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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-02-25 22:58:22.707230 | 2026-02-25 22:58:26.430133 | 19155232 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-02 | M | PT | 4184 | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_19155232_9960d6c4-5a4c-436a-9d95-7285baa7bd8e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_19155232_b48b9945-227c-46ff-8164-9638f04a9b21.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-05-18 | N/A | N/A | N/A | N/A | false | HYMEL | N/A | DUSTIN | 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 | 17346208 | 2222 | N/A | 19369846 | N/A | 15356693 | 2026-02-25 22:58:26.430133 | 2026-02-25 22:30:35.848496 |
| 2026-02-25 22:58:19.039693 | 2026-02-25 22:58:22.703946 | 19155231 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-02 | M | PT | 4184 | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_19155231_c6607208-4b0b-45c0-8974-5b1a9e5491fe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | N/A | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-05-18 | N/A | N/A | N/A | N/A | false | HYMEL | N/A | DUSTIN | 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 | 17346208 | 2222 | N/A | N/A | N/A | 15356693 | 2026-02-25 22:58:22.703946 | 2026-02-25 22:30:35.848496 |
| 2026-02-25 22:57:32.775880 | 2026-02-25 22:57:35.548218 | 19155215 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-02 | M | PT | 4184 | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_19155215_91d77707-e1da-4b16-8d3e-fe18595b7c0a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_19155215_93a9473a-4a5c-4196-94d6-d56577d8bc99.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-05-18 | N/A | N/A | N/A | N/A | false | HYMEL | N/A | DUSTIN | 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 | 17346208 | 2222 | N/A | 19369828 | N/A | 15356693 | 2026-02-25 22:57:35.548218 | 2026-02-25 22:30:35.848496 |
| 2026-02-25 22:57:29.116888 | 2026-02-25 22:57:32.769634 | 19155214 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-02 | M | PT | 4184 | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_19155214_9edceacb-02a7-4576-8e12-91bc09f0393e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | N/A | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-05-18 | N/A | N/A | N/A | N/A | false | HYMEL | N/A | DUSTIN | 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 | 17346208 | 2222 | N/A | N/A | N/A | 15356693 | 2026-02-25 22:57:32.769634 | 2026-02-25 22:30:35.848496 |
| 2026-02-25 22:55:00.013001 | 2026-02-25 22:55:03.738388 | 19155187 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-02 | M | PT | 4184 | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_19155187_1d460adf-bed3-401c-88e0-f467d5445ba2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_19155187_38d527a0-294c-479c-a263-1cf7da51f0b3.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-05-18 | N/A | N/A | N/A | N/A | false | HYMEL | N/A | DUSTIN | 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 | 17346208 | 2222 | N/A | 19369793 | N/A | 15356693 | 2026-02-25 22:55:03.738388 | 2026-02-25 22:30:35.848496 |
| 2026-02-25 22:54:56.378548 | 2026-02-25 22:55:00.009386 | 19155185 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-02 | M | PT | 4184 | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_19155185_e96d2c0f-5166-4b2a-85e0-a54ab2c1212c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | N/A | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-05-18 | N/A | N/A | N/A | N/A | false | HYMEL | N/A | DUSTIN | 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 | 17346208 | 2222 | N/A | N/A | N/A | 15356693 | 2026-02-25 22:55:00.009386 | 2026-02-25 22:30:35.848496 |
| 2026-02-25 22:54:45.995177 | 2026-02-25 22:54:49.735686 | 19155183 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-02 | M | PT | 4184 | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_19155183_9c11e6f5-36b9-42d8-927f-9440932e70d3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_19155183_e78b2948-1f09-4a7a-90bc-fe6d59ed919a.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-05-18 | N/A | N/A | N/A | N/A | false | HYMEL | N/A | DUSTIN | 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 | 17346208 | 2222 | N/A | 19369788 | N/A | 15356693 | 2026-02-25 22:54:49.735686 | 2026-02-25 22:30:35.848496 |
