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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-02-24 03:26:40.834689 | 2026-02-24 03:26:43.917052 | 19043591 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-10-11 | 2026-02-23 | M | PT | 4185 | Gibson | BGM8530851CH | Paul | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17087478/check_19043591_06188e57-7b90-41d4-814e-28a8cae97893.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17087478/check_19043591_6fb1af83-9b39-4370-8d60-da8ad784ec74.json | N/A | N/A | N/A | N/A | N/A | BGM8530851CH | Preferred Provider Organization (PPO) | BLOOM ENERGY CORPORATION | ANTHEM BLUE CROSS | N/A | 1984-10-11 | 040 | 281424M003 | N/A | PR | false | GIBSON | N/A | PAUL | N/A | 9999-12-31 | 2021-04-05 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10113904021 | 167345 | N/A | 17087478 | 2222 | N/A | 19267019 | N/A | 15079139 | 2026-02-24 03:26:43.917052 | 2026-03-03 01:53:25.910380 |
| 2026-02-24 03:13:28.750165 | 2026-02-24 03:13:30.819544 | 19043572 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-01-21 | 2025-06-11 | M | AE | 6237 | SHADDAY | 40064865601 | STEVEN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543011/check_19043572_19a88e44-3229-4db4-afe0-cd61d5363eee.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_19043572_d2756be0-d703-454c-a140-abd80cc9974f.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-01-21 | N/A | N/A | N/A | N/A | false | SHADDAY | N/A | STEVEN | N/A | N/A | N/A | 2025H5425001 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10113867782 | 167345 | N/A | 5543011 | 2222 | N/A | 19267001 | N/A | 4214861 | 2026-02-24 03:13:30.819544 | 2026-02-04 19:10:58.526441 |
| 2026-02-24 03:09:05.182838 | 2026-02-24 03:09:07.142434 | 19043566 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2026-02-19 | F | AE | 4199 | HERNANDEZ | 98922553G79170 | JUANA | M | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_19043566_6a318553-da03-4fba-b9ed-859e948c25dc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14058775/check_19043566_8b052e0f-349f-4d32-bba8-6990b303d611.json | N/A | N/A | N/A | N/A | N/A | 98922553G79170 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | 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 | 14058775 | 2222 | N/A | 19266995 | N/A | 12203619 | 2026-02-24 03:09:07.142434 | 2025-12-24 19:48:19.199045 |
| 2026-02-24 03:09:03.417035 | 2026-02-24 03:09:05.179484 | 19043565 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2026-02-19 | F | AE | 4199 | HERNANDEZ | 98922553G79170 | JUANA | M | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_19043565_c95ffbc7-328d-4158-80c2-72abd7fcda7f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-19 | N/A | N/A | N/A | N/A | N/A | N/A | 98922553G79170 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | 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 | 14058775 | 2222 | N/A | N/A | N/A | 12203619 | 2026-02-24 03:09:05.179484 | 2025-12-24 19:48:19.199045 |
| 2026-02-24 01:38:26.545312 | 2026-02-24 01:38:30.283163 | 19043370 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-10-11 | 2026-02-26 | M | AE | 5349 | FARRUGIA | H65738169 | JEFF | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17264465/check_19043370_bd508e72-f0fa-4ef9-b85f-0f3e03a13d00.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17264465/check_19043370_51d3b817-34e8-4915-9804-515a0ab77974.json | N/A | N/A | N/A | N/A | N/A | H65738169 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA 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 | 1954-10-11 | N/A | 2B722001 | N/A | HN | false | FARRUGIA | N/A | JEFFREY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10113375226 | N/A | N/A | 17264465 | 2222 | N/A | 19240643 | N/A | 15281758 | 2026-02-24 01:38:30.283163 | 2026-04-16 18:41:33.012590 |
| 2026-02-24 00:19:27.733996 | 2026-02-24 00:19:29.509978 | 19043119 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-14 | 2026-02-25 | M | PT | 4185 | BENKOVIC | NCF105A51926 | ESTEBAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17088157/check_19043119_f936087c-82ce-4e4b-b039-49ad1eab5c3f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17088157/check_19043119_34fefca3-1379-49d8-b29d-29a8c16e288e.json | N/A | N/A | N/A | N/A | N/A | NCF105A51926 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1967-09-14 | 040 | 57AJCA | N/A | HM | false | BENKOVIC | N/A | ESTEBAN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10112777503 | N/A | N/A | 17088157 | 2222 | N/A | 19236089 | N/A | 15079739 | 2026-02-24 00:19:29.509978 | 2026-02-18 19:01:28.651126 |
