Atheletic API

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API Endpoints

Total rows: 63,317
created_at updated_at id athelas_task_id cmds_task_id raw_request 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 service_type_codes is_proactive_visit is_archived failed_to_parse_response_reason payer_plan_info medicare_part waystar_inquiry_id created_by_user_id appointment_id patient_insurance_info_id site_id facility_id eligibility_coverage_id mapped_insurance_company_id patient_id eligibility_checks_updated_at patients_updated_at
2025-07-14 09:44:03.475029 2025-07-14 09:44:14.414626 9831437 N/A N/A {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2000-06-13', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'Parr', 'subscriber_member_id': '917536195', 'subscriber_first_name': 'Samantha'} https://storage.googleapis.com/normandy-eligibility-checks/2222/6642459/check_9831437_1aa74790-4e83-4d1e-8ac8-3eba499df583.edi.txt WAYSTAR N/A GOOGLE_CLOUD 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6642459/check_9831437_ebbf8891-e856-4b1c-a86c-2cd151cbdced.json N/A N/A N/A N/A N/A {'member_id': '917536195', 'plan_type': 'Commercial', 'group_name': 'VIDEOAMP, INC.', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '2000-06-13', 'plan_number': '0005 0005', 'group_number': '928362', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'PARR', 'plan_sponsor_name': None, 'patient_first_name': 'SAMANTHA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT PLUS PPO CA 2023 CUJB', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255127091 N/A N/A 6642459 2222 N/A 9549354 N/A 5249216 2025-07-14 09:44:14.414626 2025-06-27 18:39:50.819779
2025-07-14 09:41:48.470867 2025-07-14 09:41:53.238503 9831138 N/A N/A {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-07-02', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FRIEDMAN', 'subscriber_member_id': 'G46825417', 'subscriber_first_name': 'JOEL'} https://storage.googleapis.com/normandy-eligibility-checks/2222/6400620/check_9831138_d30b9482-7c43-440d-9190-c3925bb6d2f8.edi.txt WAYSTAR N/A GOOGLE_CLOUD 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6400620/check_9831138_38ce4bab-c658-437e-9669-dd9c2b33fe27.json N/A N/A N/A N/A N/A {'member_id': 'G46825417', 'plan_type': None, 'group_name': 'GEHA MEDICAL FEHB/PSHB', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1970-07-02', 'plan_number': '767000416933002', 'group_number': '76416933', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHELBURNE', 'plan_sponsor_name': None, 'patient_first_name': 'TANYA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255118478 N/A N/A 6400620 2222 N/A 9549048 N/A 4213013 2025-07-14 09:41:53.238503 2025-05-13 04:29:37.227340
2025-07-14 09:41:46.555805 2025-07-14 09:41:51.047250 9831137 N/A N/A {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-02-03', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MCKAY', 'subscriber_member_id': '93518017100', 'subscriber_first_name': 'JEANNETTE'} https://storage.googleapis.com/normandy-eligibility-checks/2222/6398744/check_9831137_2ee4221b-77d1-408a-bbfb-f88f19bfa979.edi.txt WAYSTAR N/A GOOGLE_CLOUD 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398744/check_9831137_b719e15f-20ab-45e6-bac4-7abbd53e0d7e.json N/A N/A N/A N/A N/A {'member_id': '935180171', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1953-02-03', 'plan_number': None, 'group_number': '15725', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MCKAY', 'plan_sponsor_name': None, 'patient_first_name': 'JEANNETTE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255118342 N/A N/A 6398744 2222 N/A 9549047 N/A 5046297 2025-07-14 09:41:51.047250 2025-06-17 15:15:28.403654
2025-07-14 09:41:43.265423 2025-07-14 09:41:47.425494 9831129 N/A N/A {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1995-05-25', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'DEMEKE', 'subscriber_member_id': '993298216', 'subscriber_first_name': 'BETHELHEM'} https://storage.googleapis.com/normandy-eligibility-checks/2222/6398770/check_9831129_33c69501-d09a-4964-bdf3-a9df4da8ff9c.edi.txt WAYSTAR N/A GOOGLE_CLOUD 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398770/check_9831129_40e5f883-c396-4d61-9828-30c01ca5075a.json N/A N/A N/A N/A N/A {'member_id': '993298216', 'plan_type': 'Commercial', 'group_name': 'SIXT RENT A CAR, LLC', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1995-05-25', 'plan_number': '0003 0003', 'group_number': '933301', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'DEMEKE', 'plan_sponsor_name': None, 'patient_first_name': 'BETHELHEM', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'UNITEDHEALTHCARE CHOICE PLUS', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255118017 N/A N/A 6398770 2222 N/A 9549035 N/A 5046323 2025-07-14 09:41:47.425494 2025-07-01 16:52:05.392727
2025-07-14 09:40:31.156691 2025-07-14 09:40:35.345543 9830992 N/A N/A {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1988-11-03', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'PARADI', 'subscriber_member_id': '989539094', 'subscriber_first_name': 'SUZANNE'} https://storage.googleapis.com/normandy-eligibility-checks/2222/6134645/check_9830992_fd76e6a1-5531-4147-97b2-c1951cd7c657.edi.txt WAYSTAR N/A GOOGLE_CLOUD 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134645/check_9830992_4afa3a79-6781-40bf-9c1d-8fa72b5807d5.json N/A N/A N/A N/A N/A {'member_id': '989539094', 'plan_type': 'Commercial', 'group_name': 'ANSCHUTZ ENTERTAINMENT GROUP', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1988-11-03', 'plan_number': '0014 0014', 'group_number': '744401', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'PARADI', 'plan_sponsor_name': None, 'patient_first_name': 'SUZANNE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'UNITEDHEALTHCARE CHOICE PLUS', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255110390 N/A N/A 6134645 2222 N/A 9548900 N/A 4775949 2025-07-14 09:40:35.345543 2025-06-11 16:52:59.646941