| 2026-02-25 22:54:42.160473 | 2026-02-25 22:54:45.991946 | 19155182 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-02 | M | PT | 4184 | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_19155182_ef8ca9ee-5ecb-40b1-a16d-90a4e02c5259.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | N/A | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-05-18 | N/A | N/A | N/A | N/A | false | HYMEL | N/A | DUSTIN | 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 | 17346208 | 2222 | N/A | N/A | N/A | 15356693 | 2026-02-25 22:54:45.991946 | 2026-02-25 22:30:35.848496 |
| 2026-02-25 22:53:18.630383 | 2026-02-25 22:53:22.374955 | 19155169 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-02 | M | PT | 4184 | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_19155169_2290ce7f-7e92-4819-b714-758592bded06.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_19155169_e248096e-1eaf-44bd-bde8-80fe4f3622f6.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-05-18 | N/A | N/A | N/A | N/A | false | HYMEL | N/A | DUSTIN | 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 | 17346208 | 2222 | N/A | 19369763 | N/A | 15356693 | 2026-02-25 22:53:22.374955 | 2026-02-25 22:30:35.848496 |
| 2026-02-25 22:53:14.929970 | 2026-02-25 22:53:18.626158 | 19155167 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-02 | M | PT | 4184 | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_19155167_8a01d4af-f9b5-4c46-8a4c-6e04fbfea3b9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | N/A | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-05-18 | N/A | N/A | N/A | N/A | false | HYMEL | N/A | DUSTIN | 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 | 17346208 | 2222 | N/A | N/A | N/A | 15356693 | 2026-02-25 22:53:18.626158 | 2026-02-25 22:30:35.848496 |
| 2026-02-25 22:50:08.936997 | 2026-02-25 22:50:12.672980 | 19155137 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-02 | M | PT | 4184 | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_19155137_bd72cf13-ecc8-4108-9712-bcb3aeb1fabf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_19155137_10fd49b7-cac8-4dd5-ae90-9c6bcfa01f69.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-05-18 | N/A | N/A | N/A | N/A | false | HYMEL | N/A | DUSTIN | 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 | 17346208 | 2222 | N/A | 19369718 | N/A | 15356693 | 2026-02-25 22:50:12.672980 | 2026-02-25 22:30:35.848496 |
| 2026-02-25 22:50:05.264255 | 2026-02-25 22:50:08.932541 | 19155136 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-02 | M | PT | 4184 | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_19155136_7a96b987-d4c8-48d7-a0d7-b970183beb91.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | N/A | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-05-18 | N/A | N/A | N/A | N/A | false | HYMEL | N/A | DUSTIN | 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 | 17346208 | 2222 | N/A | N/A | N/A | 15356693 | 2026-02-25 22:50:08.932541 | 2026-02-25 22:30:35.848496 |
| 2026-02-25 22:49:30.261160 | 2026-02-25 22:49:34.021329 | 19155132 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-02 | M | PT | 4184 | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_19155132_a87045bf-3d46-427b-b307-65ab7accc059.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_19155132_8ad521c2-9032-4dea-89d4-9a92ff79fd5f.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-05-18 | N/A | N/A | N/A | N/A | false | HYMEL | N/A | DUSTIN | 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 | 17346208 | 2222 | N/A | 19369711 | N/A | 15356693 | 2026-02-25 22:49:34.021329 | 2026-02-25 22:30:35.848496 |
| 2026-02-25 22:49:26.571160 | 2026-02-25 22:49:30.257012 | 19155131 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-18 | 2026-03-02 | M | PT | 4184 | Hymel | XYQM66935041 | Dustin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17346208/check_19155131_40d1840b-0197-4bdc-b4a0-d29e77c407af.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | N/A | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-05-18 | N/A | N/A | N/A | N/A | false | HYMEL | N/A | DUSTIN | 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 | 17346208 | 2222 | N/A | N/A | N/A | 15356693 | 2026-02-25 22:49:30.257012 | 2026-02-25 22:30:35.848496 |