| 2026-02-24 00:19:14.712036 | 2026-02-24 00:19:17.464917 | 19043118 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-14 | 2026-02-25 | M | PT | 4185 | BENKOVIC | NCF105A51926 | ESTEBAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17088157/check_19043118_8fd89dd2-d71b-4ff9-b393-dbe4816a1f0e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17088157/check_19043118_2a98d868-64ea-4964-862f-d3931d9252f6.json | N/A | N/A | N/A | N/A | N/A | NCF105A51926 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1967-09-14 | 040 | 57AJCA | N/A | HM | false | BENKOVIC | N/A | ESTEBAN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10112776933 | N/A | N/A | 17088157 | 2222 | N/A | 19236088 | N/A | 15079739 | 2026-02-24 00:19:17.464917 | 2026-02-18 19:01:28.651126 |
| 2026-02-23 23:16:47.782584 | 2026-02-23 23:16:51.554392 | 19041858 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-08-15 | 2026-02-23 | M | AE | 4211 | BRISICK | 2320654 | STEVEN | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/12172112/check_19041858_b0a3a3d1-fb11-49fd-825b-a92e412f0a5a.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12172112/check_19041858_907c8c2a-3bba-4768-bfe3-ed475951cbcd.json | N/A | N/A | N/A | N/A | N/A | 2320654 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1965-08-15 | 18126CA001000401 | QMXEM01910 | N/A | N/A | false | BRISICK | N/A | STEVEN | N/A | 2026-12-31 | 2026-01-01 | BRONZE 60 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10112557681 | N/A | N/A | 12172112 | 2222 | N/A | 19234734 | N/A | 10384933 | 2026-02-23 23:16:51.554392 | 2025-11-04 18:26:03.763078 |
| 2026-02-23 23:06:59.466749 | 2026-02-23 23:07:11.501338 | 19041605 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-13 | 2026-02-23 | F | PT | 4184 | HOLLAND | YVA250263382 | KELSEY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257631/check_19041605_5bdc7b99-7969-465b-84f0-da9b0a5f951e.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257631/check_19041605_b041de19-06d9-4f2d-acc8-6adbf0111063.json | N/A | N/A | N/A | N/A | N/A | YVA250263382 | Preferred Provider Organization (PPO) | PIPEWORKS INC | ANTHEM BLUE CROSS | N/A | 1999-03-13 | N/A | 10018888 | N/A | PR | false | HOLLAND | N/A | KELSEY | N/A | 9999-12-31 | 2026-01-01 | CLASSIC/PREFERRED | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10112517834 | N/A | N/A | 17257631 | 2222 | N/A | 19234465 | N/A | 15275187 | 2026-02-23 23:07:11.501338 | 2026-02-23 23:05:07.406692 |
| 2026-02-23 23:05:30.949272 | 2026-02-23 23:05:32.797476 | 19041571 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-07-02 | 2026-02-25 | M | AE | 3939 | Clemen | ID N2687 56197 | Tate | W | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257296/check_19041571_21776476-a37a-438d-9968-b3c0750071b2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257296/check_19041571_26cc894f-5e82-439d-8a4d-08c90baef338.json | N/A | N/A | N/A | N/A | N/A | W268756197 | Point of Service (POS) | THE BOSTON CONSULTING GROUP, INC. | AETNA | N/A | 1999-07-02 | 0657263 | 065726301000101 | N/A | PS | false | CLEMEN | N/A | TATE | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10112512215 | N/A | N/A | 17257296 | 2222 | N/A | 19234419 | N/A | 15274431 | 2026-02-23 23:05:32.797476 | 2026-02-26 01:15:47.249061 |
| 2026-02-23 23:04:31.488367 | 2026-02-23 23:04:37.356797 | 19041527 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-07-02 | 2026-02-25 | M | AE | 3939 | Clemen | ID N2687 56197 | Tate | W | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257296/check_19041527_fa772408-b69a-4e50-a30b-e22b931405fe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257296/check_19041527_d07a69a8-2f78-4508-95fc-4a88ffc36726.json | N/A | N/A | N/A | N/A | N/A | W268756197 | Point of Service (POS) | THE BOSTON CONSULTING GROUP, INC. | AETNA | N/A | 1999-07-02 | 0657263 | 065726301000101 | N/A | PS | false | CLEMEN | N/A | TATE | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10112508677 | N/A | N/A | 17257296 | 2222 | N/A | 19234375 | N/A | 15274431 | 2026-02-23 23:04:37.356797 | 2026-02-26 01:15:47.249061 |
| 2026-02-23 23:03:31.279235 | 2026-02-23 23:04:31.485077 | 19041517 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-07-02 | 2026-02-25 | M | AE | 3939 | Clemen | ID N2687 56197 | Tate | W | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17257296/check_19041517_2e96652e-949b-4b51-b5c8-836f273b3a47.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-25 | N/A | N/A | N/A | N/A | N/A | N/A | ID N2687 56197 | N/A | N/A | AETNA | N/A | 1999-07-02 | N/A | N/A | N/A | N/A | false | CLEMEN | N/A | TATE | 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 | 17257296 | 2222 | N/A | N/A | N/A | 15274431 | 2026-02-23 23:04:31.485077 | 2026-02-26 01:15:47.249061 |