2025-07-14 09:39:00.238975 2025-07-14 09:39:04.173135 9830747 N/A N/A {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-05-06', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'IRIZARRY', 'subscriber_member_id': '950883047', 'subscriber_first_name': 'BERNADETTE'} https://storage.googleapis.com/normandy-eligibility-checks/2222/5541827/check_9830747_ec97578f-e080-4526-9379-b0a7ba2a0e30.edi.txt WAYSTAR N/A GOOGLE_CLOUD 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541827/check_9830747_7a5ac84a-4678-4899-abe6-ac2048a04e22.json N/A N/A N/A N/A N/A {'member_id': '950883047', 'plan_type': 'Commercial', 'group_name': 'DHL', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1969-05-06', 'plan_number': '0001 0001', 'group_number': '905224', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'BOERSMA', 'plan_sponsor_name': None, 'patient_first_name': 'PITER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'UNITEDHEALTHCARE CHOICE PLUS', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255102700 N/A N/A 5541827 2222 N/A 9548668 N/A 4213806 2025-07-14 09:39:04.173135 2025-05-13 04:29:37.228124
2025-07-14 09:39:00.133735 2025-07-14 09:39:05.401894 9830746 N/A N/A {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1997-01-04', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'GERSHMAN', 'subscriber_member_id': '987203340', 'subscriber_first_name': 'TYLER'} https://storage.googleapis.com/normandy-eligibility-checks/2222/5542830/check_9830746_673c213c-051b-41f8-9b1f-6b75a7991f15.edi.txt WAYSTAR N/A GOOGLE_CLOUD 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542830/check_9830746_d619b9b8-658e-4acd-bb6e-75aefe14a93c.json N/A N/A N/A N/A N/A {'member_id': '987203340', 'plan_type': 'Consolidated Omnibus Budget Reconciliation Act (COBRA)', 'group_name': 'ORACLE', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1997-01-04', 'plan_number': '0169 0169', 'group_number': '228485', 'insurance_type': None, 'plan_type_code': 'CO', 'enrolled_in_qmb': False, 'patient_last_name': 'GERSHMAN', 'plan_sponsor_name': None, 'patient_first_name': 'TYLER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT PLUS', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255102695 N/A N/A 5542830 2222 N/A 9548671 N/A 4214699 2025-07-14 09:39:05.401894 2025-05-13 04:29:37.229016
2025-07-14 09:38:59.989137 2025-07-14 09:39:04.207342 9830745 N/A N/A {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1985-01-26', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'VASEF', 'subscriber_member_id': '98235678800', 'subscriber_first_name': 'IDEAN'} https://storage.googleapis.com/normandy-eligibility-checks/2222/5542264/check_9830745_8b0a83c4-b2b7-41b3-bf1a-0ed21b099fe8.edi.txt WAYSTAR N/A GOOGLE_CLOUD 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542264/check_9830745_aaea04c8-b772-43cc-b622-89c19e72ac8a.json N/A N/A N/A N/A N/A {'member_id': '98235678800', 'plan_type': 'Commercial', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE INSURANCE COMPANY', 'payer_note': 'FUNDING TYPE = FULLY INSURED - LARGE GROUP LABORATORY DESIGNATED DIAGNOSTIC BENEFITS IMAGING DESIGNATED DIAGNOSTIC BENEFITS', 'patient_dob': '1985-01-26', 'plan_number': None, 'group_number': '1490012', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'VASEF', 'plan_sponsor_name': None, 'patient_first_name': 'IDEAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CHOICE PLUS', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255102680 N/A N/A 5542264 2222 N/A 9548667 N/A 4214205 2025-07-14 09:39:04.207342 2025-06-27 18:49:28.826549
2025-07-14 09:38:59.774650 2025-07-14 09:39:03.734607 9830744 N/A N/A {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1977-05-05', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FERRER', 'subscriber_member_id': '983167284', 'subscriber_first_name': 'AUDEEN'} https://storage.googleapis.com/normandy-eligibility-checks/2222/5541310/check_9830744_8c80af44-24d4-4bd9-9777-50c70eca4009.edi.txt WAYSTAR N/A GOOGLE_CLOUD 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541310/check_9830744_f3e1543d-1f95-4bb5-adbf-9fb56ea5d3be.json N/A N/A N/A N/A N/A {'member_id': '983167284', 'plan_type': 'Commercial', 'group_name': 'KINDEVA DRUG DELIVERY', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1977-05-05', 'plan_number': '0001 0001', 'group_number': '926994', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'FERRER', 'plan_sponsor_name': None, 'patient_first_name': 'AUDEEN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'UNITEDHEALTHCARE CHOICE PLUS', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255102664 N/A N/A 5541310 2222 N/A 9548666 N/A 4213342 2025-07-14 09:39:03.734607 2025-06-06 02:19:28.320975
2025-07-14 09:38:58.931923 2025-07-14 09:39:02.821310 9830742 N/A N/A {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-04-21', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'ENGBER', 'subscriber_member_id': '951452113-00', 'subscriber_first_name': 'KERRY'} https://storage.googleapis.com/normandy-eligibility-checks/2222/5540085/check_9830742_a23fb538-c802-424f-b9e3-f8785eb9182d.edi.txt WAYSTAR N/A GOOGLE_CLOUD 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540085/check_9830742_3ac0b933-cec3-491a-b925-172b6570cfea.json N/A N/A N/A N/A N/A {'member_id': '951452113', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1945-04-21', 'plan_number': None, 'group_number': '15896', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'ENGBER', 'plan_sponsor_name': None, 'patient_first_name': 'KERRY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255102583 N/A N/A 5540085 2222 N/A 9548664 N/A 4212291 2025-07-14 09:39:02.821310 2025-05-13 04:29:37.226630
2025-07-14 09:14:58.129282 2025-07-15 02:12:15.250871 9828837 N/A N/A {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9828837', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-08-29', 'date_of_service': '2025-07-14', 'subscriber_gender': 'U', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BARRE', 'subscriber_member_id': '4WR8HF0MV28', 'subscriber_first_name': 'RHONDA'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6418037/check_9828837_43140cb2-064a-4fa8-9f92-c04835b772ff.json N/A N/A N/A N/A N/A {'member_id': '4WR8HF0MV28', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'STATE FUND - CLAIMS PROCESSING C', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1958-08-29', 'plan_number': None, 'group_number': 'DOL 02061998', 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'BARRE', 'plan_sponsor_name': None, 'patient_first_name': 'RHONDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255004633 N/A N/A 6418037 2222 4802 9572516 N/A 5065797 2025-07-15 02:12:15.250871 2025-07-28 17:08:00.544400