| 2026-02-25 22:40:09.493897 | 2026-02-25 22:40:11.325634 | 19155025 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-07-29 | 2026-02-25 | F | PT | 4185 | smith | LAZ914817156 | malia | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17142122/check_19155025_7563b36a-a5fc-4e4e-9605-c8cf7c993a1f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17142122/check_19155025_708b9071-2999-4766-8183-3bb97b9e7c5e.json | N/A | N/A | N/A | N/A | N/A | LAZ914817156 | Preferred Provider Organization (PPO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 2007-07-29 | 1000PPOX0001 | W3001596 | N/A | PR | false | SMITH | N/A | GREGORY | N/A | N/A | N/A | CITY OF LOS ANGELES BLUESHIELD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10132522016 | N/A | N/A | 17142122 | 2222 | N/A | 19369572 | N/A | 15129306 | 2026-02-25 22:40:11.325634 | 2026-02-25 22:32:18.775254 |
| 2026-02-25 22:39:47.130569 | 2026-02-25 22:39:48.925895 | 19155019 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-07-29 | 2026-02-25 | F | PT | 4185 | smith | LAZ914817156 | malia | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17142122/check_19155019_b4751218-cb55-4a98-bdfc-a4c5f174f3b7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17142122/check_19155019_0fb8b00a-b5e4-4f5a-bd49-d24aed79337b.json | N/A | N/A | N/A | N/A | N/A | LAZ914817156 | Preferred Provider Organization (PPO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 2007-07-29 | 1000PPOX0001 | W3001596 | N/A | PR | false | SMITH | N/A | GREGORY | N/A | N/A | N/A | CITY OF LOS ANGELES BLUESHIELD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10132520458 | N/A | N/A | 17142122 | 2222 | N/A | 19369565 | N/A | 15129306 | 2026-02-25 22:39:48.925895 | 2026-02-25 22:32:18.775254 |
| 2026-02-25 22:39:36.777510 | 2026-02-25 22:39:38.519765 | 19155017 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-07-29 | 2026-02-25 | F | PT | 4185 | smith | LAZ914817156 | malia | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17142122/check_19155017_790174e2-ca9f-4e92-a300-a7821f611da0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17142122/check_19155017_723cc00a-a45c-4552-8681-9f7ae0b3178b.json | N/A | N/A | N/A | N/A | N/A | LAZ914817156 | Preferred Provider Organization (PPO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 2007-07-29 | 1000PPOX0001 | W3001596 | N/A | PR | false | SMITH | N/A | GREGORY | N/A | N/A | N/A | CITY OF LOS ANGELES BLUESHIELD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10132519864 | N/A | N/A | 17142122 | 2222 | N/A | 19369563 | N/A | 15129306 | 2026-02-25 22:39:38.519765 | 2026-02-25 22:32:18.775254 |
| 2026-02-25 22:37:56.343276 | 2026-02-25 22:37:58.196835 | 19155000 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-07-29 | 2026-02-25 | F | PT | 4185 | smith | LAZ914817156 | malia | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17142122/check_19155000_d4c72ef6-ce6f-4108-aa4f-687c7e5707e5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17142122/check_19155000_1bad19e2-3af5-459d-aa03-54a73ed6068f.json | N/A | N/A | N/A | N/A | N/A | LAZ914817156 | Preferred Provider Organization (PPO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 2007-07-29 | 1000PPOX0001 | W3001596 | N/A | PR | false | SMITH | N/A | GREGORY | N/A | N/A | N/A | CITY OF LOS ANGELES BLUESHIELD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10132514178 | N/A | N/A | 17142122 | 2222 | N/A | 19369537 | N/A | 15129306 | 2026-02-25 22:37:58.196835 | 2026-02-25 22:32:18.775254 |
| 2026-02-25 22:37:39.441578 | 2026-02-25 22:37:43.448010 | 19154997 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-07-29 | 2026-02-25 | F | PT | 4185 | smith | LAZ914817156 | malia | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17142122/check_19154997_3af0a7a1-8758-481e-b8ae-9163cc4b07fa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17142122/check_19154997_c44a8621-17a6-4dc0-bc18-8e555bacb5bf.json | N/A | N/A | N/A | N/A | N/A | LAZ914817156 | Preferred Provider Organization (PPO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 2007-07-29 | 1000PPOX0001 | W3001596 | N/A | PR | false | SMITH | N/A | GREGORY | N/A | N/A | N/A | CITY OF LOS ANGELES BLUESHIELD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10132513060 | N/A | N/A | 17142122 | 2222 | N/A | 19369535 | N/A | 15129306 | 2026-02-25 22:37:43.448010 | 2026-02-25 22:32:18.775254 |
