dd4ce81a1f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381759/check_19198423_2e7509a8-f77e-4f8d-881f-9a36abb8d5d5.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10140870996 | N/A | N/A | 17381759 | 2222 | N/A | 19415701 | N/A | 15393771 | 2026-02-26 19:56:27.665081 | 2026-02-26 19:44:45.385491 |
| 2026-02-26 19:56:20.703731 | 2026-02-26 19:56:22.502731 | 19198422 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-12-04 | 2026-03-06 | F | PT | 4184 | Mason | NTF411A78634 | Abigail | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17381759/check_19198422_e62bf877-7274-440d-a8dc-d2426a4a15e3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381759/check_19198422_6f68a8dd-4413-4f68-a697-90c3a8d49759.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10140870402 | N/A | N/A | 17381759 | 2222 | N/A | 19415700 | N/A | 15393771 | 2026-02-26 19:56:22.502731 | 2026-02-26 19:44:45.385491 |
| 2026-02-26 19:56:09.931196 | 2026-02-26 19:56:11.761142 | 19198421 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-12-04 | 2026-03-06 | F | PT | 4184 | Mason | NTF411A78634 | Abigail | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17381759/check_19198421_87ebeb96-bd23-4e1f-9d10-e1f58f82af90.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381759/check_19198421_f67a9a60-0ce1-415e-91c6-9cd192cb4d71.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10140869063 | N/A | N/A | 17381759 | 2222 | N/A | 19415698 | N/A | 15393771 | 2026-02-26 19:56:11.761142 | 2026-02-26 19:44:45.385491 |
| 2026-02-26 19:55:51.343655 | 2026-02-26 19:55:53.140293 | 19198415 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-12-04 | 2026-03-06 | F | PT | 4184 | Mason | NTF411A78634 | Abigail | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17381759/check_19198415_d0cf9751-81a6-4478-a6ce-4a99b36f8e89.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381759/check_19198415_65496bee-06a9-480b-a51b-4a4246e02439.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10140866673 | N/A | N/A | 17381759 | 2222 | N/A | 19415691 | N/A | 15393771 | 2026-02-26 19:55:53.140293 | 2026-02-26 19:44:45.385491 |
| 2026-02-26 19:55:42.413089 | 2026-02-26 19:55:44.161261 | 19198413 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-12-04 | 2026-03-06 | F | PT | 4184 | Mason | NTF411A78634 | Abigail | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17381759/check_19198413_4a127d1f-1560-4a1c-ad75-619d47f865f2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381759/check_19198413_d3ea6ac9-19f9-4ea2-8b6e-f3ff5993e74f.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10140865406 | N/A | N/A | 17381759 | 2222 | N/A | 19415688 | N/A | 15393771 | 2026-02-26 19:55:44.161261 | 2026-02-26 19:44:45.385491 |
| 2026-02-26 19:55:34.293288 | 2026-02-26 19:55:37.034930 | 19198412 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-12-04 | 2026-03-06 | F | PT | 4184 | Mason | NTF411A78634 | Abigail | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17381759/check_19198412_cf92462d-f6f9-44fd-a7c3-b13fcb7585f1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17381759/check_19198412_7ad7ff63-47a9-44b7-a27e-5a2c523460fc.json | N/A | N/A | N/A | N/A | N/A | NTF411A78634 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 2011-12-04 | 040 | L08669M001 | N/A | PR | false | MASON | N/A | ELIZABETH | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10140864453 | N/A | N/A | 17381759 | 2222 | N/A | 19415686 | N/A | 15393771 | 2026-02-26 19:55:37.034930 | 2026-02-26 19:44:45.385491 |
| 2026-02-26 19:53:40.820085 | 2026-02-26 19:54:24.077684 | 19198367 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-11 | 2026-02-27 | F | PT | 4191 | FITZGERALD | JQK889A62470 | SARAH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15595304/check_19198367_202d4e6e-ca57-43cd-a75d-a67bfbf9da1b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15595304/check_19198367_d7174c46-cb31-43cc-b368-f75014275a5d.json | N/A | N/A | N/A | N/A | N/A | JQK889A62470 | Health Maintenance Organization (HMO) | METAL BLADE RECORDS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1968-04-11 | 040 | U69137 | N/A | HM | false | FITZGERALD | N/A | DANIEL | N/A | 9999-12-31 | 2025-12-01 | CA SG ANTHEM HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10140851601 | 167345 | N/A | 15595304 | 2222 | N/A | 19415656 | N/A | 13687632 | 2026-02-26 19:54:24.077684 | 2026-02-02 20:10:00.941376 |