| 2026-02-23 22:56:28.735734 | 2026-02-23 22:56:30.516938 | 19041441 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-02-19 | 2026-03-03 | F | AE | 2630 | Hale | 00000272654 | Vicki | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17249147/check_19041441_6e2f1d81-d69e-4986-b80d-54e06e3261cd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17249147/check_19041441_9251f286-b7d0-47d6-be1a-5bebfb8aaa1e.json | N/A | N/A | N/A | N/A | N/A | 00000272654 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1948-02-19 | N/A | N/A | N/A | N/A | false | HALE | N/A | VICKI | 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 | 162972 | N/A | 17249147 | 2222 | N/A | 19234275 | N/A | 15266859 | 2026-02-23 22:56:30.516938 | 2026-02-23 21:46:02.438896 |
| 2026-02-23 22:56:26.822533 | 2026-02-23 22:56:28.732854 | 19041440 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-02-19 | 2026-03-03 | F | AE | 2630 | Hale | 00000272654 | Vicki | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17249147/check_19041440_250d870a-55f4-48f9-8a1a-00c0b1731e1c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-03 | N/A | N/A | N/A | N/A | N/A | N/A | 00000272654 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1948-02-19 | N/A | N/A | N/A | N/A | false | HALE | N/A | VICKI | 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 | 162972 | N/A | 17249147 | 2222 | N/A | N/A | N/A | 15266859 | 2026-02-23 22:56:28.732854 | 2026-02-23 21:46:02.438896 |
| 2026-02-23 22:54:37.382894 | 2026-02-23 22:54:39.117097 | 19041434 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-02-19 | 2026-03-03 | F | AE | 2630 | Hale | 000002727654 | Vicki | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17249147/check_19041434_8bd58524-b607-4c12-9d4b-6996db373788.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17249147/check_19041434_a3c353a0-4bf9-487a-837f-44c6a77d6222.json | N/A | N/A | N/A | N/A | N/A | 000002727654 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1948-02-19 | N/A | N/A | N/A | N/A | false | HALE | N/A | VICKI | 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 | 162972 | N/A | 17249147 | 2222 | N/A | 19234258 | N/A | 15266859 | 2026-02-23 22:54:39.117097 | 2026-02-23 21:46:02.438896 |
| 2026-02-23 22:54:35.771461 | 2026-02-23 22:54:37.380457 | 19041432 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-02-19 | 2026-03-03 | F | AE | 2630 | Hale | 000002727654 | Vicki | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17249147/check_19041432_d8a86d9b-5988-46a7-8d40-b7eaa33b0b41.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-03 | N/A | N/A | N/A | N/A | N/A | N/A | 000002727654 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1948-02-19 | N/A | N/A | N/A | N/A | false | HALE | N/A | VICKI | 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 | 162972 | N/A | 17249147 | 2222 | N/A | N/A | N/A | 15266859 | 2026-02-23 22:54:37.380457 | 2026-02-23 21:46:02.438896 |
| 2026-02-23 22:45:53.301708 | 2026-02-23 22:45:55.192114 | 19041365 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-06-27 | 2026-02-23 | F | PT | 4184 | LUCZYWEK | HFD100011213709 | DANIELLA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537199/check_19041365_f9b928d9-a7fa-43e3-962c-589a64f3333c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537199/check_19041365_fee13560-b55b-4858-8cbf-124a3b192edf.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 2003-06-27 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10112440628 | 9333 | N/A | 5537199 | 2222 | N/A | 19234160 | N/A | 4209807 | 2026-02-23 22:45:55.192114 | 2026-02-20 19:27:47.468875 |
| 2026-02-23 22:42:59.978099 | 2026-02-23 22:43:02.782517 | 19041346 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-06-27 | 2026-02-23 | F | PT | 4184 | LUCZYWEK | HFD100011213709 | DANIELLA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537199/check_19041346_a9a8c2dc-e8d6-408a-8614-a7a2eb3573ac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537199/check_19041346_a5e06236-1d81-4bff-9775-32da43a4f750.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 2003-06-27 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10112430499 | 9333 | N/A | 5537199 | 2222 | N/A | 19234132 | N/A | 4209807 | 2026-02-23 22:43:02.782517 | 2026-02-20 19:27:47.468875 |
| 2026-02-23 22:23:57.344985 | 2026-02-23 22:24:00.412424 | 19041167 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-06-19 | 2026-02-26 | M | PT | 4191 | ZEITHAMMER | UCD914833466 | ROBERT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15745085/check_19041167_d0a5596e-9e8a-4840-9fd5-8bf3d9268203.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15745085/check_19041167_60aa6755-60f7-4291-9978-1a8dc01065f6.json | N/A | N/A | N/A | N/A | N/A | UCD914833466 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1975-06-19 | 1400PPOX0001 | W3000984 | N/A | PR | false | ZEITHAMMER | N/A | ROBERT | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA ASO UC CARE PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10112354155 | 6189 | N/A | 15745085 | 2222 | N/A | 19233910 | N/A | 13842766 | 2026-02-23 22:24:00.412424 | 2026-01-26 16:51:25.727723 |