| 2026-02-25 22:29:27.099801 | 2026-02-25 22:29:28.911653 | 19154921 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-05 | 2026-02-25 | F | AE | 4184 | URIBE | MNL276W25831 | ROSA | I | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15716124/check_19154921_93704601-5925-4df4-b5a5-66f8109b82be.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15716124/check_19154921_47b41b9a-c9ee-4478-b853-a033e32d86bb.json | N/A | N/A | N/A | N/A | N/A | MNL276W25831 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-01-05 | N/A | N/A | N/A | N/A | false | URIBE | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 15716124 | 2222 | N/A | 19369420 | N/A | 13816533 | 2026-02-25 22:29:28.911653 | 2026-03-06 21:23:14.977254 |
| 2026-02-25 22:29:25.382960 | 2026-02-25 22:29:27.095767 | 19154920 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-05 | 2026-02-25 | F | AE | 4184 | URIBE | MNL276W25831 | ROSA | I | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15716124/check_19154920_0b7744ef-0ed2-4728-a875-2cdf35cac57f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | N/A | N/A | N/A | N/A | N/A | N/A | MNL276W25831 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-01-05 | N/A | N/A | N/A | N/A | false | URIBE | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 15716124 | 2222 | N/A | N/A | N/A | 13816533 | 2026-02-25 22:29:27.095767 | 2026-03-06 21:23:14.977254 |
| 2026-02-25 22:28:45.308226 | 2026-02-25 22:28:47.038227 | 19154912 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-05 | 2026-02-25 | F | AE | 4184 | URIBE | MNL276W25831 | ROSA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15716124/check_19154912_a613d68a-0d18-4ef6-b073-f215ece08ab6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15716124/check_19154912_80e6a4f2-148d-4d83-8067-da0b66680ae8.json | N/A | N/A | N/A | N/A | N/A | MNL276W25831 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-01-05 | N/A | N/A | N/A | N/A | false | URIBE | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 15716124 | 2222 | N/A | 19369411 | N/A | 13816533 | 2026-02-25 22:28:47.038227 | 2026-03-06 21:23:14.977254 |
| 2026-02-25 22:28:43.591991 | 2026-02-25 22:28:45.303865 | 19154911 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-05 | 2026-02-25 | F | AE | 4184 | URIBE | MNL276W25831 | ROSA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/15716124/check_19154911_39fb4d95-aef7-4060-9245-aab916baabb8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | N/A | N/A | N/A | N/A | N/A | N/A | MNL276W25831 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-01-05 | N/A | N/A | N/A | N/A | false | URIBE | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 15716124 | 2222 | N/A | N/A | N/A | 13816533 | 2026-02-25 22:28:45.303865 | 2026-03-06 21:23:14.977254 |
| 2026-02-25 22:12:32.693718 | 2026-02-25 22:12:34.628269 | 19154696 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-03-01 | 2026-02-25 | M | AE | 2630 | Lazarus | 00000505433 | Jerry | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16411654/check_19154696_eb086b76-85be-4f6c-91a6-f97a30743c7d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16411654/check_19154696_0e6ac2cd-a67f-4596-bcc0-70c86ad8e6d1.json | N/A | N/A | N/A | N/A | N/A | 00000505433 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1942-03-01 | H3815028 | N/A | N/A | HM | false | LAZARUS | N/A | JERRY | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10132413802 | 9339 | N/A | 16411654 | 2222 | N/A | 19369147 | N/A | 14459877 | 2026-02-25 22:12:34.628269 | 2026-02-05 17:59:52.344305 |
| 2026-02-25 21:53:16.763249 | 2026-02-25 21:53:21.155279 | 19154423 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-07-08 | 2026-02-25 | M | PT | 4184 | Garcia | NCF047A65982 | Rene | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17350415/check_19154423_2c3612a5-d3fc-49ac-9b44-835b6826d8de.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17350415/check_19154423_57034f78-69ac-4886-ad67-66d1c16f73b9.json | N/A | N/A | N/A | N/A | N/A | NCF047A65982 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1944-07-08 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | BARBARA | N/A | 9999-12-31 | 2016-08-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10132276744 | N/A | N/A | 17350415 | 2222 | N/A | 19368818 | N/A | 15361849 | 2026-02-25 21:53:21.155279 | 2026-02-25 21:46:04.154980 |