2025-07-14 09:14:55.906238 2025-07-15 02:04:19.713635 9828828 N/A N/A {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9828828', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2011-02-10', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BEANEY', 'subscriber_member_id': 'W286754300', 'subscriber_first_name': 'BLAKE'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417592/check_9828828_1b34126a-cff3-4e99-a695-68dd370a6768.json N/A N/A N/A N/A N/A {'member_id': 'W286754300', 'plan_type': 'Point of Service (POS)', 'group_name': 'ASTRAZENECA PHARMACEUTICALS LP', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '2011-02-10', 'plan_number': '0192654', 'group_number': '019265403800001', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'BEANEY', 'plan_sponsor_name': None, 'patient_first_name': 'KASI', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA CHOICE POS II', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255004793 N/A N/A 6417592 2222 4802 9562841 N/A 5065296 2025-07-15 02:04:19.713635 2025-06-17 15:56:39.436060
2025-07-14 09:14:45.023706 2025-07-15 02:07:38.737495 9828782 N/A N/A {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9828782', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-10-01', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BANDEMER', 'subscriber_member_id': 'FJB21605892M', 'subscriber_first_name': 'KATHLEEN'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6415297/check_9828782_7f39c085-22bd-4745-86e5-c9294d70a7d8.json N/A N/A N/A N/A N/A {'member_id': 'FJB21605892M', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'BANK OF AMERICA CORPORATION', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1970-10-01', 'plan_number': '101', 'group_number': '174549M111', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'BANDEMER', 'plan_sponsor_name': None, 'patient_first_name': 'MICHAEL', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', 'plan_coverage_description': 'BLUECARD PPO', 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255004757 N/A N/A 6415297 2222 4801 9566786 N/A 5062987 2025-07-15 02:07:38.737495 2025-06-30 17:00:12.075578
2025-07-14 09:14:44.799355 2025-07-15 02:08:24.987067 9828781 N/A N/A {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9828781', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-10-20', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'VAUGHAN', 'subscriber_member_id': 'XEH910348305', 'subscriber_first_name': 'BRIANNA'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6415249/check_9828781_dc862fc4-04f2-4f49-8e9c-678efd91c6cc.json N/A N/A N/A N/A N/A {'member_id': 'XEH910348305', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'TRINET HR III INC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1979-10-20', 'plan_number': '1001HMOX0014', 'group_number': 'W0051486', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'VAUGHAN', 'plan_sponsor_name': None, 'patient_first_name': 'BRIANNA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'TRINET HR III INC CUSTOM HMO 30 500 ADMIT ER 250', 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255004756 N/A N/A 6415249 2222 4801 9567682 N/A 5062890 2025-07-15 02:08:24.987067 2025-06-30 20:31:45.414426
2025-07-14 09:13:22.960165 2025-07-15 02:07:25.092368 9828517 N/A N/A {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': '1114042165', 'trace_number': '9828517', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-06-14', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MIESSNER', 'subscriber_member_id': '00000302558', 'subscriber_first_name': 'CHERYLL'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398725/check_9828517_8cadbfc7-9358-4bfd-b125-a592a5d6872c.json N/A N/A N/A N/A N/A {'member_id': '00000302558', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1950-06-14', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'MIESSNER', 'plan_sponsor_name': None, 'patient_first_name': 'CHERYLL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255004737 N/A N/A 6398725 2222 4801 9566503 N/A 5046278 2025-07-15 02:07:25.092368 2025-06-15 19:17:04.043327
2025-07-14 09:13:21.884644 2025-07-15 02:04:20.093161 9828513 N/A N/A {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9828513', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1963-03-10', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'HASSHAW', 'subscriber_member_id': 'W257198312', 'subscriber_first_name': 'LAURA'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398687/check_9828513_c7054c89-03c0-4b17-9b27-4a19d03115db.json N/A N/A N/A N/A N/A {'member_id': 'W257198312', 'plan_type': 'Point of Service (POS)', 'group_name': 'EXL SERVICE.COM, LLC', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1963-03-10', 'plan_number': '0847788', 'group_number': '084778801000201', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'HASSHAW', 'plan_sponsor_name': None, 'patient_first_name': 'LAURA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA CHOICE POS II', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255004734 N/A N/A 6398687 2222 4793 9562845 N/A 5046244 2025-07-15 02:04:20.093161 2025-06-20 22:35:45.756703
2025-07-14 09:13:21.500506 2025-07-15 02:07:40.233076 9828512 N/A N/A {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9828512', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-02-17', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HARO', 'subscriber_member_id': 'N5X1918954204', 'subscriber_first_name': 'JILLIAN'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398683/check_9828512_378abd38-9dd8-445a-90ed-c38de1aedbb8.json N/A N/A N/A N/A N/A {'member_id': 'N5X1918954204', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': '014652 BC PPO CLASSIC - ACTIVE - CA', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2008-02-17', 'plan_number': None, 'group_number': '014666', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HARO', 'plan_sponsor_name': None, 'patient_first_name': 'PETE', 'patient_middle_name': None, 'date_time_period_end': '2034-02-28', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'ACTIVE PPO PLAN_13214', 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255004733 N/A N/A 6398683 2222 4801 9566813 N/A 5046240 2025-07-15 02:07:40.233076 2025-07-01 04:05:26.762675