| 2026-02-26 19:53:34.038580 | 2026-02-26 19:53:40.816772 | 19198366 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-11 | 2026-02-27 | F | PT | 4191 | FITZGERALD | JQK889A62470 | SARAH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15595304/check_19198366_900ae0e2-400c-4441-a367-7982c658f533.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | N/A | N/A | N/A | N/A | N/A | N/A | JQK889A62470 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1968-04-11 | N/A | N/A | N/A | N/A | false | FITZGERALD | N/A | SARAH | 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 | N/A | 167345 | N/A | 15595304 | 2222 | N/A | N/A | N/A | 13687632 | 2026-02-26 19:53:40.816772 | 2026-02-02 20:10:00.941376 |
| 2026-02-26 19:53:07.153191 | 2026-02-26 19:53:10.966897 | 19198361 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-09-29 | 2026-02-26 | M | AE | 5505 | Gill | 000023394350 | Eli | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/14792524/check_19198361_98c5a68d-c58e-4a00-bba9-ecb631872a91.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14792524/check_19198361_667fb4cd-2682-410d-af3a-d8d1d775eef2.json | N/A | N/A | N/A | N/A | N/A | 000023394350 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1982-09-29 | 4372793 | 236672 | N/A | N/A | false | GILL | N/A | ELI | N/A | N/A | N/A | AECOM BRONZE ALT / AC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10140847283 | 167622 | N/A | 14792524 | 2222 | N/A | 19415628 | N/A | 12922959 | 2026-02-26 19:53:10.966897 | 2025-12-30 00:47:01.960830 |
| 2026-02-26 19:26:33.424500 | 2026-02-26 19:26:45.321172 | 19198060 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-09-04 | 2026-02-26 | M | PT | 4184 | HASHEMI | M2S814570020 | SEYED | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15833166/check_19198060_39f3f3cf-6a96-4d1d-a384-e226739e0a17.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15833166/check_19198060_c9038e94-69d2-4d2c-82a4-81293e450b29.json | N/A | N/A | N/A | N/A | N/A | M2S814570020 | Preferred Provider Organization (PPO) | HSA 2650 ACTIVE | ANTHEM BLUE CROSS | N/A | 1990-09-04 | N/A | 231225 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | 9999-12-31 | 2026-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10140658276 | N/A | N/A | 15833166 | 2222 | N/A | 19415207 | N/A | 4213923 | 2026-02-26 19:26:45.321172 | 2025-05-13 04:29:37.228244 |
| 2026-02-26 18:13:55.598991 | 2026-02-26 18:13:57.465426 | 19196517 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-08-15 | 2026-03-02 | M | PT | 4184 | Maudlin | GS111TW09763 | Holden | C | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17376426/check_19196517_afa4c693-f07d-479f-86ae-6475372bd4a7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17376426/check_19196517_935f10d1-e837-4ab9-a904-645761f1abb4.json | N/A | N/A | N/A | N/A | N/A | GS111TW09763 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1996-08-15 | N/A | N/A | N/A | N/A | false | MAUDLIN | N/A | HOLDEN | 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 | N/A | N/A | N/A | 17376426 | 2222 | N/A | 19413516 | N/A | 15388700 | 2026-02-26 18:13:57.465426 | 2026-02-26 17:31:02.471884 |
| 2026-02-26 18:13:53.888631 | 2026-02-26 18:13:55.594831 | 19196514 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-08-15 | 2026-03-02 | M | PT | 4184 | Maudlin | GS111TW09763 | Holden | C | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17376426/check_19196514_851b9f68-af72-422c-86e1-501ca6a9a88f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | N/A | N/A | N/A | N/A | N/A | N/A | GS111TW09763 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1996-08-15 | N/A | N/A | N/A | N/A | false | MAUDLIN | N/A | HOLDEN | 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 | N/A | N/A | N/A | 17376426 | 2222 | N/A | N/A | N/A | 15388700 | 2026-02-26 18:13:55.594831 | 2026-02-26 17:31:02.471884 |