| 2026-02-23 22:18:10.494982 | 2026-02-23 22:18:12.183188 | 19041097 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2026-02-23 | F | AE | 4199 | HERNANDEZ | 98922553G79170 | JUANA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_19041097_809ea02a-c699-4b07-b5d3-3fa00e0947a1.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14058775/check_19041097_6e13f403-1eb4-47bc-ae98-96704df9dca5.json | N/A | N/A | N/A | N/A | N/A | 98922553G79170 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | 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 | 14058775 | 2222 | N/A | 19233828 | N/A | 12203619 | 2026-02-23 22:18:12.183188 | 2025-12-24 19:48:19.199045 |
| 2026-02-23 22:18:08.837354 | 2026-02-23 22:18:10.489703 | 19041096 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-08-25 | 2026-02-23 | F | AE | 4199 | HERNANDEZ | 98922553G79170 | JUANA | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/14058775/check_19041096_75cbf79d-ee91-4321-ba41-4aef4a021216.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-02-23 | N/A | N/A | N/A | N/A | N/A | N/A | 98922553G79170 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | 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 | 14058775 | 2222 | N/A | N/A | N/A | 12203619 | 2026-02-23 22:18:10.489703 | 2025-12-24 19:48:19.199045 |
| 2026-02-23 22:10:14.795111 | 2026-02-23 22:10:16.548030 | 19040978 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-10-11 | 2026-02-23 | M | PT | 4184 | Gibson | B6M8530851 | Paul | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17087478/check_19040978_6e6fcf34-a634-415b-93e3-0f4ccf5e2922.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17087478/check_19040978_47eb1e74-836b-4617-a736-87c93b015102.json | N/A | N/A | N/A | N/A | N/A | B6M8530851 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-10-11 | N/A | N/A | N/A | N/A | false | GIBSON | N/A | PAUL | 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 | 17087478 | 2222 | N/A | 19233692 | N/A | 15079139 | 2026-02-23 22:10:16.548030 | 2026-03-03 01:53:25.910380 |
| 2026-02-23 22:10:12.182639 | 2026-02-23 22:10:14.792637 | 19040977 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-10-11 | 2026-02-23 | M | PT | 4184 | Gibson | B6M8530851 | Paul | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17087478/check_19040977_7c12f33a-36f7-4f6e-914e-204b47ed2251.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | N/A | N/A | N/A | N/A | N/A | N/A | B6M8530851 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-10-11 | N/A | N/A | N/A | N/A | false | GIBSON | N/A | PAUL | 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 | 17087478 | 2222 | N/A | N/A | N/A | 15079139 | 2026-02-23 22:10:14.792637 | 2026-03-03 01:53:25.910380 |
| 2026-02-23 22:09:52.506457 | 2026-02-23 22:09:54.275658 | 19040969 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-10-11 | 2026-02-23 | M | PT | 4184 | Gibson | BGM85308551CH | Paul | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17087478/check_19040969_e83e4ede-79d9-4ec9-9d88-457230478b54.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17087478/check_19040969_05efff09-9d36-44a2-a102-371a90ce608b.json | N/A | N/A | N/A | N/A | N/A | BGM85308551CH | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-10-11 | N/A | N/A | N/A | N/A | false | GIBSON | N/A | PAUL | 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 | 17087478 | 2222 | N/A | 19233679 | N/A | 15079139 | 2026-02-23 22:09:54.275658 | 2026-03-03 01:53:25.910380 |
| 2026-02-23 22:09:50.857853 | 2026-02-23 22:09:52.501639 | 19040961 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-10-11 | 2026-02-23 | M | PT | 4184 | Gibson | BGM85308551CH | Paul | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17087478/check_19040961_51482b4d-f9b9-4bda-874a-77a160af9294.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | N/A | N/A | N/A | N/A | N/A | N/A | BGM85308551CH | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-10-11 | N/A | N/A | N/A | N/A | false | GIBSON | N/A | PAUL | 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 | 17087478 | 2222 | N/A | N/A | N/A | 15079139 | 2026-02-23 22:09:52.501639 | 2026-03-03 01:53:25.910380 |