2025-07-14 09:12:50.974009 2025-07-15 02:07:39.113170 9828418 N/A N/A {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9828418', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-05-18', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BARRUNDIA DE AVENDAN', 'subscriber_member_id': 'JQW789W20031', 'subscriber_first_name': 'M'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236229/check_9828418_cd7fabb6-93dd-4360-bbca-fe3116a9f49c.json N/A N/A N/A N/A N/A {'member_id': 'JQW789W20031', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1959-05-18', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'BARRUNDIA DE AVENDAN', 'plan_sponsor_name': None, 'patient_first_name': 'M', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-05-01', 'plan_coverage_description': 'CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP)', 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255003877 N/A N/A 6236229 2222 4801 9566793 N/A 4642900 2025-07-15 02:07:39.113170 2025-12-12 21:30:04.843166
2025-07-14 09:12:10.269104 2025-07-15 02:05:16.610836 9828271 N/A N/A {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': '1114042165', 'trace_number': '9828271', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-04-26', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BARCENES', 'subscriber_member_id': 'H9209970900', 'subscriber_first_name': 'IRENE'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6231314/check_9828271_7398b152-3b76-4180-b1d8-d30c461fa98c.json N/A N/A N/A N/A N/A {'member_id': 'H92099709', 'plan_type': 'Health Maintenance Organization (HMO) - Medicare Risk', 'group_name': 'ARCNDINN HENLTH PLNN, INC.', 'payer_name': 'HUMANA', 'payer_note': '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', 'patient_dob': '1947-04-26', 'plan_number': None, 'group_number': '0B527001', 'insurance_type': None, 'plan_type_code': 'HN', 'enrolled_in_qmb': False, 'patient_last_name': 'BARCENES DES', 'plan_sponsor_name': None, 'patient_first_name': 'IRENE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HUMANA GOLD PLUS', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255003442 N/A N/A 6231314 2222 4801 9563953 N/A 4219033 2025-07-15 02:05:16.610836 2025-05-13 04:29:37.230052
2025-07-14 09:11:06.503997 2025-07-15 02:06:16.513327 9827664 N/A N/A {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': '1114042165', 'trace_number': '9827664', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1976-11-09', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LAWSON', 'subscriber_member_id': 'I09755489', 'subscriber_first_name': 'KENNETH'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6213138/check_9827664_c21d6cec-2227-4e81-b1b5-46a7db0c6752.json N/A N/A N/A N/A N/A {'member_id': 'I09755489', 'plan_type': None, 'group_name': None, 'payer_name': 'CIGNA HEALTH PLANS', 'payer_note': None, 'patient_dob': '1976-11-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LAWSON', 'plan_sponsor_name': None, 'patient_first_name': 'KENNETH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255004333 N/A N/A 6213138 2222 4793 9565201 N/A 4856781 2025-07-15 02:06:16.513327 2025-06-12 21:52:37.627086
2025-07-14 09:10:51.972489 2025-07-15 02:12:16.396240 9827453 N/A N/A {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9827453', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-05-05', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'NOVORR', 'subscriber_member_id': '5TE2WD0CR85', 'subscriber_first_name': 'JAMES'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210635/check_9827453_82d362bf-731c-4ff6-af3f-25be16bdfd9d.json N/A N/A N/A N/A N/A {'member_id': '5TE2WD0CR85', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'DEAN HEALTH INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1944-05-05', 'plan_number': 'S9701', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'NOVORR', 'plan_sponsor_name': None, 'patient_first_name': 'JAMES', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255003781 N/A N/A 6210635 2222 4801 9572540 N/A 4853447 2025-07-15 02:12:16.396240 2025-06-30 18:48:47.810039
2025-07-14 09:10:13.133079 2025-07-15 02:12:16.016528 9827032 N/A N/A {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9827032', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-07-20', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'NAFTZGER', 'subscriber_member_id': '3NW9CG6WM45', 'subscriber_first_name': 'SANDRA'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194923/check_9827032_5b1a78ec-ca97-4ef0-bcae-3c2eb3e08a52.json N/A N/A N/A N/A N/A {'member_id': '3NW9CG6WM45', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1960-07-20', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'NAFTZGER', 'plan_sponsor_name': None, 'patient_first_name': 'SANDRA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255003005 N/A N/A 6194923 2222 4802 9572534 N/A 4214889 2025-07-15 02:12:16.016528 2025-05-13 04:29:37.229212
2025-07-14 09:10:09.859762 2025-07-15 02:07:39.489866 9826953 N/A N/A {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9826953', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-05-25', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'CLOONAN', 'subscriber_member_id': 'XDM481M99931', 'subscriber_first_name': 'LINDA'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193751/check_9826953_7b8aaa26-b3b6-4b07-9c9c-6ca4b746b3e5.json N/A N/A N/A N/A N/A {'member_id': 'XDM481M99931', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'UFCW BENEFIT FUNDS ADMIN LLC RETIREE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1965-05-25', 'plan_number': '040', 'group_number': '282241H019', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'CLOONAN', 'plan_sponsor_name': None, 'patient_first_name': 'LINDA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2020-12-01', 'plan_coverage_description': 'CLASSIC SELECT HMO', 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255003222 N/A N/A 6193751 2222 4801 9566800 N/A 4837995 2025-07-15 02:07:39.489866 2025-06-13 00:15:18.726975
2025-07-14 09:10:09.114494 2025-07-15 02:07:40.953627 9826933 N/A N/A {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9826933', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-06-28', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'WATFORD', 'subscriber_member_id': 'JMV794A61721', 'subscriber_first_name': 'MONICA'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193602/check_9826933_e00b95d6-8de4-452a-980c-076d99098f06.json N/A N/A N/A N/A N/A {'member_id': 'JMV794A61721', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'CAPSTONE GREEN ENERGY LLC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1965-06-28', 'plan_number': '040', 'group_number': 'L10003H001', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'WATFORD', 'plan_sponsor_name': None, 'patient_first_name': 'MONICA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'VALUE COINSURANCE TRADITIONAL HMO NETWORK NON DUR', 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255003220 N/A N/A 6193602 2222 4801 9566829 N/A 4837815 2025-07-15 02:07:40.953627 2025-06-24 18:39:14.627021