| 2026-02-25 20:48:25.335400 | 2026-02-25 20:48:27.051000 | 19153188 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-12-25 | 2026-02-26 | M | AE | 6237 | UNDERHILL | 31135655801 | DIRK | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535951/check_19153188_f0576220-90ee-40a4-a746-3968a23acf42.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535951/check_19153188_8fceeed5-ef74-4d69-8c98-68a0a0dbdb1f.json | N/A | N/A | N/A | N/A | N/A | 31135655801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1939-12-25 | 2026H5425001 | H5425M | N/A | N/A | false | UNDERHILL | N/A | DIRK | 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 | 10131866840 | N/A | N/A | 5535951 | 2222 | N/A | 19367383 | N/A | 4208785 | 2026-02-25 20:48:27.051000 | 2026-02-25 19:42:29.414844 |
| 2026-02-25 20:40:13.328372 | 2026-02-25 20:40:15.104150 | 19152791 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-12-25 | 2026-02-26 | M | AE | 6237 | UNDERHILL | 311356558-01 | DIRK | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535951/check_19152791_3fa8af88-d6b2-418d-9d18-028ef3314b01.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535951/check_19152791_077b994a-4f56-43f0-8486-23fdc97bb44e.json | N/A | N/A | N/A | N/A | N/A | 311356558-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1939-12-25 | N/A | N/A | N/A | N/A | false | UNDERHILL | N/A | DIRK | 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 | 5535951 | 2222 | N/A | 19366952 | N/A | 4208785 | 2026-02-25 20:40:15.104150 | 2026-02-25 19:42:29.414844 |
| 2026-02-25 20:40:10.606209 | 2026-02-25 20:40:13.324514 | 19152790 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-12-25 | 2026-02-26 | M | AE | 6237 | UNDERHILL | 311356558-01 | DIRK | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535951/check_19152790_ca6d1ce2-10e5-470a-bd28-cee0458b48dd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-26 | N/A | N/A | N/A | N/A | N/A | N/A | 311356558-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1939-12-25 | N/A | N/A | N/A | N/A | false | UNDERHILL | N/A | DIRK | 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 | 5535951 | 2222 | N/A | N/A | N/A | 4208785 | 2026-02-25 20:40:13.324514 | 2026-02-25 19:42:29.414844 |
| 2026-02-25 19:53:33.104116 | 2026-02-25 19:53:38.291461 | 19151600 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-01-10 | 2026-03-02 | F | AE | N/A | Chang | 70373829900 | Samantha | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17338121/check_19151600_fd64c171-56e2-4de1-8e98-dc79617aa79a.json | UHC | N/A | INSIGHTS | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17338121/check_19151600_367c4fbf-ac33-4bc3-8440-faba88342051.json | N/A | N/A | N/A | N/A | N/A | 70373829900 | Commercial | N/A | UnitedHealthcare Benefits Plan of California | N/A | 1992-01-10 | N/A | 1774388 | N/A | C1 | false | CHANG | N/A | SAMANTHA | N/A | N/A | N/A | Select Plus | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 17338121 | 2222 | N/A | 19365599 | N/A | 15349102 | 2026-02-25 19:53:38.291461 | 2026-02-25 18:52:14.887647 |
| 2026-02-25 19:38:47.107786 | 2026-02-25 19:38:49.860667 | 19151423 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1963-12-26 | 2026-02-25 | F | PT | 4709 | REZAJOU | 92695379G | ZAHRA | N/A | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/17123317/check_19151423_ae27869d-f262-4812-85d6-721d7da3de9e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17123317/check_19151423_54cdcc51-7ceb-4c70-b861-c73b382b8803.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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 165061 | N/A | 17123317 | 2222 | N/A | 19365364 | N/A | 15114017 | 2026-02-25 19:38:49.860667 | 2026-02-19 17:23:02.961628 |
| 2026-02-25 19:38:44.338434 | 2026-02-25 19:38:47.103138 | 19151422 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1963-12-26 | 2026-02-25 | F | PT | 4709 | REZAJOU | 92695379G | ZAHRA | N/A | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/17123317/check_19151422_cf55cab2-9345-4576-bb75-399294ef987f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | 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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 165061 | N/A | 17123317 | 2222 | N/A | N/A | N/A | 15114017 | 2026-02-25 19:38:47.103138 | 2026-02-19 17:23:02.961628 |