| 2026-02-23 22:09:32.577065 | 2026-02-23 22:09:34.350736 | 19040941 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-10-11 | 2026-02-23 | M | PT | 4184 | Gibson | BGM85308551CH | Paul | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17087478/check_19040941_1b7fe611-e550-48f1-82fa-322394457f60.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17087478/check_19040941_1c482ed6-20d0-4bce-a296-7783edbe8374.json | N/A | N/A | N/A | N/A | N/A | BGM85308551CH | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-10-11 | N/A | N/A | N/A | N/A | false | GIBSON | N/A | PAUL | 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 | 17087478 | 2222 | N/A | 19233655 | N/A | 15079139 | 2026-02-23 22:09:34.350736 | 2026-03-03 01:53:25.910380 |
| 2026-02-23 22:09:30.922326 | 2026-02-23 22:09:32.570617 | 19040940 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-10-11 | 2026-02-23 | M | PT | 4184 | Gibson | BGM85308551CH | Paul | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17087478/check_19040940_eed77670-af76-463d-9fac-3d01c9203ce5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | N/A | N/A | N/A | N/A | N/A | N/A | BGM85308551CH | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-10-11 | N/A | N/A | N/A | N/A | false | GIBSON | N/A | PAUL | 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 | 17087478 | 2222 | N/A | N/A | N/A | 15079139 | 2026-02-23 22:09:32.570617 | 2026-03-03 01:53:25.910380 |
| 2026-02-23 22:08:54.751481 | 2026-02-23 22:08:56.708841 | 19040932 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-10-11 | 2026-02-23 | M | PT | 4184 | Gibson | BGM85308551CH | Paul | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17087478/check_19040932_43961ba3-fbbd-416d-b462-9d97c892dc99.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17087478/check_19040932_776473e9-0c25-425a-aacb-18a84bf429e0.json | N/A | N/A | N/A | N/A | N/A | BGM85308551CH | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-10-11 | N/A | N/A | N/A | N/A | false | GIBSON | N/A | PAUL | 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 | 17087478 | 2222 | N/A | 19233648 | N/A | 15079139 | 2026-02-23 22:08:56.708841 | 2026-03-03 01:53:25.910380 |
| 2026-02-23 22:08:52.907716 | 2026-02-23 22:08:54.747933 | 19040931 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-10-11 | 2026-02-23 | M | PT | 4184 | Gibson | BGM85308551CH | Paul | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17087478/check_19040931_72a5342d-0b78-41cd-a7c7-d21863108fbc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | N/A | N/A | N/A | N/A | N/A | N/A | BGM85308551CH | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-10-11 | N/A | N/A | N/A | N/A | false | GIBSON | N/A | PAUL | 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 | 17087478 | 2222 | N/A | N/A | N/A | 15079139 | 2026-02-23 22:08:54.747933 | 2026-03-03 01:53:25.910380 |
| 2026-02-23 22:08:28.018427 | 2026-02-23 22:08:29.740130 | 19040930 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-10-11 | 2026-02-23 | M | PT | 4184 | Gibson | BGM85308551CH | Paul | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17087478/check_19040930_9a19e413-af32-4bec-a0e4-c399d6af3557.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17087478/check_19040930_4377f020-c599-4a3f-a6d1-d09f6734411c.json | N/A | N/A | N/A | N/A | N/A | BGM85308551CH | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-10-11 | N/A | N/A | N/A | N/A | false | GIBSON | N/A | PAUL | 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 | 17087478 | 2222 | N/A | 19233641 | N/A | 15079139 | 2026-02-23 22:08:29.740130 | 2026-03-03 01:53:25.910380 |
| 2026-02-23 22:08:26.369231 | 2026-02-23 22:08:28.013871 | 19040929 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-10-11 | 2026-02-23 | M | PT | 4184 | Gibson | BGM85308551CH | Paul | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17087478/check_19040929_2a945859-b710-41b7-b1a3-cf32880b4d01.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | N/A | N/A | N/A | N/A | N/A | N/A | BGM85308551CH | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1984-10-11 | N/A | N/A | N/A | N/A | false | GIBSON | N/A | PAUL | 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 | 17087478 | 2222 | N/A | N/A | N/A | 15079139 | 2026-02-23 22:08:28.013871 | 2026-03-03 01:53:25.910380 |
| 2026-02-23 21:59:02.689703 | 2026-02-23 21:59:04.467342 | 19040770 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-02-04 | 2026-02-24 | M | AE | 6237 | Seth | 40042142001 | Sushil | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17252132/check_19040770_b3fe6ae6-ebc0-496a-85bb-3fc9fe2b5731.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17252132/check_19040770_8ba9aec9-1191-458c-add5-e2a34a34043c.json | N/A | N/A | N/A | N/A | N/A | 40042142001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-02-04 | 2026H5425006 | H5425M | N/A | N/A | false | SETH | N/A | SUSHIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10112177968 | N/A | N/A | 17252132 | 2222 | N/A | 19233447 | N/A | 15269089 | 2026-02-23 21:59:04.467342 | 2026-03-03 16:25:21.496329 |