2025-07-14 09:10:08.356448 2025-07-15 02:05:17.009566 9826910 N/A N/A {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': '1114042165', 'trace_number': '9826910', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-11-15', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'OROZCO', 'subscriber_member_id': 'H4811970900', 'subscriber_first_name': 'BETTY'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193347/check_9826910_54a34ada-98f9-410b-bc44-8c5f1f144495.json N/A N/A N/A N/A N/A {'member_id': 'H48119709', 'plan_type': 'Health Maintenance Organization (HMO) - Medicare Risk', 'group_name': 'ARCNDINN HENLTH PLNN, INC.', 'payer_name': 'HUMANA', 'payer_note': '076 557 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', 'patient_dob': '1956-11-15', 'plan_number': None, 'group_number': '0B635001', 'insurance_type': None, 'plan_type_code': 'HN', 'enrolled_in_qmb': False, 'patient_last_name': 'OROZCO', 'plan_sponsor_name': None, 'patient_first_name': 'BETTY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HUMANA GOLD PLUS', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255003218 N/A N/A 6193347 2222 4801 9563958 N/A 4219752 2025-07-15 02:05:17.009566 2025-05-13 04:29:37.230794
2025-07-14 09:10:00.112996 2025-07-15 02:17:39.933103 9826666 N/A N/A {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9826666', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1995-02-28', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'JONES', 'subscriber_member_id': 'LTC290M90213', 'subscriber_first_name': 'CAROLINE'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120132433.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770884/check_9826666_6b913200-3f08-4f5b-ae5e-9a015e6ec1cd.json N/A N/A N/A N/A N/A {'member_id': 'LTC290M90213', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'THE AEROSPACE CORPORATION', 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '1995-02-28', 'plan_number': '040', 'group_number': '174151MCA3', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'JONES', 'plan_sponsor_name': None, 'patient_first_name': 'CAROLINE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'BC PPO INCENTIVE', 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8254988025 N/A N/A 6770884 2222 4802 9577308 N/A 4775735 2025-07-15 02:17:39.933103 2025-07-08 23:42:37.640916
2025-07-14 09:09:46.727929 2025-07-15 02:21:26.962166 9826237 N/A N/A {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9826237', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-09-07', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CICCIARI', 'subscriber_member_id': '1AK4JC6NK84', 'subscriber_first_name': 'LOUIS'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120132433.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_9826237_19eabcb9-708b-40d8-aa3d-3f71eb6c1d02.json N/A N/A N/A N/A N/A {'member_id': '1AK4JC6NK84', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'ANTHEM INSURANCE COMPANIES, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1959-09-07', 'plan_number': 'S5596', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'CICCIARI', 'plan_sponsor_name': None, 'patient_first_name': 'LOUIS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8254989006 N/A N/A 6752936 2222 4801 9578868 N/A 5065602 2025-07-15 02:21:26.962166 2025-07-01 17:25:13.681724
2025-07-14 09:09:33.452008 2025-07-15 02:13:42.176247 9825817 N/A N/A {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9825817', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-07-19', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'HARVEY', 'subscriber_member_id': '8YE6EE0UG57', 'subscriber_first_name': 'CHRISTOPHER'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993966/check_9825817_628fa8d3-a83d-414e-877f-8aee8dad2a42.json N/A N/A N/A N/A N/A {'member_id': '8YE6EE0UG57', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1951-07-19', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'HARVEY', 'plan_sponsor_name': None, 'patient_first_name': 'CHRISTOPHE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255007974 N/A N/A 5993966 2222 4801 9574287 N/A 4642895 2025-07-15 02:13:42.176247 2025-06-04 22:10:38.563345
2025-07-14 09:09:33.360958 2025-07-15 02:13:39.891705 9825813 N/A N/A {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9825813', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-02', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BALLETTA', 'subscriber_member_id': '8XJ1TM6DQ90', 'subscriber_first_name': 'EDWARD'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993961/check_9825813_10af26b5-2bb4-40e0-81bd-eae2ea8fbcc0.json N/A N/A N/A N/A N/A {'member_id': '8XJ1TM6DQ90', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1959-07-02', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'BALLETTA', 'plan_sponsor_name': None, 'patient_first_name': 'EDWARD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255007973 N/A N/A 5993961 2222 4793 9574243 N/A 4642893 2025-07-15 02:13:39.891705 2025-05-28 20:58:29.913655
2025-07-14 09:09:33.251407 2025-07-15 02:01:33.583065 9825809 N/A N/A {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9825809', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-09-09', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BRUNO', 'subscriber_member_id': 'NCF254A54902', 'subscriber_first_name': 'PHILLIP'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993958/check_9825809_625fb7dd-b2f0-449d-a129-d866142efdfd.json N/A N/A N/A N/A N/A {'member_id': 'NCF254A54902', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1959-09-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BRUNO', 'plan_sponsor_name': None, 'patient_first_name': 'PHILLIP', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255007972 N/A N/A 5993958 2222 4801 9560700 N/A 4642892 2025-07-15 02:01:33.583065 2025-05-29 23:29:01.820749