| 2026-02-25 19:31:49.039237 | 2026-02-25 19:31:50.840127 | 19151324 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-18 | 2026-02-25 | F | PT | 4185 | Fardad- Finn | JQU683A20101 | Farnaz | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187202/check_19151324_404447df-4e49-4b02-981e-6488a69cd84d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14187202/check_19151324_68fde5a6-ed49-4ace-a8d8-e4e935c6a0cc.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1970-03-18 | N/A | N/A | N/A | N/A | false | FARDAD- FINN | N/A | FARNAZ | 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 | 9339 | N/A | 14187202 | 2222 | N/A | 19365246 | N/A | 12318785 | 2026-02-25 19:31:50.840127 | 2026-03-02 22:19:42.373924 |
| 2026-02-25 19:31:47.268769 | 2026-02-25 19:31:49.035091 | 19151323 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-18 | 2026-02-25 | F | PT | 4185 | Fardad Finn | JQU683A20101 | Farnaz | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187202/check_19151323_64d74647-7fe0-4a85-acbf-99a02e220165.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | N/A | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1970-03-18 | N/A | N/A | N/A | N/A | false | FARDAD FINN | N/A | FARNAZ | 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 | 9339 | N/A | 14187202 | 2222 | N/A | N/A | N/A | 12318785 | 2026-02-25 19:31:49.035091 | 2026-03-02 22:19:42.373924 |
| 2026-02-25 19:29:46.525653 | 2026-02-25 19:29:48.331999 | 19151295 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-18 | 2026-02-25 | F | PT | 4185 | Fardad- Finn | JQU683A20101 | Farnaz | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187202/check_19151295_6421d52e-85d9-480a-8aaf-40fa1b4e7235.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14187202/check_19151295_313f43f5-1510-4074-8394-fc9926c91944.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1970-03-18 | N/A | N/A | N/A | N/A | false | FARDAD- FINN | N/A | FARNAZ | 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 | 9339 | N/A | 14187202 | 2222 | N/A | 19365212 | N/A | 12318785 | 2026-02-25 19:29:48.331999 | 2026-03-02 22:19:42.373924 |
| 2026-02-25 19:29:44.864775 | 2026-02-25 19:29:46.522300 | 19151294 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-18 | 2026-02-25 | F | PT | 4185 | Fardad Finn | JQU683A20101 | Farnaz | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187202/check_19151294_50124f4d-e47a-4168-a68b-d878b3ec163d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | N/A | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1970-03-18 | N/A | N/A | N/A | N/A | false | FARDAD FINN | N/A | FARNAZ | 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 | 9339 | N/A | 14187202 | 2222 | N/A | N/A | N/A | 12318785 | 2026-02-25 19:29:46.522300 | 2026-03-02 22:19:42.373924 |
| 2026-02-25 19:26:06.304954 | 2026-02-25 19:26:08.118938 | 19151248 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-18 | 2026-02-25 | F | PT | 4185 | Fardad- Finn | JQU683A20101 | Farnaz | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187202/check_19151248_09dc6d86-d498-4381-906a-fe9849d8070a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14187202/check_19151248_81f7b7a1-386b-41f9-ba7a-3ef9c74a07f6.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1970-03-18 | N/A | N/A | N/A | N/A | false | FARDAD- FINN | N/A | FARNAZ | 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 | 9339 | N/A | 14187202 | 2222 | N/A | 19365154 | N/A | 12318785 | 2026-02-25 19:26:08.118938 | 2026-03-02 22:19:42.373924 |
| 2026-02-25 19:26:04.608109 | 2026-02-25 19:26:06.302696 | 19151247 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-18 | 2026-02-25 | F | PT | 4185 | Fardad Finn | JQU683A20101 | Farnaz | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187202/check_19151247_08887470-7e49-40ca-8b93-59fd0921f851.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | N/A | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1970-03-18 | N/A | N/A | N/A | N/A | false | FARDAD FINN | N/A | FARNAZ | 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 | 9339 | N/A | 14187202 | 2222 | N/A | N/A | N/A | 12318785 | 2026-02-25 19:26:06.302696 | 2026-03-02 22:19:42.373924 |
| 2026-02-25 19:15:08.908705 | 2026-02-25 19:15:10.723632 | 19151048 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-18 | 2026-02-25 | F | PT | 4185 | Fardad- Finn | JQU683A20101 | Farnaz | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187202/check_19151048_591da94a-5d92-404e-8031-b1ab5cc7efcc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14187202/check_19151048_0cc95bc4-e107-49af-bbdd-d1186fb39a12.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1970-03-18 | N/A | N/A | N/A | N/A | false | FARDAD- FINN | N/A | FARNAZ | 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 | 9339 | N/A | 14187202 | 2222 | N/A | 19364927 | N/A | 12318785 | 2026-02-25 19:15:10.723632 | 2026-03-02 22:19:42.373924 |