| 2026-02-26 18:13:38.133669 | 2026-02-26 18:13:39.931666 | 19196507 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-08-15 | 2026-03-02 | M | PT | 4184 | Maudlin | GS111TW09763 | Holden | C | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17376426/check_19196507_ce87e35d-3000-4ed5-b8c4-65d5dbb189fe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17376426/check_19196507_edf43374-1c95-477b-afaa-887e6c1143a0.json | N/A | N/A | N/A | N/A | N/A | GS111TW09763 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1996-08-15 | N/A | N/A | N/A | N/A | false | MAUDLIN | N/A | HOLDEN | 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 | N/A | N/A | N/A | 17376426 | 2222 | N/A | 19413500 | N/A | 15388700 | 2026-02-26 18:13:39.931666 | 2026-02-26 17:31:02.471884 |
| 2026-02-26 18:13:36.527743 | 2026-02-26 18:13:38.128791 | 19196501 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-08-15 | 2026-03-02 | M | PT | 4184 | Maudlin | GS111TW09763 | Holden | C | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17376426/check_19196501_68b6d90a-1ac6-44c1-82b8-230be82e685f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | N/A | N/A | N/A | N/A | N/A | N/A | GS111TW09763 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1996-08-15 | N/A | N/A | N/A | N/A | false | MAUDLIN | N/A | HOLDEN | 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 | N/A | N/A | N/A | 17376426 | 2222 | N/A | N/A | N/A | 15388700 | 2026-02-26 18:13:38.128791 | 2026-02-26 17:31:02.471884 |
| 2026-02-26 18:13:27.931737 | 2026-02-26 18:13:29.693119 | 19196472 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-08-15 | 2026-03-02 | M | PT | 4184 | Maudlin | GS111TW09763 | Holden | C | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17376426/check_19196472_35b63f3b-e483-40a7-89de-5ae2cb530354.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17376426/check_19196472_3bb79655-1680-4980-9bff-c208a5f43313.json | N/A | N/A | N/A | N/A | N/A | GS111TW09763 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1996-08-15 | N/A | N/A | N/A | N/A | false | MAUDLIN | N/A | HOLDEN | 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 | N/A | N/A | N/A | 17376426 | 2222 | N/A | 19413470 | N/A | 15388700 | 2026-02-26 18:13:29.693119 | 2026-02-26 17:31:02.471884 |
| 2026-02-26 18:13:26.274634 | 2026-02-26 18:13:27.927230 | 19196469 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-08-15 | 2026-03-02 | M | PT | 4184 | Maudlin | GS111TW09763 | Holden | C | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17376426/check_19196469_341e410d-9f5b-4edd-ac32-92680edc1c7d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | N/A | N/A | N/A | N/A | N/A | N/A | GS111TW09763 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1996-08-15 | N/A | N/A | N/A | N/A | false | MAUDLIN | N/A | HOLDEN | 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 | N/A | N/A | N/A | 17376426 | 2222 | N/A | N/A | N/A | 15388700 | 2026-02-26 18:13:27.927230 | 2026-02-26 17:31:02.471884 |
| 2026-02-26 18:13:18.354155 | 2026-02-26 18:13:20.142440 | 19196456 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-08-15 | 2026-03-02 | M | PT | 4184 | Maudlin | GS111TW09763 | Holden | C | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17376426/check_19196456_465dc995-2ac3-45fd-b69b-312a4f7f92a5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17376426/check_19196456_8cf316a5-e938-46d6-85e8-bee7b18490aa.json | N/A | N/A | N/A | N/A | N/A | GS111TW09763 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1996-08-15 | N/A | N/A | N/A | N/A | false | MAUDLIN | N/A | HOLDEN | 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 | N/A | N/A | N/A | 17376426 | 2222 | N/A | 19413457 | N/A | 15388700 | 2026-02-26 18:13:20.142440 | 2026-02-26 17:31:02.471884 |