2025-07-14 09:09:33.131240 2025-07-15 02:07:36.487302 9825806 N/A N/A {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9825806', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-05-23', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'NESSIA', 'subscriber_member_id': 'MMA187W16160', 'subscriber_first_name': 'GIGI'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993956/check_9825806_5c75c65a-4bc9-4d13-93be-de1d8b27ae83.json N/A N/A N/A N/A N/A {'member_id': 'MMA187W16160', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1958-05-23', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'NESSIA', 'plan_sponsor_name': None, 'patient_first_name': 'GIGI', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK', 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255007971 N/A N/A 5993956 2222 4801 9566738 4184 4642890 2025-07-15 02:07:36.487302 2025-06-17 17:21:32.432375
2025-07-14 09:09:33.021040 2025-07-15 02:05:56.050721 9825802 N/A N/A {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': '1114042165', 'trace_number': '9825802', 'provider_name': '', 'subscriber_dob': '1952-08-31', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CARRILLO', 'subscriber_member_id': '40025807501', 'subscriber_first_name': 'LAURA'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993946/check_9825802_7a75677d-5f60-480f-b0e6-b1d1f2f75881.json N/A N/A N/A N/A N/A {'member_id': '40025807501', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN - CALIFORNIA', 'payer_note': None, 'patient_dob': '1952-08-31', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CARRILLO', 'plan_sponsor_name': None, 'patient_first_name': 'LAURA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255007970 N/A N/A 5993946 2222 4801 9564767 N/A 4642883 2025-07-15 02:05:56.050721 2025-05-30 18:05:44.781764
2025-07-14 09:09:32.915978 2025-07-15 02:01:34.850186 9825799 N/A N/A {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9825799', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-09-25', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LOPEZ', 'subscriber_member_id': '31183522601', 'subscriber_first_name': 'MARIA'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993934/check_9825799_6ec4f7d5-76fd-4bae-b5ed-640e675aeb85.json N/A N/A N/A N/A N/A {'member_id': '31183522601', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1949-09-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LOPEZ', 'plan_sponsor_name': None, 'patient_first_name': 'MARIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255007969 N/A N/A 5993934 2222 4801 9560712 N/A 4642871 2025-07-15 02:01:34.850186 2025-06-02 21:57:45.887368
2025-07-14 09:09:32.812938 2025-07-15 02:07:37.653949 9825797 N/A N/A {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9825797', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1993-10-14', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SPENCE', 'subscriber_member_id': 'SGEFW1503472', 'subscriber_first_name': 'STEPHEN'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993917/check_9825797_c0222972-0352-4032-b803-0f381def6e2c.json N/A N/A N/A N/A N/A {'member_id': 'SGEFW1503472', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'UNITED FOOD & COMMERCIAL WORKERS UNION', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1993-10-14', 'plan_number': '040', 'group_number': '276886M003', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SPENCE', 'plan_sponsor_name': None, 'patient_first_name': 'STEPHEN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', 'plan_coverage_description': 'PPO PRUDENT BUYER INCENTIVE', 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255007968 N/A N/A 5993917 2222 4793 9566760 N/A 4642854 2025-07-15 02:07:37.653949 2025-05-28 20:57:05.075130
2025-07-14 09:09:32.706088 2025-07-15 02:07:05.961280 9825794 N/A N/A {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': '1114042165', 'trace_number': '9825794', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-05-31', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JOHNSON', 'subscriber_member_id': 'R04617470MM1', 'subscriber_first_name': 'ROTH'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_9825794_e7ec508e-548a-4b40-9a46-3cba84be0ce8.json N/A N/A N/A N/A N/A {'member_id': 'R04617470MM1', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET, LLC', 'payer_note': None, 'patient_dob': '1983-05-31', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JOHNSON', 'plan_sponsor_name': None, 'patient_first_name': 'ROTH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'K7Z PPOSBG', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255007967 N/A N/A 5993907 2222 4793 9566124 N/A 4534544 2025-07-15 02:07:05.961280 2025-05-28 20:51:40.104091
2025-07-14 09:09:32.606079 2025-07-15 02:07:38.225659 9825790 N/A N/A {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9825790', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1996-01-20', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'WORDEN', 'subscriber_member_id': 'ORU910469318', 'subscriber_first_name': 'SARAH'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-16 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_9825790_8e1ce92b-7d52-4898-8777-87c790e6697b.json N/A N/A N/A N/A N/A {'member_id': 'ORU910469318', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'OAK RIDGE ASSOCIATED UNIVERSITIES', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1996-01-20', 'plan_number': 'MBPORAU0', 'group_number': '89513', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'WORDEN', 'plan_sponsor_name': None, 'patient_first_name': 'SARAH', 'patient_middle_name': None, 'date_time_period_end': '2199-12-31', 'date_time_period_start': '2024-07-16', 'plan_coverage_description': 'BLUE NETWORK P', 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255007966 N/A N/A 5993479 2222 4801 9566773 N/A 4219476 2025-07-15 02:07:38.225659 2025-05-28 20:18:04.039855
2025-07-14 09:09:04.949628 2025-07-15 02:08:38.142988 9825050 N/A N/A {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9825050', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1973-02-24', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'TAKEMOTO', 'subscriber_member_id': 'XED906098170', 'subscriber_first_name': 'NICOLE'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_9825050_cda8413b-60e3-46de-994a-629dda5f8414.json N/A N/A N/A N/A N/A {'member_id': 'XED906098170', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1973-02-24', 'plan_number': '2001ZK002184', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'TAKEMOTO', 'plan_sponsor_name': None, 'patient_first_name': 'NICOLE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2018-01-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255006338 N/A N/A 5928752 2222 4802 9567934 N/A 4583701 2025-07-15 02:08:38.142988 2025-07-24 17:50:11.805587