| 2026-02-25 19:15:07.133636 | 2026-02-25 19:15:08.906203 | 19151047 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-18 | 2026-02-25 | F | PT | 4185 | Fardad Finn | JQU683A20101 | Farnaz | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/14187202/check_19151047_b873520f-36a4-489e-831e-a6a777034d99.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | N/A | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1970-03-18 | N/A | N/A | N/A | N/A | false | FARDAD FINN | N/A | FARNAZ | 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 | 9339 | N/A | 14187202 | 2222 | N/A | N/A | N/A | 12318785 | 2026-02-25 19:15:08.906203 | 2026-03-02 22:19:42.373924 |
| 2026-02-25 18:18:40.436024 | 2026-02-25 18:18:44.573484 | 19149918 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-05-31 | 2026-02-25 | M | AE | 3939 | ANDERSON | 102222917400 | ERIC | C | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16321061/check_19149918_0bf72038-e92d-4d77-ae64-c27aad4e509c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16321061/check_19149918_adfc05d8-2ecf-435a-9d86-676d69151bf6.json | N/A | N/A | N/A | N/A | N/A | 102222917400 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1952-05-31 | 000003-CA000058 | 000003-CA | N/A | PR | false | ANDERSON | N/A | ERIC | N/A | 2026-12-31 | 2026-01-01 | AETNA MEDICARE SIGNATURE (PPO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10130814621 | 9481 | N/A | 16321061 | 2222 | N/A | 19363666 | N/A | 14369748 | 2026-02-25 18:18:44.573484 | 2026-03-09 18:36:27.636026 |
| 2026-02-25 18:18:20.173033 | 2026-02-25 18:18:21.907702 | 19149885 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-05-31 | 2026-02-25 | M | AE | 3939 | ANDERSON | 102229171400 | ERIC | C | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16321061/check_19149885_181752c5-8925-4bcc-9909-a5a8e14fecd5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16321061/check_19149885_57ab7cd2-7ae7-492c-a112-9ef5592d4f01.json | N/A | N/A | N/A | N/A | N/A | 102229171400 | N/A | N/A | AETNA INC | N/A | 1952-05-31 | N/A | N/A | N/A | N/A | false | ANDERSON | N/A | ERIC | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 16321061 | 2222 | N/A | 19363630 | N/A | 14369748 | 2026-02-25 18:18:21.907702 | 2026-03-09 18:36:27.636026 |
| 2026-02-25 18:18:17.496311 | 2026-02-25 18:18:20.164896 | 19149883 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-05-31 | 2026-02-25 | M | AE | 3939 | ANDERSON | 102229171400 | ERIC | C | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/16321061/check_19149883_e3b2642f-ea7e-4602-8de9-c385c2c297e5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | N/A | N/A | N/A | N/A | N/A | N/A | 102229171400 | N/A | N/A | AETNA INC | N/A | 1952-05-31 | N/A | N/A | N/A | N/A | false | ANDERSON | N/A | ERIC | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 16321061 | 2222 | N/A | N/A | N/A | 14369748 | 2026-02-25 18:18:20.164896 | 2026-03-09 18:36:27.636026 |
| 2026-02-25 18:18:03.371254 | 2026-02-25 18:18:05.198017 | 19149871 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-05-31 | 2026-02-25 | M | AE | 4497 | ANDERSON | 5M59GF6KP35 | ERIC | C | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17335575/check_19149871_de303151-1d51-4625-b111-c2f43ba6472d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17335575/check_19149871_5ac7a47e-cbb0-4dd9-bce3-6993187c0b9a.json | N/A | N/A | N/A | N/A | N/A | 5M59GF6KP35 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-31 | H5521 | N/A | N/A | MA | false | ANDERSON | N/A | ERIC | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10130810410 | 9481 | N/A | 17335575 | 2222 | N/A | 19363618 | N/A | 14369748 | 2026-02-25 18:18:05.198017 | 2026-03-09 18:36:27.636026 |