| 2026-02-23 21:57:44.367035 | 2026-02-23 21:57:46.101461 | 19040757 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-02-19 | 2026-03-03 | F | AE | 1030 | Hale | 000002727654 | Vicki | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17249147/check_19040757_cf1087d4-32dc-489c-a4d5-765f0b23ef1c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17249147/check_19040757_2b1518be-59ce-4698-8156-22beb31efb8c.json | N/A | N/A | N/A | N/A | N/A | 000002727654 | N/A | N/A | CENTENE CORPORATION | N/A | 1948-02-19 | N/A | N/A | N/A | N/A | false | HALE | N/A | VICKI | 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 | 17249147 | 2222 | N/A | 19233434 | N/A | 15266859 | 2026-02-23 21:57:46.101461 | 2026-02-23 21:46:02.438896 |
| 2026-02-23 21:57:42.765658 | 2026-02-23 21:57:44.364418 | 19040756 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-02-19 | 2026-03-03 | F | AE | 1030 | Hale | 000002727654 | Vicki | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17249147/check_19040756_c74602b1-6e2f-4df8-b33b-1a39d244b070.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-03 | N/A | N/A | N/A | N/A | N/A | N/A | 000002727654 | N/A | N/A | CENTENE CORPORATION | N/A | 1948-02-19 | N/A | N/A | N/A | N/A | false | HALE | N/A | VICKI | 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 | 17249147 | 2222 | N/A | N/A | N/A | 15266859 | 2026-02-23 21:57:44.364418 | 2026-02-23 21:46:02.438896 |
| 2026-02-23 21:56:51.648281 | 2026-02-23 21:56:53.503522 | 19040744 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-02-19 | 2026-03-03 | F | AE | 1030 | Hale | 000002727654 | Vicki | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17249147/check_19040744_54d4824a-cce6-42bf-ada1-f2d3ea75d919.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17249147/check_19040744_2f18bad5-936a-431e-966d-a64fa8c9d5ae.json | N/A | N/A | N/A | N/A | N/A | 000002727654 | N/A | N/A | CENTENE CORPORATION | N/A | 1948-02-19 | N/A | N/A | N/A | N/A | false | HALE | N/A | VICKI | 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 | 17249147 | 2222 | N/A | 19233420 | N/A | 15266859 | 2026-02-23 21:56:53.503522 | 2026-02-23 21:46:02.438896 |
| 2026-02-23 21:56:48.997404 | 2026-02-23 21:56:51.645178 | 19040743 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-02-19 | 2026-03-03 | F | AE | 1030 | Hale | 000002727654 | Vicki | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17249147/check_19040743_c0d708de-afbf-4fc2-bd15-e91c47ce2c42.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-03 | N/A | N/A | N/A | N/A | N/A | N/A | 000002727654 | N/A | N/A | CENTENE CORPORATION | N/A | 1948-02-19 | N/A | N/A | N/A | N/A | false | HALE | N/A | VICKI | 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 | 17249147 | 2222 | N/A | N/A | N/A | 15266859 | 2026-02-23 21:56:51.645178 | 2026-02-23 21:46:02.438896 |
| 2026-02-23 21:55:59.628923 | 2026-02-23 21:56:33.252064 | 19040730 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-09-21 | 2026-02-25 | F | AE | 6341 | Grant | 1540368844 | Arden | MARIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/14708284/check_19040730_321e7b03-9308-4f40-a718-5ff7996785c4.json | AVAILITY | N/A | INSIGHTS | 2026-02-25 | N/A | N/A | N/A | N/A | N/A | N/A | 1540368844 | N/A | N/A | N/A | N/A | 1998-09-21 | N/A | N/A | N/A | N/A | false | Grant | N/A | Arden | 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 | 2182 | N/A | 14708284 | 2222 | N/A | N/A | N/A | 12837261 | 2026-02-23 21:56:33.252064 | 2025-12-26 20:53:51.700105 |
| 2026-02-23 21:55:47.896493 | 2026-02-23 21:55:48.165735 | 19040726 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-09-21 | 2026-02-25 | F | AE | 6341 | Grant | 1056839008V836344 | Arden | MARIE | PT | N/A | AVAILITY | N/A | INSIGHTS | 2026-02-25 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 2182 | N/A | 14708284 | 2222 | N/A | N/A | N/A | 12837261 | 2026-02-23 21:55:48.165735 | 2025-12-26 20:53:51.700105 |
| 2026-02-23 20:59:05.442711 | 2026-02-23 20:59:07.229503 | 19039557 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-10-08 | 2026-02-23 | F | PT | 4184 | STIEKEMA | JQU130W07701 | JENNIFER | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16994489/check_19039557_c8768d9b-a24b-4310-b8bb-3e00b2d48c54.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16994489/check_19039557_7559a944-34c8-4626-b382-9cf8aad1b339.json | N/A | N/A | N/A | N/A | N/A | JQU130W07701 | Preferred Provider Organization (PPO) | PARKWAY PEDIATRIC MEDICAL GROUP INC | ANTHEM BLUE CROSS | N/A | 1993-10-08 | 040 | U35944 | N/A | PR | false | STIEKEMA | N/A | JENNIFER | N/A | 2026-03-01 | 2025-03-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10111770567 | N/A | N/A | 16994489 | 2222 | N/A | 19232112 | N/A | 14991273 | 2026-02-23 20:59:07.229503 | 2026-02-23 20:45:39.769195 |