2025-07-14 09:08:33.709924 2025-07-15 02:01:29.518057 9824423 N/A N/A {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9824423', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1964-11-15', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BIKOULOVA', 'subscriber_member_id': '92040499F', 'subscriber_first_name': 'ALEXANDRA'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_9824423_c3568676-ec09-4fec-9b46-8c31f85bd115.json N/A N/A N/A N/A N/A {'member_id': '92040499F', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1964-11-15', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BIKOULOVA', 'plan_sponsor_name': None, 'patient_first_name': 'ALEXANDRA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255007425 N/A N/A 5874423 2222 4802 9560665 N/A 4534552 2025-07-15 02:01:29.518057 2025-05-30 18:01:03.324126
2025-07-14 09:08:22.606555 2025-07-15 02:08:24.565239 9824202 N/A N/A {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9824202', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2009-10-30', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SMITH', 'subscriber_member_id': 'XEA911729154', 'subscriber_first_name': 'KAMALA'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6162659/check_9824202_56131067-19bd-43f8-a78c-a2d28934970d.json N/A N/A N/A N/A N/A {'member_id': 'XEA911729154', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SHANTHA K SMITH BOOKS AND TAX LLC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2009-10-30', 'plan_number': '1000VX000103', 'group_number': 'W0074149', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SMITH', 'plan_sponsor_name': None, 'patient_first_name': 'SHANTHA', 'patient_middle_name': None, 'date_time_period_end': '2028-10-31', 'date_time_period_start': '2022-11-01', 'plan_coverage_description': 'BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL', 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255004563 N/A N/A 6162659 2222 4802 9567672 N/A 4805243 2025-07-15 02:08:24.565239 2025-06-23 19:30:24.977468
2025-07-14 09:07:53.105294 2025-07-15 02:12:16.796283 9823642 N/A N/A {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9823642', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-13', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SHETH', 'subscriber_member_id': '4T52DU0KY22', 'subscriber_first_name': 'SHAIVALINI'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145897/check_9823642_24e6506f-121e-4b69-bd3a-d1d7d25a6a86.json N/A N/A N/A N/A N/A {'member_id': '4T52DU0KY22', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'CMS', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1959-07-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'SHETH', 'plan_sponsor_name': None, 'patient_first_name': 'SHAIVALINI', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255004176 N/A N/A 6145897 2222 4801 9572549 N/A 4786709 2025-07-15 02:12:16.796283 2025-06-20 18:28:02.399027
2025-07-14 09:07:52.755423 2025-07-15 02:07:40.633318 9823636 N/A N/A {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9823636', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2010-10-08', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'REBEAUD', 'subscriber_member_id': 'DYZ6283553AB', 'subscriber_first_name': 'JUSTIN'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145860/check_9823636_dd68c682-641b-478a-8a61-f1417d40199b.json N/A N/A N/A N/A N/A {'member_id': 'DYZ6283553AB', 'plan_type': 'Point of Service (POS)', 'group_name': 'CLASSIC COLLISION LLC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2010-10-08', 'plan_number': '101', 'group_number': 'L08292M003', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'REBEAUD', 'plan_sponsor_name': None, 'patient_first_name': 'MARIA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-08-01', 'plan_coverage_description': 'GA POS BLUECHOICE OA', 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255004175 N/A N/A 6145860 2222 4793 9566819 N/A 4786676 2025-07-15 02:07:40.633318 2025-06-10 23:45:59.927015
2025-07-14 09:07:38.576522 2025-07-15 02:24:42.427881 9823314 N/A N/A {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9823314', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-23', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Harvey', 'subscriber_member_id': '1D65Z29PD77', 'subscriber_first_name': 'Roy'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120132433.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_9823314_f3821e6b-c259-4679-b6c2-198b007d63a8.json N/A N/A N/A N/A N/A {'member_id': '1D65Z29PD77', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE A B ELIGIBILITY ALL STATES', 'payer_note': None, 'patient_dob': '1959-07-23', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HARVEY', 'plan_sponsor_name': None, 'patient_first_name': 'ROY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8254988439 N/A N/A 6714928 2222 4802 9579996 N/A 5316172 2025-07-15 02:24:42.427881 2025-07-02 15:09:36.678003
2025-07-14 09:07:26.104558 2025-07-15 02:07:16.300710 9822851 N/A N/A {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9822851', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-06-26', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MATTHEWS', 'subscriber_member_id': '00000283273', 'subscriber_first_name': 'DAVID'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676399/check_9822851_44782394-d56f-47c5-b654-5bd0a002d935.json N/A N/A N/A N/A N/A {'member_id': '00000283273', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1952-06-26', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'MATTHEWS', 'plan_sponsor_name': None, 'patient_first_name': 'DAVID', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255008059 N/A N/A 5676399 2222 4793 9566332 2630 4343454 2025-07-15 02:07:16.300710 2025-05-13 04:29:37.230932