| 2026-02-25 18:15:38.065981 | 2026-02-25 18:15:39.849280 | 19149794 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-03-09 | 2026-02-25 | M | PT | 4191 | BALLINGER | XEH909317629 | JIM | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16870368/check_19149794_8cac16d9-6597-4cf1-9c6b-8212077872bc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16870368/check_19149794_03cbb7c0-bc19-4898-9b4b-540b709be561.json | N/A | N/A | N/A | N/A | N/A | XEH909317629 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1960-03-09 | 1000VX000001 | W0069783 | N/A | HM | false | BALLINGER | N/A | JIM | N/A | 9999-12-31 | 2020-07-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10130793477 | 9339 | N/A | 16870368 | 2222 | N/A | 19363542 | N/A | 14875811 | 2026-02-25 18:15:39.849280 | 2026-02-12 18:13:52.548548 |
| 2026-02-25 18:09:07.352878 | 2026-02-25 18:09:10.155929 | 19149276 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-23 | 2026-02-26 | M | AE | 4184 | Bogen | WXY091A22808 | Andrew | E | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/11174641/check_19149276_42a3f0a8-1ccf-4c41-9112-f755f7919924.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174641/check_19149276_cbbc903d-c1a7-4107-b2af-e95499c565a8.json | N/A | N/A | N/A | N/A | N/A | WXY091A22808 | Preferred Provider Organization (PPO) | GIBSON DUNN & CRUTCHER LLP RETIREE | MEDICARE B | N/A | 1941-08-23 | 040 | 174032M113 | N/A | PR | false | BOGEN | N/A | ANDREW | N/A | 9999-12-31 | 2011-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10130744170 | 167622 | N/A | 11174641 | 2222 | N/A | 19363020 | N/A | 9519718 | 2026-02-25 18:09:10.155929 | 2026-02-02 19:30:57.219688 |
| 2026-02-25 17:11:13.320329 | 2026-02-25 17:11:16.179112 | 19148346 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1963-12-26 | 2026-02-25 | F | PT | 4709 | REZAJOU | 92695379G | ZAHRA | N/A | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/17123317/check_19148346_b9ea6e08-e1f7-41d1-b516-ea875e0c8989.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17123317/check_19148346_1c1827c8-0f77-4b39-85a0-124a081ab733.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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 165061 | N/A | 17123317 | 2222 | N/A | 19361988 | N/A | 15114017 | 2026-02-25 17:11:16.179112 | 2026-02-19 17:23:02.961628 |
| 2026-02-25 17:11:10.668842 | 2026-02-25 17:11:13.317047 | 19148343 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | N/A | override_provider | 1963-12-26 | 2026-02-25 | F | PT | 4709 | REZAJOU | 92695379G | ZAHRA | N/A | AE | https://storage.googleapis.com/normandy-eligibility-checks/2222/17123317/check_19148343_932f0c59-ab03-43a2-ac92-1b9afb60abd8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | 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 | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 165061 | N/A | 17123317 | 2222 | N/A | N/A | N/A | 15114017 | 2026-02-25 17:11:13.317047 | 2026-02-19 17:23:02.961628 |
| 2026-02-25 12:41:37.665435 | 2026-02-25 12:41:39.474151 | 19143725 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-07-01 | 2026-02-25 | M | PT | 4185 | Moreno jr | VDHE01043007 | Hector | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9691081/check_19143725_f00c52ea-08eb-4192-85df-101940db7ef4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_19143725_68c710c6-0f55-4e4f-b97b-2158bd0a254a.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10126785967 | N/A | N/A | 9691081 | 2222 | N/A | 19356936 | N/A | 8110015 | 2026-02-25 12:41:39.474151 | 2025-10-05 15:24:30.421551 |
| 2026-02-25 12:41:18.174633 | 2026-02-25 12:41:19.912023 | 19143722 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-07-01 | 2026-02-25 | M | PT | 4185 | Moreno jr | VDHE01043007 | Hector | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9691081/check_19143722_ab736da5-edeb-44ad-9259-aaf9554a79d6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_19143722_28243fd9-60fe-4caf-8f34-35ef3e388d52.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10126784834 | N/A | N/A | 9691081 | 2222 | N/A | 19356929 | N/A | 8110015 | 2026-02-25 12:41:19.912023 | 2025-10-05 15:24:30.421551 |
| 2026-02-25 12:35:46.753083 | 2026-02-25 12:35:48.637766 | 19143690 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-07-01 | 2026-02-25 | M | PT | 4185 | Moreno jr | VDHE01043007 | Hector | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9691081/check_19143690_d76d84bd-d548-4c0d-9434-f0e1869e18ba.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_19143690_47a6869b-70fe-4991-92a1-c96b0937710d.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10126765382 | N/A | N/A | 9691081 | 2222 | N/A | 19356885 | N/A | 8110015 | 2026-02-25 12:35:48.637766 | 2025-10-05 15:24:30.421551 |