| 2026-02-23 20:57:19.858903 | 2026-02-23 20:57:21.958624 | 19039526 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-10-08 | 2026-02-23 | F | PT | 4184 | STIEKEMA | JQU130W07701 | JENNIFER | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16994489/check_19039526_2da906ce-dd11-4359-94fb-a370911a1430.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16994489/check_19039526_6f10b5da-859d-4abf-a9d0-d51db485064f.json | N/A | N/A | N/A | N/A | N/A | JQU130W07701 | Preferred Provider Organization (PPO) | PARKWAY PEDIATRIC MEDICAL GROUP INC | ANTHEM BLUE CROSS | N/A | 1993-10-08 | 040 | U35944 | N/A | PR | false | STIEKEMA | N/A | JENNIFER | N/A | 2026-03-01 | 2025-03-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10111757112 | N/A | N/A | 16994489 | 2222 | N/A | 19232076 | N/A | 14991273 | 2026-02-23 20:57:21.958624 | 2026-02-23 20:45:39.769195 |
| 2026-02-23 20:56:34.989328 | 2026-02-23 20:56:36.687817 | 19039504 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-10-08 | 2026-02-23 | F | PT | 4184 | STIEKEMA | JQU130W07701 | JENNIFER | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16994489/check_19039504_4aeece6c-3a35-4377-a8f2-b531d45e55b3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16994489/check_19039504_5fc01f8e-ccbe-406c-a05e-b0d03e1e6e9d.json | N/A | N/A | N/A | N/A | N/A | JQU130W07701 | Preferred Provider Organization (PPO) | PARKWAY PEDIATRIC MEDICAL GROUP INC | ANTHEM BLUE CROSS | N/A | 1993-10-08 | 040 | U35944 | N/A | PR | false | STIEKEMA | N/A | JENNIFER | N/A | 2026-03-01 | 2025-03-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10111751792 | N/A | N/A | 16994489 | 2222 | N/A | 19232056 | N/A | 14991273 | 2026-02-23 20:56:36.687817 | 2026-02-23 20:45:39.769195 |
| 2026-02-23 20:56:09.484498 | 2026-02-23 20:56:11.239467 | 19039496 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-10-08 | 2026-02-23 | F | PT | 4184 | STIEKEMA | JQU130W07701 | JENNIFER | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16994489/check_19039496_1bcc154d-a0ff-4622-b964-adb099e18ca3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16994489/check_19039496_c7742143-69d0-4b1d-b364-c75ec6af85e6.json | N/A | N/A | N/A | N/A | N/A | JQU130W07701 | Preferred Provider Organization (PPO) | PARKWAY PEDIATRIC MEDICAL GROUP INC | ANTHEM BLUE CROSS | N/A | 1993-10-08 | 040 | U35944 | N/A | PR | false | STIEKEMA | N/A | JENNIFER | N/A | 2026-03-01 | 2025-03-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10111748644 | N/A | N/A | 16994489 | 2222 | N/A | 19232045 | N/A | 14991273 | 2026-02-23 20:56:11.239467 | 2026-02-23 20:45:39.769195 |
| 2026-02-23 20:55:21.791464 | 2026-02-23 20:55:23.587729 | 19039483 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-10-08 | 2026-02-23 | F | PT | 4184 | STIEKEMA | JQU130W07701 | JENNIFER | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16994489/check_19039483_ad8c08ec-2726-4956-b619-836cfb0f830d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16994489/check_19039483_79cfe0a5-17e1-4553-a507-07aa493107ec.json | N/A | N/A | N/A | N/A | N/A | JQU130W07701 | Preferred Provider Organization (PPO) | PARKWAY PEDIATRIC MEDICAL GROUP INC | ANTHEM BLUE CROSS | N/A | 1993-10-08 | 040 | U35944 | N/A | PR | false | STIEKEMA | N/A | JENNIFER | N/A | 2026-03-01 | 2025-03-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10111742940 | N/A | N/A | 16994489 | 2222 | N/A | 19232028 | N/A | 14991273 | 2026-02-23 20:55:23.587729 | 2026-02-23 20:45:39.769195 |
| 2026-02-23 20:55:13.339968 | 2026-02-23 20:55:16.113763 | 19039480 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-10-08 | 2026-02-23 | F | PT | 4184 | STIEKEMA | JQU130W07701 | JENNIFER | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/16994489/check_19039480_44b37530-b266-46e3-840b-0980e29f0f79.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/16994489/check_19039480_e450a8cd-fd87-4690-a38c-56ea3492c18c.json | N/A | N/A | N/A | N/A | N/A | JQU130W07701 | Preferred Provider Organization (PPO) | PARKWAY PEDIATRIC MEDICAL GROUP INC | ANTHEM BLUE CROSS | N/A | 1993-10-08 | 040 | U35944 | N/A | PR | false | STIEKEMA | N/A | JENNIFER | N/A | 2026-03-01 | 2025-03-01 | CA SG ANTHEM HSA | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10111742036 | N/A | N/A | 16994489 | 2222 | N/A | 19232025 | N/A | 14991273 | 2026-02-23 20:55:16.113763 | 2026-02-23 20:45:39.769195 |