2025-07-14 09:07:25.910886 2025-07-15 02:02:48.203962 9822844 N/A N/A {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9822844', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-11-03', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ARROW', 'subscriber_member_id': '101393152200', 'subscriber_first_name': 'PAUL'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676385/check_9822844_4e765634-00f3-4fde-8c56-af7357c6d68c.json N/A N/A N/A N/A N/A {'member_id': '101393152200', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'BP CORPORATION NORTH AMERICA - MA', 'payer_name': 'AETNA', 'payer_note': 'MEDICARE', 'patient_dob': '1956-11-03', 'plan_number': '100181-02EG0001', 'group_number': '100181-02', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'ARROW', 'plan_sponsor_name': None, 'patient_first_name': 'PAUL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'BP MEDICARE PPO ESA', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255008058 N/A N/A 5676385 2222 4802 9561489 N/A 4343439 2025-07-15 02:02:48.203962 2025-05-13 04:29:37.230918
2025-07-14 09:07:25.727022 2025-07-15 02:13:42.492413 9822838 N/A N/A {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9822838', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-07-25', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LANE', 'subscriber_member_id': '4CA5FX1PJ56', 'subscriber_first_name': 'STEVEN'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676372/check_9822838_1017a895-284d-4f17-822e-8108b7ca4a7a.json N/A N/A N/A N/A N/A {'member_id': '4CA5FX1PJ56', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1952-07-25', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'LANE', 'plan_sponsor_name': None, 'patient_first_name': 'STEVEN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255008057 N/A N/A 5676372 2222 4802 9574295 N/A 4219832 2025-07-15 02:13:42.492413 2025-05-13 04:29:37.230877
2025-07-14 09:07:25.513223 2025-07-15 02:07:37.031165 9822828 N/A N/A {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9822828', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-04-03', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'OBLINGER', 'subscriber_member_id': 'JQS491M78254', 'subscriber_first_name': 'MARIA'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_9822828_5f89e501-0df1-43c8-a926-9c5805e40695.json N/A N/A N/A N/A N/A {'member_id': 'JQS491M78254', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1946-04-03', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'OBLINGER', 'plan_sponsor_name': None, 'patient_first_name': 'MARIA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO', 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255008056 N/A N/A 5676340 2222 4793 9566749 4184 4210531 2025-07-15 02:07:37.031165 2025-12-09 17:09:13.960610
2025-07-14 09:07:16.288149 2025-07-15 02:04:20.455423 9822467 N/A N/A {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9822467', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-01-03', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'HUANG', 'subscriber_member_id': 'W278191924', 'subscriber_first_name': 'DANNY'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140246/check_9822467_e4fbb136-0bdc-4a46-a340-55a6e3f33196.json N/A N/A N/A N/A N/A {'member_id': 'W278191924', 'plan_type': 'Point of Service (POS)', 'group_name': 'RIPPLING PEO 1, INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1969-01-03', 'plan_number': '0169696', 'group_number': '016969601700012', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'HUANG', 'plan_sponsor_name': None, 'patient_first_name': 'DANNY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OA MANAGED CHOICE POS', 'relationship_to_subscriber': None} ['AE', 'PT'] N/A N/A N/A N/A N/A 8255004260 N/A N/A 6140246 2222 4802 9562853 N/A 4781166 2025-07-15 02:04:20.455423 2025-06-11 17:29:46.826705
2025-07-14 09:06:34.432761 2025-07-15 02:16:24.905637 9821033 N/A N/A {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9821033', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1961-03-12', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MCNUTT', 'subscriber_member_id': 'XED904914958', 'subscriber_first_name': 'YOLANDA'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115340324.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_9821033_b1a8afa7-bf18-4fb0-a8e5-c746a597b761.json N/A N/A N/A N/A N/A {'member_id': 'XED904914958', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1961-03-12', 'plan_number': '2001ZK002184', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FERNANDEZ-MCNUTT', 'plan_sponsor_name': None, 'patient_first_name': 'YOLANDA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'SILVER 94 PPO JAN25', 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8254931184 N/A N/A 6668755 2222 4801 9576532 N/A 5282877 2025-07-15 02:16:24.905637 2025-07-01 15:56:36.473431
2025-07-14 09:06:25.810545 2025-07-15 02:02:54.288696 9820529 N/A N/A {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9820529', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-07-04', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Seminario', 'subscriber_member_id': '442W1081810', 'subscriber_first_name': 'Gustavo'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_9820529_766320f0-4b9b-4bf1-bb97-ac90c959b6a7.json N/A N/A N/A N/A N/A {'member_id': '442W1081810', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1945-07-04', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SEMINARIO', 'plan_sponsor_name': None, 'patient_first_name': 'GUSTAVO', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255003974 N/A N/A 6124845 2222 4793 9561560 N/A 4767293 2025-07-15 02:02:54.288696 2025-06-06 15:11:48.015692
2025-07-14 09:06:19.954679 2025-07-15 02:07:41.367991 9820199 N/A N/A {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9820199', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-09-14', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Yiannakakis', 'subscriber_member_id': '913624039', 'subscriber_first_name': 'Kathy'} https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt WAYSTAR N/A BATCH 2025-07-17 https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124357/check_9820199_e0a5738e-ac92-4577-8d30-13f6fbcc10f9.json N/A N/A N/A N/A N/A {'member_id': '913624039', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1948-09-14', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YIANNAKAKIS', 'plan_sponsor_name': None, 'patient_first_name': 'KATHY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} ['PT'] N/A N/A N/A N/A N/A 8255003961 N/A N/A 6124357 2222 4793 9566834 N/A 4766950 2025-07-15 02:07:41.367991 2025-06-03 22:10:54.646473
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