| 2026-02-23 20:52:25.032760 | 2026-02-23 20:52:26.811367 | 19039428 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-02-04 | 2026-02-23 | M | AE | 6237 | Seth | 400421420-01 | SUSHIL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17252132/check_19039428_d67fe285-fb3e-4382-9f85-8d90c1e7e79e.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17252132/check_19039428_233c1c8d-432b-44b8-a3bb-955d8b5470b2.json | N/A | N/A | N/A | N/A | N/A | 400421420-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-02-04 | N/A | N/A | N/A | N/A | false | SETH | N/A | SUSHIL | 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 | 17252132 | 2222 | N/A | 19231971 | N/A | 15269089 | 2026-02-23 20:52:26.811367 | 2026-03-03 16:25:21.496329 |
| 2026-02-23 20:52:23.431687 | 2026-02-23 20:52:25.029794 | 19039427 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-02-04 | 2026-02-23 | M | AE | 6237 | Seth | 400421420-01 | SUSHIL | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17252132/check_19039427_6301156f-63b5-4f65-bf62-ba798138e53b.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2026-02-23 | N/A | N/A | N/A | N/A | N/A | N/A | 400421420-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-02-04 | N/A | N/A | N/A | N/A | false | SETH | N/A | SUSHIL | 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 | 17252132 | 2222 | N/A | N/A | N/A | 15269089 | 2026-02-23 20:52:25.029794 | 2026-03-03 16:25:21.496329 |
| 2026-02-23 19:48:33.681806 | 2026-02-23 19:48:36.880113 | 19038157 | N/A | N/A | 39026 | UNITED MEDICAL RESOURCES | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-14 | 2026-02-23 | M | AE | N/A | YOUHANAIE | 43998379 | MARK | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17247597/check_19038157_d4b8b3cb-bebd-40e8-aa64-44dc90da567c.json | UHC | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17247597/check_19038157_95c22114-f7d4-49fb-86e1-451f092b983f.json | N/A | N/A | N/A | N/A | N/A | 43998379 | N/A | N/A | UMR | N/A | 1959-08-14 | N/A | 76150023 | N/A | N/A | false | YOUHANAIE | N/A | MARK | N/A | N/A | N/A | RTX CORPORATION | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 162972 | N/A | 17247597 | 2222 | N/A | 19230513 | N/A | 4211122 | 2026-02-23 19:48:36.880113 | 2025-05-13 04:29:37.225524 |
| 2026-02-23 19:48:22.173876 | 2026-02-23 19:48:23.943438 | 19038152 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-14 | 2026-02-23 | M | AE | 4497 | YOUHANAIE | 9RG5DX0YJ71 | MARK | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/17247515/check_19038152_c2035838-c239-4d99-b44f-079480e4af93.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17247515/check_19038152_c6566dc2-738e-4df9-b727-46de0830ecd0.json | N/A | N/A | N/A | N/A | N/A | 9RG5DX0YJ71 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MA | false | YOUHANAIE | N/A | MARK | 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 | 10111225174 | 162972 | N/A | 17247515 | 2222 | N/A | 19230507 | N/A | 4211122 | 2026-02-23 19:48:23.943438 | 2025-05-13 04:29:37.225524 |
| 2026-02-23 19:14:09.878084 | 2026-02-23 19:14:11.632982 | 19037504 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-11-18 | 2026-02-27 | M | PT | 4191 | Ratsch | UCD914872609 | Christian | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/17232261/check_19037504_7d968e78-0eb2-4449-9eb2-85cca0776b9e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17232261/check_19037504_0bf00df3-610d-4464-b9af-d28406e3d1c3.json | N/A | N/A | N/A | N/A | N/A | UCD914872609 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1966-11-18 | 1400PPOX0001 | W3000984 | N/A | PR | false | RATSCH | N/A | CHRISTIAN | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA ASO UC CARE PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10110917456 | N/A | N/A | 17232261 | 2222 | N/A | 19229751 | N/A | 15250062 | 2026-02-23 19:14:11.632982 | 2026-02-23 15:20:23.082808 |
| 2026-02-23 18:23:41.912392 | 2026-02-23 18:23:44.684697 | 19036258 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-05 | 2026-03-02 | F | AE | 3842 | MILLER | 32189178511 | PEGGY | N/A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541430/check_19036258_ea75f65f-9121-4971-abc2-192bfcd515ea.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-03-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541430/check_19036258_79bc61f0-027a-488a-9758-b4815287fa28.json | N/A | N/A | N/A | N/A | N/A | 32189178511 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1943-11-05 | N/A | N/A | N/A | N/A | false | MILLER | N/A | PEGGY | 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 | 5541430 | 2222 | N/A | 19228418 | N/A | 4213453 | 2026-02-23 18:23:44.684697 | 2025-05-13 04:29:37.227772 |